Héctor E Alcalá
Dados Biográficos
| ID | 203114 |
|---|---|
| NOME | Héctor E Alcalá |
| PRENOMES | Héctor E |
| SOBRENOME | Alcalá |
| ASSINATURA | ALCALÁ H E |
| AFILIAÇÕES | Stony Brook University |
| ORCID | 0000-0003-3131-171X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 41 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Refining and Evaluating Academic Stress Among American College Students
American college students face a myriad of stressors that can negatively impact their health and academic performance. However, limited work in the United States has attempted to measure academic stress and to see how it is associated with other stressors, like adverse childhood experiences (ACEs). To address this gap, this study: 1) adapted the Perceptions of Academic Stress Scale (PAS) and evaluated the psychometric properties of the PAS; 2) Ex…
The Burden of Witnessing
Will a Rising Tide Sink All Boats? Examining the Unequal Distribution and Health Impact of Extreme Weather Events
Background: Climate change is intensifying and poses an increased threat to health. However, limited attention has been paid to the social patterning of exposure to extreme weather events, specifically among socially marginalized communities such as people with disabilities, LGBTQ people, those in rural areas, and racialized minorities. Methods: Data from the 2023 California Health Interview Survey, a survey of California adults, were used to exa…
They Don’t Care If We Live or Die”
Historically, the US immigration system (ie, institutions, agencies, and laws) has served the goals and principles of white supremacy through its treatment of globally displaced people and this appears to have continued through the COVID pandemic. Yet, the implications for immigrant health are not routinely addressed in mainstream public health discourse, and especially so in regard to public health disasters. This study conducted a series of foc…
Racial/Ethnic Differences in Non-Discretionary Risk Factors for Covid-19 Among Patients in an Early Covid-19 Hotspot
Persistent Disparities in Immunization Rates for the Seven-Vaccine Series Among Infants 19–35 Months in the United States
Objective: The seven-vaccine series protects infants from several preventable diseases, yet disparities in its use remain in the United States. Methods: We assessed the seven-vaccine immunization rate and its predictors in infants 19–35 months using the National Immunization Survey from 2009 to 2018. Results: The seven-vaccine series rate was 72.8%, well short of the healthy people 2020 target of 90%. African American infants, infants born to mot…
Association between Friends’ Use of Nicotine and Cannabis and Intake of both Substances among Adolescents
Nicotine and cannabis use are common among adolescents and may be associated with behavioral problems, poor academic outcomes and use disorders. The goals of this analysis were the following: (1) Describe the influence of friends' nicotine and cannabis smoking and vaping on self-reported use. (2) Describe the relationship between friends' nicotine and cannabis use on participants' urinary biomarkers of nicotine (cotinine) and cannabis (11-nor-9-c…
Racial and Citizenship Disparities in Health Care Among Middle Eastern Americans
OBJECTIVE: To assess differences in health access and utilization among Middle Eastern American adults by White racial identity and citizenship. METHODS: Data from the 2011 to 2018 National Health Interview Surveys (N=1013) and survey-weighted logistic regression analyses compare Middle Eastern immigrants by race and citizenship on access and utilization of health care in the United States. RESULTS: White respondents had 71% lower odds of delayin…
The Muslim Ban and preterm birth
Association of Preterm Births Among US Latina Women With the 2016 Presidential Election
Importance: The circumstances surrounding the 2016 US presidential election have been proposed as a significant stressor in the lives of the US Latino population. Few studies to date, however, have evaluated the population health implications of the election for Latina mothers and their children. Objective: To determine whether preterm births (gestational age, <37 weeks) among US Latina women increased above expected levels after the 2016 US pres…
Islamophobia, Health, and Public Health
Background. In 2017, a “Muslim ban” on immigrants to the United States was coupled with a continued rise in Islamophobia and hate crimes toward Muslims. Islamophobia undermines health equity, yet delineating the effects of Islamophobia globally is challenging as it affects a myriad of groups (geographically, racially, and socially). Additionally, stereotypes equate all Muslims with populations from the Middle East and South Asia. To date, health …
The Affordable Care Act Attenuates Financial Strain According to Poverty Level
We use data from the 2011-2016 National Health Interview Survey to examine how the Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care-related financial strain, access to care, and utilization of services by categories of the Federal Poverty Level (FPL). We use multivariable regression analyses to determine the ACA's effects on these outcome measures, as well as to determine how changes in these measures var…
Psychotropic Medication Use in Children
Early life adversity has been associated with an increased use of mental health services and psychotropic medications among adults. However, the impact of early life adversity on children has received considerably less attention, with no studies accounting for both need for services and access and utilization of health care. To address this, the present study used data from the 2011–2012 National Survey of Children’s Health (N = 79,817) to examin…
Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act
BACKGROUND: Millions of adults have gained insurance through the Affordable Care Act (ACA). However, disparities in access to care persist. OBJECTIVE: This study examined differences in access to primary and specialty care among patients insured by private individual market insurance plans (both on-exchange and off-exchange) and Medicaid compared with those with employer-sponsored insurance. RESEARCH DESIGN: Using data from the 2014 and 2015 Cali…
Insurance Coverage and Utilization Improve for Latino Youth but Disparities by Heritage Group Persist Following the ACA
OBJECTIVE: Latino youth experience worse access to and utilization of health care compared with non-Latino "white" youth, with inequities persisting following the implementation of the Affordable Care Act (ACA). To better understand these disparities, we examine changes in youth's access and utilization associated with the ACA for different Latino heritage groups relative to whites. STUDY DESIGN: We use 6 years (2011-2016) of National Health Inte…
Association of Skin Color and Generation on Arrests Among Mexican-Origin Latinos
Arrest and interaction with the criminal justice system can have negative impacts to health and socioeconomic status. In the United States, Latinos are disproportionately arrested and jailed, when compared to their non-Latino peers. However, Latinos are not a homogeneous group. For example, generation and skin color are two factors that impact the social standing of Latinos in the United States. As a result, the present study tested if the effect…
Social Determinants of Health, Violent Radicalization, and Terrorism
Cancer Disparities in Rural Appalachia
Purpose To document cancer‐related health disparities in Appalachia. Methods The current study investigated disparities in cancer incidence, mortality, and staging between rural Appalachians and those living outside of rural Appalachia. To accomplish this, mortality data for the United States from 1969 to 2011 were obtained from the National Center for Health Statistics (NCHS) using SEER * Stat. These data were used to compare trends in mortality…
Gender Differences in the Association between Adverse Childhood Experiences and Cancer
Going flat
Objective To determine if the association between soda consumption and obesity is uniform among Asian-American population subgroups. Design We conducted multivariate logistic regression analyses on odds of being obese among seven Asian subgroups and by place of birth using data from the 2009 California Health Interview Survey. Setting An omnibus population-based health survey. Subjects Non-institutionalized adults, aged 18 years or over, residing…
Deconstructing family meals
The Affordable Care Act Reduces Hypertension Treatment Disparities for Mexican-heritage Latinos
OBJECTIVES: Mexican-heritage Latinos have lower prevalence of hypertension, but have worse patterns of treatment and control compared with non-Latino whites. This study examined the impact of the Affordable Care Act (ACA) insurance expansion on reducing disparities in treatment and medication use among Mexican-heritage Latinos with hypertension. RESEARCH DESIGN: Using the 2009-2014 waves of the California Health Interview Survey, we examine healt…
Making the connection between child abuse and cancer
Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights
This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were diff…
Differential mental health impact of cancer across racial/ethnic groups
The mental health impact of cancer is not uniform across groups. Future work should explore reasons for these disparities. Efforts to increase access to mental health services among minorities with cancer are needed
The Muslim Ban and preterm birth
Association of Skin Color and Generation on Arrests Among Mexican-Origin Latinos
Arrest and interaction with the criminal justice system can have negative impacts to health and socioeconomic status. In the United States, Latinos are disproportionately arrested and jailed, when compared to their non-Latino peers. However, Latinos are not a homogeneous group. For example, generation and skin color are two factors that impact the social standing of Latinos in the United States. As a result, the present study tested if the effect…
Deconstructing family meals
Differential mental health impact of cancer across racial/ethnic groups
The mental health impact of cancer is not uniform across groups. Future work should explore reasons for these disparities. Efforts to increase access to mental health services among minorities with cancer are needed
Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights
This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were diff…
Making the connection between child abuse and cancer
Social Determinants of Health, Violent Radicalization, and Terrorism
Cancer Disparities in Rural Appalachia
Purpose To document cancer‐related health disparities in Appalachia. Methods The current study investigated disparities in cancer incidence, mortality, and staging between rural Appalachians and those living outside of rural Appalachia. To accomplish this, mortality data for the United States from 1969 to 2011 were obtained from the National Center for Health Statistics (NCHS) using SEER * Stat. These data were used to compare trends in mortality…
Gender Differences in the Association between Adverse Childhood Experiences and Cancer
Going flat
Objective To determine if the association between soda consumption and obesity is uniform among Asian-American population subgroups. Design We conducted multivariate logistic regression analyses on odds of being obese among seven Asian subgroups and by place of birth using data from the 2009 California Health Interview Survey. Setting An omnibus population-based health survey. Subjects Non-institutionalized adults, aged 18 years or over, residing…
Deconstructing family meals
The Affordable Care Act Reduces Hypertension Treatment Disparities for Mexican-heritage Latinos
OBJECTIVES: Mexican-heritage Latinos have lower prevalence of hypertension, but have worse patterns of treatment and control compared with non-Latino whites. This study examined the impact of the Affordable Care Act (ACA) insurance expansion on reducing disparities in treatment and medication use among Mexican-heritage Latinos with hypertension. RESEARCH DESIGN: Using the 2009-2014 waves of the California Health Interview Survey, we examine healt…
Islamophobia, Health, and Public Health
Background. In 2017, a “Muslim ban” on immigrants to the United States was coupled with a continued rise in Islamophobia and hate crimes toward Muslims. Islamophobia undermines health equity, yet delineating the effects of Islamophobia globally is challenging as it affects a myriad of groups (geographically, racially, and socially). Additionally, stereotypes equate all Muslims with populations from the Middle East and South Asia. To date, health …
The Affordable Care Act Attenuates Financial Strain According to Poverty Level
We use data from the 2011-2016 National Health Interview Survey to examine how the Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care-related financial strain, access to care, and utilization of services by categories of the Federal Poverty Level (FPL). We use multivariable regression analyses to determine the ACA's effects on these outcome measures, as well as to determine how changes in these measures var…
Psychotropic Medication Use in Children
Early life adversity has been associated with an increased use of mental health services and psychotropic medications among adults. However, the impact of early life adversity on children has received considerably less attention, with no studies accounting for both need for services and access and utilization of health care. To address this, the present study used data from the 2011–2012 National Survey of Children’s Health (N = 79,817) to examin…
Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act
BACKGROUND: Millions of adults have gained insurance through the Affordable Care Act (ACA). However, disparities in access to care persist. OBJECTIVE: This study examined differences in access to primary and specialty care among patients insured by private individual market insurance plans (both on-exchange and off-exchange) and Medicaid compared with those with employer-sponsored insurance. RESEARCH DESIGN: Using data from the 2014 and 2015 Cali…
Insurance Coverage and Utilization Improve for Latino Youth but Disparities by Heritage Group Persist Following the ACA
OBJECTIVE: Latino youth experience worse access to and utilization of health care compared with non-Latino "white" youth, with inequities persisting following the implementation of the Affordable Care Act (ACA). To better understand these disparities, we examine changes in youth's access and utilization associated with the ACA for different Latino heritage groups relative to whites. STUDY DESIGN: We use 6 years (2011-2016) of National Health Inte…
Association of Skin Color and Generation on Arrests Among Mexican-Origin Latinos
Arrest and interaction with the criminal justice system can have negative impacts to health and socioeconomic status. In the United States, Latinos are disproportionately arrested and jailed, when compared to their non-Latino peers. However, Latinos are not a homogeneous group. For example, generation and skin color are two factors that impact the social standing of Latinos in the United States. As a result, the present study tested if the effect…
Association of Preterm Births Among US Latina Women With the 2016 Presidential Election
Importance: The circumstances surrounding the 2016 US presidential election have been proposed as a significant stressor in the lives of the US Latino population. Few studies to date, however, have evaluated the population health implications of the election for Latina mothers and their children. Objective: To determine whether preterm births (gestational age, <37 weeks) among US Latina women increased above expected levels after the 2016 US pres…
Racial and Citizenship Disparities in Health Care Among Middle Eastern Americans
OBJECTIVE: To assess differences in health access and utilization among Middle Eastern American adults by White racial identity and citizenship. METHODS: Data from the 2011 to 2018 National Health Interview Surveys (N=1013) and survey-weighted logistic regression analyses compare Middle Eastern immigrants by race and citizenship on access and utilization of health care in the United States. RESULTS: White respondents had 71% lower odds of delayin…
The Muslim Ban and preterm birth
Persistent Disparities in Immunization Rates for the Seven-Vaccine Series Among Infants 19–35 Months in the United States
Objective: The seven-vaccine series protects infants from several preventable diseases, yet disparities in its use remain in the United States. Methods: We assessed the seven-vaccine immunization rate and its predictors in infants 19–35 months using the National Immunization Survey from 2009 to 2018. Results: The seven-vaccine series rate was 72.8%, well short of the healthy people 2020 target of 90%. African American infants, infants born to mot…
Association between Friends’ Use of Nicotine and Cannabis and Intake of both Substances among Adolescents
Nicotine and cannabis use are common among adolescents and may be associated with behavioral problems, poor academic outcomes and use disorders. The goals of this analysis were the following: (1) Describe the influence of friends' nicotine and cannabis smoking and vaping on self-reported use. (2) Describe the relationship between friends' nicotine and cannabis use on participants' urinary biomarkers of nicotine (cotinine) and cannabis (11-nor-9-c…
Racial/Ethnic Differences in Non-Discretionary Risk Factors for Covid-19 Among Patients in an Early Covid-19 Hotspot
They Don’t Care If We Live or Die”
Historically, the US immigration system (ie, institutions, agencies, and laws) has served the goals and principles of white supremacy through its treatment of globally displaced people and this appears to have continued through the COVID pandemic. Yet, the implications for immigrant health are not routinely addressed in mainstream public health discourse, and especially so in regard to public health disasters. This study conducted a series of foc…
Will a Rising Tide Sink All Boats? Examining the Unequal Distribution and Health Impact of Extreme Weather Events
Background: Climate change is intensifying and poses an increased threat to health. However, limited attention has been paid to the social patterning of exposure to extreme weather events, specifically among socially marginalized communities such as people with disabilities, LGBTQ people, those in rural areas, and racialized minorities. Methods: Data from the 2023 California Health Interview Survey, a survey of California adults, were used to exa…
Refining and Evaluating Academic Stress Among American College Students
American college students face a myriad of stressors that can negatively impact their health and academic performance. However, limited work in the United States has attempted to measure academic stress and to see how it is associated with other stressors, like adverse childhood experiences (ACEs). To address this gap, this study: 1) adapted the Perceptions of Academic Stress Scale (PAS) and evaluated the psychometric properties of the PAS; 2) Ex…
The Burden of Witnessing
Medicine (21 obras) · Demography (14 obras) · Logistic regression (14 obras) · Environmental health (13 obras) · Odds (13 obras) · Public health (11 obras) · Gerontology (10 obras) · Health equity (10 obras) · Sociology (10 obras) · Population (9 obras)