- Cervical Cancer and HPV Research
- Colorectal and Anal Carcinomas
- Global Cancer Incidence and Screening
- Inflammatory Bowel Disease
- Healthcare Policy and Management
- Economic and Financial Impacts of Cancer
- Head and Neck Cancer Studies
- Palliative Care and End-of-Life Issues
- COVID-19 and healthcare impacts
- LGBTQ Health, Identity, and Policy
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Multiple and Secondary Primary Cancers
- Cancer survivorship and care
- Diverticular Disease and Complications
- Hepatitis B Virus Studies
- Genetic factors in colorectal cancer
- Cancer Diagnosis and Treatment
- Acute Lymphoblastic Leukemia research
- Colorectal Cancer Screening and Detection
- Vaccine Coverage and Hesitancy
- Microscopic Colitis
- Food Security and Health in Diverse Populations
- Breast Cancer Treatment Studies
- Hidradenitis Suppurativa and Treatments
- Cancer Genomics and Diagnostics
Emory University
2024-2025
Winship Cancer Institute
2025
University of Florida
2017-2024
The University of Texas Health Science Center at Houston
2017-2024
University of Texas Health Science Center at Dallas
2019-2022
Center for Health Care Services
2019
Harvard University
2017-2018
Baylor College of Medicine
2017-2018
Icahn School of Medicine at Mount Sinai
2018
The University of Texas MD Anderson Cancer Center
2018
Abstract Background Squamous cell carcinoma of the anus (SCCA) incidence is rising in United States. Study trends by stage at diagnosis, age-specific and birth cohort patterns, mortality could provide evidence for a true increase etiological clues incidence. Methods Using US Cancer Statistics dataset, we examined SCCA (2001–2015) (2001–2016) rates. Join-point regression was used to compute annual average percentage change (AAPC). Incidence patterns 5-year age group were evaluated using rate...
Cervical cancer screening rates are suboptimal in the US. Population-based assessment of reasons for not receiving is needed, particularly among women from historically underserved demographic groups.To estimate changes US Preventive Service Task Force guideline-concordant cervical over time and assess do receive up-to-date by sociodemographic factors.This pooled population-based cross-sectional study used data National Health Interview Survey 2005 2019. A total 20 557 (weighted, 113.1...
Background: The burden of human papillomavirus (HPV)–positive oropharyngeal squamous cell carcinoma (OPSCC) is disproportionately high among men, yet empirical evidence regarding the difference in prevalence oral HPV infection between men and women limited. Concordance genital unknown. Objective: To determine infection, as well concordance U.S. women. Design: Nationally representative survey. Setting: Civilian noninstitutionalized population. Participants: Adults aged 18 to 69 years from...
Importance Area-level factors have been identified as important social determinants of health (SDoH) that impact many health-related outcomes. Less is known about how the vulnerability index (SVI), a scalable composite score, can multidimensionally explain population-based cancer screening program uptake at county level. Objective To examine geographic variation US Preventive Services Task Force (USPSTF)–recommended breast, cervical, and colorectal rates association between county-level SVI...
IMPORTANCEIn the last 4 decades, survival among patients with human papillomavirus (HPV)associated cancers has improved, while incidence of these increased younger cohorts.Among survivors HPV-associated cancers, persistent HPV infection may remain a risk factor for preventable second primary (HPV-SPCs).OBJECTIVES To investigate HPV-SPCs index and to test hypothesis that HPV-SPC persons over decades. DESIGN, SETTING, AND PARTICIPANTSA retrospective cohort study 9 cancer registries...
Human papillomavirus (HPV)-associated anal and oropharyngeal cancer incidence has increased in recent years among US women. However, trends burden (annual number of cases) noncervical HPV-associated cancers relative to cervical remain unclear. Using the 2001-2017 statistics dataset, we evaluated contemporary women by anatomic site, race or ethnicity, age. Overall, plateaued White but continued decline Black Hispanic Anal surpassed aged 65-74 age (8.6 8.2 per 100 000 2015) 75 older (6.2 6.0...
This cross-sectional survey study assesses knowledge of human papillomavirus by age and sex.
ABSTRACT Backgrounds Cancer fatalism, the belief that cancer is predetermined and unpreventable, associated with lower uptake of prevention. Little known about fatalism prevalence within various Asian origin groups. Methods We conducted a disaggregated analysis among Chinese, Filipino, Indian, Vietnamese, other respondents using 2012–2022 Health Information National Trends Survey. Pairwise comparisons were to assess differences between each racial ethnic group. Results Significantly...
Human papillomavirus (HPV)-associated cancer burden is rising in the United States. Trends incidence by county-level income and smoking prevalence remain undescribed. We used Surveillance, Epidemiology, End Results 21 database to ascertain HPV-associated cancers during 2000-2018. were estimated quartiles. Anal vulvar among women anal men increased markedly lowest-income counties, whereas increases slower highest-income counties (eg, for cancer, 1.9% per year, 95% confidence interval [CI] =...
Studies suggest the risk of suicide among people with cancer diagnosis is higher compared general population. However, little known about how diagnosed might vary according to area-level income and rurality.To examine whether risks patterns mortality a differ by US county-level median rural or urban status.A retrospective, population-based cohort study following up individuals who were between January 1, 2000, December 31, 2016, was conducted. The Surveillance, Epidemiology, End Results...
A discussion about patient's nonmedical needs during treatment is considered a crucial component of high-quality patient-provider communication. We examined whether having cancer patients' emotional and social associated with their psychological well-being.Using the 2016-2017 Medical Expenditure Panel Survey-Experiences Cancer Survivorship Supplement (MEPS-ECSS) data, we identified survivors in United States (US) who reported detailed care. used multivariable logistic regression to assess...
Little is known regarding the geographic disparity in distribution of phase 1-3 clinical trials new cancer treatments US and associated factors.
Palliative care can improve the quality of life adolescents and young adults (AYA) with cancer. However, little is known about utilization palliative among AYA cancer patients. Identifying factors associated could inform efforts to access patients living cancer.Using data from National Inpatient Sample 2016-2019, a representative sample US hospitalizations, we examined encounters characteristics hospitalizations high inpatient mortality risk. Survey design-adjusted bivariate multivariable...
Abstract Understanding the patterns of antihypertensive drug use and blood pressure (BP) control among stroke survivors in “real‐world” setting is important to identify gaps treatment control, if any. The objective our study was assess trends BP United States. We performed a retrospective cross‐sectional analysis 2003‐2014 National Health Nutrition Examination Survey (NHANES). Stroke hypertension diagnoses were self‐reported. Information regarding drugs collected during an in‐person...
Bariatric surgery effectively treats severe obesity and metabolic diseases. However, individual outcomes vary depending on sustainable lifestyle change. Little is known about patterns after bariatric among the US population.To compare level of physical activity eating behavior postbariatric patients, individuals eligible for surgery, those with normal weight.A cross-sectional study using nationally representative survey data from National Health Nutrition Examination Survey 2015-2018....
In 2019, the Advisory Committee on Immunization Practices (ACIP) recommended patient-clinician shared decision-making for human papillomavirus (HPV) vaccination in adults aged 27 to 45 years. Less is known about HPV vaccine administration trends this age group before and after recommendation update.To examine association between ACIP update among US years.This large commercial claim-based retrospective cohort study used Optum Clinformatics database validated claims from January 1, 2007,...
a Based on nonmissing National Health Interview Survey data cervical cancer screening behavior and human papillomavirus vaccination, were missing for 38 patients (15 aged 21 to 29 y; 23 30 39 y), adherence 85 (22 63 vaccination information was 281 (121 160 y).b Up-to-date status women y established by considering whether they had received Papanicolaou test within the past 3 years.Up-to-date either having years or with an HPV cotest 5 years.
Abstract Despite the overall national decline in Kaposi sarcoma (KS) incidence United States among persons living with HIV, previous studies suggest there might be specific subgroups of US population that are associated higher KS rates than others. Using 2001-2018 National Program Cancer Registries and Surveillance, Epidemiology, End Results database, we assessed trends young men aged 20-34 years by race ethnicity geographic region. Statistical significance is 2-sided. The rate increased...
0.5%; P = .02)households with members multimorbidity had significantly decreased prevalence of CHCEs.