A5022064070- Diabetes Management and Education
- Stroke Rehabilitation and Recovery
- Obesity and Health Practices
- Global Public Health Policies and Epidemiology
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Physical Activity and Health
- HIV/AIDS Research and Interventions
- Retirement, Disability, and Employment
- Cerebral Palsy and Movement Disorders
- HIV, Drug Use, Sexual Risk
- Acute Ischemic Stroke Management
- Obesity, Physical Activity, Diet
- Primary Care and Health Outcomes
- Southeast Asian Sociopolitical Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Inflammatory Bowel Disease
- Adolescent Sexual and Reproductive Health
- Health Policy Implementation Science
- Advanced Optical Imaging Technologies
- Anthropological Studies and Insights
- Aging and Gerontology Research
- Child Nutrition and Water Access
- Social and Cultural Dynamics
- Mobile Health and mHealth Applications
University of Maryland, Baltimore County
2005-2022
University of Maryland Extension
2022
University of Maryland, College Park
2007
National Association of Local Boards of Health
2003
Case Western Reserve University
1998
St Woolos Hospital
1950
Although it is well documented that child maltreatment exerts a deleterious impact on adaptation, much less known about the precise etiological pathways eventuate in abuse and neglect. This paper reports multimethod ecological study of relationship between neighborhood structural factors African American European census tracts. The had two major components. First, an aggregate analysis, effects four measures community structure (impoverishment, care burden, instability, geographic isolation)...
Type 2 diabetes mellitus (diabetes) is the eighth leading cause of death in United States. Diabetes disproportionately affects older adults and people color. For African American women, considered a public health crisis. women 55 face higher mortality rates more severe diabetes-related complications compared to their White counterparts. Secondary conditions such as cardiovascular disease, stroke, dementia, diabetic neuropathy, amputations, renal failure blindness provide further what major...
Inflammatory bowel disease (IBD), comprising Crohn and ulcerative colitis, affects 1 to 3 million people in the United States. Telemedicine has shown promise IBD. The objective of this study, telemedicine for patients with IBD (TELE-IBD), was compare activity quality life (QoL) a 1-year randomized clinical trial receiving versus standard care. Treatment groups experienced improvements QoL, but there were no significant differences between groups. Study adherence text-based intervention less...
Rowe and Kahn's concept of successful aging remains an important model well-being; additional research is needed, however, to identify how economically socially disadvantaged older adults experience well-being, including the role life events. The findings presented here help address this gap by examining subjective construction well-being among urban African American (age ≥ 50) with Type 2 diabetes. As part National Institute on Aging-funded Subjective Experience Diabetes Urban Older Adults...
Abstract This study assessed the feasibility of a group-based couples intervention to increase condom use in HIV serodiscordant three countries (India, Thailand and Uganda). The focused on communication, problem solving, negotiation skills. Forty-three enrolled (15 India, 14 Thailand, Uganda) 40 completed all activities. Participants were interviewed at baseline one months post- intervention. consisted two same sex sessions with 'homework' practice skills between sessions. modules used each...
Background. As stroke survival improves, there is an increasing need for effective, low-cost programs to reduce deconditioning and improve mobility. Objective. To conduct a phase II trial examining whether the community-based Italian Adaptive Physical Activity exercise program survivors (APA-Stroke) safe, feasible in United States. Methods. In this single-blind, randomized controlled trial, 76 with mild moderate hemiparesis >6 months were either APA-Stroke (N = 43) or Sittercise 33)....
Purpose: To identify the individual and social experiences underlying initiation satisfaction with aquatic exercise among persons MS.Methods: A convenience sample (n = 45) of aged ≥18 MS who had engaged in water-based within previous six months completed a 60–90 min semi-structured telephone interview regarding their experiences.Results: An history was not prerequisite for adoption exercise. Rather, participants described routines as stemming from recognition decline physical function...
The Lancet Commissions are widely known as aspirational pieces, providing the mechanisms for consortia and networks of researchers to organize, collate, interrogate publish around a range subjects. Although predominantly led by biomedical scientists cognate public health professionals, many address social science questions involve expertise. Medical anthropologist David Napier was lead author Commission on Culture Health (2014), example, all commissions global...
Health care providers (HCP) understand the importance of keeping patients motivated but may be unaware how their words have unintended negative effects upon patient’s lives. People with diabetes report being told by HCP that they are “cured” or praised for strides made in weight loss and/or lowered blood glucose, and interpret these messages unexpected ways. For this paper, we focus one case to illustrate depth nuance patient–provider communication as it emerged within a larger...
African Americans experience high rates of type 2 diabetes mellitus (T2D). Self-management strategies, such as medication adherence, are key to mitigating negative T2D outcomes. This article addresses a gap in the literature by examining intersections drug abuse histories and adherence among urban, older with T2D.In-depth interview data were collected part larger ethnographic study subjective urban adults. Two representative focal cases selected thematic analysis performed illustrate how...
This article compares the structure and process of rehabilitation for stroke patients at 2 internationally recognized hospitals, Klinik Valens (“Valens”) in Switzerland William Donald Schaeffer Rehabilitation Hospital Kernan (“Kernan”) United States. Although patient mix, structure, were similar many regards, there some important differences. Most notably, on average, U.S. hospital discharged from approximately same day poststroke that began Switzerland. Patients remained an inpatient...
Tuberculosis (TB) remains a major source of morbidity and mortality in Uganda. This cross‐sectional study explores Ugandan women's TB treatment‐seeking processes to determine the routes effective government treatment among sample urban, semirural, rural women. research focuses on women particular as with tuberculosis must negotiate their paths context where tend be politically economically marginalized, limited control household resources senior family members’ health care decisions. The...
Regular exercise lowers the risk of disease progression for many chronic illnesses, but older adults experience relatively low rates exercise. Although multiple intervention studies indicate that community-based programs can facilitate participation, whether this research has resulted in widespread targeted within communities is unknown. This study seeks to understand ecological context through a cross-sectional survey community facilities mid-Atlantic city. The findings highlight limited...
Abstract Background and Objectives Disparities in type 2 diabetes mellitus (diabetes) represent an ongoing public health challenge. Black older adults are at high risk of diabetes’ complications. Diet, physical activity, medication can control these risks, yet disease rates remain elevated. Utilizing intersectionality framework, we seek to extend understanding the social dimensions through examination self-care process from perspective adults. Research Design Methods This project involved a...
Safer sexual behaviour is vital in curbing the HIV epidemic many developing countries where primarily transmitted through heterosexual sex. Reliable and valid assessment of factors related to risk behaviours are important testing behavioural theories as well informing effective AIDS prevention programmes. The current study tests reliability validity a modified version Condom Outcome Expectancy Scale (COES) among sample HIV-negative partners (n=100) HIV-infected individuals Pune, India, Chang...
Interest in disaggregating diabetes into numerous subtypes is growing as patients and providers recognize the limitations of standard typologies. As anthropologists, we draw attention to how ‘subtyping’ may reduce stigma derived from connection between obesity ‘type 2 diabetes’. We highlight complexities that drive argue an exclusive or dominant focus on diet obfuscates other underlying risks. Yet, warn subtyping promote unnecessary pharmaceuticalization, especially for be associated with...
Interest in disaggregating diabetes into numerous subtypes is growing as patients and providers recognize the limitations of standard typologies. As anthropologists, we draw attention to how ‘subtyping’ may reduce stigma derived from connection between obesity ‘type 2 diabetes’. We highlight complexities that drive argue an exclusive or dominant focus on diet obfuscates other underlying risks. Yet, warn subtyping promote unnecessary pharmaceuticalization, especially for be associated with...
The influence of masculinity norms on disparate health outcomes has been established in the literature. What is less understood are specific ways which African-American men "do health" by engaging strategies promoting positive outcomes. This article reframes what previously examined through a deficit perspective reporting experiences and maintenance older, with type 2 diabetes mellitus (diabetes). We employed an intersectional framework to thematically analyze qualitative interviews male...