Caroline G Dorsen
PhD FNP-BC FAAN
Associate Dean, Clinical Faculty Affairs
Clinical Professor
caroline.dorsen@nyu.edu
1 212 992 7340
Associate Dean, Clinical Faculty Affairs
Clinical Professor
433 FIRST AVENUE
NEW YORK, NY 10010
United States
Accepting PhD students
Caroline G Dorsen's additional information
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Caroline Dorsen, PhD, FNP-BC, FAAN (she/her) is Associate Dean for Clinical Faculty Affairs and Clinical Professor at New York University Meyers College of Nursing. She is a scholar, educator, and family nurse practitioner whose career-long passion has been the intersection of health and social justice. For over 15 years, she has focused on the role of nursing in perpetuating and lessening health disparities and has worked to develop innovative teaching, practice, and research interventions to improve student, patient, and community outcomes. Prof. Dorsen has been a member of numerous diversity, equity, and inclusion taskforces, including for the Health and Human Services Office of Minority Health, and has twice been an invited speaker at the National Academy of Medicine on the role of nurses in interprofessional healthcare teams. She is a member of the Board of Directors for Community Health Network (CHN) in NYC and the Program Director for the National University Psychedelic Education Program (U-PEP).
Prior to joining NYU Meyers, Dorsen was Associate Dean for Clinical Partnerships at Rutgers University, where she was a professor in both the Schools of Nursing and Public Health. From 2005-2020, she was on the faculty at NYU Meyers, first as the director of the adult and family NP programs and subsequently on the tenure track, examining the role of provider attitudes on mental and physical healthcare access and utilization among LGBTQIA+ persons and people who use drugs.
In recognition of her expertise as an educator, Dorsen was the 2020 recipient of the Dean’s Distinguished Teaching Award at NYU Meyers College of Nursing. In 2020, she was also the recipient of NYU’s MLK, Jr Faculty Award, sponsored by the President and Provost for “exemplifying the spirit of Dr. Martin Luther King Jr. through teaching excellence, leadership, social justice activism, and community building.” In 2021, she received the Rutgers University Beloved Community Award with colleagues from around the university for their work related to the COVID-19 pandemic. She was inducted as a Fellow of the American Academy of Nursing in 2021 and is currently a member of their LGBTQ+ and Psychiatric Mental Health & Substance Use Expert Panels. Dorsen is an affiliate member of the Center for Sexual and Gender Minority Health Research at Columbia University and the Center for Drug Use and HIV Research (CDUHR) at NYU.
Dorsen holds a BA in Anthropology from UC Berkeley, a BS in Nursing from NYU, an MSN as a Family Nurse Practitioner from Yale University School of Nursing, and a Ph.D. in Nursing Research and Theory from NYU. She completed a post-doctoral fellowship at the Clinical and Translational Science Institute at NYU Langone Health.
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Post-Doctoral Fellow - Center for Translational and Clinical Science Institute, NYU School of MedicinePhD, in Nursing Research and Theory Development, NYU MeyersMSN in Family Nurse Practitioner Nursing, Yale University (Magna Cum Laude)BS in Professional Nursing, NYU (Magna Cum Laude)BA in Anthropology, University of California, Berkeley (Magna Cum Laude)
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Underserved populationsVulnerable & marginalized populationsSubstance useLGBTQPrimary careCommunity/population health
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American Academy of Nurse PractitionersEastern Nursing Research SocietyGLMA: Health Professionals Advancing LGBTQ + EqualityNational League of NursingNational Organization of Nurse Practitioner FacultySigma Theta Tau InternationalWorld Professionals Advancing Transgender Health
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Faculty Honors Awards
Paulette Goddard Award, New York University (2018)Outstanding Dissertation Award, NYU College of Nursing (2014)Book of the Year (Gerontological category), American Journal of Nursing (2010)Agnes and Rosemary Ludden Award for Innovative Nursing Practice, NYU College of Nursing (2010)Vernice Fergueson Faculty Scholar Award, NYU College of Nursing (2007)Milton and Anne Sidney Prize, Yale University School of Nursing (2001)Founder’s Day Award, New York University (1997)Helene Fuld Distinguished Scholar, Helene Fuld Trust (1997)Spirit of Nursing Award, National Student Nurse Association (1997)Ursula Springer Award for Excellence in Undergraduate Writing, Ursula Springer, Inc (1997)Baccalaureate Student Achievement Award, NYU Division of Nursing (1997)Helene Fuld Nursing Fellow, Helene Fuld Trust (1996) -
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Publications
Provider and LGBT individuals' perspectives on LGBT issues in long-term care : A systematic review
AbstractCaceres, B. A., Travers, J., Primiano, J. E., Luscombe, R. E., & Dorsen, C. G. (2020). In Gerontologist (Vols. 60, Issues 3, pp. E169-E183). 10.1093/geront/gnz012AbstractBackground and Objectives: Discrimination toward the lesbian, gay, bisexual and transgender (LGBT) population has raised concerns about the type of long-term services and supports (LTSS) that will be available to them as they age. To understand the unique needs of aging LGBT populations, we sought to synthesize and critique the evidence related to LTSS providers and LGBT individuals' perspectives of LGBT issues in LTSS in the United States. Research Design and Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted. The Crowe Critical Appraisal Tool was used to appraise the quality of the included studies. Results: Nineteen studies met inclusion criteria. Seven studies that examined the perspectives of LTSS providers identified two themes, including that they lack knowledge and training on LGBT health issues and generally report negative attitudes toward same-sex relations among older adults. In addition, 12 studies that examined the perspectives of LGBT individuals found that they (i) are concerned about LTSS planning, (ii) fear discrimination from providers in LTSS, and (iii) identify several strategies for improving care of LGBT older adults receiving LTSS. Discussion and Implications: This systematic review highlights the importance for LTSS providers to receive training in LGBT health and be reflective of potential biases toward the LGBT population. LGBT individuals identified concerns related to LTSS planning and fear of discrimination from LTSS providers. LGBT individuals also identified a need for increased training of providers to improve the care of LGBT older adults in LTSS.Understanding long-term HIV survivorship among African American/Black and Latinx persons living with HIV in the United States : A qualitative exploration through the lens of symbolic violence
AbstractFreeman, R., Gwadz, M., Wilton, L., Collins, L. M., Dorsen, C. G., Hawkins, R. L., Silverman, E., Martinez, B. Y., Leonard, N. R., Applegate, A., & Cluesman, S. (2020). In International Journal for Equity in Health (Vols. 19, Issue 1). 10.1186/s12939-020-01253-wAbstractBackground: Persons living with HIV (PLWH) are living longer, although racial/ethnic and socioeconomic status (SES) disparities persist. Yet, little is known about the experience of living with and managing HIV over decades. The present study took a qualitative approach and used the lens of symbolic violence, a type of internalized, non-physical violence manifested in the power differential between social groups. We focused on adult African American/Black and Latinx (AABL) PLWH from low-SES backgrounds. Methods: Data were drawn from two studies with AABL PLWH in New York City (N = 59). After providing signed informed consent, participants engaged in in-depth semi-structured interviews on aspects of HIV management. Interviews were audio-recorded and professionally transcribed verbatim, and data were analyzed using directed qualitative content analysis. Results: Participants in the two studies were comparable on sociodemographic and background characteristics. They had lived with HIV for 20 years, on average (range 3-33 years). All were from low-SES backgrounds and most were African American/Black and men. Participants experienced a convergence of multiple social exclusions, harms, and stigmas, consistent with symbolic violence, which contributed to disengagement from HIV care and discontinuation of HIV medications. We organized results into five sub-themes: (1) participants were "ground down"over time by material, social, and emotional challenges and this diminished self-worth and, at times, the will to live; (2) social isolation and self-isolation, based in part on feeling devalued and dehumanized, served as stigma-avoidance strategies and mechanisms of social exclusion; (3) stigmatizing aspects of patient-provider interactions, both experienced and anticipated, along with (4) restricted autonomy in HIV care and other settings (e.g., parole) reduced engagement; and (5) poor HIV management was internalized as a personal failure. Importantly, resilience was evident throughout the five sub-themes. Conclusions: Symbolic violence is a useful framework for understanding long-term HIV management and survivorship among AABL PLWH from low-SES backgrounds. Indeed, forms of symbolic violence are internalized over time (e.g., experiencing devaluation, dehumanization, loss of self-worth, and anticipated stigma), thereby impeding successful HIV management, in part because avoiding HIV care and discontinuing HIV medications are primary coping strategies. Results have implications for interventions in community and health care settings.Ceremonial ‘Plant Medicine’ use and its relationship to recreational drug use : an exploratory study
AbstractDorsen, C. G., Palamar, J., & Shedlin, M. G. (2019). In Addiction Research and Theory (Vols. 27, Issues 2, pp. 68-75). 10.1080/16066359.2018.1455187AbstractBackground: The ceremonial use of psychoactive/hallucinogenic plant based drugs, such as ayahuasca, psilocybin and others, is a growing trend in the United States (US) and globally. To date, there has been little research documenting how many people are using psychoactive substances in this context, who the users are, what benefits/risks exist in the use of these drugs and the relationship between ceremonial drug use and recreational drug use. In this paper we describe a cohort of plant medicine facilitators in the US and explore how they differentiate plant medicine use from recreational drug use. Methods: Using modified ethnography, individual interviews were conducted in 2016 with 15 participants who are currently facilitating plant medicine ceremonies in the US. Descriptive content analysis was performed to discover themes and to inform a larger mixed-method study. Results: Ceremonial drug use was seen by participants as a natural healing and treatment modality used in the context of community and ritual. Three main themes were identified relating to participants’ differentiation between ceremonial plant medicine use and recreational drug use: (1) participants see a clear delineation between plant medicine use and recreational drug use; (2) plant medicine is seen as a potential treatment for addiction, but concerns exist regarding potential interference with recovery; and (3) plant medicine use may influence recreational use. Conclusions: More research is needed on who is using plant medicine, motivators for use, perceived and real risks and benefits of plant medicine use and harm reduction techniques regarding safe ingestion.Guest Editorial
AbstractDorsen, C. G., & Caceres, B. (2019). In Advances in Nursing Science (Vols. 42, Issues 2, pp. 87-88). 10.1097/ANS.0000000000000270Abstract~Improving healthcare for LGBTQ+ patients : How NPs can make a difference
AbstractDorsen, C. G., & Caceres, B. (2019). In Nurse Practitioner (Vols. 44, Issues 7, p. 9). 10.1097/01.NPR.0000559848.29614.40Abstract~Cardiovascular Disease Risk in Sexual Minority Women (18-59 Years Old) : Findings from the National Health and Nutrition Examination Survey (2001-2012)
AbstractCaceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C. G., Yu, G., & Chyun, D. A. (2018). In Women's Health Issues (Vols. 28, Issues 4, pp. 333-341). 10.1016/j.whi.2018.03.004AbstractObjective: Sexual minority women (lesbian and bisexual) experience significant stigma, which may increase their cardiovascular disease (CVD) risk. The purpose of this study was to examine the prevalence of modifiable risk factors for CVD (including mental distress, health behaviors, blood pressure, glycosylated hemoglobin, and total cholesterol) and CVD in sexual minority women compared with their heterosexual peers. Materials and Methods: A secondary analysis of the National Health and Nutrition Examination Survey (2001-2012) was conducted. Multiple imputation with chained equations was performed. Logistic regression models adjusted for relevant covariates were run. Self-report (medical history and medication use) and biomarkers for hypertension, diabetes, and high total cholesterol were examined. Results: The final analytic sample consisted of 7,503 that included 346 sexual minority women (4.6%). Sexual minority women were more likely to be younger, single, have a lower income, and lack health insurance. After covariate adjustment, sexual minority women exhibited excess CVD risk related to higher rates of frequent mental distress (adjusted odds ratio [AOR], 2.05; 95% confidence interval [CI], 1.45–2.88), current tobacco use (AOR, 2.11; 95% CI, 1.53–2.91), and binge drinking (AOR, 1.66; 95% CI, 1.17–2.34). Sexual minority women were more likely to be obese (AOR, 1.61; 95% CI, 1.23–2.33) and have glycosylated hemoglobin consistent with prediabetes (AOR, 1.56; 95% CI, 1.04–2.34). No differences were observed for other outcomes. Conclusions: Sexual minority women demonstrated increased modifiable risk factors for CVD, but no difference in CVD diagnoses. Several emerging areas of research are highlighted, in particular, the need for CVD prevention efforts that target modifiable CVD risk in sexual minority women.Prevalence of Obesity, Prediabetes, and Diabetes in Sexual Minority Men : Results From the 2014 Behavioral Risk Factor Surveillance System
AbstractNewlin Lew, K., Dorsen, C. G., & Long, T. (2018). In Diabetes Educator (Vols. 44, Issue 1, pp. 83-93). 10.1177/0145721717749943AbstractPurpose: The purpose of this study is to assess the prevalence and related odds ratios for obesity, prediabetes, and diabetes in sexual minority men (SMM) in relation to straight men. Methods: A secondary analysis of 2014 Behavioral Risk Factor Surveillance System data from 19 states (n = 53 542) was conducted. Weighted means and standard errors were computed to estimate prevalence rates of obesity, prediabetes, and diabetes across male sexual orientation groups, respectively. Unadjusted and adjusted (demographics, depression, and health care access factors) weighted logistic regression models were developed. Results: Obesity prevalence was lower in gay men relative to straight men with logistic regression modeling indicating gay men were significantly less likely to be obese, relative to their straight counterparts, in the unadjusted and adjusted models. In terms of prediabetes, rates were low across all sexual orientation groups with no significant differences observed. Yet bisexual men, relative to straight men, had higher rates of diabetes with significantly increased odds for the disease in both the unadjusted and adjusted models. Conclusion: Findings indicate gay men have reduced risk for obesity while bisexual men may have increased diabetes burden. Across all male sexual orientation groups, prediabetes prevalence was low, suggesting the need for more aggressive prediabetes screening. Additional research is necessary to confirm the findings.Prevalence of Obesity, Prediabetes, and Diabetes in Sexual Minority Women of Diverse Races/Ethnicities : Findings From the 2014-2015 BRFSS Surveys
AbstractNewlin Lew, K., Dorsen, C. G., Melkus, G. D., & Maclean, M. (2018). In Diabetes Educator (Vols. 44, Issues 4, pp. 348-360). 10.1177/0145721718776599AbstractPurpose: The purpose of this study is to assess the weighted prevalence and odds ratios of obesity, prediabetes, and diabetes by (1) female sexual orientation (lesbian, bisexual, and straight) with racial/ethnic (Hispanic, non-Hispanic black, and non-Hispanic white) groups combined and (2) across and within racial/ethnic groups by sexual orientation. Methods: A secondary analysis of pooled 2014-2015 Behavioral Risk Factor Surveillance System data from 28 states (N = 136 878) was conducted. Rao-Scott chi-square test statistics were computed and logistic regression models were developed to assess weighted prevalence and odds ratios of obesity, prediabetes, and diabetes with adjustments for demographics (age, income, and education), depression, and health care access factors. Results: With racial/ethnic groups combined, lesbian and bisexual women, relative to straight women, had a significantly increased likelihood for obesity when controlling for demographics. Bisexual women were found to have significantly reduced odds for diabetes, compared with straight women, with adjustments for demographics, depression, and health care access factors. Compared with their non-Hispanic white counterparts, Hispanic lesbian women had significantly increased odds for obesity and diabetes, while non-Hispanic black bisexual women had a significantly greater likelihood for obesity, holding demographics, depression, and health care access factors constant. Non-Hispanic white lesbian women had an increased likelihood for obesity relative to their straight, ethnic/racial counterparts. Prediabetes subsample analysis revealed the prevalence was low across all female sexual orientation groups. Conclusion: Sexual minority women, particularly those of color, may be at increased risk for obesity and diabetes. Research is needed to confirm the findings.Qualitative Research in Nursing and Health Professions Regulation
AbstractSquires, A. P., & Dorsen, C. G. (2018). In Journal of Nursing Regulation (Vols. 9, Issues 3, pp. 15-26). 10.1016/S2155-8256(18)30150-9AbstractQualitative research is critical for studies about regulatory issues in nursing and across all health professions. When in-depth stakeholder perspectives are needed, qualitative approaches are often the best methodological choice to ensure their viewpoints and experiences are captured when evaluating the consequences of policy implementation or when informing regulation design. Unlike traditional qualitative health care studies that involve patients or providers in single settings, regulatory studies often have complex challenges related to the available sample sizes, sampling strategies, and data collection approaches. Reporting qualitative findings in ways that are informative, useful, and dialogue provoking about regulatory issues must go beyond inserting long quotes with a single sentence explanation. Artfully capturing the participants’ stories within the regulatory matter under study is vital for understanding potential and actual consequences of regulations. This article provides an overview of common methodological challenges researchers encounter when conducting qualitative research on professional regulation issues and offers solutions to enhance the quality, rigor, and trustworthiness of the findings. The recommendations may prove useful to researchers examining regulatory issues in nursing and other health professions.Sexual orientation differences in modifiable risk factors for cardiovascular disease and cardiovascular disease diagnoses in men
AbstractCaceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C. G., Yu, G., & Chyun, D. A. (2018). In LGBT health (Vols. 5, Issues 5, pp. 284-294). 10.1089/lgbt.2017.0220AbstractPurpose: Despite higher rates of modifiable risk factors for cardiovascular disease (CVD) in gay and bisexual men, few studies have examined sexual orientation differences in CVD among men. The purpose of this study was to examine sexual orientation differences in modifiable risk factors for CVD and CVD diagnoses in men. Methods: A secondary analysis of the National Health and Nutrition Examination Survey (2001-2012) was conducted. Multiple imputation was performed for missing values. Differences across four distinct groups were analyzed: gay-identified men, bisexual-identified men, heterosexual-identified men who have sex with men (MSM), and heterosexual-identified men who denied same-sex behavior (categorized as exclusively heterosexual). Multiple logistic regression models were run with exclusively heterosexual men as the reference group. Results: The analytic sample consisted of 7731 men. No differences between heterosexual-identified MSM and exclusively heterosexual men were observed. Few differences in health behaviors were noted, except that, compared to exclusively heterosexual men, gay-identified men reported lower binge drinking (adjusted odds ratio [AOR] 0.58, 95% confidence interval [CI] = 0.37-0.85). Bisexual-identified men had higher rates of mental distress (AOR 2.39, 95% CI = 1.46-3.90), obesity (AOR 1.69, 95% CI = 1.02-2.72), elevated blood pressure (AOR 2.30, 95% CI = 1.43-3.70), and glycosylated hemoglobin (AOR 3.01, 95% CI = 1.38-6.59) relative to exclusively heterosexual men. Conclusions: Gay-identified and heterosexual-identified MSM demonstrated similar CVD risk to exclusively heterosexual men, whereas bisexual-identified men had elevations in several risk factors. Future directions for sexual minority health research in this area and the need for CVD and mental health screenings, particularly in bisexual-identified men, are highlighted.