Denise Rodriguez Esquivel
- Assistant Clinical Professor, Psychiatry - (Clinical Series Track)
Contact
- (520) 626-6336
- AHSC, Rm. 245002
- denrodesq@arizona.edu
Bio
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Interests
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Courses
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Scholarly Contributions
Chapters
- Grandner, M., Rodriguez Esquivel, D., & Dawson, S. (2022). CBT-I for people who failed CBT-I. In Adapting Cognitive Behavioral Therapy for Insomnia(pp 403-435).
Journals/Publications
- Baker, E. A., Mcnutt, M. D., Hooper, M. W., & Esquivel, D. R. (2015). Culturally specific versus standard smoking cessation messages targeting Hispanics: An experiment.. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 29(2), 283-9. doi:10.1037/adb0000044More infoFew smoking cessation trials have focused on U.S. Hispanics. Consequently, little is known about culturally specific considerations for intervention delivery. The purpose of this study was to test the efficacy of a written smoking cessation intervention varying in cultural specificity and language. Participants (N = 222) were English-Spanish bilingual Hispanic smokers recruited from the community. A 2 (cultural specificity-culturally specific or standard) × 2 (receipt of preferred language materials-preferred or less preferred) between-subjects experiment was conducted. Participants were assessed at baseline and at a 2-week post intervention follow-up. Dependent variables measured intervention evaluations (intended utilization and content evaluation), cigarettes smoked per day, and smoking cessation (secondary outcome). We hypothesized independent effects of cultural specificity, receipt of preferred language materials, and an interaction effect. Results demonstrated that intended utilization was greater among participants who received the intervention in their preferred language, F(1, 213) = 9.772, p = .002, η2 = .044. No differences in content evaluations were observed. However, number of cigarettes smoked per day was lower, and self-reported cessation was significantly greater among participants who received a culturally specific intervention, F(1, 152) = 4.939, p = .028, partial η2 = .031, and materials in their preferred language, OR = 5.356, p = .037, 95% CI [1.106, 25.948], respectively. In conclusion, this study contributes to our understanding of dimensions influencing responses to smoking cessation interventions among Hispanics. Both cultural specificity and preferred language delivery appear to be causally related to the intended utilization of interventions and smoking behavior. (PsycINFO Database Record
- Esquivel, D. R. (2013). An Experimental Test of Culturally Specific versus Standard Smoking Cessation Messages Targeting Hispanics. University of Miami ProQuest Dissertations Publishing.
- Webb, M. S., Rodriguez-esquivel, D., & Baker, E. A. (2010). Smoking cessation interventions among Hispanics in the United States: A systematic review and mini meta-analysis.. American journal of health promotion : AJHP, 25(2), 109-18. doi:10.4278/ajhp.090123-lit-25More infoThe leading causes of mortality among Hispanics living in the United States are smoking related. This study sought to systematically review smoking cessation interventions targeting healthy Hispanic adults living in the United States, to conduct a "mini" meta-analysis of randomized controlled trials, and to offer recommendations for future research..Studies were identified through computerized bibliographic databases (PsychINFO, PsycARTICLES, PsycFirst, MEDLINE, Science Direct, and Dissertation Abstracts Online), article reference lists, conference abstracts, and unpublished data through October 2008..Evaluation of a smoking cessation intervention among healthy U.S. Hispanic adults. Studies included in the meta-analysis were also required to be randomized controlled trials..Twelve studies were eligible for the systematic review and five studies for the meta-analysis. Two independent raters coded each study..Interventions consisted of self-help, nicotine replacement therapy, and community-based interventions, as well as individual, group, and telephone counseling. There was evidence for the efficacy of smoking cessation interventions at the end of treatment (odds ratio, 1.54; 95% confidence interval, 1.09-2.16), which was attenuated in the longer term..Tobacco use among U.S. Hispanics is a growing public health concern. Smoking cessation interventions demonstrate promise among Hispanic adults living in the United States. More randomized trials evaluating tobacco interventions in this special population are warranted, with examination of the effect of cultural specificity and acculturation.
- Rodriguez-esquivel, D., Cooper, T. V., Blow, J., & Resor, M. R. (2009). Characteristics associated with smoking in a Hispanic sample.. Addictive behaviors, 34(6-7), 593-8. doi:10.1016/j.addbeh.2009.03.030More infoAlthough general smoking prevalence has declined, similar declines have not been observed in some underserved populations. For example, groups such as ethnic minorities, individuals with psychiatric diagnoses, those with a history of substance use, and weight concerned smokers have not shown comparable reductions. The goal of this study is to create a profile of Hispanic smokers in the El Paso/Juárez area and identify predictors of smoking. In this cross-sectional study, these variables were assessed in 160 English-speaking Hispanic volunteers. Participants completed measures of tobacco use, nicotine dependence, weekly alcohol consumption, acculturation, depressive symptomatology, weight concern, and drug use. Expired carbon monoxide and body composition were also assessed. Participants were light smokers with low levels of nicotine dependence and expired carbon monoxide, a significant number of past quit attempts, and limited use of cessation aids. Significant characteristics associated with smoking included male gender, use of mental health services, increasing number of drinks per week, and lifetime use of illicit drugs. These findings suggest substance use and psychiatric comorbidity are associated with smoking in this population and may be barriers to quitting. These factors should be considered in developing culturally-sensitive tobacco cessation interventions for Hispanic smokers, particularly those residing on the U.S./México border.