Nesly Metayer - Academia.edu (original) (raw)

Papers by Nesly Metayer

Research paper thumbnail of Results from “Live Well”, a randomized controlled community-based participatory intervention to prevent obesity in new immigrant mother–child dyads

BMC Public Health, Oct 1, 2023

Background Upon arrival, the prevalence of overweight and obesity is lower in new immigrants than... more Background Upon arrival, the prevalence of overweight and obesity is lower in new immigrants than their native counterparts in the U.S. With longer residency in the U.S., these differences converge over time, followed by higher prevalence among immigrants than native U.S. residents. Results from the Live Well project in the Greater Boston area demonstrate the viability of utilizing a culturally adapted, community-based participatory research (CBPR) approach to reduce weight gain among newly immigrated mother-child dyads. Methods Haitian, Latina, and Brazilian mother-child dyads (n = 390), new to the U.S. (fewer than 10 years) were enrolled in a one-to two-year long CBPR lifestyle intervention that targeted dietary and physical activity behaviors. Attendance was recorded to establish dose. Demographics, anthropometrics, and relevant covariates were collected from participants at baseline, 6, 12, 18, and 24 months. Body Mass Index (BMI) was calculated using objectively measured height and weight. Linear mixed regression models were used to assess change in BMI and BMI z-score of mothers and children respectively. Results At baseline, nearly 75% of mothers and 50% of children were either overweight or obese (BMI ≥ 25.0 and BMI z-score ≥ 85 th percentile, respectively). Only 20% of mothers attended all 12 intervention sessions in year 1. Using intent-to-treat analyses, no significant time, intervention, or time × intervention effects were observed for weight change of mothers or children at follow-up. Mothers in the highest quantile (those who attended all 12 intervention sessions) had significant reductions in BMI at 18 months (1.76 units lower, 95%CI:-3.14,-0.37) and 24 months (2.61 units, 95%CI-3.92,-1.29) compared to mothers in the lower quantiles, including those with no exposure. Such dose effects on BMI z-scores were not noted for children. Conclusions Findings from Live Well demonstrate the viability of utilizing a CBPR approach to address overweight and obesity among immigrant mothers. Given the higher-than-expected prevalence of overweight and obesity among mother-child dyads by ~ 6 years of U.S. residency, and lower maternal participation rates in the intervention, additional research is necessary to identify the optimal intervention length, retention strategies, and approach to jointly support healthy maternal and child weight.

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian community

Ethnicity & Disease, 2004

The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcomi... more The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcoming a history of distrust that has led to limited cooperation from the Haitian community. Among the key elements being implemented are the development of a community vision through a community mobilization process; the development of an innovative working group process, in which coalition members worked together to develop and implement culturally and linguistically appropriate HIV prevention curricula; participatory leadership and joint accountability processes, manifested in decision-making approaches, such as the fund allocation system, and in the provision of technical assistance workshops on team building, designed to engender cohesion, skills, and resources sharing among coalition members. The success of this venture is measured through the growing expectation that this coalition could serve as a community planning body for all HIV-related services aimed at reducing HIV infection in...

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian community

The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcomi... more The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcoming a history of distrust that has led to limited cooperation from the Haitian community. Among the key elements being implemented are the development of a community vision through a community mobilization process; the development of an innovative working group process, in which coalition members worked together to develop and implement culturally and linguistically appropriate HIV prevention curricula; participatory leadership and joint accountability processes, manifested in decision-making approaches, such as the fund allocation system, and in the provision of technical assistance workshops on team building, designed to engender cohesion, skills, and resources sharing among coalition members. The success of this venture is measured through the growing expectation that this coalition could serve as a community planning body for all HIV-related services aimed at reducing HIV infection in...

Research paper thumbnail of Recruitment of New Immigrants Into a Randomized Controlled Prevention Trial: The Live Well Experience

The Journal of Primary Prevention

Research paper thumbnail of Improving heart health among Black/African American women using civic engagement: a pilot study

BMC public health, Jan 24, 2017

Despite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of he... more Despite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of health interventions indicate that Black/African American women are less likely to benefit than their white counterparts and are not as likely to engage in behaviors that reduce CVD risk. The purpose of this study was to test the feasibility and effectiveness of civic engagement as an intervention strategy to address heart health in Black/African American women. Using a quasi-experimental pre-post study design, civic engagement was tested by convening a convenience sample of self-identified Black/African American women, ages 30-70 years, English-speaking, and BMI ≥25.0 (n = 28) into "Change Clubs" in four churches. Feasibility was examined through adherence, satisfaction, retention, and ability of Change Clubs to meet at least 50% of self-identified action steps for community change. Effectiveness data included: dietary intake, measures of physical activity, cardiorespiratory fit...

Research paper thumbnail of School staff, parent and student perceptions of a Breakfast in the Classroom model during initial implementation

Public Health Nutrition, 2016

ObjectiveTo understand perspectives of stakeholders during initial district-wide implementation o... more ObjectiveTo understand perspectives of stakeholders during initial district-wide implementation of a Breakfast in the Classroom (BIC) model of the School Breakfast Program.DesignQualitative data were collected from twenty-nine focus groups and twenty interviews with stakeholders in a school district early in the process of implementing a BIC model of the School Breakfast Program.SettingTen elementary schools within a large, urban school district in the USA that served predominantly low-income, racial/ethnic minority students.SubjectsPurposively selected stakeholders in elementary schools that had implemented BIC for 3–6 months: students (n85), parents/guardians (n86), classroom teachers (n44), cafeteria managers (n10) and principals (n10).ResultsFour primary themes emerged, which were interpreted based on the Diffusion of Innovations model. School staff had changed their perceptions of both the relative disadvantages and costs related to time and effort of BIC over time; the majorit...

Research paper thumbnail of Engaging Stakeholders From Volunteer-Led Out-of-School Time Programs in the Dissemination of Guiding Principles for Healthy Snacking and Physical Activity

Preventing Chronic Disease, 2015

Little effort has focused on the role of volunteer-led out-of-school time (OST) programs (ie, enr... more Little effort has focused on the role of volunteer-led out-of-school time (OST) programs (ie, enrichment and sports programs) as key environments for the promotion of healthy eating and physical activity habits among school-aged children. The Healthy Kids Out of School (HKOS) initiative developed evidence-based, practical guiding principles for healthy snacks, beverages, and physical activity. The goal of this case study was to describe the methods used to engage regional partners to understand how successful implementation and dissemination of these principles could be accomplished.

Research paper thumbnail of Evaluation of a breakfast in the classroom program on nutritional, health, behavioral, and academic outcomes

Research paper thumbnail of Food group consumption and its association with BMI z-score, ethnicity and socioeconomic characteristics in recent immigrants

Research paper thumbnail of ‘It’s just so much waste.’ A qualitative investigation of food waste in a universal free School Breakfast Program

Public Health Nutrition, 2014

ObjectiveTo understand stakeholders’ perspectives on food waste in a universal free School Breakf... more ObjectiveTo understand stakeholders’ perspectives on food waste in a universal free School Breakfast Program implementing a Breakfast in the Classroom model.DesignSemi-structured focus groups and interviews were conducted with school district stakeholders. Inductive methods were used to code resulting transcripts, from which themes were identified. The analysis provides a thematic analysis of stakeholders’ perspectives on food waste in the School Breakfast Program.SettingTen elementary schools in a large urban school district implementing a universal free Breakfast in the Classroom model of the US national School Breakfast Program.SubjectsElementary-school students (n85), parents (n86), teachers (n44), cafeteria managers (n10) and school principals (n10).ResultsStakeholders perceived food waste as a problem and expressed concern regarding the amount of food wasted. Explanations reported for food waste included food-related (palatability and accessibility), child-related (taste prefe...

Research paper thumbnail of Development of the Live Well Curriculum for Recent Immigrants: A Community-Based Participatory Approach

Progress in Community Health Partnerships: Research, Education, and Action, 2012

Research paper thumbnail of Baseline Socio-demographic Characteristics and Self-Reported Diet and Physical Activity Shifts Among Recent Immigrants Participating in the Randomized Controlled Lifestyle Intervention: “Live Well”

Journal of Immigrant and Minority Health, 2014

The goal of this paper is to describe the baseline characteristics of Live Well (intervention to ... more The goal of this paper is to describe the baseline characteristics of Live Well (intervention to prevent weight gain in recent immigrant mother-child dyads from Brazil, Haiti, and Latin America) participants, and to explore selfreported changes in diet and physical activity post-immigration. Baseline data from 383 mothers were used for this study. Dyads attended a measurement day where they completed self-administered surveys collecting information about socio-demographics, diet, physical activity, other psychosocial variables, and height and weight. Haitian mothers' socio-demographic profile differed significantly from that of Brazilians' and Latinas': they have been in the US for a shorter period of time, have higher rates of unemployment, are less likely to be married, more likely to have C3 children, more likely to be obese, and have immigrated for family or other reasons. In multivariate models, self-reported changes in diet and physical activity since migrating to the US were significantly associated with BMI with non-linear relationships identified. Future research is needed to understand how diet and physical activity change while acculturating to the US and explore the adoption of both healthy and unhealthy dietary changes.

Research paper thumbnail of Immigrating to the US: What Brazilian, Latin American and Haitian Women Have to Say About Changes to Their Lifestyle That May be Associated with Obesity

Journal of Immigrant and Minority Health, 2013

Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Ha... more Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Haitian women. This is part of an ongoing community-based participatory intervention. Focus groups by immigrant group were conducted and themes extracted. Women expressed differences in beliefs, attitudes, and barriers regarding diet and physical activity in the US versus their home country. Participants thought food in the US is ''less natural,'' there is less time for preparation, and there is more variety. The weather is a barrier to physical activity in the US and work is more physically demanding. Jobrelated efforts were not considered physical activity. They reported higher levels of stress, less control of their time and less social support in the US. Providing immigrants with appropriate support and education early in the acculturation process has the potential to help prevent obesity.

Research paper thumbnail of Community Development and Community Health

Annual Meeting

Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, ... more Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, MS, MPH, PhD 3, Marquest Laforest, MSW 2, and Frantz Louiza 2.(1) Center for Community Health Education and Research, 420 Wahington Street, Dorchester ...

Research paper thumbnail of Development of the Live Well Curriculum

The commitment to partnership resulted in a curriculum to empower immigrant women to improve heal... more The commitment to partnership resulted in a curriculum to empower immigrant women to improve health decisions and behaviors. This will inform future research and programming targeting other at-risk and new immigrant communities.

Research paper thumbnail of Leadership in immigrant communities

Cultural dimension of leadership applied to ethnic based organizations in America

Research paper thumbnail of THE IMPACT OF AGING ON THE QUALITY OF LIFE OF PEOPLE LIVING WITH HIV IN THE BOSTON EMA

Research paper thumbnail of Developing a comprehensive prevention education for Haitians: The Metro Boston REACH 2010 experience in Greater Boston

Annual Meeting

The Metro Boston REACH 2010 Coalition was developed to respond to the challenges of HIV infection... more The Metro Boston REACH 2010 Coalition was developed to respond to the challenges of HIV infection in the Haitian Community. Funded by the Centers for Disease Control's REACH 2010 program, the coalition has developed a comprehensive program with the ...

Research paper thumbnail of Community Development and Community Health

Annual Meeting

Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, ... more Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, MS, MPH, PhD 3, Marquest Laforest, MSW 2, and Frantz Louiza 2.(1) Center for Community Health Education and Research, 420 Wahington Street, Dorchester ...

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian …

Ethnicity and Disease, Jan 1, 2004

Research paper thumbnail of Results from “Live Well”, a randomized controlled community-based participatory intervention to prevent obesity in new immigrant mother–child dyads

BMC Public Health, Oct 1, 2023

Background Upon arrival, the prevalence of overweight and obesity is lower in new immigrants than... more Background Upon arrival, the prevalence of overweight and obesity is lower in new immigrants than their native counterparts in the U.S. With longer residency in the U.S., these differences converge over time, followed by higher prevalence among immigrants than native U.S. residents. Results from the Live Well project in the Greater Boston area demonstrate the viability of utilizing a culturally adapted, community-based participatory research (CBPR) approach to reduce weight gain among newly immigrated mother-child dyads. Methods Haitian, Latina, and Brazilian mother-child dyads (n = 390), new to the U.S. (fewer than 10 years) were enrolled in a one-to two-year long CBPR lifestyle intervention that targeted dietary and physical activity behaviors. Attendance was recorded to establish dose. Demographics, anthropometrics, and relevant covariates were collected from participants at baseline, 6, 12, 18, and 24 months. Body Mass Index (BMI) was calculated using objectively measured height and weight. Linear mixed regression models were used to assess change in BMI and BMI z-score of mothers and children respectively. Results At baseline, nearly 75% of mothers and 50% of children were either overweight or obese (BMI ≥ 25.0 and BMI z-score ≥ 85 th percentile, respectively). Only 20% of mothers attended all 12 intervention sessions in year 1. Using intent-to-treat analyses, no significant time, intervention, or time × intervention effects were observed for weight change of mothers or children at follow-up. Mothers in the highest quantile (those who attended all 12 intervention sessions) had significant reductions in BMI at 18 months (1.76 units lower, 95%CI:-3.14,-0.37) and 24 months (2.61 units, 95%CI-3.92,-1.29) compared to mothers in the lower quantiles, including those with no exposure. Such dose effects on BMI z-scores were not noted for children. Conclusions Findings from Live Well demonstrate the viability of utilizing a CBPR approach to address overweight and obesity among immigrant mothers. Given the higher-than-expected prevalence of overweight and obesity among mother-child dyads by ~ 6 years of U.S. residency, and lower maternal participation rates in the intervention, additional research is necessary to identify the optimal intervention length, retention strategies, and approach to jointly support healthy maternal and child weight.

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian community

Ethnicity & Disease, 2004

The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcomi... more The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcoming a history of distrust that has led to limited cooperation from the Haitian community. Among the key elements being implemented are the development of a community vision through a community mobilization process; the development of an innovative working group process, in which coalition members worked together to develop and implement culturally and linguistically appropriate HIV prevention curricula; participatory leadership and joint accountability processes, manifested in decision-making approaches, such as the fund allocation system, and in the provision of technical assistance workshops on team building, designed to engender cohesion, skills, and resources sharing among coalition members. The success of this venture is measured through the growing expectation that this coalition could serve as a community planning body for all HIV-related services aimed at reducing HIV infection in...

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian community

The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcomi... more The Metro Boston REACH 2010 HIV Coalition needs to develop innovative processes aimed at overcoming a history of distrust that has led to limited cooperation from the Haitian community. Among the key elements being implemented are the development of a community vision through a community mobilization process; the development of an innovative working group process, in which coalition members worked together to develop and implement culturally and linguistically appropriate HIV prevention curricula; participatory leadership and joint accountability processes, manifested in decision-making approaches, such as the fund allocation system, and in the provision of technical assistance workshops on team building, designed to engender cohesion, skills, and resources sharing among coalition members. The success of this venture is measured through the growing expectation that this coalition could serve as a community planning body for all HIV-related services aimed at reducing HIV infection in...

Research paper thumbnail of Recruitment of New Immigrants Into a Randomized Controlled Prevention Trial: The Live Well Experience

The Journal of Primary Prevention

Research paper thumbnail of Improving heart health among Black/African American women using civic engagement: a pilot study

BMC public health, Jan 24, 2017

Despite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of he... more Despite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of health interventions indicate that Black/African American women are less likely to benefit than their white counterparts and are not as likely to engage in behaviors that reduce CVD risk. The purpose of this study was to test the feasibility and effectiveness of civic engagement as an intervention strategy to address heart health in Black/African American women. Using a quasi-experimental pre-post study design, civic engagement was tested by convening a convenience sample of self-identified Black/African American women, ages 30-70 years, English-speaking, and BMI ≥25.0 (n = 28) into "Change Clubs" in four churches. Feasibility was examined through adherence, satisfaction, retention, and ability of Change Clubs to meet at least 50% of self-identified action steps for community change. Effectiveness data included: dietary intake, measures of physical activity, cardiorespiratory fit...

Research paper thumbnail of School staff, parent and student perceptions of a Breakfast in the Classroom model during initial implementation

Public Health Nutrition, 2016

ObjectiveTo understand perspectives of stakeholders during initial district-wide implementation o... more ObjectiveTo understand perspectives of stakeholders during initial district-wide implementation of a Breakfast in the Classroom (BIC) model of the School Breakfast Program.DesignQualitative data were collected from twenty-nine focus groups and twenty interviews with stakeholders in a school district early in the process of implementing a BIC model of the School Breakfast Program.SettingTen elementary schools within a large, urban school district in the USA that served predominantly low-income, racial/ethnic minority students.SubjectsPurposively selected stakeholders in elementary schools that had implemented BIC for 3–6 months: students (n85), parents/guardians (n86), classroom teachers (n44), cafeteria managers (n10) and principals (n10).ResultsFour primary themes emerged, which were interpreted based on the Diffusion of Innovations model. School staff had changed their perceptions of both the relative disadvantages and costs related to time and effort of BIC over time; the majorit...

Research paper thumbnail of Engaging Stakeholders From Volunteer-Led Out-of-School Time Programs in the Dissemination of Guiding Principles for Healthy Snacking and Physical Activity

Preventing Chronic Disease, 2015

Little effort has focused on the role of volunteer-led out-of-school time (OST) programs (ie, enr... more Little effort has focused on the role of volunteer-led out-of-school time (OST) programs (ie, enrichment and sports programs) as key environments for the promotion of healthy eating and physical activity habits among school-aged children. The Healthy Kids Out of School (HKOS) initiative developed evidence-based, practical guiding principles for healthy snacks, beverages, and physical activity. The goal of this case study was to describe the methods used to engage regional partners to understand how successful implementation and dissemination of these principles could be accomplished.

Research paper thumbnail of Evaluation of a breakfast in the classroom program on nutritional, health, behavioral, and academic outcomes

Research paper thumbnail of Food group consumption and its association with BMI z-score, ethnicity and socioeconomic characteristics in recent immigrants

Research paper thumbnail of ‘It’s just so much waste.’ A qualitative investigation of food waste in a universal free School Breakfast Program

Public Health Nutrition, 2014

ObjectiveTo understand stakeholders’ perspectives on food waste in a universal free School Breakf... more ObjectiveTo understand stakeholders’ perspectives on food waste in a universal free School Breakfast Program implementing a Breakfast in the Classroom model.DesignSemi-structured focus groups and interviews were conducted with school district stakeholders. Inductive methods were used to code resulting transcripts, from which themes were identified. The analysis provides a thematic analysis of stakeholders’ perspectives on food waste in the School Breakfast Program.SettingTen elementary schools in a large urban school district implementing a universal free Breakfast in the Classroom model of the US national School Breakfast Program.SubjectsElementary-school students (n85), parents (n86), teachers (n44), cafeteria managers (n10) and school principals (n10).ResultsStakeholders perceived food waste as a problem and expressed concern regarding the amount of food wasted. Explanations reported for food waste included food-related (palatability and accessibility), child-related (taste prefe...

Research paper thumbnail of Development of the Live Well Curriculum for Recent Immigrants: A Community-Based Participatory Approach

Progress in Community Health Partnerships: Research, Education, and Action, 2012

Research paper thumbnail of Baseline Socio-demographic Characteristics and Self-Reported Diet and Physical Activity Shifts Among Recent Immigrants Participating in the Randomized Controlled Lifestyle Intervention: “Live Well”

Journal of Immigrant and Minority Health, 2014

The goal of this paper is to describe the baseline characteristics of Live Well (intervention to ... more The goal of this paper is to describe the baseline characteristics of Live Well (intervention to prevent weight gain in recent immigrant mother-child dyads from Brazil, Haiti, and Latin America) participants, and to explore selfreported changes in diet and physical activity post-immigration. Baseline data from 383 mothers were used for this study. Dyads attended a measurement day where they completed self-administered surveys collecting information about socio-demographics, diet, physical activity, other psychosocial variables, and height and weight. Haitian mothers' socio-demographic profile differed significantly from that of Brazilians' and Latinas': they have been in the US for a shorter period of time, have higher rates of unemployment, are less likely to be married, more likely to have C3 children, more likely to be obese, and have immigrated for family or other reasons. In multivariate models, self-reported changes in diet and physical activity since migrating to the US were significantly associated with BMI with non-linear relationships identified. Future research is needed to understand how diet and physical activity change while acculturating to the US and explore the adoption of both healthy and unhealthy dietary changes.

Research paper thumbnail of Immigrating to the US: What Brazilian, Latin American and Haitian Women Have to Say About Changes to Their Lifestyle That May be Associated with Obesity

Journal of Immigrant and Minority Health, 2013

Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Ha... more Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Haitian women. This is part of an ongoing community-based participatory intervention. Focus groups by immigrant group were conducted and themes extracted. Women expressed differences in beliefs, attitudes, and barriers regarding diet and physical activity in the US versus their home country. Participants thought food in the US is ''less natural,'' there is less time for preparation, and there is more variety. The weather is a barrier to physical activity in the US and work is more physically demanding. Jobrelated efforts were not considered physical activity. They reported higher levels of stress, less control of their time and less social support in the US. Providing immigrants with appropriate support and education early in the acculturation process has the potential to help prevent obesity.

Research paper thumbnail of Community Development and Community Health

Annual Meeting

Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, ... more Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, MS, MPH, PhD 3, Marquest Laforest, MSW 2, and Frantz Louiza 2.(1) Center for Community Health Education and Research, 420 Wahington Street, Dorchester ...

Research paper thumbnail of Development of the Live Well Curriculum

The commitment to partnership resulted in a curriculum to empower immigrant women to improve heal... more The commitment to partnership resulted in a curriculum to empower immigrant women to improve health decisions and behaviors. This will inform future research and programming targeting other at-risk and new immigrant communities.

Research paper thumbnail of Leadership in immigrant communities

Cultural dimension of leadership applied to ethnic based organizations in America

Research paper thumbnail of THE IMPACT OF AGING ON THE QUALITY OF LIFE OF PEOPLE LIVING WITH HIV IN THE BOSTON EMA

Research paper thumbnail of Developing a comprehensive prevention education for Haitians: The Metro Boston REACH 2010 experience in Greater Boston

Annual Meeting

The Metro Boston REACH 2010 Coalition was developed to respond to the challenges of HIV infection... more The Metro Boston REACH 2010 Coalition was developed to respond to the challenges of HIV infection in the Haitian Community. Funded by the Centers for Disease Control's REACH 2010 program, the coalition has developed a comprehensive program with the ...

Research paper thumbnail of Community Development and Community Health

Annual Meeting

Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, ... more Nesly Metayer, EDM 1, Rebecca R. Cheezum, MPH 2, Eustache Jean Louis, MD, MPH 1, Riché C. Zamor, MS, MPH, PhD 3, Marquest Laforest, MSW 2, and Frantz Louiza 2.(1) Center for Community Health Education and Research, 420 Wahington Street, Dorchester ...

Research paper thumbnail of Overcoming historical and institutional distrust: key elements in developing and sustaining the community mobilization against HIV in the Boston Haitian …

Ethnicity and Disease, Jan 1, 2004