Diana Romero
Dados Biográficos
| ID | 3583265 |
|---|---|
| NOME | Diana Romero |
| PRENOMES | Diana |
| SOBRENOME | Romero |
| ASSINATURA | ROMERO D |
| AFILIAÇÕES | City University of New York |
| ORCID | 0000-0002-4832-9564 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAÇÕES | 96 |
| TOTAL COMO AUTOR | 30 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1997 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 6 |
Experiences and effect of implementing social health insurance (SHI) program in Nepal-A mixed method study
Nepal initiated the National Health Insurance Program (NHIP) in 2016, but enrollment rates remain low, with an increasing dropout rate. This study examined the experience of service providers and beneficiaries with NHIP and its effect on insurance enrollment and health service utilization.We employed an exploratory sequential mixed-method design, involving 14 focus group discussions and 20 key informant interviews, supplemented by quantitative da…
New Yorkers Speak Up
“The perfect storm”
Background: Immigrants in New York City (NYC) have higher COVID-19 mortality than the general population. While migrant-serving organizations (MSOs) provide access to a breadth of services, they are disproportionately impacted by the COVID-19 pandemic due to staffing limitations, funding cuts, and resource limitations of communities served. Methods: Six focus-group discussions were conducted to explore the experiences of MSOs in NYC during the CO…
Abortion care access and experience among U.S. immigrants
Supporting organizations to improve migrants’ access to health services in New York City
Development of an academic-based migrant health resource hub will serve an identified need among MSOs in NYC
Drug use and access to drug dependency services for vulnerable migrants who use drugs in the European Union
Policy action and increased collaboration are required by the EU as a whole and by individual EU member states, in addition to collaboration among healthcare providers and social welfare services, to increase access to healthcare services for migrants who use drugs
Ethical considerations and methodological uses of Facebook data in public health research
A Multidimensional Profile of Adolescent Agency in Uttar Pradesh, India, and Implications for Reproductive Choice
The development of adolescent agency and implications for reproductive choice among girls in Zambia
Results show agency is dynamic but less mutable with increasing age. Early adolescent strategies which address inequitable gender norms and limit early marriage, may guard against losses to agency which contribute to unwanted fertility outcomes
The Role of Covid-19, Race and Social Factors in Pregnancy Experiences in New York State
Given that New York State's (NYS) was the first epicenter of the COVID-19 pandemic in the United States (US), we were interested in potential racial/ethnic differences in pregnancy-related experiences among women pregnant during versus prior to the pandemic. We surveyed 1,525 women (18-44 years) proportionate to geographic and sociodemographic distribution between June 9, 20 and July 21, 20. We carried out bivariate analysis of various social and…
Factors Related to Seeking Help for Postpartum Depression
Postpartum depression (PPD) affects 13% of mothers and can have a major impact on their lives and those of their children. However, most cases go undiagnosed, and the risk factors for this underdiagnosis are not yet fully known. We intended to analyze the influence of different sociodemographic and health factors associated with symptoms of postpartum depression. Data from the New York City Pregnancy Risk Assessment Monitoring System (PRAMS) for …
Revisiting the Association between Race, Ethnicity, and Beliefs about Pregnancy
Our findings suggest that once more nuanced beliefs about pregnancy prevention are considered, Black and Latinx individuals do not hold strongly different beliefs than Whites. Efforts that exclusively focus on people of color to change beliefs about pregnancy appear unwarranted
Barriers and Enablers to Family Physicians’ Provision of Early Pregnancy Loss Management in the United States
Ideal Age at First Birth and Associated Factors Among Young Adults in Greater New York City
Despite increases at age at first birth in the United States, we have little research on how individuals conceptualize the ideal age to have a child. Using qualitative interviews with male and female young adults in greater New York City, we examined individuals' responses to questions about the ideal age at first birth. We find factors associated with an age being ideal tend to fall in four main domains: structural/social position factors, inter…
Examining women’s and men’s ideal criteria before forming families
In the United States, family formation decision-making is more complex than the predominant models that have been used to capture this phenomenon. Understanding the context in which a pregnancy occurs requires a more nuanced examination. In-depth interviews were conducted with 60 men and women, aged 18-35, who had children or were pregnant. Using grounded theory analysis, themes emerged that revealed participants' ideal criteria desired before pr…
Twenty years post US welfare reform and state family caps aka child exclusion
The 1996 welfare reform legislation sought to discourage poor women from childbearing by allowing a family-cap policy prohibiting an increase in cash assistance when a new child is born. We conducted key-informant interviews with officials from all 24 family-cap states on the policy's status, implementation, opinions regarding its effectiveness, benefits and disadvantages. Most stated that the policy's administrative burden and negative economic …
Realizing Reproductive Health Equity Needs More Than Long-Acting Reversible Contraception (Larc)
The Role of Parents and Families in Teen Pregnancy Prevention
Parent involvement (PI) is considered necessary in teen pregnancy prevention (TPP) and preventing other adolescent risk behaviors. However, controversy exists regarding the extent to which families are responsible for adolescent sexual decision making. We adapted two frameworks (Kirby’s risk and protective factors and the Parent–Child Connectedness model) to examine parent- and family-based programs and policies relevant to TPP. There is evidence…
Application of Empirical Research Findings in Public Health Advocacy
Efforts to improve population health have always been associated with social action. Within science, however, there exists a tension as to whether including an advocacy agenda in research distorts the objective, impartial process that scientific inquiry is expected to pursue. Action‐related research models such as, participatory action research (PAR) and community‐based participatory research (CBPR), have been strengthening the case for melding r…
US Fertility Prevention as Poverty Prevention
Low-Income Mothers' Experience with Poor Health, Hardship, Work, and Violence
Welfare reform in 1996 increased work requirements for welfare recipients. Poor mothers face multiple barriers to work, among them poor health and abuse. In a sample (N = 504) of low-income mothers of children with chronic illnesses, women who had experienced violence had significantly worse health, experienced increased hardship, and faced more barriers to employment than women who did not experience violence. Battered women's health outcomes we…
Welfare to Work? Impact of Maternal Health on Employment
Objectives. This study investigated whether health problems among poor mothers of chronically ill children affect their ability to obtain and maintain employment. Methods. Mothers of children with chronic illnesses were surveyed at clinical and welfare agency sites in San Antonio, Tex. Results. There were distinct health differences according to mothers’ TANF and employment status. Mothers without TANF experience reported better physical and ment…
Changes in Use of Health Insurance and Food Assistance Programs in Medically Underserved Communities in the Era of Welfare Reform
Objectives. The purpose of this study was to assess changes in health insurance and food assistance enrollment following passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Methods. Extant data sources were used to calculate changes in Temporary Assistance for Needy Families (TANF), Medicaid, and Food Stamp program enrollment in medically underserved Manhattan communities after 1996. Results. Dramatic declines …
Relationships Between Welfare Status, Health Insurance Status, and Health and Medical Care Among Children With Asthma
Objectives. This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma. Methods. Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices. Results. Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare syste…
Employment Barriers Among Welfare Recipients and Applicants With Chronically Ill Children
Objectives. This study evaluated the association of chronic child illness with parental employment among individuals who have had contact with the welfare system. Methods. Parents of children with chronic illnesses were interviewed. Results. Current and former welfare recipients and welfare applicants were more likely than those with no contact with the welfare system to report that their children’s illnesses adversely affected their employment. …
Realizing Reproductive Health Equity Needs More Than Long-Acting Reversible Contraception (Larc)
Employment Barriers Among Welfare Recipients and Applicants With Chronically Ill Children
Objectives. This study evaluated the association of chronic child illness with parental employment among individuals who have had contact with the welfare system. Methods. Parents of children with chronic illnesses were interviewed. Results. Current and former welfare recipients and welfare applicants were more likely than those with no contact with the welfare system to report that their children’s illnesses adversely affected their employment. …
Low-Income Mothers' Experience with Poor Health, Hardship, Work, and Violence
Welfare reform in 1996 increased work requirements for welfare recipients. Poor mothers face multiple barriers to work, among them poor health and abuse. In a sample (N = 504) of low-income mothers of children with chronic illnesses, women who had experienced violence had significantly worse health, experienced increased hardship, and faced more barriers to employment than women who did not experience violence. Battered women's health outcomes we…
Welfare to Work? Impact of Maternal Health on Employment
Objectives. This study investigated whether health problems among poor mothers of chronically ill children affect their ability to obtain and maintain employment. Methods. Mothers of children with chronic illnesses were surveyed at clinical and welfare agency sites in San Antonio, Tex. Results. There were distinct health differences according to mothers’ TANF and employment status. Mothers without TANF experience reported better physical and ment…
Chronic Illness Among Poor Children Enrolled in the Temporary Assistance for Needy Families Program
Objectives. This study assessed chronic child illness among recipients of Temporary Assistance for Needy Families (TANF) benefits and poor families not receiving benefits. Methods. Data from the 1998 National Health Interview Survey were used to examine chronic child illness, enrollment in TANF, health insurance status, and selected access indicators. Results. One quarter of TANF-enrolled children had chronic illnesses. Unenrolled children were 3…
Assessing the effects of welfare reform policies on reproductive and infant health
OBJECTIVES: The welfare reform law of 1996 marked a historical moment in US policy toward the poor by ending the entitlement to cash assistance, by requiring work, and by establishing time limits. This article examines the potential impact on the health of women and children, the primary recipients of welfare benefits. METHODS: The authors outline the reproductive health outcomes most likely to be sensitive to welfare policies, identify indicator…
Relationships Between Welfare Status, Health Insurance Status, and Health and Medical Care Among Children With Asthma
Objectives. This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma. Methods. Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices. Results. Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare syste…
Changes in Use of Health Insurance and Food Assistance Programs in Medically Underserved Communities in the Era of Welfare Reform
Objectives. The purpose of this study was to assess changes in health insurance and food assistance enrollment following passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Methods. Extant data sources were used to calculate changes in Temporary Assistance for Needy Families (TANF), Medicaid, and Food Stamp program enrollment in medically underserved Manhattan communities after 1996. Results. Dramatic declines …
Ideal Age at First Birth and Associated Factors Among Young Adults in Greater New York City
Despite increases at age at first birth in the United States, we have little research on how individuals conceptualize the ideal age to have a child. Using qualitative interviews with male and female young adults in greater New York City, we examined individuals' responses to questions about the ideal age at first birth. We find factors associated with an age being ideal tend to fall in four main domains: structural/social position factors, inter…
The Impact of Welfare Reform Policies on Child Protective Services
The 1996 welfare reform bill set forth major changes in social welfare policies. In addition to federal work requirements and time limits, new state policies impose behavioral mandates that may be accompanied by financial sanctions for noncompliance. Analysis of a survey of state Child Protection Services (CPS) directors focuses on four major areas: effect of Temporary Assistance to Needy Families (TANF) on CPS; interaction between the two agenci…
The Role of Parents and Families in Teen Pregnancy Prevention
Parent involvement (PI) is considered necessary in teen pregnancy prevention (TPP) and preventing other adolescent risk behaviors. However, controversy exists regarding the extent to which families are responsible for adolescent sexual decision making. We adapted two frameworks (Kirby’s risk and protective factors and the Parent–Child Connectedness model) to examine parent- and family-based programs and policies relevant to TPP. There is evidence…
Application of Empirical Research Findings in Public Health Advocacy
Efforts to improve population health have always been associated with social action. Within science, however, there exists a tension as to whether including an advocacy agenda in research distorts the objective, impartial process that scientific inquiry is expected to pursue. Action‐related research models such as, participatory action research (PAR) and community‐based participatory research (CBPR), have been strengthening the case for melding r…
Injectable contraceptive discontinuation and subsequent unintended pregnancy among low-income women
OBJECTIVES: This study investigated rates of discontinuation of the recently introduced injectable contraceptive depot medroxyprogesterone acetate (DMPA) and postdiscontinuation rates of unprotected intercourse and unintended pregnancy. METHODS: A sample of 402 low-income, urban, minority women were interviewed when they initiated DMPA use and 12 months later. RESULTS: The 12-month life-table discontinuation rate was 58%, with half of the discont…
Injectable contraceptive discontinuation and subsequent unintended pregnancy among low-income women
OBJECTIVES: This study investigated rates of discontinuation of the recently introduced injectable contraceptive depot medroxyprogesterone acetate (DMPA) and postdiscontinuation rates of unprotected intercourse and unintended pregnancy. METHODS: A sample of 402 low-income, urban, minority women were interviewed when they initiated DMPA use and 12 months later. RESULTS: The 12-month life-table discontinuation rate was 58%, with half of the discont…
Assessing the effects of welfare reform policies on reproductive and infant health
OBJECTIVES: The welfare reform law of 1996 marked a historical moment in US policy toward the poor by ending the entitlement to cash assistance, by requiring work, and by establishing time limits. This article examines the potential impact on the health of women and children, the primary recipients of welfare benefits. METHODS: The authors outline the reproductive health outcomes most likely to be sensitive to welfare policies, identify indicator…
The Impact of Welfare Reform Policies on Child Protective Services
The 1996 welfare reform bill set forth major changes in social welfare policies. In addition to federal work requirements and time limits, new state policies impose behavioral mandates that may be accompanied by financial sanctions for noncompliance. Analysis of a survey of state Child Protection Services (CPS) directors focuses on four major areas: effect of Temporary Assistance to Needy Families (TANF) on CPS; interaction between the two agenci…
State Welfare Reform Policies and Maternal and Child Health Services
Welfare to Work? Impact of Maternal Health on Employment
Objectives. This study investigated whether health problems among poor mothers of chronically ill children affect their ability to obtain and maintain employment. Methods. Mothers of children with chronic illnesses were surveyed at clinical and welfare agency sites in San Antonio, Tex. Results. There were distinct health differences according to mothers’ TANF and employment status. Mothers without TANF experience reported better physical and ment…
Changes in Use of Health Insurance and Food Assistance Programs in Medically Underserved Communities in the Era of Welfare Reform
Objectives. The purpose of this study was to assess changes in health insurance and food assistance enrollment following passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Methods. Extant data sources were used to calculate changes in Temporary Assistance for Needy Families (TANF), Medicaid, and Food Stamp program enrollment in medically underserved Manhattan communities after 1996. Results. Dramatic declines …
Relationships Between Welfare Status, Health Insurance Status, and Health and Medical Care Among Children With Asthma
Objectives. This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma. Methods. Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices. Results. Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare syste…
Employment Barriers Among Welfare Recipients and Applicants With Chronically Ill Children
Objectives. This study evaluated the association of chronic child illness with parental employment among individuals who have had contact with the welfare system. Methods. Parents of children with chronic illnesses were interviewed. Results. Current and former welfare recipients and welfare applicants were more likely than those with no contact with the welfare system to report that their children’s illnesses adversely affected their employment. …
Chronic Illness Among Poor Children Enrolled in the Temporary Assistance for Needy Families Program
Objectives. This study assessed chronic child illness among recipients of Temporary Assistance for Needy Families (TANF) benefits and poor families not receiving benefits. Methods. Data from the 1998 National Health Interview Survey were used to examine chronic child illness, enrollment in TANF, health insurance status, and selected access indicators. Results. One quarter of TANF-enrolled children had chronic illnesses. Unenrolled children were 3…
Low-Income Mothers' Experience with Poor Health, Hardship, Work, and Violence
Welfare reform in 1996 increased work requirements for welfare recipients. Poor mothers face multiple barriers to work, among them poor health and abuse. In a sample (N = 504) of low-income mothers of children with chronic illnesses, women who had experienced violence had significantly worse health, experienced increased hardship, and faced more barriers to employment than women who did not experience violence. Battered women's health outcomes we…
US Fertility Prevention as Poverty Prevention
Application of Empirical Research Findings in Public Health Advocacy
Efforts to improve population health have always been associated with social action. Within science, however, there exists a tension as to whether including an advocacy agenda in research distorts the objective, impartial process that scientific inquiry is expected to pursue. Action‐related research models such as, participatory action research (PAR) and community‐based participatory research (CBPR), have been strengthening the case for melding r…
The Role of Parents and Families in Teen Pregnancy Prevention
Parent involvement (PI) is considered necessary in teen pregnancy prevention (TPP) and preventing other adolescent risk behaviors. However, controversy exists regarding the extent to which families are responsible for adolescent sexual decision making. We adapted two frameworks (Kirby’s risk and protective factors and the Parent–Child Connectedness model) to examine parent- and family-based programs and policies relevant to TPP. There is evidence…
Realizing Reproductive Health Equity Needs More Than Long-Acting Reversible Contraception (Larc)
Twenty years post US welfare reform and state family caps aka child exclusion
The 1996 welfare reform legislation sought to discourage poor women from childbearing by allowing a family-cap policy prohibiting an increase in cash assistance when a new child is born. We conducted key-informant interviews with officials from all 24 family-cap states on the policy's status, implementation, opinions regarding its effectiveness, benefits and disadvantages. Most stated that the policy's administrative burden and negative economic …
Examining women’s and men’s ideal criteria before forming families
In the United States, family formation decision-making is more complex than the predominant models that have been used to capture this phenomenon. Understanding the context in which a pregnancy occurs requires a more nuanced examination. In-depth interviews were conducted with 60 men and women, aged 18-35, who had children or were pregnant. Using grounded theory analysis, themes emerged that revealed participants' ideal criteria desired before pr…
Factors Related to Seeking Help for Postpartum Depression
Postpartum depression (PPD) affects 13% of mothers and can have a major impact on their lives and those of their children. However, most cases go undiagnosed, and the risk factors for this underdiagnosis are not yet fully known. We intended to analyze the influence of different sociodemographic and health factors associated with symptoms of postpartum depression. Data from the New York City Pregnancy Risk Assessment Monitoring System (PRAMS) for …
Revisiting the Association between Race, Ethnicity, and Beliefs about Pregnancy
Our findings suggest that once more nuanced beliefs about pregnancy prevention are considered, Black and Latinx individuals do not hold strongly different beliefs than Whites. Efforts that exclusively focus on people of color to change beliefs about pregnancy appear unwarranted
Barriers and Enablers to Family Physicians’ Provision of Early Pregnancy Loss Management in the United States
Ideal Age at First Birth and Associated Factors Among Young Adults in Greater New York City
Despite increases at age at first birth in the United States, we have little research on how individuals conceptualize the ideal age to have a child. Using qualitative interviews with male and female young adults in greater New York City, we examined individuals' responses to questions about the ideal age at first birth. We find factors associated with an age being ideal tend to fall in four main domains: structural/social position factors, inter…
The development of adolescent agency and implications for reproductive choice among girls in Zambia
Results show agency is dynamic but less mutable with increasing age. Early adolescent strategies which address inequitable gender norms and limit early marriage, may guard against losses to agency which contribute to unwanted fertility outcomes
The Role of Covid-19, Race and Social Factors in Pregnancy Experiences in New York State
Given that New York State's (NYS) was the first epicenter of the COVID-19 pandemic in the United States (US), we were interested in potential racial/ethnic differences in pregnancy-related experiences among women pregnant during versus prior to the pandemic. We surveyed 1,525 women (18-44 years) proportionate to geographic and sociodemographic distribution between June 9, 20 and July 21, 20. We carried out bivariate analysis of various social and…
A Multidimensional Profile of Adolescent Agency in Uttar Pradesh, India, and Implications for Reproductive Choice
Drug use and access to drug dependency services for vulnerable migrants who use drugs in the European Union
Policy action and increased collaboration are required by the EU as a whole and by individual EU member states, in addition to collaboration among healthcare providers and social welfare services, to increase access to healthcare services for migrants who use drugs
Ethical considerations and methodological uses of Facebook data in public health research
Medicine (21 obras) · Political science (16 obras) · Environmental health (14 obras) · Economic growth (11 obras) · Sociology (11 obras) · Economics (10 obras) · Population (10 obras) · Psychology (10 obras) · Welfare (10 obras) · Business (9 obras)