- Adolescent and Pediatric Healthcare
- Substance Abuse Treatment and Outcomes
- Childhood Cancer Survivors' Quality of Life
- Mobile Health and mHealth Applications
- Homelessness and Social Issues
- Smoking Behavior and Cessation
- Child and Adolescent Psychosocial and Emotional Development
- Cannabis and Cannabinoid Research
- Alcohol Consumption and Health Effects
- Social Media in Health Education
- Health Literacy and Information Accessibility
- Healthcare Policy and Management
- Digital Mental Health Interventions
- Prenatal Substance Exposure Effects
- Community Health and Development
- Diabetes Management and Research
- Autoimmune and Inflammatory Disorders Research
- Health Policy Implementation Science
- Ethics in Clinical Research
- BRCA gene mutations in cancer
- Opioid Use Disorder Treatment
- Child and Adolescent Health
- Attention Deficit Hyperactivity Disorder
- Diabetes Management and Education
- Family and Disability Support Research
Harvard University
2016-2025
Boston Children's Hospital
2015-2024
Boston Children's Museum
2013-2022
Lewin Group (United States)
2020
Harvard–MIT Division of Health Sciences and Technology
2011-2016
Boston University
2012
University of Minnesota
2009
National Institute on Alcohol Abuse and Alcoholism
2009
Harvard University Press
1999-2006
Robert Wood Johnson Foundation
2004
Objective: To estimate the prevalence of alcohol abuse and dependence among U.S. college students, to identify characteristics associated with these diagnoses. Method: More than 14,000 students at 119 4-year colleges completed a questionnaire that included items corresponding DSM-IV diagnostic criteria for dependence. Frequencies were computed, correlations used demographic, drinking other variables Results: 31% percent endorsed an diagnosis 6% in past 12 months. two every five reported...
The purpose of this article was to describe patterns poor mental health/depression (PMHD) in a national sample college students and the relationships among PMHD, alcohol consumption, harm, abuse. Responses mailed questionnaires completed by random 27,409 at 119 colleges were analyzed using logistic regression. Nationally, 4.8% reported PMHD. average prevalence 5.01% (range, 0.68% 13.23%). Students with PMHD more likely than their peers be female, nonwhite, from low socioeconomic status...
OBJECTIVES: We tested whether higher levels of social capital on college campuses protected against individual risks binge drinking. METHODS: used a nationally representative survey 17,592 young people enrolled at 140 4-year colleges. Social was operationalized as individuals' average time committed to volunteering in the past month aggregated campus level. RESULTS: In multivariate analyses controlling for volunteering, sociodemographics, and several characteristics, individuals from with...
Background: Engaging consumers in sharing information from personally controlled health records (PCHRs) for research may promote goals of improving care and advancing public consistent with the federal Health Information Technology Economic Clinical (HITECH) Act. Understanding consumer willingness to share data is critical this model. Objective: The objective was characterize PCHR conditions contexts bearing on share. Methods: A mixed method approach integrating survey narrative used. Survey...
To examine associations between social capital and individual risk for alcohol abuse harms identify protective effect mechanisms.Multilevel multivariate analysis with level data from a national panel survey of drinking contextual measure reflecting college mean aggregate reports student volunteerism. Outcomes include heavy episodic (binge) drinking, frequent drunkenness, diagnosable abuse, intentional acquisition binge harms, secondhand effects others' drinking.United States, 119 four year...
In 1999, the Harvard School of Public Health College Alcohol Study surveyed 734 US college administrators to learn what colleges were doing prevent binge drinking. Respondents rated severity student alcohol-abuse problems and described prevention efforts institutional investments in infrastructure. Prevention practices widespread areas general education about alcohol, use policy controls limit access restricting advertising at home-game sporting events, allocation living space alcohol-free...
Background: Consumer-centered health information systems that address problems related to fragmented records and disengaged disempowered patients are needed, as support public monitoring research.Personally controlled (PCHRs) represent one response these needs.PCHRs a special class of personal (PHRs) distinguished by the extent which users control record access contents.Recently launched PCHR platforms include Google Health, Microsoft's HealthVault, Dossia platform, based on...
Objective: The purpose of this study was to examine drinking levels, related harms, and secondhand effects alcohol use at heavy colleges between 1993 2005 with high levels in 1993. Method: Students attending 18 episodic (50% students or more) from the Harvard School Public Health College Alcohol Study were surveyed (n = 4,518). Data collected through mailed Web-based questionnaires compared responses same schools 1993, 1997, 1999, 2001 (N 13,254) using time trend analyses. Results: Overall,...
Data stored in personally controlled health records (PCHRs) may hold value for clinicians and public entities, if patients their families will share them. We sought to characterize consumer willingness un (reticence) PCHR data across topics, with different stakeholders, advance understanding of this issue. Cross-sectional 2009 Web survey repeat users who were over 18 years old or parents patients, assess an-out-of-hospital provider support care, the state/local authority monitoring; odds...
Objective To foster informed decision-making about health social networking (SN) by patients and clinicians, the authors evaluated quality/safety of SN sites' policies practices. Design Multisite structured observation diabetes-focused sites. Measurements 28 indicators quality safety covering: (1) alignment content with diabetes science clinical practice recommendations; (2) practices for auditing content, supporting transparency moderation; (3) accessibility privacy communication control...
BACKGROUND AND OBJECTIVE: Adolescents face peak risks for onset and intensification of alcohol marijuana use. However, we know little about these behaviors their associations with knowledge or treatment adherence among chronically ill youth, a medically vulnerable group. METHODS: Cross-sectional assessment consented youth ages 9 to 18 years receiving care asthma/cystic fibrosis, type 1 diabetes, arthritis, inflammatory bowel disease (IBD) by using self-administered online tool. Prevalence...
E-cigarette use has increased dramatically among adolescents in the past 5 years alongside a steady increase daily of marijuana. This period coincides with historic rise depression and suicidal ideation adolescents. In this study, we describe associations between e-cigarette marijuana depressive symptoms suicidality large nationally representative sample high school students.We used data from 2 most recent waves (2015 2017) Youth Risk Behavior Survey. Our (n = 26,821) included only...
Considerable attention has been paid to heavy episodic or “binge” drinking among college youth in the United States. Despite widespread use, binge measure is perceived by some as a low intervention threshold. We use data from Harvard School of Public Health College Alcohol Study ( n = 49,163) describe patterns consumption and harms along continuum including demonstrate validity threshold prevention paradox college. While heaviest drinkers are at greatest risk for harm, they relatively few...
Background Surveillance and response to diabetes may be accelerated through engaging online social networks (SNs) in consented research. We tested the willingness of an community share data for public health research by providing members with a privacy-preserving networking software application rapid temporal-geographic surveillance glycemic control. Methods Findings SN-mediated collection cross-sectional, member-reported from international SN entered into applicaction we made available...
Health care transition (HCT) from pediatric to adult-focused systems is a key milestone for youth. Developing self-care skills and HCT planning are elements. In survey at 4 specialty clinics 79 youth aged 16 25 years 52 parents, skill-based readiness was assessed using the Transition Readiness Assessment Questionnaire (TRAQ). Multivariable logistic regression evaluated association between TRAQ scores beliefs. all, 70% of 67% parents believed that they/their child could manage their care....