Angela Bermudez-Millan, PhD, MPH

Assistant Professor, Community Medicine and Health Care, School of Medicine


Research Overview

My research interest is to better nderstand and intervene on the social determinants of health, specifically food insecurity. Food insecurity (FI) is the limited or uncertain availability of nutritionally adequate and safe foods or the limited or uncertain ability to acquire acceptable foods in socially acceptable ways. In the United States, FI is prevalent, affecting 17.6 million households. In 2012, the rates of household FI were higher than the national average for Latinos (23.3%), households with children headed by a single woman (35.4%) and with children under age 6 (20.5%). As compared with non-Latino Whites, Latinas are at higher risk for cardio-metabolic conditions (e.g. overweight, obesity, inflammation, diabetes, and heart disease. FI has been linked to obesity, diabetes, and cardiovascular disease. Traditional risk factors (e.g., smoking, physical activity) do not fully explain these disparities.

My research aims are to:

1) Investigate the potential monthly cycling of food access and associated food insecurity among Latinas of childbearing age.

2) Examine the relationships between household FI and sleep disturbance, mental distress, dietary behaviors, stress hormones and cardio-metabolic risk markers among Latinas of childbearing age.

Please refer to CV for past research projects.

Education

May 2007 University of Connecticut, Department of Nutrition. Ph.D. in Nutritional Sciences.
May 2001 University of Connecticut, Public Health Program. Masters of Public Health.
Dec. 1996 University of Connecticut, Department of Nutrition. B.S. in Nutritional Sciences, Didactive Program in Dietetics

Recent Publications

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Featured Publications

1. Bermúdez-Millán, A. Schumann K., Feinn R., Tenne H., Wagner J. Behavioral Reactivity to Acute Stress among Women with Type 2 Diabetes: The Roles of Income and Racial Discrimination. In Review

2. Chapman DJ., Morel K., Bermúdez-Millán, Angela, Young S., Damio G., Pérez-Escamilla, Rafael. Breastfeeding Education and Support Trial for Overweight and Obese Women: A randomized trial. Pediatrics 1 (131) e162-70

3. Bermúdez-Millán, Angela; Damio, Grace; Cruz, Joan; D’Angelo, Karen; Segura-Pérez, Sofia; Hromi-Fiedler, Amber; Pérez-Escamilla, Rafael. Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach. Journal of Health Care for the Poor and Underserved. Journal of Health Care for the Poor and Underserved. Volume 22 (4), November, 2011, 1315-1330. (NIH-NCMHD Grant # P20MD0017650).

4. Hromi-Fiedler, Amber; Bermúdez-Millán, Angela; Segura-Pérez,Sofia; Pérez-Escamilla, Rafael. Nutrient and food intakes differ among Latina subgroups during pregnancy. Public Health Nutrition 2011 Jun 23:1-11. (NIH-NCMHD Grant # P20MD0017650).

5. Hromi-Fiedler, Amber; Bermúdez-Millán, Angela; Segura-Pérez,Sofia; Damio, Grace; Pérez-Escamilla, Rafael. Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas. Matern Child Nutr. 2010 Aug 23.

6. Bermúdez-Millán, Ángela, Hromi-Fiedler, Amber, Damio, Grace, Segura-Pérez, Sofia and Pérez-Escamilla, Rafael (2009)’Egg Contribution Towards the Diet of Pregnant Latinas’, Ecology of Food and Nutrition, 48:5,383 — 403.

7. Hromi-Fiedler A.; Bermúdez-Millán A., Segura-Pérez S., Damio, G, Pérez-Escamilla, R. Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase. Journal of Hunger & Environmental Nutrition, 2009 Jan 1; 4(1):62-80.

8. Hromi-Fiedler A., Bermúdez-Millán A., Melgar-Quiñonez, H, Pérez-Escamilla, R. Psychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas. Journal of Hunger & Environmental Nutrition. 2009 Jan 1;4(1):81-94.

9. Pérez-Escamilla R., Hromi-Fiedler A., Vega-López S, Bermúdez-Millán A, Segura-Pérez S. Impact of Peer Nutrition Education on Dietary Behaviors and Health Outcomes among Latinos: A Systematic Literature Review. Journal of Nutrition Education and Behavior. 2008. Volume 40, Issue 4, Pages 208 – 225.

10. Dharod J., Pérez-Escamilla R. Paciello S, Venkitanarayanan K., Bermúdez-Millán A., Damio, G. Comparison Between Self-reported and Observed Food Handling Behaviors Among Latinas. J Food Prot 2007;70:1927-1932.

11. Dharod J., Pérez-Escamilla R. Paciello S, Venkitanarayanan K., Bermúdez-Millán A., Damio, G. Critical Control Points for Home Prepared `Chicken and Salad’ in Puerto Rican Households. Food Protection Trends 2007;27:544-552.

12. Himmelgreen DA, Perez-Escamilla R, Bretnall A, Peng Y, Bermudez A. Birth Place, Length of Time in the U.S., and Language are Associated with Diet among Inner-City Puerto Rican Women. Ecol Food Nutr 2005;44:105-122.

13. Himmelgreen DA, Perez-Escamilla R, Martinez D, Bretnall A, Eells B, Peng Y, Bermudez A. The longer you stay, the bigger you get: length of time and language use in the U.S. are associated with obesity in Puerto Rican women. Am J Phys Anthropol. 2004 Sep;125(1):90-6.

14. Dharod JM, Perez-Escamilla R, Bermúdez-Millán A., Segura-Perez S, Damio G. Influence of the Fight BAC! food safety campaign on an urban Latino population in Connecticut. J Nutr Educ Behav. 2004 May-Jun;36(3):128-32.

15. Bermúdez-Millán A., Pérez-Escamilla R., Damio G., González A., Segura-Pérez S. Food Safety Knowledge, Attitudes, and Behaviors among Puerto Rican Caretakers Living in Hartford, Connecticut. J Food Protection, Vol. 67, No.3: 512-516, 2004.

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Contact Information
Emailbermudez-millan@uchc.edu
Mailing AddressUniversity of Connecticut Health Center
School of Dental Medicine
Division of Behavioral Sciences and Community Health, Oral Health and Diagnostic Sciences
263 Farmington Avenue, MC 3910
Farmington, CT 06030-3910
AG017