MS MSN PhD
Professor, Silver School of Social Work
Director, Center for Latino Adolescent and Family Health (CLAFH)
Pilot and Mentoring Core Director, Center for Drug Use and HIV Research (CDUHR)
1 Washington Square North
New York, NY 10003
Dr. Guilamo-Ramos is a Professor of Nursing, Social Work, and Global Public Health. His 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. Dr. Guilamo-Ramos has extended his focus to HIV-prevention and care engagement among vulnerable populations in Latin America and the Spanish-speaking Caribbean. Dr. Guilamo-Ramos has been the principal investigator of numerous NIH, CDC and other federally funded research grants for his work on adolescent HIV risk behavior, and has conducted research primarily in urban, resource-poor settings, including the South Bronx, Harlem, and Lower East Side communities of New York City. He is the current and 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. Furthermore, he is the Director of the Pilot and Mentoring Core at the Center for Drug Use and HIV Research (CDHUR), a NIDA-funded P30 center housed within NYU Rory Meyers College of Nursing. Dr. Guilamo-Ramos is both a nurse practitioner board certified in HIV/AIDS nursing (ACRN) and a licensed clinical social worker. Currently, he maintains an active clinical practice at the Adolescent AIDS Program at Montefiore Medical Center where he provides HIV primary care and biomedical prevention to diverse adolescents.
BS, The College for Human ServicesMSW, New York UniversityMS, New York UniversityPhD, State University of New York at AlbanyMPH, New York UniversityMSN, Duke University
Honors and awards
Sigma Theta Tau International Honor Society of NursingHispanic Health Leadership Award, National Hispanic Medical Foundation (2017)Institute for Community Living (ICL) Leadership Award (2016)Dr. Martin Luther King, Jr. Faculty Award (2016)Presidential Leadership Scholars Program (2016)Fellow of American Academy of Social Work and Social Welfare (2015)CSWE/SAGE Award for Innovative Teaching in Social Work Education, Council on Social Work Education (2015)NIA Faculty Award, NYU (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, CSWE (1997199819992000)
International AIDS SocietySociety of Adolescent Health and MedicineAmerican Public Health AssociationNational Association of Hispanic NursesAssociation of Nurses in AIDS CareAmerican Nurses AssociationAmerican Assembly of Men in NursingInternational Association of Providers of AIDS CareAmerican Academy of Social Work and Social Welfare
Father-son communication about consistent and correct condom useAbstractOBJECTIVES: With this study, we explore communication about consistent and correct condom use among African American and Latino male adolescents ages 15 to 19 and their fathers. METHODS: Twenty-five father-son dyads completed semistructured interviews designed to elicit specific preferences for teaching and learning about consistent and correct condom use and strategies for addressing common condom use errors and problems. For analysis, we used in vivo coding and vertical and horizontal analysis techniques. RESULTS: Fathers and sons agreed that communication about condom use is feasible and acceptable. However, fathers tended to convey vague messages regarding protecting oneself from the negative consequences of sexual activity. Furthermore, both fathers and sons reported barriers hindering conversations. Secondly, the style and frequency of condom use conversations can help overcome barriers and support father-son relationship management. Talking frequently in 1-on-1 settings and using strategies to reduce discomfort made communication easier. Lastly, fathers and sons reported distinct preferences for teaching and learning about condom use. Sons wanted fathers to give specific guidance on the use and management of condoms. Fathers expressed interest in opportunities for improving their own condom knowledge and skills. Fathers identified gaps in their own condom use knowledge as a limitation to effective instruction of their sons. CONCLUSIONS: A father-focused communication intervention about condom use is feasible and acceptable. Enhancing the intergenerational benefits of father-son communication by addressing specific father-son preferences and learning needs for condom use instruction, as well as communication barriers, represents a novel mechanism for reducing male sexual reproductive health disparities.
Addressing a Critical Gap in U.S. National Teen Pregnancy Prevention Programs: The Acceptability and Feasibility of Father-Based Sexual and Reproductive Health Interventions for Latino Adolescent MalesAbstractPurpose: The purpose of the research was to examine the feasibility and acceptability of a father-based sexual and reproductive health intervention designed to reduce sexual and reproductive (SRH) disparities and increase correct and consistent condom use among Latino adolescent males. Methods: The current study conducted in-depth semi-structured interviews with Latino father-son dyads (N=30) designed to elicit perspectives on communication regarding sex and condom use. In addition, the interview protocol included father-son preferences regarding paternal involvement in condom instruction and perceived obstacles and advantages of father direct involvement in education efforts designed to increase correct and consistent condom use among their adolescent sons. Three independent coders conducted both vertical and horizontal analyses of the data to identify emergent themes and reach theoretical saturation. Results: The main findings from this study suggest that Latino fathers can be impactful in shaping Latino adolescent male sexual decision-making and correct and consistent condom use. However, our data highlight that while both feasible and acceptable, Latino fathers identify needing additional support in how best to communicate and seek opportunities to master their own knowledge and skills regarding condom use and effective communication with their adolescent sons about sex. Conclusions: Latino father-based interventions represent an acceptable and feasible option for building upon the recent success of U.S. national efforts to reduce teen pregnancy rates and STI disparities among Latino youth. However, there exists a need for father-based programs that will support Latino fathers in best educating their sons about condom use and better addressing their SRH. Ongoing national efforts to reduce Latino teen SRH disparities warrant the consideration of father-son interventions for Latino adolescent males in the United States.
Collecting Mobility Data with GPS Methods to Understand the HIV Environmental Riskscape Among Young Black Men Who Have Sex with Men: A Multi-city Feasibility Study in the Deep SouthAbstractDuncan, D., Chaix, B., Regan, S. D., Park, S. H., Draper, C., Goedel, W. C., Gipson, J. A., Guilamo, V., Halkitis, P. N., Brewer, R., & Hickson, D. M. A. (2018). AIDS and Behavior, 1-14. 10.1007/s10461-018-2163-9While research increasingly studies how neighborhood contexts influence HIV among gay, bisexual and other men who have sex with men (MSM) populations, to date, no research has used global positioning system (GPS) devices, an innovative method to study spatial mobility through neighborhood contexts, i.e., the environmental riskscape, among a sample of Black MSM. The purpose of this study was to examine the feasibility of collecting two-week GPS data (as measured by a pre- and post-surveys as well as objectively measured adherence to GPS protocol) among a geographically-diverse sample of Black MSM in the Deep South: Gulfport, MS, Jackson, MS, and New Orleans LA (n = 75). GPS feasibility was demonstrated including from survey items, e.g. Black MSM reported high ratings of pre-protocol acceptability, ease of use, and low levels of wear-related concerns. Findings from this study demonstrate that using GPS methods is acceptable and feasible among Black MSM in the Deep South.
Exploring Views about LARCs Among Parenting Rural Latinx Teenagers, Their Mothers, and Providers: Implications for Sexuality Education and CareAbstractWhile 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.
Feasibility and Efficacy of a Student Nurse Delivered, Parent-Based Sexual Health Curriculum in Underserved Communities: A Pilot Randomized Controlled TrialSanta Maria, D., Reagan, E., Markham, C., Guilamo, V., & Cron, S. (2018). Pediatric Nursing.
Misalignment of sexual and reproductive health priorities among older Latino adolescents and their mothersAbstractObjective: The study describes maternal and adolescent perspectives on sexual decision making and the role of mothers in shaping use of contraception for the prevention of unplanned pregnancies and sexually transmitted infections (STIs) among older Latino adolescents. Study design: Researchers used a semistructured interview guide to conduct focus group discussions with 21 mother–adolescent Latino dyads (n=42). Latino adolescents ages 17–19 were eligible for the study. We recruited families from the South Bronx, New York City, using area sampling methodology. For analysis of qualitative data, we used the framework method involving open coding, identification of dominant themes, refining of codebooks and indexing. Results: Overwhelmingly, results suggest asymmetric priorities and preferences regarding maternal involvement in older adolescent sexual and contraceptive decision making. Mothers primarily employed practices designed to prevent adolescent sexual activity. Most teens reported already having experienced sexual debut and were currently sexually active. Adolescents expressed a strong interest in practical support for sexual decision making, including maternal guidance regarding effective access to and use of contraception. Mothers offered limited guidance or support with such matters. Maternal views focused entirely on the health and social consequences of sex in lieu of specific guidance on contraception for older sexually active adolescents. The findings highlight a missed opportunity for Latino mothers to support their older adolescent children to prevent unplanned pregnancies, STIs and HIV. Conclusion: Mothers have the potential to positively shape adolescent contraceptive decision making and behavior. Misalignment of priorities between mothers and adolescents diminishes the potential of reducing adolescent sexual and reproductive health (SRH) disparities. Implications: Mothers are influential in reducing adolescent SRH risk. However, asymmetric priorities among Latino adolescents and their mothers regarding support for SRH reduce likelihood of reducing adolescent negative SRH outcomes and supporting adolescent health. Programs supporting better alignment of maternal guidance and adolescent SRH needs are warranted.
Sex Tourism and Pre-Exposure Prophylaxis Modality Preferences Among Men Who Have Sex With MenAbstractSex tourism among men who have sex with men (MSM) has been associated with increased risk for human immunodeficiency virus (HIV) due to sexually scripted environments characterized by multiple sexual partners, increased availability of alcohol and drugs, and limited availability of HIV-prevention services. The current study examined the knowledge of and likelihood of using different modalities of pre-exposure prophylaxis (PrEP), an important biomedical HIV-prevention strategy, among MSM in Paris who have engaged in sex tourism. A sample of 580 MSM from a highly popular geosocial-networking smartphone application in Paris, France, participated in the survey. Of the 580 MSM, 444 participants reported an HIV-negative status and represent the analytic sample for this study. Approximately 27% reported engaging in sexual tourism. MSM who engaged in sex tourism were more likely to aware of on-demand PrEP and more likely to express interest in using on-demand PrEP (adjusted risk ratio [aRR] = 1.26; 95% confidence interval [CI] = 1.03–1.53, aRR = 1.29; 95% CI = 1.04–1.61, respectively) than MSM who never engaged in sex tourism. Moreover, participants who engaged in sex tourism were more likely to express interest in rectal microbicides or both rectal and penile microbicides (aRR = 1.34; 95% CI = 1.13–1.59, aRR = 1.26; 95% CI = 1.03–1.55, respectively) than participants who had not engaged in sex tourism. With the high likelihood of interest in using alternative forms of PrEP in MSM who engage in sex tourism, this study suggests potential benefits for these alternative forms of PrEP for this specific population and underscores the importance of their continued development.
Alcohol Use and HIV Risk Within Social Networks of MSM Sex Workers in the Dominican RepublicAbstractTo examine how alcohol-related HIV risk behaviors within MSM sex workers’ social networks (SN) may be associated with individual risk behaviors, respondent-driven and venue-based sampling were used to collect demographic, behavioral and SN characteristics among MSM sex workers in Santo Domingo and Boca Chica (N = 220). The majority of participants reported problem drinking (71.0%) or alcohol use at their last sexual encounter (71.4%). Self-reported problem drinking was associated with SN characteristics (at least one member who recently got drunk aOR = 7.5, no religious/spiritual adviser aOR = 3.0, non-sexual network density aOR = 0.9), while self-reported alcohol use at last sex was associated with individual (drug use at last sex aOR = 4.4) and SN characteristics (at least one member with previous HIV/STI testing aOR = 4.7). Dominican MSM sex workers reported high alcohol use, which may increase their risk for HIV. A better understanding of SN factors associated with individual risk behaviors can help guide appropriate intervention development.
The Assets and Challenges of Formerly Incarcerated Latino Men’s Social Support Networks in Promoting Healthy BehaviorsAbstractAfter being exposed to high-risk environments in correctional facilities, formerly incarcerated Latino men (FILM) encounter new risks upon reentering their community of residence including drug use and sexual risk behaviors. Families and close social support networks are critical in potentially mitigating the stressors and risks associated with reentry and reducing the likelihood of recidivism. We conducted a study to examine the material and cognitive assets that familial networks can use to provide support to FILM to engage in health-promoting practices. This analysis is based on linear and logistic regression modeling of cross-sectional data collected through a computer-administered survey with dyads of FILM (ages 18–49, who had been in jail or prison within the past 5 years) and their nominated social network (n = 130 dyads). We found that both male and female social supports (MSS and FSS) have significantly higher levels of structural resources (education and employment) than FILM. Though FSS reported higher self-efficacy on health-promoting practices than FILM, contrary to what we predicted, FILM and FSS/MSS reported similar levels of mental health and behavioral risks. Our results suggest a number of limitations in designing family-based intervention strategies, but they also provided insight into the specificities needed to enhance the social support networks of FILM.
Influences of Economic, Social and Cultural Marginalization on the Association Between Alcohol Use and Sexual Risk Among Formerly Incarcerated Latino MenAbstractFormerly incarcerated Latino men (FILM) have been significantly impacted by the HIV/AIDS and alcohol abuse epidemics in the United States. In this analysis, we examine the role of social, economic and cultural marginalization in the likelihood of alcohol-related sexual risk taking behavior among FILM. We recruited a non-random sample of FILM, ages 18–49 (n = 259). We performed logistic regression modeling to test four hypotheses examining the direct and moderating effects of socio-cultural factors. Drinking before sex was strongly associated with high likelihood of condomless intercourse (adjusted odds ratio, AOR = 2.93; 95% CI 1.74, 4.94). Low acculturation and social marginalization factors were significant moderators of the association between high-risk alcohol use and sexual risk behavior among FILM. Our data suggest that risk reduction initiatives geared towards reducing alcohol-related sexual risk taking among FILM should target FILM with low levels of acculturation, and those with high levels loneliness, anxiety, and/or depression.