A5086814767- Genetics, Bioinformatics, and Biomedical Research
- Nursing Diagnosis and Documentation
- Health Sciences Research and Education
- Nursing Education, Practice, and Leadership
- Opioid Use Disorder Treatment
- Healthcare Policy and Management
- Prenatal Substance Exposure Effects
- Substance Abuse Treatment and Outcomes
- Primary Care and Health Outcomes
- Physical Activity and Health
- Health Systems, Economic Evaluations, Quality of Life
- Advanced Causal Inference Techniques
- Library Collection Development and Digital Resources
- Public Health Policies and Education
- COVID-19 and Mental Health
- Microbial Community Ecology and Physiology
- HIV, Drug Use, Sexual Risk
- E-Learning and COVID-19
- Ethics and Legal Issues in Pediatric Healthcare
- Infection Control in Healthcare
- Mental Health Treatment and Access
- Health Promotion and Cardiovascular Prevention
- Suicide and Self-Harm Studies
- Web and Library Services
- Global Health Care Issues
Vanderbilt University
2016-2025
Vanderbilt Health
2021-2025
Vanderbilt University Medical Center
2021-2024
University of California, Los Angeles
2023
Harvard University Press
2020-2021
Harvard University
2018-2019
Wiltshire College
2019
Brigham and Women's Hospital
2018
Healthcare Infection Society
2016
Frontier Science & Technology Research Foundation
2013
Over the past two decades number of opioid pain relievers sold in United States rose dramatically. This rise sales was accompanied by an increase opioid-related overdose deaths. In response, forty-nine states (all but Missouri) created prescription drug monitoring programs to detect high-risk prescribing and patient behaviors. Our objectives were determine whether implementation or particular characteristics effective reducing adjusted analyses we found that a state's program associated with...
Background:In HIV-infected children, viral diversity tends to increase with age in the absence of antiretroviral treatment (ART).We measured HIV African children (ages 6-36 months) enrolled a randomized clinical trial comparing two ART regimens (Cohort I P1060 trial).Children this cohort were exposed single dose nevirapine (sdNVP) at birth.Methods: was retrospectively using high resolution melting (HRM) assay.Samples obtained from 139 enrollment visit prior initiation.Six regions genome...
Multiple studies have detailed the relationship between Medicaid expansion under Affordable Care Act and various health financial outcomes. However, fewer examined expansion's effects on individuals with psychiatric diagnoses. This study sought to determine outcomes among low-income adults depression.This quasi-experimental used a random-digit-dial survey of U.S. citizens ages 19-64 incomes below 138% federal poverty level. Surveys were conducted in three southern states (two states,...
This cross-sectional study examines prescription claims for contraceptives and medications opioid use disorder among commercially insured women in the US from 2016 to 2021.
Recognizing that social context influences health, over much of the last decade, federal, and state policies have encouraged healthcare institutions to identify patients without adequate access basic material goods such as food, housing, transportation develop partnerships with community-based organizations (CBOs) service support any identified gaps [1]. As an example, 27 states District Columbia active or pending Medicaid Section 1115(a) waivers include provisions related health-related...
Alternative approaches in Medicaid are proliferating under the Trump administration. Using a novel telephone survey, we assessed views on health savings accounts, work requirements, and expansion. Our sample consisted of 2,739 low-income nonelderly adults three Midwestern states: Ohio, which expanded eligibility for traditional Medicaid; Indiana, using accounts called POWER accounts; Kansas, has not Medicaid. We found that coverage rates 2017 were significantly higher two expansion states...
ABSTRACT Objective To identify patterns of LGBTQ+ patient experiences, to sociodemographic characteristics associated with and assess the relationship between experience receipt preventive services. Study Setting Design This observational cohort study included adults across U.S. South. We conducted latent class analysis seven indicators clinical cultural competency experiences. Outcomes proportion respondents lifetime recent influenza vaccination, HIV testing, colorectal cancer screening....
Abstract Background and Aims Federal, state local US governments have sought interventions to reduce deaths due opioid overdoses by increasing the availability of naloxone. The Affordable Care Act (ACA) expanded Medicaid coverage low‐income, childless adults, potentially giving this group financial access aims paper are: (1) describe changes in amount Medicaid‐covered naloxone used between 2009 2016 (2) quantify differential change dispensed states that their programs did not. Design A...
Increasingly, public and private resources are being dedicated to community-based health improvement programs. But evaluations of these programs typically rely on data about process a pre-post study design without comparison community. To better determine the association between implementation county-level outcomes, we used publicly available for period 2002–06 create propensity-weighted set controls conducting multiple regression analyses. We found that was associated with decrease less...
Spillovers from the Affordable Care Act Medicaid expansion to other social-sector outcomes have received little attention. One that may be especially salient for public policy is impact of expanded eligibility on jail-related outcomes. This study compares recidivism in three non-expansion counties nearby before and after expansion. Using forty-eight months arrest data six urban county jails, we conduct comparative interrupted time series analyses describe changes probability rearrest number...
Abstract Objective To formalize comparative interrupted time series (CITS) using the potential outcomes framework; compare two version of CITS—a standard linear and one that adds postperiod group‐by‐time parameters—to versions difference‐in‐differences (DID)—a with fixed effects group‐specific pretrends; reanalyze three previously published papers these models. Data Sources Outcome data for reanalyses come from counties' jail booking release data, Medicaid prescription drug rebate Centers...
To estimate the association between COVID-19 and Emergency Department (ED) psychiatric presentations, including suicidal ideation.Using an interrupted time series design, we analyzed presentations using electronic health record data in academic medical center ED 2018 2020. We used regression models to assess onset of outbreak certain presentations. The period February 26-March 6, 2020 was define patterns before after coronavirus outbreak.We found a 36.2% decrease (unadjusted) consults...
Subjective cognitive decline is a self-reported measure of worsening memory and day-to-day decision making. Cognitive may impair an individual's ability to complete instrumental activities daily living (IADL) such as preparing meals or taking medication, ultimately limiting one's live independently. People with IADL impairments typically rely on informal care from spouses children. Interpersonal structural discrimination towards sexual minority (SM, including lesbian, gay, bisexual, other...
To develop and validate algorithms for predicting 30-day fatal nonfatal opioid-related overdose using statewide data sources including prescription drug monitoring program data, Hospital Discharge Data System Tennessee (TN) vital records. Current prevention efforts in TN rely on descriptive retrospective analyses without prognostication.Study included 3 041 668 patients with 71 479 191 controlled substance prescriptions from 2012 to 2017. Statewide socioeconomic indicators were used train,...
As the magnitude of opioid epidemic grew in recent years, individual states across United States America enacted myriad policies to address its complications. We conducted a qualitative examination structure, successes, and challenges state laws aimed at epidemic, with an in-depth focus on prescription drug monitoring programs (PDMPs) naloxone access efforts. A set 10 (Florida, Kentucky, Massachusetts, Michigan, Missouri, New York, North Carolina, Tennessee, Washington, West Virginia) was...
Abstract Objective To discuss and develop difference‐in‐difference estimators for categorical outcomes apply them to estimate the effect of Affordable Care Act's Medicaid expansion on insurance coverage. Data Sources Secondary analysis Survey Income Program Participation (SIPP) data health coverage types before (January 2013) after (December 2015) in 39 US states (19 20 non‐expansion). Study Design We methods repeated measures (panel data) outcomes. scale‐dependence DID assumptions marginal...
Abstract Background The policy landscape around substance use has changed dramatically in the past decade, which may have affected number and characteristics of treatment episodes for disorder (SUD). In this study, we examine changes volume SUD referrals from legal system compare composition substances used by referral source. We publicly available discharge data on specialty U.S. 2015–2019 included involving adults that are discharged facilities during study. calculated descriptive...