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Zachary Giano

TitleAsst Professor Clinical
InstitutionUniversity of Colorado Denver - Anschutz Medical Campus
DepartmentCSPH-Bio Info General Ops

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Warman MK, Gonzalez-Fisher R, Barrientos Ortiz C, Berge JM, Fernald DH, Fort MP, Giano Z, Moore SL, Tamez M, Zittleman L, Nease DE. Transcreating approaches to addressing disproportionate impacts on health in Colorado communities: the Colorado Community Engagement Alliance multi-year study. Front Public Health. 2026; 14:1728986. PMID: 41769101.
      View in: PubMed
    2. Smith DC, Thumm EB, Giano Z, Staley A, Sheeder J, Barton AJ, Hernandez TL. Retrospective Cohort Study on Racial and Ethnic Disparities in Cesarean Birth in a Midwifery-Integrated Health System. J Obstet Gynecol Neonatal Nurs. 2026 May; 55(3):278-286.e2. PMID: 41276260.
      View in: PubMed
    3. Hoppe J, Tolle H, Sullivan KJ, Ziegler K, Giano Z, Gabella B. Examining Statewide Opioid Prescribing Limits and Prescription Drug Monitoring Program Mandates: Provider Compliance and Patient Outcomes. AJPM Focus. 2026 Apr; 5(2):100460. PMID: 41659233.
      View in: PubMed
    4. Tiwari T, Kondratenko M, Nasiha N, Ong T, Chandrasekaran S, Kostbade G, Giano Z. Evaluating the completeness of electronic health records in dental education: a big data study. Front Oral Health. 2025; 6:1535164. PMID: 40529290.
      View in: PubMed
    5. Smith D, Thumm B, Giano Z, Staley A, Sheeder J, Barton A, Hernandez T. Evaluating Racial and Ethnic Differences in Use of Elective Labor Induction for Low-Risk Births : A Retrospective Cohort Study. J Perinat Neonatal Nurs. 2025 Mar 11. PMID: 40067924.
      View in: PubMed
    6. Libbon RH, Watson M, Ramocan S, Pennetti A, Strom L, Giano Z. Associations between violent/sexual childhood trauma and maladaptive coping in patients with functional seizures. Int J Psychiatry Med. 2025 Sep; 60(5):553-568. PMID: 39797827.
      View in: PubMed
    7. Nasiha Maliq N, Ong T, Giano Z, Rivera W, Tiwari T. Comparing two large data repositories to understand the differences in demographics, health history, and behavioral attributes in populations. Front Oral Health. 2024; 5:1427109. PMID: 39697788.
      View in: PubMed
    8. Thumm EB, Smith D, Giano Z. Evaluating the roles of workload and practice climate in workforce retention across the midwifery career lifespan: A latent profile analysis of early-, mid-, and late-career US midwives. Women Birth. 2024 11; 37(6):101833. PMID: 39490159.
      View in: PubMed
    9. Valenti KG, Lewis C, Giano Z, Rieck J, Lee R. Sexual Orientation and Gender Identity Collection of Older Adults in the UCHealth Electronic Health Record: Assessing the First Three Years of Implementation. Clin Gerontol. 2024 Oct 06; 1-13. PMID: 39369318.
      View in: PubMed
    10. Vargas L, Epperson CN, Richmond TS, Sharif S, Berkowitz L, Giano Z, Hargarten S, Ungar M, Weigend-Vargas E, Sakai J. Extortion experiences of recent adult immigrants from Latin America: self-reported prevalence, associated costs, and current mental health. Inj Epidemiol. 2024 Sep 05; 11(1):43. PMID: 39238066.
      View in: PubMed
    11. Vargas LX, Sammel MD, Richmond TS, Ulrich CM, Giano ZD, Berkowitz L, Epperson CN. Traumatic experiences and place of occurrence: An analysis of sex differences among a sample of recently arrived immigrant adults from Latin America. PLoS One. 2024; 19(6):e0302363. PMID: 38875238.
      View in: PubMed
    12. Thumm EB, Schaeffer A, Michel A, McFarland AK, Long MH, Giano Z. The Relationship Between Restrictive Regulation of Midwives, Practice Environment, and Professional Burnout: A 7-State Mixed-Methods Comparison of Autonomous and Restrictive State Regulation. J Perinat Neonatal Nurs. 2024 Apr-Jun 01; 38(2):137-146. PMID: 38758270.
      View in: PubMed
    13. Thumm EB, Giano Z, Niles PM, Smith D, Howard B. Measuring midwives' perceptions of their practice climate across racial-ethnic identities: An invariance analysis of the Midwifery Practice Climate Scale. Res Nurs Health. 2023 12; 46(6):627-634. PMID: 37837431.
      View in: PubMed
    14. Emert MB, Giano Z. A comparison of alcohol and commercial tobacco use in populous American Indian/Alaska Native states. Drug Alcohol Depend. 2023 10 01; 251:110941. PMID: 37683451.
      View in: PubMed
    15. Sullivan KJ, Gabella B, Ziegler K, Tolle H, Giano Z, Hoppe J. Impact of Statewide Statute Limiting Days' Supply to Opioid-Naive Patients. Am J Prev Med. 2024 01; 66(1):112-118. PMID: 37604303.
      View in: PubMed
    16. Mendoza ID, Banda JA, Giano Z, Hubach RD. Association between adverse childhood experiences and fruit and vegetable intake among a national sample of U.S. adults. Prev Med Rep. 2023 Oct; 35:102339. PMID: 37576841.
      View in: PubMed
    17. Giano Z, Schwab-Reese L, Mishra AA, Hubach RD, Johnson RL, Epperson CN, Sammel MD. Intersectionality and Adverse Childhood Experiences: Comparing Subgroups of Sex, Race/Ethnicity, and Sexual Orientation. Am J Prev Med. 2023 07; 65(1):30-38. PMID: 36870786.
      View in: PubMed
    18. Anderson M, Giano Z, Shreffler KM, Cox RB, Croff JM. Immigration Enforcement and Hispanic Youth Substance Use: Is Depression a Mediator? J Immigr Minor Health. 2023 Apr; 25(2):306-314. PMID: 36036330.
      View in: PubMed
    19. Hubach RD, Shannon B, Morgan KD, Alexander C, O'Neil AM, Ernst C, Giano Z. COVID-19 vaccine hesitancy among rural Oklahomans. Rural Remote Health. 2022 06; 22(2):7128. PMID: 35658522.
      View in: PubMed
    20. Cole AB, Armstrong CM, Giano ZD, Hubach RD. An update on ACEs domain frequencies across race/ethnicity and sex in a nationally representative sample. Child Abuse Negl. 2022 07; 129:105686. PMID: 35662683.
      View in: PubMed
    21. Currin JM, Evans AE, Miller BM, Owens C, Giano Z, Hubach RD. The impact of initial social distancing measures on individuals' anxiety and loneliness depending on living with their romantic/sexual partners. Curr Psychol. 2022 Feb 04; 1-9. PMID: 35153455.
      View in: PubMed
    22. Hubach RD, O'Neil AM, Ernst C, Stowe M, Hickey M, Remondino M, Giano Z. Client perspectives on the accessibility and quality of substance use treatment during the COVID-19 pandemic. Drug Alcohol Depend Rep. 2021 Dec; 1:100002. PMID: 35156104.
      View in: PubMed
    23. Giano Z, Ernst CW, Snider K, Davis A, O'Neil AM, Hubach RD. ACE domains and depression: Investigating which specific domains are associated with depression in adulthood. Child Abuse Negl. 2021 12; 122:105335. PMID: 34592672.
      View in: PubMed
    24. Hubach RD, Mahaffey C, Rhoads K, O'Neil AM, Ernst C, Bui LX, Hamrick J, Giano Z. Rural College Students' Amenability Toward Using At-Home Human Immunodeficiency Virus and Sexually Transmitted Infection Testing Kits. Sex Transm Dis. 2021 08 01; 48(8):583-588. PMID: 34110751.
      View in: PubMed
    25. Giano Z, O'Neil A, Hubach RD. The Effects of Individual and Dual ACE Domains on Binge Drinking: Comparisons by Gender. Subst Use Misuse. 2021; 56(11):1642-1650. PMID: 34279181.
      View in: PubMed
    26. Pro G, Schumacher K, Hubach R, Zaller N, Giano Z, Camplain R, Camplain C, Haberstroh S, Baldwin JA, Wheeler DL. US trends in mask wearing during the COVID-19 pandemic depend on rurality. Rural Remote Health. 2021 07; 21(3):6596. PMID: 34252284.
      View in: PubMed
    27. O'Neil AM, Meyers HJ, DeBoy KR, Stowe M, Hamrick J, Giano Z, Hubach RD. Education, Perceptions, and Delivery: Factors Shaping the Perceived Role in the Pre-Exposure Prophylaxis (PrEP) Care Continuum Among a Sample of Osteopathic Medical Students. AIDS Educ Prev. 2021 02; 33(1):33-45. PMID: 33617324.
      View in: PubMed
    28. Giano Z, O'Neil AM, Stowe M, Hubach RD. Examining Profiles of Latinx Sexual Minority Adolescents Associated with Suicide Risk. J Immigr Minor Health. 2021 Jun; 23(3):452-462. PMID: 33389392.
      View in: PubMed
    29. Giano Z, Camplain RL, Camplain C, Pro G, Haberstroh S, Baldwin JA, Wheeler DL, Hubach RD. Adverse Childhood Events in American Indian/Alaska Native Populations. Am J Prev Med. 2021 Feb; 60(2):213-221. PMID: 33223364.
      View in: PubMed
    30. Hubach RD, O'Neil AM, Stowe M, Hamrick J, Giano Z, Currin JM. Preferred Methods of HIV and Sexually Transmissible Infection Screening Delivery Among a Rural Sample of Men Who Have Sex with Men. AIDS Patient Care STDS. 2020 11; 34(11):470-476. PMID: 33147083.
      View in: PubMed
    31. Pro G, Giano Z, Camplain R, Haberstroh S, Camplain C, Wheeler D, Hubach RD, Baldwin JA. The Role of State Medicaid Expansions in Integrating Comprehensive Mental Health Services into Opioid Treatment Programs: Differences Across the Rural/Urban Continuum. Community Ment Health J. 2021 08; 57(6):1017-1022. PMID: 33033972.
      View in: PubMed
    32. Anderson M, Cox RB, Giano Z, Shreffler KM. Latino Parent-Child English Language Fluency: Implications for Maternal School Involvement. Hisp J Behav Sci. 2020 Nov 01; 42(4):547-562. PMID: 34857983.
      View in: PubMed
    33. Giano Z, Wheeler DL, Hubach RD. The frequencies and disparities of adverse childhood experiences in the U.S. BMC Public Health. 2020 Sep 10; 20(1):1327. PMID: 32907569.
      View in: PubMed
    34. Pro G, Hubach R, Wheeler D, Camplain R, Haberstroh S, Giano Z, Camplain C, Baldwin JA. Differences in US COVID-19 case rates and case fatality rates across the urban-rural continuum. Rural Remote Health. 2020 08; 20(3):6074. PMID: 32811154.
      View in: PubMed
    35. Giano Z, Currin JM, Deboy K, Hubach RD. Identifying Distinct Subgroups of Lesbian, Gay, and Bisexual Youth for Suicide Risk: A Latent Profile Analysis. J Adolesc Health. 2020 08; 67(2):194-200. PMID: 32402798.
      View in: PubMed
    36. Hubach RD, O'Neil A, Stowe M, Giano Z, Curtis B, Fisher CB. Perceived Confidentiality Risks of Mobile Technology-Based Ecologic Momentary Assessment to Assess High-Risk Behaviors Among Rural Men Who Have Sex with Men. Arch Sex Behav. 2021 05; 50(4):1641-1650. PMID: 32078710.
      View in: PubMed
    37. Currin JM, Giano Z, Hubach RD. Interface of Internalized Homophobia and Community Connectedness on Frequency of Doctor's Visits for Rural and Urban MSM in Oklahoma. J Rural Health. 2020 06; 36(3):416-422. PMID: 32057137.
      View in: PubMed
    38. Giano Z, Hubach RD, Meyers HJ, DeBoy KR, Currin JM, Wheeler DL, Croff JM. Assessing the Health Care Experiences of Rural Men Who Have Sex with Men (MSM). J Health Care Poor Underserved. 2020; 31(1):235-248. PMID: 32037329.
      View in: PubMed
    39. Giano Z, Williams A, Hankey C, Merrill R, Lisnic R, Herring A. Forty Years of Research on Predictors of Homelessness. Community Ment Health J. 2020 05; 56(4):692-709. PMID: 31858333.
      View in: PubMed
    40. Grant R, Becnel JN, Giano ZD, Williams AL, Martinez D. A Latent Profile Analysis of Young Adult Lifestyle Behaviors. Am J Health Behav. 2019 11 01; 43(6):1148-1161. PMID: 31662173.
      View in: PubMed
    41. Giano Z. The Influence of Online Experiences: The Shaping of Gay Male Identities. J Homosex. 2021 Apr 16; 68(5):872-886. PMID: 31532331.
      View in: PubMed
    42. Giano Z, Hubach RD. Adverse childhood experiences and mental health: Comparing the link in rural and urban men who have sex with men. J Affect Disord. 2019 12 01; 259:362-369. PMID: 31470179.
      View in: PubMed
    43. Giano Z, Anderson M, Shreffler KM, Cox RB, Merten MJ, Gallus KL. Immigration-related arrest, parental documentation status, and depressive symptoms among early adolescent Latinos. Cultur Divers Ethnic Minor Psychol. 2020 Jul; 26(3):318-326. PMID: 31368725.
      View in: PubMed
    44. Giano Z, Kavanaugh KE, Durham AR, Currin JM, Wheeler DL, Croff JM, Hubach RD. Factors Associated with Condom Use among a Sample of Men Who Have Sex with Men (MSM) Residing in Rural Oklahoma. J Homosex. 2020 Nov 09; 67(13):1881-1901. PMID: 31125299.
      View in: PubMed
    45. Hubach RD, Currin JM, Giano Z, Meyers HJ, DeBoy KR, Wheeler DL, Croff JM. Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma. Health Equity. 2019; 3(1):231-237. PMID: 31289783.
      View in: PubMed
    46. Giano Z, Hubach RD, Currin JM, Wheeler DL. Adverse childhood experiences and MSM marijuana use. Drug Alcohol Depend. 2019 05 01; 198:76-79. PMID: 30878770.
      View in: PubMed
    47. Williams A, Giano Z, Merten M. Running away during adolescence and future homelessness: The amplifying role of mental health. Am J Orthopsychiatry. 2019; 89(2):268-278. PMID: 30702330.
      View in: PubMed
    48. Shreffler KM, Tiemeyer S, Giano Z, Gallus KL, Cox RB, Merten MJ. Trauma and Early Adolescent Perceptions About Sex and Parenthood: The Mediating Role of Anger Regulation. Youth Soc. 2020 Nov; 52(8):1414-1435. PMID: 42164893.
      View in: PubMed
    49. Shreffler KM, Giano Z, Cox RB, Merten MJ, Gallus KL. Parental documentation status and academic attitudes and expectations among early adolescent latinos. J Adolesc. 2018 04; 64:48-51. PMID: 29408098.
      View in: PubMed
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