Active projects

Preventing infectious diseases among racial, ethnic, sexual, and gender minorities

 

Critical consciousness for connectivity: combating social isolation among LGBTQ Latino youth

In this project we are developing a Latin American telenovela (soap opera) intervention based on critical consciousness theory to train young Latino allies to combat social isolation experienced by their LGBTQ peers. Our approach prioritizes making health a shared value by: (1) Collaborating with Latino LGBTQ youth to co-create a telenovela toolkit to train allies to combat social isolation, and (2) Piloting the adapted intervention among Latino youth in the Outreach Leadership Institute operated by 4-H at OSU. This unique and culturally appropriate Latin American medium allows us to extend the culture of health to communities throughout Oregon using 4-H programs, rather than relying solely on formal school contexts. Our program will overcome challenges presented by the social environment that further isolates Latinos, immigrants, especially those in rural areas and small towns in the U.S. This project is funded by the Robert Wood Johnson Foundation (PI: Garcia).

 

Contextual Factors in Transgender Health in Oregon

This project will: 1) quantitatively explore a broad spectrum of measures capturing mental health, social health, and sexual health among transgender women residing in a relatively non-transphobic environment, and 2) qualitatively explore the contextual risk and protective behaviors relative to transgender women residing in a relatively non-transphobic environment regarding mental health, social health, and sexual health. Crosby, Garcia (MPI)

 

Innovation of participatory methods to address stigma and stereotypes among sexual and gender minorities

This project seeks to develop culturally appropriate health promotion strategies to improve knowledge and acceptability of new and traditional HIV prevention tools among the populations most-at-risk for HIV infection. Garcia (PI)

 

Proyecto De Salud Para Latinos (Latino Health Project)

The overall objective of the Proyecto De Salud Para Latinos (Latino Health Project), composed of two research studies funded by CDC and the Office of Population Affairs (OPA), is to examine the determinants of contraceptive use, sexual risk behavior and HIV/STI prevention among young Latino women and men in rural settings.  We used both qualitative and quantitative methods to explore the influence of a broad range of factors and their interrelationships on these outcomes from the perspective of young Latino women and men as well as health care providers. We focused on issues related to health disparities to better understand how broader social and contextual issues such as racism, medical mistrust, poverty, health literacy, and culture interact and impact rural Latinos access to and use of reproductive health services. Harvey (PI)

 

Relationship Dynamics and Sexual Risk Behaviors

This longitudinal study, funded by NICHD, examines the influence of relationship dynamics on sexual risk perceptions, intentions, and behaviors among heterosexual men and women of reproductive age at high-risk for HIV infection. Harvey (PI)

 

Sexual Rights and Health Frameworks in Global Health

This project map outs frameworks that include varying components of sexual rights and sexual health as critically important to upholding human rights across global settings. Garcia (PI)

 

Translating Oral-HIV Testing to Low Income, Low Literacy Youth in Tanzania.

This multi-year project, funded by the National Institute of Child & Human Development, is examining strategies to improve performance of self-implemented Oral-HIV testing among high-risk youth in Tanzania. Based on a randomized clinical trial this study compares two training strategies utilizing low technology and literacy methods that have application to Tanzanian youth age 15-22 yrs. residing in low-income areas of Dar es Salaam. Catania (PI), Dolcini (Co-I)

 

HIV Self-Testing in African American Young MSM: A Formative Translational Study.

This multi-year project, funded by the National Institute of Mental Health, examined barriers and facilitators of Oral self-implemented HIV testing performance fidelity and training acquisition among African-American men-who-have-sex-with-men age 17-24 and residing in low-income areas of Chicago, Illinois. This study addresses the role of performance fidelity in observed variations in test sensitivity and specificity. Catania (PI), Dolcini (Co-I)

 

Promoting reproductive and sexual health after cancer

Mindfulness-based Program for Sexual Health After Cancer

This project funded by the OHSU Knight Community Partnership Program will adapt and evaluate a mindfulness-based program designed to meet the needs of female cancer survivors struggling with sexual health concerns. We are collaborating with the Cancer Resource Center at Samaritan Pastega Regional Cancer Center. Gorman (PI),

 

Opening the Conversation

This project aims to understand how couples, where one is a cancer survivor, communicate with each other about their reproductive and sexual health concerns and how they interact with their healthcare providers about these issues. Gorman (PI), Harvey (Co-I)

 

Reproductive Concerns After Cancer

This project focuses on characterizing and measuring reproductive concerns, and developing strategies to reduce reproductive distress and improve quality of life for post-treatment cancer survivors. This work has been funded by the California Breast Cancer Research Program and American Cancer Society. Gorman (PI)

 

Preventing unintended pregnancy and evaluating access to contraceptive and abortion services

Impact of Innovative Health Care Policies on Abortion Access for Oregon Women Enrolled in Medicaid

This two year study, funded by The Society for Family Planning, will use Oregon Medicaid claims and eligibility data from 2008-2016 to : 1) describe Oregon abortion rates among women of reproductive age enrolled in Medicaid; 2) compare abortion rates in Oregon before and after the implementation of Coordinated Care Organizations; and 3) investigate how abortion rates in Oregon were affected by Medicaid expansion under the Affordable Care Act (ACA). Harvey (PI), Gibbs (Postdoctoral Fellow)

 

Medicaid Expansion in Oregon: Access and Health Outcomes for Women and Infants

This CDC funded project examines the impact of both the implementation of Coordinated Care Organizations (CCOs) and Medicaid expansion on the use of health services and health outcomes among low-income Oregon women of reproductive age (15-44 years) and their infants. Harvey, Luck (MPI)