A5008747555- Health disparities and outcomes
- Obesity, Physical Activity, Diet
- Health Policy Implementation Science
- Food Security and Health in Diverse Populations
- Climate Change and Health Impacts
- Geriatric Care and Nursing Homes
- Public Health Policies and Education
- Urban Transport and Accessibility
- Community Health and Development
- Air Quality and Health Impacts
- Healthcare Policy and Management
- Urban Green Space and Health
- Biomedical and Engineering Education
- Diabetes Management and Education
- Environmental Justice and Health Disparities
- Health and Medical Research Impacts
- Primary Care and Health Outcomes
- Environmental and Social Impact Assessments
- Nutritional Studies and Diet
- Diabetic Foot Ulcer Assessment and Management
- Pressure Ulcer Prevention and Management
- Employment and Welfare Studies
- Smoking Behavior and Cessation
- Risk Perception and Management
- Carcinogens and Genotoxicity Assessment
The University of Texas Medical Branch at Galveston
2016-2025
Foundation for Physical Medicine and Rehabilitation
2020
The University of Texas Health Science Center at San Antonio
2020
Yonsei University
2020
Agency for Healthcare Research and Quality
2020
National Institutes of Health
2020
Galveston College
2017
Community Health Development
2008-2009
Texas A&M Health Science Center
2008-2009
Texas A&M University System
2005
BackgroundResidents of environmental justice (EJ) communities often suffer significant health inequities due to pollutants and adverse social conditions.However, methodologies for assessing such seldom account both kinds factors.While traditional risk assessments use single-pollutant, single-source measures chronic alone, this project develops a technique "overall burden" in EJ communities.Cumulative risks from aggregate (that is, multi-agent, multi-pathway, multi-source, over time)...
Residents of environmental justice (EJ) communities may bear a disproportionate burden health risk, and often face additional burdens from social determinants health. Accounting for cumulative risk should include measures both sources determinants. This study sought to better understand in disadvantaged community Texas. Key outcomes were determining what data are currently available this assessment, clarifying needs, identifying gaps, considering how those gaps could be filled. Analyses...
When the Deepwater Horizon oil rig blew out in 2010, immediate threats to productive deep water and estuarial fisheries region’s fishing energy economies were obvious. Less immediately obvious, but equally unsettling, risks human health posed by potential damage regional food web. This paper describes grassroots efforts Gulf Coast Health Alliance: related Macondo Spill Fishermen’s Citizen Science Network project. Using a community-based participatory research approach citizen science...
The Deepwater Horizon (DWH) explosion in 2010 is the largest oil spill (Macondo) U.S.We focused on gaining an understanding of physical health and mental effects attributable to Macondo spill. This a report cross-sectional cohort study (wave 1) establish 'baseline' findings meant provide descriptive information be used for multi-wave, longitudinal study. Gulf Coast Health Alliance: Risks related Spill (GC-HARMS) uses Community-Based Participatory Research approach, thus including...
Work-family conflict (WFC) and job insecurity are important determinants of workers' mental health.To examine the relationship between WFC psychological distress, co-occurring effects on distress in US working adults.This study used cross-sectional data from 2010 National Health Interview Survey (NHIS) for adults aged 18-64 years. The NHIS included occupational Institute Occupational Safety (NIOSH) sponsored Supplement. Logistic regression models were to independent distress.The group...
Community health assessment and community improvement planning are continuous, systematic processes for assessing addressing needs in a community. Since there different models to guide planning, as well variety of organizations agencies that carry out these activities, may be confusion choosing among approaches. By examining the various components models, we able identify areas coordination, ways maximize collaboration, strategies further improve health. We identified 11 common across 18...
The association between proximity to oil refineries and cancer rate is largely unknown. We sought compare the of (bladder, breast, colon, lung, lymphoma, prostate) according an refinery in Texas.A total 6 302 265 persons aged 20 years or older resided within 30 miles from 2010 2014. used multilevel zero-inflated Poisson regression models examine rate.We observed that was associated with a statistically significantly increased risk incident diagnosis across all types. For example, residing...
Children with cerebral palsy need highly specialized care. This can be very burdensome for families, particularly in large rural states, due to the long-distance travel appointments. In this study, children undergoing selective percutaneous myofascial lengthening surgery utilized a telephone-based telemedicine evaluation assess surgical eligibility. The goal was avoid separate preoperative clinic visit weeks before surgery. If possible, eligibility determined by telephone, and then, patient...
Few variables consistently predict evacuation across regions, although most regions find that 30 to 40% of residents in official zones fail evacuate. To better understand the failure evacuate, this study used open-ended interviews elicit rationales for and nonevacuation Galveston, Texas, following Hurricane Ike. Residents were selected pairs (evacuee/nonevacuee) from same neighborhoods control socioeconomic factors storm damage. Themes concerning risk evaluation suggest an underlying...
This paper examines associations between high-risk gun carrying and substance use in emerging adults (ages 18-22). The coexistence of these behaviours a general population can have disastrous consequences.Dating it Safe is an ongoing longitudinal (2010-2016) survey recruited from seven high schools five south-east Texas-area school districts (current sample n=684). Multiple logistic regression modelling was used to examine the association past-year legal illegal substances firearm for reason...
This project assessed fruit and vegetable intakes among rural older adults on a regional mail-out community health assessment. Over 95% of respondents answered questions regarding consumption. Rural in this sample were willing to respond their intake; yet they not likely be meeting minimum recommended these foods. Including about dietary healthfulness such an assessment may provide key stakeholders policymakers clearer understanding community's overall status.
Breast cancer survivors have a unique risk for negative health outcomes. Engaging in routine physical activity (PA) can reduce these risks. However, PA levels are low among this population. Narrative visualization (NV) is technique that uses drawings, photographs, and text to contextualize data, which may increase integrated regulation, or motivation related personal values identity. A intervention targeting breast using an NV strategy improve behavior. The purpose of study was determine...
Successful lifestyle changes for weight reduction are heavily dependent on recognizing the importance of societal and cultural factors. Patients 13-19 years age with a BMI ≥95th percentile eligible our multidisciplinary adolescent loss clinic. A behavioral questionnaire was administered at initial visit. were seen every 4-6 weeks. Bivariate analysis used to identify sociodemographic factors associated differences in loss. Overall, receiving reduced cost meals lower likelihood losing (kg) (p...
Abstract Background Despite the success of stroke rehabilitation services, differences in service utilization exist. Some patients with may travel across regions to receive necessary care prescribed by their physician. It is unknown how availability and combinations post-acute facilities local healthcare markets influence use patterns. We present distribution skilled nursing, inpatient rehabilitation, long-term hospital services Hospital Service Areas among a national cohort, we describe...