- Adolescent Sexual and Reproductive Health
- Reproductive Health and Contraception
- Global Maternal and Child Health
- Adolescent and Pediatric Healthcare
- Reproductive Health and Technologies
- Maternal Mental Health During Pregnancy and Postpartum
- Food Security and Health in Diverse Populations
- Health Policy Implementation Science
- Religion, Spirituality, and Psychology
- Ethics and Legal Issues in Pediatric Healthcare
- HIV/AIDS Research and Interventions
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Tuberculosis Research and Epidemiology
- Youth Development and Social Support
- Religion, Society, and Development
- Gender, Labor, and Family Dynamics
- Child and Adolescent Psychosocial and Emotional Development
- Cannabis and Cannabinoid Research
- Social Media and Politics
- Privacy, Security, and Data Protection
- Impact of Technology on Adolescents
- Mobile Health and mHealth Applications
- Reproductive tract infections research
- Patient-Provider Communication in Healthcare
Kaiser Permanente Washington Health Research Institute
2022-2025
University of Washington
2014-2022
Kaiser Permanente
2017-2020
Bellevue Hospital Center
2017-2020
Office of Adolescent Health
2020
University of Colorado Denver
2015-2017
University of Colorado System
2016
Seattle Children's Hospital
2015
Neighborcare Health
2015
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
2009
Background: Adolescents in the United States are disproportionately affected by sexually transmitted infections and unintended pregnancy. Adolescent-centered health services may reduce barriers to care; yet, limited research has focused on adolescents’ own perspectives patient-provider communication during a sexual visit. Methods: Twenty-four adolescents (14-19 years old) seeking care public clinic Washington State participated one-on-one qualitative interviews. Interviews explored...
This study aimed to evaluate screening strategies for identifying risk self-harm among adolescents making outpatient health care visits. Health system records were used identify a prospective cohort of completing the Patient Questionnaire-9 (PHQ-9) at visits between October 1, 2015, and March 15, 2020, retrospective experiencing events (ascertained from state mortality data) during same period. Self-harm scores computed records. Analyses sample examined sensitivity positive predictive value...
Introduction The extent that the dual burden of undernutrition and overnutrition affects refugee children before resettlement in US is not well described. Objective To describe prevalence wasting, stunting, overweight, obesity among ages 0–10 years at their overseas medical screening examination prior to Washington State (WA), compare nutritional status with low-income WA. Methods We analyzed anthropometric measurements 1047 old assess WA from July 2012—June 2014. estimates categories were...
Background: Seven percent of tuberculosis (TB) cases reported to the US National Tuberculosis Surveillance System in 2005 had Mycobacterium isolates with resistance at least isoniazid. Methods:We undertook this study describe demographic characteristics, risk factor information, and treatment outcomes for persons isoniazid-monoresistant (resistant isoniazid susceptible rifampin, pyrazinamide, ethambutol hydrochloride) TB compared all first-line anti-TB drugs. Results:The numbers increased...
A key strategy to reduce unintended adolescent pregnancies is expand access long-acting reversible contraceptive (LARC) methods, including intrauterine devices and subdermal implants. LARC services can be provided adolescents in school-based health other primary care settings, yet limited knowledge negative attitudes about methods may influence adolescents' utilization of these methods. This study aimed evaluate correlates acceptability among women at a center (SBHC).In this cross-sectional...
Abstract In 2016, the Agency for Healthcare Research and Quality (AHRQ) recommended seven domains training mentoring researchers in learning health systems (LHS) science. Health equity was not included as a competency domain. This commentary from scholars Consortium Applied Training to Advance Learning system with Scholars/Trainees (CATALyST) K12 program recommends that be extended reflect growing demands evidence on inequities interventions alleviate them. We present real‐life case studies...
To evaluate whether the updated South African national contraception policy and guidelines adequately address needs of adolescents.We used World Health Organization (WHO) guidance recommendations on ensuring human rights in provision contraceptive information services as an analytic framework. We assessed relation to each WHO summary recommendation. Specifically, we determined where normative pertaining adolescents is present it adequate, all populations but not specifically present, or for...
OBJECTIVES To determine adolescent characteristics associated with patient portal secure messaging use within a health system. METHODS This study analyzed monthly data from individuals aged 13 to 17 who met eligibility criteria 2019 2021. The primary outcome was any messages sent an adolescent’s account during each observed month. Unadjusted and adjusted associations between were assessed using generalized estimating equations log link binomial variance. RESULTS Of 667 678 months, 50.8%...
Adolescent sexual and reproductive health (SRH), problems such as unplanned pregnancies are complex multifactorial, thus requiring multifaceted prevention interventions. Evaluating the impact of interventions is important to ensure efficiency, effectiveness accountability for project funders community members. In this study, we propose Results Based Management (RBM) a framework management, using Community Embedded Reproductive Health Care Adolescents (CERCA) case study RBM. The CERCA Project...