Paul Shafer

ORCID: 0000-0003-0654-5821
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About
Contact & Profiles
Research Areas
  • Healthcare Policy and Management
  • Smoking Behavior and Cessation
  • Primary Care and Health Outcomes
  • Food Security and Health in Diverse Populations
  • Computability, Logic, AI Algorithms
  • Behavioral Health and Interventions
  • Advanced Topology and Set Theory
  • Global Health Care Issues
  • Obesity, Physical Activity, Diet
  • Healthcare cost, quality, practices
  • Employment and Welfare Studies
  • Homelessness and Social Issues
  • Health Systems, Economic Evaluations, Quality of Life
  • Health disparities and outcomes
  • Gender, Labor, and Family Dynamics
  • Hepatitis B Virus Studies
  • Mathematical and Theoretical Analysis
  • Economic and Financial Impacts of Cancer
  • Cervical Cancer and HPV Research
  • Media Influence and Health
  • Air Quality and Health Impacts
  • Vaccine Coverage and Hesitancy
  • Stroke Rehabilitation and Recovery
  • Geriatric Care and Nursing Homes
  • Retirement, Disability, and Employment

Boston University
2019-2025

VA Boston Healthcare System
2021-2025

Voronezh Research Institute Vega
2024

Cole Engineering Services (United States)
2024

National Center for Chronic Disease Prevention and Health Promotion
2023

ORCID
2020

University of North Carolina at Chapel Hill
2016-2019

Kaiser Permanente
2019

Agency for Healthcare Research and Quality
2019

University of North Carolina Health Care
2018

<h3>Importance</h3> A key component of the American Rescue Plan Act 2021 included an expansion Child Tax Credit with advance payments beginning in July 2021, a “child allowance” that was projected to dramatically reduce child poverty. Food insufficiency has increased markedly during economic crisis spurred by COVID-19 pandemic, disparities among marginalized populations, and may be associated substantial health care social costs. <h3>Objective</h3> To assess whether introduction for mid-July...

10.1001/jamanetworkopen.2021.43296 article EN cc-by-nc-nd JAMA Network Open 2022-01-13

The Quality Standards Subcommittee of the American Academy Neurology develops practice parameters as strategies for patient care based on analysis evidence. For this parameter authors reviewed available evidence relevant to evaluating adults presenting with an apparent unprovoked first seizure.Relevant questions were defined and addressed by multiple searches medical literature. Each article was then reviewed, abstracted, classified using established scoring system. Conclusions...

10.1212/01.wnl.0000285084.93652.43 article EN Neurology 2007-11-19

To quantify the prevalence of 10 quit methods commonly used by adult cigarette smokers, we data from a nationally representative longitudinal (2014-2016) online survey US smokers (n = 15,943). Overall, 74.7% current multiple during their most recent attempt. Giving up cigarettes all at once (65.3%) and reducing number smoked (62.0%) were prevalent methods. Substituting some with e-cigarettes was greater percentage than nicotine patch, gum, or other cessation aids approved Food Drug...

10.5888/pcd14.160600 article EN public-domain Preventing Chronic Disease 2017-04-07

10.1016/j.amepre.2018.12.008 article EN American Journal of Preventive Medicine 2019-03-21

10.1215/03616878-11672675 article EN Journal of Health Politics Policy and Law 2024-11-15

Measures of perceived effectiveness (PE) ads have been validated to predict changes in cognitive precursors quit attempts, but a relationship between PE and actual attempts has not shown population-based studies. We analyzed smokers' ratings from the national Tips From Former Smokers (Tips) campaign (1) establish validity predicting large, nationally representative sample smokers; (2) identify behavioral demographic correlates among respondents; (3) examine whether is influenced by matching...

10.1080/10410236.2016.1196413 article EN cc-by-nc-nd Health Communication 2016-07-19

<h3>Objective</h3> The aim of the present work was to examine adult smokers' awareness and receptivity an electronic nicotine delivery system (ENDS) television advert, whether viewing advert influenced urge smoke intention try ENDS. <h3>Methods</h3> A for ENDS brand blu eCigs shown online convenience sample 519 Florida smokers. We measured current seeing their thoughts about smoking or quitting, Results were stratified by prior use. <h3>Results</h3> Approximately 62.3% smokers aware advert....

10.1136/tobaccocontrol-2013-051130 article EN Tobacco Control 2013-10-03

Aims A potential unintended consequence of legalizing recreational marijuana is increased marijuana-related driving impairment. Some states where legal have begun implementing interventions to mitigate under the influence (DUI) marijuana, including media campaigns increase knowledge about DUI laws. However, little known associations between laws and behavior. In this study, we provide new data from a survey users in Colorado Washington examine drugged two behavioral precursors DUI. We also...

10.1371/journal.pone.0146853 article EN cc-by PLoS ONE 2016-01-22

Objectives. We tested the impact of banning tobacco displays and posting graphic health warning signs at point sale (POS). Methods. designed 3 variations product display (open, enclosed [not visible], with pro-tobacco ads) 2 sign (present vs absent) virtual store software. In December 2011 January 2012, we randomized a national convenience sample 1216 adult smokers recent quitters to 1 6 conditions gave them shopping task. for main effects display, sign, their interaction on urge smoke...

10.2105/ajph.2013.301723 article EN American Journal of Public Health 2014-03-13

Advance Child Tax Credit (CTC) monthly payments administered to more than 35 million households with children in the US between July and December 2021 were associated a substantial decrease food insufficiency. These expired January 2022 after Congress failed extend policy, subsequent impact on insufficiency is currently unknown.To assess whether expiration of CTC was changes children.This study used repeated cross-sectional, nationally representative data from multiple waves Household Pulse...

10.1001/jamanetworkopen.2022.34438 article EN cc-by-nc-nd JAMA Network Open 2022-10-21

This Viewpoint discusses the need to increase federal personal needs allowance floor and index inflation improve quality of life for Medicaid beneficiaries living in nursing homes.

10.1001/jamahealthforum.2024.4457 article EN cc-by-nc-nd JAMA Health Forum 2025-01-03

Importance Pregnant people with opioid use disorder (OUD) are at high risk for potentially avoidable maternal morbidity. The majority of pregnant OUD receive health insurance through state Medicaid programs, but there is little comprehensive data on the burden severe morbidity (SMM)—a composite measure adverse outcomes—among this high-risk group. Objective To estimate rates SMM among Medicaid-enrolled from 2016 to 2018. Design, Setting, and Participants Using Transformed Statistical...

10.1001/jamanetworkopen.2024.53303 article EN cc-by-nc-nd JAMA Network Open 2025-01-07

Importance Semaglutide, a novel glucagon-like peptide-1 (GLP-1) receptor agonist medication, was approved for weight management in individuals with obesity June 2021. There is limited evidence on factors associated uptake among this subgroup without diabetes. Objective To explore semaglutide initiation population of commercially insured but no diagnosed Design, Setting, and Participants This retrospective observational cohort study used data from the Merative MarketScan Commercial Claims...

10.1001/jamanetworkopen.2024.55222 article EN cc-by-nc-nd JAMA Network Open 2025-01-21

The author declares no conflicts of interest. has nothing to report.

10.1111/1475-6773.14602 article EN Health Services Research 2025-03-20

Megan R. Winkler, PhD, RN; Rachel Clohan, BS; Kelli A. Komro, MPH; Melvin D. Livingston, PhD; Sara Markowitz, PhD

10.1001/jamanetworkopen.2025.2052 article cc-by-nc-nd JAMA Network Open 2025-03-27

Importance Recently, there has been an emergence of veteran Medicare Advantage affinity plans (VMAPs) marketing to veterans, including those dually covered by the Veterans Health Administration (VHA). To date, limited evidence exists characterizing what benefits VMAPs offer and their enrollees. Objective examine plan-level differences between other (MA) characteristics Design, Setting, Participants This cross-sectional study compared plan benefit design, supplemental offerings, enrollee all...

10.1001/jamahealthforum.2025.0159 article EN cc-by-nc-nd JAMA Health Forum 2025-03-28

Abstract Background Physical Medicaid offices may play an important role in supporting beneficiaries and alleviating administrative burdens during critical enrollment or redetermination periods. Limited research has explored whether racial, ethnic, rural disparities access to exist. Methods Leveraging a county-level dataset of geocoded merged with American Community Survey data, we examined variation office density. We used choropleth map demonstrate variability within across states, linear...

10.1093/haschl/qxaf072 article EN cc-by-nc Health Affairs Scholar 2025-04-04

While antismoking media campaigns have demonstrated effectiveness, less is known about the country-level effects of increased dosing. The 2012 US Tips From Former Smokers (Tips) campaign generated approximately 1.6 million quit attempts overall; however, specific dose-response from was only assessed by self-report.Assess impact higher ad exposure during 2013 on quit-related behaviours and intentions, awareness, communication campaign, disease knowledge.A 3-month national buy supplemented...

10.1136/tobaccocontrol-2015-052517 article EN cc-by-nc Tobacco Control 2015-12-16

Background: Federal and state public health agencies in the United States are increasingly using digital advertising social media to promote messages from broader multimedia campaigns. However, little evidence exists on population-level campaign awareness relative cost efficiencies of context a comprehensive education campaign. Objective: Our objective was compare impact increased doses video television 2013 Tips From Former Smokers (Tips) overall at population level. We also compared across...

10.2196/jmir.5683 article EN cc-by Journal of Medical Internet Research 2016-09-14

Background. Since 2012, the Centers for Disease Control and Prevention (CDC) has implemented Tips From Former Smokers ( Tips), first federally funded tobacco education campaign in United States. To date, there are no evaluations of its long-term impact. Aims. assess impact varied doses from 2012 through 2015 on cessation-related behaviors intentions among U.S. smokers. Method. We used a national probability-based online survey cigarette smokers n = 22,189) recent quitters 776) to examine...

10.1177/1090198117709316 article EN Health Education & Behavior 2017-05-12

Since 2012, the Centers for Disease Control and Prevention has aired a national tobacco education campaign to encourage quitting, Tips From Former Smokers (Tips), which consists of graphic antismoking advertisements that feature former cigarette smokers. We evaluated phase 2 2014 by using nationally representative longitudinal cohort.Cigarette smokers who participated in baseline survey were re-contacted follow-up (n = 4,248) approximately 4 months later, immediately after campaign's...

10.5888/pcd13.150556 article EN public-domain Preventing Chronic Disease 2016-03-18
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