- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Global Cancer Incidence and Screening
- Cardiovascular Health and Risk Factors
- Nutritional Studies and Diet
- Obesity, Physical Activity, Diet
- COVID-19 and Mental Health
- Ethics in Clinical Research
- Healthcare Policy and Management
- Homelessness and Social Issues
- Primary Care and Health Outcomes
- Cervical Cancer and HPV Research
- Health Systems, Economic Evaluations, Quality of Life
- Long-Term Effects of COVID-19
- Public Health Policies and Education
- Racial and Ethnic Identity Research
- Healthcare cost, quality, practices
- Health, Environment, Cognitive Aging
- Cardiac electrophysiology and arrhythmias
- Employment and Welfare Studies
- COVID-19 Clinical Research Studies
- Psychological Well-being and Life Satisfaction
- Artificial Intelligence in Healthcare and Education
- Mobile Health and mHealth Applications
- Migration, Health and Trauma
Brigham and Women's Hospital
2016-2025
Harvard University
2015-2024
Boston University
2024
University of Massachusetts Chan Medical School
2024
Boston Children's Hospital
2024
University of California, San Francisco
2024
Massachusetts General Hospital
2023
San Diego State University
2023
Florida Department of Environmental Protection
2023
National Institutes of Health
2022
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The COVID-19 pandemic has coincided with an increase in depressive symptoms as well a growing awareness of health inequities and structural racism the United States.
To characterize racial and ethnic disparities trends in opioid access urine drug screening (UDS) among patients dying of cancer, to explore potential mechanisms.
Abstract To accelerate medical breakthroughs, the All of Us Research Program aims to collect data from over one million participants. This report outlines processes used construct Social Determinants Health (SDOH) survey and presents psychometric characteristics SDOH measures in . A consensus process was select measures, prioritizing concepts validated diverse populations other national cohort surveys. Survey item non-response calculated, Cronbach’s alpha analyze properties scales....
Background: The Boston Racial and Ethnic Approaches to Community Health (REACH) 2010 Breast Cervical Cancer Coalition developed a case management intervention for women of African descent identify reduce medical social obstacles breast cancer screening following up abnormal results. Methods: We targeted black at high risk inadequate follow-up as evidenced by prior pattern missed clinic appointments frequent urgent care use. Case managers provided referrals address patient-identified concerns...
Objective We examined associations between neighborhood socioeconomic disadvantage, perceived safety and cardiometabolic risk factors, adjusting for health behaviors status (SES) among African Americans. Methods Study participants were non-diabetic Americans (n = 3,909) in the baseline examination (2000–2004) of Jackson Heart Study. measured eight factors: metabolic syndrome, its five components, insulin resistance cardiovascular inflammation. assessed disadvantage with US Census 2000 data....
<h3>Importance</h3> Health care organizations are increasingly incorporating social risk screening into patient care. Studies have reported wide variations in patients' interest receiving health care–based assistance for identified risks. However, no study to date has examined the factors associated with assistance, including whether varies based on specific demographic characteristics. Targeted research this topic could improve success of programs that offer services. <h3>Objective</h3> To...
PurposeTo (1) use All of Us (AoU) data to validate a previously published single-center model predicting the need for surgery among individuals with glaucoma, (2) train new models using AoU data, and (3) share insights regarding this novel source ophthalmic research.DesignDevelopment evaluation machine learning models.MethodsElectronic health record were extracted from 1,231 adults diagnosed primary open-angle glaucoma. The was applied external validation. then used glaucoma multivariable...
We investigated whether lack of perceived neighborhood safety due to crime, or living in high crime neighborhoods was associated with incident mobility disability elderly populations. hypothesized that low-income elders and at retirement age (65 – 74) would be greatest risk onset the face measured crime-related hazards. conducted study New Haven Established Populations for Epidemiologic Studies Elderly (EPESE), a longitudinal cohort community-dwelling aged 65 older who were residents Haven,...
Differences in obesity and body fat distribution across gender race/ethnicity have been extensively described. We sought to replicate these differences evaluate newly emerging data from the All of Us Research Program (AoU). compared mass index (BMI), waist circumference, waist-to-hip ratio baseline physical examination, alanine aminotransferase (ALT) electronic health record up 88,195 Non-Hispanic White (NHW), 40,770 Black (NHB), 35,640 Hispanic, 5,648 Asian participants. AoU...
Influenza immunization is a highly effective method of reducing illness, hospitalization and mortality from this disease. However, influenza vaccination rates in the U.S. remain below public health targets persistent structural inequities reduce likelihood that Black, American Indian Alaska Native, Latina/o, Asian groups, populations low socioeconomic status will receive vaccine.
Health systems are increasingly addressing health-related social needs. The Massachusetts Flexible Services program (Flex) is a 3-year pilot to address food insecurity and housing by connecting Medicaid accountable care organization (ACO) enrollees community resources.
Importance As US health care systems shift to human papillomavirus (HPV)–based cervical cancer screening, more patients are receiving positive high-risk non–16/18 genotype HPV results and negative for intraepithelial lesion or malignancy (NILM) cytological findings. Risk-based management guidelines recommend 2 consecutive annual return routine screening. Objective To quantify patterns of surveillance testing associated outcomes after an HPV-positive NILM cytologic Design, Setting,...
<h3>Importance</h3> National patterns of low-value and high-value care delivered to patients without insurance or with Medicaid could inform public policy but have not been previously examined. <h3>Objective</h3> To measure rates received by Medicaid, compared privately insured patients, provided safety-net physicians vs non–safety-net physicians. <h3>Design, Setting, Participants</h3> This multiyear cross-sectional observational study included all ages 18 64 years from the Ambulatory...