Alana M W Lebrón
Dados Biográficos
| ID | 232980 |
|---|---|
| NOME | Alana M W Lebrón |
| PRENOMES | Alana M W |
| SOBRENOME | Lebrón |
| ASSINATURA | LEBRÓN A M W |
| AFILIAÇÕES | University of California, Irvine |
| ORCID | 0000-0003-0964-4673 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAÇÕES | 103 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Bridging work
Community Health Workers (CHW) are commonly conceptualized as a 'bridge' that connects the community to health-related systems and resources for which they have historically and contemporarily experienced systemic barriers to accessing. Nonetheless, the nuances of the bridge role remain underexamined. The bridge metaphor, by the static nature of a bridge, can overlook the dynamic and relational aspects of CHWs' work beyond simple liaison function…
Building Capacity for Climate Resilience Through Community-Academic Partnerships
Structural supports and challenges for community health worker models
Public health relied on community health workers (CHWs) during the COVID-19 pandemic to connect with the most vulnerable communities, which saved lives and addressed inequities. Understanding the structural factors that supported and hindered the success of CHWs is essential for building a stronger public health infrastructure in the future. We analyzed semi-structured, in-depth interviews with 15 institutional representatives and policymakers wh…
From the Ground Up
For decades, the dominant approach to lead poisoning has been to focus on homes affected by lead paint and to treat children who are already suffering from lead poisoning. This individualizing approach developed in the context of the defunding and deregulation of government agencies in the 1980s. In recent years, however, community–academic partnerships have reframed lead as an environmental issue produced by the development of the lead industry …
A Community-Based Assessment of Attitudes, Health Impacts and Protective Actions During the 24-Day Hangar Fire in Tustin, California
Fire events can impact physical and mental health through smoke exposure, evacuation, property loss, and/or other environmental stressors. In this study, we developed community-driven, cross-sectional online surveys to assess public attitudes, health impacts, and protective actions of residents affected by the Tustin hangar fire that burned for 24 days in southern California. Results showed the most frequently reported fire-related exposure conce…
Each one of us did the best we could for the community, while also supporting each other”
Engaging community members is crucial for comprehensively understanding the CHW model. Given the enormous ongoing community challenges post-pandemic, these findings call for increased CHW presence, additional support and resources for health and socioeconomic needs, and improved information dissemination to bolster community resilience. Findings center mutual aid, emphasizing the importance of supporting communities in this crucial work. Addition…
Racialization processes and depressive symptoms among pregnant Mexican‐origin immigrant women
This study examines how racialization processes (conceptualized as multilevel and dynamic processes) shape prenatal mental health by testing the association of discrimination and the John Henryism hypothesis on depressive symptoms for pregnant Mexican‐origin immigrant women. We analyzed baseline data ( n = 218) from a healthy lifestyle intervention for pregnant Latinas in Detroit, Michigan. Using separate multiple linear regression models, we exa…
Developing Strategic and Collaborative Community–Academic Partnerships to Improve Community Health, From Moving Upstream to Getting at the Root
Community partners have experienced inequity and lack of transparency in funding practices. Funding for community partners is a critical component of community-engaged research, as it influences community trust and opportunities. We compared contextual and site-specific factors at 2 centers (in New York City; Los Angeles and Orange Counties, CA) with different community-funding approaches, which influence institutional capacity to partner with an…
Why Building Power Is Key to Protecting Academic Public Health and Advancing Health Equity
Pandemic-Related Funding Termination and Structural Drivers of Inequities
During the COVID-19 pandemic, governmental agencies expanded safety net programs to ameliorate profound economic suffering. However, structural challenges excluded many low-income, immigrant, and racially minoritized communities, deepening inequities. Promotores/as and community-based organizations (CBOs), whose models focus on addressing structural drivers of inequities, were vital to communities navigating these challenges. This analytic essay …
Reflecting on the Backstage and Frontstage of Community-Based Participatory Research
Community-based participatory research (CBPR) is critical for promoting health equity through the incorporation of equitable decision-making and participatory processes into health equity research. Yet, research processes often fail to align with community realities. Drawing on Goffman's frontstage-backstage framework, this paper examines how a community-academic partnership navigated and negotiated processes to support ethical inclusion of commu…
Engaging Residents to Address Environmental Injustices and Socioecological Factors in Boyle Heights
This study suggests the need to address factors at the personal, interpersonal, organizational, and community levels to increase civic engagement among predominantly Hispanic/Latino communities to advocate for clean air and relevant environmental justice issues affecting vulnerable neighborhoods
Mexican-origin women’s individual and collective strategies to access and share health-promoting resources in the context of exclusionary immigration and immigrant policies
Our findings suggest a complex interplay of immigration-related policies and processes, social networks, and health-relevant resources. They highlight the importance of inclusive policies to promote health for immigrant communities. These findings illuminate women's agency in the context of structural violence facing immigrant women and are particularly salient in the face of anti-immigrant rhetoric and exclusionary immigration and immigrant poli…
Talents, Tears, Stories of Our Identities, and Community Building
This essay describes a process for integrating US Latiné communities as drivers of a grassroots vision for healthy Latiné communities and health equity planning that addresses racial injustices. Transforming structural conditions to promote Latiné community health happens alongside creating conditions for community-level self-determination to foster community-based ecosystems of health. Integrating a life course perspective, we describe a vision …
Practical Qualitative Data Analysis for Public Health Research
Qualitative research is important to advance health equity as it offers nuanced insights into structural determinants of health inequities, amplifies the voices of communities directly affected by health inequities, and informs community-based interventions. The scale and frequency of public health crises have accelerated in recent years (e.g., pandemic, environmental disasters, climate change). The field of public health research and practice wo…
Community Activation to TrAnsform Local sYSTems (Catalyst)
Community Health Workers, promotores, and navigators (henceforth, CHWs) emerged as critical members of the public health workforce addressing social, economic, and health inequities worsened by the COVID-19 pandemic. While there is increased appreciation for and utilization of CHW models, and recognition of the importance of tailoring and innovating these models during the pandemic, few studies have examined the processes of change by which CHW m…
Orange County, California Covid-19 Vaccine Equity Best Practices Checklist
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has exacerbated longstanding inequities throughout the United States, disproportionately concentrating adverse social, economic, and health-related outcomes among low-income communities and communities of color. Inequitable distribution, prioritization, and uptake of COVID-19 vaccines due to systemic and organizational barriers add to these disproportionate impacts across the United S…
Using Path Analysis and Linear Regression to Test for Gender and Participation
While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood …
Facilitators and Barriers of a Chronic Care Management Intervention Addressing Diabetes Among Mexican-Origin Adults
BACKGROUND: Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic staff, CHWs, and partnerships with community-based organizations to enhance diabetes management amon…
Después de la tormenta
Hurricane Maria was the largest disaster in Puerto Rico's history, affecting Puerto Rican communities throughout the United States. We conducted focus groups using a grounded theory approach with adults displaced from Puerto Rico to a northeastern community 12 ( n = 5) and 17 months ( n = 7) postdisaster. Key informant interviews were also conducted with nine community advocates working with displaced hurricane survivors. Emerging themes reflect …
Preventing the Spread of Covid-19 in Immigration Detention Centers Requires the Release of Detainees
Immigration detention centers are densely populated facilities in which restrictive conditions limit detainees’ abilities to engage in social distancing or hygiene practices designed to prevent the spread of COVID-19. With tens of thousands of adults and children in more than 200 immigration detention centers across the United States, immigration detention centers are likely to experience COVID-19 outbreaks and add substantially to the population…
Racism, Health, and Politics
George Floyd underscored the urgency and interconnectedness of racism and health. Even as COVID-19 was disproportionately devastating Black, Latina/o/x/e, Pacific Islander, and Native communities, people across the United States were participating in massive, historic protests against racialized state violence (Barber 2020
Racial/Ethnic Discrimination, Intersectionality, and Latina/o Health
Historical and Contemporary Reproductive Injustices at the Border and Beyond
"Historical and Contemporary Reproductive Injustices at the Border and Beyond." , 110(3), pp. 273–274
Social relationships, neighbourhood poverty and cumulative biological risk
Prior research has established associations between neighbourhood poverty and cumulative biological risk (CBR). CBR is conceptualized as indicative of the effects of stress on biological functioning, and is linked with increased morbidity and mortality. Studies suggest that supportive social relationships may be health protective, and may erode under conditions of poverty. This study examines whether social relationships are inversely associated …
Policing Us Sick
An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content
Impact of change over time in self-reported discrimination on blood pressure
Objectives: The 21st century has seen a rise in racism and xenophobia in the United States. Few studies have examined the health implications of heightened institutional and interpersonal racism. This study examines changes in reported discrimination and associations with blood pressure over time among non-Latino Blacks (NLBs), Latinos, and non-Latino Whites (NLWs) in an urban area, and variations by nativity among Latinos. Design: Data from a pr…
They Are Clipping Our Wings
Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes
Racial/Ethnic Discrimination and Diabetes-Related Outcomes Among Latinos with Type 2 Diabetes
Discrimination and Depressive Symptoms Among Latina/o Adolescents of Immigrant Parents
Discrimination is associated with negative mental health outcomes for Latina/o adolescents. While Latino/a adolescents experience discrimination from a number of sources and across contexts, little research considers how the source of discrimination and the context in which it occurs affect mental health outcomes among Latina/o children of immigrants. We examined the association between source-specific discrimination, racial or ethnic background …
Racism, Health, and Politics
George Floyd underscored the urgency and interconnectedness of racism and health. Even as COVID-19 was disproportionately devastating Black, Latina/o/x/e, Pacific Islander, and Native communities, people across the United States were participating in massive, historic protests against racialized state violence (Barber 2020
Después de la tormenta
Hurricane Maria was the largest disaster in Puerto Rico's history, affecting Puerto Rican communities throughout the United States. We conducted focus groups using a grounded theory approach with adults displaced from Puerto Rico to a northeastern community 12 ( n = 5) and 17 months ( n = 7) postdisaster. Key informant interviews were also conducted with nine community advocates working with displaced hurricane survivors. Emerging themes reflect …
Practical Qualitative Data Analysis for Public Health Research
Qualitative research is important to advance health equity as it offers nuanced insights into structural determinants of health inequities, amplifies the voices of communities directly affected by health inequities, and informs community-based interventions. The scale and frequency of public health crises have accelerated in recent years (e.g., pandemic, environmental disasters, climate change). The field of public health research and practice wo…
Community Activation to TrAnsform Local sYSTems (Catalyst)
Community Health Workers, promotores, and navigators (henceforth, CHWs) emerged as critical members of the public health workforce addressing social, economic, and health inequities worsened by the COVID-19 pandemic. While there is increased appreciation for and utilization of CHW models, and recognition of the importance of tailoring and innovating these models during the pandemic, few studies have examined the processes of change by which CHW m…
Historical and Contemporary Reproductive Injustices at the Border and Beyond
"Historical and Contemporary Reproductive Injustices at the Border and Beyond." , 110(3), pp. 273–274
Talents, Tears, Stories of Our Identities, and Community Building
This essay describes a process for integrating US Latiné communities as drivers of a grassroots vision for healthy Latiné communities and health equity planning that addresses racial injustices. Transforming structural conditions to promote Latiné community health happens alongside creating conditions for community-level self-determination to foster community-based ecosystems of health. Integrating a life course perspective, we describe a vision …
Preventing the Spread of Covid-19 in Immigration Detention Centers Requires the Release of Detainees
Immigration detention centers are densely populated facilities in which restrictive conditions limit detainees’ abilities to engage in social distancing or hygiene practices designed to prevent the spread of COVID-19. With tens of thousands of adults and children in more than 200 immigration detention centers across the United States, immigration detention centers are likely to experience COVID-19 outbreaks and add substantially to the population…
Storytelling in Community Intervention Research
A CBPR approach to incorporating storytelling to convey intervention themes offers an innovative and flexible strategy to promote health toward the elimination of health inequities
Racialization processes and depressive symptoms among pregnant Mexican‐origin immigrant women
This study examines how racialization processes (conceptualized as multilevel and dynamic processes) shape prenatal mental health by testing the association of discrimination and the John Henryism hypothesis on depressive symptoms for pregnant Mexican‐origin immigrant women. We analyzed baseline data ( n = 218) from a healthy lifestyle intervention for pregnant Latinas in Detroit, Michigan. Using separate multiple linear regression models, we exa…
Correlates of Interpersonal Ethnoracial Discrimination Among Latino Adults with Diabetes
The purpose of this study is to identify the social and economic correlates of reported experiences of interpersonal ethnoracial discrimination among Latino adults in Detroit. We examine whether the correlates of interpersonal ethnoracial discrimination vary according to the domain of discrimination and compare findings for individual domains of discrimination to a composite measure of experiences of discrimination. This study suggests that the f…
Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes
Storytelling in Community Intervention Research
A CBPR approach to incorporating storytelling to convey intervention themes offers an innovative and flexible strategy to promote health toward the elimination of health inequities
Podcast Interview Transcript
Progress in Community Health Partnerships: Research, Education, and Action - Volume 8, Issue 4, Winter 2014
Social patterning of cardiovascular and metabolic risk in Colombian adults
Findings suggest that for Colombian adults CMR is patterned by SES; these associations differ by sex/gender
Discrimination and Depressive Symptoms Among Latina/o Adolescents of Immigrant Parents
Discrimination is associated with negative mental health outcomes for Latina/o adolescents. While Latino/a adolescents experience discrimination from a number of sources and across contexts, little research considers how the source of discrimination and the context in which it occurs affect mental health outcomes among Latina/o children of immigrants. We examined the association between source-specific discrimination, racial or ethnic background …
Cautious Citizenship
Research shows that health care use among Latino immigrants is adversely affected by restrictive immigration policy. A core concern is that immigrants shy away from sharing personal information in response to policies that expand bureaucratic monitoring of citizenship status across service-providing organizations. This investigation addresses the concern that immigration politics also negatively influences health care utilization among Latino US …
Correlates of Interpersonal Ethnoracial Discrimination Among Latino Adults with Diabetes
The purpose of this study is to identify the social and economic correlates of reported experiences of interpersonal ethnoracial discrimination among Latino adults in Detroit. We examine whether the correlates of interpersonal ethnoracial discrimination vary according to the domain of discrimination and compare findings for individual domains of discrimination to a composite measure of experiences of discrimination. This study suggests that the f…
It Works, But For Whom? Examining Racial Bias in Carding Experiences and Acceptance of a County Identification Card
Purpose: Policies that restrict access to U.S. government-issued photo identification (ID) cards adversely affect multiple marginalized communities. This context impedes access to health-promoting resources that increasingly require government-issued IDs and exacerbates health inequities. In 2015, Washtenaw County, Michigan, implemented the Washtenaw ID to improve access to resources contingent upon having an ID. We employed an audit study to exa…
Impact of change over time in self-reported discrimination on blood pressure
Objectives: The 21st century has seen a rise in racism and xenophobia in the United States. Few studies have examined the health implications of heightened institutional and interpersonal racism. This study examines changes in reported discrimination and associations with blood pressure over time among non-Latino Blacks (NLBs), Latinos, and non-Latino Whites (NLWs) in an urban area, and variations by nativity among Latinos. Design: Data from a pr…
Racial/Ethnic Discrimination and Diabetes-Related Outcomes Among Latinos with Type 2 Diabetes
Spillover Effects
To what extent do people become less trusting of the government under threatening policy contexts? The authors find evidence that Secure Communities, a bureaucratic program that enhances immigrant policing through collaboration between local law and immigration enforcement agencies, spurs mistrust among Latinos but not non‐Latinos. This article focuses on the politics of immigration and health, two issue areas marked by large‐scale bureaucratic d…
Policing Us Sick
An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content
They Are Clipping Our Wings
Social relationships, neighbourhood poverty and cumulative biological risk
Prior research has established associations between neighbourhood poverty and cumulative biological risk (CBR). CBR is conceptualized as indicative of the effects of stress on biological functioning, and is linked with increased morbidity and mortality. Studies suggest that supportive social relationships may be health protective, and may erode under conditions of poverty. This study examines whether social relationships are inversely associated …
Racism and the Health of Latina/Latino Communities
Racial/Ethnic Discrimination, Intersectionality, and Latina/o Health
Historical and Contemporary Reproductive Injustices at the Border and Beyond
"Historical and Contemporary Reproductive Injustices at the Border and Beyond." , 110(3), pp. 273–274
Facilitators and Barriers of a Chronic Care Management Intervention Addressing Diabetes Among Mexican-Origin Adults
BACKGROUND: Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic staff, CHWs, and partnerships with community-based organizations to enhance diabetes management amon…
Después de la tormenta
Hurricane Maria was the largest disaster in Puerto Rico's history, affecting Puerto Rican communities throughout the United States. We conducted focus groups using a grounded theory approach with adults displaced from Puerto Rico to a northeastern community 12 ( n = 5) and 17 months ( n = 7) postdisaster. Key informant interviews were also conducted with nine community advocates working with displaced hurricane survivors. Emerging themes reflect …
Preventing the Spread of Covid-19 in Immigration Detention Centers Requires the Release of Detainees
Immigration detention centers are densely populated facilities in which restrictive conditions limit detainees’ abilities to engage in social distancing or hygiene practices designed to prevent the spread of COVID-19. With tens of thousands of adults and children in more than 200 immigration detention centers across the United States, immigration detention centers are likely to experience COVID-19 outbreaks and add substantially to the population…
Racism, Health, and Politics
George Floyd underscored the urgency and interconnectedness of racism and health. Even as COVID-19 was disproportionately devastating Black, Latina/o/x/e, Pacific Islander, and Native communities, people across the United States were participating in massive, historic protests against racialized state violence (Barber 2020
Orange County, California Covid-19 Vaccine Equity Best Practices Checklist
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has exacerbated longstanding inequities throughout the United States, disproportionately concentrating adverse social, economic, and health-related outcomes among low-income communities and communities of color. Inequitable distribution, prioritization, and uptake of COVID-19 vaccines due to systemic and organizational barriers add to these disproportionate impacts across the United S…
Using Path Analysis and Linear Regression to Test for Gender and Participation
While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood …
Engaging Residents to Address Environmental Injustices and Socioecological Factors in Boyle Heights
This study suggests the need to address factors at the personal, interpersonal, organizational, and community levels to increase civic engagement among predominantly Hispanic/Latino communities to advocate for clean air and relevant environmental justice issues affecting vulnerable neighborhoods
Mexican-origin women’s individual and collective strategies to access and share health-promoting resources in the context of exclusionary immigration and immigrant policies
Our findings suggest a complex interplay of immigration-related policies and processes, social networks, and health-relevant resources. They highlight the importance of inclusive policies to promote health for immigrant communities. These findings illuminate women's agency in the context of structural violence facing immigrant women and are particularly salient in the face of anti-immigrant rhetoric and exclusionary immigration and immigrant poli…
Medicine (24 obras) · Political science (23 obras) · Sociology (21 obras) · Migration, Health and Trauma (14 obras) · Psychology (14 obras) · Racial and Ethnic Identity Research (13 obras) · Nursing (12 obras) · Public health (12 obras) · Food Security and Health in Diverse Populations (11 obras) · Immigration (10 obras)