A5048544215- Health disparities and outcomes
- Cardiovascular Health and Risk Factors
- Physical Activity and Health
- Obesity, Physical Activity, Diet
- Urban Transport and Accessibility
- Mobile Health and mHealth Applications
- Cardiovascular Disease and Adiposity
- Behavioral Health and Interventions
- Atherosclerosis and Cardiovascular Diseases
- Digital Mental Health Interventions
- Health and Lifestyle Studies
- Retirement, Disability, and Employment
- Nutritional Studies and Diet
- Impact of Technology on Adolescents
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
- Health Literacy and Information Accessibility
- Public Health Policies and Education
- Racial and Ethnic Identity Research
- Technology Use by Older Adults
- Urban Green Space and Health
- Adipokines, Inflammation, and Metabolic Diseases
- Climate Change and Health Impacts
- Health, psychology, and well-being
- Global Health Care Issues
National Institutes of Health
2017-2023
National Heart Lung and Blood Institute
2017-2022
Johns Hopkins Hospital
2022
Johns Hopkins University
2021-2022
Johns Hopkins Medicine
2022
Little is known about the spatial clustering of neighborhood deprivation across United States (US). Using data from 2010 US Census Bureau, we created a index (NDI: higher NDI indicates deprivation/ lower socioeconomic status) for each county within County level scores were loaded into ArcGIS 10.5.1 where they mapped and analyzed using Moran's I Anselin Local I. Ultimately, varies spatially US. The highest found in Southeastern Southwestern states, inland regions Southern California. This...
Care for Black patients is concentrated at a relatively small proportion of all US hospitals. Some previous studies have documented quality deficits Black-serving hospitals, which may be due to inequities in financial resources care.To assess disparities funding between hospitals associated with the that they serve.All Medicare-participating 2016-2018.Patient care revenues and profits per patient day (the top 10% ranked by share among Medicare inpatients) other unadjusted adjusted...
In the US, Black individuals die younger than White and have less household wealth, a legacy of slavery, ongoing discrimination, discriminatory public policies. The role wealth inequality in mediating racial health inequities is unclear.To assess contribution to longevity gap that exists between US model potential effects reparations payments on this gap.This cohort study analyzed association survival among participants Health Retirement Study, nationally representative panel...
Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based studies have evaluated methods of optimizing smartphone apps technology-enabled interventions African Americans.This study aimed to utilize focus groups (FGs) gathering qualitative data inform the development app that promotes physical activity (PA) among American women Washington, DC.We recruited a convenience sample (N=16, age range 51-74 years) from...
Little is known about recruitment methods for racial/ethnic minority populations from resource-limited areas community-based health and needs assessments, particularly assessments that incorporate mobile (mHealth) technology characterizing physical activity dietary intake. We examined whether the Communication, Awareness, Relationships Empowerment (C.A.R.E.) model could reduce challenges recruiting retaining participants faith-based organizations in predominantly African American Washington,...
Despite the widespread prevalence of cases associated with coronavirus disease 2019 (COVID-19) pandemic, little is known about spatial clustering COVID-19 in United States. Data on were used to identify U.S. counties that have both high and low incident proportions clusters. Our results suggest there are a variety sociodemographic variables severity county-level proportions. As pandemic evolved, communities color disproportionately impacted. Subsequently, it shifted from metropolitan areas...
Introduction A mixed-method, co-design approach to studying the adoption of mobile health (mHealth) technology among African-American (AA) women has not been fully explored. Qualitative data may contextualise existing knowledge surrounding perceptions mHealth AA as part formative work for designing a physical activity application (app). Methods convenience sample 16 completed an informatics survey prior participating in focus groups exploring their use and apps. Survey responses provided...
Background: Psychosocial stress correlates with cardiovascular (CV) events; however, associations between physiologic measures of stressors and CVD remain incompletely understood, especially in racial/ethnic minority populations resource-limited neighborhoods. We examined chronic stress-related neural activity, measured by amygdalar 18 Fluorodeoxyglucose ( FDG) uptake, aortic vascular FDG uptake (arterial inflammation measure) a community-based cohort. Methods: Forty participants from the...
Abstract Background Little is known about the associations between perceived neighborhood social environment (PNSE) and depressive symptoms among African Americans. Furthermore, role of physical activity (PA) as a mediator this association has not been investigated. The two-fold objectives study, therefore, were (1) to examine PNSE Americans, (2) test degree which these mediated by total PA. Methods We used baseline data from Jackson Heart Study (JHS), single-site, prospective,...
Objectives Little is understood about associations between neighborhood characteristics and depression, a cardiovascular disease (CVD) risk factor, in diverse populations. We examined relationships perceived/objective characteristics, CVD markers within the Washington, DC CV Health/Needs Assessment, an evaluation among predominantly African-American (AA) adults resource-limited communities.Method Factor analysis of overall environment perception (NEP) identified three NEP sub-scores:1)...
Neighborhood socioeconomic disadvantage may contribute to depression. This study examined associations between neighborhood disadvantage, measured as deprivation, and depression severity within a broadly representative sample of the U.S. adult population. The (n = 6308 adults) was from 2011-2014 National Health Nutrition Examination Survey. deprivation calculated using 2010 Census shown in tertile form. Depression responses Patient Questionnaire-9 (PHQ-9) continuous score binary Clinically...
Neighborhood environment perception (NEP) has been associated with health outcomes. However, little is known about how NEP relates to routine healthcare utilization. This study investigated the relationship between and independent subfactors utilization behavior, as measured by self-reported (1) usual source of (2) time since last check-up. We used cross-sectional data from Dallas Heart Study, which features a diverse, probability-based sample County residents ages 18 65. logistic regression...
Abstract Background Cardiovascular disease (CVD) is the leading cause of death in world. Given role immune cells atherosclerosis development and progression, effective methods for characterizing cell populations are needed, particularly among disproportionately at risk CVD. Results By using a variety antibodies combined one staining protocol, we were able to identify granulocyte, lymphocyte, monocyte sub-populations by CD-antigen expression from 500 µl whole blood, enabling more extensive...
There is no established method for processing data from commercially available physical activity trackers. This study aims to develop a standardized approach defining valid wear time use in future interventions and analyses. Sixteen African American women (mean age = 62.1 years mean body mass index 35.5 kg/m2) wore the Fitbit Charge 2 20 days. Method 1 defined day as ≥10-hr with heart rate data. removed minutes without data, ≤ - SDs below ≤2 steps, nighttime. Linear regression modeled steps...
Introduction Although physical activity (PA) reduces cardiovascular disease (CVD) risk, inactivity remains a pressing public health concern, especially among African American (AA) women in the USA. PA interventions focused on AA living resource-limited communities with scarce infrastructure are needed. Mobile (mHealth) technology can increase access to interventions. We describe development of clinical protocol for multilevel, community-based, mHealth intervention women. Methods and analysis...
Disparities in diet-related diseases persist among African-Americans despite advances risk factor identification and evidence-based management strategies. Cooking is a dietary behavior linked to improved quality cardiometabolic health outcomes. However, epidemiologic studies suggest that African-American adults report lower frequency of cooking at home when compared other racial groups, reporting on average time. To better understand reported disparities behavior, we sought develop survey...
The aim of this study was to test the mediating role perceived discrimination and stress on associations between neighborhood social environment (PNSE) TV viewing.Baseline data were used for 4716 participants (mean age = 55.1 y; 63.4% female) in Jackson Heart Study (JHS), a large prospective cohort African Americans Jackson, Mississippi. One binary viewing outcome created: ≥4 h/day versus <4 h/day. PNSE variables included violence, problems (higher value more violence/problems), cohesion...
Background: Existing research has established a link between dietary intake and adiposity measures, including body mass index (BMI) waist circumference (WC). However, less is known about the relationship objective food environment quality measures [BMI WC], particularly in diverse populations. Methods: Using cross-sectional data from 2007-2009 Dallas Heart Study multi-ethnic cohort, we examined local adiposity. We measured individuals’ census tract-level using CDC’s Modified Retail Food...
<sec> <title>BACKGROUND</title> Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based studies have evaluated methods of optimizing smartphone apps technology-enabled interventions African Americans. </sec> <title>OBJECTIVE</title> This study aimed to utilize focus groups (FGs) gathering qualitative data inform the development app that promotes physical activity (PA) among American women Washington, DC....
Background: Despite well-documented evidence that one’s neighborhood environment and resource access are associated with cardiovascular (CV) risk, little is known about how physical activity (PA) availability type related to vigorous PA (VPA) in urban communities. Methods: Using cross-sectional data from the Washington DC CV Health Needs Assessment, a sample of 37 black adults living low-income, limited-resource communities, we created one outcome: self-reported VPA hours/week. We used...
Background: Diabetes and cardiovascular disease (CVD) disproportionally affect African American (AA) women. Prior studies suggest extracellular vesicles (EV) are involved in atherogenesis, but little is known about relationships between PA EVs AA Thus, we examined associations diabetes risk markers, EV, a community-based cohort of women at for CVD from resource-limited Washington, D.C. neighborhoods. Methods: Participants were enrolled pilot testing Step It Up, place-tailored mobile app...
Background: African American women (AA) are at disproportionally high risk for diabetes and cardiovascular disease (CVD) which is accelerated when residing in resource-limited neighborhoods. Extracellular vesicles (EV) emerging to be of importance CVD development progression, but little known about a potential impact neighborhood socioeconomic deprivation (NSD). In this study we examined associations between NSD, plasma EV, markers community-based cohort AA from neighborhoods Washington, DC....
Background: It is well documented that perceived neighborhood environment associated with cardiovascular (CV) health factors but little known about how perception (NEP) relates to routine healthcare utilization, a likely determinant of CV outcomes. Methods: Using cross-sectional Dallas Heart Study data, we examined the relationship between NEP and utilization. was defined via total score sub-scores using factor analysis [perceived violence, physical (i.e. aesthetics), social cohesion; higher...
Background: Little is understood about associations between perceived neighborhood characteristics and depression, a known cardiovascular (CV) disease risk factor, in diverse populations. We examined the relationship environment perception (NEP), CV markers within an urban, predominantly African-American (AA) cohort. Methods: conducted DC Health Needs Assessment, health evaluation among adults (n=100) resource-limited communities. measured overall NEP factor analysis identified three...