- Liver Disease Diagnosis and Treatment
- Hepatitis C virus research
- Hepatitis B Virus Studies
- Suicide and Self-Harm Studies
- Cardiovascular Health and Risk Factors
- Obesity, Physical Activity, Diet
- Mental Health Treatment and Access
- Liver Diseases and Immunity
- Global Cancer Incidence and Screening
- Pediatric Hepatobiliary Diseases and Treatments
- Liver Disease and Transplantation
- Tuberculosis Research and Epidemiology
- Mycobacterium research and diagnosis
- Digital Radiography and Breast Imaging
- Gallbladder and Bile Duct Disorders
- Body Composition Measurement Techniques
- Maternal Mental Health During Pregnancy and Postpartum
- Birth, Development, and Health
- Opioid Use Disorder Treatment
- Nutritional Studies and Diet
- Folate and B Vitamins Research
- Psychosomatic Disorders and Their Treatments
- Cancer Risks and Factors
- Child Nutrition and Feeding Issues
- Family and Disability Support Research
Kaiser Permanente
2016-2025
Kaiser Permanente Center for Health Research
2011-2024
Hawaii Permanente Medical Group
2017-2024
RELX Group (Netherlands)
2024
Henry Ford Health System
2012-2023
Kaiser Permanente Washington Health Research Institute
2023
HealthPartners
2012-2023
Minneapolis Institute of Arts
2023
Wayne State University
2022
Michigan Public Health Institute
2022
Lack of sun exposure is widely accepted as the primary cause epidemic low vitamin D status worldwide. However, some individuals with seemingly adequate UV have been reported to serum 25-hydroxyvitamin [25(OH)D] concentration, results that might confounded by imprecision assays used.The aim was document 25(OH)D healthy habitually high exposure.This study conducted in a convenience sample adults Honolulu, Hawaii (latitude 21 degrees ).The population consisted 93 (30 women and 63 men) mean...
Previous studies found Hawaiians and Asian-Americans/Pacific Islanders to be independently at increased risk for nontuberculous mycobacterial pulmonary disease (NTMPD) tuberculosis (TB). To better understand NTM infection TB patterns in Hawaii, USA, we evaluated data on a cohort of patients Hawaii 2005-2013. Period prevalence NTMPD was highest among Japanese, Chinese, Vietnamese (>300/100,000 persons) lowest Native Other Pacific (50/100,000). Japanese were twice as likely all other...
Importance Given that the Patient Health Questionnaire (PHQ) item 9 is commonly used to screen for risk of self-harm and suicide, it important clinicians recognize circumstances when at-risk adolescents may go undetected. Objective To understand characteristics with a history depression who do not endorse PHQ before near-term intentional event or suicide. Design, Setting, Participants This was retrospective cohort study design using electronic health record claims data from January 2009...
According to death certificates, approximately 1800 persons die from hepatitis B annually in the United States; however, this figure may underestimate true mortality chronic (CHB).
Summary Background The role of hepatitis C ( HCV ) eradication on the long‐term complications type 2 diabetes mellitus remains incompletely studied. Aim To investigate whether antiviral treatment impacted risk acute coronary syndrome, end‐stage renal disease, ischaemic stroke, and retinopathy among diabetic patients from four US health systems comprising Chronic Hepatitis Cohort Study CH e CS ). Methods We included with diagnosis codes for who were antidiabetic medications. Patients followed...
Although lung cancer incidence rates according to smoking status, sex, and detailed race/ethnicity have not been available, it is estimated that more than half of Asian American, Native Hawaiian, Pacific Islander (AANHPI) females with never smoked.
Abstract Background Cardiovascular disease (CVD) remains the leading cause of death in US. CVD incidence is influenced by many demographic, clinical, cultural, and psychosocial factors, including race ethnicity. Despite recent research, there remain limitations on understanding health among Asians Pacific Islanders (APIs), particularly some subgroups multi-racial populations. Combining diverse API populations into one study group difficulties defining subpopulations multi-race individuals...
Abstract Background We characterized age at diagnosis and estimated sex differences for lung cancer its histological subtypes among individuals who never smoke. Methods analyzed the distribution of in 33,793 across 8 cohort studies two national registries from East Asia, United States (US) Kingdom (UK). Student’s t-tests were used to assess study population (Δ years) comparing females males smoke subgroups defined by race/ethnicity, geographic location, subtypes. Results found that Chinese...
Limited information is available describing the uptake of direct-acting antiviral (DAA) therapy for hepatitis C virus (HCV) infection among patients in general US health care settings. We determined proportion HCV-infected Chronic Hepatitis Cohort Study prescribed DAAs 2014, who initiated treatment and identified characteristics associated with initiation.Uptake was defined as at least 1 clinical encounter 2013 were a DAA regimen during 2014 by August 2015. Using multivariable analysis, we...
Currently, the prevalence of autism spectrum disorder (henceforth "autism") is 1 in 36, an increasing trend from previous estimates. In 2015, United States adopted a new version (International Classification Diseases, 10th Revision) World Health Organization coding system, standard for classifying medical conditions. Our goal was to examine how transition this system impacted diagnoses 10 healthcare systems. We obtained information electronic records and insurance claims data July 2014...
Introduction: Hawaii (HI) and California (CA) are home to the largest fast-growing Asian American, Native Hawaiian, other Pacific Islander (AANHPI) populations in U.S., yet our understanding about influence of factors related geographic location on cardiovascular disease (CVD) risks within AANHPI population is limited. We compared incident CVD rates for eight subgroups between HI CA. Methods: identified members Kaiser Permanente Northern aged ≥30 years with no prior from 2012-2022. Outcomes...
Background: Asian American, Native Hawaiian, and other Pacific Islander (AANHPI) persons comprise ~10% of the U.S. population—24 million people—yet a significant gap exists in contemporary data on incident heart failure (HF). Methods: We identified adults ≥30 years without cardiovascular disease (CVD) within Kaiser Permanente Northern California Hawaii from 2012-2022. Incident HF was defined as hospitalization, >3 clinic visits, or death due to HF, based validated diagnostic codes...
Introduction: Obesity is linked to cardiovascular disease (CVD) and excess mortality. However, contemporary data about obesity trends in disaggregated Asian American, Native Hawaiian other Pacific Islander (AANHPI) adults are lacking, especially among younger adults. We examined temporal high body mass index (BMI) AANHPI compared non-Hispanic White (NHW) aged 30-49y receiving care a large California healthcare system. Methods: Among ≥30y with no prior CVD who were Kaiser Permanente Northern...
Introduction: Atrial fibrillation (AF) is a potent risk factor for stroke, cardiovascular disease (CVD), and death. Data suggest variation in AF across racial ethnic groups, but little known among Asian American, Native Hawaiian, other Pacific Islanders (AANHPI). We evaluated the incidence of disaggregated AANHPI subgroups vs. non-Hispanic Whites (NHW) California Hawaii. Methods: identified adults between 2012-2022 aged ≥30 years Kaiser Permanente Northern Hawaii integrated healthcare...
Introduction: Cardiovascular disease (CVD) risk varies substantially across racial and ethnic groups, especially among disaggregated Asian American, Native Hawaiian, other Pacific Islander (AANHPI) subpopulations. We describe differences in the prevalence of CVD factors predicted a large, diverse population AANHPI adults living California Hawai’i. Methods: identified 2,653,007 within Kaiser Permanente Northern Hawaii from 2012-2022 aged ≥30 years with no prior myocardial infarction, stroke,...
Introduction: Environmental pollution is a risk factor for cardiovascular disease. Few environmental justice studies have examined the burden of among Asian American, Native Hawaiian, and other Pacific Islander (AANHPI) subgroups. The California Protection Agency CalEnviroScreen an mapping tool that identifies disadvantaged communities with high multiple pollutants. Methods: study included 562,538 AANHPI 1,891,203 non-Hispanic White adults aged ≥30 years who received health care from Kaiser...
Introduction: Atherosclerotic cardiovascular disease (ASCVD) risk varies substantially across racial and ethnic groups, yet few data exist among disaggregated Asian American, Native Hawaiian, Pacific Islander (AANHPI) subgroups. Methods: We identified 2,653,007 members of Kaiser Permanente Northern California Hawaii integrated healthcare delivery systems from 2012-2022 who were aged ≥30 years with no evidence prior disease. ASCVD events (acute myocardial infarction stroke) through December...
Background Little is known about clinical and sociodemographic factors affecting coronary heart disease (CHD) stroke incidence in single‐race multiracial American Asian, Native Hawaiian, Pacific Islander subgroups. As the US population becomes more diverse, it important to characterize differences risks for CHD stroke, their contributing factors, these populations. Methods Results The study included 303 958 patients from Kaiser Permanente Hawaii Palo Alto Medical Foundation California....
Abstract Among 2338 chronic hepatitis B patients followed during 2006–2013 in the Chronic Hepatitis Cohort Study, 78% had ≥1 alanine aminotransferase and 37% virus DNA level assessed annually. cirrhotic patients, 46% never hepatic imaging. Patients this cohort were insufficiently monitored for disease activity hepatocellular carcinoma.