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

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)
Presidential Leadership Scholars Program (2016)
Dr. Martin Luther King, Jr. Faculty Award (2016)
Leadership Award, Institute for Community Living (2016)
NIA Faculty Award, NYU (2015)
CSWE/SAGE Award for Innovative Teaching in Social Work Education, Council on Social Work Education (2015)
Fellow, American Academy of Social Work and Social Welfare (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

Condom Decision Making Among Latino and Black Adolescent Males: Social Neurobiological and Paternal Influences

Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Rivera, M., Fuller, T. R., Warner, L., & Koumans, E. H. (2021). Research on Social Work Practice, 31(8), 814-825. 10.1177/10497315211022802
Abstract
Abstract
Purpose: We explored mechanisms of paternal influence associated with adolescent male condom decision making and behavior within an integrated framework of social neurobiological and behavioral theories of condom use. Method: Self-administered surveys from Latino and Black adolescent males aged 15–19 years (n = 191) and their fathers were obtained. Dyads were recruited using area sampling methodology. Analyses included multivariable logistic and ordinary least squares regression examining direct and indirect associations of adolescent decision-analytic and paternal influence factors with adolescent condomless sex in the past 3 months. Results: Notions of masculinity, low-risk perception, partner approval of, and self-efficacy for condomless sex were associated with engaging in unprotected sex. Adolescent males reported reduced odds of engaging in condomless sex when indicating greater levels of father–son communication, relationship satisfaction, and paternal monitoring. Conclusion: Father-based interventions grounded in integrated theoretical frameworks of behavioral decision making and neuroscience have the potential to promote condom use among adolescent males.

Effects of a randomized controlled trial of a brief, student-nurse led, parent-based sexual health intervention on parental protective factors and HPV vaccination uptake

Santa Maria, D., Markham, C., Misra, S. M., Coleman, D. C., Lyons, M., Desormeaux, C., Cron, S., & Guilamo-Ramos, V. (2021). BMC Public Health, 21(1). 10.1186/s12889-021-10534-0
Abstract
Abstract
Background: Parents play a pivotal role in adolescent sexual health and Human Papillomavirus (HPV) vaccination. Nurses are on the frontlines of healthcare and play a critical role in promoting HPV vaccination and parent-child sexual health communication. We enhanced the Families Talking Together (FTT) parent-based sexual health curriculum to include adolescent vaccinations herein, FTT + HPV, and trained student nurses to provide a strong HPV vaccination and parent-child sexual health communication endorsement. Methods: Using a randomized attention-controlled trial design, we examined the efficacy of FTT + HPV among 519 parents and their 11–14 year old youth recruited from medically underserved communities between 2015 and 2018. Participants were recruited from 22 after-school programs (e.g., Boys and Girls Clubs) and 19 charter schools. For parents, we examined protective factors including parent-child sexual health communication and parental involvement. For youth, we examined sexual health knowledge, parent-child sexual health communication, and parent-child connectedness. To assess HPV vaccination initiation and completion, we searched IMMTRAC immunization registry records for 85% of youth and used parental report for youth without registry records. Group differences were calculated using the estimated mean difference at one- and six months post-intervention with significance set at the p < 0.05 level. Results: Baseline rates of HPV vaccination were low at 55.7%. No significant difference between the groups was seen in vaccination initiation or completion rates by one-month post-intervention. However, by six-months post intervention, there was a significant difference between the groups with 70.3% of the intervention group initiating the HPV vaccination series vs. 60.6% for the control group (p = 0.02). No difference between the groups was found for HPV series completion at six-months. There were significant differences in condom knowledge (p = 0.04), parent-child connectedness (p = 0.04), and communication frequency (p = 0.001) with greater improvement in the intervention vs. the control group. Rates of sexual activity remained low in both groups throughout the six-month follow-up period. Conclusion: A brief parent-based adolescent sexual health and HPV vaccination intervention delivered by student nurses can improve sexual health outcomes including protective parental factors, adolescent sexual health knowledge, and HPV vaccination initiation rates. Trial registration: ClinicalTrials.gov Identifier: NCT02600884. Prospectively registered September 1, 2015.

HIV Clinician Workforce Shortage: Nurse Practitioners Filling the Gap

McGee, K., Bell, L., Guilamo-Ramos, V., Knettel, B. A., Randolph, S. D., & Relf, M. V. (2021). Journal for Nurse Practitioners. 10.1016/j.nurpra.2021.08.013
Abstract
Abstract
The development of highly effective antiretroviral treatment has significantly decreased the disease burden and increased the life expectancy of people living with HIV. As people with HIV live longer, they will require ongoing HIV specialty and primary care, which will increase the demand for specialty-trained nurse practitioners and other health care workers. This report describes the emerging HIV provider shortage and offers models to expand nurse practitioner training in HIV primary care as an approach to addressing the HIV provider shortage.

Human papillomavirus vaccination status and parental endorsement intentions among undergraduate student nurses

Hollins, A., Wardell, D., Fernandez, M. E., Markham, C., Guilamo-Ramos, V., & Maria, D. S. (2021). International Journal of Environmental Research and Public Health, 18(6), 1-10. 10.3390/ijerph18063232
Abstract
Abstract
We identified factors associated with student nurses’ Human Papillomavirus Vaccine (HPV) vaccination status and their intention to counsel parents on HPV vaccination. Undergraduate student nurses (N = 153) from a large university in the south participated. Descriptive statistics, chi-squared tests, and independent t-tests (p ≤ 0.05) were used to characterize the students’ vaccination status. Logistic regression was used to identify factors associated with vaccination status. HPV vaccination rates were low. Students who were older and married or living with a partner were less likely to have completed the HPV vaccine series. The most commonly cited reason for non-initiation and non-completion was the lack of provider endorsement. Vaccination status did not differ significantly according to race/ethnicity, religion, skills, or intention to counsel parents. While intentions to counsel parents on HPV vaccination are high among student nurses, interventions to improve vaccination rates among student nurses are needed.

Nurses at the frontline of public health emergency preparedness and response: lessons learned from the HIV/AIDS pandemic and emerging infectious disease outbreaks

Guilamo-Ramos, V., Thimm-Kaiser, M., Benzekri, A., Hidalgo, A., Lanier, Y., Tlou, S., De Lourdes Rosas López, M., Soletti, A. B., & Hagan, H. (2021). The Lancet Infectious Diseases, 21(10), e326-e333. 10.1016/S1473-3099(20)30983-X
Abstract
Abstract
The years 2020–21, designated by WHO as the International Year of the Nurse and Midwife, are characterised by unprecedented global efforts to contain and mitigate the COVID-19 pandemic. Lessons learned from successful pandemic response efforts in the past and present have implications for future efforts to leverage the global health-care workforce in response to outbreaks of emerging infectious diseases such as COVID-19. Given its scale, reach, and effectiveness, the response to the HIV/AIDS pandemic provides one such valuable example, particularly with respect to the pivotal, although largely overlooked, contributions of nurses and midwives. This Personal View argues that impressive achievements in the global fight against HIV/AIDS would not have been attained without the contributions of nurses. We discuss how these contributions uniquely position nurses to improve the scale, reach, and effectiveness of response efforts to emerging infectious diseases with pandemic potential; provide examples from the responses to COVID-19, Zika virus disease, and Ebola virus disease; and discuss implications for current and future efforts to strengthen pandemic preparedness and response.

Nursing Contributions to Ending the Global Adolescent and Young Adult HIV Pandemic

Guilamo-Ramos, V., Flores, D. D., Randolph, S. D., & Andjembe Etogho, E. B. (2021). The Journal of the Association of Nurses in AIDS Care : JANAC, 32(3), 264-282. 10.1097/JNC.0000000000000227
Abstract
Abstract
ABSTRACT: The welfare of adolescents and young adults (AYA) is pivotal for a sustainable future. However, despite worldwide efforts, alarming disparities in HIV morbidity and mortality persist: AYA are disproportionately affected. Specific world regions and key populations particularly warrant increased efforts to improve prevention and treatment via the global 95-95-95 strategy. Although the idiosyncrasies of AYA represent a challenge to a global response, for the past four decades, nurses have initiated and contributed to advances in HIV policy, practice, and research with AYA. Their unique position within the health care system renders success of these initiatives contingent on the collective capacity to leverage the well-established potential of nursing care. In this article, we (a) characterize the global epidemiology of HIV among AYA; (b) discuss important youth-focused HIV nursing achievements and identify nurses' unique competencies compatible with adolescent and young adult needs; and (c) examine the implications for future youth-tailored HIV nursing science and practice.

Pre-exposure prophylaxis awareness, use, and intention to use in a regional sample of Latin American geosocial networking application users in 2018–2019

Blair, K. J., Segura, E. R., Garner, A., Lai, J., Ritterbusch, A., Leon-Giraldo, S., Guilamo-Ramos, V., Lake, J. E., Clark, J. L., & Holloway, I. W. (2021). International Journal of STD and AIDS. 10.1177/09564624211034618
Abstract
Abstract
Pre-exposure prophylaxis (PrEP) access is increasing in Latin America. We explored PrEP use among Spanish-speaking, Hornet geosocial networking application users from Latin American countries with limited PrEP data via an online survey completed between December 2018 and February 2019. A total of 718 Hornet users from 10 countries were included, of whom 72.1% reported PrEP awareness. Few (5.6%) were currently taking PrEP, though 32.1% intended to take PrEP in the subsequent 6 months. PrEP awareness was lower in 18–25 year olds compared to 26+ (62.4% vs. 75.6%, aOR 0.67, [95% CI 0.46–0.97]), and higher among those living in larger versus smaller cities (74.4% vs. 58.8%, aOR 1.96, [95% CI 1.25–3.07]) or countries with at least partial versus no PrEP policy adoption (79.1% vs. 60.8%, aOR 2.20, [95% CI 1.56–3.12]). Intention to use PrEP was higher among PrEP-eligible respondents (51.8% vs. 29.6%, aOR 2.26, [95% CI 1.26–4.07]) and those recently tested for a sexually transmitted infection (35.4% vs. 25.5%, aOR 1.58, [95% CI 1.01–2.48]). Efforts to expand PrEP use in Latin America should focus on national PrEP policy adoption, and research should explore barriers to awareness and use among young men who have sex with men.

PrEP Awareness, Use, Intention to Use, and Information Source Among Geosocial Networking Application Users in Mexico in 2018–2019

Blair, K. J., Segura, E. R., Garner, A., Lai, J., Ritterbusch, A., Leon-Giraldo, S., Guilamo-Ramos, V., Lake, J. E., Clark, J., & Holloway, I. W. (2021). AIDS and Behavior, 25(9), 2743-2754. 10.1007/s10461-021-03184-1
Abstract
Abstract
Pre-exposure prophylaxis (PrEP) has limited availability across Latin America, though access is increasing. We explored PrEP uptake in Mexico via an online survey completed by Spanish-speaking, Hornet geosocial networking application (GSN app) users without HIV (n = 2020). Most (81.3%) had heard of PrEP, 3.5% were current users, and 34.2% intended to take PrEP within six months. Current PrEP use was associated with PrEP eligibility (aOR 26.07 [95%CI 13.05–52.09], p < 0.001), recent STI testing (aOR 3.79 [95%CI 1.10–13.11], p = 0.035), and recent chemsex (aOR 3.02 [95%CI 1.02–8.93], p = 0.046). Recent STI testing was associated with hearing about PrEP from a doctor (aOR 3.26 [95%CI 1.98–5.36], p < 0.001), and those who lived in large cities were less likely to have learned about PrEP via Hornet (aOR 0.52 [95%CI 0.32–0.85], p = 0.009). Interventions to increase PrEP uptake in Mexico should build upon existing health networks and utilize GSN apps for PrEP information dissemination, particularly in less populated areas.

Racial and Sexual Minority Scholar Positionality: Advancing Health Status and Life Opportunity Among Sexual Minority Men of Color

Keene, L., & Guilamo-Ramos, V. (2021). Health Education and Behavior, 48(3), 250-259. 10.1177/10901981211012272
Abstract
Abstract
Black and Latino sexual minority men (BLSMM) scholars are well positioned to draw on their unique perspectives and expertise to address the health status and life opportunities (HSLO) of BLSMM. Increasingly, research related to the positionality of scholars of color suggests that the scholar’s stance in relation to the community being researched has important implications for the research. Despite growing recognition of the importance of scholar positionality, limited attention has been paid to the relationship between scholar-of-color positionality and improving HSLO trajectories of BLSMM. Furthermore, extant literature fails to specify the mechanisms by which scholar-of-color positionality can improve HSLO among BLSMM. This article seeks to fill this gap in research by arguing that an inadequate consideration of scholar positionality in health and life opportunity research has important implications for the HSLO of BLSMM. A multilevel, mediational model addressing factors at the micro-level (i.e., intrapersonal resources)—BLSMM scholars’ personal commitments to BLSMM communities, cultural knowledge and expertise, and shared life experiences; meso-level (i.e., scholar and affected community interactions)—historical membership, mutual interdependency and trust, and community and organizational gatekeeping; and macro-level (i.e., national policies and priorities regarding BLSMM)—national priorities regarding the health and social welfare of BLSMM, allocation of BLSMM research and program funding, societal sentiment, and national investment in the workforce development of BLSMM scholars and clinicians are detailed. In conclusion, we identify recommendations and strategies for advancing scientific, programmatic, and policy efforts, aimed at improving HSLO among communities of BLSMM.

Reconsidering assumptions of adolescent and young adult severe acute respiratory syndrome coronavirus 2 transmission dynamics

Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Hidalgo, A., & Perlman, D. C. (2021). Clinical Infectious Diseases, 73, S146-S163. 10.1093/cid/ciaa1348
Abstract
Abstract
Evidence regarding the important role of adolescents and young adults (AYA) in accelerating and sustaining coronavirus disease 2019 (COVID-19) outbreaks is growing. Furthermore, data suggest that 2 known factors that contribute to high severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmissibility-presymptomatic transmission and asymptomatic case presentations-may be amplified in AYA. However, AYA have not been prioritized as a key population in the public health response to the COVID-19 pandemic. Policy decisions that limit public health attention to AYA and are driven by the assumption of insignificant forward transmission from AYA pose a risk of inadvertent reinvigoration of local transmission dynamics. In this viewpoint, we highlight evidence regarding the increased potential of AYA to transmit SARS-CoV-2 that, to date, has received little attention, discuss adolescent and young adult-specific considerations for future COVID-19 control measures, and provide applied programmatic suggestions.