¿No Hay Racismo?: application of the levels of racism framework to Latinx perspectives on barriers to health and wellbeing.

I am a family medicine physician scientist working to improve health equity among marginalized populations through research, policy, and clinical care with particular focus on systems changes affecting the LatinX community. I am currently a Post-doctoral fellow with the National Clinician Scholars Program and Clinical Associate Faculty at Duke Department of Family Medicine and Community Health. I have a Masters in Applied Science in Population Health Management and have used this training to lead community-engaged research to map systems, their assets, and evaluate the impact multi-sector coalitions have on improving community level outcomes (e.g., community capacity and coordination). More personally, I was born and raised in Miami, Florida, but most of my family lives in the Dominican Republic. I grew up visiting my family abroad every summer. The differences in the quality of and access to health care I observed between the two countries motivated me to pursue careers in medicine and research. I believe a person's health is as much affected by the people and environment around them as it is by the medications and treatments they receive. My goal is to use population health strategies to reduce health disparities in our community and beyond.

Health Disparities, Access to Health Care, Women's Health, Latino Health Care, Chronic Disease Management, Socioeconomic Determinants of Health. Population Health.

Rosa M. Gonzalez-Guarda, PhD, MPH, RN, FAAN, is Associate Professor at Duke University School of Nursing and Assistant Dean of the PhD Program. Her research describes the intersection of intimate partner violence, substance abuse, HIV and mental health among Latinos in the U.S. and the development of multi-level interventions to address these. She uses a syndemic orientation, mixed methods, and community engaged strategies to influence practice and policy changes to promote health equity for Latinos, survivors of intimate partner violence, and other historically marginalized populations. Dr. Gonzalez-Guarda serves on local and national organizations influencing services and policies addressing violence, abuse, mental health, and health equity for Latinos, including serving as the Chair of the Board of Director of El Futuro, a community based mental service organization serving Spanish speaking and uninsured immigrants in North Carolina, a member of the Scientific Advisory Board of Esperanza United, a National Technical Assistance provider for community based organization addressing Latino and immigrant families affected by violence, and a member of the executive team of LATIN-19 (Latinx Advocacy and Interdisciplinary Network for COVID-19), a local multisector coalition influencing systems change for Latinx inclusion. She also served as a previous Chair of the Violence Expert Panel of the American Academy of Nursing. Dr. Gonzalez-Guarda was a member of the National Academies of Medicine committee that produced the landmark Future of Nursing Report (2010) and has led various local and national initiatives to promote health equity research careers for populations systemically excluded from health professions. Dr. Gonzalez-Guarda has interdisciplinary training in nursing, public health, and psychology and is a fellow of the Substance Abuse Mental Health Service Administration Minority Fellowship Program and the Robert Wood Johnson Foundation Nurse Faculty Scholars program.