Francine C Gachupin

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Scholarly Contributions

Journals/Publications

• Gachupin, F. C., Gustafson, D., & Hendrie, H. C. (2016). Depressive Symptoms and Vascular Factors among Southwest Tribal Elders. The Journal of the Alzheimer's Association, 12(7), 989.
• Gachupin, F. C., Joe, J. R., Steger-May, K., & Racette, S. B. (2017). Severe obesity among American Indian tribal youth in the Southwest. Public Health, 145, 4-6.
• Gachupin, F., Romero, M. D., Ortega, W. J., Jojola, R., Hendrie, H., Torres, E. P., Lujan, F., Lente, M., Sanchez, B., Teller, V., Beita, F., Abeita, U., Lente, B., & Gustafson, D. R. (2016). Cognition, Depressive Symptoms and Vascular Factors among Southwest Tribal Elders. Ethnicity & disease, 26(2), 235-44.
  More info

  Few data exist on cognitive and depressive symptoms and vascular factors in American Indian (AI) elders. Since vascular risk factors increase risk for cognitive impairments, depression and dementia, and since AI elders are at high vascular risk, it is timely to assess the interplay of these factors in comprehensive studies of aging in this population. To begin, pilot studies must be conducted to show these types of data can be collected successfully.
• Hardy, D. S., Stallings, D. T., Garvin, J. T., Gachupin, F. C., Xu, H., & Racette, S. B. (2016). Anthropometric discriminators of type 2 diabetes among White and Black American adults. Journal of diabetes.
  More info

  The aim of the present study was to determine the best anthropometric discriminators of type 2 diabetes mellitus (T2DM) among White and Black males and females in a large US sample.
• Freemantle, J., Ring, I., Arambula Solomon, T. G., Gachupin, F. C., Smylie, J., Cutler, T. L., & Waldon, J. A. (2015). Indigenous mortality (revealed): the invisible illuminated. American journal of public health, 105(4), 644-52.
  More info

  Inaccuracies in the identification of Indigenous status and the collection of and access to vital statistics data impede the strategic implementation of evidence-based public health initiatives to reduce avoidable deaths. The impact of colonization and subsequent government initiatives has been commonly observed among the Indigenous peoples of Australia, Canada, New Zealand, and the United States. The quality of Indigenous data that informs mortality statistics are similarly connected to these distal processes, which began with colonization. We discuss the methodological and technical challenges in measuring mortality for Indigenous populations within a historical and political context, and identify strategies for the accurate ascertainment and inclusion of Indigenous people in mortality statistics.
• Braun, K. L., Tsark, J. U., Powers, A., Croom, K., Kim, R., Gachupin, F. C., & Morris, P. (2014). Cancer patient perceptions about biobanking and preferred timing of consent. Biopreservation and biobanking, 12(2), 106-12.
  More info

  Little is known about how cancer patients feel about donating their tissue, especially in a multiethnic population. Structured interviews were conducted with 30 patients recently diagnosed with cancer, referred to the study by six cancer surgeons and oncologists and by other patients in the study. The participants reported a variety of cancers, and the sample reflected the racial distribution of Hawai`i, including Caucasians (23%), Native Hawaiians and Pacific Islanders (27%), Asians (37%), Hispanics (7%), Native Americans (3%), and African Americans (3%). The interview questions and analysis were guided by the Framework Approach, with interview questions based on pre-set aims. Findings suggest that most cancer patients would donate cancer tissue to science, especially if informed that doing so could help researchers find causes of and cures for cancer. Patients varied on when in their cancer journey they would be most receptive to being asked for a donation, however two-thirds thought they would be more receptive if approached after surgery. Only three of the 30 patients said they would want to be re-consented each time their tissue is requested for research. They identified their physician as the preferred messenger regarding tissue donation. No obvious differences were seen by race. Findings confirm those of other researchers who have reported broad support for biobank participation if informed consent and confidentiality could be assured. Given that the physician was seen as the key messenger about biobanking, more education is needed around cancer tissue collection for physicians, as well as for cancer patients.
• Wong, C. A., Gachupin, F. C., Holman, R. C., MacDorman, M. F., Cheek, J. E., Holve, S., & Singleton, R. J. (2014). American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009. American journal of public health, 104 Suppl 3, S320-8.
  More info

  We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death.
• , N. H., Fabsitz, R. R., McGuire, A., Sharp, R. R., Puggal, M., Beskow, L. M., Biesecker, L. G., Bookman, E., Burke, W., Burchard, E. G., Church, G., Clayton, E. W., Eckfeldt, J. H., Fernandez, C. V., Fisher, R., Fullerton, S. M., Gabriel, S., Gachupin, F., James, C., , Jarvik, G. P., et al. (2010). Ethical and practical guidelines for reporting genetic research results to study participants: updated guidelines from a National Heart, Lung, and Blood Institute working group. Circulation. Cardiovascular genetics, 3(6), 574-80.
  More info

  In January 2009, the National Heart, Lung, and Blood Institute convened a 28-member multidisciplinary Working Group to update the recommendations of a 2004 National Heart, Lung, and Blood Institute Working Group focused on Guidelines to the Return of Genetic Research Results. Changes in the genetic and societal landscape over the intervening 5 years raise multiple questions and challenges. The group noted the complex issues arising from the fact that technological and bioinformatic progress has made it possible to obtain considerable information on individuals that would not have been possible a decade ago. Although unable to reach consensus on a number of issues, the working group produced 5 recommendations. The working group offers 2 recommendations addressing the criteria necessary to determine when genetic results should and may be returned to study participants, respectively. In addition, it suggests that a time limit be established to limit the duration of obligation of investigators to return genetic research results. The group recommends the creation of a central body, or bodies, to provide guidance on when genetic research results are associated with sufficient risk and have established clinical utility to justify their return to study participants. The final recommendation urges investigators to engage the broader community when dealing with identifiable communities to advise them on the return of aggregate and individual research results. Creation of an entity charged to provide guidance to institutional review boards, investigators, research institutions, and research sponsors would provide rigorous review of available data, promote standardization of study policies regarding return of genetic research results, and enable investigators and study participants to clarify and share expectations for the handling of this increasingly valuable information with appropriate respect for the rights and needs of participants.
• Kaufman, C. E., Shelby, L., Mosure, D. J., Marrazzo, J., Wong, D., de Ravello, L., Rushing, S. C., Warren-Mears, V., Neel, L., Eagle, S. J., Tulloch, S., Romero, F., Patrick, S., Cheek, J. E., & , T. f. (2007). Within the hidden epidemic: sexually transmitted diseases and HIV/AIDS among American Indians and Alaska Natives. Sexually transmitted diseases, 34(10), 767-77.
  More info

  To review the epidemiology, research, and prevention programs for sexually transmitted diseases in American Indians and Alaska Natives (AI/ANs).
• Lapidus, J. A., Smith, N. H., Ebel, B. E., & Romero, F. C. (2005). Restraint use among northwest American Indian children traveling in motor vehicles. American journal of public health, 95(11), 1982-8.
  More info

  We sought to estimate motor vehicle passenger restraint use among Northwest American Indian children 8 years old or younger and to determine factors associated with using proper (i.e., age and weight appropriate) passenger restraint systems.
• Mansberger, S. L., Romero, F. C., Smith, N. H., Johnson, C. A., Cioffi, G. A., Edmunds, B., Choi, D., & Becker, T. M. (2005). Causes of visual impairment and common eye problems in Northwest American Indians and Alaska Natives. American journal of public health, 95(5), 881-6.
  More info

  Little information exists regarding the causes of visual impairment and the most common eye problems in American Indians/Alaska Natives.

Presentations

• Gachupin, F. C. (2016, January). Trends in the Prevalence of Obesity among American Indian Tribal Youth. Native Diabetes Prevention Conference. Mesa, Arizona.
• Gachupin, F. C. (2016, June). American Indian Youth Wellness Initiatives. Winslow Indian Health Care Center Health Conference. Leupp, Arizona: Winslow indian Health Care Center.
• Gachupin, F. C. (2016, October). Youth Wellness Camp for Native American Children and Adolescents. Western Region Public Health Training Center. Tucson, AZ: Western Region Public Health Training Center.
• Gachupin, F. C. (2016, September). Nutrition Education as part of a Youth Wellness Camp Curriculum. FoodCorps Training: Serving in Native Communities. Tucson, AZ: FoodCorps.
• Solomon, T. G., Gachupin, F. C., Bea, J. W., & Koithan, M. S. (2015, March). Cancer care disparities among Native American populations. UA College of Nursing Health Equity Research Seminar Series..

Poster Presentations

• Gachupin, F. C., & Gustafson, D. R. (2015, July). Cognition, Depressive Symptoms and Vascular Factors among Southwest Tribal Elders. Alzheimer Association International Congress. Toronto, Canada: Alzheimer's Association.
• Gachupin, F. C., Racette, S. B., & Steger-May, K. (2016, March). American Indian Youth Wellness Initiative. American Heart Association Epi/Lifestyle 2016. Phoenix, AZ: AHA.

Others

• Gachupin, F. C., & Joe, J. R. (2016, January). Leveraging Cultural Capital in Diabetes Prevention for Youth: Medical Wellness Model. Advancements in Diabetes.
• Hardy, D., Stallings, D., Garvin, J., Xu, H., Gachupin, F., & Racette, S. (2015, JUN). Anthropometric Predictors of Type 2 Diabetes among White and Black Adults. DIABETES.