- Obesity, Physical Activity, Diet
- Nutritional Studies and Diet
- Migration, Health and Trauma
- Food Security and Health in Diverse Populations
- Diet, Metabolism, and Disease
- HIV/AIDS Research and Interventions
- Smoking Behavior and Cessation
- Diet and metabolism studies
- Health and Conflict Studies
- Air Quality and Health Impacts
- Mental Health Treatment and Access
- HIV, Drug Use, Sexual Risk
- Colorectal Cancer Screening and Detection
- Health disparities and outcomes
- Cardiovascular Health and Risk Factors
- Racial and Ethnic Identity Research
- Eating Disorders and Behaviors
- Sex work and related issues
- Influenza Virus Research Studies
- Renal function and acid-base balance
- Physical Activity and Health
- Vaccine Coverage and Hesitancy
- Cardiac Arrest and Resuscitation
- Posttraumatic Stress Disorder Research
- Liver Disease Diagnosis and Treatment
San Diego State University
2015-2024
Naval Health Research Center
2019
Henry M. Jackson Foundation
2017
University of California, San Diego
2015
Public Health Department
2014
Graduate School USA
2010
Objective. To determine the effect of rheumatoid arthritis (RA) disease severity on pregnancy outcomes in pregnant women with and without autoimmune diseases. Methods. A prospective cohort study was conducted using Organization Teratology Information Specialists Autoimmune Diseases Pregnancy Project. Pregnant RA enrolled between 2005 2013 were selected if they (1) delivered a live-born singleton infant; (2) completed 3 telephone-based measures prior to 20 weeks’ gestation, including Health...
Background Sugar‐sweetened beverage ( SSB ) consumption has been associated with cardiometabolic risk. However, the association between total and type of intake incident cardiovascular disease CVD end points such as myocardial infarction, stroke, revascularization is limited. Methods Results We examined prospective baseline in 106 178 women free from diabetes mellitus CTS (California Teachers Study), a cohort female teachers administrators, followed since 1995. s were defined caloric soft...
Metabolic acidosis can lead to inflammation, tissue damage, and cancer metastasis. Dietary acid load contributes metabolic if endogenous acid-base balance is not properly regulated. Breast survivors have reduced capacities adjust their balance; yet, the associations between dietary inflammation hyperglycemia been examined among them. We analyzed data collected from 3042 breast enrolled in Women's Healthy Eating Living (WHEL) Study who had provided detailed intakes measurements of plasma...
Smoking, drinking, and illicit drug use are leading causes of morbidity mortality, both during adolescence as well later in life. The determination how national local policy intervention efforts address teen substance depends largely on the collection valid accurate data. Assessments rely heavily retrospective self-report measures, but reliability validity, however, may be limited by various sources measurement error. This study utilizes four waves data from National Longitudinal Survey...
Abstract Aims To identify factors associated with time to initiation of (i) sex work prior injecting drugs initiation; (ii) injection drug use and (iii) concurrent (i.e. initiated at the same age) among female workers who currently inject ( FSW – IDU ). Design Parametric survival analysis baseline data for event. Setting T ijuana C iudad J uarez situated on M exico– US border. Participants A total 557 s aged ≥18 years. Measurements Interview‐administered surveys assessing context initiation....
Rapid influenza diagnosis is important for early identification of outbreaks, effective management high-risk contacts, appropriate antiviral use, decreased inappropriate antibiotic use and avoidance unnecessary laboratory testing. Given the inconsistent performance many rapid tests, clinical remains integral optimizing management. However, reliable diagnostic methods are not well-established. This study assesses predictors influenza, its various subtypes, in a broad population at point care,...
Abstract Undocumented immigration often presents with multiple stressors and contextual challenges, which may diminish mental health. This study is the first to provide population‐based estimates for prevalence of traumatic events its association clinically significant psychological distress among undocumented Mexican immigrants in United States. cross‐sectional used respondent‐driven sampling obtain analyze data from clinical interviews 248 residing high‐risk neighborhoods near...
Posttraumatic growth is the positive change resulting from traumatic experiences and typically assessed with retrospective measures like Growth Inventory (PTGI). The PTGI was designed to include reference a specific event, making it difficult implement, without change, in prospective survey studies. Thus, modified Inventory-Short Form (PTGI-SF) included large study of current former U.S. military personnel. provides preliminary psychometric data for this measure its ability assess...
Background The association between sugar-sweetened beverage (SSB) consumption and colorectal cancer (CRC) risk remains unclear published data are limited. Methods analytic cohort included 99,798 women, free of at baseline, from the California Teachers Study, a longitudinal comprised 133,477 female teachers administrators who were active or recently retired members State Retirement System in 1995. SSB constituted caloric soft drinks, sweetened bottled waters teas, fruit derived...
Survival after in-hospital cardiac arrest (I-HCA) remains < 30 %. There is very limited literature exploring the electrocardiogram changes prior to I-HCA. The purpose of study was determine demographics and electrocardiographic predictors A retrospective conducted among 39 cardiovascular subjects who had cardiopulmonary resuscitation from I-HCA with initial rhythms pulseless electrical activity (PEA) asystole. Demographics including medical history, ejection fraction, laboratory values,...
Rationale: Accurate reference values for spirometry are important because the results used diagnosing common chronic lung diseases such as asthma and obstructive pulmonary disease, estimating physiologic impairment, predicting all-cause mortality. Reference equations have been established Mexican Americans but not others with Hispanic/Latino backgrounds.Objectives: To develop adult background groups in United States.Methods: The HCHS/SOL (Hispanic Community Health Study/Study of Latinos)...
Despite the spectrum of available resources, homelessness is a persistent societal and public health challenge throughout United States in San Diego County. Beginning January 2014, began integration Coordinated Entry System into its homeless system-of-care. This historical prospective study examined predictors establishing eligibility for permanent housing resources among 15,042 single adults enrolled Multivariable logistic regression was conducted to assess relationship between client...
Abstract Background Periodontal disease has been shown to be associated with cardiovascular (CVD). No known studies evaluate the relationship between periodontal status and biomarkers of CVD risk in American Indian/Alaskan Native (AI/AN) population despite their disproportionately high rates poor oral health disease–related outcomes. This study compared levels interleukin (IL)‐6 C‐reactive protein (CRP) across increasing severity among younger adults ages 21 43 years. Methods Plasma IL‐6 CRP...
Basic trainees in the US military have historically been vulnerable to respiratory infections. Adenovirus and influenza are most common etiological agents responsible for febrile illness (FRI) among present with similar clinical signs symptoms. Identifying demographic factors associated primary viral pathogens causing FRI epidemics will help improve differential diagnosis allow appropriate distribution of antiviral medications. The objective this study was determine what adenovirus trainees....
The purpose of this study was to longitudinally investigate PTSD and depression between Reserve, National Guard, active duty continuously dichotomously. consisted Millennium Cohort Study participants used self-reported symptoms. Repeated measures modeling assessed dichotomously over time. A subanalysis among only recently deployed personnel conducted. Of the 52,653 for analysis, adjusted PCL-C means were 34.6 Reservists, 34.4 Guardsmen, 34.7 members, respectively. 53,073 PHQ-9 6.8, 6.7, 7.2,...
The purpose of this study was to examine the independent and joint associations acid-producing diets depressive symptoms with physical health among breast cancer survivors. We studied a cohort 2944 early stage survivors who provided dietary, health, demographic, lifestyle information at baseline, year 1, 4. assessed intakes via two commonly used dietary acid load scores: potential renal (PRAL) net endogenous production (NEAP). Physical measured using Rand 36-Item Short Form Health Survey...
Research on the reproductive health of U.S. servicewomen deployed in support recent operations Iraq and Afghanistan is sparse. The objective this study was to evaluate whether military experiences, including combat deployment, deployment length, life stressors during conflicts, were associated with increased odds for miscarriage or impaired fecundity among servicewomen.We used data from Millennium Cohort Study, a large longitudinal that began 2001 includes personnel all service branches,...
The Farmers' Market Fresh Fund Incentive Program is a policy, systems and environmental intervention to improve access fresh produce for participants on governmental assistance in the USA. current study examined factors associated with ongoing participation this matched monetary incentive programme.Relationship of baseline number visits was assessed using Poisson regression. Mixed-effects modelling used explore changes consumption fruits vegetables diet quality.San Diego,...
Abstract Introduction Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic stress disorder (PTSD), and depression 12 months prior to deployment were provider-diagnosed STIs in this population. Materials Methods Using cross-sectional collected...
Living alone, particularly for individuals with poor physical health, can increase the likelihood of mortality. This study aimed to explore individual and joint associations living alone health overall mortality among breast cancer survivors in Women's Healthy Eating (WHEL). We collected baseline, 12-month 48-month data 2869 women enrolled WHEL cohort. was assessed as a binary variable (Yes, No), while scores were measured using RAND Short Form-36 survey (SF-36), which include four domains...