A5000858853- Health disparities and outcomes
- Cardiovascular Health and Risk Factors
- Health Systems, Economic Evaluations, Quality of Life
- Employment and Welfare Studies
- Lipoproteins and Cardiovascular Health
- Food Security and Health in Diverse Populations
- Diabetes Treatment and Management
- Medication Adherence and Compliance
- Healthcare Systems and Public Health
- Global Health Care Issues
- Metabolism, Diabetes, and Cancer
- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Cardiovascular Function and Risk Factors
- Cardiac Health and Mental Health
- Cardiovascular Disease and Adiposity
- Healthcare cost, quality, practices
- Cardiac Imaging and Diagnostics
- Economic and Financial Impacts of Cancer
- Primary Care and Health Outcomes
- Migraine and Headache Studies
- Neuroendocrine Tumor Research Advances
- Systemic Lupus Erythematosus Research
- Chronic Lymphocytic Leukemia Research
- Obesity, Physical Activity, Diet
Houston Methodist
2021-2025
Methodist Hospital
2021-2024
Cardiovascular Research Foundation
2024
Harvard University
2020-2021
Center for Outcomes Research in Liver Diseases
2021
This study examined the association between social determinants of health (SDOH) burden and overweight/obesity in a nationally representative sample adults United States.Data for 161,795 aged ≥18 years from 2013 to 2017 National Health Interview Survey were used. A total 38 SDOH aggregated create cumulative score, which was divided into quartiles (Q1-Q4) denote levels burden. Prevalence overweight obesity across population by age, sex, race/ethnicity. Multinomial logistic regression models...
Background Although there is research on the impact of social determinants health (SDOHs) cardiovascular health, most existing evidence based individual SDOH components. We evaluated cumulative burden risk factors, subclinical atherosclerosis, and incident disease events. Methods Results included 6479 participants from MESA (Multi-Ethnic Study Atherosclerosis). A weighted aggregate score representing number unfavorable SDOHs, identified 14 components across 5 domains (economic stability,...
Abstract Introduction Educational attainment is an important social determinant of health (SDOH) for cardiovascular disease (CVD). However, the association between educational and all-cause CVD mortality has not been longitudinally evaluated on a population-level in US, especially individuals with atherosclerotic (ASCVD). In this nationally representative study, we assessed risk (CVD) general adult population adults ASCVD US. Methods We used data from 2006–2014 National Death Index-linked...
Financial stress (FS) during young adulthood may have lasting effects on financial security, physical health, and overall wellbeing. This study examines the burden, social determinants mental health consequences of experienced FS among adults in United States, based objective measures stress. We studied aged 18-26 years using pooled data from 2013-18 National Health Interview Survey. was assessed as an aggregate score (6-24) worry about six life tasks: paying for: monthly bills, housing...
Vaccination is the most effective strategy to mitigating COVID-19 and restoring societal function. As pandemic evolves with no certainty of a herd immunity threshold, universal vaccination at-risk populations desirable. However, vaccine hesitancy threatens return normalcy, healthcare workers (HCWs) must embrace their ambassadorial role shoring up confidence. Unfortunately, voluntary has been suboptimal among HCWs in United States, priority group for whom immunization essential maintaining...
Recent studies have emphasized the intricate relationship between obesity and psychological distress, unraveling complex interplay of biological, psychological, sociocultural factors. However, a conspicuous knowledge gap persists in understanding association severity particularly young adults, marked by limited empirical data.
The comorbid presence of Rheumatologic Diseases (RDs) and Atherosclerotic Cardiovascular Disease (ASCVD) substantially accentuates cardiovascular risk. We aimed to compare rates secondary prevention statin utilization in patients with established ASCVD both without underlying RDs- highlight any potential gender, racial, or ethnic disparities use a contemporary US cohort. queried the electronic medical record (EHR)-linked Houston Methodist Learning Health System Outpatient Registry containing...
Evidence for the association between social determinants of health (SDoH) and health-related quality life (HRQoL) is largely based on single SDoH measures, with limited evaluation cumulative disadvantage. We examined disadvantage Health Activity Limitation Index (HALex).Using adult data from National Interview Survey (2013-2017), we created a index by aggregating 47 deprivations across 6 domains. Respondents were ranked using quartiles (SDoH-Q1 to Q4), higher quartile groups being more...
Abstract Objective To evaluate the association of routine exercise with headache frequency, intensity, and duration among adults episodic migraine (EM). Background A comprehensive management plan for EM must aim at reducing disability cost care; to do so requires optimizing acute preventive medications, behavior changes. Prophylactic medication use is associated adverse events contraindications comorbidities. Aerobic reported decrease frequency. However, no study has evaluated a potential...
Poverty is associated with atherosclerotic cardiovascular disease (ASCVD). While poverty can be evaluated using income, a unidimensional metric inadequately captures socioeconomic adversity.
Background: Social determinants of health (SDOH) may limit the practice coronavirus disease 2019 (COVID-19) risk mitigation guidelines with implications for individuals underlying cardiovascular (CVD). Population-based evidence association between SDOH and practicing such strategies in adults CVD is lacking. We used National Opinion Research Center’s COVID-19 Household Impact Survey conducted April June 2020 to evaluate sociodemographic disparities adherence measures a sample respondents...
Abstract Recent reports linked acute COVID-19 infection in hospitalized patients to cardiac abnormalities. Studies have not evaluated presence of abnormal structure and function before scanning setting COVD-19 infection. We sought examine abnormalities consecutive group with according the or absence disease based on review health records cardiovascular imaging studies. looked at independent contribution findings clinical outcomes. After excluding previous left ventricular (LV) systolic...
Abstract Study Objectives Patients with migraine commonly endorse napping as a strategy for headache pain relief, but also experience high rates of sleep disturbance. To elucidate the relationship between behavior and migraine, we evaluated association frequency, severity, intensity among adults episodic migraine. We examined daily that night’s sleep. Methods In this six-week prospective cohort study, 97 completed twice-daily electronic diaries wore wrist actigraph. modeled associations...
We provide an account of real-world effectiveness COVID-19 vaccines among healthcare workers (HCWs) at a tertiary system and report trends in SARS-CoV-2 infections subsequent utilisation COVID-19-specific short-term disability leave (STDL).Cross-sectional study.Summary data on 27 291 employees the Greater Houston metropolitan area between 15 December 2020 5 June 2021. The initial 12-week vaccination programme period (15 to 6 March 2021) was defined as rapid roll-out phase.At pandemic onset,...