Searched for: school:SOM
Department/Unit:Population Health
Health literacy and child health outcomes: Parental health literacy and medication errors
Chapter by: Yin, H. Shonna
in: Health literacy and child health outcomes: Promoting effective health communication strategies to improve quality of care by Connelly, Rosina Avila [Ed]; Turner, Teri [Ed]
Cham, Switzerland: Springer International Publishing AG; Switzerland, 2017
pp. 19-38
ISBN: 978-3-319-50798-9
CID: 4781622
Acceptability and Feasibility of Using a Novel Geospatial Method to Measure Neighborhood Contexts and Mobility Among Transgender Women in New York City
Goedel, William C; Reisner, Sari L; Janssen, Aron C; Poteat, Tonia C; Regan, Seann D; Kreski, Noah T; Confident, Gladyne; Duncan, Dustin T
Purpose: To date, no studies utilizing global positioning system (GPS) technologies to measure mobility and environmental exposures have been conducted among a sample of transgender women despite the potential salient role neighborhood contexts may play in the health of this population. As such, the purpose of this study was to assess the acceptability and feasibility of a weeklong GPS protocol among a sample of transgender women in New York City. Methods: A sample of 14 transgender women residing in the New York City metropolitan area were recruited through community based methods to wear and charge a GPS device for 7 days to measure daily mobility. The acceptability of these methods was assessed using a pre- and postprotocol survey and their feasibility was measured using objective data derived from the GPS device. Pre- and postprotocol survey measures were compared using McNemar's test. Results: Participants reported high ratings of preprotocol acceptability, as well as few concerns regarding safety, appearance, and losing the device, all of which were maintained after completing the protocol. All 14 devices that were distributed were returned. In addition, all 14 participants had GPS data for at least 1 h on 1 day, and nine participants (64.3%) had at least 8 h of GPS data on all days. Conclusion: The findings of this pilot study demonstrate that the GPS methods are both acceptable and feasible among this sample of transgender women. GPS devices may be used in research among transgender women to understand neighborhood determinants of HIV and other STIs.
PMCID:5627666
PMID: 29082330
ISSN: 2380-193x
CID: 2765112
Acceptability of Ecological Momentary Assessment Among Young Men Who Have Sex with Men
Duncan, Dustin T; Kapadia, Farzana; Kirchner, Thomas R; Goedel, William C; Brady, William J; Halkitis, Perry N
The study evaluated the acceptability of text message- and voice-based ecological momentary assessment (EMA) methods among a sample (n=74) of young men who have sex with men (MSM). We assessed the acceptability of text message- and voice-based EMA methods. Almost all participants (96%) reported that they would be willing to accept texts on their smartphone to answer questions about their current mood, surroundings, or feelings. A large majority (89%) also reported being willing to accept phone calls to answer these questions. This work suggests that different EMA methods are acceptable for use among young MSM.
PMCID:6034697
PMID: 29988981
ISSN: 1936-1653
CID: 3191592
Using behavioral economics to improve dietary intake : alternatives to regulation, bans, and taxation
Chapter by: Bragg, Marie A; Elbel, Brian
in: Behavioral economics and healthy behaviors : key concepts and current research by Hanoch, Yaniv; Barnes, Andrew J; Rice, Thomas H [Eds]
Abingdon, Oxon ; New York, NY : Routledge, an imprint of the Taylor & Francis Group, 2017
pp. 91-105
ISBN: 9781315637938
CID: 2738602
Receptor for advanced glycation end-products and World Trade Center particulate induced lung function loss: A case-cohort study and murine model of acute particulate exposure
Caraher, Erin J; Kwon, Sophia; Haider, Syed H; Crowley, George; Lee, Audrey; Ebrahim, Minah; Zhang, Liqun; Chen, Lung-Chi; Gordon, Terry; Liu, Mengling; Prezant, David J; Schmidt, Ann Marie; Nolan, Anna
World Trade Center-particulate matter(WTC-PM) exposure and metabolic-risk are associated with WTC-Lung Injury(WTC-LI). The receptor for advanced glycation end-products (RAGE) is most highly expressed in the lung, mediates metabolic risk, and single-nucleotide polymorphisms at the AGER-locus predict forced expiratory volume(FEV). Our objectives were to test the hypotheses that RAGE is a biomarker of WTC-LI in the FDNY-cohort and that loss of RAGE in a murine model would protect against acute PM-induced lung disease. We know from previous work that early intense exposure at the time of the WTC collapse was most predictive of WTC-LI therefore we utilized a murine model of intense acute PM-exposure to determine if loss of RAGE is protective and to identify signaling/cytokine intermediates. This study builds on a continuing effort to identify serum biomarkers that predict the development of WTC-LI. A case-cohort design was used to analyze a focused cohort of male never-smokers with normal pre-9/11 lung function. Odds of developing WTC-LI increased by 1.2, 1.8 and 1.0 in firefighters with soluble RAGE (sRAGE)>/=97pg/mL, CRP>/=2.4mg/L, and MMP-9=397ng/mL, respectively, assessed in a multivariate logistic regression model (ROCAUC of 0.72). Wild type(WT) and RAGE-deficient(Ager-/-) mice were exposed to PM or PBS-control by oropharyngeal aspiration. Lung function, airway hyperreactivity, bronchoalveolar lavage, histology, transcription factors and plasma/BAL cytokines were quantified. WT-PM mice had decreased FEV and compliance, and increased airway resistance and methacholine reactivity after 24-hours. Decreased IFN-gamma and increased LPA were observed in WT-PM mice; similar findings have been reported for firefighters who eventually develop WTC-LI. In the murine model, lack of RAGE was protective from loss of lung function and airway hyperreactivity and was associated with modulation of MAP kinases. We conclude that in a multivariate adjusted model increased sRAGE is associated with WTC-LI. In our murine model, absence of RAGE mitigated acute deleterious effects of PM and may be a biologically plausible mediator of PM-related lung disease.
PMCID:5604982
PMID: 28926576
ISSN: 1932-6203
CID: 2706992
SUBSTANCE USE SCREENING AND BRIEF INTERVENTION PATIENT CHARACTERISTICS AND SCREENING RESULTS: DIFFERENCES BETWEEN PRIMARY CARE AND EMERGENCY DEPARTMENTS [Meeting Abstract]
Morley, Jeanne; Kapoor, Sandeep; Pappacena, Kristen; Akkari, Cherine; Bernal, Camila; Neighbors, Charles; Auerbach, Mark; Kwon, Nancy; Morgenstern, Jonathan; Conigliaro, Joseph; O\Grady, Megan
ISI:000440259001060
ISSN: 0884-8734
CID: 5319532
The obesity paradox and incident cardiovascular disease: A population-based study
Chang, Virginia W; Langa, Kenneth M; Weir, David; Iwashyna, Theodore J
BACKGROUND:Prior work suggests that obesity may confer a survival advantage among persons with cardiovascular disease (CVD). This obesity "paradox" is frequently studied in the context of prevalent disease, a stage in the disease process when confounding from illness-related weight loss and selective survival are especially problematic. Our objective was to examine the association of obesity with mortality among persons with incident CVD, where biases are potentially reduced, and to compare these findings with those based on prevalent disease. METHODS:We used data from the Health and Retirement Study, an ongoing, nationally representative longitudinal survey of U.S. adults age 50 years and older initiated in 1992 and linked to Medicare claims. Cox proportional hazard models were used to estimate the association between weight status and mortality among persons with specific CVD diagnoses. CVD diagnoses were established by self-reported survey data as well as Medicare claims. Prevalent disease models used concurrent weight status, and incident disease models used pre-diagnosis weight status. RESULTS:We examined myocardial infarction, congestive heart failure, stroke, and ischemic heart disease. A strong and significant obesity paradox was consistently observed in prevalent disease models (hazard of death 18-36% lower for obese class I relative to normal weight), replicating prior findings. However, in incident disease models of the same conditions in the same dataset, there was no evidence of this survival benefit. Findings from models using survey- vs. claims-based diagnoses were largely consistent. CONCLUSION/CONCLUSIONS:We observed an obesity paradox in prevalent CVD, replicating prior findings in a population-based sample with longer-term follow-up. In incident CVD, however, we did not find evidence of a survival advantage for obesity. Our findings do not offer support for reevaluating clinical and public health guidelines in pursuit of a potential obesity paradox.
PMCID:5720539
PMID: 29216243
ISSN: 1932-6203
CID: 2892792
Apolipoprotein L1 risk variants associate with prevalent atherosclerotic disease in African American systemic lupus erythematosus patients
Blazer, Ashira; Wang, Binhuan; Simpson, Danny; Kirchhoff, Tomas; Heffron, Sean; Clancy, Robert M; Heguy, Adriana; Ray, Karina; Snuderl, Matija; Buyon, Jill P
OBJECTIVE: Atherosclerosis is exaggerated in African American (AA) systemic lupus erythematosus (SLE) patients, with doubled cardiovascular disease (CVD) risk compared to White patients. The extent to which common Apolipoprotein L1 (APOL1) risk alleles (RA) contribute to this trend is unknown. This retrospective cohort study assessed prevalent atherosclerotic disease across APOL1 genotypes in AA SLE patients. METHODS: One hundred thirteen AA SLE subjects were APOL1-genotyped and stratified as having: zero risk alleles, one risk allele, or two risk alleles. Chart review assessed CVD manifestations including abdominal aortic aneurysm, angina, carotid artery disease, coronary artery disease, myocardial infarction, peripheral vascular disease, stroke, and vascular calcifications. Associations between the genotypes and a composite endpoint defined as one or more CVD manifestations were calculated using logistic regression. Symptomatic atherosclerotic disease, excluding incidental vascular calcifications, was also assessed. RESULTS: The 0-risk-allele, 1-risk-allele and 2-risk-allele groups, respectively, comprised 34%, 53%, and 13% of the cohort. Respectively, 13.2%, 41.7%, and 60.0% of the 0-risk allele, 1-risk-allele, and 2-risk-allele groups met the composite endpoint of atherosclerotic CVD (p = 0.001). Adjusting for risk factors-including smoking, ESRD, BMI >25 and hypertension-we observed an association between carrying one or more RA and atherosclerotic CVD (OR = 7.1; p = 0.002). For symptomatic disease, the OR was 3.5 (p = 0.02). In a time-to-event analysis, the proportion of subjects free from the composite primary endpoint, symptomatic atherosclerotic CVD, was higher in the 0-risk-allele group compared to the 1-risk-allele and 2-risk-allele groups (chi2 = 6.5; p = 0.04). CONCLUSIONS: Taken together, the APOL1 RAs associate with prevalent atherosclerotic CVD in this cohort of AA SLE patients, perhaps reflecting a potentiating effect of SLE on APOL1-related cardiovascular phenotypes.
PMCID:5574561
PMID: 28850570
ISSN: 1932-6203
CID: 2679052
New Promising Strategies in Oncofertility
Hudson, Janella N; Stanley, Nathanael B; Nahata, Leena; Bowman-Curci, Meghan; Quinn, Gwendolyn P
INTRODUCTION/BACKGROUND:Approximately 70,000 adolescent and young adults (AYA) are diagnosed with cancer each year. While advancements in treatment have led to improved prognosis and survival for patients, these same treatments can adversely affect AYA reproductive capacity. Localized treatments such as surgery and radiation therapy may affect fertility by removing or damaging reproductive organs, and systemic therapies such as chemotherapy can be toxic to gonads, (ovaries and testicles), thus affecting fertility and/or endocrine function. This can be traumatic for AYA with cancer as survivors often express desire to have genetic children and report feelings of regret or depression as a result of infertility caused by cancer treatments. AREAS COVERED/UNASSIGNED:Emerging technologies in the field of assisted reproductive technology offer new promise for preserving the reproductive capacity of AYA cancer patients prior to treatment as well as providing alternatives for survivors. The following review revisits contemporary approaches to fertility preservation as well newly developing technologies. EXPERT COMMENTARY/UNASSIGNED:There are several advances in ART that hold promise for patients and survivors. However there are challenges that inhibit uptake including poor communication between providers and patients about risks and fertility preservation options; high costs; and lack of insurance coverage for fertility preservation services.
PMCID:5612405
PMID: 28959743
ISSN: 2380-9000
CID: 2903372
Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015
Soriano, Joan B.; Abajobir, Amanuel Alemu; Abate, Kalkidan Hassen; Abera, Semaw Ferede; Agrawal, Anurag; Ahmed, Muktar Beshir; Aichour, Amani Nidhal; Aichour, Ibtihel; Aichour, Miloud Taki Eddine; Alam, Khurshid; Alam, Noore; Alkaabi, Juma M.; Al-Maskari, Fatma; Alvis-Guzman, Nelson; Amberbir, Alemayehu; Amoako, Yaw Ampem; Ansha, Mustafa Geleto; Anto, Josep M.; Asayesh, Hamid; Atey, Tesfay Mehari; Avokpaho, Euripide Frinel G. Arthur; Barac, Aleksandra; Basu, Sanjay; Bedi, Neeraj; Bensenor, Isabela M.; Berhane, Adugnaw; Beyene, Addisu Shunu; Bhutta, Zulfiqar A.; Biryukov, Stan; Boneya, Dube Jara; Brauer, Michael; Carpenter, David O.; Casey, Daniel; Christopher, Devasahayam Jesudas; Dandona, Lalit; Dandona, Rakhi; Dharmaratne, Samath D.; Huyen Phuc Do; Fischer, Florian; Geleto, Ayele; Ghoshal, Aloke Gopal; Gillum, Richard F.; Ginawi, Ibrahim Abdelmageem Mohamed; Gupta, Vipin; Hay, Simon I.; Hedayati, Mohammad T.; Horita, Nobuyuki; Hosgood, H. Dean; Jakovljevic, Mihajlo (Michael) B.; James, Spencer Lewis; Jonas, Jost B.; Kasaeian, Amir; Khader, Yousef Saleh; Khalil, Ibrahim A.; Khan, Ejaz Ahmad; Khang, Young-Ho; Khubchandani, Jagdish; Knibbs, Luke D.; Kosen, Soewarta; Koul, Parvaiz A.; Kumar, G. Anil; Leshargie, Cheru Tesema; Liang, Xiaofeng; Abd El Razek, Hassan Magdy; Majeed, Azeem; Malta, Deborah Carvalho; Manhertz, Treh; Marquez, Neal; Mehari, Alem; Mensah, George A.; Miller, Ted R.; Mohammad, Karzan Abdulmuhsin; Mohammed, Kedir Endris; Mohammed, Shafiu; Mokdad, Ali H.; Naghavi, Mohsen; Cuong Tat Nguyen; Nguyen, Grant; Quyen Le Nguyen; Trang Huyen Nguyen; Ningrum, Dina Nur Anggraini; Vuong Minh Nong; Obi, Jennifer Ifeoma; Odeyemi, Yewande E.; Ogbo, Felix Akpojene; Oren, Eyal; Mahesh, P. A.; Park, Eun-Kee; Patton, George C.; Paulson, Katherine; Qorbani, Mostafa; Quansah, Reginald; Rafay, Anwar; Rahman, Mohammad Hifz Ur; Rai, Rajesh Kumar; Rawaf, Salman; Reinig, Nik; Safiri, Saeid; Sarmiento-Suarez, Rodrigo; Sartorius, Benn; Savic, Miloje; Sawhney, Monika; Shigematsu, Mika; Smith, Mari; Tadese, Fentaw; Thurston, George D.; Topor-Madry, Roman; Tran, Bach Xuan; Ukwaja, Kingsley Nnanna; van Boven, Job F. M.; Vlassov, Vasiliy Victorovich; Vollset, Stein Emil; Wan, Xia; Werdecker, Andrea; Hanson, Sarah Wulf; Yano, Yuichiro; Yimam, Hassen Hamid; Yonemoto, Naohiro; Yu, Chuanhua; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Murray, Christopher J. L.; Vos, Theo
ISI:000408367900018
ISSN: 2213-2600
CID: 4703082