Ninez A Ponce
Dados Biográficos
| ID | 632429 |
|---|---|
| NOME | Ninez A Ponce |
| PRENOMES | Ninez A |
| SOBRENOME | Ponce |
| ASSINATURA | PONCE N A |
| AFILIAÇÕES | University of California, Los Angeles |
| ORCID | 0000-0001-5151-6718 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 63 |
| TOTAL DE CITAÇÕES | 282 |
| TOTAL COMO AUTOR | 63 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 10 |
Advancing the Science and Scholarship of Health Equity
Data Disaggregation in Action
BACKGROUND: The U.S. Office of Management and Budget (OMB) categorizes Filipino Americans as Asian; however, many may not identify as such, opting instead for "other" or Pacific Islander (PI). This study examines the extent to which Filipino Americans select PI or "other" rather than Asian, using a large population-based survey of Californians. METHODS: We analyzed data from the 2019, 2020, and 2021 California Health Interview Survey (CHIS), the …
The Importance of Health Equity Scholarship in Uncertain Times
Measuring county-level immigration policy contexts that may influence Latino health in California
Studies have examined the impact of federal and state immigration policies on Latino immigrant health. Few studies have investigated the effects of local policies that shape access to services, resources, and opportunities among Latino and immigrant populations. This article presents a framework and measures to describe county-level immigration policy contexts. We developed multisectoral indicators of immigration policy contexts by linking polici…
Local tobacco control policy intensity and cigarette smoking behaviours in California
Local tobacco control policies are associated with lower smoking rates, especially among disadvantaged populations. Strengthening and expanding these policies may be an effective strategy to further reduce tobacco-related disparities
Implications and Insights on Federal Revisions to Race and Ethnicity Data Collection
Determinants to Tele-Mental Health Services Utilization Among California Adults
To investigate the relationship of predisposing, enabling, need, and immigration-related factors to tele-mental health services utilization among California adults, we conducted a secondary analysis of two waves of the California Health Interview Survey (CHIS) collected between 2015 and 2018 (N = 78,345). A series of logistic regression models were conducted to examine correlates and predictors to tele-mental health services use. Approximately 1.…
Democratizing Native Hawaiian and Pacific Islander Data
Making data accessible to communities is essential for developing community-driven solutions to address health inequities. In this analytic essay, we highlight the importance of democratizing data for Native Hawaiians and Pacific Islanders (NHPIs)—diverse populations that historically have had little access to their data—in the context of achieving equity in health and the social drivers of health. We provide a framework for evaluating community …
Health Care Access and Utilization and the Latino Health Paradox
BACKGROUND: The Latino health paradox is the phenomenon whereby recent Latino immigrants have, on average, better health outcomes on some indicators than Latino immigrants who have lived in the United States longer and US-born Latinos and non-Latino Whites. This study examined whether the paradox holds after accounting for health care access and utilization. METHODS: The 2019-2020 National Health Interview Survey data were used. The main predicto…
Evolving academic and research partnerships in global health
Building fair, equitable, and beneficial partnerships between institutions collaborating in research in low- and middle-income countries (LMIC) and high-income countries (HIC) has become an integral part of research capacity building in global health in recent years. In this paper, we offer an example of an academic collaboration between the University of California Los Angeles, Center for Health Policy and Research (UCLA CHPR) and the University…
Association of neighborhood gentrification and residential moves with hypertension and diabetes control in Los Angeles County, 2014–2019
Gentrification may support-or at least not harm-cardiometabolic health for some residents. City leaders and health systems could partner with impacted communities to ensure that neighborhood development meets the goals and health needs of all residents and does not exacerbate health disparities
Toward More Equitable Public Health Data
Measuring Asian hate
Background: During COVID-19, anti-Asian discrimination increased in attention. Hate and unfair treatment are related but do not completely overlap. We expect those who report a hate incident would also report race-based unfair treatment, yet feelings of social desirability or self-blame may lead to under-reporting of unfair treatment. Objectives: To describe reporting of an experience of race-based hate but not an experience of race-based unfair …
Learning to love ourselves again
A critical component for health equity lies in the inclusion of structurally excluded voices, such as Filipina/x/o Americans (FilAms). Because filam invisibility is normalized, denaturalizing these conditions requires reimagining power relations regarding whose experiences are documented, whose perspectives are legitimized, and whose strategies are supported. in this community case study, we describe our efforts to organize a multidisciplinary, m…
Lost on the frontline, and lost in the data
Background Filipinx Americans working in healthcare are at risk for COVID-19 death but lack consistent mortality data on healthcare worker deaths. The lack of disaggregated data for Asian subgroups proliferates anti-Asian structural racism as the needs of high-risk groups are systematically undetected to merit a proper public health response. We work around this aggregated data problem by examining how the overrepresentation of Filipinxs in healt…
Asian, Latinx, or Multiracial? Assessing Filipinxs’ Health Conditions and Outcomes by Aggregate Ethnic Category
The Association Between Moderate and Serious Mental Health Distress and General Health Services Utilization Among Chinese, Filipino, Japanese, Korean, and Vietnamese Adults in California
Addressing The Interlocking Impact Of Colonialism And Racism On Filipinx/a/o American Health Inequities
Within the monolithic racial category of “Asian American,” health determinants are often hidden within each subgroup’s complex histories of indigeneity, colonialism, migration, culture, and socio-political systems. Although racism is typically framed to underscore the ways in which various institutions (for example, employment and education) disproportionately disadvantage Black/Latinx communities over White people, what does structural racism lo…
Surveying Hate and Its Effects During the Covid-19 Pandemic Among Asian Americans and Native Hawaiians and Pacific Islanders
Objectives. To summarize data collection on anti-Asian American and Native Hawaiian/Pacific Islander (AANHPI) experiences during COVID-19 and measure the associations of anti-AANHPI hate incidents with mental health, health access, and public safety among AANHPI adults. Methods. We cataloged COVID-19 surveys conducted in 2020 and 2021 on anti-AANHPI experiences. We then analyzed the 2020 California Health Interview Survey (CHIS) AANHPI COVID-19 m…
The relationship between educational attainment and hospitalizations among middle-aged and older adults in the United States
Educational attainment is a strong predictor of hospitalizations for middle-aged and older US adults. Health mediates most of the education-hospitalization gradients. The heterogeneous results across age, gender, race, and ethnicity groups should inform further research on health disparities
Housing Insecurity Among Latinxs
Data Disaggregation with American Indian/Alaska Native Population Data
Capturing Racial/Ethnic Diversity in Population-Based Surveys
Disparities in Native Hawaiian and Pacific Islander Covid-19 Mortality
As of March 2021, Native Hawaiians and Pacific Islanders (NHPIs) in the United States have lost more than 800 lives to COVID-19—the highest per capita death rate in 18 of 20 US states reporting NHPI deaths. However, NHPI risks are overlooked in policy discussions. We discuss the NHPI COVID-19 Data Policy Lab and dashboard, featuring the disproportionate COVID-19 mortality burden for NHPIs. The Lab democratized NHPI data, developed community infra…
Covid-19 Rapid Response
Measuring Everyday Racial/Ethnic Discrimination in Health Surveys
While it is clear that self-reported racial/ethnic discrimination is related to illness, there are challenges in measuring self-reported discrimination or unfair treatment. In the present study, we evaluate the psychometric properties of a self-reported instrument across racial/ethnic groups in a population-based sample, and we test and interpret findings from applying two different widely-used approaches to asking about discrimination and unfair…
Racial and ethnic health disparities
Higher SEP may serve as an important mitigator, particularly when comparing the medium to the low SEP categories. It is also possible that SEP effects cannot be extracted from the relationships of interest in that SEP is an expression of social discrimination. In fact, negative health effects associated with discrimination are evident across the SEP spectrum. This study highlights the complexity of the relationships between discrimination and rac…
Understanding Racial and Ethnic Disparities in Arrest
Associations Between Racial Discrimination, Limited English Proficiency, and Health-Related Quality of Life Among 6 Asian Ethnic Groups in California
Objectives. We examined the association of racial discrimination and limited English proficiency with health-related quality of life among Asian Americans in California. Methods. We studied Chinese (n = 2576), Filipino (n = 1426), Japanese (n = 833), Korean (n = 1128), South Asian (n = 822), and Vietnamese (n = 938) respondents to the California Health Interview Survey in 2003 and 2005. We assessed health-related quality of life with the Centers …
The California Health Interview Survey 2001
The cultural and linguistic diversity of the U.S. population presents challenges to the design and implementation of population-based surveys that serve to inform public policies. Information derived from such surveys may be less than representative if groups with limited or no English language skills are not included. The California Health Interview Survey (CHIS), first administered in 2001, is a population-based health survey of more than 55,00…
Immigrant generation and physical activity among Mexican, Chinese & Filipino adults in the U.S
Health Conditions, Outcomes, and Service Access Among Filipino, Vietnamese, Chinese, Japanese, and Korean Adults in California, 2011–2017
Objectives. To determine the impact of data disaggregation on the ability to identify health disparities and needs for future research for Filipino, Vietnamese, Chinese, Japanese, and Korean adults in California. Methods. Using available data from the 2011–2017 California Health Interview Survey, we conducted bivariate and multivariable analyses to assess disparities in health conditions, outcomes, and service access compared with non-Hispanic Wh…
Capturing Racial/Ethnic Diversity in Population-Based Surveys
Trends in Sexual Orientation Missing Data Over a Decade of the California Health Interview Survey
Objectives. We explored changes in sexual orientation question item completion in a large statewide health survey. Methods. We used 2003 to 2011 California Health Interview Survey data to investigate sexual orientation item nonresponse and sexual minority self-identification trends in a cross-sectional sample representing the noninstitutionalized California household population aged 18 to 70 years (n = 182 812 adults). Results. Asians, Hispanics,…
Disparities in Native Hawaiian and Pacific Islander Covid-19 Mortality
As of March 2021, Native Hawaiians and Pacific Islanders (NHPIs) in the United States have lost more than 800 lives to COVID-19—the highest per capita death rate in 18 of 20 US states reporting NHPI deaths. However, NHPI risks are overlooked in policy discussions. We discuss the NHPI COVID-19 Data Policy Lab and dashboard, featuring the disproportionate COVID-19 mortality burden for NHPIs. The Lab democratized NHPI data, developed community infra…
US Health Care Relies on Filipinxs While Ignoring Their Health Needs
This Viewpoint explains how data aggregation under a single Asian category has hidden the real health and death toll of COVID-19 among Filipinx in the US, especially the large portion of which are frontline health care workers
Addressing The Interlocking Impact Of Colonialism And Racism On Filipinx/a/o American Health Inequities
Within the monolithic racial category of “Asian American,” health determinants are often hidden within each subgroup’s complex histories of indigeneity, colonialism, migration, culture, and socio-political systems. Although racism is typically framed to underscore the ways in which various institutions (for example, employment and education) disproportionately disadvantage Black/Latinx communities over White people, what does structural racism lo…
Surveying Hate and Its Effects During the Covid-19 Pandemic Among Asian Americans and Native Hawaiians and Pacific Islanders
Objectives. To summarize data collection on anti-Asian American and Native Hawaiian/Pacific Islander (AANHPI) experiences during COVID-19 and measure the associations of anti-AANHPI hate incidents with mental health, health access, and public safety among AANHPI adults. Methods. We cataloged COVID-19 surveys conducted in 2020 and 2021 on anti-AANHPI experiences. We then analyzed the 2020 California Health Interview Survey (CHIS) AANHPI COVID-19 m…
The impact of welfare reform on the health insurance coverage, utilization and health of low education single mothers
Data Disaggregation with American Indian/Alaska Native Population Data
Green space and serious psychological distress among adults and teens
Obesogenic Dietary Practices of Latino and Asian Subgroups of Children in California
Objectives. We examined obesogenic dietary practices among Latino and Asian subgroups of children living in California. Methods. We analyzed 2007, 2009, and 2011–2012 California Health Interview Survey data to examine the differences in dietary practices among Mexican and non-Mexican Latino children and 7 ethnic subgroups of Asian children. We used multivariable regression to examine the sociodemographic factors associated with specific dietary p…
Covid-19 Rapid Response
Sources of Interactional Problems in a Survey of Racial/Ethnic Discrimination
Cross-cultural variability in respondent processing of survey questions may bias results from multiethnic samples. We analyzed behavior codes, which identify difficulties in the interactions of respondents and interviewers, from a discrimination module contained within a field test of the 2007 California Health Interview Survey. In all, 553 (English) telephone interviews yielded 13,999 interactions involving 22 items. Multilevel logistic regressi…
Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership
Quality of care and its impact on population health
Association of neighborhood gentrification and residential moves with hypertension and diabetes control in Los Angeles County, 2014–2019
Gentrification may support-or at least not harm-cardiometabolic health for some residents. City leaders and health systems could partner with impacted communities to ensure that neighborhood development meets the goals and health needs of all residents and does not exacerbate health disparities
Generating Health Estimates by Zip Code
Objectives. We propose a method to meet challenges in generating health estimates for granular geographic areas in which the survey sample size is extremely small. Methods. Our generalized linear mixed model predicts health outcomes using both individual-level and neighborhood-level predictors. The model’s feature of nonparametric smoothing function on neighborhood-level variables better captures the association between neighborhood environment a…
Bridging Academic–Legislative Divides
New directions are needed to deepen legislative engagement potential in CBPR and the translation of policy research that considers the health of all AA and NHPI communities
Classification of Race and Ethnicity
Emerging methods in the measurement of race and ethnicity have important implications for the field of public health. Traditionally, information on race and/or ethnicity has been integral to our understanding of the health issues affecting the U.S. population. We review some of the complexities created by new classification approaches made possible by the inclusion of multiple-race assessment in the U.S. Census and large health surveys. We discus…
The California Health Interview Survey 2001
The cultural and linguistic diversity of the U.S. population presents challenges to the design and implementation of population-based surveys that serve to inform public policies. Information derived from such surveys may be less than representative if groups with limited or no English language skills are not included. The California Health Interview Survey (CHIS), first administered in 2001, is a population-based health survey of more than 55,00…
Uninsured Working Immigrants
Do HMO Market Level Factors Lead to Racial/Ethnic Disparities in Colorectal Cancer Screening
BACKGROUND: Few studies have explored health care market structure and colorectal cancer (CRC) screening test use, and little is known whether market factors contribute to racial/ethnic screening disparities. OBJECTIVE: We investigated whether HMO market level factors, controlling for individual covariates, differentially impact Asian American and Pacific Islander (AAPI) subjects' access to CRC screening compared with white subjects. RESEARCH DES…
Linguistic disparities in health care access and health status among older adults
Language Barriers to Health Care Access among Medicare Beneficiaries
This study examined language barriers to health care access among a population-based sample of Medicare seniors in California in 2001 and 2003. Results indicate that Medicare beneficiaries with limited English proficiency (LEP) had less access to a usual source of care and were less likely to receive preventive cancer screening tests. LEP Medicare beneficiaries who also were covered by Medicaid tended to fare better than those without Medicaid. T…
Is there a Language Divide in Pap Test Use
OBJECTIVE: We sought to determine whether primary language use, measured by language of interview, is associated with disparities in cervical cancer screening. DATA SOURCES: We undertook a secondary data analysis of a pooled sample of the 2001 and 2003 California Health Interview Surveys. The surveys were conducted in English, Spanish, Cantonese, Mandarin, Korean, and Vietnamese. STUDY DESIGN: The study was a cross-sectional analysis of 3-year Pa…
Quality of care and its impact on population health
Health Coverage of Low-Income Citizen and Noncitizen Wage Earners
Switching Health Insurance and Its Effects on Access to Physician Services
BACKGROUND: This study examines the factors associated with discontinuous health insurance coverage without periods of uninsurance during the past year (ie, switching coverage), and whether it has a detrimental effect on basic access to care. RESEARCH DESIGN: We analyze the 2003 California Health Interview Survey samples of adults, ages 19-64 (n = 32,850) and children, ages 0-18 (n = 13,062), using weighted bivariate and multivariate analyses. We…
English Language Proficiency and Geographical Proximity to a Safety Net Clinic as a Predictor of Health Care Access
Studies suggest that proximity to a safety net clinic (SNC) promotes access to care among the uninsured. Distance-based barriers to care may be greater for people with limited English proficiency (LEP), compared to those who are English proficient (EP), but this has not been explored. We assessed the relationship between distance to the nearest SNC and access in non-rural uninsured adults in California, and examined whether this relationship diff…
Immigrant generation and physical activity among Mexican, Chinese & Filipino adults in the U.S
Associations Between Racial Discrimination, Limited English Proficiency, and Health-Related Quality of Life Among 6 Asian Ethnic Groups in California
Objectives. We examined the association of racial discrimination and limited English proficiency with health-related quality of life among Asian Americans in California. Methods. We studied Chinese (n = 2576), Filipino (n = 1426), Japanese (n = 833), Korean (n = 1128), South Asian (n = 822), and Vietnamese (n = 938) respondents to the California Health Interview Survey in 2003 and 2005. We assessed health-related quality of life with the Centers …
Racial and ethnic health disparities
Higher SEP may serve as an important mitigator, particularly when comparing the medium to the low SEP categories. It is also possible that SEP effects cannot be extracted from the relationships of interest in that SEP is an expression of social discrimination. In fact, negative health effects associated with discrimination are evident across the SEP spectrum. This study highlights the complexity of the relationships between discrimination and rac…
Measuring Everyday Racial/Ethnic Discrimination in Health Surveys
While it is clear that self-reported racial/ethnic discrimination is related to illness, there are challenges in measuring self-reported discrimination or unfair treatment. In the present study, we evaluate the psychometric properties of a self-reported instrument across racial/ethnic groups in a population-based sample, and we test and interpret findings from applying two different widely-used approaches to asking about discrimination and unfair…
Neighborhood Context and Hypertension Outcomes Among Latinos in Chicago
Bridging Academic–Legislative Divides
New directions are needed to deepen legislative engagement potential in CBPR and the translation of policy research that considers the health of all AA and NHPI communities
Sources of Interactional Problems in a Survey of Racial/Ethnic Discrimination
Cross-cultural variability in respondent processing of survey questions may bias results from multiethnic samples. We analyzed behavior codes, which identify difficulties in the interactions of respondents and interviewers, from a discrimination module contained within a field test of the 2007 California Health Interview Survey. In all, 553 (English) telephone interviews yielded 13,999 interactions involving 22 items. Multilevel logistic regressi…
Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership
Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients
Generating Health Estimates by Zip Code
Objectives. We propose a method to meet challenges in generating health estimates for granular geographic areas in which the survey sample size is extremely small. Methods. Our generalized linear mixed model predicts health outcomes using both individual-level and neighborhood-level predictors. The model’s feature of nonparametric smoothing function on neighborhood-level variables better captures the association between neighborhood environment a…
Obesogenic Dietary Practices of Latino and Asian Subgroups of Children in California
Objectives. We examined obesogenic dietary practices among Latino and Asian subgroups of children living in California. Methods. We analyzed 2007, 2009, and 2011–2012 California Health Interview Survey data to examine the differences in dietary practices among Mexican and non-Mexican Latino children and 7 ethnic subgroups of Asian children. We used multivariable regression to examine the sociodemographic factors associated with specific dietary p…
Trends in Sexual Orientation Missing Data Over a Decade of the California Health Interview Survey
Objectives. We explored changes in sexual orientation question item completion in a large statewide health survey. Methods. We used 2003 to 2011 California Health Interview Survey data to investigate sexual orientation item nonresponse and sexual minority self-identification trends in a cross-sectional sample representing the noninstitutionalized California household population aged 18 to 70 years (n = 182 812 adults). Results. Asians, Hispanics,…
The Quality of Diabetes Management Among Mexican Adults in California
BACKGROUND: Although there is increasing knowledge regarding the association between generational status on diabetes risk, less is known about the effects of generational status on diabetes management among Mexicans. OBJECTIVES: We test whether generational status is associated with variations in diabetes processes of care among Mexican adults to optimize disease management. RESEARCH DESIGN: Weighted multivariate logistic regression was used to t…
Changes in the Supply of US Rural Health Centers, 2000‐2011
PURPOSE: Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) provide primary care in rural areas with a shortage of providers. This paper examines whether racial and ethnic minority composition was related to changes in the supply of RHCs and FQHCs in rural counties from 2000 to 2011. METHODS: We conducted a retrospective cohort study of rural counties using the Area Health Resource File 2012-2013. We examined rural countie…
Medicine (54 obras) · Environmental health (40 obras) · Public health (34 obras) · Political science (32 obras) · Gerontology (30 obras) · Sociology (29 obras) · Population (28 obras) · Health care (26 obras) · Health equity (26 obras) · Demography (25 obras)