- Global Health Care Issues
- Blood Pressure and Hypertension Studies
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Assisted Reproductive Technology and Twin Pregnancy
- Primary Care and Health Outcomes
- Uterine Myomas and Treatments
- COVID-19 and healthcare impacts
- Cancer Risks and Factors
- Telemedicine and Telehealth Implementation
- Patient Satisfaction in Healthcare
- Reproductive Health and Technologies
- Global Health Workforce Issues
- HIV, Drug Use, Sexual Risk
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Insurance, Mortality, Demography, Risk Management
- Nutrition and Health in Aging
- Chronic Disease Management Strategies
- HIV/AIDS Research and Interventions
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiovascular Issues in Pregnancy
- Global Cancer Incidence and Screening
National Center for Chronic Disease Prevention and Health Promotion
2022-2025
Centers for Disease Control and Prevention
2022-2025
Hyattsville Community Development Corporation
2024
Washington University in St. Louis
2012-2021
Faculty of Public Health
2013
Policy Analysis (United States)
2012
University of Illinois Urbana-Champaign
2012
OBJECTIVE This study analyzed the lifetime health care expenditures and life years lost associated with diabetes in U.S. RESEARCH DESIGN AND METHODS Data from National Health Interview Survey (NHIS), Medical Expenditure Panel 1997 to 2000, NHIS Linked Mortality Public-use Files a mortality follow-up 2006 were used estimate age-, race-, sex-, BMI-specific risk of diabetes, mortality, annual for both patients those without diabetes. A Markov model populated by cost estimates was compute total...
OBJECTIVES: This study investigated the limitations of probability samples men who have sex with (MSM), limited to single cities and areas highest concentrations MSM ("gay ghettos"). METHODS: A sample 2881 in 4 American completed interviews by telephone. RESULTS: resided ghettos differed from other MSM, although different ways each city. Non-ghetto-dwelling were less involved gay lesbian community. They also likely only male sexual partners, identify as gay, been tested for HIV. CONCLUSIONS:...
Background Cardiac rehabilitation (CR) can improve cardiovascular health. We identified whether CR participation was associated with fewer subsequent inpatient hospitalizations and emergency department visits less Medicare out‐of‐pocket expenditures, outcomes varied by amount of participation. Methods This retrospective study used fee‐for‐service claims data, including beneficiaries a CR‐qualifying event in 2016. Participants attended ≥2 sessions within 365 days the event. Propensity score...
The objectives of this paper are to predict life years lost associated with obesity-related diseases (ORDs) for U.S. non-smoking adults, and examine the relationship between those ORDs mortality. Data from National Health Interview Survey, 1997-2000, were used. We employed mixed proportional hazard models estimate association mortality used simulations project ORDs. found that obesity-attributable comorbidities large decreases in increases rates. is more marked younger adults than older...
Importance Economic policies have the potential to impact management and control of hypertension. Objectives To review evidence on association between economic hypertension among adults with in US. Evidence Review A search was carried out PubMed/MEDLINE, Cochrane Library, Embase, PsycINFO, CINAHL, EconLit, Sociological Abstracts, Scopus from January 1, 2000, through November 2023. Included were randomized clinical trials, difference-in-differences, interrupted time series studies that...
Abstract Telehealth utilization increased during the COVID-19 pandemic, yet few studies have documented associations of telehealth use with subsequent medical costs and health care utilization. We examined early public emergency (March–June 2020) total among people heart disease (HD). created a longitudinal cohort individuals HD using MarketScan Commercial Claims data (2018–2022). used difference-in-differences methodology adjusting for patients’ characteristics, comorbidities, infection...
OBJECTIVES: This study sought to determine the prevalence and determinants of use recommended antiretroviral regimens among urban seropositive men who have sex with (MSM). METHODS: A probability telephone sample MSM was taken within regions Chicago, Los Angeles, New York, San Francisco. Analysis focused on therapies. RESULTS: Although majority CD4 counts below 500 per microliter were using regimens, 26% not receiving such care. Men younger, reported a sexual orientation other than...
The relationship between obesity and breast cancer has been extensively investigated. However, how interplay to affect mortality life expectancy of women in the United States not well studied.
Background:Little is known about the trends and costs of hypertension management through telehealth among individuals enrolled in Medicaid. Methods:Using MarketScan® Medicaid database, we examined outpatient visits people with aged 18–64 years. We presented numbers hypertension-related in-person per 100 proportion to total by month, overall, race ethnicity. For cost analysis, patient out-of-pocket (OOP) visit for 2021. Results:Of 229,562 individuals, 114,445 (49.9%) were non-Hispanic White,...
Abstract Background Hypertension affects nearly half of U.S. adults, yet remains inadequately controlled in over three-quarters these cases. This study aims to assess the association between adherence antihypertensive medications and total medical costs, health care utilization, productivity-related outcomes. Methods We conducted a retrospective cohort using MarketScan databases, which included individuals aged 18–64 with non-capitated insurance plans 2019. Adherence was defined as ≥80%...
Telehealth has emerged as an effective tool for managing common chronic conditions such hypertension, especially during the COVID-19 pandemic. However, impact of state telehealth payment and coverage parity laws on hypertension medication adherence remains uncertain.
Background Hypertension affects nearly half of US adults yet remains inadequately controlled in over three‐quarters these cases. This study aimed to assess the association between adherence antihypertensive medications and total medical costs, health care use, productivity‐related outcomes. Methods Results We conducted cross‐sectional analyses using MarketScan databases, which included individuals aged 18 64 years with noncapitated insurance plans 2019. Adherence was defined as ≥80%...
The COVID-19 pandemic prompted a rapid increase in telehealth use. However, limited evidence exists on how rural and urban residents used in-person outpatient services to manage hypertension during the pandemic.
The objectives of this paper are to predict life years lost associated with obesity-related diseases (ORDs) for U.S. non-smoking adults, and examine the relationship between those ORDs mortality. Data from National Health Interview Survey, 1997-2000, were used. We employed mixed proportional hazard models estimate association mortality used simulations project ORDs. found that obesity-attributable comorbidities large decreases in increases rates. is more marked younger adults than older...
Abstract Background There are no recent estimates for hypertension-associated medical expenditures. This study aims to estimate incremental expenditures among privately insured US adults. Methods We conducted a retrospective cohort using IQVIA’s Ambulatory Electronic Medical Records-US dataset linked with PharMetrics Plus claims data. Privately adults aged 18–64 years ≥1 blood pressure measurement in 2020–2021 were included. Hypertension was identified as having diagnosis code or ≥ 2...