A5020852971- Migration, Health and Trauma
- Global Health Workforce Issues
- Racial and Ethnic Identity Research
- Gun Ownership and Violence Research
- Traumatic Brain Injury Research
- Child Abuse and Trauma
- Employment and Welfare Studies
- Suicide and Self-Harm Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Homelessness and Social Issues
- Health disparities and outcomes
- Interpreting and Communication in Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Emergency and Acute Care Studies
- Epilepsy research and treatment
- Acute Ischemic Stroke Management
- Global Maternal and Child Health
- Health and Conflict Studies
- Innovations in Medical Education
- Cardiac Arrest and Resuscitation
- Diversity and Career in Medicine
- Public Health Policies and Education
- Glioma Diagnosis and Treatment
- Posttraumatic Stress Disorder Research
- Food Security and Health in Diverse Populations
Massachusetts General Hospital
2016-2025
Harvard University
2016-2025
Hunter College
2017-2025
City University of New York
2017-2025
University of California, Los Angeles
2017-2023
Beth Israel Deaconess Medical Center
2022-2023
University of Rochester Medical Center
2023
American Academy of Neurology
2023
Kaiser Permanente
2023
Khan Academy
2023
<h3>Objective:</h3> To evaluate racial and ethnic differences in the utilization of neurologic care across a wide range conditions United States. <h3>Methods:</h3> We analyzed nationally representative data from 2006–2013 Medical Expenditure Panel Survey (MEPS), including information on demographics, patient-reported health conditions, neurology visit rates, costs. Using diagnostic codes, we identified persons with any self-identified disorder except back pain, as well 5 subgroups (Parkinson...
Telehealth services that allow remote communication between the patient and clinical team are an emerging part of care delivery. Given language barriers, patients with limited English proficiency present a unique set challenges in integrating telehealth ensuring equity. Using data from 84,419 respondents 2015–18 California Health Interview Survey, we assessed association use (telephone video visits) evaluated impact on health access use. We found had lower rates (4.8 percent versus 12.3...
This is the first systematic review and meta-analysis assessing cardiovascular disease incidence risk factors among refugees asylum seekers.PubMed, PsycINFO, CINAHL, Embase databases were searched for studies in English from January 1, 1977, to March 8, 2020. Inclusion criteria (1) observation of refugee history participants; (2) diagnosis CVD (coronary artery disease, heart failure, stroke, or mortality) (hypertension, diabetes, tobacco use, hyperlipidemia, obesity, psychosocial factors);...
To evaluate nationwide trends in the utilization of endoscopic retrograde cholangiopancreatography (ERCP) relation to advent noninvasive methods visualizing biliary and pancreatic tree.Retrospective cohort study. The Nationwide Inpatient Sample (NIS) database was used calculate age-adjusted rate for ERCPs performed from 1988 2002. State Ambulatory Surgery Database (SASD) outpatient 1997 2003. Linear Poisson multivariate regression model control variations age, gender, ethnicity among overall...
Incarcerated individuals with mental illness face unique health challenges, yet we know little about who are detained by US immigration authorities. We aimed to describe the health-related experiences of immigrants and without illness. conducted a cross-sectional telephone survey in 2021 sample recently were Immigrations Customs Enforcement (ICE) released United States 2020-2021 (n = 203). used multivariable regression assess association between incidence five outcomes while detention: 1)...
Limited English proficiency (LEP) impairs health access-including outpatient specialty care-and quality care, i.e., inappropriate use of diagnostic tests. At least in some cases, studies have suggested that clinicians may substitute testing for time-consuming clinical evaluation involving medical interpreters. This study (1) examines disparities receipt among patients with LEP and neurologic illness, both the ambulatory emergency department (ED) settings, including (2) whether better...
Importance Length of custody is a mechanism by which carceral systems can worsen health. However, there are fewer studies examining US immigration detention, in large part because detention largely privately operated and opaque design. Objectives To examine the association between duration spent with subsequent health outcomes. Design, Setting, Participants This cross-sectional study used referral sample recently detained immigrants who were released from Immigrations Customs Enforcement...
Objective: This study assessed (1) the feasibility and usability of traumatic brain injury (TBI) assessment using Ohio State University TBI Identification Method (OSU-TBI-ID) in a sample English Spanish-speaking refugees asylum seekers (hereafter refugees), (2) prevalence characteristics this population. Setting Participants: Refugees seeking care from Massachusetts General Hospital (MGH) Asylum Clinic, MGH Chelsea HealthCare Center, other programs Greater Boston Area. Design Main Measures:...
Social determinants of health (SDoH) are environmental and socioeconomic factors that indirectly or directly influence health. This study examined whether SDoH might relate to literacy access care associated with lifetime history parent-reported concussion in school-aged children adolescents the United States. We hypothesized lower parental education, living poverty, speaking a language other than English as primary home would be concussion. Participants were parents caregivers 34,077 (ages...
Undocumented patients can be subject to discrimination, reporting, detention, or deportation in violation of the Health Insurance Portability and Accountability Act, so what goes record is critical.
Understanding factors contributing to neurobehavioral symptom burden among intimate partner violence (IPV) survivors has important implications for prevention, screening, and intervention in this vulnerable population. This study aimed (1) identify the relationship between childhood trauma symptoms a shelter- community-based sample of IPV survivors, including investigating mediating role posttraumatic stress alexithymia relationship; (2) assess association IPV-related brain injury (BI)...
This Viewpoint discusses how current enforcement of US immigration policy has led to arrests and questioning patients at health care facilities argues that all settings should have legal sanctuary status protect undocumented immigrants' access medical treatment.
Given the high post-stroke mortality and disability paucity of data on quality stroke care in Sub-Saharan Africa, we sought to characterize implementation stroke-focused treatments 90-day outcomes neuroimaging-confirmed patients at largest referral hospital Tanzania.Prospective cohort study.Muhimbili National Hospital (MNH) Dar es Salaam, July 2016-March 2017.Adults with new-onset (<14 days), confirmed by head CT, admitted MNH.Modified Rankin scale (mRS) vital status.Of 149 subjects (mean...
Increases in the enforcement of immigration policies, deportations, and rhetoric critical during after 2016 US presidential election have been associated with a decrease health-seeking behaviors an increase adverse health outcomes among immigrants. Efforts to address care needs immigrants centered on individual-level patient-practitioner strategies or federal- state-level policy changes. However, these approaches not captured role systems range facilities encompassed within them.To...
<h3>Importance</h3> The health effects of restrictive immigration and refugee policies targeting individuals from Muslim-majority countries are largely unknown. <h3>Objective</h3> To analyze whether President Trump's 2017 executive order 13769, "Protecting the Nation Foreign Terrorist Entry into United States" (known as "Muslim ban" order) was associated with changes in care utilization by people born targeted nations living US. <h3>Design, Setting, Participants</h3> This retrospective...
As the health care workforce diversifies, understanding and addressing lived experiences of professionals facing prejudice discrimination becomes increasingly important. Previous studies have focused on physicians medical trainees, but there remains a dearth research exploring nurses' experiences-even though nurses make up largest sector nation's workforce.This qualitative study explored personally mediated workplace based race, ethnicity, culture, or religion.We conducted in-depth...