- Agriculture and Farm Safety
- Pesticide Exposure and Toxicity
- Occupational Health and Safety Research
- Complementary and Alternative Medicine Studies
- Food Security and Health in Diverse Populations
- Employment and Welfare Studies
- Diabetes Management and Education
- Workplace Health and Well-being
- Obesity, Physical Activity, Diet
- Air Quality and Health Impacts
- Indoor Air Quality and Microbial Exposure
- Nutritional Studies and Diet
- Musculoskeletal pain and rehabilitation
- Homelessness and Social Issues
- Carcinogens and Genotoxicity Assessment
- Phytochemistry Medicinal Plant Applications
- Migration, Health and Trauma
- Diabetes Management and Research
- Nutrition and Health in Aging
- Nutrition, Health and Food Behavior
- Dental Health and Care Utilization
- Heavy Metal Exposure and Toxicity
- Community Health and Development
- Herbal Medicine Research Studies
- Occupational exposure and asthma
Wake Forest University
2015-2024
U.S. National Science Foundation
2021
Meharry Medical College
2012-2021
Faculty of Public Health
2007-2021
American Congress of Obstetricians and Gynecologists
2020
Southern University Law Center
2020
Eunice Kennedy Shriver National Institute of Child Health and Human Development
2020
Virginia Tech
2016-2017
Orszagos Kornyezetegeszsegugyi Intezet
2016-2017
Walker (United States)
2015-2017
The optimal duration of treatment women with postmenopausal osteoporosis is uncertain.To compare the effects discontinuing alendronate after 5 years vs continuing for 10 years.Randomized, double-blind trial conducted at US clinical centers that participated in Fracture Intervention Trial (FIT).One thousand ninety-nine who had been randomized to FIT, a mean prior treatment.Randomization alendronate, mg/d (n = 329) or 333), placebo 437) (1998-2003).The primary outcome measure was total hip...
We examine Internet use and eHealth literacy among older adults (aged 55+ years) who were patients at clinics serving low-income populations. Participants included 200 minority White completed interviews based on a technology acceptance conceptual model. A total of 106 participants (53.0%) used the Internet; utilization was associated with personal characteristics (age, ethnicity, education, poverty), computer (number e-devices, stress), social support (marital status), health knowledge...
Farmworkers are low-paid, uninsured employees in an extremely hazardous industry, and they provide essential service for U.S. society. This review evaluates the delivery of health services to farmworkers. It describes farmworker population United States, noting characteristics (e.g., migratory immigration status) that limit their access utilization services. needs this population, including occupational health, mental oral chronic disease treatment. Cultural, structural, legal, financial,...
The process used to locate and recruit participants in a qualitative study is important for controlling bias efficiently obtaining representative sample. In complex societies without clearly bounded groups from which sample, participant recruitment requires especially careful consideration. Yet few researchers discuss their methods. This paper describes site-based procedure locating, selecting, recruiting research communitybased contemporary societies. An example of this applied nutrition...
Farmworkers in the United States constitute a population at risk for serious environmental and occupational illness injury as well health disparities typically associated with poverty. Pesticides are major source of to which farmworkers exposed. Efforts provide safety training have not been fully evaluated. Based on Health Belief Model, this analysis examines how information affects perceived pesticide control among affect farmworker knowledge behavior. Data based interviews conducted 1999...
This article examines the feasibility of using a short-form version Center for Epidemiologic Studies-Depression Scale (CES-D) in community mental health research with Mexican immigrants. Several features three published short versions CES-D were examined data combined from seven diverse immigrant samples across United States (N = 685). Results indicate that are reliable, they account most variance scores full CES-D, and there is little evidence use forms attenuates associations other...
Objectives: Existing studies on the use of complementary and alternative medicine (CAM) have produced diverse results regarding types prevalence CAM due, in part, to variations measurement modalities. A questionnaire that can be adapted for a variety populations will improve utilization measurement. The purposes this article are (1) articulate need such common questionnaire; (2) describe process development; (3) present model with core questions; (4) suggest standard techniques adapting...
Objective. Food insecurity is defined as lack of access at all times, due to economic barriers, enough food for an active and healthy lifestyle. The objective this study was threefold: characterize levels security, insecurity, hunger among migrant seasonal Latino farmworkers; assess predictors group; describe the strategies farmworkers use cope with insecurity. Methods. Adults from 102 farmworker households in North Carolina responded a survey that used Spanish-language adaptation U.S....
ABSTRACT: Context: The number of Latinos in rural regions the United States is increasing. Little known about factors that undermine mental health this segment population. Purpose: goal study to determine which stressors inherent farmwork and farmworker lifestyle contribute poor health. Methods: An interview containing Migrant Farmworker Stress Inventory (MFWSI) 3 scales (the PAI [anxiety], CES‐D [depression], CAGE/4M [alcohol abuse]) was administered a sample 125 male migrant farmworkers....
Work-family conflict research has focused almost exclusively on professional, White adults. The goal of this article was to expand the understanding culture and industry in shaping experiences consequences work-family conflict. Using in-depth interview data (n = 26) structured survey 200) from immigrant Latinos employed poultry processing industry, authors evaluated predictions drawn emerging models emphasizing influence cultural characteristics such as collectivism gender ideology Results...
This analysis described Latino migrant farmworkers' work safety climate and its association with musculoskeletal discomfort, working while injured or ill, depressive symptoms.
Background: The United States government is encouraging physicians to adopt patient portals—secure websites that allow patients access their health information. For portals recognize full potential and improve care, care providers' acceptance encouragement of use will be essential. However, little known about provider concerns or views portals. Objective: We conducted this qualitative study determine how administrators, clinic staff, providers at practices serving a lower income adult...
Some weight loss and exercise programs that have been successful in academic center-based trials not evaluated community settings.To determine whether adaptation of a diet intervention to settings resulted statistically significant reduction pain, compared with an attention control group, at 18-month follow-up.Assessor-blinded randomized clinical trial conducted urban rural counties North Carolina. Patients were men women aged 50 years or older knee osteoarthritis overweight obesity (body...
Children of farmworkers can be exposed to pesticides through multiple pathways, including agricultural take-home and drift as well residential applications. Because farmworker families often live in poor-quality housing, the exposure from pesticide use may substantial. We measured eight locally reported 13 commonly found U.S. houses residences 41 with at least one child < 7 years age western North Carolina Virginia. Wipe samples were taken floor surfaces, toys, children's hands. also...
OBJECTIVE—Depression is associated with morbidity, mortality, and decreased quality of life a well-established complication among people diabetes. Little known about the prevalence correlates depressive symptoms older adults living in rural communities, particularly ethnic minority groups, who are at increased risk developing diabetes complications. RESEARCH DESIGN AND METHODS—Data were analyzed from ELDER (Evaluating Long-term Diabetes Self-management Among Elder Rural Adults) study which...
This study determines elements of a social history that could assist primary care providers in identifying and treating anxiety depression among immigrant Mexicans. Cross-sectional data were obtained through interviewer-administered survey questionnaires from Latinos the United States fewer than 5 years (N = 150). Interviews conducted by native Spanish-speakers community settings. Mental health was measured with Center for Epidemiologic Studies-Depression Scale (CES-D) Personality Assessment...
Abstract Objective To compare the complementary and alternative medicine (CAM) used by adults ages 45 years older with without arthritis, to investigate prevalence predictors of CAM use persons who report being told a doctor they had arthritis. Methods Data from 2002 National Health Interview Survey supplemental section on were analyzed. overall 4 modalities calculated arthritis status. for treatment any health condition, including was compared Logistic regression identify among Results...