- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Nutritional Studies and Diet
- Obesity and Health Practices
- Cardiovascular Health and Risk Factors
- Health, psychology, and well-being
- Urban Transport and Accessibility
- Medication Adherence and Compliance
- Racial and Ethnic Identity Research
- Employment and Welfare Studies
- Respiratory viral infections research
- Financial Literacy, Pension, Retirement Analysis
- Cystic Fibrosis Research Advances
- Heart Failure Treatment and Management
- Physical Activity and Health
- Noise Effects and Management
- Bariatric Surgery and Outcomes
- Global Health Care Issues
- Dialysis and Renal Disease Management
- Health Literacy and Information Accessibility
- Bacterial biofilms and quorum sensing
- Healthcare Systems and Practices
- Chronic Disease Management Strategies
University of Alabama at Birmingham
2016-2025
St. Vincent's Birmingham
2022
Background Individuals with obesity have more ambulatory care usage than individuals normal weight and overweight. There is limited information on whether this consistent across provider specialties comorbidities explain the associations. Methods Results Among REGARDS (Reasons for Geographic Racial Differences in Stroke) cohort study participants Medicare fee‐for‐service coverage (n=9648), we identified visits over 5 years. We used marginalized zero‐inflated Poisson models to calculate...
OBJECTIVE We examined whether relative availability of fast-food restaurants and supermarkets mediates the association between worse neighborhood socioeconomic conditions risk developing type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS As part Diabetes Location, Environmental Attributes, Disparities Network, three academic institutions used harmonized environmental data sources analytic methods in distinct study samples: 1) Veterans Administration Risk (VADR) cohort, a national...
Background: In US cystic fibrosis (CF) patients, methicillin-resistant Staphylococcus aureus (MRSA) rates have tripled in the past 2 decades. Known clinical risk factors include exposure to a healthcare setting, Pseudomonas aeruginosa and CF-related diabetes. Area-level socio-environmental exposures not been evaluated. We explored association of area-level deprivation with MRSA prevalence pediatric CF Center Southeastern United States. Methods: Patients’ residential addresses were geocoded...
Introduction Inequitable access to leisure-time physical activity (LTPA) resources may explain geographic disparities in type 2 diabetes (T2D). We evaluated whether the neighborhood socioeconomic environment (NSEE) affects T2D through LTPA environment. Research design and methods conducted analyses three study samples: national Veterans Administration Diabetes Risk (VADR) cohort comprising electronic health records (EHR) of 4.1 million T2D-free veterans, prospective REasons for Geographic...
Abstract Introduction Limited work has directly compared the role of different neighborhood factors or examined their interactive effects on pediatric asthma outcomes. Our objective was to quantify main and deprivation residential instability (RI) Methods We conducted a retrospective cross‐sectional study patients with primary diagnosis hospitalized at tertiary care hospital. Residential addresses index hospitalization were linked state area (ADI). RI coded as number residences in past 4...
This paper examines the associations of potential reasons for debt–including relative deprivation, conspicuous consumption, and medical financial hardship, how these debt are associated with mental health. It much explains relationship poor We used 2010 Alabama Omnibus Survey data on 507 respondents. found that all three were at first more days Moreover, lower stress explained some also find consumption health association is by variables. conclude comparison to others negatively individuals...
OBJECTIVES. We examined whether relative availability of fast-food restaurants and supermarkets mediates the association between worse neighborhood socioeconomic conditions risk developing type-2 diabetes (T2D). <p> </p> <p>RESEARCH DESIGN AND METHODS. As part Diabetes Location, Environmental Attributes, Disparities (LEAD) Network, three academic institutions used harmonized environmental data sources analytic methods in distinct study samples: (1) Veterans Administration...
OBJECTIVES. We examined whether relative availability of fast-food restaurants and supermarkets mediates the association between worse neighborhood socioeconomic conditions risk developing type-2 diabetes (T2D). <p> </p> <p>RESEARCH DESIGN AND METHODS. As part Diabetes Location, Environmental Attributes, Disparities (LEAD) Network, three academic institutions used harmonized environmental data sources analytic methods in distinct study samples: (1) Veterans Administration...
Introduction: Individuals living with heart failure (HF) in rural settings have higher age-adjusted mortality than urban dwelling individuals. Thus, we sought to examine sociodemographic and clinical differences between populations HF better understand this disparity. Methods: We examined participants from the REasons for Geographic Racial Differences Stroke (REGARDS) population-based cohort who completed a computer-assisted telephone interview (CATI) 10-years following initial recruitment,...
Introduction: Self-reported heart failure (HF) is an important data source for epidemiologic studies of HF clinicians caring patients. We sought to understand the prevalence, predictors, and outcomes patients who did not self-report a diagnosis despite history HF-hospitalization. Methods: studied participants from REasons Geographic Racial Differences in Stroke (REGARDS) cohort, experienced adjudicated hospitalization completed computer-assisted telephone interview approximately 10 years...