Vincent Guilamo-Ramos

Faculty

Prof. Vincent Guilamo-Ramos headshot

Vincent Guilamo-Ramos

MS MSN PhD

Professor, Silver School of Social Work
Director, Center for Latino Adolescent and Family Health
Pilot and Mentoring Core Director, Center for Drug Use and HIV Research

212-998-4306

1 Washington Square North
Room 320
New York, NY 10003
United States

Vincent Guilamo-Ramos's additional information

Vincent Guilamo-Ramos, PhD, ACRN, is a professor of nursing, social work, and global public health at NYU Rory Meyers College of Nursing. He is the associate vice provost for mentoring and outreach programs at NYU and the director of the Pilot and Mentoring Core at NYU's NIDA-funded Center for Drug Use and HIV Research. He is also the founding director of the Center for Latino Adolescent and Family Health, a research center that investigates the role of the Latino family in shaping the development, health, and overall well-being of Latino adolescents. Guilamo-Ramos is both a nurse practitioner board certified in HIV/AIDS nursing and a licensed clinical social worker with an active clinical practice at the Adolescent AIDS Program at Montefiore Medical Center, providing HIV primary care and biomedical prevention to diverse adolescents.

Guilamo-Ramos's program of research focuses on the role of Latino families in promoting adolescent health, with a special focus on preventing and treating HIV/AIDS, sexually transmitted infections, and unplanned pregnancies. Additional research interests include family involvement in the adolescent-HIV-prevention-and-treatment-care cascade, intervention research, and alcohol and drug use. Guilamo-Ramos has extended his focus to HIV prevention and care engagement among vulnerable populations in Latin America and the Spanish-speaking Caribbean. He has been the principal investigator of numerous research grants funded by the NIH, CDC and other agencies in the federal government for his work on adolescent HIV risk behavior. He has conducted research primarily in urban, resource-poor settings, including the South Bronx, Harlem, and Lower East Side communities of New York City.

Guilamo-Ramos earned a PhD from the State University of New York at Albany, MSN from Duke University; MPH, MSW, and MS from New York University; and BS from the College for Human Services.

PhD - State University of New York at Albany
MSN - Duke University
MPH - New York University
MSW - New York University
MS - New York University
BS - The College for Human Services

HIV/AIDS
Substance use

American Assembly of Men in Nursing
American Academy of Social Work and Social Welfare
American Nurses Association
Association of Nurses in AIDS Care
American Public Health Association
International AIDS Society
International Association of Providers of AIDS Care
National Association of Hispanic Nurses
Society of Adolescent Health and Medicine

Faculty Honors Awards

Hispanic Health Leadership Award, National Hispanic Medical Foundation (2017)
Leadership Award, Institute for Community Living (2016)
Presidential Leadership Scholars Program (2016)
Dr. Martin Luther King, Jr. Faculty Award (2016)
Fellow, American Academy of Social Work and Social Welfare (2015)
NIA Faculty Award, NYU (2015)
CSWE/SAGE Award for Innovative Teaching in Social Work Education, Council on Social Work Education (2015)
Dorothy Height Award, Students of Color Collective, NYU Silver School of Social Work (2011)
Latino Social Work Leadership Award, Puerto Rican Family Institute, Inc. (2007)
Lo Mejor de Nuestra Comunidad Award, Comité Noviembre (2006)
Distinguished Dissertation Award, SUNY (2001)
NIMH Pre-Doctoral Training Fellowship, Search Results Web results Council on Social Work Education (2000)
NIMH Pre-Doctoral Training Fellowship, Search Results Web results Council on Social Work Education (1999)
NIMH Pre-Doctoral Training Fellowship, Search Results Web results Council on Social Work Education (1998)
NIMH Pre-Doctoral Training Fellowship, Search Results Web results Council on Social Work Education (1997)
Sigma Theta Tau International Honor Society of Nursing

Publications

Buprenorphine Induction Simulation: Focus on Patient Safety and Quality Care

Abram, M. D., Guilamo-Ramos, V., & Forbes, M. O. (2020). Clinical Simulation in Nursing, 44, 35-41. 10.1016/j.ecns.2019.11.009
Abstract
Abstract
Background: Provider education for medication-assisted treatment (MAT) primarily relies on didactic instruction. Clinical simulation that enhances the ability of advanced practice nurses (APRNs) is needed to effectively and safely implement MAT. Method: We developed and conducted a pilot study of a MAT clinical simulation designed to enhance patient safety and increase MAT competency. Results: Clinical simulation improved APRN preparedness to effectively implement MAT. In addition, students indicated increased self-efficacy and better understanding of patient safety. Conclusions: Clinical simulation is an innovative way to teach APRN students to effectively implement buprenorphine treatment while ensuring patient safety.

Consideration of heterogeneity in a meta-analysis of latino sexual health interventions

Guilamo-Ramos, V., Hidalgo, A., & Keene, L. (2020). Pediatrics, 146(1). 10.1542/peds.2020-1406
Abstract
Abstract
Persistent SRH disparities among Latino adolescents remain a national public health priority. Evans et al5 meta-analyzed interventions for Latino adolescents, finding significant pooled overall effects for behavioral outcomes, including abstinence, condom use, and number of sex partners. Nevertheless, strengthening the effects of future SRH interventions for Latino adolescents is needed. Meta-analyses are integral to strengthening intervention science. Attention to clinical, methodologic, and statistical heterogeneity across studies can yield insights into factors associated with bolstering intervention effectiveness. Cultural tailoring to increase the effectiveness of condom interventions for Latino adolescents is one such intervention effect modifier. Future research to strengthen the understanding of other clinical and methodologic factors enhancing the effectiveness of Latino SRH interventions is warranted.

Examining dual method contraceptive use among midwestern parenting Latinx teens: Perspectives from adolescent parents, caretakers, and nurses

Ruiz, Y., Riciputi, S., Alexander, S. C., DeMaria, A. L., & Guilamo-Ramos, V. (2020). Public Health Nursing, 37(5), 647-654. 10.1111/phn.12762
Abstract
Abstract
Background: Despite dual method (DM) contraception being effective in reducing repeat-births and sexually transmitted infections (STIs), Latinx adolescent parents who live in non-traditional migration areas remain vulnerable for both outcomes. Objective: This study applied the Unified Theory of Behavior (UTB) and drew upon Bronfenbrenner's social ecological model to explore multiple stakeholders’ (adolescent parents, caregivers, and nurses) perceptions of factors that influence DM intentions and use among Latinx adolescent parents. Methods: Semi-structured interviews with Latinx adolescent parent–caregiver dyads and nurses were analyzed using thematic analysis. Results: Study findings revealed that while all participant groups considered medical providers as DM influencers, contradicting views related to caregivers’ as DM influencers emerged among adolescent parents and caregivers. Findings suggest that DM is deemed both acceptable and effective; and adolescent parents’ reported DM self-efficacy. DM obstacles included negative emotions, environmental constraints, and poor knowledge and skills. Conclusions: Study results suggest that constructs from the UTB framework are useful in identifying individual and social factors that can potentially influence DM intentions and use among Latinx adolescent parents. Implications for public health nursing: This study's findings have potential implications for public health nurses interested in designing community-based interventions to reduce repeat-births and STIs among Latinx adolescent parents.

The invisible US Hispanic/Latino HIV crisis: Addressing gaps in the national response

Guilamo-Ramos, V., Thimm-Kaiser, M., Benzekri, A., Chacón, G., López, O. R., Scaccabarrozzi, L., & Rios, E. (2020). American Journal of Public Health, 110(1), 27-31. 10.2105/AJPH.2019.305309
Abstract
Abstract
The federal government has proposed an end to HIV transmission in the United States by 2030. Although the United States has made substantial overall progress in the fight against HIV/AIDS, data released by the Centers for Disease Control and Prevention have raised concerns about widening, yet largely unrecognized, HIV infection disparities among Hispanic and Latino populations. This commentary identifies underlying drivers of increasing new HIV infections among Hispanics/ Latinos, discusses existing national efforts to fight HIV in Hispanic/ Latino communities, and points to gaps in the federal response. Consideration of the underlying drivers of increased HIV incidence among Hispanics/Latinos is warranted to achieve the administration's 2030 HIV/AIDS goals. Specifically, the proposed reinforcement of national efforts to end the US HIV epidemic must include focused investment in four priority areas: (1) HIV stigma reduction in Hispanic/Latino communities, (2) the availability and accessibility of HIV treatment of HIV-positive Hispanics/Latinos, (3) the development of behavioral interventions tailored to Hispanic/ Latino populations, and (4) the engagement of Hispanic/Latino community leaders.

Methodological strategies to engage young black and Latino heterosexual couples in sexual and reproductive health research

Lanier, Y., Campo, A., Lavarin, C., Toussaint, A., Gwadz, M., & Guilamo-Ramos, V. (2020). BMC Health Services Research, 20(1). 10.1186/s12913-020-05202-9
Abstract
Abstract
Background: Approaches that move beyond individuals and target couples may be an effective strategy for reducing sexual and reproductive health (SRH) disparities among adolescents and young adults (AYA). However, few researchers have attempted to recruit couples due to feasibility and methodological issues. This study aims to enhance implementation and methodological approaches to successfully engage heterosexual Black and Latino adolescent and young adult (AYA) couples in sexual reproductive health (SRH) research. Methods: We developed a four-step approach to systematically engage AYA couples in a qualitative study examining factors that influence uptake of combination HIV prevention methods: 1) understanding barriers and facilitators to engaging AYA couples, (2) identifying AYAs living in geographic areas of HIV vulnerability, (3) recruiting and screening AYA couples, and (4) scheduling and completion of the interview session. Results: Black and Latino youth aged 16 to 24 and their opposite sex romantic were recruited in the South Bronx, New York from September 2017-May 2018. Three hundred and seventy-two men and women completed screening procedures to determine eligibility for the index participant; 125 were eligible and enrolled into the study. Forty-nine nominated partners (NPs) participated in screening procedures and enrolled into the study. A total of 49 couples enrolled into the study; 23 couples completed study activities. Conclusions: Developing a systematic recruitment plan aided in successfully engaging Black and Latino heterosexual youth. Nevertheless, barriers to study enrollment remained including locating eligible IPs and screening of the NP. Targeting both young men and women was an effective recruitment strategy. Moreover, dyadic strategies that allow for simultaneous interaction with both couple members may be a beneficial strategy to couples' study enrollment and completion of study activities.

Novel service delivery approach to address reproductive health disparities within immigrant latino communities in geographic hot spots: An implementation study

Parker, A., Johnson-Motoyama, M., Susana Mariscal, E., Guilamo-Ramos, V., Reynoso, E., & Fernandez, C. (2020). Health and Social Work, 45(3), 155-163. 10.1093/hsw/hlaa014
Abstract
Abstract
Latinx youths continue to have the highest rates of teenage births in the United States and are at increased risk of acquiring sexually transmitted infections, including HIV/AIDS. A community-based research partnership piloted Families Talking Together, a brief, parent-based sexual risk reduction program using a novel and culturally relevant approach. This mixed-methods study examined the feasibility and acceptability of Spanish-speaking promotoras de salud (that is, community health workers) as implementers of an evidence-based intervention (EBI) to reach underserved immigrant communities. Findings suggest that promotoras are capable of implementing the EBI with positive organizational, client, and implementation outcomes. Furthermore, promotoras hold particular promise for addressing reproductive health disparities as they are indigenous and trusted members of the community who can reach members of marginalized Latino populations.

Participation of the nursing workforce to address COVID-19 among people who use alcohol, tobacco, and drugs

Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Abram, M., & Hagan, H. (2020). International Journal of Drug Policy, 83. 10.1016/j.drugpo.2020.102831

Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics

Rodriguez-Diaz, C. E., Guilamo-Ramos, V., Mena, L., Hall, E., Honermann, B., Crowley, J. S., Baral, S., Prado, G. J., Marzan-Rodriguez, M., Beyrer, C., Sullivan, P. S., & Millett, G. A. (2020). Annals of Epidemiology, 52, 46-53.e2. 10.1016/j.annepidem.2020.07.007
Abstract
Abstract
Purpose: The purpose of this study was to ascertain COVID-19 transmission dynamics among Latino communities nationally. Methods: We compared predictors of COVID-19 cases and deaths between disproportionally Latino counties (≥17.8% Latino population) and all other counties through May 11, 2020. Adjusted rate ratios (aRRs) were estimated using COVID-19 cases and deaths via zero-inflated binomial regression models. Results: COVID-19 diagnoses rates were greater in Latino counties nationally (90.9 vs. 82.0 per 100,000). In multivariable analysis, COVID-19 cases were greater in Northeastern and Midwestern Latino counties (aRR: 1.42, 95% CI: 1.11–1.84, and aRR: 1.70, 95% CI: 1.57–1.85, respectively). COVID-19 deaths were greater in Midwestern Latino counties (aRR: 1.17, 95% CI: 1.04–1.34). COVID-19 diagnoses were associated with counties with greater monolingual Spanish speakers, employment rates, heart disease deaths, less social distancing, and days since the first reported case. COVID-19 deaths were associated with household occupancy density, air pollution, employment, days since the first reported case, and age (fewer <35 yo). Conclusions: COVID-19 risks and deaths among Latino populations differ by region. Structural factors place Latino populations and particularly monolingual Spanish speakers at elevated risk for COVID-19 acquisition.

A triadic intervention for adolescent sexual health: A randomized clinical trial

Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Dittus, P., Ruiz, Y., Cleland, C. M., & McCoy, W. (2020). Pediatrics, 145(5). 10.1542/PEDS.2019-2808
Abstract
Abstract
OBJECTIVES: In this study, we evaluate the efficacy of Families Talking Together (FTT), a triadic intervention to reduce adolescent sexual risk behavior. METHODS: Adolescents aged 11 to 14 and their female caregivers were recruited from a pediatric clinic; 900 families were enrolled; 84 declined. Families were randomly assigned to FTT or 1 of 2 control conditions. The FTT triadic intervention consisted of a 45-minute face-to-face session for mothers, health care provider endorsement of intervention content, printed materials for families, and a booster call for mothers. The primary outcomes were ever having had vaginal intercourse, sexual debut within the past 12 months, and condom use at last sexual intercourse. Assessments occurred at baseline, 3 months post baseline, and 12 months post baseline. RESULTS: Of enrolled families, 73.4% identified as Hispanic, 20.4% as African American, and 6.2% as mixed race. Mean maternal age was 38.8 years, and mean adolescent grade was seventh grade. At the 12-month follow-up, 5.2% of adolescents in the experimental group reported having had sexual intercourse, compared with 18% of adolescents in the control groups (P,.05). In the experimental group, 4.7% of adolescents reported sexual debut within the past 12 months, compared with 14.7% of adolescents in the control group (P,.05). In the experimental group, 74.2% of sexually active adolescents indicated using a condom at last sexual intercourse, compared with 49.1% of adolescents in the control group (P,.05). CONCLUSIONS: This research suggests that the FTT triadic intervention is efficacious in delaying sexual debut and reducing sexual risk behavior among adolescents.

Exploring Views about LARCs Among Parenting Rural Latinx Teenagers, Their Mothers, and Providers: Implications for Sexuality Education and Care

Ruiz, Y., Riciputi, S., Guilamo-Ramos, V., & Alexander, S. C. (2019). American Journal of Sexuality Education, 14(2), 165-185. 10.1080/15546128.2018.1537199
Abstract
Abstract
While long-acting reversible contraception (LARC) reduces risk of repeat-births, use remains low among rural Latinx adolescent mothers. This qualitative study identified perspectives about factors that influence LARC use among this population. Participants were dyads of parenting Latinx adolescent daughters and their mothers (n = 9 dyads) and nurses (n = 17). Findings revealed themes specific to this vulnerable population including (a) distinct ways LARC characteristics fit into parenting teenagers’ lives, (b) supportive health care climate toward LARCs, and (c) factors that inhibit LARC uptake. The study has implications for sexuality education that seeks to reduce repeat-births among this population.