S Raquel Ramos

Faculty

S. Raquel Ramos headshot

S Raquel Ramos

FNP-BC MBA MSN PhD

Assistant Professor

1 212 992 5994
Accepting PhD students

S Raquel Ramos's additional information

S. Raquel Ramos, PhD, MBA, MSN, FNP-BC, is an assistant professor at New York University Rory Meyers College of Nursing. She has over a decade of direct-care experience in various settings, such as intensive care, cardiac cath lab, long-term care, LGBTQ+ community health, and clinical research. Ramos's research examines how user-centered design and technology-enabled interventions can facilitate informed decision-making in sexual minority men of color living with HIV or at risk of HIV. She designs interventions that prioritize health-information needs from the perspectives of patients, providers, and non-clinical personnel. As a nurse investigator, her research falls under the realm of consumer health informatics, specifically focusing on user-centered design, preference, health literacy, and autonomy support as tools for enhancing informed decision-making.

Ramos's earlier work focused on the facilitators and barriers to health information exchange consent. Using a sociotechnical analysis, she found that comprehension was a strong barrier. She also found that patients preferred both human and computer interaction. This highlights the importance of maintaining personal interaction while recognizing the ubiquity of mobile devices used in research. As part of her international work, she traveled to two academic teaching hospitals in Accra and Kumasi, Ghana, to study how literacy and numeracy influenced decision-making in Ghanaian caregivers of children living with HIV. Through the use of formative informatics-based approaches, Ramos found that multiple complexities inherent to cultural norms, gender, and education influenced decision-making.

Ramos has two active grants: an administrative supplement granted by NHLBI's PRogram to Increase Diversity Among Individuals Engaged in Health-Related Research (PRIDE-CVD) and a five-year NIH/NHLBI K01. For her PRIDE-CVD study, Ramos is developing a community engaged intervention mapping protocol for CVD prevention in sexual minority men living with HIV.  In her NHLBI mentored career development award, she will test the feasibility and acceptability of a virtual environment to prevent HIV-related comorbid conditions.

Ramos was a postdoctoral fellow at Yale University. She earned her PhD from Columbia University and her MSN as a family nurse practitioner, MBA in management, and BSN in nursing from Purdue University. 

PhD - Columbia University
MS, Family Nurse Practitioner - Purdue University
MBA, Management - Purdue University
BS, Nursing - Purdue University
AS, Nursing - Ivy Tech State College
Technical Certificate Licensed Practical Nursing - Ivy Tech State College

Informatics
HIV/AIDS
LGBTQ
Technology
Underserved populations
Chronic disease

American Medical Informatics Association (AMIA)
American Nurses Credentialing Center (ANCC)
Association of Nurses in AIDS Care (ANAC)
Eastern Nursing Research Society (ENRS)
National Research Mentoring Network (NRMN)
Sigma Theta Tau International (STTI)

Faculty Honors Awards

PRIDE-CVD Summer Scholar (R25HL105446) (2020-2021) (2021)
HIV Prevention Trials (HPTN) Scholar (UM1AI068619) (2019-2020) (2020)
mHealth Scholar, MD2K Summer Training Institute (U54EB020404) (2019)
40 Under 40 Leader in Minority Health, National Minority Quality Forum (2016)
Visiting Fellow 2016–2019, Research Education Institute for Diverse Scholars (R25MH087217) (2016)
Postdoctoral Trainee, Self and Family Management of Chronic Illness (T32NR008346)
Predoctoral Trainee, Training Nurse Scientists in Interdisciplinary & Translational Research (D09HP14667)
Predoctoral Trainee, Reducing Health Disparities Through Informatics (T32NR007969)

Publications

Associations between parent–child communication on sex health and drug use and use of drugs during sex among urban black youth

Boyd, D. T., Opara, I., Quinn, C. R., Waller, B., Ramos, S. R., & Duncan, D. T. (2021). International Journal of Environmental Research and Public Health, 18(10). 10.3390/ijerph18105170
Abstract
Abstract
Black youth and their families living in urban settings may experience unique stressors that contribute to underlying issues due to the environmental context. Such factors may exacerbate and promote drug use and engagement in risky sexual behaviors, unknowingly. Little is known about how family factors, peer pressure, condom use, and other related factors are associated with substance use and engaging in sexual behaviors while on drugs among urban African American youth aged 12–22 (N = 638). We used regression models to examine associations between parental bonding, parent–adolescent sexual health communication, condom use, peer pressure on substance use, and having sex while on drugs. Multivariate results indicated that parental bonding was statistically significant and associated with drug use (OR: 1.36, 95%CI: 1.36). Our study highlights that parental bonding plays a critical role in youth using drugs while living in urban environments.

Family support and sociocultural factors on depression among black and latinx sexual minority men

Boyd, D. T., Ramos, S. R., Quinn, C. R., Jones, K. V., Wilton, L., & Nelson, L. E. (2021). International Journal of Environmental Research and Public Health, 18(13). 10.3390/ijerph18136759
Abstract
Abstract
Family-based approaches are critical for improving health outcomes in sexual minority men (SMM) of color. Yet, it is unclear how family context, internalized homophobia, and stress influence mental health outcomes among sexual minority men of color. From a cross-sectional sample of 448 participants, aged 16–24 years, survey data were analyzed to examine rates of family social support, the perception of sexuality by family, the stressfulness of life events, internalized homo-phobia, and other contextual variables on depression using linear regression. Our results indicated that an 86% increase in family social support was related to a −0.14 decrease in depression (ß = −0.14, p = 0.004). In addition, SMM who were separated by family and friends because of their sexuality were statistically significant and positively associated with depression (ß = 0.09, p < 0.001). Findings from our study suggest that the influence from the microsystem is salient in modifying mental health outcomes for SMM of color.

Intersectional Effects of Sexual Orientation Concealment, Internalized Homophobia, and Gender Expression on Sexual Identity and HIV Risk Among Sexual Minority Men of Color: A Path Analysis

Ramos, S. R., Lardier, D. T., Opara, I., Turpin, R. E., Boyd, D. T., Gutierrez, J. I., Williams, C. N., Nelson, L. E., & Kershaw, T. (2021). The Journal of the Association of Nurses in AIDS Care : JANAC. 10.1097/JNC.0000000000000274
Abstract
Abstract
ABSTRACT: In the United States, 13 million people identify as sexual and gender minorities. The purposes of this article were to (a) examine the associations among sexual orientation concealment and internalized homophobia with HIV knowledge, health literacy, and transactional sex through sexual identity; and (b) assess whether gender expression moderates those relationships in sexual minority men of color. A multigroup mediation path model examined the association between sexual orientation concealment and internalized homophobia on HIV knowledge, health literacy, and transactional sex through sexual identity by gender expression. Results suggest that, among those with a masculine gender expression, as sexual concealment increased, health literacy decreased. The association between sexual orientation concealment and transactional sex varied by participant's gender expression as did the association between internalized homophobia and HIV knowledge. Multiple intersecting identities, when faced with anticipated discrimination and homophobia, can negatively affect health outcomes and increase HIV risk in sexual minority men of color.

Nursing Science Throughout the Epidemic: Lessons Learned and the Way Forward

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Profiles of hiv risk, sexual power, and decision-making among sexual minority men of color who engage in transactional sex: A latent profile analysis

Ramos, S. R., Lardier, D. T., Boyd, D. T., Gutierrez, J. I., Carasso, E., Houng, D., & Kershaw, T. (2021). International Journal of Environmental Research and Public Health, 18(9). 10.3390/ijerph18094961
Abstract
Abstract
Though the transmission of HIV is preventable, there were still 37,968 new documented cases in the United States in 2018. HIV incidence is disproportionate in sexual minority men of color. The purpose of this study was to examine sexual relationship power risk profiles to identify distinct subgroups within the profiles who carry the highest HIV risk. Latent class profile analysis was used to identify subgroups of sexual minority men of color at the highest risk for contracting HIV based on their sexual power profiles. Among 322 sexual minority men, we identified four latent profiles. Profile 1: Low transactional sex and high power (n = 133; 14.3%); Profile 2: Transactional sex, high decision-making in sexual relationships, and low control in sexual relationship (n = 99; 30.7%); Profile 3: Low transactional sex, low decision-making, and moderate control (n = 43; 13.4%); Profile 4: High transactional sex and low power (n = 47; 14.6%). LPA was useful to identify distinct subgroups based on measures of sexual risk and relationship sexual power. Findings carry significant implications for developing tailored strategies to increase HIV knowledge and related HIV prevention and risk reduction services for sexual minority men of color who engage in transactional sex.

Purely Behavioral: A Scoping Review of Nonpharmacological Behavioral and Lifestyle Interventions to Prevent Cardiovascular Disease in Persons Living With HIV

Ramos, S. R., O’Hare, O. M., Hernandez Colon, A., Kaplan Jacobs, S., Campbell, B., Kershaw, T., Vorderstrasse, A., & Reynolds, H. R. (2021). The Journal of the Association of Nurses in AIDS Care : JANAC. 10.1097/JNC.0000000000000230
Abstract
Abstract
ABSTRACT: Cardiovascular disease (CVD) is the leading cause of death in the United States, accounting for 900,000 deaths annually. People living with HIV are at a higher risk of developing CVD. We conducted a scoping review guided by the Joanna Briggs Institute Manual for Evidence Synthesis. In July 2020, six databases were searched: PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science, Embase, and The Cochrane Central Register of Controlled Trials, as well as reference lists of relevant studies and key journals. Our review identified 18 studies that addressed nonpharmacological behavioral interventions into the following: physical activity (n = 6), weight loss (n = 2), dietary interventions (n = 1), and multicomponent interventions (n = 9). In the past 10 years, there has been an increased emphasis on nonpharmacological behavioral approaches, including the incorporation of multicomponent interventions, to reduce cardiovascular risk in people living with HIV. The extant literature is limited by underrepresentation of geographic regions and populations that disproportionately experience CVD.

A State of the Science on HIV Prevention Over 40 Years Among Black and Hispanic/Latinx Communities

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Substance Use, General Health and Health Literacy as Predictors of Oral Health in Emerging Adult Sexual Minority Men of Color: A Secondary Data Analysis

Ramos, S. R., Lardier, D. T., Warren, R. C., Cherian, M. C., Siddiqui, S., & Kershaw, T. (2021). International Journal of Environmental Research and Public Health, 18(4), 1-20. 10.3390/ijerph18041987
Abstract
Abstract
There is limited evidence surrounding oral health in emerging adult, sexual minority men of color. This study examined the association between sociodemographic factors, health literacy, cigarette, e-cigarette, and alcohol use on oral health outcomes. Secondary data analysis was conducted with 322 sexual minority men ages 18–34 in the United States. Between-group, mean-level, and multivariable logistic regression analyses examined differences on oral health outcomes. Increased cigarette (aOR = 1.84, p = 0.03), e-cigarette (aOR = 1.40, p = 0.03), and alcohol use (aOR = 2.07, p = 0.05) were associated with extended time away from the dentist. Health literacy (aOR = 0.93, p = 0.05) was negatively associated. Increased cigarette (aOR = 1.17, p = 0.04) and cigarette use (aOR = 1.26, p = 0.04) were associated with tooth loss. Health literacy was negatively associated (aOR = 0.65, p = 0.03). Increased e-cigarette (aOR = 1.74, p = 0.04) and cigarette use (aOR = 4.37, p < 0.001) were associated with dental affordability issues. Lower health literacy and racial identification as Black were associated with dental affordability issues; demonstrating an urgent need to address these factors to improve oral health in emerging adult sexual minority men of color.

Training Underrepresented Early-Career Faculty in Cardiovascular Health Research during COVID-19: Structural Inequities and Health Disparity

Ana, D., Alabi, O., Groves, A., Johnson, A., Okoro, F., Ramos, S. R., Nelson, R., & Boutjdir, M. (2021). Ethnicity and Disease, 31(3), 411-416.

Bringing Research to Life for Undergraduate Nursing Students Using a Design Thinking Model

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