A5066347117- Opioid Use Disorder Treatment
- Health disparities and outcomes
- Substance Abuse Treatment and Outcomes
- Global Cancer Incidence and Screening
- Healthcare Policy and Management
- Food Security and Health in Diverse Populations
- Prenatal Substance Exposure Effects
- COVID-19 and healthcare impacts
- Climate Change and Health Impacts
- Urban Green Space and Health
- Economic and Financial Impacts of Cancer
- Ancient Near East History
- HIV, Drug Use, Sexual Risk
- COVID-19 and Mental Health
- Advances in Oncology and Radiotherapy
- Eurasian Exchange Networks
- Noise Effects and Management
- Global Health Workforce Issues
- Mental Health Treatment and Access
- Cardiac Arrest and Resuscitation
- Telemedicine and Telehealth Implementation
- Colorectal Cancer Screening and Detection
- Primary Care and Health Outcomes
- Homelessness and Social Issues
- Urban Transport and Accessibility
Washington State University
2018-2025
Washington State University Spokane
2016-2024
Georgia Highlands College
2018-2024
Seattle University
2022-2023
RTI International
2023
University of Washington
2023
Institute for Community Health
2023
University of Maryland, College Park
2022
University of York
2022
CT Group Of Institutions
2020
Amidst the COVID-19 pandemic, interest in using telehealth to increase access health and mental care has grown, school transitions remote learning have heightened awareness of broadband inequities. The purpose this study was examine barriers technology Internet service ("broadband") among rural urban youth. Washington State public districts were surveyed about youth's (ie, a device adequate for online learning) availability spring 2020. Availability geography, affordability, smartphone-only...
Background Background: In response to the COVID-19 pandemic, US Substance Abuse and Mental Health Services Administration (SAMHSA) allowed for an increase in methadone take-home doses treatment of Opioid Use Disorder (OUD) March 2020.
Data included completed screening mammograms within a large statewide nonprofit community health care system in Washington State between April 1, 2018, and December 31, 2020.This more than 230 primary care, specialty urgent clinics, 8 hospitals across State.The MultiCare institutional review board approved this study protocol granted waivers of individual consent based on removal individually identifying data.This followed the Strengthening Reporting Observational Studies Epidemiology...
The U.S. Preventive Services Task Force recommends annual lung cancer screening (LCS) for adults who meet specific age and smoking history criteria. To evaluate race-, ethnicity-, rurality-based differences in distance to the nearest LCS facility. Cross-sectional ecological study. census tracts. 71 691 outcome variable was road network miles between a tract Distance log-transformed, geometric means are reported. Census tracts were classified as majority (>50%) American Indian/Alaska Native...
IntroductionIn response to the COVID-19 pandemic, a federal exemption allowed stable and less patients greater take-home doses of methadone. We assessed adoption increased medication during whether is associated with clients' characteristics.MethodologyWe completed pre-post study adults receiving methadone for OUD from an OTP in Spokane, Washington. Our outcome was change number three months before after March 2020 exemption. Clients' characteristics included age, gender, ethnicity,...
The aim of this study was to examine the relationship between estimated residential exposure agricultural chemical application and premature mortality from Parkinson's disease (PD) in Washington State. State records for 2011⁻2015 were geocoded using addresses, classified as having land-use within 1000 meters. Generalized linear models used explore association associated with PD. Individuals exposed glyphosate had 33% higher odds than those that not (Odds Ratio (OR) = 1.33, 95% Confidence...
This cross-sectional study uses 2017 to 2019 data from the US National Mental Health Services Survey and examines whether there are disparities in availability of youth-serving mental health facilities associated with suicide risk rural vs urban youth.
Abstract Background Routine screening mammography at two-year intervals is widely recommended for the prevention and early detection of breast cancer women who are 50 years + . Racial other sociodemographic inequities in routine well-documented, but less known about how these long-standing were impacted by disruption health services during COVID-19 pandemic. Early pandemic, suspended or delayed, disruptions may have had to disproportionate impact on some groups. We tested hypothesis that...
Abstract INTRODUCTION Distance to physicians may explain some of the disparities in Alzheimer's disease and related dementia (AD/ADRD) outcomes. METHODS We generated round trip distance between residences decedents with AD/ADRD nearest neurologist primary care physician Washington State. RESULTS The overall mean was 17 4 miles, respectively. Non‐Hispanic American Indian and/or Alaska Native Hispanic would have had travel 1.12 1.07 times farther, respectively, reach compared non‐Hispanic...
Abstract Introduction and Aims In states where recreational use of cannabis has been legalised, increasing numbers licensed businesses resulted in concerns about their potential social health impacts. This study examined spatiotemporal variations availability (i.e. producers, processors retailers) relation to area deprivation Washington state from 2014 2017. Design Methods Data on were obtained the State Liquor Cannabis Board. The number was estimated for Washington's 1446 census tracts....
Abstract Introduction Studies have shown that cancer screenings dropped dramatically following the onset of coronavirus diseases 2019 (COVID‐19) pandemic. In this study, we examined differences in rates cervical and colorectal (CRC) screening diagnosis indicators before during first year COVID‐19 Methodology We used retrospective data from a large healthcare system Washington State. Targeted included completed for both CRC (colonoscopy) (Papanicolaou test (Pap test)). analyzed compared rate...
Abstract Background Opioid overdose remains a public health crisis in diverse communities. Between 2019 and 2020, there was an almost 40% increase drug fatalities primarily due to opioid analogues of both stimulants opioids. Medications for use disorder (MOUD; e.g., buprenorphine) are effective, evidence-based treatments that can be delivered office-based primary care settings. We investigated disparities the proportion national prescribers who have obtained waiver issued prescribe MOUD by...
Background: The burden of access to opioid treatment programs (OTPs) may change as clients become eligible for take-home privileges. Our previous study showed who lived more than 10-miles away from an OTP were likely miss methadone doses during the first 30 days treatment. Proximity alcohol and cannabis outlets also negatively influence adherence.Objective: To examine association between this OTP, outlets, number missed first, second, third 90 treatment.Methods: was calculated 752, 689, 584...
Abstract Purpose Rural residents may be at higher risk for loneliness than urban due to factors such as social isolation, poorer health, and socioeconomic disadvantage. To date, there have been few studies examining rural‐urban differences in among adults the United States. We examined across continuum adult living Washington State. Methods Stratified random sampling was used select 2,575 from small rural, large suburban, areas who were invited complete a survey on affecting health. Data...