NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Williamson, Heather J; McCarthy, Michael J; Garcia, Yolanda E; Bacon, Rachel; Dunn, Dorothy J; Baldwin, Julie A Public Policy & Aging Report, 20 (20), pp. 1–3, 2020. @article{Williamson2020c, title = {Addressing the Needs of Rural Caregivers of Individuals with Alzheimer’s Disease and Related Dementias During and Beyond Coronavirus Disease 2019 (COVID-19)}, author = {Heather J. Williamson and Michael J. McCarthy and Yolanda E. Garcia and Rachel Bacon and Dorothy J. Dunn and Julie A. Baldwin}, url = {https://doi.org/10.1093/ppar/praa024}, doi = {10.1093/ppar/praa024}, year = {2020}, date = {2020-09-04}, journal = {Public Policy & Aging Report}, volume = {20}, number = {20}, pages = {1–3}, abstract = {More than 25% of those 65 years or older in the United States reside in rural areas (Skoufalos et al., 2017). Aging family caregivers of individuals with Alzheimer’s disease and related dementias (ADRD) provide critical daily supports for their loved one. Caregivers in rural areas face unique challenges in accessing needed health and social services, while also having limited informal supports from family and friends due to geographic isolation (Cho et al., 2016; Greenwood et al., 2015; Pinquart & Sörensen, 2005). Rural-residing ADRD caregivers living in northern Arizona have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic, with higher rates of COVID-19 than urban areas and with limited community resources (Arizona Department of Health Services, 2020; Kaplan, 2020; Sanderson et al., 2017). OVID-19 public health actions, including social distancing, self isolation, and sheltering in place, may be effective for curbing the spread of COVID-19. However, the emotional and psychosocial impacts of these prevention efforts are yet to be understood among already strained aging caregivers providing constant care for a person with ADRD.}, keywords = {}, pubstate = {published}, tppubtype = {article} } More than 25% of those 65 years or older in the United States reside in rural areas (Skoufalos et al., 2017). Aging family caregivers of individuals with Alzheimer’s disease and related dementias (ADRD) provide critical daily supports for their loved one. Caregivers in rural areas face unique challenges in accessing needed health and social services, while also having limited informal supports from family and friends due to geographic isolation (Cho et al., 2016; Greenwood et al., 2015; Pinquart & Sörensen, 2005). Rural-residing ADRD caregivers living in northern Arizona have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic, with higher rates of COVID-19 than urban areas and with limited community resources (Arizona Department of Health Services, 2020; Kaplan, 2020; Sanderson et al., 2017). OVID-19 public health actions, including social distancing, self isolation, and sheltering in place, may be effective for curbing the spread of COVID-19. However, the emotional and psychosocial impacts of these prevention efforts are yet to be understood among already strained aging caregivers providing constant care for a person with ADRD. |
Ferdows, Nasim B; Aranda, María P; Baldwin, Julie A; Ferdows, Soroosh Baghban; Ahluwalia, Jasjit S; Kumar, Amit Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016 Journal Article JAMA Netw Open, 2020. @article{Ferdows2020, title = {Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016}, author = {Nasim B. Ferdows and María P. Aranda and Julie A. Baldwin and Soroosh Baghban Ferdows and Jasjit S. Ahluwalia and Amit Kumar}, url = {https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768943}, year = {2020}, date = {2020-08-03}, journal = {JAMA Netw Open}, abstract = {In this cross-sectional study of 3131 US counties over a 49-year period, racial disparities in the mortality rates of men, with the exception of men living in rural counties, decreased compared with women. Rural and urban disparities were associated with socioeconomic differences among men and women of both races, and these disparities were most substantial among Black men.}, keywords = {}, pubstate = {published}, tppubtype = {article} } In this cross-sectional study of 3131 US counties over a 49-year period, racial disparities in the mortality rates of men, with the exception of men living in rural counties, decreased compared with women. Rural and urban disparities were associated with socioeconomic differences among men and women of both races, and these disparities were most substantial among Black men. |
Chief, Carmenlita; Sanderson, Priscilla R; Willeto, Angela A A; Yazzie, Alfred; McKinley, Alexis; Monroy, Fernando P; Harris, Robin B; Oren, Eyal “Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections Journal Article Journal of Cancer Education , 2020. @article{Chief2020, title = {“Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections}, author = {Carmenlita Chief and Priscilla R. Sanderson and Angela A. A. Willeto and Alfred Yazzie and Alexis McKinley and Fernando P. Monroy and Robin B. Harris and Eyal Oren }, url = {https://doi.org/10.1007/s13187-020-01831-0}, doi = {10.1007/s13187-020-01831-0}, year = {2020}, date = {2020-07-22}, journal = {Journal of Cancer Education }, abstract = {Stomach cancer is the third leading cause of cancer death globally. Helicobacter pylori plays a role in the healthy human gut, but is also associated with multiple chronic diseases, including stomach cancer. Though H. pylori prevalence is declining in parts of the world, it remains high among certain populations. In Arizona, stomach cancer rates are 3–4 times higher among the Navajo Nation population as compared with the non-Hispanic white population. This pilot project assessed adult Diné (Navajo) individuals’ understanding and awareness regarding H. pylori infection and stomach cancer. Focus groups were held in three Diné communities. Data were analyzed thematically using a multi-investigator consensus approach. Participants had limited knowledge of H. pylori infection and stomach cancer and perceived local medical providers as also having limited knowledge on these conditions. Participants described poor health care experiences, structural inequalities, and environmental concerns and associated these with H. pylori infection and stomach cancer. This study highlights the need for additional research and education on current knowledge and perceptions of stomach cancer and H. pylori infections in Navajo Nation.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Stomach cancer is the third leading cause of cancer death globally. Helicobacter pylori plays a role in the healthy human gut, but is also associated with multiple chronic diseases, including stomach cancer. Though H. pylori prevalence is declining in parts of the world, it remains high among certain populations. In Arizona, stomach cancer rates are 3–4 times higher among the Navajo Nation population as compared with the non-Hispanic white population. This pilot project assessed adult Diné (Navajo) individuals’ understanding and awareness regarding H. pylori infection and stomach cancer. Focus groups were held in three Diné communities. Data were analyzed thematically using a multi-investigator consensus approach. Participants had limited knowledge of H. pylori infection and stomach cancer and perceived local medical providers as also having limited knowledge on these conditions. Participants described poor health care experiences, structural inequalities, and environmental concerns and associated these with H. pylori infection and stomach cancer. This study highlights the need for additional research and education on current knowledge and perceptions of stomach cancer and H. pylori infections in Navajo Nation. |
Williamson, Heather J; Chief, Carmenlita; Jiménez, Dulce; Begay, Andria; Milner, Trudie F; Sullivan, Shevaun; Torres, Emma; Remiker, Mark; Longorio, Alexandra Elvira Samarron; Sabo, Samantha; Teufel-Shone, Nicolette I Voices of Community Partners: Perspectives Gained from Conversations of Community-Based Participatory Research Experiences Journal Article International Journal of Environmental Research and Public Health, 2020. @article{Williamson2020b, title = {Voices of Community Partners: Perspectives Gained from Conversations of Community-Based Participatory Research Experiences}, author = {Heather J. Williamson and Carmenlita Chief and Dulce Jiménez and Andria Begay and Trudie F. Milner and Shevaun Sullivan and Emma Torres and Mark Remiker and Alexandra Elvira Samarron Longorio and Samantha Sabo and Nicolette I. Teufel-Shone}, url = {https://www.mdpi.com/1660-4601/17/14/5245}, doi = {10.3390/ijerph17145245}, year = {2020}, date = {2020-07-21}, journal = {International Journal of Environmental Research and Public Health}, abstract = {Community-based participatory research (CBPR) has been documented as an effective approach to research with underserved communities, particularly with racial and ethnic minority groups. However, much of the literature promoting the use of CBPR with underserved communities is written from the perspective of the researchers and not from the perspective of the community partner. The purpose of this article is to capture lessons learned from the community partners’ insight gained through their experiences with CBPR. A multi-investigator consensus method was used to qualitatively code the transcripts of a CBPR story-telling video series. Seven major themes were identified: (1) expectations for engaging in research, (2) cultural humility, (3) respecting the partnership, (4) open communication, (5) genuine commitment, (6) valuing strengths and recognizing capacities, and (7) collaborating to yield meaningful results. The themes drawn from the community partner’s voice align with the tenets of CBPR advanced in the academic literature. More opportunities to include the community voice when promoting CBPR should be undertaken to help introduce the concepts to potential community partners who may be research cautious.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community-based participatory research (CBPR) has been documented as an effective approach to research with underserved communities, particularly with racial and ethnic minority groups. However, much of the literature promoting the use of CBPR with underserved communities is written from the perspective of the researchers and not from the perspective of the community partner. The purpose of this article is to capture lessons learned from the community partners’ insight gained through their experiences with CBPR. A multi-investigator consensus method was used to qualitatively code the transcripts of a CBPR story-telling video series. Seven major themes were identified: (1) expectations for engaging in research, (2) cultural humility, (3) respecting the partnership, (4) open communication, (5) genuine commitment, (6) valuing strengths and recognizing capacities, and (7) collaborating to yield meaningful results. The themes drawn from the community partner’s voice align with the tenets of CBPR advanced in the academic literature. More opportunities to include the community voice when promoting CBPR should be undertaken to help introduce the concepts to potential community partners who may be research cautious. |
Hunter, Amanda; Tippeconic, Mary Jo Strengthening the link between education policy, culturally responsive schooling, and American Indian and Alaska Native Health Journal Article Journal of Indigenous Early Childhood Education, 1 (1), 2020. @article{Hunter2020, title = {Strengthening the link between education policy, culturally responsive schooling, and American Indian and Alaska Native Health}, author = {Amanda Hunter and Mary Jo Tippeconic}, url = {https://nau.edu/coe/ejiece/}, year = {2020}, date = {2020-06-01}, journal = {Journal of Indigenous Early Childhood Education}, volume = {1}, number = {1}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Yuan, Nicole P; Mayer, Brian M; Joshweseoma, Lorencita; Clichee, Dominic; Teufel-Shone, Nicolette I Progress in Community Health Partnerships: Research, Education, and Action, 14 (2), pp. 11, 2020. @article{Yuan2020, title = {Development of Guidelines to Improve the Effectiveness of Community Advisory Boards in Health Research. Progress in Community Health Partnerships: Research, Education, and Action}, author = {Nicole P Yuan and Brian M. Mayer and Lorencita Joshweseoma and Dominic Clichee and Nicolette I Teufel-Shone}, url = {https://arizona.pure.elsevier.com/en/publications/development-of-guidelines-to-improve-the-effectiveness-of-communi}, doi = {10.1353/cpr.2020.0026}, year = {2020}, date = {2020-06-01}, journal = {Progress in Community Health Partnerships: Research, Education, and Action}, volume = {14}, number = {2}, pages = {11}, abstract = {Community advisory boards (CABs) are a common community engagement strategy. Tools for developing CABs that are accessible to academic–community partnerships are limited. This article describes the process and partnership with the Hopi Tribe to develop CAB guidelines as a tool for research funded by the Center for Indigenous Environmental Health Research (CIEHR) and nonaffiliated projects. Methods: The CAB guidelines consist of three sections: formation, operation, and sustainability and evaluation. Each section includes best practices and interactive worksheets. The CAB guidelines were piloted with the Hopi Tribe to determine feasibility and relevance. Results: The CAB guidelines were well-received by the tribal CAB. Some of the worksheets were difficult to complete because they did not represent their perspectives or introduced potential tension in CAB interactions. Revisions were made accordingly. Conclusions: Future evaluation and broad dissemination of the CAB guidelines will promote the use and effectiveness of CABs in health research}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community advisory boards (CABs) are a common community engagement strategy. Tools for developing CABs that are accessible to academic–community partnerships are limited. This article describes the process and partnership with the Hopi Tribe to develop CAB guidelines as a tool for research funded by the Center for Indigenous Environmental Health Research (CIEHR) and nonaffiliated projects. Methods: The CAB guidelines consist of three sections: formation, operation, and sustainability and evaluation. Each section includes best practices and interactive worksheets. The CAB guidelines were piloted with the Hopi Tribe to determine feasibility and relevance. Results: The CAB guidelines were well-received by the tribal CAB. Some of the worksheets were difficult to complete because they did not represent their perspectives or introduced potential tension in CAB interactions. Revisions were made accordingly. Conclusions: Future evaluation and broad dissemination of the CAB guidelines will promote the use and effectiveness of CABs in health research |
Hoch, Byrna; Midori-Coulter, Kiera; Gomez, Omar; Sabo, Samantha Essential and Excluded from the Public Health Response-Recommendations for Meeting the Needs of Immigrants in the U.S. During COVID-19 Journal Article COVID-19 y Frontera Noreste: Primeros impactos en migración, políticas públicasy población, 2020. @article{Hoch2020, title = {Essential and Excluded from the Public Health Response-Recommendations for Meeting the Needs of Immigrants in the U.S. During COVID-19}, author = {Byrna Hoch and Kiera Midori-Coulter and Omar Gomez and Samantha Sabo}, url = {https://www.colef.mx/wp-content/uploads/2020/05/COVID_Matamoros-1.pdf}, year = {2020}, date = {2020-06-01}, journal = {COVID-19 y Frontera Noreste: Primeros impactos en migración, políticas públicasy población}, abstract = {The United States leads the world in COVID-19 cases and deaths. The US government’s pandemic response to COVID-19 includes three main efforts: 1) mitigation through social distancing and closure of “nonessential” business 2) strengthening healthcare capacity by scaling-up COVID-19 testing and emergency care 3) providing financial relief to Americans and businesses during the economic shutdown.Who benefits from the pandemic response is not uniform. Federal relief efforts neglect undocumented immigrants, a community of 10.7 million, 3% of the US population. Undocumented immigrants are excluded from health and economic safeguards. Consequentially, the US pandemic response has built upon status-based (i.e. documentation status) exclusions already embedded within US social systems, effectively blocking many immigrants from critical services during the COVID-19 outbreak. Simultaneously, undocumented immigrants are overrepresented in the “essential” workforce (e.g., healthcare, agriculture, service) which continues to provide labor during the pandemic. Current estimates suggest that 6 million essential workers are immigrants (Gelatt, 2020).}, keywords = {}, pubstate = {published}, tppubtype = {article} } The United States leads the world in COVID-19 cases and deaths. The US government’s pandemic response to COVID-19 includes three main efforts: 1) mitigation through social distancing and closure of “nonessential” business 2) strengthening healthcare capacity by scaling-up COVID-19 testing and emergency care 3) providing financial relief to Americans and businesses during the economic shutdown.Who benefits from the pandemic response is not uniform. Federal relief efforts neglect undocumented immigrants, a community of 10.7 million, 3% of the US population. Undocumented immigrants are excluded from health and economic safeguards. Consequentially, the US pandemic response has built upon status-based (i.e. documentation status) exclusions already embedded within US social systems, effectively blocking many immigrants from critical services during the COVID-19 outbreak. Simultaneously, undocumented immigrants are overrepresented in the “essential” workforce (e.g., healthcare, agriculture, service) which continues to provide labor during the pandemic. Current estimates suggest that 6 million essential workers are immigrants (Gelatt, 2020). |
Valdez, Elizabeth Salerno; Valdez, Luis; Korchmaros, Josephine; Garcia, David O; Stevens, Sally; Sabo, Samantha; Carvajal, Scott Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community Journal Article American Journal of Health Promotion, 2020. @article{Valdez2020, title = {Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community}, author = {Elizabeth Salerno Valdez and Luis Valdez and Josephine Korchmaros and David O. Garcia and Sally Stevens and Samantha Sabo and Scott Carvajal}, url = {https://doi.org/10.1177/0890117120927527}, doi = {10.1177/0890117120927527}, year = {2020}, date = {2020-05-27}, journal = {American Journal of Health Promotion}, abstract = {We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. }, keywords = {}, pubstate = {published}, tppubtype = {article} } We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. |
Sahker, Ethan; Pro, George; Sakata, Masatsugu; Furukawa, Toshiaki A Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample Journal Article Drug and Alcohol Dependence, 2020. @article{Sahker2020, title = {Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample}, author = {Ethan Sahker and George Pro and Masatsugu Sakata and Toshiaki A. Furukawa }, doi = {10.1016/j.drugalcdep.2020.108087}, year = {2020}, date = {2020-05-24}, journal = {Drug and Alcohol Dependence}, abstract = {Racial/ethnic disparities exist at many levels of substance use disorder (SUD) treatment and recovery, reflecting biological and socioeconomic factors. However, racial/ethnic disparities in SUD treatment effectiveness have not been sufficiently investigated. Latinos demonstrated greater use improvement than Black and White clients. Socioeconomic characteristics moderated this general tendency. Culturally sensitive treatments can be enhanced by addressing culturally specific needs according to client age, employment, specific problem substance, and referral source. For example, Black clients referred from school improved more than Whites and Latinos. Increasing resources for school referrals may further improve Black client outcomes.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Racial/ethnic disparities exist at many levels of substance use disorder (SUD) treatment and recovery, reflecting biological and socioeconomic factors. However, racial/ethnic disparities in SUD treatment effectiveness have not been sufficiently investigated. Latinos demonstrated greater use improvement than Black and White clients. Socioeconomic characteristics moderated this general tendency. Culturally sensitive treatments can be enhanced by addressing culturally specific needs according to client age, employment, specific problem substance, and referral source. For example, Black clients referred from school improved more than Whites and Latinos. Increasing resources for school referrals may further improve Black client outcomes. |
Baldwin, Julie A; Lowe, John; Brooks, Jada; Charbonneau-Dahlen, Barbara K; Lawrence, Gary; Johnson-Jennings, Michelle; Padgett, Gary; Kelley, Melessa; Camplain, Carolyn Health Promotion Practice, 2020. @article{Baldwin2020, title = {Formative Research and Cultural Tailoring of a Substance Abuse Prevention Program for American Indian Youth: Findings from the Intertribal Talking Circle Intervention}, author = {Julie A. Baldwin and John Lowe and Jada Brooks and Barbara K. Charbonneau-Dahlen and Gary Lawrence and Michelle Johnson-Jennings and Gary Padgett and Melessa Kelley and Carolyn Camplain}, url = {https://doi.org/10.1177/1524839920918551}, doi = {10.1177/1524839920918551}, year = {2020}, date = {2020-05-14}, journal = {Health Promotion Practice}, abstract = {Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs. |
Pro G Sahker E, Baldwin JA Incarceration as a Reason for US Alcohol and Drug Treatment Non-completion: a Multilevel Analysis of Racial/Ethnic and Sex Disparities Journal Article The Journal of Behavioral Health Services & Research, 2020. @article{Pro2020d, title = {Incarceration as a Reason for US Alcohol and Drug Treatment Non-completion: a Multilevel Analysis of Racial/Ethnic and Sex Disparities}, author = {Pro G, Sahker E, Baldwin JA}, url = {https://doi.org/10.1007/s11414-020-09703-7}, doi = {10.1007/s11414-020-09703-7 }, year = {2020}, date = {2020-04-29}, journal = {The Journal of Behavioral Health Services & Research}, abstract = {Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment. |
Pro, George; Sahker, Ethan; Baldwin, Julie Incarceration as a barrier to U.S. alcohol and drug treatment completion: A multilevel analysis of racial/ethnic and sex disparities Journal Article Journal of Behavioral Health Services & Research, 2020. @article{Pro2020e, title = {Incarceration as a barrier to U.S. alcohol and drug treatment completion: A multilevel analysis of racial/ethnic and sex disparities}, author = {George Pro and Ethan Sahker and Julie Baldwin}, url = {https://doi.org/10.1007/s11414-020-09703-7}, doi = {10.1007/s11414-020-09703-7}, year = {2020}, date = {2020-04-29}, journal = {Journal of Behavioral Health Services & Research}, abstract = {Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment. |
Coulter K., Sabo Martínez Chisholm Gonzalez Bass Zavala Villalobos Garcia Levy Slack S D K K S E D T J A Study and Analysis of the Treatment of Mexican Unaccompanied Minors by Customs and Border Protection Journal Article Journal on Migration and Human Security, 2020. @article{Coulter2020, title = {A Study and Analysis of the Treatment of Mexican Unaccompanied Minors by Customs and Border Protection}, author = {Coulter, K., Sabo, S., Martínez, D., Chisholm, K., Gonzalez, K., Bass Zavala, S., Villalobos E., Garcia D. Levy, T., Slack, J.}, url = {https://journals.sagepub.com/doi/10.1177/2331502420915898}, doi = {10.1177/2331502420915898}, year = {2020}, date = {2020-04-22}, journal = {Journal on Migration and Human Security}, abstract = {The routine human rights abuses and due process violations of unaccompanied alien children (UAC) by US Customs and Border Protection (CBP) have contributed to a mounting humanitarian and legal crisis along the US–Mexico border. In the United States, the treatment of UAC is governed by laws, policies, and standards drawn from the Flores Settlement, the Trafficking Victims Protection Reauthorization Act (TVPRA), and CBP procedures and directives, which are intended to ensure UAC’s protection, well-being, and ability to pursue relief from removal, such as asylum. As nongovernmental organizations and human rights groups have documented, however, CBP has repeatedly violated these legal standards and policies, and subjected UAC to abuses and rights violations. This article draws from surveys of 97 recently deported Mexican UAC, which examine their experiences with US immigration authorities. The study finds that Mexican UAC are detained in subpar conditions, are routinely not screened for fear of return to their home countries or for human trafficking, and are not sufficiently informed about the deportation process. The article recommends that CBP should take immediate steps to improve the treatment of UAC, that CBP and other entities responsible for the care of UAC be monitored to ensure their compliance with US law and policy, and that Mexican UAC be afforded the same procedures and protection under the TVPRA as UAC from noncontiguous states.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The routine human rights abuses and due process violations of unaccompanied alien children (UAC) by US Customs and Border Protection (CBP) have contributed to a mounting humanitarian and legal crisis along the US–Mexico border. In the United States, the treatment of UAC is governed by laws, policies, and standards drawn from the Flores Settlement, the Trafficking Victims Protection Reauthorization Act (TVPRA), and CBP procedures and directives, which are intended to ensure UAC’s protection, well-being, and ability to pursue relief from removal, such as asylum. As nongovernmental organizations and human rights groups have documented, however, CBP has repeatedly violated these legal standards and policies, and subjected UAC to abuses and rights violations. This article draws from surveys of 97 recently deported Mexican UAC, which examine their experiences with US immigration authorities. The study finds that Mexican UAC are detained in subpar conditions, are routinely not screened for fear of return to their home countries or for human trafficking, and are not sufficiently informed about the deportation process. The article recommends that CBP should take immediate steps to improve the treatment of UAC, that CBP and other entities responsible for the care of UAC be monitored to ensure their compliance with US law and policy, and that Mexican UAC be afforded the same procedures and protection under the TVPRA as UAC from noncontiguous states. |
Williamson, Heather J; van Heumen, Lieke; Schwartz, Ariel E Photovoice with Individuals with Intellectual and/or Developmental Disabilities: Lessons Learned from Inclusive Research Efforts Journal Article Collaborations, 3 (1), 2020. @article{Williamson2020, title = {Photovoice with Individuals with Intellectual and/or Developmental Disabilities: Lessons Learned from Inclusive Research Efforts}, author = {Heather J. Williamson and Lieke van Heumen and Ariel E. Schwartz}, url = {http://doi.org/10.33596/coll.45}, doi = {http://doi.org/10.33596/coll.45}, year = {2020}, date = {2020-04-15}, journal = {Collaborations}, volume = {3}, number = {1}, abstract = {Inclusive research is an approach in which individuals with intellectual and/or developmental disabilities (IDD) are included as co-researchers throughout the research processes, and has demonstrated benefits for people with IDD. Because inclusive research is still not common within disability research, it is important for research teams to provide reflections and lessons learned to encourage future inclusive approaches. This paper provides case studies of two research projects completed in collaboration with adults with IDD using Photovoice as an approach that can increase access to the research process for co-researchers with IDD. Drawing upon previously defined inclusive research criteria, we reflect on lessons learned and challenges. Inclusive research requires time, flexibility, shared power, clear communication, and cultural humility. Across both studies, we discuss the importance of clear communication with Institutional Review Boards and collaboration with the extended support networks of individuals with IDD. We reflect on how the accessible nature of Photovoice supports inclusive research teams to combine the strengths of co-researchers with IDD and academically trained researchers, such that the knowledge production process is shifted to co-researchers with IDD.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Inclusive research is an approach in which individuals with intellectual and/or developmental disabilities (IDD) are included as co-researchers throughout the research processes, and has demonstrated benefits for people with IDD. Because inclusive research is still not common within disability research, it is important for research teams to provide reflections and lessons learned to encourage future inclusive approaches. This paper provides case studies of two research projects completed in collaboration with adults with IDD using Photovoice as an approach that can increase access to the research process for co-researchers with IDD. Drawing upon previously defined inclusive research criteria, we reflect on lessons learned and challenges. Inclusive research requires time, flexibility, shared power, clear communication, and cultural humility. Across both studies, we discuss the importance of clear communication with Institutional Review Boards and collaboration with the extended support networks of individuals with IDD. We reflect on how the accessible nature of Photovoice supports inclusive research teams to combine the strengths of co-researchers with IDD and academically trained researchers, such that the knowledge production process is shifted to co-researchers with IDD. |
Jones, Marie; Credo, Jonathan; Ingram, Jani; Baldwin, Julie; Trotter, Robert; Propper, Catherine Arsenic Concentrations in Ground and Surface Waters across Arizona Including Native Land Journal Article Journal of Contemporary Water Research & Education, 169 , pp. 44-60, 2020. @article{Jones2020, title = {Arsenic Concentrations in Ground and Surface Waters across Arizona Including Native Land}, author = {Marie Jones and Jonathan Credo and Jani Ingram and Julie Baldwin and Robert Trotter and Catherine Propper}, url = {https://ucowr.org/wp-content/uploads/2020/04/169_MCJones_etal.pdf}, year = {2020}, date = {2020-04-01}, journal = {Journal of Contemporary Water Research & Education}, volume = {169}, pages = {44-60}, abstract = {Parts of the Southwestern United States report arsenic levels in water resources that are above the United States Environmental Protection Agency’s current drinking water limits. Prolonged exposure to arsenic through food and drinking water can contribute to significant health problems including cancer, developmental effects, cardiovascular disease, neurotoxicity, and diabetes. In order to understand exposure risks, water sampling and testing have been conducted throughout Arizona. This information is available to the public through often non-overlapping databases that are difficult to access and in impracticable formats. The current study utilized a systemic compilation of online databases to compile a spreadsheet containing over 33,000 water samples. The reported arsenic concentrations from these databases were collected from 1990-2017. Using ArcGIS software, these data were converted into a map shapefile and overlaid onto a map of Arizona. This visual representation shows that arsenic levels in surface and ground water exceed the United States Environmental Protection Agency’s drinking water limits for many sites in several counties in Arizona, and there is an underrepresentation of sampling in several tribal jurisdictions. This information is useful for water managers and private well owners throughout the State for determining safe drinking water sources and limiting exposure to arsenic.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Parts of the Southwestern United States report arsenic levels in water resources that are above the United States Environmental Protection Agency’s current drinking water limits. Prolonged exposure to arsenic through food and drinking water can contribute to significant health problems including cancer, developmental effects, cardiovascular disease, neurotoxicity, and diabetes. In order to understand exposure risks, water sampling and testing have been conducted throughout Arizona. This information is available to the public through often non-overlapping databases that are difficult to access and in impracticable formats. The current study utilized a systemic compilation of online databases to compile a spreadsheet containing over 33,000 water samples. The reported arsenic concentrations from these databases were collected from 1990-2017. Using ArcGIS software, these data were converted into a map shapefile and overlaid onto a map of Arizona. This visual representation shows that arsenic levels in surface and ground water exceed the United States Environmental Protection Agency’s drinking water limits for many sites in several counties in Arizona, and there is an underrepresentation of sampling in several tribal jurisdictions. This information is useful for water managers and private well owners throughout the State for determining safe drinking water sources and limiting exposure to arsenic. |
Pro, George; Utter, Jeff; Haberstroh, Shane; Baldwin, Julie A Drug and Alcohol Dependence, 209 (1), 2020. @article{Pro2020f, title = {Dual mental health diagnoses predict the receipt of medication-assisted opioid treatment: Associations moderated by state Medicaid expansion status, race/ethnicity and gender, and year}, author = {George Pro and Jeff Utter and Shane Haberstroh and Julie A Baldwin}, url = {https://pubmed.ncbi.nlm.nih.gov/32172130/}, doi = {10.1016/j.drugalcdep.2020.107952}, year = {2020}, date = {2020-03-07}, journal = {Drug and Alcohol Dependence}, volume = {209}, number = {1}, abstract = { Mental health diagnoses (MHD) are common among those with opioid use disorders (OUD). Methadone/buprenorphine are effective medication-assisted treatment (MAT) strategies; however, treatment receipt is low among those with dual MHDs. Medicaid expansions have broadly increased access to OUD and mental health services over time, but MAT uptake may vary depending on multiple factors, including MHD status, state Medicaid expansion decisions, and race/ethnicity and gender. Examining clinical and policy approaches to promoting MAT uptake may improve services among marginalized groups. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Mental health diagnoses (MHD) are common among those with opioid use disorders (OUD). Methadone/buprenorphine are effective medication-assisted treatment (MAT) strategies; however, treatment receipt is low among those with dual MHDs. Medicaid expansions have broadly increased access to OUD and mental health services over time, but MAT uptake may vary depending on multiple factors, including MHD status, state Medicaid expansion decisions, and race/ethnicity and gender. Examining clinical and policy approaches to promoting MAT uptake may improve services among marginalized groups. |
Fisher, Kim W; Williamson, Heather; Guerra, Nichole Technology and Social Inclusion: Technology Training and Usage by Youth With IDD in the National Longitudinal Transition Study of 2012 Journal Article Inclusion, 8 (1), pp. 43–57, 2020. @article{Fisher2020, title = {Technology and Social Inclusion: Technology Training and Usage by Youth With IDD in the National Longitudinal Transition Study of 2012}, author = {Kim W. Fisher and Heather Williamson and Nichole Guerra}, url = {https://doi.org/10.1352/2326-6988-8.1.43}, doi = {10.1352/2326-6988-8.1.43}, year = {2020}, date = {2020-03-01}, journal = {Inclusion}, volume = {8}, number = {1}, pages = {43–57}, abstract = {Technology use is a key form of social inclusion and a means to engage in community participation. People with intellectual and developmental disabilities (IDD) experience a digital divide with less technology access as compared to their peers. We used data from the National Longitudinal Transition Study of 2012 to study technology use and access to instruction among adolescents with IDD compared to adolescents with other disabilities and adolescents without disabilities. Results indicate adolescents with IDD use technology less, receive less technology training, and engage in fewer social inclusion opportunities than their peers. Implications for future research, policy, and practice are provided, including promoting digital citizenship training during transition planning and the use of social capital theory. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Technology use is a key form of social inclusion and a means to engage in community participation. People with intellectual and developmental disabilities (IDD) experience a digital divide with less technology access as compared to their peers. We used data from the National Longitudinal Transition Study of 2012 to study technology use and access to instruction among adolescents with IDD compared to adolescents with other disabilities and adolescents without disabilities. Results indicate adolescents with IDD use technology less, receive less technology training, and engage in fewer social inclusion opportunities than their peers. Implications for future research, policy, and practice are provided, including promoting digital citizenship training during transition planning and the use of social capital theory. |
Sean D. Rundell and, Linda Resnik ; Heagerty, Patrick J; Kumar, Amit; Jarvik, Jeffrey G Journal of Orthopaedic & Sports Physical Therapy, 50 (3), pp. 143-148, 2020. @article{Rundell2019c, title = {Comparing Performance of Comorbidity Indices in Predicting Functional Status, Health-Related Quality of Life, and Total Health Care Use in Older Adults with Back Pain}, author = {Sean D. Rundell, and, Linda Resnik and Patrick J. Heagerty and Amit Kumar and Jeffrey G. Jarvik}, url = {https://www.jospt.org/doi/10.2519/jospt.2020.8764}, doi = {10.2519/jospt.2020.8764}, year = {2020}, date = {2020-02-29}, journal = {Journal of Orthopaedic & Sports Physical Therapy}, volume = {50}, number = {3}, pages = {143-148}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Armstrong-Heimsoth, Amy; Hahn-Floyd, Molly; Williamson, Heather J; Kurka, Jonathan M; Yoo, Wonsuk; Jesús, Sue Rodríguez De A Former Foster System Youth: Perspectives on Transitional Supports and Programs Journal Article The Journal of Behavioral Health Services and Research, 2020. @article{Armstrong-Heimsoth2020, title = {Former Foster System Youth: Perspectives on Transitional Supports and Programs}, author = {Amy Armstrong-Heimsoth and Molly Hahn-Floyd and Heather J. Williamson and Jonathan M. Kurka and Wonsuk Yoo and Sue A. Rodríguez De Jesús}, url = {https://doi.org/10.1007/s11414-020-09693-6}, doi = {10.1007/s11414-020-09693-6}, year = {2020}, date = {2020-02-24}, journal = {The Journal of Behavioral Health Services and Research}, abstract = {Youth aging out of the foster care system have well-documented challenges when transitioning to adulthood. Multiple transition services provide support in the transition process; however, limited research is available regarding youth’s perceptions of programming. In this pilot study, sixteen youth between ages 18 and 20 participated in semi-structured interviews, support mapping, an resiliency measurements to gather the experiences of the transition from foster care. Comparisons between those who chose initial transition supports and those who did not receive or delayed receiving transition supports were initially explored. Common themes emerged in participants’ needs and perceived resiliency regardless of transition support services. All youth reported relationship, trust, and concern for well-being as highly important characteristics in transition team members. A need for earlier transition programming, decision-making opportunities, and life skills courses were important themes in transition programming needs. Implications for policy, research, and practice are presented based upon findings.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Youth aging out of the foster care system have well-documented challenges when transitioning to adulthood. Multiple transition services provide support in the transition process; however, limited research is available regarding youth’s perceptions of programming. In this pilot study, sixteen youth between ages 18 and 20 participated in semi-structured interviews, support mapping, an resiliency measurements to gather the experiences of the transition from foster care. Comparisons between those who chose initial transition supports and those who did not receive or delayed receiving transition supports were initially explored. Common themes emerged in participants’ needs and perceived resiliency regardless of transition support services. All youth reported relationship, trust, and concern for well-being as highly important characteristics in transition team members. A need for earlier transition programming, decision-making opportunities, and life skills courses were important themes in transition programming needs. Implications for policy, research, and practice are presented based upon findings. |
Eaves, Emery R; Williamson, Heather J; Sanderson, Katharine C; Elwell, Kristan; II, Robert Trotter T; Baldwin, Julie A Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It? Journal Article Journal of Health Care for the Poor and Underserved, 31 (1), pp. 201-217, 2020. @article{Eaves2020, title = {Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?}, author = {Emery R Eaves and Heather J Williamson and Katharine C Sanderson and Kristan Elwell and Robert T Trotter II and Julie A Baldwin }, url = {https://muse.jhu.edu/article/747784}, doi = {10.1353/hpu.2020.0018}, year = {2020}, date = {2020-02-07}, journal = {Journal of Health Care for the Poor and Underserved}, volume = {31}, number = {1}, pages = {201-217}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
2020 |
Williamson, Heather J; McCarthy, Michael J; Garcia, Yolanda E; Bacon, Rachel; Dunn, Dorothy J; Baldwin, Julie A Public Policy & Aging Report, 20 (20), pp. 1–3, 2020. @article{Williamson2020c, title = {Addressing the Needs of Rural Caregivers of Individuals with Alzheimer’s Disease and Related Dementias During and Beyond Coronavirus Disease 2019 (COVID-19)}, author = {Heather J. Williamson and Michael J. McCarthy and Yolanda E. Garcia and Rachel Bacon and Dorothy J. Dunn and Julie A. Baldwin}, url = {https://doi.org/10.1093/ppar/praa024}, doi = {10.1093/ppar/praa024}, year = {2020}, date = {2020-09-04}, journal = {Public Policy & Aging Report}, volume = {20}, number = {20}, pages = {1–3}, abstract = {More than 25% of those 65 years or older in the United States reside in rural areas (Skoufalos et al., 2017). Aging family caregivers of individuals with Alzheimer’s disease and related dementias (ADRD) provide critical daily supports for their loved one. Caregivers in rural areas face unique challenges in accessing needed health and social services, while also having limited informal supports from family and friends due to geographic isolation (Cho et al., 2016; Greenwood et al., 2015; Pinquart & Sörensen, 2005). Rural-residing ADRD caregivers living in northern Arizona have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic, with higher rates of COVID-19 than urban areas and with limited community resources (Arizona Department of Health Services, 2020; Kaplan, 2020; Sanderson et al., 2017). OVID-19 public health actions, including social distancing, self isolation, and sheltering in place, may be effective for curbing the spread of COVID-19. However, the emotional and psychosocial impacts of these prevention efforts are yet to be understood among already strained aging caregivers providing constant care for a person with ADRD.}, keywords = {}, pubstate = {published}, tppubtype = {article} } More than 25% of those 65 years or older in the United States reside in rural areas (Skoufalos et al., 2017). Aging family caregivers of individuals with Alzheimer’s disease and related dementias (ADRD) provide critical daily supports for their loved one. Caregivers in rural areas face unique challenges in accessing needed health and social services, while also having limited informal supports from family and friends due to geographic isolation (Cho et al., 2016; Greenwood et al., 2015; Pinquart & Sörensen, 2005). Rural-residing ADRD caregivers living in northern Arizona have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic, with higher rates of COVID-19 than urban areas and with limited community resources (Arizona Department of Health Services, 2020; Kaplan, 2020; Sanderson et al., 2017). OVID-19 public health actions, including social distancing, self isolation, and sheltering in place, may be effective for curbing the spread of COVID-19. However, the emotional and psychosocial impacts of these prevention efforts are yet to be understood among already strained aging caregivers providing constant care for a person with ADRD. |
Ferdows, Nasim B; Aranda, María P; Baldwin, Julie A; Ferdows, Soroosh Baghban; Ahluwalia, Jasjit S; Kumar, Amit Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016 Journal Article JAMA Netw Open, 2020. @article{Ferdows2020, title = {Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016}, author = {Nasim B. Ferdows and María P. Aranda and Julie A. Baldwin and Soroosh Baghban Ferdows and Jasjit S. Ahluwalia and Amit Kumar}, url = {https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768943}, year = {2020}, date = {2020-08-03}, journal = {JAMA Netw Open}, abstract = {In this cross-sectional study of 3131 US counties over a 49-year period, racial disparities in the mortality rates of men, with the exception of men living in rural counties, decreased compared with women. Rural and urban disparities were associated with socioeconomic differences among men and women of both races, and these disparities were most substantial among Black men.}, keywords = {}, pubstate = {published}, tppubtype = {article} } In this cross-sectional study of 3131 US counties over a 49-year period, racial disparities in the mortality rates of men, with the exception of men living in rural counties, decreased compared with women. Rural and urban disparities were associated with socioeconomic differences among men and women of both races, and these disparities were most substantial among Black men. |
Chief, Carmenlita; Sanderson, Priscilla R; Willeto, Angela A A; Yazzie, Alfred; McKinley, Alexis; Monroy, Fernando P; Harris, Robin B; Oren, Eyal “Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections Journal Article Journal of Cancer Education , 2020. @article{Chief2020, title = {“Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections}, author = {Carmenlita Chief and Priscilla R. Sanderson and Angela A. A. Willeto and Alfred Yazzie and Alexis McKinley and Fernando P. Monroy and Robin B. Harris and Eyal Oren }, url = {https://doi.org/10.1007/s13187-020-01831-0}, doi = {10.1007/s13187-020-01831-0}, year = {2020}, date = {2020-07-22}, journal = {Journal of Cancer Education }, abstract = {Stomach cancer is the third leading cause of cancer death globally. Helicobacter pylori plays a role in the healthy human gut, but is also associated with multiple chronic diseases, including stomach cancer. Though H. pylori prevalence is declining in parts of the world, it remains high among certain populations. In Arizona, stomach cancer rates are 3–4 times higher among the Navajo Nation population as compared with the non-Hispanic white population. This pilot project assessed adult Diné (Navajo) individuals’ understanding and awareness regarding H. pylori infection and stomach cancer. Focus groups were held in three Diné communities. Data were analyzed thematically using a multi-investigator consensus approach. Participants had limited knowledge of H. pylori infection and stomach cancer and perceived local medical providers as also having limited knowledge on these conditions. Participants described poor health care experiences, structural inequalities, and environmental concerns and associated these with H. pylori infection and stomach cancer. This study highlights the need for additional research and education on current knowledge and perceptions of stomach cancer and H. pylori infections in Navajo Nation.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Stomach cancer is the third leading cause of cancer death globally. Helicobacter pylori plays a role in the healthy human gut, but is also associated with multiple chronic diseases, including stomach cancer. Though H. pylori prevalence is declining in parts of the world, it remains high among certain populations. In Arizona, stomach cancer rates are 3–4 times higher among the Navajo Nation population as compared with the non-Hispanic white population. This pilot project assessed adult Diné (Navajo) individuals’ understanding and awareness regarding H. pylori infection and stomach cancer. Focus groups were held in three Diné communities. Data were analyzed thematically using a multi-investigator consensus approach. Participants had limited knowledge of H. pylori infection and stomach cancer and perceived local medical providers as also having limited knowledge on these conditions. Participants described poor health care experiences, structural inequalities, and environmental concerns and associated these with H. pylori infection and stomach cancer. This study highlights the need for additional research and education on current knowledge and perceptions of stomach cancer and H. pylori infections in Navajo Nation. |
Williamson, Heather J; Chief, Carmenlita; Jiménez, Dulce; Begay, Andria; Milner, Trudie F; Sullivan, Shevaun; Torres, Emma; Remiker, Mark; Longorio, Alexandra Elvira Samarron; Sabo, Samantha; Teufel-Shone, Nicolette I Voices of Community Partners: Perspectives Gained from Conversations of Community-Based Participatory Research Experiences Journal Article International Journal of Environmental Research and Public Health, 2020. @article{Williamson2020b, title = {Voices of Community Partners: Perspectives Gained from Conversations of Community-Based Participatory Research Experiences}, author = {Heather J. Williamson and Carmenlita Chief and Dulce Jiménez and Andria Begay and Trudie F. Milner and Shevaun Sullivan and Emma Torres and Mark Remiker and Alexandra Elvira Samarron Longorio and Samantha Sabo and Nicolette I. Teufel-Shone}, url = {https://www.mdpi.com/1660-4601/17/14/5245}, doi = {10.3390/ijerph17145245}, year = {2020}, date = {2020-07-21}, journal = {International Journal of Environmental Research and Public Health}, abstract = {Community-based participatory research (CBPR) has been documented as an effective approach to research with underserved communities, particularly with racial and ethnic minority groups. However, much of the literature promoting the use of CBPR with underserved communities is written from the perspective of the researchers and not from the perspective of the community partner. The purpose of this article is to capture lessons learned from the community partners’ insight gained through their experiences with CBPR. A multi-investigator consensus method was used to qualitatively code the transcripts of a CBPR story-telling video series. Seven major themes were identified: (1) expectations for engaging in research, (2) cultural humility, (3) respecting the partnership, (4) open communication, (5) genuine commitment, (6) valuing strengths and recognizing capacities, and (7) collaborating to yield meaningful results. The themes drawn from the community partner’s voice align with the tenets of CBPR advanced in the academic literature. More opportunities to include the community voice when promoting CBPR should be undertaken to help introduce the concepts to potential community partners who may be research cautious.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community-based participatory research (CBPR) has been documented as an effective approach to research with underserved communities, particularly with racial and ethnic minority groups. However, much of the literature promoting the use of CBPR with underserved communities is written from the perspective of the researchers and not from the perspective of the community partner. The purpose of this article is to capture lessons learned from the community partners’ insight gained through their experiences with CBPR. A multi-investigator consensus method was used to qualitatively code the transcripts of a CBPR story-telling video series. Seven major themes were identified: (1) expectations for engaging in research, (2) cultural humility, (3) respecting the partnership, (4) open communication, (5) genuine commitment, (6) valuing strengths and recognizing capacities, and (7) collaborating to yield meaningful results. The themes drawn from the community partner’s voice align with the tenets of CBPR advanced in the academic literature. More opportunities to include the community voice when promoting CBPR should be undertaken to help introduce the concepts to potential community partners who may be research cautious. |
Hunter, Amanda; Tippeconic, Mary Jo Strengthening the link between education policy, culturally responsive schooling, and American Indian and Alaska Native Health Journal Article Journal of Indigenous Early Childhood Education, 1 (1), 2020. @article{Hunter2020, title = {Strengthening the link between education policy, culturally responsive schooling, and American Indian and Alaska Native Health}, author = {Amanda Hunter and Mary Jo Tippeconic}, url = {https://nau.edu/coe/ejiece/}, year = {2020}, date = {2020-06-01}, journal = {Journal of Indigenous Early Childhood Education}, volume = {1}, number = {1}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Yuan, Nicole P; Mayer, Brian M; Joshweseoma, Lorencita; Clichee, Dominic; Teufel-Shone, Nicolette I Progress in Community Health Partnerships: Research, Education, and Action, 14 (2), pp. 11, 2020. @article{Yuan2020, title = {Development of Guidelines to Improve the Effectiveness of Community Advisory Boards in Health Research. Progress in Community Health Partnerships: Research, Education, and Action}, author = {Nicole P Yuan and Brian M. Mayer and Lorencita Joshweseoma and Dominic Clichee and Nicolette I Teufel-Shone}, url = {https://arizona.pure.elsevier.com/en/publications/development-of-guidelines-to-improve-the-effectiveness-of-communi}, doi = {10.1353/cpr.2020.0026}, year = {2020}, date = {2020-06-01}, journal = {Progress in Community Health Partnerships: Research, Education, and Action}, volume = {14}, number = {2}, pages = {11}, abstract = {Community advisory boards (CABs) are a common community engagement strategy. Tools for developing CABs that are accessible to academic–community partnerships are limited. This article describes the process and partnership with the Hopi Tribe to develop CAB guidelines as a tool for research funded by the Center for Indigenous Environmental Health Research (CIEHR) and nonaffiliated projects. Methods: The CAB guidelines consist of three sections: formation, operation, and sustainability and evaluation. Each section includes best practices and interactive worksheets. The CAB guidelines were piloted with the Hopi Tribe to determine feasibility and relevance. Results: The CAB guidelines were well-received by the tribal CAB. Some of the worksheets were difficult to complete because they did not represent their perspectives or introduced potential tension in CAB interactions. Revisions were made accordingly. Conclusions: Future evaluation and broad dissemination of the CAB guidelines will promote the use and effectiveness of CABs in health research}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community advisory boards (CABs) are a common community engagement strategy. Tools for developing CABs that are accessible to academic–community partnerships are limited. This article describes the process and partnership with the Hopi Tribe to develop CAB guidelines as a tool for research funded by the Center for Indigenous Environmental Health Research (CIEHR) and nonaffiliated projects. Methods: The CAB guidelines consist of three sections: formation, operation, and sustainability and evaluation. Each section includes best practices and interactive worksheets. The CAB guidelines were piloted with the Hopi Tribe to determine feasibility and relevance. Results: The CAB guidelines were well-received by the tribal CAB. Some of the worksheets were difficult to complete because they did not represent their perspectives or introduced potential tension in CAB interactions. Revisions were made accordingly. Conclusions: Future evaluation and broad dissemination of the CAB guidelines will promote the use and effectiveness of CABs in health research |
Hoch, Byrna; Midori-Coulter, Kiera; Gomez, Omar; Sabo, Samantha Essential and Excluded from the Public Health Response-Recommendations for Meeting the Needs of Immigrants in the U.S. During COVID-19 Journal Article COVID-19 y Frontera Noreste: Primeros impactos en migración, políticas públicasy población, 2020. @article{Hoch2020, title = {Essential and Excluded from the Public Health Response-Recommendations for Meeting the Needs of Immigrants in the U.S. During COVID-19}, author = {Byrna Hoch and Kiera Midori-Coulter and Omar Gomez and Samantha Sabo}, url = {https://www.colef.mx/wp-content/uploads/2020/05/COVID_Matamoros-1.pdf}, year = {2020}, date = {2020-06-01}, journal = {COVID-19 y Frontera Noreste: Primeros impactos en migración, políticas públicasy población}, abstract = {The United States leads the world in COVID-19 cases and deaths. The US government’s pandemic response to COVID-19 includes three main efforts: 1) mitigation through social distancing and closure of “nonessential” business 2) strengthening healthcare capacity by scaling-up COVID-19 testing and emergency care 3) providing financial relief to Americans and businesses during the economic shutdown.Who benefits from the pandemic response is not uniform. Federal relief efforts neglect undocumented immigrants, a community of 10.7 million, 3% of the US population. Undocumented immigrants are excluded from health and economic safeguards. Consequentially, the US pandemic response has built upon status-based (i.e. documentation status) exclusions already embedded within US social systems, effectively blocking many immigrants from critical services during the COVID-19 outbreak. Simultaneously, undocumented immigrants are overrepresented in the “essential” workforce (e.g., healthcare, agriculture, service) which continues to provide labor during the pandemic. Current estimates suggest that 6 million essential workers are immigrants (Gelatt, 2020).}, keywords = {}, pubstate = {published}, tppubtype = {article} } The United States leads the world in COVID-19 cases and deaths. The US government’s pandemic response to COVID-19 includes three main efforts: 1) mitigation through social distancing and closure of “nonessential” business 2) strengthening healthcare capacity by scaling-up COVID-19 testing and emergency care 3) providing financial relief to Americans and businesses during the economic shutdown.Who benefits from the pandemic response is not uniform. Federal relief efforts neglect undocumented immigrants, a community of 10.7 million, 3% of the US population. Undocumented immigrants are excluded from health and economic safeguards. Consequentially, the US pandemic response has built upon status-based (i.e. documentation status) exclusions already embedded within US social systems, effectively blocking many immigrants from critical services during the COVID-19 outbreak. Simultaneously, undocumented immigrants are overrepresented in the “essential” workforce (e.g., healthcare, agriculture, service) which continues to provide labor during the pandemic. Current estimates suggest that 6 million essential workers are immigrants (Gelatt, 2020). |
Valdez, Elizabeth Salerno; Valdez, Luis; Korchmaros, Josephine; Garcia, David O; Stevens, Sally; Sabo, Samantha; Carvajal, Scott Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community Journal Article American Journal of Health Promotion, 2020. @article{Valdez2020, title = {Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community}, author = {Elizabeth Salerno Valdez and Luis Valdez and Josephine Korchmaros and David O. Garcia and Sally Stevens and Samantha Sabo and Scott Carvajal}, url = {https://doi.org/10.1177/0890117120927527}, doi = {10.1177/0890117120927527}, year = {2020}, date = {2020-05-27}, journal = {American Journal of Health Promotion}, abstract = {We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. }, keywords = {}, pubstate = {published}, tppubtype = {article} } We examined how socioenvironmental risk factors unique to the United States-Mexico border, defined as border community and immigration stress, normalization of drug trafficking, and perceived disordered neighborhood stress, contribute to tobacco, alcohol, and marijuana use among adolescents residing there. |
Sahker, Ethan; Pro, George; Sakata, Masatsugu; Furukawa, Toshiaki A Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample Journal Article Drug and Alcohol Dependence, 2020. @article{Sahker2020, title = {Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample}, author = {Ethan Sahker and George Pro and Masatsugu Sakata and Toshiaki A. Furukawa }, doi = {10.1016/j.drugalcdep.2020.108087}, year = {2020}, date = {2020-05-24}, journal = {Drug and Alcohol Dependence}, abstract = {Racial/ethnic disparities exist at many levels of substance use disorder (SUD) treatment and recovery, reflecting biological and socioeconomic factors. However, racial/ethnic disparities in SUD treatment effectiveness have not been sufficiently investigated. Latinos demonstrated greater use improvement than Black and White clients. Socioeconomic characteristics moderated this general tendency. Culturally sensitive treatments can be enhanced by addressing culturally specific needs according to client age, employment, specific problem substance, and referral source. For example, Black clients referred from school improved more than Whites and Latinos. Increasing resources for school referrals may further improve Black client outcomes.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Racial/ethnic disparities exist at many levels of substance use disorder (SUD) treatment and recovery, reflecting biological and socioeconomic factors. However, racial/ethnic disparities in SUD treatment effectiveness have not been sufficiently investigated. Latinos demonstrated greater use improvement than Black and White clients. Socioeconomic characteristics moderated this general tendency. Culturally sensitive treatments can be enhanced by addressing culturally specific needs according to client age, employment, specific problem substance, and referral source. For example, Black clients referred from school improved more than Whites and Latinos. Increasing resources for school referrals may further improve Black client outcomes. |
Baldwin, Julie A; Lowe, John; Brooks, Jada; Charbonneau-Dahlen, Barbara K; Lawrence, Gary; Johnson-Jennings, Michelle; Padgett, Gary; Kelley, Melessa; Camplain, Carolyn Health Promotion Practice, 2020. @article{Baldwin2020, title = {Formative Research and Cultural Tailoring of a Substance Abuse Prevention Program for American Indian Youth: Findings from the Intertribal Talking Circle Intervention}, author = {Julie A. Baldwin and John Lowe and Jada Brooks and Barbara K. Charbonneau-Dahlen and Gary Lawrence and Michelle Johnson-Jennings and Gary Padgett and Melessa Kelley and Carolyn Camplain}, url = {https://doi.org/10.1177/1524839920918551}, doi = {10.1177/1524839920918551}, year = {2020}, date = {2020-05-14}, journal = {Health Promotion Practice}, abstract = {Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs. |
Pro G Sahker E, Baldwin JA Incarceration as a Reason for US Alcohol and Drug Treatment Non-completion: a Multilevel Analysis of Racial/Ethnic and Sex Disparities Journal Article The Journal of Behavioral Health Services & Research, 2020. @article{Pro2020d, title = {Incarceration as a Reason for US Alcohol and Drug Treatment Non-completion: a Multilevel Analysis of Racial/Ethnic and Sex Disparities}, author = {Pro G, Sahker E, Baldwin JA}, url = {https://doi.org/10.1007/s11414-020-09703-7}, doi = {10.1007/s11414-020-09703-7 }, year = {2020}, date = {2020-04-29}, journal = {The Journal of Behavioral Health Services & Research}, abstract = {Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment. |
Pro, George; Sahker, Ethan; Baldwin, Julie Incarceration as a barrier to U.S. alcohol and drug treatment completion: A multilevel analysis of racial/ethnic and sex disparities Journal Article Journal of Behavioral Health Services & Research, 2020. @article{Pro2020e, title = {Incarceration as a barrier to U.S. alcohol and drug treatment completion: A multilevel analysis of racial/ethnic and sex disparities}, author = {George Pro and Ethan Sahker and Julie Baldwin}, url = {https://doi.org/10.1007/s11414-020-09703-7}, doi = {10.1007/s11414-020-09703-7}, year = {2020}, date = {2020-04-29}, journal = {Journal of Behavioral Health Services & Research}, abstract = {Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Incarceration may be an overlooked reason for treatment non-completion experienced disproportionately by African Americans. This study utilized multilevel logistic regression to model treatment non-completion due to incarceration using the 2015–2016 Treatment Episode Dataset–Discharges. Among a sample restricted to treatment non-completers (n = 306,008), 5% terminated treatment because they became incarcerated (n = 13,082), which varied widely by demographics and by state. In Idaho, 46% of African Americans terminated treatment because they became incarcerated. Women had lower odds of treatment non-completion than men, and the effect of sex was strongest among African Americans (adjusted odds ratio [aOR] = 0.30, 95% confidence interval [95% CI] = 0.26–0.34). Among men, all racial/ethnic minority groups demonstrated significantly higher odds of treatment non-completion due to incarceration compared with Whites, and the strongest effect was among African Americans (aOR = 1.37, 95% CI = 1.29–1.44). Incarceration as a reason for treatment non-completion disproportionately affects African Americans and men and varies by state. Interventions targeting incarceration alternatives should be availed to racial/ethnic minorities already participating in treatment. |
Coulter K., Sabo Martínez Chisholm Gonzalez Bass Zavala Villalobos Garcia Levy Slack S D K K S E D T J A Study and Analysis of the Treatment of Mexican Unaccompanied Minors by Customs and Border Protection Journal Article Journal on Migration and Human Security, 2020. @article{Coulter2020, title = {A Study and Analysis of the Treatment of Mexican Unaccompanied Minors by Customs and Border Protection}, author = {Coulter, K., Sabo, S., Martínez, D., Chisholm, K., Gonzalez, K., Bass Zavala, S., Villalobos E., Garcia D. Levy, T., Slack, J.}, url = {https://journals.sagepub.com/doi/10.1177/2331502420915898}, doi = {10.1177/2331502420915898}, year = {2020}, date = {2020-04-22}, journal = {Journal on Migration and Human Security}, abstract = {The routine human rights abuses and due process violations of unaccompanied alien children (UAC) by US Customs and Border Protection (CBP) have contributed to a mounting humanitarian and legal crisis along the US–Mexico border. In the United States, the treatment of UAC is governed by laws, policies, and standards drawn from the Flores Settlement, the Trafficking Victims Protection Reauthorization Act (TVPRA), and CBP procedures and directives, which are intended to ensure UAC’s protection, well-being, and ability to pursue relief from removal, such as asylum. As nongovernmental organizations and human rights groups have documented, however, CBP has repeatedly violated these legal standards and policies, and subjected UAC to abuses and rights violations. This article draws from surveys of 97 recently deported Mexican UAC, which examine their experiences with US immigration authorities. The study finds that Mexican UAC are detained in subpar conditions, are routinely not screened for fear of return to their home countries or for human trafficking, and are not sufficiently informed about the deportation process. The article recommends that CBP should take immediate steps to improve the treatment of UAC, that CBP and other entities responsible for the care of UAC be monitored to ensure their compliance with US law and policy, and that Mexican UAC be afforded the same procedures and protection under the TVPRA as UAC from noncontiguous states.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The routine human rights abuses and due process violations of unaccompanied alien children (UAC) by US Customs and Border Protection (CBP) have contributed to a mounting humanitarian and legal crisis along the US–Mexico border. In the United States, the treatment of UAC is governed by laws, policies, and standards drawn from the Flores Settlement, the Trafficking Victims Protection Reauthorization Act (TVPRA), and CBP procedures and directives, which are intended to ensure UAC’s protection, well-being, and ability to pursue relief from removal, such as asylum. As nongovernmental organizations and human rights groups have documented, however, CBP has repeatedly violated these legal standards and policies, and subjected UAC to abuses and rights violations. This article draws from surveys of 97 recently deported Mexican UAC, which examine their experiences with US immigration authorities. The study finds that Mexican UAC are detained in subpar conditions, are routinely not screened for fear of return to their home countries or for human trafficking, and are not sufficiently informed about the deportation process. The article recommends that CBP should take immediate steps to improve the treatment of UAC, that CBP and other entities responsible for the care of UAC be monitored to ensure their compliance with US law and policy, and that Mexican UAC be afforded the same procedures and protection under the TVPRA as UAC from noncontiguous states. |
Williamson, Heather J; van Heumen, Lieke; Schwartz, Ariel E Photovoice with Individuals with Intellectual and/or Developmental Disabilities: Lessons Learned from Inclusive Research Efforts Journal Article Collaborations, 3 (1), 2020. @article{Williamson2020, title = {Photovoice with Individuals with Intellectual and/or Developmental Disabilities: Lessons Learned from Inclusive Research Efforts}, author = {Heather J. Williamson and Lieke van Heumen and Ariel E. Schwartz}, url = {http://doi.org/10.33596/coll.45}, doi = {http://doi.org/10.33596/coll.45}, year = {2020}, date = {2020-04-15}, journal = {Collaborations}, volume = {3}, number = {1}, abstract = {Inclusive research is an approach in which individuals with intellectual and/or developmental disabilities (IDD) are included as co-researchers throughout the research processes, and has demonstrated benefits for people with IDD. Because inclusive research is still not common within disability research, it is important for research teams to provide reflections and lessons learned to encourage future inclusive approaches. This paper provides case studies of two research projects completed in collaboration with adults with IDD using Photovoice as an approach that can increase access to the research process for co-researchers with IDD. Drawing upon previously defined inclusive research criteria, we reflect on lessons learned and challenges. Inclusive research requires time, flexibility, shared power, clear communication, and cultural humility. Across both studies, we discuss the importance of clear communication with Institutional Review Boards and collaboration with the extended support networks of individuals with IDD. We reflect on how the accessible nature of Photovoice supports inclusive research teams to combine the strengths of co-researchers with IDD and academically trained researchers, such that the knowledge production process is shifted to co-researchers with IDD.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Inclusive research is an approach in which individuals with intellectual and/or developmental disabilities (IDD) are included as co-researchers throughout the research processes, and has demonstrated benefits for people with IDD. Because inclusive research is still not common within disability research, it is important for research teams to provide reflections and lessons learned to encourage future inclusive approaches. This paper provides case studies of two research projects completed in collaboration with adults with IDD using Photovoice as an approach that can increase access to the research process for co-researchers with IDD. Drawing upon previously defined inclusive research criteria, we reflect on lessons learned and challenges. Inclusive research requires time, flexibility, shared power, clear communication, and cultural humility. Across both studies, we discuss the importance of clear communication with Institutional Review Boards and collaboration with the extended support networks of individuals with IDD. We reflect on how the accessible nature of Photovoice supports inclusive research teams to combine the strengths of co-researchers with IDD and academically trained researchers, such that the knowledge production process is shifted to co-researchers with IDD. |
Jones, Marie; Credo, Jonathan; Ingram, Jani; Baldwin, Julie; Trotter, Robert; Propper, Catherine Arsenic Concentrations in Ground and Surface Waters across Arizona Including Native Land Journal Article Journal of Contemporary Water Research & Education, 169 , pp. 44-60, 2020. @article{Jones2020, title = {Arsenic Concentrations in Ground and Surface Waters across Arizona Including Native Land}, author = {Marie Jones and Jonathan Credo and Jani Ingram and Julie Baldwin and Robert Trotter and Catherine Propper}, url = {https://ucowr.org/wp-content/uploads/2020/04/169_MCJones_etal.pdf}, year = {2020}, date = {2020-04-01}, journal = {Journal of Contemporary Water Research & Education}, volume = {169}, pages = {44-60}, abstract = {Parts of the Southwestern United States report arsenic levels in water resources that are above the United States Environmental Protection Agency’s current drinking water limits. Prolonged exposure to arsenic through food and drinking water can contribute to significant health problems including cancer, developmental effects, cardiovascular disease, neurotoxicity, and diabetes. In order to understand exposure risks, water sampling and testing have been conducted throughout Arizona. This information is available to the public through often non-overlapping databases that are difficult to access and in impracticable formats. The current study utilized a systemic compilation of online databases to compile a spreadsheet containing over 33,000 water samples. The reported arsenic concentrations from these databases were collected from 1990-2017. Using ArcGIS software, these data were converted into a map shapefile and overlaid onto a map of Arizona. This visual representation shows that arsenic levels in surface and ground water exceed the United States Environmental Protection Agency’s drinking water limits for many sites in several counties in Arizona, and there is an underrepresentation of sampling in several tribal jurisdictions. This information is useful for water managers and private well owners throughout the State for determining safe drinking water sources and limiting exposure to arsenic.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Parts of the Southwestern United States report arsenic levels in water resources that are above the United States Environmental Protection Agency’s current drinking water limits. Prolonged exposure to arsenic through food and drinking water can contribute to significant health problems including cancer, developmental effects, cardiovascular disease, neurotoxicity, and diabetes. In order to understand exposure risks, water sampling and testing have been conducted throughout Arizona. This information is available to the public through often non-overlapping databases that are difficult to access and in impracticable formats. The current study utilized a systemic compilation of online databases to compile a spreadsheet containing over 33,000 water samples. The reported arsenic concentrations from these databases were collected from 1990-2017. Using ArcGIS software, these data were converted into a map shapefile and overlaid onto a map of Arizona. This visual representation shows that arsenic levels in surface and ground water exceed the United States Environmental Protection Agency’s drinking water limits for many sites in several counties in Arizona, and there is an underrepresentation of sampling in several tribal jurisdictions. This information is useful for water managers and private well owners throughout the State for determining safe drinking water sources and limiting exposure to arsenic. |
Pro, George; Utter, Jeff; Haberstroh, Shane; Baldwin, Julie A Drug and Alcohol Dependence, 209 (1), 2020. @article{Pro2020f, title = {Dual mental health diagnoses predict the receipt of medication-assisted opioid treatment: Associations moderated by state Medicaid expansion status, race/ethnicity and gender, and year}, author = {George Pro and Jeff Utter and Shane Haberstroh and Julie A Baldwin}, url = {https://pubmed.ncbi.nlm.nih.gov/32172130/}, doi = {10.1016/j.drugalcdep.2020.107952}, year = {2020}, date = {2020-03-07}, journal = {Drug and Alcohol Dependence}, volume = {209}, number = {1}, abstract = { Mental health diagnoses (MHD) are common among those with opioid use disorders (OUD). Methadone/buprenorphine are effective medication-assisted treatment (MAT) strategies; however, treatment receipt is low among those with dual MHDs. Medicaid expansions have broadly increased access to OUD and mental health services over time, but MAT uptake may vary depending on multiple factors, including MHD status, state Medicaid expansion decisions, and race/ethnicity and gender. Examining clinical and policy approaches to promoting MAT uptake may improve services among marginalized groups. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Mental health diagnoses (MHD) are common among those with opioid use disorders (OUD). Methadone/buprenorphine are effective medication-assisted treatment (MAT) strategies; however, treatment receipt is low among those with dual MHDs. Medicaid expansions have broadly increased access to OUD and mental health services over time, but MAT uptake may vary depending on multiple factors, including MHD status, state Medicaid expansion decisions, and race/ethnicity and gender. Examining clinical and policy approaches to promoting MAT uptake may improve services among marginalized groups. |
Fisher, Kim W; Williamson, Heather; Guerra, Nichole Technology and Social Inclusion: Technology Training and Usage by Youth With IDD in the National Longitudinal Transition Study of 2012 Journal Article Inclusion, 8 (1), pp. 43–57, 2020. @article{Fisher2020, title = {Technology and Social Inclusion: Technology Training and Usage by Youth With IDD in the National Longitudinal Transition Study of 2012}, author = {Kim W. Fisher and Heather Williamson and Nichole Guerra}, url = {https://doi.org/10.1352/2326-6988-8.1.43}, doi = {10.1352/2326-6988-8.1.43}, year = {2020}, date = {2020-03-01}, journal = {Inclusion}, volume = {8}, number = {1}, pages = {43–57}, abstract = {Technology use is a key form of social inclusion and a means to engage in community participation. People with intellectual and developmental disabilities (IDD) experience a digital divide with less technology access as compared to their peers. We used data from the National Longitudinal Transition Study of 2012 to study technology use and access to instruction among adolescents with IDD compared to adolescents with other disabilities and adolescents without disabilities. Results indicate adolescents with IDD use technology less, receive less technology training, and engage in fewer social inclusion opportunities than their peers. Implications for future research, policy, and practice are provided, including promoting digital citizenship training during transition planning and the use of social capital theory. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Technology use is a key form of social inclusion and a means to engage in community participation. People with intellectual and developmental disabilities (IDD) experience a digital divide with less technology access as compared to their peers. We used data from the National Longitudinal Transition Study of 2012 to study technology use and access to instruction among adolescents with IDD compared to adolescents with other disabilities and adolescents without disabilities. Results indicate adolescents with IDD use technology less, receive less technology training, and engage in fewer social inclusion opportunities than their peers. Implications for future research, policy, and practice are provided, including promoting digital citizenship training during transition planning and the use of social capital theory. |
Sean D. Rundell and, Linda Resnik ; Heagerty, Patrick J; Kumar, Amit; Jarvik, Jeffrey G Journal of Orthopaedic & Sports Physical Therapy, 50 (3), pp. 143-148, 2020. @article{Rundell2019c, title = {Comparing Performance of Comorbidity Indices in Predicting Functional Status, Health-Related Quality of Life, and Total Health Care Use in Older Adults with Back Pain}, author = {Sean D. Rundell, and, Linda Resnik and Patrick J. Heagerty and Amit Kumar and Jeffrey G. Jarvik}, url = {https://www.jospt.org/doi/10.2519/jospt.2020.8764}, doi = {10.2519/jospt.2020.8764}, year = {2020}, date = {2020-02-29}, journal = {Journal of Orthopaedic & Sports Physical Therapy}, volume = {50}, number = {3}, pages = {143-148}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Armstrong-Heimsoth, Amy; Hahn-Floyd, Molly; Williamson, Heather J; Kurka, Jonathan M; Yoo, Wonsuk; Jesús, Sue Rodríguez De A Former Foster System Youth: Perspectives on Transitional Supports and Programs Journal Article The Journal of Behavioral Health Services and Research, 2020. @article{Armstrong-Heimsoth2020, title = {Former Foster System Youth: Perspectives on Transitional Supports and Programs}, author = {Amy Armstrong-Heimsoth and Molly Hahn-Floyd and Heather J. Williamson and Jonathan M. Kurka and Wonsuk Yoo and Sue A. Rodríguez De Jesús}, url = {https://doi.org/10.1007/s11414-020-09693-6}, doi = {10.1007/s11414-020-09693-6}, year = {2020}, date = {2020-02-24}, journal = {The Journal of Behavioral Health Services and Research}, abstract = {Youth aging out of the foster care system have well-documented challenges when transitioning to adulthood. Multiple transition services provide support in the transition process; however, limited research is available regarding youth’s perceptions of programming. In this pilot study, sixteen youth between ages 18 and 20 participated in semi-structured interviews, support mapping, an resiliency measurements to gather the experiences of the transition from foster care. Comparisons between those who chose initial transition supports and those who did not receive or delayed receiving transition supports were initially explored. Common themes emerged in participants’ needs and perceived resiliency regardless of transition support services. All youth reported relationship, trust, and concern for well-being as highly important characteristics in transition team members. A need for earlier transition programming, decision-making opportunities, and life skills courses were important themes in transition programming needs. Implications for policy, research, and practice are presented based upon findings.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Youth aging out of the foster care system have well-documented challenges when transitioning to adulthood. Multiple transition services provide support in the transition process; however, limited research is available regarding youth’s perceptions of programming. In this pilot study, sixteen youth between ages 18 and 20 participated in semi-structured interviews, support mapping, an resiliency measurements to gather the experiences of the transition from foster care. Comparisons between those who chose initial transition supports and those who did not receive or delayed receiving transition supports were initially explored. Common themes emerged in participants’ needs and perceived resiliency regardless of transition support services. All youth reported relationship, trust, and concern for well-being as highly important characteristics in transition team members. A need for earlier transition programming, decision-making opportunities, and life skills courses were important themes in transition programming needs. Implications for policy, research, and practice are presented based upon findings. |
Eaves, Emery R; Williamson, Heather J; Sanderson, Katharine C; Elwell, Kristan; II, Robert Trotter T; Baldwin, Julie A Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It? Journal Article Journal of Health Care for the Poor and Underserved, 31 (1), pp. 201-217, 2020. @article{Eaves2020, title = {Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?}, author = {Emery R Eaves and Heather J Williamson and Katharine C Sanderson and Kristan Elwell and Robert T Trotter II and Julie A Baldwin }, url = {https://muse.jhu.edu/article/747784}, doi = {10.1353/hpu.2020.0018}, year = {2020}, date = {2020-02-07}, journal = {Journal of Health Care for the Poor and Underserved}, volume = {31}, number = {1}, pages = {201-217}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Pro, George; Zaller, Nick PLOS One, 15 (2), 2020. @article{Pro2020c, title = {Interaction Effects in the Association Between Methadone Maintenance Therapy and Experiences of Racial Discrimination in U.S. Healthcare Settings}, author = {George Pro and Nick Zaller}, url = {https://doi.org/10.1371/journal.pone.0228755}, doi = {10.1371/journal.pone.0228755}, year = {2020}, date = {2020-02-06}, journal = {PLOS One}, volume = {15}, number = {2}, abstract = { Background Disparities in methadone maintenance therapy (MMT) outcomes have received limited attention, but there are important negative outcomes associated with MMT that warrant investigation. Racial discrimination is common in healthcare settings and affects opioid use disorder (OUD) treatment and comorbidities. However, race/ethnicity alone may not fully explain experiences of discrimination. MMT remains highly stigmatized and may compound the effect of race/ethnicity on discrimination in healthcare settings. We sought to quantify differential associations between MMT and experiences of racial discrimination between racial/ethnic groups in a U.S. national sample. Methods We used the National Epidemiologic Survey on Alcohol and Related Conditions-III (2012–2013) to identify a subset of individuals with a lifetime OUD who had ever used MMT (survey n = 766; weighted population n = 5,276,507). We used multivariable logistic regression to model past-year experience of racial discrimination in a healthcare setting. We included an interaction term between race/ethnicity and MMT status to identify the odds of discrimination (MMT vs. no MMT [referent]) within racial/ethnic groups. We used survey procedures with weights to account for the parent study’s complex survey design. Findings Twenty-two percent of our sample experienced racial discrimination in a healthcare setting in the past year. Discrimination was more common among those who had ever used MMT (x2 = 10.00, p = 0.001) and racial/ethnic minorities (x2 = 23.15, p<0.001). The interaction effect was much stronger than the main effects of race/ethnicity and MMT status. MMT status (versus no MMT) was positively associated with discrimination among Blacks (aOR = 3.93, 95% CI = 3.87–3.98, p<0.001), Whites (aOR = 2.25, 95% CI = 2.23–2.27, p<0.001), and Latino/Latinas (aOR = 1.59, 95% CI = 1.55–1.62, p<0.001). Among American Indian/Alaska Natives (AI/AN), those who had used MMT had over thirty times the odds of racial discrimination, compared to their non-MMT counterparts (aOR = 32.78, 95% CI = 31.16–34.48, p<0.001). Conclusion Race/ethnicity alone did not sufficiently account for racial discrimination in healthcare settings among those with a lifetime OUD. MMT status was strongly associated with racial discrimination among AI/AN. Our strong interaction effect is indicative of an additional barrier to health services utilization among AI/AN, which has important implications for OUD treatment outcomes and comorbidities. Health promotion programs aimed at increased adoption of MMT are promising, but should be considered in the context of racial/ethnic disparities, drug use and MMT stigma, and implicit biases in clinical settings. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Background Disparities in methadone maintenance therapy (MMT) outcomes have received limited attention, but there are important negative outcomes associated with MMT that warrant investigation. Racial discrimination is common in healthcare settings and affects opioid use disorder (OUD) treatment and comorbidities. However, race/ethnicity alone may not fully explain experiences of discrimination. MMT remains highly stigmatized and may compound the effect of race/ethnicity on discrimination in healthcare settings. We sought to quantify differential associations between MMT and experiences of racial discrimination between racial/ethnic groups in a U.S. national sample. Methods We used the National Epidemiologic Survey on Alcohol and Related Conditions-III (2012–2013) to identify a subset of individuals with a lifetime OUD who had ever used MMT (survey n = 766; weighted population n = 5,276,507). We used multivariable logistic regression to model past-year experience of racial discrimination in a healthcare setting. We included an interaction term between race/ethnicity and MMT status to identify the odds of discrimination (MMT vs. no MMT [referent]) within racial/ethnic groups. We used survey procedures with weights to account for the parent study’s complex survey design. Findings Twenty-two percent of our sample experienced racial discrimination in a healthcare setting in the past year. Discrimination was more common among those who had ever used MMT (x2 = 10.00, p = 0.001) and racial/ethnic minorities (x2 = 23.15, p<0.001). The interaction effect was much stronger than the main effects of race/ethnicity and MMT status. MMT status (versus no MMT) was positively associated with discrimination among Blacks (aOR = 3.93, 95% CI = 3.87–3.98, p<0.001), Whites (aOR = 2.25, 95% CI = 2.23–2.27, p<0.001), and Latino/Latinas (aOR = 1.59, 95% CI = 1.55–1.62, p<0.001). Among American Indian/Alaska Natives (AI/AN), those who had used MMT had over thirty times the odds of racial discrimination, compared to their non-MMT counterparts (aOR = 32.78, 95% CI = 31.16–34.48, p<0.001). Conclusion Race/ethnicity alone did not sufficiently account for racial discrimination in healthcare settings among those with a lifetime OUD. MMT status was strongly associated with racial discrimination among AI/AN. Our strong interaction effect is indicative of an additional barrier to health services utilization among AI/AN, which has important implications for OUD treatment outcomes and comorbidities. Health promotion programs aimed at increased adoption of MMT are promising, but should be considered in the context of racial/ethnic disparities, drug use and MMT stigma, and implicit biases in clinical settings. |
Pro, George; Utter, Jeff; Cram, Jessica; Baldwin, Julie A Journal of Psychoactive Drugs, 2020. @article{Pro2020, title = {Racial/Ethnic and Gender Differences in Associations of Medication-Assisted Therapy and Reduced Opioid Use between Outpatient Treatment Admission and Discharge}, author = {George Pro and Jeff Utter and Jessica Cram and Julie A Baldwin}, doi = {10.1080/02791072.2020.1717685}, year = {2020}, date = {2020-01-31}, journal = {Journal of Psychoactive Drugs}, abstract = {Medication-assisted therapy (MAT) for opioid use disorders is an effective treatment strategy. Racial/ethnic and gender disparities in MAT utilization have been documented, but less is known about disparities in MAT outcomes. We used the Treatment Episodes Dataset–Discharges (TEDS-D; 2015– 2017) to identify outpatient treatment episodes with heroin or illicit opioids indicated at admission (n = 232,547). We used multivariate logistic regression to model the association between MAT and a reduction in opioid use between treatment admission and discharge. We explored moderation by race/ethnicity and gender by including an interaction term. We identified a strong moderating effect of race/ethnicity and gender. American Indian/Alaska Native (AI/AN) women demonstrated the strongest association between MAT (versus no MAT) and a reduction in opioid use (aOR = 6.05, 95% CI = 4.81– 7.61), while White men demonstrated the weakest association (aOR = 2.78, CI = 2.70– 2.87). Our findings could inform changes in clinical MAT settings that are based on harm reduction and the incremental transition from illicit opioids to medication-assistance among a diverse opioid use disorder population.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Medication-assisted therapy (MAT) for opioid use disorders is an effective treatment strategy. Racial/ethnic and gender disparities in MAT utilization have been documented, but less is known about disparities in MAT outcomes. We used the Treatment Episodes Dataset–Discharges (TEDS-D; 2015– 2017) to identify outpatient treatment episodes with heroin or illicit opioids indicated at admission (n = 232,547). We used multivariate logistic regression to model the association between MAT and a reduction in opioid use between treatment admission and discharge. We explored moderation by race/ethnicity and gender by including an interaction term. We identified a strong moderating effect of race/ethnicity and gender. American Indian/Alaska Native (AI/AN) women demonstrated the strongest association between MAT (versus no MAT) and a reduction in opioid use (aOR = 6.05, 95% CI = 4.81– 7.61), while White men demonstrated the weakest association (aOR = 2.78, CI = 2.70– 2.87). Our findings could inform changes in clinical MAT settings that are based on harm reduction and the incremental transition from illicit opioids to medication-assistance among a diverse opioid use disorder population. |
Rio, Carlos Del; Baldwin, Julie; Chapman, Edwin; Cooper, Hannah; Gustafson, David; Hagan, Holly; Newhouse, Robin; Rich, Josiah; Springer, Sandra; Thomas, David Opportunities to improve opioid use disorder and infectious disease services: Integrating responses to a dual epidemic Journal Article A Consensus Study Report of the National Academies of Sciences, Engineering and Medicine, 2020. @article{Rio2020, title = {Opportunities to improve opioid use disorder and infectious disease services: Integrating responses to a dual epidemic}, author = {Carlos Del Rio and Julie Baldwin and Edwin Chapman and Hannah Cooper and David Gustafson and Holly Hagan and Robin Newhouse and Josiah Rich and Sandra Springer and David Thomas}, url = {https://doi.org/10.17226/25626}, doi = {10.17226/25626}, year = {2020}, date = {2020-01-23}, journal = {A Consensus Study Report of the National Academies of Sciences, Engineering and Medicine}, abstract = {Opioid use and infectious diseases are intertwined epidemics. Despite the fact that the United States is more than two decades into the opioid crisis—the cause of tens of thousands of deaths every year on its own—the health system has not sufficiently addressed the morbidity and mortality of drug use coupled with infectious diseases. This is at least in part due to traditional models of substance use disorder care wherein substance use disorder treatment is delivered independently of other medical care, thereby inhibiting the delivery of comprehensive care. As a result, the United States is experiencing a drastic increase in infectious diseases that spread with drug use.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Opioid use and infectious diseases are intertwined epidemics. Despite the fact that the United States is more than two decades into the opioid crisis—the cause of tens of thousands of deaths every year on its own—the health system has not sufficiently addressed the morbidity and mortality of drug use coupled with infectious diseases. This is at least in part due to traditional models of substance use disorder care wherein substance use disorder treatment is delivered independently of other medical care, thereby inhibiting the delivery of comprehensive care. As a result, the United States is experiencing a drastic increase in infectious diseases that spread with drug use. |
Camplain, Ricky; Camplain, Carolyn; II, Robert Trotter T; Pro, George; Sabo, Samantha; Eaves, Emery; Peoples, Marie; Baldwin, Julie A Racial/Ethnic Differences in Drug- and Alcohol-Related Arrest Outcomes in a Southwest County From 2009 to 2018 Journal Article American Journal of Public Health, 110 (51), pp. 585-592, 2020. @article{Camplain2020c, title = {Racial/Ethnic Differences in Drug- and Alcohol-Related Arrest Outcomes in a Southwest County From 2009 to 2018}, author = {Ricky Camplain and Carolyn Camplain and Robert T. Trotter II and George Pro and Samantha Sabo and Emery Eaves and Marie Peoples and Julie A. Baldwin}, url = {https://doi.org/10.2105/AJPH.2019.305409}, doi = {10.2105/AJPH.2019.305409}, year = {2020}, date = {2020-01-22}, journal = {American Journal of Public Health}, volume = {110}, number = {51}, pages = {585-592}, abstract = {More than 60% of criminal justice–involved individuals are racial/ethnic minorities, even though these groups make up just 30% of the US population. Black, Latino, and American Indian/Alaska Native (AI/AN) persons are more likely to be incarcerated compared with White persons, 1–3 and police interactions among racial/ethnic minorities are more likely to result in arrest, even after accounting for arrest decision-making by police. Although it is clear that racial/ethnic minorities are overrepresented in the criminal justice system, it is less clear how outcomes at different points of interactions with the criminal justice system, including entry into the system, prosecution and pretrial services, adjudication, sentencing and sanctions, and corrections,14 differ by race/ethnicity, specifically for drug- and alcohol-related offenses. Thus, we aimed to estimate the association between race/ethnicity and arrest outcomes among individuals arrested for drug- or alcohol-related reasons in a rural Southwest US county (the county) from 2009 to 2018.}, keywords = {}, pubstate = {published}, tppubtype = {article} } More than 60% of criminal justice–involved individuals are racial/ethnic minorities, even though these groups make up just 30% of the US population. Black, Latino, and American Indian/Alaska Native (AI/AN) persons are more likely to be incarcerated compared with White persons, 1–3 and police interactions among racial/ethnic minorities are more likely to result in arrest, even after accounting for arrest decision-making by police. Although it is clear that racial/ethnic minorities are overrepresented in the criminal justice system, it is less clear how outcomes at different points of interactions with the criminal justice system, including entry into the system, prosecution and pretrial services, adjudication, sentencing and sanctions, and corrections,14 differ by race/ethnicity, specifically for drug- and alcohol-related offenses. Thus, we aimed to estimate the association between race/ethnicity and arrest outcomes among individuals arrested for drug- or alcohol-related reasons in a rural Southwest US county (the county) from 2009 to 2018. |
Pro, George; Camplain, Ricky; de Heer, Brooke; Chief, Carmenlita; Teufel-Shone, Nicolette I Journal of Racial and Ethnic Health Disparities, 2020. @article{Pro2020bb, title = {A National Epidemiologic Profile of Physical Intimate Partner Violence, Adverse Childhood Experiences, and Supportive Childhood Relationships: Group Differences in Predicted Trends and Associations}, author = {George Pro and Ricky Camplain and Brooke de Heer and Carmenlita Chief and Nicolette I. Teufel-Shone}, url = {https://doi.org/10.1007/s40615-019-00696-4}, doi = {10.1007/s40615-019-00696-4}, year = {2020}, date = {2020-01-07}, journal = {Journal of Racial and Ethnic Health Disparities}, abstract = {Adverse childhood experiences (ACEs) are common in the USA and associated with multiple health sequelae. Physical intimate partner violence (IPV) is a type of revictimization that some adults with ACEs may be more prone to. Positive and supportive childhood environments may buffer the effects of ACEs, but little is known about the differential associations between physical IPV and ACEs and supportive childhood environments. We sought to illustrate racial/ethnic and gender differences in the adjusted predicted probability of physical IPV across multiple ACE and supportive childhood scores.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Adverse childhood experiences (ACEs) are common in the USA and associated with multiple health sequelae. Physical intimate partner violence (IPV) is a type of revictimization that some adults with ACEs may be more prone to. Positive and supportive childhood environments may buffer the effects of ACEs, but little is known about the differential associations between physical IPV and ACEs and supportive childhood environments. We sought to illustrate racial/ethnic and gender differences in the adjusted predicted probability of physical IPV across multiple ACE and supportive childhood scores. |
Camplain, Ricky; Sotres-Alvarez, Daniela; Alvarez, Carolina; Wilson, Rebbecca; Perreira, Krista M; Castañeda, Sheila F; Merchant, Gina; Gellman, Marc D; Chambers, Earle C; Gallo, Linda C; Evenson, Kelly R ScienceDirect, 17 , 2020. @article{Camplain2020b, title = {The association of acculturation with accelerometer-assessed and self-reported physical activity and sedentary behavior: The Hispanic Community Health Study/Study of Latinos}, author = {Ricky Camplain and Daniela Sotres-Alvarez and Carolina Alvarez and Rebbecca Wilson and Krista M. Perreira and Sheila F. Castañeda and Gina Merchant and Marc D. Gellman and Earle C. Chambers and Linda C. Gallo and Kelly R. Evenson }, url = {https://doi.org/10.1016/j.pmedr.2020.101050}, doi = {10.1016/j.ypmed.2017.07.024}, year = {2020}, date = {2020-01-06}, journal = {ScienceDirect}, volume = {17}, abstract = {The adoption of US culture among immigrants has been associated with higher leisure-time physical activity and sedentary behavior. However, most research to date assesses this association using single measures of acculturation and physical activity. Our objective was to describe the cross-sectional association between acculturation and both physical activity and sedentary behavior among US Hispanic/Latino adults. Participants included Hispanic/Latinos 18–74 years living in four US locations enrolled in the Hispanic Community Health Study/Study of Latinos from 2008 to 2011. Acculturation was measured using acculturation scales (language and social), years in the US, language preference, and age at immigration. Physical activity and sedentary behavior were measured using the Global Physical Activity Questionnaire (N = 15,355) and Actical accelerometer (N = 11,954). Poisson, logistic, and linear regression were used, accounting for complex design and sampling weights. English-language preference was positively associated with self-reported leisure-time and transportation physical activity and accelerometer-assessed moderate-to-vigorous physical activity (MVPA). Social acculturation was positively associated with self-reported leisure-time and transportation physical activity and MVPA. Years in the US and age at immigration were positively associated with accelerometer-assessed MVPA. Language acculturation, years in the US, and age at immigration were associated with occupational physical activity among those who reported employment. Most acculturation measures were associated with self-reported sitting but not with accelerometer-assessed sedentary behavior. Different measures of acculturation, capturing various domains acculturation, were associated with physical activity and sedentary behavior. However, the direction of the association was dependent on the measures of acculturation physical activity/sedentary behavior, highlighting the complexity of these relationships.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The adoption of US culture among immigrants has been associated with higher leisure-time physical activity and sedentary behavior. However, most research to date assesses this association using single measures of acculturation and physical activity. Our objective was to describe the cross-sectional association between acculturation and both physical activity and sedentary behavior among US Hispanic/Latino adults. Participants included Hispanic/Latinos 18–74 years living in four US locations enrolled in the Hispanic Community Health Study/Study of Latinos from 2008 to 2011. Acculturation was measured using acculturation scales (language and social), years in the US, language preference, and age at immigration. Physical activity and sedentary behavior were measured using the Global Physical Activity Questionnaire (N = 15,355) and Actical accelerometer (N = 11,954). Poisson, logistic, and linear regression were used, accounting for complex design and sampling weights. English-language preference was positively associated with self-reported leisure-time and transportation physical activity and accelerometer-assessed moderate-to-vigorous physical activity (MVPA). Social acculturation was positively associated with self-reported leisure-time and transportation physical activity and MVPA. Years in the US and age at immigration were positively associated with accelerometer-assessed MVPA. Language acculturation, years in the US, and age at immigration were associated with occupational physical activity among those who reported employment. Most acculturation measures were associated with self-reported sitting but not with accelerometer-assessed sedentary behavior. Different measures of acculturation, capturing various domains acculturation, were associated with physical activity and sedentary behavior. However, the direction of the association was dependent on the measures of acculturation physical activity/sedentary behavior, highlighting the complexity of these relationships. |
Camplain, Ricky ; Pinn, Travis ; Williamson, Heather J; Pro, George ; Becenti, Lyle ; Bret, James ; Luna, Crystal ; Baldwin, Julie A Adaptation of the System for Observing Play and Recreation in Communities (SOPARC) for the Measurement of Physical Activity in Jail Settings Journal Article International Journal of Environmental Research and Public Health, 17 (349), pp. 1-11, 2020. @article{Camplain2020, title = {Adaptation of the System for Observing Play and Recreation in Communities (SOPARC) for the Measurement of Physical Activity in Jail Settings}, author = {Camplain, Ricky and Pinn, Travis and Williamson, Heather J and Pro, George and Becenti, Lyle and Bret, James and Luna, Crystal and Baldwin, Julie A. }, doi = {https://doi.org/10.3390/ijerph17010349}, year = {2020}, date = {2020-01-03}, journal = {International Journal of Environmental Research and Public Health}, volume = {17}, number = {349}, pages = {1-11}, abstract = {Over 9 million people are incarcerated in jail each year, but physical activity has not been assessed among incarcerated populations. Measuring physical activity in the jail setting is complicated as current physical activity measurement tools are not designed for use inside jail facilities. Therefore, we adapted an evidence-based physical activity measurement tool, the System for Observing Play and Recreation in Communities (SOPARC), to assess physical activity within a jail facility. SOPARC was designed to obtain observational information on physical activity of individuals. The study team created a protocol for SOPARC for use in jail facilities. Unlike the original SOPARC, access to recreation time in jail required prior scheduling. Target areas were unnecessary as recreation spaces were enclosed. The adapted SOPARC protocol for jails included start and end times, the number of individuals that attended, and recreation time users’ physical activity levels, footwear, outerwear, uniform color, and use of mobility assistive devices. The use of SOPARC in the jail setting requires adaptation to adequately capture physical activity data among incarcerated individuals. Accurately measuring physical activity among incarcerated individuals and the environment in which they are active may allow for future development and testing of physical activity interventions in jail facilities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Over 9 million people are incarcerated in jail each year, but physical activity has not been assessed among incarcerated populations. Measuring physical activity in the jail setting is complicated as current physical activity measurement tools are not designed for use inside jail facilities. Therefore, we adapted an evidence-based physical activity measurement tool, the System for Observing Play and Recreation in Communities (SOPARC), to assess physical activity within a jail facility. SOPARC was designed to obtain observational information on physical activity of individuals. The study team created a protocol for SOPARC for use in jail facilities. Unlike the original SOPARC, access to recreation time in jail required prior scheduling. Target areas were unnecessary as recreation spaces were enclosed. The adapted SOPARC protocol for jails included start and end times, the number of individuals that attended, and recreation time users’ physical activity levels, footwear, outerwear, uniform color, and use of mobility assistive devices. The use of SOPARC in the jail setting requires adaptation to adequately capture physical activity data among incarcerated individuals. Accurately measuring physical activity among incarcerated individuals and the environment in which they are active may allow for future development and testing of physical activity interventions in jail facilities. |
de Heer, Brooke; Heffern, Jade K; Cheney, Julianna S; Secakuku, Aaron; Baldwin, Julie American Indian and Alaska Native Mental Health Research, 27 (1), 2020. @article{deHeer2020, title = {A Community-Based Evaluation of a Culturally Grounded, American Indian After-School Prevention Program: The Value of Practitioner-Researcher Collaboration}, author = {Brooke de Heer and Jade K. Heffern and Julianna S. Cheney and Aaron Secakuku and Julie Baldwin}, url = {https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol27/27_1_2020_1_de_heer.pdf?sfvrsn=c3fbe0b9_2}, doi = {10.5820/aian.2701.2020.1}, year = {2020}, date = {2020-01-01}, journal = {American Indian and Alaska Native Mental Health Research}, volume = {27}, number = {1}, abstract = {Programs serving American Indian (AI) youth are an important component of maintaining cultural identity and healthy lifestyles. The current research took a community-engaged approach to evaluate an urban AI youth after-school program that has transitioned into a culturally grounded prevention program. Ways to create a successful research collaboration between AI communities and academics is discussed as well as implications for understanding the importance of culturally-grounded programs for AI youth who reside in urban areas. Overall, the cultural and health components that are integrated into the after-school program were highlighted as primary strengths because they help foster a healthy lifestyle and deeper connection to the heritage/culture for the youth who participated.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Programs serving American Indian (AI) youth are an important component of maintaining cultural identity and healthy lifestyles. The current research took a community-engaged approach to evaluate an urban AI youth after-school program that has transitioned into a culturally grounded prevention program. Ways to create a successful research collaboration between AI communities and academics is discussed as well as implications for understanding the importance of culturally-grounded programs for AI youth who reside in urban areas. Overall, the cultural and health components that are integrated into the after-school program were highlighted as primary strengths because they help foster a healthy lifestyle and deeper connection to the heritage/culture for the youth who participated. |
2019 |
Samantha Sabo Matthew Butler, Kelly McCue Patrick Wightman Vern Pilling Martín Celaya Sara Rumann Evaluation protocol to assess maternal and child health outcomes using administrative data: a community health worker home visiting programme Journal Article BMJ Open, 9 (12), pp. 1–9, 2019. @article{Sabo2019, title = {Evaluation protocol to assess maternal and child health outcomes using administrative data: a community health worker home visiting programme}, author = {Samantha Sabo, Matthew Butler, Kelly McCue, Patrick Wightman, Vern Pilling, Martín Celaya, Sara Rumann}, url = {http://dx.doi.org/10.1136/bmjopen-2019-031780}, doi = {10.1136/bmjopen-2019-031780}, year = {2019}, date = {2019-12-10}, journal = {BMJ Open}, volume = {9}, number = {12}, pages = {1–9}, abstract = {Emerging evidence suggests community health workers (CHWs) delivering preventive maternal and child health (MCH) interventions through home visiting improve several important health outcomes, including initiation of prenatal care, healthy birth weight and uptake of childhood immunizations.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Emerging evidence suggests community health workers (CHWs) delivering preventive maternal and child health (MCH) interventions through home visiting improve several important health outcomes, including initiation of prenatal care, healthy birth weight and uptake of childhood immunizations. |
Behzad Karami Matin Mohammad Kamali, Heather Williamson Fardin Moradi Shahin Solatni J The Predictors of Access to Health Services for People with Disabilities: A Cross Sectional Study in Iranian Context Journal Article Medical Journal of the Islamic Republic of Iran , 33 (125), 2019. @article{Matin2019, title = {The Predictors of Access to Health Services for People with Disabilities: A Cross Sectional Study in Iranian Context}, author = {Behzad Karami Matin, Mohammad Kamali, Heather J. Williamson, Fardin Moradi, Shahin Solatni}, url = {http://mjiri.iums.ac.ir/article-1-5458-en.html}, doi = {10.47176/mjiri.33.125}, year = {2019}, date = {2019-11-23}, journal = {Medical Journal of the Islamic Republic of Iran }, volume = {33}, number = {125}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Pro, George; Camplain, Ricky; Sabo, Samantha; Baldwin, Julie; Gilbert, Paul Substance abuse treatment in correctional versus non-correctional settings: Analysis of racial/ethnic and gender disparities Journal Article Journal of Health Disparities Research and Practice, 12 (3), pp. 1-20, 2019. @article{Pro2019, title = {Substance abuse treatment in correctional versus non-correctional settings: Analysis of racial/ethnic and gender disparities}, author = {George Pro and Ricky Camplain and Samantha Sabo and Julie Baldwin and Paul Gilbert}, url = {https://digitalscholarship.unlv.edu/jhdrp/vol12/iss3/1/}, year = {2019}, date = {2019-11-01}, journal = {Journal of Health Disparities Research and Practice}, volume = {12}, number = {3}, pages = {1-20}, abstract = {Alcohol and drug abuse are widespread in the US. Substance abuse treatment services are effective, but utilization of services is low, particularly among African Americans, Hispanics, and women. Substance abuse is strongly associated with incarceration, and African Americans and Hispanics make up a disproportionate percentage of individuals with substance abuse problems involved in the criminal justice system. High treatment need, low treatment uptake, and the association between substance abuse and incarceration have led, in part, to correctional institutions filling the treatment gap by increasingly providing safety-net treatment services. We sought to better understand racial/ethnic and gender differences in determinants of treatment location (jail or prison versus non-correctional settings) among treatment-seeking adults.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Alcohol and drug abuse are widespread in the US. Substance abuse treatment services are effective, but utilization of services is low, particularly among African Americans, Hispanics, and women. Substance abuse is strongly associated with incarceration, and African Americans and Hispanics make up a disproportionate percentage of individuals with substance abuse problems involved in the criminal justice system. High treatment need, low treatment uptake, and the association between substance abuse and incarceration have led, in part, to correctional institutions filling the treatment gap by increasingly providing safety-net treatment services. We sought to better understand racial/ethnic and gender differences in determinants of treatment location (jail or prison versus non-correctional settings) among treatment-seeking adults. |
Rock, Tommy; Camplain, Ricky; Teufel-Shone, Nicolette I; Ingram, Jani C Traditional Sheep Consumption by Navajo People in Cameron, Arizona Journal Article International Journal of Environmental Research and Public Health, 16 (21), pp. 1-13, 2019. @article{Rock2019, title = {Traditional Sheep Consumption by Navajo People in Cameron, Arizona}, author = {Tommy Rock and Ricky Camplain and Nicolette I. Teufel-Shone and Jani C. Ingram}, doi = {10.3390/ijerph16214195 }, year = {2019}, date = {2019-10-30}, journal = { International Journal of Environmental Research and Public Health}, volume = {16}, number = {21}, pages = {1-13}, abstract = {Over 500 abandoned uranium mines are located on the Navajo Reservation. Different pathways of environmental uranium exposure have been studied with respect to the Navajo people including water, soil, and plants; however, uranium exposure from traditional Navajo food, specifically mutton (sheep), has not been reported. This study focuses on mutton consumption in the small community of Cameron, Arizona, located in the southwestern region of the Navajo Nation and initiated after community members expressed concern with the uranium exposure of their sheep. Preliminary investigation into the presence of uranium in sheep raised near Cameron showed elevated uranium levels in the kidneys the sheep tested. The goal of this study is to investigate mutton consumption among the Navajo living in Cameron. Mutton is a traditional food of the Navajo, but consumption practices are not well documented. An important aspect of determining the extent of exposure through food consumption is to assess the frequency of consumption. The results of this study indicate the Cameron participants consume mutton most commonly at family gatherings or celebrations. The survey suggests that less mutton is consumed now compared to the past, and there is concern that contaminated mutton may change traditional ceremonies}, keywords = {}, pubstate = {published}, tppubtype = {article} } Over 500 abandoned uranium mines are located on the Navajo Reservation. Different pathways of environmental uranium exposure have been studied with respect to the Navajo people including water, soil, and plants; however, uranium exposure from traditional Navajo food, specifically mutton (sheep), has not been reported. This study focuses on mutton consumption in the small community of Cameron, Arizona, located in the southwestern region of the Navajo Nation and initiated after community members expressed concern with the uranium exposure of their sheep. Preliminary investigation into the presence of uranium in sheep raised near Cameron showed elevated uranium levels in the kidneys the sheep tested. The goal of this study is to investigate mutton consumption among the Navajo living in Cameron. Mutton is a traditional food of the Navajo, but consumption practices are not well documented. An important aspect of determining the extent of exposure through food consumption is to assess the frequency of consumption. The results of this study indicate the Cameron participants consume mutton most commonly at family gatherings or celebrations. The survey suggests that less mutton is consumed now compared to the past, and there is concern that contaminated mutton may change traditional ceremonies |
Kumar, Amit; Rivera-Hernandez, Maricruz; Karmarkar, Amol M; Chou, Lin-Na; Kuo, Yong-Fang; Baldwin, Julie A; Panagiotou, Orestis A; Burke, Robert; Ottenbacher, Kenneth J Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults Journal Article Journal of the American Geriatrics Society, 00 (00), pp. 1-8, 2019. @article{Kumar2019, title = {Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults}, author = {Amit Kumar and Maricruz Rivera-Hernandez and Amol M. Karmarkar and Lin-Na Chou and Yong-Fang Kuo and Julie A. Baldwin and Orestis A. Panagiotou and Robert Burke and Kenneth J. Ottenbacher}, url = {https://doi.org/10.1111/jgs.16202}, doi = {10.1111/jgs.16202}, year = {2019}, date = {2019-10-19}, journal = {Journal of the American Geriatrics Society}, volume = {00}, number = {00}, pages = {1-8}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Eaves, Emery R; Kohlbeck, Bailey S; Camplain, Carolyn Reflexive Challenges in Community Engaged Research in a County Jail Journal Article Practicing Anthropology, 41 (4), pp. 26-30, 2019. @article{Eaves2019b, title = {Reflexive Challenges in Community Engaged Research in a County Jail}, author = {Eaves, Emery R and Kohlbeck, Bailey S and Camplain, Carolyn}, doi = {10.17730/0888-4552.41.4.26}, year = {2019}, date = {2019-10-16}, journal = {Practicing Anthropology}, volume = {41}, number = {4}, pages = {26-30}, abstract = {https://doi.org/10.17730/0888-4552.41.4.26}, keywords = {}, pubstate = {published}, tppubtype = {article} } https://doi.org/10.17730/0888-4552.41.4.26 |
Viacheslav Y. Fofanov Crystal M. Hepp, Jill Hager Cocking ; II, Robert Trotter T Practicing Anthropology, 41 (4), pp. 40-45, 2019. @article{Fofanov2019, title = {Overcoming Institutional, Scientific, and Cross-disciplinary Barriers for Healthcare and Disease Transmission Research in County Jail Settings: Integrating Genomics, Survey Data, and Biological Data Collection Strategies}, author = {Viacheslav Y. Fofanov, Crystal M. Hepp, Jill Hager Cocking, and Robert T. Trotter II }, url = {https://doi.org/10.17730/0888-4552.41.4.40}, doi = {10.17730/0888-4552.41.4.40}, year = {2019}, date = {2019-10-16}, journal = {Practicing Anthropology}, volume = {41}, number = {4}, pages = {40-45}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Fofanov, Viacheslav Y; Trotter, Robert T Organizational and Institutional Compartmentalization as a Barrier to Population Health Journal Article Practicing Anthropology, 41 (4), pp. 35-39, 2019. @article{Fofanov2019b, title = {Organizational and Institutional Compartmentalization as a Barrier to Population Health}, author = {Fofanov, Viacheslav Y. and Trotter, Robert T. }, url = {https://doi.org/10.17730/0888-4552.41.4.35}, doi = {10.17730/0888-4552.41.4.35}, year = {2019}, date = {2019-10-16}, journal = {Practicing Anthropology}, volume = {41}, number = {4}, pages = {35-39}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Camplain, Ricky ; Baldwin, Julie A Commentary: The Search for Health Equity among Individuals Incarcerated in Jail Journal Article Practicing Anthropology, 41 (4), pp. 46-48, 2019. @article{Camplain2019c, title = {Commentary: The Search for Health Equity among Individuals Incarcerated in Jail}, author = {Camplain, Ricky and Baldwin, Julie A. }, url = {https://doi.org/10.17730/0888-4552.41.4.46}, year = {2019}, date = {2019-10-16}, journal = {Practicing Anthropology}, volume = {41}, number = {4}, pages = {46-48}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Valdez, Elizabeth Salerno; Skobic, Iva; Valdez, Luis; Garcia, David O; Korchmaros, Josephine; Stevens, Sally; Sabo, Samantha; Carvajal, Scott Youth Participatory Action Research for Youth Substance Use Prevention: A Systematic Review Journal Article Substance Use and Misuse, 55 (2), pp. 314-328, 2019. @article{Valdez2019d, title = {Youth Participatory Action Research for Youth Substance Use Prevention: A Systematic Review}, author = {Elizabeth Salerno Valdez and Iva Skobic and Luis Valdez and David O Garcia and Josephine Korchmaros and Sally Stevens and Samantha Sabo and Scott Carvajal}, url = {https://doi.org/10.1080/10826084.2019.1668014 }, doi = {10.1080/10826084.2019.1668014}, year = {2019}, date = {2019-10-09}, journal = {Substance Use and Misuse}, volume = {55}, number = {2}, pages = {314-328}, abstract = {A growing body of research points to the efficacy of participatory methods in decreasing rates of alcohol, tobacco, and other drug use and other risky behaviors among youth. However, to date, no systematic review of the literature has been conducted on Youth Participatory Action Research (YPAR) for youth substance use prevention. This review draws on the peer-reviewed literature on YPAR in the context of youth substance use prevention published from January 1, 1998 through April 30, 2018. Methods: We summarize (1) the published evidence regarding YPAR for youth substance use prevention; (2) the level of youth engagement in the research process; (3) the methodologies used in YPAR studies for youth substance use prevention; and (4) where more research is needed. We used Reliability-Tested Guidelines for Assessing Participatory Research Projects to assess the level of youth engagement in the research process. Results: In all, we identified 15 unduplicated peer-reviewed, English-language articles that referenced YPAR, Community Based Participatory Research, youth, and substance use prevention. Conclusions: Our findings indicated that youth participation in research and social action resulted in increased community awareness of substance use and related solutions. This supports the premise of youth participation as an agent of community change by producing community-specific substance use data and prevention materials. Identified weaknesses include inconsistent levels of youth engagement throughout the research process, a lack of formalized agreements between youth and researchers with regard to project and data management, and a lack of outcome evaluation measures for assessing YPAR for youth substance use prevention.}, keywords = {}, pubstate = {published}, tppubtype = {article} } A growing body of research points to the efficacy of participatory methods in decreasing rates of alcohol, tobacco, and other drug use and other risky behaviors among youth. However, to date, no systematic review of the literature has been conducted on Youth Participatory Action Research (YPAR) for youth substance use prevention. This review draws on the peer-reviewed literature on YPAR in the context of youth substance use prevention published from January 1, 1998 through April 30, 2018. Methods: We summarize (1) the published evidence regarding YPAR for youth substance use prevention; (2) the level of youth engagement in the research process; (3) the methodologies used in YPAR studies for youth substance use prevention; and (4) where more research is needed. We used Reliability-Tested Guidelines for Assessing Participatory Research Projects to assess the level of youth engagement in the research process. Results: In all, we identified 15 unduplicated peer-reviewed, English-language articles that referenced YPAR, Community Based Participatory Research, youth, and substance use prevention. Conclusions: Our findings indicated that youth participation in research and social action resulted in increased community awareness of substance use and related solutions. This supports the premise of youth participation as an agent of community change by producing community-specific substance use data and prevention materials. Identified weaknesses include inconsistent levels of youth engagement throughout the research process, a lack of formalized agreements between youth and researchers with regard to project and data management, and a lack of outcome evaluation measures for assessing YPAR for youth substance use prevention. |
Schwartz, Margot L; Kosar, Cyrus M; M., Tracy; Kumar, Amit; Rahman, Momotazur Quality of Home Health Agencies Serving Traditional Medicare vs Medicare Advantage Beneficiaries Journal Article Journal of American Medical Association, 2 (9), pp. 1-8, 2019. @article{Schwartz2019, title = {Quality of Home Health Agencies Serving Traditional Medicare vs Medicare Advantage Beneficiaries}, author = {Margot L. Schwartz and Cyrus M. Kosar and Tracy M. and Amit Kumar and Momotazur Rahman}, url = {https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2749236}, doi = {10.1001/jamanetworkopen.2019.10622}, year = {2019}, date = {2019-09-04}, journal = {Journal of American Medical Association}, volume = {2}, number = {9}, pages = {1-8}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Williamson, Heather J; Brennan, Alissa C; Tress, Samantha F; Joseph, Darold H; Baldwin, Julie A Exploring Health and Wellness among Native American Adults with Intellectual and/or Developmental Disabilities and Their Family Caregivers Journal Article Journal of Applied Research in Intellectual Disabilities, pp. 1-7, 2019. @article{Williamson2019b, title = {Exploring Health and Wellness among Native American Adults with Intellectual and/or Developmental Disabilities and Their Family Caregivers}, author = {Heather J. Williamson and Alissa C. Brennan and Samantha F. Tress and Darold H. Joseph and Julie A. Baldwin}, url = {https://onlinelibrary.wiley.com/doi/full/10.1111/jar.12664}, doi = {10.1111/jar.12664}, year = {2019}, date = {2019-08-22}, journal = {Journal of Applied Research in Intellectual Disabilities}, pages = {1-7}, abstract = {Background: Adults with intellectual and/or developmental disabilities (IDD) experience health inequities, and those who also identify as a member of an ethnic minority group face additional health inequities. In the United States, a majority of adults with IDD continue to be supported by family caregivers making their health equity also important. The purpose of this study was to explore how Native American adults with IDD and their family caregivers experience health and wellness. Method: This community‐engaged research was guided by a Community Advisory Board (CAB) with study participants completing a photovoice project. Results: Participants identified individual, family and community level influences on health and wellness including the importance of participation in meaningful activities and connection to culture. Conclusions: In order to address health inequities, more research is needed to under‐ stand health and wellness from the unique perspectives of individuals with IDD and those from racial and ethnic minority groups.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: Adults with intellectual and/or developmental disabilities (IDD) experience health inequities, and those who also identify as a member of an ethnic minority group face additional health inequities. In the United States, a majority of adults with IDD continue to be supported by family caregivers making their health equity also important. The purpose of this study was to explore how Native American adults with IDD and their family caregivers experience health and wellness. Method: This community‐engaged research was guided by a Community Advisory Board (CAB) with study participants completing a photovoice project. Results: Participants identified individual, family and community level influences on health and wellness including the importance of participation in meaningful activities and connection to culture. Conclusions: In order to address health inequities, more research is needed to under‐ stand health and wellness from the unique perspectives of individuals with IDD and those from racial and ethnic minority groups. |
Trotter, Robert T; Camplain, Ricky ; Eaves, Emery R; Fofanov, Viacheslav Y; Dmitrieva, Natalia O; Hepp, Crystal M; Warren, Meghan ; Barrios, Brianna A; Pagel, Nicole ; Mayer, Alyssa ; Baldwin, Julie A Health Disparities and Converging Epidemics in Jail Populations: Protocol for a Mixed-Methods Study Journal Article Journal of Medical Internet Research, 7 (10), 2019. @article{Trotter2019, title = {Health Disparities and Converging Epidemics in Jail Populations: Protocol for a Mixed-Methods Study}, author = {Trotter, Robert T and Camplain, Ricky and Eaves, Emery R and Fofanov, Viacheslav Y and Dmitrieva, Natalia O and Hepp, Crystal M and Warren, Meghan and Barrios, Brianna A and Pagel, Nicole and Mayer, Alyssa and Baldwin, Julie A }, doi = {10.2196/10337}, year = {2019}, date = {2019-08-05}, journal = {Journal of Medical Internet Research}, volume = {7}, number = {10}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Valdez, Elizabeth Salerno; Korchmaros, Josephine; Sabo, Samantha; Garcia, David O; Carvajal, Scott; Stevens, Sally How the U.S.-Mexico border influences adolescent substance use: Youth participatory action research using photovoice Journal Article International Journal of Drug Policy, 2019. @article{Valdez2019b, title = {How the U.S.-Mexico border influences adolescent substance use: Youth participatory action research using photovoice}, author = {Elizabeth Salerno Valdez and Josephine Korchmaros and Samantha Sabo and David O. Garcia and Scott Carvajal and Sally Stevens}, url = {https://www.sciencedirect.com/science/article/pii/S0955395919301896}, doi = {https://doi.org/10.1016/j.drugpo.2019.07.011}, year = {2019}, date = {2019-07-26}, journal = {International Journal of Drug Policy}, abstract = {Introduction The purpose of this study is to use Youth Participatory Action Research (YPAR) methods and Photovoice to identify the perceived environmental factors that influence substance use among adolescents living at the U.S.-Mexico border. Methods One academic and a local youth health coalition engaged in Youth Participatory Action Research (YPAR) using Photovoice and qualitative methods to examine the perceived factors influencing adolescent substance use in their border community. Results Identified novel risk factors for adolescent substance use on the border included the normalization of drug trafficking, normalization of substance use, and cross-border access to substances. Novel protective factors included living in a close-knit binational community and having strong binational family and social support systems. The findings also illustrate a nexus of 'factors' wherein risk and protective elements overlap. Conclusion This study contributes to the broader literature on international border health and how living in a border space influences adolescent substance use. The examination of influential border-bound factors provides a more complete understanding of the experiences of youth living on the U.S.-Mexico border, and informs the field of the importance of considering the border experience for future prevention and risk reduction efforts with border adolescents.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Introduction The purpose of this study is to use Youth Participatory Action Research (YPAR) methods and Photovoice to identify the perceived environmental factors that influence substance use among adolescents living at the U.S.-Mexico border. Methods One academic and a local youth health coalition engaged in Youth Participatory Action Research (YPAR) using Photovoice and qualitative methods to examine the perceived factors influencing adolescent substance use in their border community. Results Identified novel risk factors for adolescent substance use on the border included the normalization of drug trafficking, normalization of substance use, and cross-border access to substances. Novel protective factors included living in a close-knit binational community and having strong binational family and social support systems. The findings also illustrate a nexus of 'factors' wherein risk and protective elements overlap. Conclusion This study contributes to the broader literature on international border health and how living in a border space influences adolescent substance use. The examination of influential border-bound factors provides a more complete understanding of the experiences of youth living on the U.S.-Mexico border, and informs the field of the importance of considering the border experience for future prevention and risk reduction efforts with border adolescents. |
Lemmon, Monica E; Huffstetler, Hanna; Barks, Mary Carol; Kirby, Christine; Katz, Madelaine; Ubel, Peter A; Docherty, Sharron L; Brandon, Debra Neurologic Outcome After Prematurity: Perspectives of Parents and Clinicians. Journal Article American Academy of Pediatrics, 144 (1), 2019. @article{Lemmon2019, title = {Neurologic Outcome After Prematurity: Perspectives of Parents and Clinicians.}, author = {Monica E. Lemmon and Hanna Huffstetler and Mary Carol Barks and Christine Kirby and Madelaine Katz and Peter A. Ubel and Sharron L. Docherty and Debra Brandon}, url = {https://www.ncbi.nlm.nih.gov/pubmed/31248939}, doi = {10.1542/peds.2018-3819}, year = {2019}, date = {2019-07-01}, journal = { American Academy of Pediatrics}, volume = {144}, number = {1}, abstract = {BACKGROUND: Parents and clinicians caring for premature infants face high-stakes and time-sensitive decisions about care. We aimed to characterize how parents and clinicians discuss outcome in the context of decision-making for premature infants. METHODS: In this qualitative descriptive study, we used a case-based, prospective design. Cases of extreme prematurity were targeted. Parents and clinicians completed semistructured interviews about care decisions longitudinally in the first year of life. Interview data were analyzed by using directed content analysis. RESULTS: Sixteen parents and 53 clinicians of 10 infants completed 178 interviews (n = 115 parent; n = 63 clinician). Two primary themes emerged. First, parents and clinicians discussed prognostic information differently from each other. Parents focused on whether their infant would survive, whereas clinicians concentrated on neurologic outcome and the potential for life with disability. Parent discussion of the future was broad and rooted in hope and spirituality. Clinician prognostic language was narrowly focused and probabilistic. Second, we identified barriers and facilitators to a shared understanding of infant outcome. Clinicians perceived that parents were unaware of or unable to process important information about the big picture. Parents valued consistent therapeutic relationships; transitions of care and underused roles of the care team undermined this consistency. Clinical uncertainty forced parents and clinicians to "wait and see" about the future. CONCLUSIONS: Parents and clinicians discuss and weigh information about the future differently from each other as they consider choices for extremely premature infants. Future work should characterize the impact of these differences on prognostic communication and decision-making.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Parents and clinicians caring for premature infants face high-stakes and time-sensitive decisions about care. We aimed to characterize how parents and clinicians discuss outcome in the context of decision-making for premature infants. METHODS: In this qualitative descriptive study, we used a case-based, prospective design. Cases of extreme prematurity were targeted. Parents and clinicians completed semistructured interviews about care decisions longitudinally in the first year of life. Interview data were analyzed by using directed content analysis. RESULTS: Sixteen parents and 53 clinicians of 10 infants completed 178 interviews (n = 115 parent; n = 63 clinician). Two primary themes emerged. First, parents and clinicians discussed prognostic information differently from each other. Parents focused on whether their infant would survive, whereas clinicians concentrated on neurologic outcome and the potential for life with disability. Parent discussion of the future was broad and rooted in hope and spirituality. Clinician prognostic language was narrowly focused and probabilistic. Second, we identified barriers and facilitators to a shared understanding of infant outcome. Clinicians perceived that parents were unaware of or unable to process important information about the big picture. Parents valued consistent therapeutic relationships; transitions of care and underused roles of the care team undermined this consistency. Clinical uncertainty forced parents and clinicians to "wait and see" about the future. CONCLUSIONS: Parents and clinicians discuss and weigh information about the future differently from each other as they consider choices for extremely premature infants. Future work should characterize the impact of these differences on prognostic communication and decision-making. |
Panagiotou, Orestis A; Kumar, Amit; Gutman, Roee; Keohane, Laura M; Rivera-Hernandez, Maricruz; Rahman, Momotazur; Gozalo, Pedro L; Mor, Vincent; Trivedi, Amal N Hospital Readmission Rates in Medicare Advantage and Traditional Medicare: A Retrospective Population-Based Analysis Journal Article Annals of Internal Medicine, 171 (2), pp. 99-106, 2019. @article{Panagiotou2019, title = {Hospital Readmission Rates in Medicare Advantage and Traditional Medicare: A Retrospective Population-Based Analysis}, author = {Orestis A. Panagiotou and Amit Kumar and Roee Gutman and Laura M. Keohane and Maricruz Rivera-Hernandez and Momotazur Rahman and Pedro L. Gozalo and Vincent Mor and Amal N. Trivedi}, url = {https://annals.org/aim/article-abstract/2736919/hospital-readmission-rates-medicare-advantage-traditional-medicare-retrospective-population-based}, doi = {10.7326/M18-1795}, year = {2019}, date = {2019-06-25}, journal = {Annals of Internal Medicine}, volume = {171}, number = {2}, pages = {99-106}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Young, Belinda-Rose; Gwede, Clement K; Thomas, Bria; Vázquez-Otero, Coralia; Ewing, Aldenise; Best, Alicia L; Claudia X. Aguado Loi and, Dinorah Martinez-Tyson ; Schneider, Tali; Meade, Cathy D; Baldwin, Julie A; Bryant, Carol Front Public Health, 2019. @article{Young2019, title = {A Systematic Review of U.S.-Based Colorectal Cancer Screening Uptake Intervention Systematic Reviews: Available Evidence and Lessons Learned for Research and Practice.}, author = {Belinda-Rose Young and Clement K. Gwede and Bria Thomas and Coralia Vázquez-Otero and Aldenise Ewing and Alicia L. Best and Claudia X. Aguado Loi and, Dinorah Martinez-Tyson and Tali Schneider and Cathy D. Meade and Julie A. Baldwin and Carol Bryant}, url = {https://www.ncbi.nlm.nih.gov/pubmed/31245345}, doi = {10.3389/fpubh.2019.00145}, year = {2019}, date = {2019-06-11}, journal = {Front Public Health}, abstract = {Background: We examined colorectal cancer screening (CRCS) intervention effectiveness, through the effect sizes associated with: (1) screening modality, (2) intervention level (e.g., client-directed), and (3) intervention component (e.g. client reminders) within published CRCS intervention systematic reviews (SRs). Methods: A search of peer-reviewed CRCS SRs that were written in English was employed utilizing five databases: CINAHL, Cochrane Library, rTIPS, PubMed, and PsycINFO EBSCOHOST. SRs that included CRCS interventions with a randomized controlled trial, quasi-experimental, or single arm design were eligible. Data on effect sizes by screening modality, intervention level, and intervention component were extracted and synthesized. Results: There were 16 eligible CRCS intervention SRs that included 116 studies published between 1986 and 2013. Reviews organized data by CRCS screening modality, or intervention component. Effect size reporting varied by format (i.e., ranges, medians of multiple studies, or effect size per study), and groupings of modalities and components. Overall, the largest effect sizes were for studies that utilized a combination of colonoscopy, fecal occult blood test (FOBT), and sigmoidoscopy as screening options (16-45 percentage point difference). Conclusions: Evidence suggests that CRCS interventions which include a combination of screening modalities may be most effective. This is the first SR to examine effect sizes of published CRCS SRs. However, because some SRs did not report effect sizes and there were tremendous variability reporting formats among those that did, a standard reporting format is warranted. Synthesizing findings can contribute to improved knowledge of evidence-based best-practices, direct translation of findings into policy and practice, and guide further research in CRCS.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: We examined colorectal cancer screening (CRCS) intervention effectiveness, through the effect sizes associated with: (1) screening modality, (2) intervention level (e.g., client-directed), and (3) intervention component (e.g. client reminders) within published CRCS intervention systematic reviews (SRs). Methods: A search of peer-reviewed CRCS SRs that were written in English was employed utilizing five databases: CINAHL, Cochrane Library, rTIPS, PubMed, and PsycINFO EBSCOHOST. SRs that included CRCS interventions with a randomized controlled trial, quasi-experimental, or single arm design were eligible. Data on effect sizes by screening modality, intervention level, and intervention component were extracted and synthesized. Results: There were 16 eligible CRCS intervention SRs that included 116 studies published between 1986 and 2013. Reviews organized data by CRCS screening modality, or intervention component. Effect size reporting varied by format (i.e., ranges, medians of multiple studies, or effect size per study), and groupings of modalities and components. Overall, the largest effect sizes were for studies that utilized a combination of colonoscopy, fecal occult blood test (FOBT), and sigmoidoscopy as screening options (16-45 percentage point difference). Conclusions: Evidence suggests that CRCS interventions which include a combination of screening modalities may be most effective. This is the first SR to examine effect sizes of published CRCS SRs. However, because some SRs did not report effect sizes and there were tremendous variability reporting formats among those that did, a standard reporting format is warranted. Synthesizing findings can contribute to improved knowledge of evidence-based best-practices, direct translation of findings into policy and practice, and guide further research in CRCS. |
Lam, Felix; Pro, George; Agrawal, Shreya; Shastri, Vishal Dev; Wentworth, Leslie; Stanley, Melinda; Beri, Nitin; Tupe, Abhishek; Mishra, Ashutosh; Subramaniam, Hamsa; Schroder, Kate; Prescott, Marta Rose; Trikha, Naresh Journal of Global Health, 9 (1), 2019. @article{Lam2019, title = {Effect of enhanced detailing and mass media on community use of oral rehydration salts and zinc during a scale-up program in Gujarat and Uttar Pradesh.}, author = {Felix Lam and George Pro and Shreya Agrawal and Vishal Dev Shastri and Leslie Wentworth and Melinda Stanley and Nitin Beri and Abhishek Tupe and Ashutosh Mishra and Hamsa Subramaniam and Kate Schroder and Marta Rose Prescott and Naresh Trikha}, url = {https://www.ncbi.nlm.nih.gov/pubmed/30546870}, doi = {10.7189/jogh.09.010501}, year = {2019}, date = {2019-06-09}, journal = {Journal of Global Health}, volume = {9}, number = {1}, abstract = {Background: The Clinton Health Access Initiative implemented a program from 2012-2016 to increase use of oral rehydration salts (ORS) and zinc to treat diarrhea in children under five in three states in India: Gujarat, Madhya Pradesh, and Uttar Pradesh. The program interventions included detailing and development of a rural supply chain to reach private rural health care providers, training of Accredited Social Health Activists (ASHAs), technical support to the state governments, and a mass media campaign targeted at caregivers. In Gujarat and Uttar Pradesh, some of the program activities, such as detailing and ASHA trainings, were targeted to high-burden focal districts, thus providing an opportunity to study their effect compared to statewide activities that covered all districts, such as the mass media campaign. Our study aimed to estimate the effect of activities on ORS and zinc use. Methods: Household surveys were conducted at two points during the program and in both focal and non-focal districts. We used a difference-in-difference quasi-experimental approach to estimate the effect of the enhanced activities in focal districts and mass media campaign on the odds of a child being treated with ORS and zinc. Findings: Focal district interventions were associated with a significant increase in the odds of a diarrhea episode receiving ORS in Gujarat and Uttar Pradesh. Living in focal districts increased the odds of receiving ORS in Gujarat and Uttar Pradesh by factors of 3.42 (95% CI = 1.39-8.33) and 2.29 (95% CI = 1.19-4.39), respectively. Focal district interventions were also associated with 15.02 (95% CI = 2.97-75.19) greater odds of receiving both ORS and zinc in Gujarat. In Uttar Pradesh, where the mass media campaign was focused, exposure to the campaign further modified the odds of receiving ORS and combined ORS and zinc by 1.38 (95% CI = 1.04-1.84) and 1.57 (95% CI = 1.01-2.46), respectively. Conclusion: Comprehensive public and private provider interventions combined with mass media are effective strategies for increasing ORS and zinc use.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: The Clinton Health Access Initiative implemented a program from 2012-2016 to increase use of oral rehydration salts (ORS) and zinc to treat diarrhea in children under five in three states in India: Gujarat, Madhya Pradesh, and Uttar Pradesh. The program interventions included detailing and development of a rural supply chain to reach private rural health care providers, training of Accredited Social Health Activists (ASHAs), technical support to the state governments, and a mass media campaign targeted at caregivers. In Gujarat and Uttar Pradesh, some of the program activities, such as detailing and ASHA trainings, were targeted to high-burden focal districts, thus providing an opportunity to study their effect compared to statewide activities that covered all districts, such as the mass media campaign. Our study aimed to estimate the effect of activities on ORS and zinc use. Methods: Household surveys were conducted at two points during the program and in both focal and non-focal districts. We used a difference-in-difference quasi-experimental approach to estimate the effect of the enhanced activities in focal districts and mass media campaign on the odds of a child being treated with ORS and zinc. Findings: Focal district interventions were associated with a significant increase in the odds of a diarrhea episode receiving ORS in Gujarat and Uttar Pradesh. Living in focal districts increased the odds of receiving ORS in Gujarat and Uttar Pradesh by factors of 3.42 (95% CI = 1.39-8.33) and 2.29 (95% CI = 1.19-4.39), respectively. Focal district interventions were also associated with 15.02 (95% CI = 2.97-75.19) greater odds of receiving both ORS and zinc in Gujarat. In Uttar Pradesh, where the mass media campaign was focused, exposure to the campaign further modified the odds of receiving ORS and combined ORS and zinc by 1.38 (95% CI = 1.04-1.84) and 1.57 (95% CI = 1.01-2.46), respectively. Conclusion: Comprehensive public and private provider interventions combined with mass media are effective strategies for increasing ORS and zinc use. |
Camplain, Ricky; Baldwin, Julie A; Warren, Meghan; Camplain, Carolyn Physical Activity in People Who Are Incarcerated: A Social Justice Issue Journal Article Journal of Physical Activity and Health, 16 (5), pp. 306-307, 2019. @article{Camplain2019, title = {Physical Activity in People Who Are Incarcerated: A Social Justice Issue}, author = {Ricky Camplain and Julie A Baldwin and Meghan Warren and Carolyn Camplain}, url = {https://journals.humankinetics.com/doi/full/10.1123/jpah.2019-0055}, year = {2019}, date = {2019-05-05}, journal = {Journal of Physical Activity and Health}, volume = {16}, number = {5}, pages = {306-307}, abstract = {Every year, approximately 12 million Americans cycle in and out of jail (ie, short-term facilities that hold individuals awaiting trial and/or sentenced to a term of less than 1 y).1 Although jails allow incarcerated individuals’ recreation time to engage in physical activity,2 it is not clear to what extent these opportunities are utilized. This potential lack of engagement in physical activity is concerning, especially as some of the benefits of physical activity are immediate and may improve the day-to-day life for those who are incarcerated. For example, a single bout of moderate to vigorous physical activity will reduce blood pressure, improve insulin sensitivity, improve sleep and cognition, and reduce symptoms of anxiety symptoms and anger.3 Unfortunately, use of recreation time in the jail setting has not been described previously, thereby precluding an important area for policy intervention.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Every year, approximately 12 million Americans cycle in and out of jail (ie, short-term facilities that hold individuals awaiting trial and/or sentenced to a term of less than 1 y).1 Although jails allow incarcerated individuals’ recreation time to engage in physical activity,2 it is not clear to what extent these opportunities are utilized. This potential lack of engagement in physical activity is concerning, especially as some of the benefits of physical activity are immediate and may improve the day-to-day life for those who are incarcerated. For example, a single bout of moderate to vigorous physical activity will reduce blood pressure, improve insulin sensitivity, improve sleep and cognition, and reduce symptoms of anxiety symptoms and anger.3 Unfortunately, use of recreation time in the jail setting has not been described previously, thereby precluding an important area for policy intervention. |
A, Kumar; D, Adhikari; A, Karmarkar; J, Freburger; P, Gozalo; V, Mor; L, Resnik Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States Journal Article Physical Therapy, 99 (5), pp. 494-506, 2019. @article{A2019b, title = {Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States}, author = {Kumar A and Adhikari D and Karmarkar A and Freburger J and Gozalo P and Mor V and Resnik L }, url = {https://www.ncbi.nlm.nih.gov/pubmed/31089705}, doi = {10.1093/ptj/pzz014}, year = {2019}, date = {2019-05-01}, journal = {Physical Therapy}, volume = {99}, number = {5}, pages = {494-506}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Camplain, Ricky; Warren, Meghan; Baldwin, Julie; Camplain, Carolyn; Fofanov, Viacheslav Y; Trotter, Robert T Epidemiology of incarceration Characterizing jail incarceration for public health research Journal Article Epidemiology, 2019. @article{Camplain2019d, title = {Epidemiology of incarceration Characterizing jail incarceration for public health research}, author = {Ricky Camplain and Meghan Warren and Julie Baldwin and Carolyn Camplain and Viacheslav Y Fofanov and Robert T Trotter}, url = {https://journals.lww.com/epidem/Abstract/2019/07000/Epidemiology_of_Incarceration__Characterizing_Jail.14.aspx}, doi = {10.1097/EDE.0000000000001021}, year = {2019}, date = {2019-04-08}, journal = {Epidemiology}, abstract = {Background: Each year, 9 million individuals cycle in and out of jails. The under-characterization of incarceration as an exposure poses substantial challenges to understanding how varying levels of exposure to jail may affect health. Thus, we characterized levels of jail incarceration including recidivism, number of incarcerations, total and average number of days incarcerated, and time to re-incarceration. Methods: We created a cohort of 75,203 individuals incarcerated at the Coconino County Detention Facility in Flagstaff, Arizona, from 2001-2018 from jail intake and release records. Results: The median number of incarcerations during the study period was 1 (Interquartile range (IQR) 1, 2). Forty percent of individuals had >1 incarceration. The median length of stay for first observed incarcerations was 1 day (IQR 0, 5). The median total days incarcerated was 3 (IQR 1, 23). Average length of stay increased by number of incarcerations. By 18 months, 27% of our sample had been re-incarcerated. Conclusion: Characteristics of jail incarceration have been largely left out of public health research. A better understanding of jail incarcerations can help design analyses to assess health outcomes of individuals incarcerated in jail. Our study is an early step in shaping an understanding of jail incarceration as an exposure for future epidemiologic research.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: Each year, 9 million individuals cycle in and out of jails. The under-characterization of incarceration as an exposure poses substantial challenges to understanding how varying levels of exposure to jail may affect health. Thus, we characterized levels of jail incarceration including recidivism, number of incarcerations, total and average number of days incarcerated, and time to re-incarceration. Methods: We created a cohort of 75,203 individuals incarcerated at the Coconino County Detention Facility in Flagstaff, Arizona, from 2001-2018 from jail intake and release records. Results: The median number of incarcerations during the study period was 1 (Interquartile range (IQR) 1, 2). Forty percent of individuals had >1 incarceration. The median length of stay for first observed incarcerations was 1 day (IQR 0, 5). The median total days incarcerated was 3 (IQR 1, 23). Average length of stay increased by number of incarcerations. By 18 months, 27% of our sample had been re-incarcerated. Conclusion: Characteristics of jail incarceration have been largely left out of public health research. A better understanding of jail incarcerations can help design analyses to assess health outcomes of individuals incarcerated in jail. Our study is an early step in shaping an understanding of jail incarceration as an exposure for future epidemiologic research. |
Gilbert, Paul A; Pro, George; Zemore, Sarah E; Mulia, Nina; Brown, Grant Gender Differences in Use of Alcohol Treatment Services and Reasons for Nonuse in a National Sample. Journal Article Alcoholism: clinical and experimental research, 2019. @article{Gilbert2019, title = {Gender Differences in Use of Alcohol Treatment Services and Reasons for Nonuse in a National Sample.}, author = {Paul A. Gilbert and George Pro and Sarah E. Zemore and Nina Mulia and Grant Brown}, url = {https://www.ncbi.nlm.nih.gov/pubmed/30807660}, doi = { 10.1111/acer.13965}, year = {2019}, date = {2019-04-01}, journal = {Alcoholism: clinical and experimental research}, abstract = {BACKGROUND: The majority of adults with alcohol use disorders do not obtain help, and women are less likely to utilize alcohol services than men. We sought to quantify gender differences in alcohol services utilization, overall and by type, using national longitudinal data and to explore potential gender differences in perceived need for help and reasons for not seeking help. METHODS: We analyzed data from the National Epidemiologic Survey on Alcohol and Related Conditions from White, African American, and Hispanic adults (n = 2,592) who met DSM-IV criteria for alcohol abuse or dependence at Wave 1 (2000 to 2001). We tested gender differences in Wave 2 (2004 to 2005) services utilization, perceived need for help, and treatment barriers using Rao-Scott chi-square tests and assessed predictors of outcomes in multivariable logistic regression, adjusting for problem severity, co-occurring disorders, and demographics. RESULTS: Women had much lower odds than men of utilizing any alcohol service (adjusted odds ratio [aOR] 0.53; 95% confidence interval [95% CI]: 0.33, 0.86), specialty services (aOR 0.41; 95% CI 0.19, 0.87), and 12-step groups (aOR 0.39; 95% CI 0.21, 0.71). Perceived need for help among those who had not used any services was very low (5%), with no gender difference. Further, men and women reported equivalent numbers of treatment barriers and the same rank order for the most frequently endorsed barriers. However, women were twice as likely as men to think a problem would get better by itself-the most frequent reason for not seeking help (47% vs. 24%, p < 0.001), and men were more likely than women to report unsuccessful past help-seeking and not thinking anyone could help (19% vs. 3%, p < 0.001 and 17% vs. 5%, p = 0.001, respectively). CONCLUSIONS: Consistent with previous studies, women were less likely to utilize alcohol services than men. Future interventions should address low problem recognition, and tailoring to gender-specific barriers may help close the disparity in services utilization.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: The majority of adults with alcohol use disorders do not obtain help, and women are less likely to utilize alcohol services than men. We sought to quantify gender differences in alcohol services utilization, overall and by type, using national longitudinal data and to explore potential gender differences in perceived need for help and reasons for not seeking help. METHODS: We analyzed data from the National Epidemiologic Survey on Alcohol and Related Conditions from White, African American, and Hispanic adults (n = 2,592) who met DSM-IV criteria for alcohol abuse or dependence at Wave 1 (2000 to 2001). We tested gender differences in Wave 2 (2004 to 2005) services utilization, perceived need for help, and treatment barriers using Rao-Scott chi-square tests and assessed predictors of outcomes in multivariable logistic regression, adjusting for problem severity, co-occurring disorders, and demographics. RESULTS: Women had much lower odds than men of utilizing any alcohol service (adjusted odds ratio [aOR] 0.53; 95% confidence interval [95% CI]: 0.33, 0.86), specialty services (aOR 0.41; 95% CI 0.19, 0.87), and 12-step groups (aOR 0.39; 95% CI 0.21, 0.71). Perceived need for help among those who had not used any services was very low (5%), with no gender difference. Further, men and women reported equivalent numbers of treatment barriers and the same rank order for the most frequently endorsed barriers. However, women were twice as likely as men to think a problem would get better by itself-the most frequent reason for not seeking help (47% vs. 24%, p < 0.001), and men were more likely than women to report unsuccessful past help-seeking and not thinking anyone could help (19% vs. 3%, p < 0.001 and 17% vs. 5%, p = 0.001, respectively). CONCLUSIONS: Consistent with previous studies, women were less likely to utilize alcohol services than men. Future interventions should address low problem recognition, and tailoring to gender-specific barriers may help close the disparity in services utilization. |