Posts tagged Deborah Parra-Medina

How to Prevent Cervical Cancer among Latinos

hpv psa redesA vaccine can’t prevent disease unless people use it.

In Texas, only 39% of girls and 15% of boys ages 13-17 complete the three-dose HPV vaccine for the human papillomavirus (HPV), a common sexually transmitted infection that can cause cervical cancer and other problems.

Dr. Deborah Parra-Medina has a plan to change that.

Parra-Medina, a Latino health researcher at the Institute for Health Promotion Research at the UT Health Science Center at San Antonio, received a new $1.2 million grant from the Cancer Prevention and Research Institute of Texas to develop an professional education and community outreach program to increase awareness and uptake of the HPV vaccine among young boys and girls in South Texas.

She and her team will train local health care providers to deliver accurate HPV vaccine info and strongly recommend HPV vaccination to patients and parents.

“Increased vaccination coverage among adolescents will help reduce morbidity and mortality from HPV-related diseases and can help reduce or eliminate health disparities, particularly cervical cancer,” said Parra-Medina, who also is co-director of the South Texas Area Heath Education Centers Program.

For the project, Parra-Medina and her team, including The Immunization Partnership and South Texas Area Heath Education Centers, will conduct surveys, interviews, and patient chart reviews to understand the HPV vaccine practices of health providers in six rural clinics that are part of South Texas Rural Health Services, Inc., in Dimmit, LaSalle, Frio and Medina counties in South Texas.

They will use what they learn to create a bilingual program to improve health care workers’ timely provision of the HPV vaccine to adolescent patients.

They also will bring in two bilingual-bicultural community health works (promotoras) to reach out to local residents to increase the HPV vaccine initiation and completion rates among adolescents.

“It’s important for parents to know that the vaccine is the primary means of preventing HPV,” Parra-Medina said. “The only way it will work is if we immunize before there’s any chance that the child has had exposure.”

A Pop Quiz that Can Save Your Adolescent Child’s Life

What’s the most common sexually transmitted infection? What can cause genital warts or cervical, penis, and anus cancer? What can be prevented with a simple vaccine?

Answer: HPV (the human papillomavirus).iStock_000045535670_Small

That’s why a new program is educating people about HPV and helping them make and remember HPV vaccination appointments for girls and boys ages 11-17 in South Texas.

The program, called Entre Familia, uses promotoras—trained community health workers—to deliver education and services, led by researchers at the Institute for Health Promotion Research (IHPR) at the UT Health Science Center at San Antonio in partnership with Nuestra Clínica del Valle in South Texas and the Colonias Program at Texas A&M University.

Entre Familia raises awareness about the importance of the HPV vaccine and seeks to increase the numbers of youth in South Texas who start and complete the three-dose HPV vaccine in a region of South Texas that faces a high burden of cervical and other cancers,” said Dr. Daisy Morales-Campos, an IHPR researcher who directs the program with researcher Dr. Deborah-Parra-Medina and project coordinator Vicky Morales.

Read the Entre Familia program’s flyer about HPV and the HPV vaccine in English or Spanish.

To learn about the program, go here.

“We think Entre Familia will go a long way in demystifying just what HPV is and what the HPV vaccine can do to protect girls and boys,” Morales-Campos said.

Latino Health in Focus: Changing Communities and Lifestyles

Find the latest advances in Latino health—from a health-promoting video series to removing “taco dogs” from schools—in the IHPR Noticias E-newsletter.

IHPR_e-news spring and summer 2015_Page_01IHPR Noticias has lots of info on the latest local and national health disparities-related news, resources and events:

  • Story: New TV Series by Salud America! and KSAT-TV (Pg. 1)
  • Study: Program Helps Hispanic Kids Adopt Healthier Lifestyle (Pg. 3)
  • Story: Inaugural Event Explores Women’s Cancer Survivorship (Pg. 4)
  • Story: Social Media Uproar Causes District to Remove ‘Taco Dog’ from School Menus (Pg. 6)
  • Campaign: 27,000+ People Tell Taco Bell: Quit Pushing Sugary Drinks (Pg. 8)
  • Resources: 5 Ways to Set the Stage for Success by Latino Youth (Pg. 9)

IHPR Noticias is a quarterly publication from the Institute for Health Promotion Research (IHPR) at The University of Texas Health Science Center at San Antonio, the team behind SaludToday.

Email us at with story ideas.

Program Helps Hispanic Kids Adopt Healthier Lifestyle, Prevents Excess Weight Gain

Hispanic children who participated in a unique weight-maintenance pilot intervention were more likely to adopt healthy lifestyles, resulting in healthier weights, than children who didn’t participate, according to a UT Health Science Center at San Antonio study in the June 2015 issue of the journal Childhood Obesity.

The pilot study, which paved the way for a new $2.9 million grant to test the intervention on a larger scale through 2019, was implemented with parent-child pairs in a rural clinic in New Braunfels, Texas.

Children who participated were Hispanic, ages 5-14, and obbaseball boyese/overweight.

“Comprehensive behavioral programs have been shown to help these children improve their weight status. However, more efficient interventions that can be done in primary care clinics must be developed for Hispanic children,” said Dr. Deborah Parra-Medina, study author and professor at the Institute for Health Promotion Research at The University of Texas Health Science Center at San Antonio.

The pilot study trained pediatric health care providers and staff to implement a “standard care” intervention with behavioral counseling.

Half of the randomized participants received additional behavioral intervention components, including a face-to-face counseling session with a health educator immediately after the participant’s first visit with the pediatrician and monthly telephone counseling and mailed newsletters for the four-month period. The also had to choose and adopt two of 11 healthy lifestyle strategies, including eating a daily healthy breakfast, not drinking sugary drinks, and limiting eating out.

The 59 families who received additional counseling and education did better than those that did not receive the additional behavioral intervention.

The standard-care children had a 90.2% weight gain while the intervention group had a 70.2% weight gain.

The standard care participants had a 73.8% waist circumference increase while the intervention participants had a 50.9% increase.

“In these studies, we do not promote weight loss with children. We promote a healthier rate of weight gain. Children have the advantage of growing. We hope to slow down their weight gain so they can grow into their weight. We hope they will adopt these healthy lifestyle changes so they will not leave childhood overweight or obese and continue that trajectory into adulthood and become obese adults,” Parra-Medina said.

See details on the new, larger study here.

Latino Researchers among Recipients of $8 Million in Grants for Cancer Research


Dr. Amelie G. Ramirez

Several Latino researchers were among those awarded $7.6 million to prevent cancer this week at the UT Health Science Center at San Antonio, thanks to the Cancer Prevention and Research Institute of Texas.

Dr. Amelie G. Ramirez, director of the Institute for Health Promotion Research (IHPR) at the Health Science Center, the team behind SaludToday, was awarded a $1.4 million grant.

Ramirez will develop bilingual, culturally appropriate social and mobile messages and channels to recruit young adult Latino smokers to sign up for a text-message-based tobacco cessation service.

“Smoking is a problem among young adult Latinos in South Texas, but there are no culturally relevant programs that utilize Latinos’ heavy usage of social media and texting to help them quit,” Ramirez said. “If our project goes as planned, it will increase young adult Latinos’ use of tobacco cessation services, and provide a model service that can be cost-effectively replicated across Texas.”

Two other IHPR researchers, Dr. Daisy Morales-Campos and Dr. Deborah Parra-Medina, received a $150,000 grant.

Their project will increase HPV immunization rates using public education and clinic in-reach strategies among young Hispanic males and females in Hidalgo County clinics.

“This program has the potential to reduce cervical cancer incidence and mortality among Hispanic women in Texas’ Lower Rio Grande Valley,” Morales-Campos said.

Also, Dr. Ricardo Aguiar, associate professor of medicine and biochemistry at the Health Science Center, got a $854,740 grant focused on “Inactivating Mutation of D2HGDH Establishes a Novel Link Between Metabolism, Alpha-KG Dependent Dioxygenases and Epigenetic Reprogramming in B Cell Lymphoma.”

Check out a San Antonio Business Journal report on the new grants.

San Antonio Researcher to Create New Tool to Persuade Latino Men to Get Screened for Colorectal Cancer

Photo via the American Cancer Society (

Photo via the American Cancer Society (

Latinos are less likely than non-Latino whites to get screened for colorectal cancer, and are more likely to be diagnosed at harder-to-treat stages.

Latino men, specifically, have a 17% lower screening rate than non-Latino men.

That’s why Dr. Cynthia Mojica, a researcher at the Institute for Health Promotion Research at the UT Health Science Center at San Antonio, is creating a cultural- and language-relevant print-based tool to persuade Latino men to get colorectal cancer screening.

Mojica’s efforts are fueled by a new grant from the Health Science Center’s Mentored Research Career Development (KL2) Program in Clinical and Translational Science.

“The grant award will give me training, mentorship and research support to help me bring the community into the research process to help create a tool that can change their behavior and lead them to get screened,” Mojica said.

As part of the award, Mojica will go through training workshops, coursework, professional and programmatic activities, and conferences.

She’ll also have assistance from an experienced mentorship team:

  • Dr. Deborah Parra-Medina, a professor at the IHPR at the Health Science Center;
  • Dr. Amelie G. Ramirez, professor and director of the IHPR at the Health Science Center;
  • Dr. Sally Vernon, professor of behavioral sciences and epidemiology at The University of Texas-Houston School of Public Health;
  • Dr. Barbara Turner, professor of medicine at the Health Science Center; and
  • Dr. Janna Lesser, associate professor of nursing at the Health Science Center.

For her research, Mojica will: identify and evaluate existing health-decision tools on colorectal cancer screening, such as brochures; convene an expert panel to review the best elements of existing tools; convene focus groups to determine how to tailor a tool for Latino men; and create a new tool that melds the best existing tool elements with cultural and linguistic tailoring to increase Latino men’s screening behaviors.

She will then submit for a larger-scale grant to try out the new tool.

“If successful, this new tool will provide a culturally relevant, language-appropriate tool to convince more Latino men to get screened for colorectal cancer,” Mojica said. “Colorectal cancer screening is clearly not a priority for many men, but it can save lives.”

Latino Health in Focus: Using Counseling, Texting to Help Latino Families Fight Obesity

IHPRspring2014coverFind the latest advances in Latino health—like new studies to reduce obesity in Latino kids, develop cancer-fighting food plans, and navigate Latinos to better health—in the IHPR Noticias E-newsletter.

IHPR Noticias has lots of info on the latest local and national health disparities-related news, resources and events:

  • Story: Using Counseling, Texting to Help Latinos Fight Obesity (Pg 1)
  • Profile: Latina Steps Outside her Comfort Zone to Help Others…The Story of the IHPR’s Arely Perez (Pg 2)
  • New Study: Rx for Better Breast Health (Pg 2)
  • New Study: Navegando Salud (Pg 3)
  • Story: The Power of Community Health Educators (Pg 4)
  • Story: Physical Activity is Essential, Not Optional (Pg 6)
  • Report: Bleak Picture for Latino, Other Minority Kids in Public Schools (Pg 8)
  • ‘Lifelines’ Help Reduce Cancer among Minority Populations (Pg 9)

IHPR Noticias is a quarterly publication from the Institute for Health Promotion Research (IHPR) at The University of Texas Health Science Center at San Antonio, the team behind SaludToday.

Email us at if you have story ideas.

New $2.9M Study to Help Obese Latino Kids Eat Better, Play More via Family Counseling, Texting

active playA new obesity management program will use family counseling, text messages and newsletters to control weight and spark healthier eating and physical activity habits in obese/overweight Latino kids, thanks to a five-year $2.9 million federal grant awarded to researchers at the UT Health Science Center at San Antonio.

Researchers will develop and test the six-month program among 230 child-parent pairs in three pediatric clinics of the University Health System.

Half the child-parent pairs will get in-clinic counseling on how to make healthy changes.

The other half will get the same in-clinic counseling—plus phone counseling and culturally tailored text messages and newsletters to reinforce changes suggested through counseling.

“We believe kids in the more intensive group will significantly improve their body composition, increase their physical activity levels, consume more fruits and vegetables and fewer sugary drinks, and decrease their sedentary habits, like watching TV,” said Dr. Deborah Parra-Medina, the study’s principal investigator and a professor at the Institute for Health Promotion Research (IHPR) at the UT Health Science Center.

About 39% of Latino kids ages 2-19 are overweight or obese, compared to 32% of all U.S. kids.

Research indicates that Latino kids tend to have more limited access to physical activity options and healthy food, contributing to obesity and related health issues, like diabetes.

Parra-Medina’s new obesity management program will tackle many of these factors.

Counseling will focus on consuming more fruits and vegetables and less sugar-sweetened beverages, limiting screen time and being active at least one hour a day. Strategies to improve eating habits include eating breakfast daily, eating more meals at home, eating meals as a family most days, and allowing the child to self-regulate his/her meals.

Parra-Medina and her colleagues will develop content for culturally tailored newsletters and text messages to reinforce those concepts. Dr. David Akopian of UT San Antonio will implement the text messaging system.

The team will measure the impact of the program on body composition, insulin, glucose and cholesterol levels, and health behavior changes, like fruit and vegetable consumption.

“We think this will become an effective way to reduce and prevent obesity in Hispanic families,” Parra-Medina said.

The study is funded by the National Institutes of Health’s Eunice Kennedy Shriver National Institute of Child Health & Human Development.

Only 58% of Latinas in South Texas Get the HPV Vaccine

hpv psa redesOnly 58% of Latinas in South Texas’ Lower Rio Grande Valley start the three-dose HPV vaccine, which prevents cervical cancer, compared to 65% across the U.S., studies show.

That’s why researchers are testing strategies to improve HPV vaccination rates.

The Immunization Partnership recently brought together several experts for a community forum to offer some of the latest solutions.

For example, one study is using promotoras (trained community health workers in the Latina community) and student peer educators to engage mothers and daughters in South Texas about the HPV vaccine. This project is directed by Dr. Deborah Parra-Medina, professor at the Institute for Health Promotion Research at the UT Health Science Center at San Antonio, the team behind SaludToday.

Watch this video for more about the Parra-Medina’s program, called Entre Madre e Hija.

Latina Researcher Wins ‘Health Promotion’ Award

Dr. Deborah Parra-Medina

Dr. Deborah Parra-Medina

Deborah Parra-Medina, Ph.D., a professor at the Institute for Health Promotion Research (IHPR) at the UT Health Science Center at San Antonio, was given the prestigious Mayhew Derryberry Award from the Public Health Education and Health Promotion section of the American Public Health Association (APHA).

The award, given annually, recognizes outstanding contribution of behavioral scientists to the field of health education, health promotion and/or health communications research or theory.

Parra-Medina has more than two decades of research and interventions in chronic disease prevention with underserved groups, including women, Hispanics, immigrants, youth and financially disadvantaged populations in diverse geographic and community settings.

She will be recognized at a lunch Nov. 5, 2013, at the 141st APHA Annual Meeting in Boston.

“I am honored to receive this award named for Mayhew Derryberry, who worked to instill in scientists the vital role of health education in improving people’s health,” Parra-Medina said. “I wholeheartedly agree that health education and promotion are key components to solve health inequalities that exist among certain populations, including Latinos.”

At the IHPR, Parra-Medina leads several projects, including:

  • Training peer educators to provide navigation support and outreach/education on HPV to Latina mothers and daughters in South Texas;
  • The “Be Fit with Friends” intervention to give Latina Girl Scouts options—from basic fitness equipment to volunteer opportunities to online social media, fitness video games and text messaging—to overcome barriers to physical activity in San Antonio;
  • The “Y Living” program that uses e-mails, text messaging and other activities to help San Antonio families increase healthy living and reduce cancer risk; and
  • Enlace, a promotora-led physical activity to promote moderate-to-vigorous physical activity among Latinas in South Texas.

Parra-Medina’s “Be Fit with Friends” Leader Manual also will receive an award in the “training materials” category at the APHA meeting.

“Deborah’s work is making a meaningful impact on the health of the Latino population in South Texas and beyond,” said IHPR Director Amelie G. Ramirez, Dr.P.H. “She is very deserving of this award and recognition.”

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