Honoria Guarino, PhD
National Development and Research Institutes, Inc. - Principal Investigator
PhD, Anthropology, University of Arizona
MA, Anthropology, University of Arizona
BA, Anthropology/Fine Arts, New York University
Research Interests
Opioid misuse & treatment, IDU, HIV/HCV risk & prevention, Development & evaluation of behavioral interventions (especially technology-based interventions), Sociocultural contexts of risk, Former Soviet Union immigrants, Qualitative/Ethnographic & mixed-methods research
Honoria Guarino is a Principal Investigator in the Institute for Infectious Disease Research and the Center for Technology and Health at NDRI. Dr. Guarino has served as Principal Investigator or Co-Investigator on numerous federally-funded studies with a broad range of drug-using populations in New York City, including young adult opioid users, people who inject drugs, immigrants, and adults in methadone maintenance treatment. Her areas of specialization include qualitative, ethnographic and mixed-methods research on drug use and HIV/HCV infection, and the development and evaluation of behavioral interventions, especially technology-based interventions, for drug users. She is currently Principal Investigator of a NIDA-funded study examining the social contexts of opioid use and HIV/HCV risk among young adult immigrants from the former Soviet Union and Co-Investigator for a 5-year study of nonmedical prescription opioid use and associated patterns of HIV/HCV/STI risk among young adults in New York City. She recently completed a pilot study, awarded by the Center for Technology and Behavioral Health at Dartmouth College, to develop and implement an innovative method for evaluating user engagement with a web-based, self-management intervention for chronic pain patients who are misusing their opioid medication. Dr. Guarino received her Ph.D. in Anthropology from the University of Arizona.
Principal Investigator, Mobile Intervention for Opioid-Using Military Veterans with Chronic Pain. Active
Principal Investigator, Preventing Injection: An mHealth Intervention That Leverages Social Networks to Prevent Progression to Injection Among Young Opioid Users. Active
Principal Investigator, Staying Safe Intervention: Preventing HCV Among Youth Opioid Injectors. Active
Principal Investigator, Developing and Implementing an Innovative Methodology for Evaluating Participant Engagement in Technology-Based Behavioral Health Interventions. Completed
Principal Investigator, Opioid Use and HIV/HCV Risk Among Immigrant Youth from the Former Soviet Union. Completed


Quinn K, Fong C, Guarino H, Mateu-Gelabert P (2019).
Development, validation, and potential applications of the hepatitis C virus injection-risk knowledge scale (HCV-IRKS) among young opioid users in New York City
Drug and Alcohol Dependence, 194, 453-459. doi: 10.1016/j.drugalcdep.2018.11.010. PMCID: PMC6312493.

Guarino H, Fong C, Marsch LA, Acosta MC, Syckes C, Moore SK, Cruciani RA, Portenoy RK, Turk DC, Rosenblum A (2018).
Web-based cognitive behavior therapy for chronic pain patients with aberrant drug-related behavior: Outcomes from a randomized controlled trial
Pain Medicine, 19 (12), 2423-2437. doi: 10.1093/pm/pnx334. PMCID: PMC6294413.

Guarino H, Mateu-Gelabert P, Teubl J, Goodbody E (2018).
Young adults’ opioid use trajectories: From nonmedical prescription opioid use to heroin, drug injection, drug treatment and overdose
Addictive Behaviors, 86, 118-123. doi: 10.1016/j.addbeh.2018.04.017. PMCID: PMC6377245.

Mateu-Gelabert P, Guarino H, Quinn K, Meylakhs P, Campos S, Meylakhs A, Berbesi D, Toro-Tobon D, Goodbody E, Ompad DC, Friedman SR (2018).
Young drug users: A vulnerable population and an underutilized resource in HIV/HCV prevention
Current HIV/AIDS Reports, 15 (4), 324-335. doi: 10.1007/s11904-018-0406-z. PMCID: PMC6309604.

Mateu-Gelabert P, Guarino H (2018).
The opioid epidemic and injection drug use: MIPIE and health harms related to the injection of prescription opioids
International Journal of Drug Policy, 57, 130-132. doi: 10.1016/j.drugpo.2018.03.019. PMCID: PMC6062003.

Dr. Guarino's Google Scholar Profile
Selected Press
Janie Simmons and Honoria Guarino provided training on how to administer naloxone as part of International Overdose Awareness Day.