A5010887866- Global Public Health Policies and Epidemiology
- Obesity, Physical Activity, Diet
- Nutritional Studies and Diet
- Blood Pressure and Hypertension Studies
- Cardiovascular Health and Risk Factors
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Mobile Health and mHealth Applications
- Global Health and Epidemiology
- Chronic Disease Management Strategies
- Sodium Intake and Health
- Healthcare Systems and Reforms
- Health Promotion and Cardiovascular Prevention
- Consumer Attitudes and Food Labeling
- Global Health Care Issues
- Diet and metabolism studies
- Vaccine Coverage and Hesitancy
- Health Policy Implementation Science
- Lipoproteins and Cardiovascular Health
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Health disparities and outcomes
- Phonocardiography and Auscultation Techniques
- Genetic Associations and Epidemiology
Harvard University
2007-2023
Decision Sciences (United States)
2019-2023
Boston University
2015-2022
Brigham and Women's Hospital
2007-2020
Education and Training Service for Hamburg Businesses
2019
Tufts University
2018
Indepth Network
2017
Dartmouth College
2012-2013
The Supplemental Nutrition Assistance Program (SNAP) provides approximately US$70 billion annually to support food purchases by low-income households, supporting 1 in 7 Americans. In the 2018 Farm Bill, potential SNAP revisions improve diets and health could include financial incentives, disincentives, or restrictions for certain foods. However, overall comparative impacts on outcomes costs are not established. We aimed estimate impact, program healthcare costs, cost-effectiveness of SNAP.We...
Background Economic incentives through health insurance may promote healthier behaviors. Little is known about and economic impacts of incentivizing diet, a leading risk factor for diabetes cardiovascular disease (CVD), Medicare Medicaid. Methods findings A validated microsimulation model (CVD-PREDICT) estimated CVD cases prevented, quality-adjusted life years (QALYs), health-related costs (formal healthcare, informal lost-productivity costs), incremental cost-effectiveness ratios (ICERs)...
A consequence of the widespread uptake anti-retroviral therapy (ART) is that older South African population will experience an increase in life expectancy, increasing their risk for cardiometabolic diseases (CMD), and its factors. The long-term interactions between HIV infection, treatment, CMD remain to be elucidated population. HAALSI cohort was established investigate impact these on morbidity mortality among middle-aged adults.We recruited randomly selected adults aged 40 or residing...
Background Poor diet is a leading risk factor for cardiometabolic disease (CMD) in the United States, but its economic costs are unknown. We sought to estimate cost associated with suboptimal US. Methods and findings A validated microsimulation model (Cardiovascular Disease Policy Model Risk, Events, Detection, Interventions, Costs, Trends [CVD PREDICT]) was used annual cardiovascular (fatal nonfatal myocardial infarction, angina, stroke) type 2 diabetes intake of 10 food groups (fruits,...
To estimate the health impact and cost-effectiveness of a national penny-per-ounce sugar-sweetened beverage (SSB) tax, overall with stratified costs benefits for 9 distinct stakeholder groups.We used validated microsimulation model (CVD PREDICT) to cardiovascular disease reductions, quality-adjusted life years gained, US adults aged 35 85 years, evaluating full partial consumer price pass-through.From care societal perspectives, SSB tax was highly cost-saving. When we evaluated gains, taxes...
Background: Sugar-sweetened beverage taxes are a rapidly growing policy tool and can be based on absolute volume, sugar content tiers, or content. Yet, their comparative health economic impacts have not been quantified, in particular, tiered that provide industry incentives for reduction. Methods: We estimated incremental changes diabetes mellitus cardiovascular disease, quality-adjusted life-years, costs, cost-effectiveness of 3 sugar-sweetened tax designs the United States, basis (1)...
In low-resource settings, a physician is not always available. We recently demonstrated that community health workers-instead of physicians or nurses-can efficiently screen adults for cardiovascular disease in South Africa, Mexico, and Guatemala. this analysis we sought to determine the economic impacts shifting screening workers equipped with either paper-based mobile phone-based tool. found by was very cost-effective even cost-saving all three countries, compared usual clinic-based...
Dyslipidemia is a primary driver for chronic cardiovascular conditions and there no comprehensive literature about its management in South Africa. The objective of this study was to assess the prevalence, awareness, treatment, control dyslipidemia rural Africa how they are impacted by different behaviors non-modifiable factors. To fulfill we recruited cohort adults aged ≥40 years residing Agincourt sub-district Mpumalanga Province. Data collection included socioeconomic clinical data,...
Assess awareness, treatment, and control of hypertension, as an indication its management, in rural South Africa, especially regarding modifiers these variables.
Little is known about the potential benefit of skin self-examination for melanoma prevention and early detection.
BackgroundWe have found that community health workers (CHWs) with appropriate training are able to accurately identify people at high cardiovascular disease (CVD) risk in the who would benefit from introduction of preventative management, Bangladesh, Guatemala, Mexico, and South Africa. This paper examines attendance pattern for those individuals were so identified referred a care facility further assessment management.DesignPatient records centres each site reviewed data on diagnoses made...
Excess caloric intake is linked to weight gain, obesity, and related diseases, including type 2 diabetes mellitus cardiovascular disease (CVD). Obesity incidence rising, with nearly 3 in 4 US adults being overweight or obese. In 2018, the federal government finalized implementation of mandatory labeling calorie content on all menu items across major chain restaurants nationally as a strategy support informed consumer choice, reduce intake, potentially encourage restaurant reformulations....
The study was undertaken to investigate if there are specific identifiable risk factors on the preoperative history or urodynamics testing associated with an increased for development of symptoms de novo urge urinary incontinence after a minimally invasive sling procedure.Two hundred eighty-one women who had undergone surgery stress between January 2000 and December 2003 were identified. records 92 patients included in this review.Twenty-five (27%) reported postoperative questioning....
Background Control of cardiovascular disease ( CVD ) risk factors is suboptimal in Argentina, despite the government's provision free blood pressure and cholesterol‐lowering medications for people without private insurance. We assessed whether community health workers’ use an integrated mH ealth tool encourages patients to attend visits at primary care clinics improve management 2 provinces Argentina. Methods Results conducted a pragmatic cluster randomized trial, with randomly assigned...
High intake of added sugar is linked to weight gain and cardiometabolic risk. In 2018, the US National Salt Sugar Reduction Initiative proposed government-supported voluntary national reduction targets. This intervention's potential effects cost-effectiveness are unclear.
We investigated concordance between haemoglobin A1c (HbA1c)-defined diabetes and fasting plasma glucose (FPG)-defined in a black South African population with high prevalence of obesity.Cross-sectional study.Rural population-based cohort.765 individuals aged 40-70 years no history diabetes.The primary outcome measure was HbA1c-defined FPG-defined diabetes. Secondary measures were differences anthropometric characteristics, fat distribution insulin resistance (measured using Homoeostatic...