A5063106161- Infant Development and Preterm Care
- Climate Change and Health Impacts
- Air Quality and Health Impacts
- Community Health and Development
- Gestational Diabetes Research and Management
- Family and Disability Support Research
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Health Policy Implementation Science
- Maternal Mental Health During Pregnancy and Postpartum
- Neonatal Respiratory Health Research
- Resilience and Mental Health
- Health, psychology, and well-being
- Early Childhood Education and Development
- Ethics in Clinical Research
- Child and Adolescent Psychosocial and Emotional Development
- Health Sciences Research and Education
- Child Nutrition and Water Access
- Reproductive Health and Contraception
- Indigenous Health, Education, and Rights
- Substance Abuse Treatment and Outcomes
- Nursing education and management
- Infant Health and Development
- Cardiovascular Health and Risk Factors
- Child Development and Digital Technology
University of North Carolina at Chapel Hill
2014-2024
University of North Carolina Health Care
2024
National Institutes of Health
2018-2021
National Institute on Minority Health and Health Disparities
2021
National Institute of Nursing Research
2021
Stony Brook University
2021
American Nurses Association
2021
Substance Abuse and Mental Health Services Administration
2021
National Heart Lung and Blood Institute
2018
Johns Hopkins University
2018
Background: Types 1 and 2 diabetes mellitus complicate pregnancies threaten the health of women reproductive age their children. Among older adults, morbidity disproportionately burdens racial/ethnic minorities, but emergence among younger adults has not been as well characterized. The objective this study was to describe distribution diagnosed diabetes, undiagnosed suboptimal preconception glycemic control, prediabetes across backgrounds. Materials Methods: We analyzed data collected in...
Although elevated blood glucose is associated with adverse maternal and fetal health outcomes, evidence suggests that women diabetes may not be receiving comprehensive reproductive care, including family planning preconception care. Using a population-based sample, we evaluated the relationship between contraceptive use biomarker-identified diabetes.This cross-sectional study used data from 5548 in nationally representative National Longitudinal Study of Adolescent to Adult Health (Add...
Background. Substance use among American Indians (AIs) is a critical health issue and accounts for many problems such as chronic liver disease, cirrhosis, behavioral conditions, homicide, suicide, motor vehicle accidents. In 2013, the highest rates of substance dependence were seen AIs when compared to all other population groups, although these vary across different tribes. Among AI adolescents, high have been associated with environmental historical factors, including poverty, trauma,...
The purpose of this longitudinal qualitative descriptive study was to explore American Indian mothers’ perceptions parenting their premature infants over first year life in the context culture, including birth and hospitalization experience. A convenience sample 17 mothers were recruited from either a neonatal intensive care unit (NICU) or pediatric clinic southeast. Semistructured interviews conducted at two time points. Through content analytic methods, three broad categories revealed:...
The purpose of this study was to examine the impact a culturally based intervention, Intertribal Talking Circle program, compared standard alcohol and drug abuse education, Be A Winner program. Community-based participatory research used implement two-condition, quasi-experimental study. sample included 540 Native American youth ages 10-12 years old from three tribal areas in United States. Data were collected at baseline, 6 12-months post-intervention for both intervention control groups...
Abstract Background Prenatal exposure to metals in private well water may increase the risk of preterm birth (PTB) (delivery < 37 weeks’ gestation). In this study, we estimated associations between arsenic, manganese, lead, cadmium, chromium, copper, and zinc concentrations PTB incidence North Carolina (NC). Methods Birth certificates from 2003–2015 ( n = 1,329,071) were obtained pregnancies assigned using mean concentration percentage tests above maximum contaminant level (MCL) for...
Background Although stress is an established contributor to obesity (in general population studies), mechanisms explain this association in African American women that incorporate culturally relevant frameworks have received little attention. Objective To investigate how associated with body mass index (BMI) population, we examined multivariate models of BMI predicted by race-related, gender-related, and generic stressful life events use food cope stress. We hypothesized the three types...
Abstract American Indian women are more likely to die from cardiovascular disease (CVD) than White or African women. Inflammatory processes may underlie CVD disparities by gender and race be critical understanding population‐specific drivers potential buffers. Exposure environmental air pollutants, especially particulate matter (PM), is known an important catalyst in CVD‐associated inflammation. Positive psychological states, associated with low levels of inflammatory gene expression, could...
Abstract In this cross‐sectional study of 60 American Indian mother‐child dyads from Southeastern North Carolina, we examined whether childhood asthma control was related to household‐level factors, such as environmental tobacco smoke and family management behaviors. We also the relationships among behaviors maternal depressive symptoms. used logistic regression assess control, presence smoke, behaviors, specifically condition ability (CMA) effort (CME). linear evaluate between both CMA CME...
Abstract The Center for Epidemiological Studies Depression Scale (CES‐D) is widely used to assess depressive symptoms in the general population. It lacks validation widespread use within American Indian population, however. To address this gap, we explored and confirmed factor structure of CES‐D among a community sample southeastern women. We analyzed data from 150 women ages 18–50 tribe who had complete responses on as part larger cross‐sectional, community‐engaged study. performed...
To explore population-level American Indian & Alaska Native-White inequalities in cesarean birth incidence after accounting for differences indication, age, and other individual-level risk factors.
Abstract Objective This study explores the link between cardiometabolic biomarkers and neurocognition in older American Indians, focusing on diet quality as measured by Healthy Eating Index (HEI). Methods Participants provided biological specimens completed health, diet, exposome questionnaires a mobile clinic. Cardiometabolic (lipids, glucose) were with Cholestech LDX Analyzer log-transformed. Neurocognition was assessed using Montreal Cognitive Assessment (MoCA). OLS regressions, adjusted...
Abstract Objective This collaborative pilot project assessed the feasibility of enrolling 50 older adults from underrepresented populations in Robeson County, North Carolina (NC), considered a racially diverse and socioeconomically disadvantaged area. Methods The study protocol, adapted Alzheimer’s Gut Microbiome Project, was modified to fit local cultural contexts with input community academic partners. Lumbee Tribe NC, headquartered its Tribal IRB endorsed community-informed recruitment...
Objective . To explore the effects of secondhand smoke exposure on growth, health-related illness, and child development in rural African American premature infants through 24 months corrected age. Method 171 (72 boys, 99 girls) mothers with a mean birthweight 1114 grams. Mothers reported household smoking infant health at 2, 6, 12, 18, Infant growth was measured months, developmental assessments were conducted 12 months. Results Thirty percent exposed to within their first 2 years life....
Abstract The interactive behaviors of 17 American Indian mothers and their premature infants selected maternal infant factors affecting those were measured using naturalistic observation the Home Observation for Measurement Environment (HOME) Inventory at 3, 6, 12 months corrected age. frequency some changed over first months. Mothers spent less time holding, looking at, touching, interacting with more uninvolved as aged. Maternal education illness severity associated mother–infant HOME...