Melissa Marzán‐Rodríguez
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View article: Design and Implementation of a Community-Based Educational Program to Enhance Prostate Cancer Screening in Southeastern Puerto Rico
Design and Implementation of a Community-Based Educational Program to Enhance Prostate Cancer Screening in Southeastern Puerto Rico Open
Background/Objectives: Prostate cancer (PCa) has the highest incidence and mortality rates among men in Puerto Rico. However, screening and early detection programs remain limited and fragmented. This study presents the design and implemen…
View article: Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data
Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data Open
Objectives The Puerto Rico Department of Health (PRDH) seeks to identify dengue epidemics as early as possible with high specificity. Design Development and prospective application of an early warning system for dengue epidemics using rout…
View article: Empowering Community Partners in Health Disparities Research: Refining a Community-Based Participatory Research (CBPR) Training Curriculum
Empowering Community Partners in Health Disparities Research: Refining a Community-Based Participatory Research (CBPR) Training Curriculum Open
The adoption of Community-Based Participatory Research (CBPR) approaches has increased due to its potential to reduce health disparities through Community-Academic Partnerships (CAP). Providing community members (CM) capacity-building oppo…
View article: Protocol Implementation of Virtual Focus Groups as an Effective Strategy in Qualitative Research to Engage with Under-Supported Communities. - Virtual Focus Groups (Preprint)
Protocol Implementation of Virtual Focus Groups as an Effective Strategy in Qualitative Research to Engage with Under-Supported Communities. - Virtual Focus Groups (Preprint) Open
View article: Utility of sentinel surveillance as an early warning system for emerging pathogens in a low-resource setting: correlations of dengue, chikungunya, Zika, and COVID-19 trends between sentinel and passive surveillance systems in Puerto Rico, 2012–2023
Utility of sentinel surveillance as an early warning system for emerging pathogens in a low-resource setting: correlations of dengue, chikungunya, Zika, and COVID-19 trends between sentinel and passive surveillance systems in Puerto Rico, 2012–2023 Open
The representativeness and timeliness of sentinel surveillance for endemic and emerging arboviral and respiratory diseases in low-resource settings are understudied. We compared laboratory-confirmed epidemic dengue, non-epidemic dengue, Zi…
View article: Dengue Outbreak and Response — Puerto Rico, 2024
Dengue Outbreak and Response — Puerto Rico, 2024 Open
Dengue, a mosquitoborne viral infection, is a public health threat in Puerto Rico, where multiple dengue virus (DENV) serotypes circulate. Dengue causes an acute febrile illness that can progress to severe disease or death. The last outbre…
View article: Community Training Institute for Health Disparities: Outcomes of a Formal Opportunity for Community Capacity Building to Increase Health Equity in Southern Puerto Rico
Community Training Institute for Health Disparities: Outcomes of a Formal Opportunity for Community Capacity Building to Increase Health Equity in Southern Puerto Rico Open
Integration of the community into health research through community-engaged research has proven to be an essential strategy for reducing health inequities. It brings significant benefits by addressing community health concerns and promotin…
View article: Epidemiology of Dengue — Puerto Rico, 2010–2024
Epidemiology of Dengue — Puerto Rico, 2010–2024 Open
Dengue is a mosquitoborne viral illness that can cause acute febrile illness, severe disease, or death. Worldwide, the number of dengue cases is increasing. During the last dengue outbreaks in Puerto Rico throughout 2010-2013, dengue virus…
View article: Machine learning for improved dengue diagnosis, Puerto Rico
Machine learning for improved dengue diagnosis, Puerto Rico Open
Background Diagnosing dengue accurately, especially in resource-limited settings, remains challenging due to overlapping symptoms with other febrile illnesses and limitations of current diagnostic methods. This study aimed to develop machi…
View article: Dengue epidemic alert thresholds, a tool for surveillance and epidemic detection
Dengue epidemic alert thresholds, a tool for surveillance and epidemic detection Open
Epidemic detection enables swift public health responses. Dengue viruses pose a significant public health challenge in Puerto Rico, where they are endemic and cause intermittent epidemics. A weekly intercept-only negative binomial regressi…
View article: Leptospirosis Outbreak in Aftermath of Hurricane Fiona — Puerto Rico, 2022
Leptospirosis Outbreak in Aftermath of Hurricane Fiona — Puerto Rico, 2022 Open
Leptospirosis, an acute bacterial zoonotic disease, is endemic in Puerto Rico. Infection in approximately 10%-15% of patients with clinical disease progresses to severe, potentially fatal illness. Increased incidence has been associated wi…
View article: Empowering Underserved Communities in Southern Puerto Rico: A Formal Training Program in Community Health Promotion
Empowering Underserved Communities in Southern Puerto Rico: A Formal Training Program in Community Health Promotion Open
Community health promotion offers a potential solution to persistent healthcare challenges, with community health workers playing a pivotal role. The Community Training Institute for Health Disparities (CTIHD) implemented a problem-solving…
View article: Historical Hot Spots of Dengue and Zika Viruses to Guide Targeted Vector Control in San Juan, Puerto Rico (2010–2022)
Historical Hot Spots of Dengue and Zika Viruses to Guide Targeted Vector Control in San Juan, Puerto Rico (2010–2022) Open
Dengue viruses (DENV) continue to cause large outbreaks in tropical countries, while chikungunya and Zika (ZIKV) viruses have added complexity to Aedes -borne disease prevention and control efforts. Because these viruses are transmitted by…
View article: Epidemiological intelligence community network intervention: a community response for COVID-19 community transmission
Epidemiological intelligence community network intervention: a community response for COVID-19 community transmission Open
Background Expanding and providing access to early detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through testing community-based strategies among socially vulnerable communities (SVC) are critical to reducing he…
View article: A Qualitative Approach to Explore Perceptions, Opinions and Beliefs of Communities who Experienced Health Disparities towards Chronic Health Conditions
A Qualitative Approach to Explore Perceptions, Opinions and Beliefs of Communities who Experienced Health Disparities towards Chronic Health Conditions Open
The prevalence of chronic medical conditions is associated with biological, behavioral, and social factors. In Puerto Rico (PR), events such as budget cuts to essential services in recent years have contributed to deepening health disparit…
View article: Perfil de las Mujeres Puertorriqueñas que Autoreportaron Manifestaciones de Violencia Obstétrica, 2016-2019
Perfil de las Mujeres Puertorriqueñas que Autoreportaron Manifestaciones de Violencia Obstétrica, 2016-2019 Open
La Organización Mundial de la Salud (2014) define violencia obstétrica como un fenómeno que se da donde la mujer experimenta trato irrespetuoso, abusivo y negligente durante el cuidado prenatal, el parto y/o posparto por parte de los profe…
View article: Barriers to access to COVID-19 early detection in socially vulnerable communities in southern Puerto Rico
Barriers to access to COVID-19 early detection in socially vulnerable communities in southern Puerto Rico Open
Background : The COVID-19 pandemic has presented challenges around access to prevention strategies. In particular, with the early detection of the virus in socially vulnerable populations (SVC). The main objective of this study was to expl…
View article: Profile of cardiovascular risk factors among child sexual abuse victims in Puerto Rico
Profile of cardiovascular risk factors among child sexual abuse victims in Puerto Rico Open
Background Exposure to childhood sexual abuse has a long-term impact on cardiovascular health. Cardiovascular disease is one of the leading causes of death among Hispanics. This study aimed to determine the prevalence of cardiovascular ris…
View article: Epidemiologic and Clinical Characteristics of Monkeypox Cases — United States, May 17–July 22, 2022
Epidemiologic and Clinical Characteristics of Monkeypox Cases — United States, May 17–July 22, 2022 Open
Monkeypox, a zoonotic infection caused by an orthopoxvirus, is endemic in parts of Africa. On August 4, 2022, the U.S. Department of Health and Human Services declared the U.S. monkeypox outbreak, which began on May 17, to be a public heal…
View article: 17890 Cardiovascular risk factors in victims of child sexual abuse
17890 Cardiovascular risk factors in victims of child sexual abuse Open
IMPACT: The impact of this study is to encourage health professionals to screen for violent experiences as potential risk factors for CVD and adapt interventions from the non-abused in children as in adults. OBJECTIVES/GOALS: This study ai…
View article: Recommendations for the Development of HIV Prevention Interventions Among Latino Young Sexual Minority Groups
Recommendations for the Development of HIV Prevention Interventions Among Latino Young Sexual Minority Groups Open
View article: Syndromic Surveillance in Puerto Rico During the COVID-19 Response: An Alternative Approach to Scarce Molecular Testing
Syndromic Surveillance in Puerto Rico During the COVID-19 Response: An Alternative Approach to Scarce Molecular Testing Open
Syndromic Surveillance in Puerto Rico During the COVID-19 Response: An Alternative Approach to Scarce Molecular Testing Melissa Marzan-Rodriguez DrPH, MPH, CPH, Luisa M. Morales DrPH, Iris S. Martinez DrPH, MPH, Ruby A. Serrano DrPH, MSc, …
View article: Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics
Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics Open
View article: [Survival analysis in people diagnosed with HIV/AIDS in Puerto Rico].
[Survival analysis in people diagnosed with HIV/AIDS in Puerto Rico]. Open
After the introduction of HAART, the HIV/AIDS epidemiological trends has shown an increasing in the survival rates. HAART has dramatically improved the life expectancy of HIV/AIDS. The objective of this study was to estimate survival in pe…
View article: Religion and HIV/AIDS Stigma in Puerto Rico: A Cultural Challenge for Training Future Physicians
Religion and HIV/AIDS Stigma in Puerto Rico: A Cultural Challenge for Training Future Physicians Open
View article: Experiencias relacionadas a una intervención para reducir el estigma relacionado al VIH/SIDA entre estudiantes de medicina en Puerto Rico
Experiencias relacionadas a una intervención para reducir el estigma relacionado al VIH/SIDA entre estudiantes de medicina en Puerto Rico Open
Existe estigma relacionado al VIH. A las personas con VIH/SIDA-PCVS se les viola sus derechos y obstaculiza su bienestar mental/físico. Profesionales de la salud-PS son fuente de apoyo primordial, sin embargo estos/as le estigmatizan. Es ú…
View article: EXPERIENCES RELATED TO AN INTERVENTION TO REDUCE STIGMA RELATED TO HIV / AIDS AMONG MEDICAL STUDENTS IN PUERTO RICO
EXPERIENCES RELATED TO AN INTERVENTION TO REDUCE STIGMA RELATED TO HIV / AIDS AMONG MEDICAL STUDENTS IN PUERTO RICO Open
HIV-related stigma exists. People with HIV/AIDS have their rights violated and mental/ physical wellbeing hindered. Health professionals (HP) are a primary source of support, however these can also be sources of stigma. Therefore, it is us…
View article: Qualitative Contributions to a Randomized Controlled Trial Addressing HIV/AIDS-Stigma in Medical Students
Qualitative Contributions to a Randomized Controlled Trial Addressing HIV/AIDS-Stigma in Medical Students Open
Specialized training for healthcare professionals (HCP) in order to reduce HIV/AIDS related stigma must be part of a public health model for HIV/AIDS. Tested interventions to reduce HIV/AIDS related stigma among HCP have been mostly absent…