A5007778658- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Adolescent and Pediatric Healthcare
- Child and Adolescent Health
- Urban, Neighborhood, and Segregation Studies
- Childhood Cancer Survivors' Quality of Life
- Obesity, Physical Activity, Diet
- Palliative Care and End-of-Life Issues
- Global Health Workforce Issues
- Migration, Health and Trauma
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Diabetes Management and Education
- Healthcare cost, quality, practices
- Global Health Care Issues
- Housing, Finance, and Neoliberalism
- Family Support in Illness
- Cutaneous Melanoma Detection and Management
- Mobile Health and mHealth Applications
Keck Hospital of USC
2005-2024
University of Southern California
2011-2023
Southern California University for Professional Studies
2001-2023
Los Angeles County Department of Public Health
2022
American Nonsmokers' Rights Foundation
2019
Rockefeller University
2018
TCL (China)
2013
Claremont Graduate University
2010
Los Angeles County Department of Health Services
2001
University of California, Los Angeles
2001
Self-reported health status and access to care were reported for 238 homeless adults in Los Angeles. One-third their as fair or poor; women more problems than men. Half (53 per cent) of the sample no regular source care, most (81 without insurance. Lack financial resources insurance important barriers care.
The burden of childhood and adult obesity disproportionally affects Hispanic African-American populations in the US, these groups as well with lower income education levels are disproportionately affected by environmental pollution. Pregnancy is a critical developmental period where maternal exposures may have significant impacts on infant growth future health mother. We initiated "Maternal And Developmental Risks from Environmental Social Stressors (MADRES)" cohort study to address gaps...
Restricting youth access to tobacco is a central feature of US regulatory policy, but impact local retail licensing (TRL) regulation on cigarette smoking rates remains uncertain. Effects TRL other product use and as adolescents reach the age legally purchase products has not been investigated.Prevalences ever past 30-day cigarette, electronic (e-cigarette), cigar, hookah were assessed in survey cohort 1553 11th- 12th-grade (mean age: 17.3 years); initiation evaluated 1.5 years later. An...
Our study assesses changes in students' knowledge and attitudes after participation an interprofessional, team-based, geriatric home training program. Second-year medical, physician assistant, occupational therapy, social work, physical therapy students; third-year pharmacy fourth-year dental students were led by interprofessional faculty teams. Student participants assessed before the curriculum using learning scale. Significant differences positive data trends noted at year-end. suggests...
Eleven US states and Washington, DC, legalized recreational (adult use) cannabis. Seven states—Alaska, California, Colorado, Massachusetts, Nevada, Oregon, Washington—allow cannabis sales. A public health concern is that exemptions in state or local smoke-free laws for smoking vaping will weaken laws, expose the to secondhand cannabis, renormalize smoking. We describe experience of seven challenges faced maintaining laws. Using elements a tobacco control framework, we identify best practices...
We examined the effects of a digitally delivered, type 2 diabetes mellitus prevention program (DPP) for low-income population.We conducted nonrandomized clinical trial with matched controls. The intervention group was offered digital DPP, web-based and mobile-based including 52 weeks participation in an educational curriculum, health coaching, peer support.A total 227 participants enrolled. At baseline, 34.6 mean body mass index, 5.8 HbA1c. For group, weight loss 4.4% at 12-month...
Monitoring the health status of populations is a core function all public agencies but particularly important at municipal and community levels, where population data increasingly are used to drive decision making improvement efforts. Unfortunately, most local jurisdictions lack for developing profiles, such as on chronic disease prevalence, quality-of-life measures, functional status, self-perceptions status. In addition, determinants health, including behaviors access care services, rarely...
Abstract Mental health and substance use disorders are prevalent among people experiencing homelessness. Street Medicine can reach unhoused who face barriers to accessing healthcare in more traditional medical settings including shelter-based clinics. However, there is little guidance on best practices for mental treatment through Medicine. The aim of the study was describe behavioral care by analyzing data from California Landscape survey follow-up qualitative interviews. Most street...
This paper reports findings from a survey of 134 homeless people living in 42 urban encampments central Los Angeles. These data, concern to public health officials, include the physical conditions camps, status residents, their use drugs and alcohol, access care services such as substance abuse treatment. Many encampment residents report poor status; over 30 percent chronic illnesses, 40 problem. Although outreach efforts have had success bringing HIV tuberculosis screening encampments,...
Childhood cancer survivors (CCS) face increased risk of morbidity and are recommended to receive lifelong cancer-related follow-up care. Identifying factors associated with care can inform efforts support the long-term health CCS.Eligible CCS (diagnosed between 1996 2010) identified through Los Angeles County Cancer Surveillance Program responded a self-report survey that assessed demographic, clinical, health-care engagement, psychosocial protective recent (prior 2 years) Weighted...
Background: Policy strategies aimed at modifying aspects of the social, physical, economic, and educational environments have been proposed as potential solutions to growing problem physical inactivity. To develop effective activity policies in these other areas, greater understanding how why successfully impact behavior change is needed. Methods: The current paper proposes a conceptual framework explaining policy map onto health theoretical variables processes thought lead change. This used...
Previous studies have shown that lifestyle modification can successfully prevent or delay development of type 2 diabetes. This trial aimed to test if an underserved, low-income population would engage in a digital diabetes prevention program and achieve changes reduce their risk Participants were recruited from three health care facilities serving populations. The inclusion criteria were: recent blood indicating prediabetes, body mass index (BMI) > 24 kg/m2, age 18–75 years, not pregnant,...
Objective. This study examines whether patient‐reported indicators of a quality medical home are associated with measures health among Latino children in low‐income families. Data Sources. on 3,258 ages 2–18 years from cross‐sectional survey parents affiliated California's Healthy Kids insurance. Study Design. Medical was assessed using the Parents' Perception Primary Care and health‐related life (HRQOL) overall four domains (physical, emotional, social, school/daycare) school engagement....
An equitable COVID-19 vaccine rollout is a necessary piece of the public health strategy to end current pandemic; however, hesitancy may present major hurdle. This study examines racial/ethnic and income-based disparities in Los Angeles County, recent epicenter pandemic US, immediately after Food Drug Administration issued its emergency use authorization vaccine. We conducted online, stratified cross-sectional surveys 1,984 adults living County between December 2020 January 2021 assess...
California has expanded health insurance to children in low- and middle-income families. Currently, Children's Health Initiatives (CHIs) have been developed 26 counties supplement Medi-Cal Healthy Families (SCHIP). Yet, as coverage expands, we know little about the impact of these programs on child outcomes.Child hospitalizations for ambulatory care sensitive conditions (ACSC) is a widely adopted measure outcomes. We compare rates total ACSC among ages 0-18 years 9 operational CHI prior...
Purpose: Millions of people gained health care coverage in Los Angeles after the Affordable Care Act (ACA); however, challenges with obtaining and utilizing primary still persist, particularly safety net. In this study, we explore barriers to accessing services among safety-net patients Medicaid expansion implementation other programs for ACA. Methods: We conducted qualitative interviews, Spanish English, 34 nonelderly adult 1 3 insurance groups: Medicaid, MyHealthLA (a program low-income...
Many county coalitions throughout California have created local health insurance programs known as Healthy Kids to cover uninsured children ineligible for public a result of family income level or undocumented immigrant status. We sought gain an understanding the experiences these they pursue goal universal coverage children.We conducted semistructured telephone-based in-person interviews with coalition leaders from 28 counties regions engaged in expansion activities.Children's Health...
The objective of this study was to assess the role health insurance coverage on patterns care utilization and access cancer-related follow-up non-cancer among childhood cancer survivors (CCS). Cross-sectional survey design used. Childhood were from 2 large hospitals in Los Angeles County. In all, 235 identified through Cancer Surveillance Program, diagnosed between ages 5 18 2000-2007 with any type except Hodgkin lymphoma. At data collection 2009-2010, participants 15 25 years old. Study...
Objective A growing need exists to train physicians in population health meet the increasing and demand for with leadership, data management/metrics, epidemiology skills better serve of community. This study examines current trends students pursuing a dual doctor medicine (MD)–master public (MPH) degree (MD–MPH) United States. Methods We conducted an extensive literature review existing MD–MPH databases determine characteristics (eg, sex, race/ethnicity, MPH area study) this student cohort...
OBJECTIVE AND STUDY SETTING: To evaluate the effectiveness of different approaches to outreach on public health insurance enrollment in 25 California counties with a Children's Health Initiative.Administrative databases.The use eight strategies were identified each quarter from 2001 2007 for (county quarter). Strategies categorized as either technology or nontechnology. New enrollments obtained Medi-Cal, Healthy Families, and Kids. Bivariate multivariate analyses assessed link between...