Brazil; Breast Feeding; Child Health Services; Community Health Workers; Diabetes Mellitus, Type 2; HIV; Mexico; Obesity; Rwanda; Global Health; Healthcare Disparities
Public Health Interests
Breastfeeding; Child health; Nutrition; Obesity
School of Public Health: Chronic Disease Epidemiology: Social & Behavioral Sciences | Perez-Escamilla Lab | Technical Information for the Breast Feeding Country Initiative | YSPH Global Health Concentration
Obesity Research Working Group
My global public health nutrition research program seeks to understand how best to: a) promote breastfeeding and other infant feeding practices; b) measure household food insecurity; c) mitigate the negative impact of household food insecurity on maternal-child physical and mental health outcomes; d) mitigate the negative impact of maternal HIV on child growth and development; d) design community nutrition education programs. My domestic health disparities research program focuses on design and evaluation of community health worker models seeking to improve behavioral (nutrition, physical activity, self-glucose monitoring, medication adherence) mental health (stress reduction) and metabolic outcomes among Latinos with type 2 diabetes.
Specialized Terms: Breastfeeding; Household food security measurement and outcomes; Maternal HIV and child development; Community health workers; Type 2 diabetes; Community nutrition program design and evaluation; Maternal-child public health nutrition; Health disparities
Extensive Research Description
Rafael Perez-Escamilla is a professor of epidemiology and the director
of the office of community health at the Yale School of Public Health. Dr. Perez-Escamilla’s global public
health nutrition research program seeks to understand how best to promote
breastfeeding and to measure household food insecurity. He researches how to mitigate the
negative impact of this food insecurity on maternal-child health outcomes and
the impact of maternal HIV on child growth and development. Dr. Perez-Escamilla also leads a
domestic health disparities research program focused on designing and
evaluating community health worker models seeking to improve behavioral and
metabolic outcomes among Latinos with type 2 diabetes.
Dr. Perez-Escamilla received his M.S. and Ph.D. from the University of
California at Davis. He leads the
Latin American and Caribbean Household Food Security Scale project. He has published over 100 research
articles that have led to improvements in breastfeeding promotion, iron deficiency
anemia among infants (by delaying the clamping of the umbilical cord after
birth), household food security measurement and community nutrition education
programs worldwide. Dr.
Perez-Escamilla was a Pan American Health & Education Foundation trustee and
was appointed by the U.S. Secretaries of Agriculture and Health to serve on the
2010 Dietary Guidelines Scientific Advisory Committee. He is the
chair-elect of the American Society for Nutrition’s International Nutrition
Council and the vice-chair for its Minority Affairs Committee.Impact of diabetes peer counseling on behavioral and metabolic outcomes among Latinos with type 2 diabetes (Randomized Controlled Trial)
Impact of peer counseling on breastfeeding and infant health outcomes among obese Latinas (Randomized Controlled Trial)
Impact of maternal HIV on growth and development of Ghanaian infants (cohort study)
Role: co-PI (PI: Robert Mazur, Iowa State University (on behalf of Grace Marquis, McGill University))
Household food insecurity and domestic violence among pregnant Brazilian women (longitudinal study)
Role: Collaborator (PI: Ana Maria Segall-Correa, University of Campinas, Brazil)
Community nutrition and food security assessment among Liberian refugees in Ghana (cross sectional study)
Role: mentor (PI: Amber Hromi-Fiedler (postdoctoral fellowship))
Gestational weight gain and pregnancy outcomes among obese Latinas (retrospective cohort study)
Role: co-PI (PI: Jack Green, Hartford Hospital)
The Brazilian household food security measurement project: the EBIA initiative (psychometric work based on cross-sectional samples)
Role: Senior leadership (PI: Ana Maria Segall-Correa, University of Campinas, Brazil)
Harmonization of household food security measurement in the Latin America and Caribbean Region: Project ELCSA (psychometric work based on cross-sectional samples)
Role: Senior leadership (with Ana Maria Segall-Correa, University of Campinas, Brazil; Martha Cecilia Alvarez Uribe, University of Antioquia, Colombia, and Hugo Melgar-Quinonez, Ohio State)
- Richter LM, Daelmans B, Lombardi J, Heymann J, Boo FL, Behrman JR, Lu C, Lucas JE, Perez-Escamilla R, Dua T, Bhutta ZA, Stenberg K, Gertler P, Darmstadt GL; Paper 3 Working Group and the Lancet Early Childhood Development Series Steering Committee. Investing in the foundation of sustainable development: pathways to scale up for early childhood development. Lancet. 2016 Oct 3. pii: S0140-6736(16)31698-1. doi: 10.1016/S0140-6736(16)31698-1. Review. PubMed PMID: 27717610.
- Britto PR, Lye SJ, Proulx K, Yousafzai AK, Matthews SG, Vaivada T, Perez-Escamilla R, Rao N, Ip P, Fernald LC, MacMillan H, Hanson M, Wachs TD, Yao H, Yoshikawa H, Cerezo A, Leckman JF, Bhutta ZA; Early Childhood Development Interventions Review Group, for the Lancet Early Childhood Development Series Steering Committee. Nurturing care: promoting early childhood development. Lancet. 2016 Oct 3. pii: S0140-6736(16)31390-3. doi: 10.1016/S0140-6736(16)31390-3. Review. PubMed PMID: 27717615.
- Pérez-Escamilla R, Martinez JL, Segura-Pérez S. Impact of the Baby-friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr. 2016 Jul;12(3):402-17. doi: 10.1111/mcn.12294. Epub 2016 Feb 29. Review. PubMed PMID: 26924775.
- Pérez-Escamilla R, Curry L, Minhas D, Taylor L, Bradley E. Scaling up of breastfeeding promotion programs in low- and middle-income countries: the "breastfeeding gear" model. Adv Nutr. 2012 Nov 1;3(6):790-800. doi: 10.3945/an.112.002873. Review. PubMed PMID: 23153733; PubMed Central PMCID: PMC3648703.
- Chapman DJ, Morel K, Bermúdez-Millán A, Young S, Damio G, Pérez-Escamilla R. Breastfeeding education and support trial for overweight and obese women: a randomized trial. Pediatrics. 2013 Jan;131(1):e162-70. doi: 10.1542/peds.2012-0688. Epub 2012 Dec 3. PubMed PMID: 23209111; PubMed Central PMCID: PMC3529944.
- Pérez-Escamilla R. Can experience-based household food security scales help improve food security governance? Glob Food Sec. 2012 Dec 1;1(2):120-125. PubMed PMID: 23795344; PubMed Central PMCID: PMC3685197.
- Lartey A, Marquis GS, Mazur R, Perez-Escamilla R, Brakohiapa L, Ampofo W, Sellen D, Adu-Afarwuah S. Maternal HIV is associated with reduced growth in the first year of life among infants in the Eastern region of Ghana: the Research to Improve Infant Nutrition and Growth (RIING) Project. Matern Child Nutr. 2012 Aug 20. doi: 10.1111/j.1740-8709.2012.00441.x. [Epub ahead of print] PubMed PMID: 22905700.
- Pérez-Escamilla R, Damio G, Chhabra J, Fernandez ML, Segura-Pérez S, Vega-López S, Kollannor-Samuel G, Calle M, Shebl FM, D'Agostino D. Impact of a community health workers-led structured program on blood glucose control among latinos with type 2 diabetes: the DIALBEST trial. Diabetes Care. 2015 Feb;38(2):197-205. doi: 10.2337/dc14-0327. Epub 2014 Aug 14. PubMed PMID: 25125508; PubMed Central PMCID: PMC4302259.