A5004348071- Food Security and Health in Diverse Populations
- Vaccine Coverage and Hesitancy
- Viral Infections and Outbreaks Research
- Homelessness and Social Issues
- Health disparities and outcomes
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Criminal Justice and Corrections Analysis
- Drug-Induced Adverse Reactions
- COVID-19 and healthcare impacts
- Allergic Rhinitis and Sensitization
- COVID-19 and Mental Health
- Ethics and Legal Issues in Pediatric Healthcare
- Influenza Virus Research Studies
- Obesity and Health Practices
- Geriatric Care and Nursing Homes
- Respiratory and Cough-Related Research
- Primary Care and Health Outcomes
- Opioid Use Disorder Treatment
- Sex work and related issues
- Pharmacovigilance and Adverse Drug Reactions
- Inflammatory Bowel Disease
- Child Nutrition and Feeding Issues
- Antimicrobial Resistance in Staphylococcus
- Emergency and Acute Care Studies
Tufts Medical Center
2021-2023
Tufts University
2021-2023
Introduction/Objectives: Health-related social needs (HRSN) screening efforts have reported high rates of identified needs. Little is known if to conduct HRSN in resource-constrained federally-qualified health centers (FQHC) successfully captures a representative patient population. Methods: This cross-sectional study extracted EMR data from 2016 2020 for 4731 screened patients 7 affiliated clinics FQHC. Unscreened were pulled as random sample the period. A multivariable logistic regression...
Screening for social needs during routine medical visits is increasingly common. To date, there are limited data on which most predictive of health outcomes. The aim this study to build a model from integrated screening and identify individual or clusters that chronic illnesses. Using the electronic record Federally Qualified Health Center collected January 2016 December 2020, demographic, diagnosis, were used look at adjusted unadjusted associations unmet with illnesses (
SummaryTo address the growing prevalence of food insecurity and its adverse effects on health, health care organizations are partnering with community to develop nutrition programs aimed at both reducing hunger improving diet-related health. Although there has been little effort document improvements in mental outcomes among program recipients who receive support through a community–health partnership, this study suggests beneficial relationship. The Greater Boston Food Bank, 501(c)3...
Ending the HIV epidemic requires increased testing, diagnosis, and linkage to care. In past 10 years, rates of have among people with substance use disorder (SUD). testing is recommended during hospitalization. Despite rising infections recommendations, remains suboptimal. This study sought detect differences in by race ethnicity who drugs (PWUD) admitted Tufts Medical Center (TuftsMC). a retrospective review hospitalized PWUD from January 1, 2017 December 31, 2020. were identified through...
Abstract Background Injection drug use and needle sharing remains a public health concern due to the associated risk of HIV, HCV skin soft tissue infections. Studies have shown gendered differences in environment injection use, but data are currently limited smaller urban cohorts. Methods To assess relationship between gender sharing, we analyzed publicly available from 2010–2019 National Survey on Drug Use Health (NSDUH) datasets. Chi-square tests were conducted for descriptive analyses...
Studies on the impact of novel SARS-CoV-2 virus (COVID) for healthcare workers (HCWs) rarely include full spectrum hospital workers, including less visible patient support roles. In early days pandemic, COVID testing was preferentially available to HCWs. The objective this study understand how individual experiences all HCWs during pandemic were associated with perceptions access to, and receipt .All employees (n = 6736) in a single academic medical center Boston, Massachusetts invited...
Influenza infects millions of people each year and contributes to tens thousands deaths annually despite the availability vaccines. People most at risk influenza complications are disproportionately represented in incarcerated US prisons jails. The objectives this study were survey health administrators Massachusetts county jails about institutional vaccine policies practices estimate vaccination rates from 2013 2020.In April 2020, we administered surveys services Massachusetts' 14 gather...
Abstract Hepatitis C virus (HCV) is curable, but incarcerated populations face barriers to treatment. In a cohort of hospitalized patients in Boston, Massachusetts, HCV infection was associated with increased mortality. Access treatment carceral settings crucial avoid unnecessary death and support elimination efforts.
Abstract Healthcare workers (HCWs) experience barriers to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) testing specific their perceptions of access, and employment factors. A survey was sent all employees at one Boston hospital examine perceived testing. HCWs who reported difficulty paying bills were less likely receive a SARS-CoV-2 test.
Background: Antimicrobial resistance (AMR) is a global public health crisis. A key strategy to combat AMR use targeted antibiotics, which difficult in patients who report an allergy penicillin. Increased risk for resistant infections, mortality, and healthcare costs are associated with penicillin allergies; however, up 90% of those reported do not have true allergy. We investigated racial ethnic differences related delabeling by analyzing rates reporting referral allergist consultation....
Justice-involved populations are at an elevated risk for infectious disease transmission and have been profoundly negatively impacted by the COVID-19 pandemic. Vaccination is being utilized as a primary tool prevention protection from serious infection in carceral settings. We examined barriers facilitators to vaccine distribution surveying key stakeholders-sheriffs corrections officers-in these Most respondents felt prepared rollout, although they still identified significant...
Background and AimsIndividuals who are incarcerated often have limited access to first-line treatment comprehensive health care. In this study, we aimed compare the frequency of readmissions among patients with inflammatory bowel disease (IBD) receiving care at a community hospital were not time hospitalization.MethodsWe analyzed records from Lemuel Shattuck Hospital for all admitted between January 1, 2011, December 31, 2019. Patients IBD identified using International Classification...
Abstract Jails and prisons in the United States house people with elevated rates of mental health substance use disorders. The goal this cross-sectional study was to evaluate frequency racial/ethnic differences self-report illness psychiatric medication at jail entry. Our sample included individuals who had been incarcerated between 2016 2020 Middlesex Jail & House Correction, located Billerica, MA. We used data from “Offender Management System,” administrative database by containing on...
HIV and hepatitis C virus (HCV) testing for all people in jail is recommended by the CDC. In community, there are barriers to HCV minoritized people. We examined relationship between race infectious diseases (HIV, HCV, syphilis) one Massachusetts jail, Middlesex House of Corrections (MHOC). This a retrospective analysis incarcerated at MHOC who opted-in 2016–2020. Variables interest were race/ethnicity, self-identified history psychiatric illness, ever having experienced restrictive housing....
Abstract Background To date, health-related social needs (HRSN) screening implementation efforts have reported high rates of identified needs. However, little is known about how processes may fail to leverage strategies optimize reach, and thereby unintentionally target non-representative groups for referral programs. Methods Electronic medical data were abstracted from 2016-2020 4,731 screened patients 7 affiliated clinics a federally-qualified health center (FQHC). Unscreened pulled first...