A5046454356- Health disparities and outcomes
- Smoking Behavior and Cessation
- Air Quality and Health Impacts
- COVID-19 and Mental Health
- Public Health Policies and Education
- Food Security and Health in Diverse Populations
- Indoor Air Quality and Microbial Exposure
- Global Health Care Issues
- COVID-19 and healthcare impacts
- Impact of Technology on Adolescents
- Child Development and Digital Technology
- Blood Pressure and Hypertension Studies
- Obesity, Physical Activity, Diet
- COVID-19 epidemiological studies
- COVID-19 Clinical Research Studies
- Pharmaceutical Practices and Patient Outcomes
- Dementia and Cognitive Impairment Research
- Global Health Workforce Issues
- Mental Health Treatment and Access
- Cardiovascular Health and Risk Factors
- Employment and Welfare Studies
- Telemedicine and Telehealth Implementation
- Structural Integrity and Reliability Analysis
- Multiple Sclerosis Research Studies
- Optimism, Hope, and Well-being
University of Southern California
2024-2025
VA Palo Alto Health Care System
2021-2025
Geriatric Research Education and Clinical Center
2025
Stanford University
2019-2024
Center for Innovation
2021-2022
Santa Clara University
2021-2022
United States Department of Veterans Affairs
2021-2022
University of Maryland, Baltimore
2022
Multiple Sclerosis Center of Atlanta
2022
Harvard University
2021
The coronavirus disease 2019 (COVID-19) pandemic has led to laws and policies that include national school closures, lockdown or shelter-in-place laws, social-distancing recommendations may translate higher overall screen time among children adolescents for the duration of enforcement these policies. These need be periodically reinstated control future COVID-19 recurrences other emergencies. Excessive is associated with cardiovascular risk factors such as obesity, high blood pressure,...
<h3>Importance</h3> Socioeconomically marginalized communities have been disproportionately affected by the COVID-19 pandemic. Income inequality may be a risk factor for SARS-CoV-2 infection and death from COVID-19. <h3>Objective</h3> To evaluate association between county-level income cases deaths March 2020 through February 2021 in bimonthly time epochs. <h3>Design, Setting, Participants</h3> This ecological cohort study used longitudinal data on 1, 2020, 28, 2021, 3220 counties all 50...
Antihypertensive medication deprescribing is common among nursing home residents, yet its association with cognitive decline remains uncertain.
ABSTRACT Background Deprescribing antihypertensives is of growing interest in geriatric medicine, yet the impact on functional status unknown. We emulated a target trial deprescribing antihypertensive medications compared with continued use measured by activities daily living (ADL) long‐term care population. Methods included 12,238 Veteran Affairs residents age 65+ who had stay ≥ 12 weeks between 2006 and 2019. After 4+ stable medication use, were classified as either deprescribed (reduced 1...
Background Using data from the Cardiovascular Health Study (CHS) and REasons for Geographic And Racial Differences in Stroke (REGARDS) study, we investigate association between socioeconomic polarisation blood pressure outcomes black white adults. We also validate previous findings that joint racial/ethnic income measures of spatial social (SSP) outperform single domain measures. Methods conducted a cross-sectional analysis using retrospective cohort combining CHS (recruited 1989–1990...
Journal Article Secondhand Tobacco Smoke Exposure Associations With DNA Methylation of the Aryl Hydrocarbon Receptor Repressor Get access Lindsay M. Reynolds, PhD, PhD 1Department Epidemiology and Prevention, Division Public Health Sciences, Wake Forest School Medicine, Winston-Salem, NC; Search for other works by this author on: Oxford Academic PubMed Google Scholar Hoda S. Magid, MHS, MHS 2Department Epidemiology, Johns Hopkins University Bloomberg Health, Baltimore, MD; Gloria C. Chi,...
This study aimed to determine the prevalence and correlates of unmet need for mental health counseling among U.S. adults during COVID-19 pandemic.Data from December 9-21, 2020, cross-sectional Household Pulse Survey (N=69,944) were analyzed.Overall, 12.8% reported an in past month, including 25.2% with a positive screen depression or anxiety. Among screen, risk factors associated included female sex, younger age, income below federal poverty line, higher education, household job loss...
Study populationIn this cross-sectional observational study, we studied public venues in one city each of the twelve first-level subdivisions used Turkey by European Union's Nomenclature Territorial Units for Statistics: Aegean, north-eastern, middle, middle-eastern, south-eastern and western Anatolia, eastern Black Sea, Istanbul, Marmara Mediterranean.Our corresponding study cities were Adana, Ankara, Balikesir, Bursa, Erzurum, Gaziantep, Objective To investigate compliance with legislation...
Few studies have evaluated the association between secondhand smoke (SHS) and subclinical cardiovascular disease among ethnically diverse populations. This study assesses impact of SHS on inflammation atherosclerosis (carotid intima-media thickness, coronary artery calcification, peripheral arterial disease).We examined 5032 nonsmoking adults aged 45 to 84 years without prior participating in Multi-Ethnic Study Atherosclerosis (MESA) from 2000 2002. exposure was determined by self-report,...
Objective COVID-19 disproportionately affects racial/ethnic minority groups in the United States. We evaluated characteristics associated with obtaining a test from Veterans Health Administration (VHA) and receiving positive result for COVID-19. Methods conducted retrospective cohort analysis of 6 292 800 veterans VHA care at 130 medical facilities. assessed number tests SARS-CoV-2 administered by (n = 822 934) results 82 094) February 8 through December 28, 2020. associations testing...
The coronavirus pandemic has disproportionally impacted racial and ethnic minority communities in the United States. Patterns of these disparities may be changing over time as outbreaks occur different communities. Utilizing electronic health record data from US Department Veterans Affairs (VA), we estimated odds ratios, stratified by period region, for testing positive among 1,313,402 individuals tested SARS-CoV-2 between February 12, 2020 August 16, 2021 at VA medical facilities. We...
the interrelatedness between social determinants of health impedes researchers to identify important factors for investment. A new approach is needed quantify aggregate effect and develop person- centred interventions.participants ([n = 7,383], 54.5% female) were aged 65 years or above who complete an additional psychosocial questionnaire in retirement study 2006 2008. Social encompassed five domains: economic stability, neighbourhood physical environment, education, community context,...
Most smoke-free legislation to reduce secondhand smoke (SHS) exposure exempts waterpipe (hookah) smoking venues. Few studies have examined SHS in venues and their employees. We surveyed 276 employees of 46 tobacco Istanbul, Moscow, Cairo. interviewed venue managers collected biological samples from measure exhaled carbon monoxide (CO), hair nicotine, saliva cotinine, urine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), 1-hydroxypyrene glucuronide (1-OHPG). estimated adjusted geometric...
Few studies have evaluated environmental factors that predict survival to old age. Our study included 913 African American participants in the Jackson Heart Study (JHS) who resided tri-county area of Jackson, MS metropolitan and were 65-80 years at baseline. Participants followed from 2000 through 2019 for outcome 85 old. We each following census tract-level measures social/physical environment as exposures: socioeconomic status, cohesion, violence, disorder, healthy food stores, residential...
COVID-19 disparities by area-level social determinants of health (SDH) have been a significant public concern and may also be impacting U.S. Veterans. This retrospective analysis was designed to inform optimal care prevention strategies at the Department Veterans Affairs (VA) utilized data from VAs EHR geographically linked county-level 18 area-based socioeconomic measures. The risk testing positive with Veterans' SDHs, adjusting for demographics, comorbidities, facility characteristics,...
Background Geographic and contextual socioeconomic risk factors in adolescence may be more strongly associated with young adult hypertension than individual-level factors. This study examines the association between individual, neighborhood, school-level influences during on blood pressure. Methods Data were analyzed from National Longitudinal Study of Adolescent to Adult Health (1994–1995 aged 11–18 2007–2008 24–32). We categorized as systolic pressure ≥140 mm Hg and/or diastolic ≥90 Hg....
Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), this study examines association between adolescent school and neighborhood contexts likelihood diabetes in young adulthood. We apply cross-classified multi-level modeling (CCMM) techniques examine simultaneous influence non-nested as well individual, school, neighborhood-level factors (N = 14,041 participants 128 schools, 1933 neighborhoods). Our findings suggest that individual-level are most...