Publications

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impact of a prophylactic quadrivalent human papillomavirus (types 6, 11, 16, 18) l1 virus-like particle vaccine in a sexually active population of north american women.the purpose of this study was to inform policy regarding human papillomavirus (hpv) vaccination in north america. we measured the clinical impact of hpv-6/-11/-16/-18 vaccination in north american women.200818313445
is there an association between maternal pap test use and adolescent human papillomavirus vaccination?to identify the association between mother's recent receipt of a pap test and daughter's uptake and completion of the three-shot human papillomavirus (hpv) vaccination series.201223332487
factors associated with hpv vaccine awareness in a population-based sample of hispanic women in puerto rico.the objective of this study was to investigate the factors associated with hpv awareness among women aged 16 to 64 years, among underserved minority hispanic women living in puerto rico.201627271069
pathway analysis using gene-expression profiles of hpv-positive and hpv-negative oropharyngeal cancer patients in a hispanic population: methodological procedures.the incidence of oral cavity and pharyngeal cancer in puerto rican men is higher than it is in the men of any other ethnic/racial group in the united states of america (us). the information regarding the effect of the human papilloma virus (hpv) in the gene-expression profile among patients with this cancer is limited in hispanic community. we aim to describe the methodology for future studies to identify the molecular networks for determining overrepresented signaling and metabolic canonical pa ...201626932277
communication about sex and hpv among puerto rican mothers and daughters.although opportunities to vaccinate against human papillomavirus (hpv) are available, vaccination rates in puerto rico remain low. communication between parents and adolescents about sexual topics may influence decisions about hpv vaccination uptake, particularly among young women; yet, few studies have addressed this issue. this qualitative study explored puerto rican mothers' and daughters' communication on sex-related topics, and hpv, including the hpv vaccine.201627882783
demographic and high-risk behaviors associated with hpv and hpv vaccine awareness among persons aged 15-74 years in puerto rico.studies of human papillomavirus (hpv) awareness in puerto rico (pr) are limited and are of interest given low hpv vaccine uptake in this population. this cross-sectional study aimed to determine factors associated to hpv and hpv vaccine awareness among persons aged 15-74 years living in puerto rico.201526602578
acceptability of cervical and anal hpv self-sampling in a sample of hispanic women in puerto rico.self-sampling techniques have been shown to be reliable in determining human papillomavirus (hpv) infection, although the acceptability of this method of sampling has not been studied in puerto rico (pr). the objective of this study was to determine the acceptability of cervicovaginal and anal self-sampling for hpv dna testing among women in pr. one hundred women aged 18-34 years old and undergoing routine pap smears in an obgyn clinic in pr were recruited. interviewer-administered and computer- ...201223844468
factors and outcome in bk virus nephropathy in a hispanic kidney transplant population.bk virus nephropathy (bkvn) is an increasingly recognized cause of kidney allograft loss and is thought to be related to the newer, more potent immunosuppressive agents. conflicting information has been reported on risk factors for bk infection.201019804584
human papilloma virus awareness among hispanic females with inflammatory bowel disease.women with inflammatory bowel disease (ibd) may be at increased risk of human papilloma virus (hpv) infection and hpv-related malignancies, as many are immunocompromised secondary to the use of immunosuppressant agents. several studies have addressed the knowledge about cervical cancer risk factors in different populations, particularly hpv infection and its association with cervical malignancies; most of these studies show poor patient knowledge. the purpose of this study is to describe the kno ...201626896105
oral human papillomavirus infection among drug users in puerto rico.the prevalence of human papillomavirus (hpv) in the oral cavity has not been as well studied as genital infection and its prevalence among drug users is uncertain. this study describes the prevalence and correlates of oral hpv infection among a sample of drug users in puerto rico (pr).201425563037
knowledge, attitudes, and beliefs about human papillomavirus (hpv) vaccination among puerto rican mothers and daughters, 2010: a qualitative study.the incidence of human papillomavirus (hpv) infection and cervical cancer can be reduced by increasing vaccination for hpv. yet vaccination uptake and completion of the 3-dose series remain low among puerto rican females. this study explored psychosocial factors associated with hpv vaccination uptake decisions among puerto rican mothers and daughters.201425474384
prevalence and correlates of penile hpv infection in a clinic-based sample of hispanic males.the aim of this manuscript is to describe the prevalence, genotypic distribution of penile hpv infection and the behavioral risk factors associated with penile hpv infection (any hpv type, high-oncogenic-risk [hr] types, low-oncogenic-risk [lr] types, and of multiple hpv types) in a group of sexually active males who went to an sti clinic in san juan, puerto rico.201526356736
methods in hpv surveillance: experiences from a population-based study of hpv infection among women in the san juan metropolitan area of puerto rico.this article describes the methodology of the first population-based study of human papillomavirus (hpv) infection among women aged 16-64 years residing in the san juan metropolitan area of puerto rico (pr). the sample was identified through a complex sampling design of households. the sampling frame was selected in four stages, using census tracts maps from the census bureau. women completed a face-to-face interview and a computer-assisted self-interview using the audio casi system, for the col ...201526356735
urine-based hpv testing as a method to screen for cervical cancer.cervical cancer is a treatable and preventable cancer that remains a concern for women worldwide. efforts to reduce rates of cervical cancer focus on the promotion of human papillomavirus (hpv) vaccination and the promotion of routine recommended cervical cancer screening, primarily done by cervical cytology and cervical hpv testing. recently researchers have begun to examine urine-based hpv testing as a future potential alternative to the current cervical screening methodology. this column take ...201525690816
cross-sectional study of hpv-16 infection in a population-based subsample of hispanic adults.this study aimed to estimate the prevalence and correlates of seropositivity to human papillomavirus (hpv)-16 in a subsample of adults who participated in the parent study epidemiology of hepatitis c in the adult population of puerto rico (pr).201424496698
oral hpv infection in a clinic-based sample of hispanic men.human papillomavirus (hpv) is associated to the pathogenesis of various cancers, such as oropharyngeal squamous cell carcinoma, which has a high incidence in puerto rican men. despite the burden of oral cancer in puerto rico, little is known about the epidemiology of oral hpv infection, particularly in high-risk men. therefore, this study is aimed at determining the prevalence of oral hpv infection, the genotype distribution and correlates associated with oral hpv infection in men of at least 16 ...201424460642
recognizing and treating anal cancer: training medical students and physicians in puerto rico.this training activity aimed at increasing the knowledge of anal cancer screening, diagnostic and treatment options in medical students and physicians, to determine the interest of these individuals in receiving training in the diagnosis and treatment of anal cancer, and to explore any previous training and/or experience with both anal cancer and clinical trials that these individuals might have.201324397221
hpv awareness and vaccine willingness among dominican immigrant parents attending a federal qualified health clinic in puerto rico.the purpose of this study was to describe the socio-demographic characteristics, awareness of human papillomavirus (hpv), and willingness to vaccinate among a convenience sample of 60 immigrant dominican parents of adolescent sons in a federal qualified health clinic in puerto rico. participation involved completing a self-administered survey. even though more than half of the parents had not received proper hpv vaccine orientation from healthcare provider (58.3 %) nor asked provider for vaccina ...201525023490
cervical human papillomavirus infection in a sample of hispanic women living in puerto rico: comparison with cervical cytology reports.persistent infection with high-risk (hr) hpv is a necessary risk factor for the development of cervical cancer. information on hpv infection is limited in puerto rico. this study determined the distribution of hpv types and the association of hr-hpv types with cervical pathology in a clinic-based sample of women in pr.201323556259
human papillomavirus-related cancers among people living with aids in puerto rico.the objective of this study was to estimate the incidence of cancer and human papillomavirus (hpv)-related cancers and the risk of death (by cancer status) among people living with aids (plwa) in puerto rico. we used data from the puerto rico aids surveillance program and central cancer registry (1985-2005). cancers with highest incidence were cervix (299.6/100,000) for women and oral cavity/oropharynx for men (150.0/100,000); the greatest excess of cancer incidence for men (standardized inciden ...201424831284
impact of a pharmacist conducted educational program on human papilloma virus vaccination rates in a low socioeconomic population in the city of lares, pr.to observe whether local vaccination rates are improved by a patient and physician education program on the human papillomavirus (hpv) vaccine in farmacia san josé, lares. according to the puerto rico immunization registry, the hpv vaccine is currently underutilized.201728622401
survival from anal cancer among hispanics-puerto rico, 2000-2007.the incidence of anal cancer is increasing, particularly among hiv and men who have sex with men (msm) groups. the vast majority of cases are associated with human papillomavirus (hpv), the most common sexually transmitted infection. epidemiological studies have also documented low survival, which might be linked to lack of appropriate screening, access, and utilization of pertinent health care services. our objective was to assess the relative survival (1 and 3 years) of anal cancer in puerto r ...201424699986
human papillomavirus infection in women in puerto rico: agreement between physician-collected and self-collected anogenital specimens.this study aimed to describe the prevalence and concordance between cervical and anal human papillomavirus (hpv) infection and compare cervicovaginal and anal self-collection methods for hpv testing between physician and self-collected specimens in women in puerto rico.201323422638
exploring the role of ethnic identity on the attitudes towards hpv vaccine advertising among puerto ricans: a qualitative analysis.despite the existence of guidelines recommending vaccination against the human papillomavirus (hpv) and widespread availability of the vaccine through the vaccines for children program, hpv vaccination rates among island puerto ricans are suboptimal. advertising plays a central role in promoting hpv vaccination by increasing awareness of and knowledge about the vaccine; however, little is known about the influence of cultural factors on the impact of hpv messages delivered through the media. the ...201524052477
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