Publications by authors named "Caceres B"

Sexual minority (SM) adults have a higher prevalence of risk factors for cardiovascular disease (CVD), largely attributable to increased exposure to minority stressors. There are no evidence-based CVD risk reduction interventions tailored to the needs of SM adults. We conducted a qualitative descriptive study to explore SM adults' perceptions and preferences for a culturally tailored, minority stress-informed intervention for CVD risk reduction.

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Background: Seven million lesbian, gay, and bisexual (LGB) adults will be aged >50 years by 2030; assessing and addressing their risk for cardiovascular disease is critical.

Methods And Results: We analyzed a nationwide cohort using the Veterans Health Administration data. Sexual orientation (SO) was classified via a validated natural language processing algorithm.

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Poor psychological health has been consistently documented for sexually minoritized women. However, little is known about the association between poor psychological health and physical health. This study examined associations between psychological distress and cardiometabolic health, including cardiovascular disease risk conditions (hypertension, high cholesterol, and diabetes) and diagnoses (stroke, coronary heart disease, myocardial infarction, and angina), by sexual identity among women.

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  • Physical inactivity is a public health issue, and understanding individual differences in physical activity (PA) can help design better interventions.
  • The study analyzed accelerometer data from 133 urban adults to identify four distinct activity patterns or "phenotypes" based on their daily PA trends.
  • Findings revealed unique characteristics for each phenotype, such as different peak activity times and overall activity levels, suggesting that tailored interventions could be more effective.
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  • The study investigates how sexual identity, race, and ethnicity impact cardiovascular health disparities, highlighting a gap in existing research on these intersections.
  • Using data from the National Health and Nutrition Examination Survey, it analyzes cardiovascular health in noninstitutionalized, nonpregnant adults aged 18-59, focusing on self-reported sexual identity and race/ethnicity.
  • Results indicate that Black, Hispanic, and White sexual minority women have lower cardiovascular health scores compared to heterosexual women, after controlling for age, survey year, and socioeconomic factors.
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  • - The study examined how daily experiences of discrimination impact sleep quality and duration among sexual and gender minority (SGM) people of color over a 30-day period using electronic diaries and wrist-worn sensors for objective measurement.
  • - Results showed that experiencing discrimination on a given day increased sleep disturbances that night, while anticipating discrimination was linked to sleep-related issues the next day.
  • - The findings emphasize the need to differentiate the effects of these daily stressors on sleep health in SGM communities of color, highlighting the importance of further research to develop targeted interventions for improving sleep outcomes.
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This research focuses on the integrated recovery of rhamnogalacturonan-I (RG-I) pectin from sugar beet pulp (SBP). First, the extraction of RG-I pectin through sequential ultrasound-assisted extraction (UAE) and microwave-assisted extraction (MAE) was assessed. Optimization using a response surface methodology identified the optimal conditions as initial pH 4, 10 min of UAE, and 157 °C for MAE, achieving a 66.

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  • * It offers guidelines for nurses on how to better care for sexual and gender minority patients who are dealing with CVD.
  • * The article emphasizes the need for further research to establish effective, evidence-based care strategies for this group.
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  • Sexual minority adults, particularly those assigned female at birth, are at a higher risk of hypertension, influenced by unique stressors related to their sexual identity.
  • The study analyzed data from 380 participants over about 7 years, identifying a significant link between higher levels of internalized homophobia and the likelihood of developing hypertension, while stigma consciousness and discrimination showed no significant correlation.
  • Findings suggest that addressing internalized homophobia could be crucial in understanding hypertension risk in sexual minority populations, highlighting the need for further research in this area.
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Background A higher burden of cardiovascular disease risk factors has been reported in sexual minority populations. Primordial prevention may therefore be a relevant preventative strategy. The study's objectives are to estimate the associations of Life's Essential 8 (LE8) and Life's Simple 7 (LS7) cardiovascular health scores with sexual minority status.

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  • Research on cardiovascular health among sexual minority adults has mostly focused on individual health metrics rather than comprehensive assessments, limiting efforts to create effective behavioral interventions.
  • This study aimed to analyze differences in cardiovascular health, measured by the American Heart Association's standards, across sexual identities among adults in the U.S. using NHANES data from 2007-2016.
  • Findings revealed that lesbian and bisexual women had lower scores in certain cardiovascular health metrics compared to heterosexual women, highlighting disparities in health outcomes based on sexual identity.
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  • Recent studies indicate that sexual minority adults (like gay, lesbian, and bisexual individuals) may have a higher risk of hypertension compared to heterosexual adults, yet there hasn't been much research on their use of antihypertensive medications.
  • Analysis of data from the Behavioral Risk Factor Surveillance System (2015-2019) showed that bisexual women and gay men were notably more likely to be diagnosed with hypertension than heterosexual counterparts, with bisexual women having lower odds of using medication.
  • The findings suggest a need for targeted clinical and public health interventions to address hypertension risks, particularly for bisexual women who are also facing challenges in accessing treatment.
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Objective: To expose visibility of the health concerns of sexual and gender minority groups in Chile, as well as to provide a platform to advocate for policies that support the health and well-being of sexual and gender minority people in the country.

Methods: The health conditions and risk factors of participants identified as sexual and gender minority were compared to those identified as cisgender heterosexual using data from the 2016-2017 National Health Survey.

Results: Despite reporting higher self-rated health than heterosexual men, gay men had a higher risk of lifetime diagnosis of sexually transmitted infections.

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Objective: Despite evidence that trauma exposure is linked to higher risk of hypertension, epigenetic mechanisms (such as DNA methylation) by which trauma potentially influences hypertension risk among Black adults remain understudied.

Methods: Data from a longitudinal study of Black mothers were used to test the hypothesis that direct childhood trauma (ie, personal exposure) and vicarious trauma (ie, childhood trauma experienced by their children) would interact with DNA methylation to increase blood pressure (BP). Separate linear mixed effects models were fitted at each CpG site with the DNA methylation beta-value and direct and vicarious trauma as predictors and systolic and diastolic BP modeled as dependent variables adjusted for age, cigarette smoking, and body mass index.

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  • Sexual minorities (SM) face more health issues than heterosexuals, with previous studies using NHANES data highlighting mixed results regarding their mental and physical health burdens.
  • A review of 43 NHANES articles found significant health differences among SM groups and between them and heterosexuals, with unexpected findings like gay men having the lowest allostatic load and no notable differences among women.
  • The literature emphasizes the need for broader NHANES usage, incorporating psychosocial factors and an intersectional approach that considers various identity factors to better understand the health impacts of sexual minority stress.
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  • A study investigated the link between traumatic experiences and chronic diseases through epigenetic mechanisms, specifically DNA methylation, among African American mothers and their young children.
  • No significant DNA methylation patterns related to trauma were found in the mothers, but a notable site was identified in children that is associated with mental health issues like depression and schizophrenia.
  • The research highlights the need for more studies on the impact of childhood trauma and DNA changes on health, particularly in underrepresented populations, to help prevent negative health outcomes.
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  • - The study explored how living with fathers affects childhood health issues like asthma, obesity, and blood pressure in 250 African American or Black children aged 3-5 years.
  • - Results showed that children living with their fathers were less likely to have asthma, but this effect disappeared when other factors like maternal smoking and child age were considered.
  • - No significant links were found between paternal co-residence and obesity or blood pressure, indicating a need for further research to better understand family dynamics and their impact on children's health.
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Background: The timing and regularity of eating patterns could play a role in systemic inflammation, as circadian clocks responsible for daily rhythms of inflammatory signaling are entrained by food intake.

Purpose: To evaluate associations of intra-weekly and weekday-weekend differences in eating timing patterns with high-sensitivity C-reactive protein (hsCRP).

Methods: A community-based sample of 103 U.

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  • - Latinos are the fastest-growing ethnic minority in the U.S. and face a high risk of cardiovascular disease (CVD), but effective ways to lower this risk are not well understood.
  • - This study reviewed 17 randomized trials focusing on behavioral interventions for CVD risk reduction among Latinos, mainly led by community health workers, and found improvements in dietary habits, but mixed results for physical activity and biological outcomes.
  • - The authors concluded that more research is needed, especially on under-researched interventions like nurse-led and mobile health approaches, to better address CVD risk in the Latino population.
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Health information systems face the challenge of collecting data on patients' gender identity. The absence of this information may lead the patients to situations of vulnerability and discrimination. The objective of this study is to describe the process of designing and developing an Electronic Health Record according to the Argentine Gender Identity Law.

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Updating electronic health record systems to meet new clinic needs and government regulations presents an ongoing challenge for health care organizations. To redesign an existing system for two HIV clinics in Argentina, we employed a three-phase approach of exploration, participatory design, and prototyping. The process and resulting architecture of the HIV-centered "RedClin" electronic health record may inform electronic health records at other clinics in Latin America and worldwide.

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  • The study focuses on understanding the daily living challenges faced by sexual minority (SM) older adults, emphasizing the need for more research in this area.
  • Analysis of 2016 Health and Retirement Study data revealed that bisexual older adults reported significantly higher limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL) compared to heterosexual participants.
  • Despite the differences in reported limitations, there were no significant differences in access to help for ADL/IADL limitations among those who needed assistance, indicating potential equality in support access among different sexual identities.
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