- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Adolescent and Pediatric Healthcare
- LGBTQ Health, Identity, and Policy
- Economic and Financial Impacts of Cancer
- Palliative Care and End-of-Life Issues
- Delphi Technique in Research
- Acute Lymphoblastic Leukemia research
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Cancer survivorship and care
- Workplace Health and Well-being
- Family and Disability Support Research
- Global Health Workforce Issues
- Cerebral Palsy and Movement Disorders
- Infant Development and Preterm Care
- Chronic Disease Management Strategies
- Reproductive Health and Technologies
- Dementia and Cognitive Impairment Research
- Clinical practice guidelines implementation
- Healthcare Education and Workforce Issues
- Children's Physical and Motor Development
- Frailty in Older Adults
- Obesity and Health Practices
- Family Caregiving in Mental Illness
University of Maryland, Baltimore
2020-2025
U-M Rogel Cancer Center
2024
University of Baltimore
2023
University of Hawaiʻi at Mānoa
2018-2022
Kaiser Permanente Redwood City Medical Center
2020-2022
University of Hawaii System
2018
University of California, Los Angeles
2016
PURPOSE Patients with cancer living in socioeconomically disadvantaged areas have worse outcomes. The association between socioeconomic deprivation and outcomes among patients participating clinical trials has not been systematically examined. METHODS We examined survival for enrolled phase III large II major cancers conducted by the SWOG Cancer Research Network from 1985 to 2012. Socioeconomic was measured using trial participants' residential zip codes linked Area Deprivation Index (ADI)....
Survivors of adolescent and young adult (AYA) cancer experience significant psychological distress encounter barriers to accessing mental health care. Few studies have investigated racial/ethnic disparities in outcomes among AYA survivors, none compared within a racially minoritized population.
Abstract Background lesbian, gay, bisexual, transgender, queer, or another non-heterosexual cisgender identity (LGBTQ+) cancer survivors experience high financial hardship. However, structural drivers of inequities do not impact all LGBTQ+ individuals equally. Using All Us data, we conducted an intersectional analysis behavioral hardship among survivors. Methods in (ie, cost-related foregone care, delayed and medication alterations) non-cost-related care were estimated using Data....
Objectives: This study examined the effects of job autonomy and satisfaction on burnout among careworkers in Japan South Korea. Careworker is defined as a direct care worker long-term settings such nursing homes, senior day centers, independent living centers who professionally provides physical housekeeping support services for older adults are unable to perform activities daily independently due mental decline dementia stroke Korea.Methods: Data were collected from 1152 Japanese 319 Korean...
Amidst the concurrent global crises of coronavirus disease 2019 (COVID-19), uprisings against Anti-Black racism and police brutality, as well anti-Asian violence, field medicine found itself simultaneously called upon to respond essential workers in public health devastation COVID-19, representatives healthcare institutions wrought with impacts systemic racism. Clinicians, researchers, advocates adolescent young adult (AYA) oncology, must come together authentic activism begin work creating...
Abstract Background In the general population, individuals with minoritized sexual orientation and gender identity have a higher burden of chronic health conditions than heterosexual individuals. However, extent to which is associated excess in adolescent young adult cancer survivors (AYACS) unknown. Methods Lesbian, gay, bisexual (LGB) AYACSs, LGB without history cancer, AYACSs were identified by self‐reported data from cross‐sectional National Health Interview Survey (2013–2020)....
Adolescents and young adults (AYAs) with cancer, defined as individuals aged 15-39 years at initial cancer diagnosis, form a unique population; they face age-specific issues transition to adulthood. This paper presents the protocol for development of core outcome set (COS) AYAs cancer.
Survivors of adolescent and young adult (AYA) cancer experience psychological distress insufficient access to mental health care. Few studies have investigated racial/ethnic disparities in outcomes this population. This study compared distress, care use, inability afford between Hispanic/Latino survivors AYA controls.
The present study examined the effects of cognitive impairment and functional limitation on depressive symptoms among older Korean American immigrants. sample was drawn from a cross-sectional survey 210 immigrants (aged 65 years or older) in Los Angeles County. Based robust hierarchical regression, found that ability status were significant explanatory factors related to In addition, interaction instrumental activities daily living (IADL) function (MMSE) had effect symptoms. This finding...
Abstract The relatively small number of cancers in the adolescent and young adult (AYA) age group, those aged 15-39 years, does not appropriately reflect personal societal costs cancer this population, as reflected potential years life lost or saved, decreased productivity health-related quality due to impact disease during formative long-term complications disabilities. Improvements care outcomes for AYAs with require collaboration among different stakeholders at levels (patients,...
Aims: To characterize Black, Indigenous and People of Color (BIPOC) adolescent young adult (AYA) cancer patients' experiences patient engagement in AYA oncology derive best practices that are co-developed by BIPOC AYAs professionals. Materials & methods: Following a previous call to action from professionals, panel experts composed exclusively patients (n = 32) participated an electronic Delphi study. Results: Emergent themes described direct consensus opinion on recommendations advance...
As we anticipate a growing population of older adults, will see an increase in chronic conditions such as dementia and falls. To meet these public health needs, must systematically provide screening, education, preventive care, supportive care for patients their caregivers primary setting. This require workforce trained providing the complex medical psychosocial needs adult interprofessional collaborative fashion. By integrating geriatric screening tools into interdisciplinary Annual...
While there are known disparities in socioeconomic status (SES) and health outcomes among racially ethnically minoritized adolescent young adult (AYA; ages 15-39 years at diagnosis) cancer survivors compared with White survivors, the Asian survivor population understudied. To better understand association of an AYA diagnosis SES within a population, current study makes comparisons between individuals same race or ethnicity without history cancer.
The purpose of this study was to expand upon findings from a prior Delphi adolescent and young adults' (AYAs') preferences for cancer resources. Utilizing an embodied approach, intended elucidate deeper nuanced understanding the expressed benefits risks engaging in cancer-related online interactions.
Upon drying, they bolted the mask down to table, squashing me even more until I was completely immobilized and unable swallow.You could probably count my teeth