Eribeth Penaranda

Texas Tech University Health Sciences Center, El Paso, Texas, United States

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Publications (8)2.2 Total impact

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    ABSTRACT: Background: Colorectal cancer is the second leading cause of cancer death in the USA; screening is widely recommended. CRC screening rates remain suboptimal among Hispanics and low socioeconomic groups on the US-Mexico Border. Methods: With community partners, we developed an evidence-based CRC prevention/early detection program for uninsured Texas residents aged 50-75, asymptomatic, without health insurance, due for CRC screening. Excluded: past CRC, recent rectal bleeding/blood in stool. Outreach is done by promotoras at community sites together with community partners. Education: bilingual theory-based 15 minute video starring community residents. Average risk individuals qualify for screening with the FIT. Higher risk or a positive FIT qualifies for no-cost colonoscopy. Navigation is offered to all colonoscopy participants, anyone with a positive FIT, and to people with history of CRC or recent rectal bleeding. Everyone is eligible to receive education. Results: In 22 months we’ve approached 13,383 people and enrolled 6,465. The test completion rate is 75.6% for FIT. The FIT positive rate is 5.5% and 73.9% of those (n=340) have had colonoscopy. Colonoscopy findings include pre-cancerous polyps which were removed from 98 participants. Seven were diagnosed with cancer and navigated into treatment. Preliminary analysis of pre-tests and 6 month post-tests demonstrate a significant increase in knowledge, self-efficacy and perceived benefits in participants compared to the control group (non-educated) in Brownsville, TX. Promotoras have recruited from 137 community sites. A community advisory board meets quarterly to review progress. Conclusion: Networking with community partners has led to a screening rate (75%) higher than anticipated.
    142nd APHA Annual Meeting and Exposition 2014; 11/2014
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    ABSTRACT: Objectives. We systematically identified and evaluated the quality and comprehensiveness of online information related to weight loss that users were likely to access. Methods. We evaluated the content quality, accessibility of the information, and author credentials for Web sites in 2012 that were identified from weight loss specific queries that we generated. We scored the content with respect to available evidence-based guidelines for weight loss. Results. One hundred three Web sites met our eligibility criteria (21 commercial, 52 news/media, 7 blogs, 14 medical, government, or university, and 9 unclassified sites). The mean content quality score was 3.75 (range = 0-16; SD = 2.48). Approximately 5% (4.85%) of the sites scored greater than 8 (of 12) on nutrition, physical activity, and behavior. Content quality score varied significantly by type of Web site; the medical, government, or university sites (mean = 4.82, SD = 2.27) and blogs (mean = 6.33, SD = 1.99) had the highest scores. Commercial (mean = 2.37, SD = 2.60) or news/media sites (mean = 3.52, SD = 2.31) had the lowest scores (analysis of variance P < .005). Conclusions. The weight loss information that people were likely to access online was often of substandard quality because most comprehensive and quality Web sites ranked too low in search results. (Am J Public Health. Published online ahead of print August 14, 2014: e1-e8. 10.2105/AJPH.2014.302070).
    American journal of public health. 08/2014;
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    ABSTRACT: Hispanic women living along the US border with Mexico have one of the highest cervical cancer mortality rates in the nation, owing in part to lower rates of screening. The barriers to screening in this population include lack of access to care and fear of and embarrassment about the pelvic examination. Screening for oncogenic or high-risk human papillomavirus during cervical cytology has been added to screening recommendations. A novel method for human papillomavirus testing is self-sampling, in which women collect their own cervicovaginal samples. There is lack of information about the acceptability of self-sampling as an alternative to cytology for cervical cancer screening in women living along the US-Mexico border.
    Southern medical journal. 07/2014; 107(7):426-432.
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    Eribeth K Penaranda, Navkiran Shokar, Melchor Ortiz
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    ABSTRACT: The metabolic changes present in the metabolic syndrome (MetS) have been associated with increased risk of pancreatic and colon cancers; however, there is little information about the association between MetS and cervical cancer risk. We performed a case-control study using data from the National Health and Nutrition Examination Survey (NHANES) between 1999-2010. We identified women 21 years of age and older, of which an estimated 585,924 (2.3% of the sample) self-reported a history of cervical cancer (cases). About half (48.6%) of cases and 33.2% of controls met criteria for MetS. Logistic regression analysis showed increased odds of history of cervical cancer among women with MetS (OR = 1.9; 95% CI 1.06, 3.42; P value ≤ 0.05) for the risk of history of cervical cancer among women with MetS while adjusting for other known risk factors (high number of lifetime sexual partners, multiparty, history of hormonal contraceptive use, and history of smoking) (AOR = 1.82; 95% CI 1.02, 3.26; P value ≤ 0.05). In this US surveyed population we found increased odds of history of cervical cancer among subjects with MetS.
    ISRN oncology. 01/2013; 2013:840964.
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    ABSTRACT: Health literacy (HL) is a measure of the communication skills that are needed by an individual to effectively navigate the healthcare system. Hispanic adults have lower average levels of HL than any other racial/ethnic group; however, the prevalence of adequate HL among Hispanics along the US-Mexico border is unknown. We performed a cross-sectional survey of 200 adult primary care patients who attended four low-income community clinics along the US-Mexico border. Patients were included in the study if they were self-described Hispanics whose first language was Spanish or bilingual patients who reported that they were primarily Spanish speakers. Adequate HL was defined as having a score of ≥38 on the Short Assessment of Health Literacy for Spanish Adults-50. Three patients (1.5%) had inadequate HL. Because of the high proportion of patients having adequate HL, we found no statistical differences between patients with adequate HL versus inadequate HL by age, sex, educational attainment, health coverage, or self-reported health status; however, all three patients with inadequate HL were found to be 60 years old or older and had less than a high school education. The results of HL assessment varied according to the tool and setting used in measuring Spanish-speaking Hispanics. In certain clinical scenarios, current tools may underestimate the actual prevalence of adequate HL. Further development and assessment of HL tools appropriate for Spanish-speaking Hispanics is needed as a first step in developing interventions to limit disparities in health care among all Americans.
    Southern medical journal 07/2012; 105(7):334-8. · 0.92 Impact Factor
  • Ana Maria Arroyave, Eribeth K Penaranda, Carmen L Lewis
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    ABSTRACT: Screening tests for colon, cervical and breast cancer remain underutilized despite their proven effectiveness in reducing morbidity and mortality. Stone et al. concluded that cancer screening is most likely to improve when a health organization supports performance through organizational changes (OC) in staffing and clinical procedures. OC interventions include the use of separate clinics devoted to prevention, use of a planned care visit, designation of non-physician staff for specific prevention activities and continuous quality improvement interventions. To identify specific elements of OC interventions that increases the selected cancer screening rates. To determine to which extent practices bought into the interventions. Eleven randomized controlled trials from January 1990 to June 2010 that instituted OC to increase cancer screening completion were included. Qualitative data was analyzed by using a framework to facilitate abstraction of information. For quantitative data, an outcome of measure was determined by the change in the proportion of eligible individuals receiving cancer screening services between intervention and control practices. The health prevention clinic intervention demonstrated a large increase (47%) in the proportion of completed fecal occult blood test; having a non-physician staff demonstrated an increase in mammography (18.4%); and clinical breast examination (13.7%); the planned care visit for prevention intervention increased mammography (8.8%); continuous quality improvement interventions showed mixed results, from an increase in performance of mammography 19%, clinical breast examination (13%); Pap smear (15%) and fecal occult blood test (13%), to none or negative change in the proportion of cancer screening rates. To increase cancer screening completion goals, OC interventions should be implemented tailored to the primary care practice style. Interventions that circumvent the physicians were more effective. We could not conclude whether or not continuous quality techniques were effective. Further research is needed to evaluate cost-effectiveness of these interventions.
    Journal of Community Health 04/2011; 36(2):281-8. · 1.28 Impact Factor
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  • Marco Diaz, Eribeth K Peñaranda
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    ABSTRACT: BACKGROUND Diabetic neuropathy affects approximately 20-30 million individu-als and is the most common neuropathy in the industrialized world. However, disease variants may delay prompt diagnosis and lead to significant morbidity. Of these variants, perhaps none is more debilitating than Diabetic Lumbosacral Radiculoplexus Neuropathy (DLRPN). This is a rare condition with a prevalence of 0.08%. This diagnosis is further compli-cated by its varied nomenclature and yet unclear pathophysiol-ogy. More familiar names for DLRPN include the Bruns-Garland Syndrome, Proximal Diabetic Neuropathy and Diabetic Amyotro-phy. Whether the condition is the result of an immune or is-chemic process is still unclear. CASE PRESENTATION A 48 year old Caucasian female with type II diabetes for 24 years, controlled with oral hypoglycemics, presented with abrupt onset right sided 10/10 burning, medial thigh pain and weakness for one week. She was normotensive and afebrile but with mild distress secondary to pain. Neurologically there were no focal deficits; however, on motor function she had decreased 4/5 strength of her right lower extremity with knee extension and hip flexion as well as marked contact allodynia. Her patellar and Achil-les reflexes were 2+ equal and symmetric. There were no integu-mentary changes. Her hemoglobin A1C was 7.5%. She was ini-tially diagnosed with superficial thrombophlebitis and treated conservatively with Non Steroidal Antiinflamatory drugs (NSAIDs). Approximately one month later the patient came to the emergency department after experiencing a fall secondary to worsening right lower extremity weakness and excruciating pain. Her physical exam revealed marked 2/5 weakness of right lower extremity with absent patellar and ankle reflex. The admission laboratories including CBC, CMP, ESR and ANA were all normal. An MRI of her lumbo-sacral spine revealed no radiographic pa-thology. Electro-diagnostic studies were attempted but post-poned due to intolerance secondary to pain. She was discharged home with an oral narcotic and trycyclic antidepressants (TCA). Three months after the initial visit, the patient was referred to orthopedics which resulted in a diagnosis of Reflex Sympathetic Dystrophy. She successfully underwent a spinal nerve block under the care of a pain specialist. Her pain control was tempo-rarily achieved. Two days later she reported losing all motor func-tion of her right lower extremity and now was experiencing paresthesias and weakness on the previously unaffected left lower extremity. She began to utilize a cane for ambulation. Four months after the onset of the symptoms, a referral to a neurolo-gist resulted in a presumptive diagnosis of Bruns-Garland Syn-drome or DLRPN. Her electro-diagnostic studies revealed axonal degeneration neuropathy with prolonged latencies and decreased recruitment with no conduction is some nerves. Shortly after, this patient again experienced a fall secondary to severe pain and now has bilateral lower extremity weakness.