A5039901579- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy and Medication Impact
- Pregnancy and preeclampsia studies
- Migraine and Headache Studies
- Birth, Development, and Health
- Prenatal Substance Exposure Effects
- Infant Development and Preterm Care
- Advanced Causal Inference Techniques
- Pharmaceutical studies and practices
- Reproductive Health and Contraception
- Pharmacological Effects and Toxicity Studies
- Endometrial and Cervical Cancer Treatments
- COVID-19 Impact on Reproduction
- Healthcare Policy and Management
- Adolescent and Pediatric Healthcare
- Effects and risks of endocrine disrupting chemicals
- Child and Adolescent Psychosocial and Emotional Development
- Electrolyte and hormonal disorders
- Childhood Cancer Survivors' Quality of Life
- Health, Environment, Cognitive Aging
- Neonatal and fetal brain pathology
- Machine Learning and Data Classification
- Gestational Diabetes Research and Management
- Maternal and fetal healthcare
- Diet and metabolism studies
University of North Carolina at Chapel Hill
2022-2025
University of Oslo
2015-2024
University of North Carolina Health Care
2024
National Institutes of Health
2023
National Center for Advancing Translational Sciences
2023
Duke University
2023
National Institute on Minority Health and Health Disparities
2023
Milken Institute
2023
University of Washington
2023
Harvard University
2019-2022
Objective.— To test the clinical efficacy of a web‐based intervention designed to increase patient self‐efficacy perform headache self‐management activities and symptom management strategies, reduce migraine‐related psychological distress. Background.— In spite their demonstrated efficacy, behavioral interventions are used infrequently as an adjunct in medical treatment migraine. Little attention is paid factors that can help manage migraine more effectively improve quality care life. Access...
Objective. To determine whether an interactive self-management Website for people with chronic back pain would significantly improve emotional management, coping, self-efficacy to manage pain, levels, and physical functioning compared standard text-based materials.
Poor performance of the transvaginal ultrasonography triage strategy has been suggested as a contributor to racial disparity between Black individuals and White in endometrial cancer (EC) stage at diagnosis population-level simulation analyses.
Abstract Background Humans are exposed to phthalates, a class of non-persistent chemicals, through multiple products, including personal care and cosmetics. Associations between specific phthalates product use have been inconsistent. However, determining these connections could provide avenues for exposure reduction. Objective Examine the association patterns associations with phthalate replacement biomarkers. Methods In Human Placenta Phthalates Study, 303 women were enrolled in early...
To evaluate the effect of prenatal exposure to selective serotonin reuptake inhibitors (SSRIs) on children's behavioral, emotional, and social development by age 5 years, over time since 1.5 years.The prospective Norwegian Mother Child Cohort Study was linked Medical Birth Registry Norway. We included women who reported depressive/anxiety disorders before and/or during pregnancy. Children born used SSRIs in early (weeks 0-16), mid- 17-28), or late (> week 29) pregnancy were compared those...
Background: Previous studies showed that children exposed to paracetamol during fetal life might have an increased risk of neurodevelopmental problems. Since is one the most commonly used medications pregnancy, even small increases in problems may considerable implications for public health.
ABSTRACT Purpose Concomitant use of antiretroviral therapy (ART), hormonal contraception, and isonicotinic acid hydrazide (isoniazid) for tuberculosis prevention is common among women reproductive age who are living with HIV in sub‐Saharan Africa. We estimated the effect isoniazid on 6‐month pregnancy risk Malawian Family Planning Antiretroviral Therapy (FP‐ART) prospective cohort study, overall subgroups defined by ART regimen type contraceptive method. Methods The analytic sample included...
This cohort study evaluates changes in the proportion of young women and girls prescribed spironolactone from 2000 to 2020.
Abstract Structural racism has likely shaped the geographic distribution and resource allocation of rural populations marginalized racial/ethnic groups. We sought to 1) quantify disparities in severe maternal morbidity (SMM) distributions resources by race racial composition county, 2) determine whether a hypothetical intervention on would reduce SMM, using linked birth certificates claims from Medicaid beneficiaries giving 2014-2019 North Carolina (61 counties, 77,665 births). used ratio...
ABSTRACT Purpose Studies using insurance claims data to identify pregnancies are rarely able directly assess the validity of pregnancy/delivery. Inpatient versus outpatient delivery may provide different levels evidence, but more stringent requirements could result in exclusion true pregnancies. We identified codes from inpatient and settings examined possible confirmatory evidence suggesting that a truly occurred. Methods Using US commercial database (2006–2021), we potential by presence...
Abstract Background Triptans are commonly prescribed for migraine, a pain condition that is highly prevalent in women of childbearing age. No prior studies have investigated associations between exposure to triptans during fetal life and risk externalising internalising behaviours children. Methods This study was set the N orwegian M other C hild ohort study, prospective birth cohort. A total 41 173 live, singleton births without major malformations present at 36‐month post‐partum follow‐up...
Human exposure to phthalates is widespread, but assessment of variability across pregnancy has been hampered by short half-lives phthalate biomarkers and a few repeated measures in prior studies. We aimed characterize the longitudinal profiles replacement pregnancy. Within Placenta Phthalates Study, 303 pregnant women provided urine samples at up 8 visits gestation. Concentrations 14 metabolites 4 replacements were quantified each sample, subject-specific averages within trimester...
Research has raised the possibility that length of time one engages in nonmedical use prescription opioids may be associated with abuse other drugs, more risky drug-related behavior, and severe functional problems. This study drew on data from Addiction Severity Index-Multimedia Version® Connect system. A total 55,341 client assessments at substance treatment centers were analyzed to help understand impact abused patterns From this larger sample, 5,686 individuals who had a opioid within...
Few studies have investigated the drug utilization patterns and factors predicting use in pregnant women with migraine. This longitudinal study aimed to describe of analgesic a sample Norwegian according their migraine history, identify predictors for among these women.Pregnant giving birth at Akershus University Hospital between 2008 2010 were recruited ultrasound examination gestational week 17. Data collected by questionnaires weeks 17 32, 8 postpartum, linked records. Women grouped into...
Abstract STUDY QUESTION What is the longitudinal association between gestational phthalate exposure and in vivo placental outcomes? SUMMARY ANSWER Phthalates were adversely associated with microvasculature, stiffness, presence of calcification, different metabolites outcomes. WHAT IS KNOWN ALREADY Phthalate ubiquitous implicated as a contributor to adverse pregnancy outcomes, possibly through impacts on placenta. DESIGN, SIZE, DURATION A total 303 women recruited early prospectively followed...
Abstract Despite increasing numbers of Hispanic patients in the United States, this group continues to face disparities access and quality pain treatment. Although previous surveys have examined treatment experienced by minority patients, none provided a provider‐centric perspective on issues concerns surrounding relief among Hispanic/Latino origin. The goal study was assess relationship between provider characteristics (ie, Spanish fluency, caseload size, experience with patients) their...
Abstract Objective: The objective was to survey community college personnel about student substance use, and infrastructure (staff funding), programs, collaborations dedicated use prevention. Participants: sample included 100 administrators, faculty, health services staff at colleges. Methods: Participants completed a Web-based survey. Results: reported number of alcohol other drug (AOD) related concerns. Despite limited funding AOD, institutions are implementing although many not some the...
Purpose To describe the risk of early- and late-onset preeclampsia across pregnancies exposed to antidepressants evaluate impact timing length gestational exposure antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), on preeclampsia. Methods The Norwegian Mother Child Cohort, a prospective population-based study, Medical Birth Registry Norway provided information antidepressant exposure, depression, anxiety symptoms in pregnancy, diagnoses, important covariates....