- Smoking Behavior and Cessation
- Obesity, Physical Activity, Diet
- Nutritional Studies and Diet
- Global Public Health Policies and Epidemiology
- Air Quality and Health Impacts
- Consumer Attitudes and Food Labeling
- Behavioral Health and Interventions
- Health disparities and outcomes
- Diet, Metabolism, and Disease
- Health and Lifestyle Studies
- Cardiovascular Disease and Adiposity
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Diet and metabolism studies
- Cardiovascular Health and Risk Factors
- Health Systems, Economic Evaluations, Quality of Life
- Sodium Intake and Health
- Health Promotion and Cardiovascular Prevention
- Liver Disease Diagnosis and Treatment
- Consumer Market Behavior and Pricing
- Agriculture Sustainability and Environmental Impact
- Noise Effects and Management
- Obesity and Health Practices
- Diabetes Management and Education
- Health Policy Implementation Science
- Food Waste Reduction and Sustainability
Instituto Nacional de Salud Pública
2013-2025
Georgetown University
2019-2024
Georgetown University Medical Center
2019-2024
Georgetown Lombardi Comprehensive Cancer Center
2021-2023
University of Michigan
2021-2022
Occupational Cancer Research Centre
2022
Library of Michigan
2021
Yale University
2021
University College London
2016-2018
UK Health Forum
2016
Rates of diabetes in Mexico are among the highest worldwide. In 2014, instituted a nationwide tax on sugar-sweetened beverages (SSBs) order to reduce high level SSB consumption, preventable cause and cardiovascular disease (CVD). We used an established computer simulation model CVD country-specific data demographics, epidemiology, short-term changes consumption following project potential long-range health economic impacts taxation Mexico.We Cardiovascular Disease Policy Model-Mexico, state...
<b><i>Objective: </i></b>To project the prevalence of obesity across WHO European region and examine whether target halting at 2010 levels by 2025 is achievable. <b><i>Methods: </i></b>BMI data were collected from online databases literature. Past present BMI trends extrapolated to using a non-linear categorical regression model fitted nationally representative survey data. Where only 1 year was available, flat trend assumed. no proxy country...
Background Saturated fat ( SFA ), ω‐6 (n‐6) polyunsaturated PUFA and trans TFA ) influence risk of coronary heart disease CHD but attributable mortalities by country, age, sex, time are unclear. Methods Results National intakes , n‐6 were estimated using a Bayesian hierarchical model based on country‐specific dietary surveys; food availability data; and, for industry reports fats/oils packaged foods. Etiologic effects fats mortality derived from meta‐analyses prospective cohorts rates the...
To examine changes in categories of soft drink consumption a cohort Mexican adults, three years after the implementation sugar sweetened beverage tax.Open longitudinal analysis.Three waves Health Workers Cohort Study, Mexico, spanning 2004 to 2018.1770 people aged 19 or older with information on drinks available at least one waves.Change probability belonging four (non, low, medium, high) tax was implemented. Heterogeneity associations by income and education also assessed.Before tax, more...
Introduction The US Food and Drug Administration most recently announced its intention to ban menthol cigarettes cigars nationwide in April 2021. Implementation of the will require evidence that it would improve public health. This paper simulates potential health impact a on through impacts smoking initiation, cessation switching nicotine vaping products (NVPs). Methods After calibrating an established simulation model reflect recent use trends cigarette NVP use, we extended incorporate...
Introduction: Accurate estimates of e-cigarette use are needed to gauge its impact on public health. We compared the results online and traditional, large scale surveys provide additional from Population Assessment Tobacco Health (PATH) survey, with aim assessing extent variation in prevalence estimates. Materials Methods: searched peer-reviewed literature for nationally representative U.S. adult prevalence, developed our own waves one, two, three PATH survey. by age, gender, cigarette...
We estimated the prevalence and mortality risks of preserved ratio impaired spirometry (PRISm) chronic obstructive pulmonary disease (COPD) in US adult population. linked three waves pre-bronchodilator data from National Health Nutritional Examination Survey (2007-2012) with Death Index. The analytic sample included adults ages 20 to 79 without missing on age, sex, height, BMI, race/ethnicity, smoking status. defined COPD (GOLD 1, 2, 3-4) PRISm using FEV1/FVC cut points by Global Initiative...
Rationale. Chronic obstructive pulmonary disease (COPD) is a leading cause of death but with variable progression. Objective. Estimate factors influencing transition rates between PRISm and GOLD stages. Methods. Using Markov multistate model, GOLD-0, GOLD-1, GOLD-2 3-4 were estimated for 5,728 US adult ever cigarette users from the COPDGene cohort over 10-years. We calculated one five-year probabilities progressive regressive transitions mean sojourn time severity states. Main Results....
Nicotine vaping products (NVPs) are increasingly popular worldwide. They may provide public health benefits if used as a substitute for smoking, but create harms gateway to smoking or discourage cessation. This paper presents the Smoking and Vaping Model (SAVM), user-friendly model which estimates implications of NVPs in USA. SAVM adopts cohort approach. We derive by comparing smoking- NVP-attributable deaths life-years lost under No-NVP an NVP Scenario. The Scenario projects current,...
The public health impact of nicotine vaping products (NVPs) is subject to a complex set uncertain transitions between NVP and cigarette use. Instead, we apply an indirect method gauge the use on smoking prevalence smoking-attributable deaths (SADs) using well-established
Abstract Introduction The US Food and Drug Administration announced its intention to ban menthol in cigarettes. However, information is needed on how a federal would affect population health. Aims Methods We conducted an expert elicitation gauge the impact of cigarette cigar United States. developed pilot tested questionnaire that focused tobacco use transitions current smokers (age 18–24 menthol, age 35–54 nonmenthol) potential 12–24). Using structured elicitation, we estimated mean net...
In 2014 the Mexican government implemented taxes to reduce consumption of sugar-sweetened beverages and nonessential energy-dense foods. this manuscript, we analyze scientific evidence linking these products chronic diseases, summarize studies that have evaluated observed expected impact food in Mexico. The implementation unhealthy foods has reduced purchases 7.6% 7.4%. A reduction could decrease obesity prevalence by 2.5%; prevent 20 000 cardiovascular disease events; 189 diabetes cases;...
To provide tobacco product use patterns for US adults by sociodemographic group.A secondary analysis of Tobacco Use Supplement to the Current Population Survey (2014-15), National Health Interview (2015), and Assessment (2015-16).United States.Three nationally representative samples (N = 28,070-155,067).All possible combinations cigarette, Electronic Nicotine Delivery Systems (ENDS), other combustible product, smokeless use, defined as current every day or some days.Weighted population...
Abstract Background We model the potential impact of relaxing current nicotine vaping product (NVP) restrictions on public health in Australia. Aims and Methods A Restricted NVP Scenario was first developed to project smoking rates, where a U.S. calibrated recent Australian trends. To less restrictive policies, Permissive applied rates switching from vaping, initiation into cigarette use, cessation based The measures risk relative excess mortality rate smoking. impacts are measured as...
With the US Food and Drug Administration recently proposing to implement a ban on menthol cigarettes, it is critical estimate potential public health effects of such ban. high rates cigarette use important smoking-related disparity implications, impact non-Hispanic black (NHB) population merits strong consideration.
Identifying determinants of smoking cessation is critical for developing optimal treatments and interventions. Machine learning (ML) becoming more prevalent success prediction in treatment programs. However, only individuals with an intention to quit cigarettes participate such programs, which limits the generalizability results. This study applies data from Population Assessment Tobacco Health (PATH), a United States longitudinal nationally representative survey, select primary train ML...
On 19 December 2018, Altria announced an offer of US$12.8 billion for a 35% share Juul Labs.1 2 The deal combines (formerly Philip Morris),3 the company with largest US cigarette market, large and rapidly growing vaping product (aka e-cigarette) company, Labs.4 5 acquisition price was based on US$38 billion valuation, which more than twice Labs’ August surprise to many investors Wall Street.1 includes 6-year agreement, in would not be allowed acquire additional Labs shares above agreed 35%....