2024
Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models
Rhodes E, Pérez-Escamilla R, Okoli N, Hromi-Fiedler A, Foster J, McAndrew J, Duran-Becerra B, Duffany K. Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models. Frontiers In Public Health 2024, 12: 1295291. PMID: 38572012, PMCID: PMC10990041, DOI: 10.3389/fpubh.2024.1295291.Peer-Reviewed Original ResearchPrescription programClient experiencePerson-centeredFederally Qualified Health CentersFramework analysis approachQualified Health CentersImprove client experienceFocus group discussionsTreated with respectVegetable consumptionPerson-centrednessProgram usabilityHealth centersParticipants' program experiencesPositive experiencesGroup discussionsLife courseGift cardsPrescriptionParticipantsProgram designSatisfactionThemesProgram demandsFresh fruits
2021
Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review
Segura-Pérez S, Hromi-Fiedler A, Adnew M, Nyhan K, Pérez-Escamilla R. Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review. International Journal For Equity In Health 2021, 20: 72. PMID: 33676506, PMCID: PMC7936442, DOI: 10.1186/s12939-021-01388-4.Peer-Reviewed Original ResearchConceptsSystematic reviewBF outcomesMinority womenSpecial Supplemental Nutrition ProgramImplementation research studySupplemental Nutrition ProgramMeta-Analyses (PRISMA) checklistPreferred Reporting ItemsCommunity-level interventionsMethodsThe systematic reviewCombination of interventionsImplementation science researchPublic health institutionsCross-sectional designGRADE methodologyMedicine guidelinesBF initiationStudy protocolSocioecological modelStudy interventionHispanic womenElectronical databasesExclusivity ratesReporting ItemsNutrition Program
2020
Analysis of stakeholder networks for breastfeeding policies and programs in Ghana
Aryeetey R, Harding K, Hromi-Fiedler A, Pérez-Escamilla R. Analysis of stakeholder networks for breastfeeding policies and programs in Ghana. International Breastfeeding Journal 2020, 15: 74. PMID: 32831116, PMCID: PMC7444079, DOI: 10.1186/s13006-020-00311-x.Peer-Reviewed Original ResearchConceptsPolicies/programsUnited Nations Children's FundGovernment agenciesKey institutional actorsMulti-sectoral approachGhana Health ServiceInteractive social networksInstitutional actorsDiverse actorsUnique actorsActor groupsDonor agenciesNet-MapDevelopment partnersStakeholder networksFunding linksActor categoriesUnited NationsActorsRelevant institutionsInterview dataFinancial assistanceAppropriate policiesPolicySocial networksDevelopment and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package
Hromi-Fiedler AJ, Carroll GJ, Tice MR, Sandow A, Aryeetey R, Pérez-Escamilla R. Development and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package. Current Developments In Nutrition 2020, 4: nzaa117. PMID: 32885131, PMCID: PMC7447589, DOI: 10.1093/cdn/nzaa117.Peer-Reviewed Original ResearchGroup education sessionsHealth care providersCare providersEducation sessionsYoung child feeding (IYCF) counselingCultural appropriatenessFocus group discussionsAdult mothersFathers of childrenFGD findingsHunger/satiety cuesIYCF counselingSatiety cuesInfantsCounselingRF messagesChildrenKey messagesNew foodsFood textureSessionsProvidersGroup discussions
2018
Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana
Mandelbaum J, Pérez-Escamilla R, Sandow A, Gallego-Pérez DF, Lartey A, Hromi-Fiedler A. Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana. Journal Of Nutrition Education And Behavior 2018, 51: 567-577. PMID: 30442569, DOI: 10.1016/j.jneb.2018.09.007.Peer-Reviewed Original ResearchConceptsLiberian refugeesRefugee settlementRefugee situationsProtracted Refugee SituationsMixed-method cross-sectional studyNational identityHost communitiesDepth interviewsLocal communitiesRefugeesQualitative dataFood accessGhanaian residentsIterative codingGhanaian womenAccess issuesDietary practicesGhanaiansSocial supportSettlementSensitive programsNeighboring villagesPracticeGhanaCommunityPilot testing of the Becoming Breastfeeding Friendly toolbox in Ghana
Aryeetey R, Hromi-Fiedler A, Adu-Afarwuah S, Amoaful E, Ampah G, Gatiba M, Kwakye A, Otoo G, Plange-Rhule G, Sagoe-Moses I, Selenje L, Pérez-Escamilla R, Ghana Becoming Breastfeeding Friendly Committee. Pilot testing of the Becoming Breastfeeding Friendly toolbox in Ghana. International Breastfeeding Journal 2018, 13: 30. PMID: 30008793, PMCID: PMC6042403, DOI: 10.1186/s13006-018-0172-y.Peer-Reviewed Original ResearchInsufficient government fundingBBF IndexBreastfeeding servicesAvailable evidenceTotal scoreProgram gapsScoresInadequate monitoringPilot testingInadequate coverageProgram deliveryProgram implementationCurrent studyAwareness initiativesModerate scalingSub-optimal coordinationBreastfeedingMaternity protectionCommittee
2017
Becoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally
Perez‐Escamilla R, Hromi‐Fiedler A, Gubert M. Becoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.165.8.Peer-Reviewed Original ResearchBreastfeeding programBreastfeeding promotion programsEvidence-based toolboxYoung child feedingEvidence-based indexDelphi consensus methodologyAreas of infantNewborn survivalHigh-income countriesChild feedingPromotion programsHealth initiativesNutrition ProgramConsensus methodologyTotal scoreGrey literatureIncome countriesAdvisory CommitteeProgram deliverySteering CommitteeInternational agenciesInfantsBabiesFunding informationHow Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding
de Cosio T, Ferre I, Alonso A, Bonvecchio A, Colmenares M, Cauich E, Gris P, Hernández S, Mendiola K, Piedras I, Villa A, Vilar M, Hromi‐Fiedler A, Pérez‐Escamilla R. How Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.312.8.Peer-Reviewed Original ResearchBreastfeeding programHealth care providersMonths of ageCivil societyPolitical willMexican health systemEffective national programmeLowest tertileExclusive breastfeedingBreastfeeding practicesSupport breastfeedingBreastfeeding protectionProgram deliveryHealth facilitiesCare providersHealth servicesMexican federal governmentHealth systemEvidence-based advocacyTotal scoreSocioeconomic statusBreastfeedingVulnerable groupsScoresFederal governmentFood insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana
Hromi‐Fiedler A, Lartey A, Gallego‐Perez D, Sandow A, Perez‐Escamilla R. Food insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.639.35.Peer-Reviewed Original ResearchChild healthHousehold food insecurityChild health statusFood insecurePreventive health careCross-sectional surveyHousehold Food Security ScaleFamily/friendsSevere food insecurityFood insecurityChildren 6Household membersDiagnosis confirmationFood Security ScaleGhanaian childrenSectional surveyHealth problemsHealth statusGhanaian womenAdditive scoreLiberian childrenCoping strategiesHealth careMonthsHealth
2016
Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework
Hromi-Fiedler A, Chapman D, Segura-Pérez S, Damio G, Clark P, Martinez J, Pérez-Escamilla R. Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework. Journal Of Nutrition Education And Behavior 2016, 48: 468-477.e1. PMID: 27373861, PMCID: PMC4934128, DOI: 10.1016/j.jneb.2016.04.398.Peer-Reviewed Original ResearchConceptsHealth Action Process Approach frameworkPregnant LatinasSpecial Supplemental Nutrition ProgramMaternal health statusSupplemental Nutrition ProgramSocial supportFamily/friendsSingleton pregnanciesVegetable intakePrenatal factorsHealth statusNutrition ProgramLarger studyIntakeWomenInterventionDistal factorsLatinasNonsmokersObeseOverweightTrimesterPregnancyOutcome expectationsInfants
2013
Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana
Garcia J, Hromi-Fiedler A, Mazur RE, Marquis G, Sellen D, Lartey A, Pérez-Escamilla R. Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana. BMC Public Health 2013, 13: 215. PMID: 23497026, PMCID: PMC3608015, DOI: 10.1186/1471-2458-13-215.Peer-Reviewed Original ResearchConceptsPersistent household food insecurityMaternal HIV diagnosisHIV-positive womenMaternal stressHousehold food insecurityFood insecure householdsHIV diagnosisSevere food insecure householdsBinary multivariate logistic regression modelMultivariate logistic regression modelInsecure householdsHIV-negative groupUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleTime points postpartumFood Security Survey ModuleStress ScaleLogistic regression modelsMaternal HIVFood insecureHIV infectionVoluntary counselingFood insecurityIndependent associationMonths postpartum
2011
Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach
Bermúdez-Millán A, Damio G, Cruz J, D'Angelo K, Segura-Pérez S, Hromi-Fiedler A, Pérez-Escamilla R. Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach. Journal Of Health Care For The Poor And Underserved 2011, 22: 1315-1330. PMID: 22080712, PMCID: PMC3642771, DOI: 10.1353/hpu.2011.0108.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCommunity-Based Participatory ResearchConnecticutFemaleFocus GroupsFood SupplyHealth Services AccessibilityHispanic or LatinoHumansMaternal WelfarePregnancyPregnancy OutcomePrejudicePrenatal CarePuerto RicoQualitative ResearchRisk FactorsSocial EnvironmentSocial SupportSocioeconomic FactorsStress, PsychologicalSurveys and QuestionnairesYoung AdultConceptsFood insecurityPuerto Rican womenQualitative research projectFocus groupsCommunity experiencesLack of accessFocus group findingsMaternal healthCBPR approachState of ConnecticutSocial determinantsQuality educationHealth care accessPovertySignificant life stressorsResearch projectInsecurityUnsafe environmentRace/ethnicityPremature birthCare accessReproductive ageGroup findingsChild healthEducationNutrient and food intakes differ among Latina subgroups during pregnancy
Hromi-Fiedler A, Bermúdez-Millán A, Segura-Pérez S, Pérez-Escamilla R. Nutrient and food intakes differ among Latina subgroups during pregnancy. Public Health Nutrition 2011, 15: 341-351. PMID: 21729472, PMCID: PMC3235398, DOI: 10.1017/s136898001100108x.Peer-Reviewed Original ResearchConceptsFood groupsLow-income pregnant LatinasLatina subgroupsCross-sectional studyPregnant LatinasH recallDietary intakeChronic diseasesFood intakePrenatal surveyIntakeHigh levelsSame geographical areaLatina clientsSubgroupsPuerto RicansGroupSelf-reported ethnic identityLatinasPregnancyDietitiansCliniciansDiseaseCT
2009
Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2
Pérez-Escamilla R, Dessalines M, Finnigan M, Pachón H, Hromi-Fiedler A, Gupta N. Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2. Journal Of Nutrition 2009, 139: 2132-2138. PMID: 19741201, DOI: 10.3945/jn.109.108852.Peer-Reviewed Original ResearchConceptsClinical malariaRisk factorsHousehold food insecurityAdditional risk factorsRisk of malariaPoor child healthFood insecureChildhood malariaChildren 1Child BMIFood insecuritySevere food insecureChild vitaminChild healthMultivariate analysisMalariaConvenience sampleWomenBMIReference time periodColostrumSupplementationAdaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase
Hromi-Fiedler A, Bermúdez-Millán A, Segura-Pérez S, Damio G, Pérez-Escamilla R. Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase. Journal Of Hunger & Environmental Nutrition 2009, 4: 62-80. PMID: 20046909, PMCID: PMC2748279, DOI: 10.1080/19320240802706841.Peer-Reviewed Original ResearchLow-income pregnant LatinasHousehold Food Security Survey ModuleUS Household Food Security Survey ModulePregnant LatinasFood Security Survey ModuleFood insecurityCheap foodParticipants' recommendationsSurvey ModuleFood securityFocus groupsLatinasQualitative phaseUnited StatesVulnerable populationsFace validityGood face validityLow-cost foodsPostpartum LatinasBalanced mealsQuestionsFinal adaptationInsecurityTarget populationCommunityPsychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas
Hromi-Fiedler A, Bermúdez-Millán A, Melgar-Quiñonez H, Pérez-Escamilla R. Psychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas. Journal Of Hunger & Environmental Nutrition 2009, 4: 81-94. PMID: 20046913, PMCID: PMC2748343, DOI: 10.1080/19320240802706866.Peer-Reviewed Original ResearchHousehold Food Security Survey ModulePregnant LatinasFood Security Survey ModuleLow-income pregnant LatinasU.S. Household Food Security Survey ModuleUS Household Food Security Survey ModuleSurvey ModulePsychometric propertiesPast monthPregnancyAdapted versionInternal validitySeverity levelsFood insecurityLatinas
2008
Impact of Peer Nutrition Education on Dietary Behaviors and Health Outcomes among Latinos: A Systematic Literature Review
Pérez-Escamilla R, Hromi-Fiedler A, Vega-López S, Bermúdez-Millán A, Segura-Pérez S. Impact of Peer Nutrition Education on Dietary Behaviors and Health Outcomes among Latinos: A Systematic Literature Review. Journal Of Nutrition Education And Behavior 2008, 40: 208-225. PMID: 18565462, PMCID: PMC2746903, DOI: 10.1016/j.jneb.2008.03.011.Peer-Reviewed Original Research
2006
Unintended pregnancies are associated with less likelihood of prolonged breast-feeding: an analysis of 18 Demographic and Health Surveys
Hromi-Fiedler AJ, Pérez-Escamilla R. Unintended pregnancies are associated with less likelihood of prolonged breast-feeding: an analysis of 18 Demographic and Health Surveys. Public Health Nutrition 2006, 9: 306-312. PMID: 16684381, DOI: 10.1079/phn2005856.Peer-Reviewed Original ResearchConceptsUnintended pregnancyOdds ratioHealth SurveyMultivariate logistic regression analysisBreast-feeding outcomesLess likelihoodLogistic regression analysisTime of interviewProspective studyMaternal agePooled analysisLive childrenPregnancy statusPregnancySignificant associationStatistical significanceChild's ageRegression analysisDemographicsRegression modelsAssociationAgeSettingDifferent settingsMonths