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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Bosch, Pamela R; Karmarkar, Amol M; Roy, Indrakshi; Fehnel, Corey R; Burke, Robert E; Kumar, Amit Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity Journal Article JAMA Netw Open, 5 (3), 2022. @article{Bosch2022, title = {Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity}, author = {Pamela R. Bosch and Amol M. Karmarkar and Indrakshi Roy and Corey R. Fehnel and Robert E. Burke and Amit Kumar}, url = {https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2790579}, doi = {10.1001/jamanetworkopen.2022.4596}, year = {2022}, date = {2022-03-31}, journal = {JAMA Netw Open}, volume = {5}, number = {3}, abstract = {Black and Hispanic US residents are disproportionately affected by stroke incidence, and patients with dual eligibility for Medicare and Medicaid may be predisposed to more severe strokes. Little is known about differences in stroke severity for individuals with dual eligibility, Black individuals, and Hispanic individuals, but understanding hospital admission stroke severity is the first important step for focusing strategies to reduce disparities in stroke care and outcomes. Objective To examine whether dual eligibility and race and ethnicity are associated with stroke severity in Medicare beneficiaries admitted to acute hospitals with ischemic stroke. Design, Setting, and Participants This retrospective cross-sectional study was conducted using Medicare claims data for patients with ischemic stroke admitted to acute hospitals in the United States from October 1, 2016, to December, 31, 2017. Data were analyzed from July 2021 and January 2022. Exposures Dual enrollment for Medicare and Medicaid; race and ethnicity categorized as White, Black, Hispanic, and other.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Black and Hispanic US residents are disproportionately affected by stroke incidence, and patients with dual eligibility for Medicare and Medicaid may be predisposed to more severe strokes. Little is known about differences in stroke severity for individuals with dual eligibility, Black individuals, and Hispanic individuals, but understanding hospital admission stroke severity is the first important step for focusing strategies to reduce disparities in stroke care and outcomes. Objective To examine whether dual eligibility and race and ethnicity are associated with stroke severity in Medicare beneficiaries admitted to acute hospitals with ischemic stroke. Design, Setting, and Participants This retrospective cross-sectional study was conducted using Medicare claims data for patients with ischemic stroke admitted to acute hospitals in the United States from October 1, 2016, to December, 31, 2017. Data were analyzed from July 2021 and January 2022. Exposures Dual enrollment for Medicare and Medicaid; race and ethnicity categorized as White, Black, Hispanic, and other. |
Ignacio, Matt; Oesterle, Sabrina; Mercado, Micaela; Carver, Ann; Lopez, Gilberto; Wolfersteig, Wendy; Ayers, Stephanie; Ki, Seol; Hamm, Kathryn; Parthasarathy, Sairam; Berryhill, Adam; Evans, Linnea; Sabo, Samantha; Doubeni, Chyke Nature Public Health Emergency Collection, pp. 1-13, 2022. @article{Ignacio2022, title = {Narratives from African American/Black, American Indian/Alaska Native, and Hispanic/Latinx community members in Arizona to enhance COVID-19 vaccine and vaccination uptake}, author = {Matt Ignacio and Sabrina Oesterle and Micaela Mercado and Ann Carver and Gilberto Lopez and Wendy Wolfersteig and Stephanie Ayers and Seol Ki and Kathryn Hamm and Sairam Parthasarathy and Adam Berryhill and Linnea Evans and Samantha Sabo and Chyke Doubeni}, url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942760/}, doi = {10.1007/s10865-022-00300-x}, year = {2022}, date = {2022-03-24}, journal = {Nature Public Health Emergency Collection}, pages = {1-13}, abstract = {The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake. |
Matt Ignacio Sabrina Oesterle, Micaela Mercado Ann Carver Gilberto Lopez Wendy Wolfersteig Stephanie Ayers Seol Ki Kathryn Hamm Sairam Parthasarathy Adam Berryhill Linnea Evans Samantha Sabo Chyke Doubeni Journal of Behavioral Medicine, 46 (1-2), pp. 140-152, 2022. @article{Ignacio2022b, title = {Narratives from African American/Black, American Indian/Alaska Native, and Hispanic/Latinx community members in Arizona to enhance COVID-19 vaccine and vaccination uptake}, author = {Matt Ignacio, Sabrina Oesterle, Micaela Mercado, Ann Carver, Gilberto Lopez, Wendy Wolfersteig, Stephanie Ayers, Seol Ki, Kathryn Hamm, Sairam Parthasarathy, Adam Berryhill, Linnea Evans, Samantha Sabo, Chyke Doubeni}, url = {https://doi.org/10.1007/s10865-022-00300-x}, doi = {10.1007/s10865-022-00300-x}, year = {2022}, date = {2022-03-24}, journal = {Journal of Behavioral Medicine}, volume = {46}, number = {1-2}, pages = {140-152}, abstract = {The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake. |
Pro, George; Liebert, Melissa; Remiker, Mark; Sabo, Samantha; Montgomery, Brooke E E; Zaller, Nickolas Homeless Opioid Treatment Clients Transitioning to Dependent and Independent Housing: Differential Outcomes by Race/Ethnicity Journal Article Substance Use & Misuse, 57 (6), pp. 867-875 , 2022. @article{Pro2022, title = {Homeless Opioid Treatment Clients Transitioning to Dependent and Independent Housing: Differential Outcomes by Race/Ethnicity}, author = {George Pro and Melissa Liebert and Mark Remiker and Samantha Sabo and Brooke E.E Montgomery and Nickolas Zaller}, doi = {10.1080/10826084.2022.2046097}, year = {2022}, date = {2022-03-02}, journal = {Substance Use & Misuse}, volume = {57}, number = {6}, pages = {867-875 }, abstract = {Homeless opioid treatment clients who transition into housing generally demonstrate better outcomes, but housing environments vary widely and may not benefit racial/ethnic minority populations equally. We sought to identify how race/ethnicity moderates the association between positive opioid treatment response and moving into dependent or independent living environments. Methods: We used the Treatment Episode Dataset-Discharges (2018–2019) to identify outpatient treatment clients who were homeless at admission and indicated heroin or other opioids as their primary drug of choice (n = 20,021). We defined positive treatment response as a reduction in opioid use between admission and discharge. We used multivariable logistic regression to model treatment response. We included an interaction between housing at discharge (remained homeless [reference], dependent living, or independent living) and race/ethnicity, and adjusted for relevant confounders. Results: Transitioning from homeless to dependent living was positively associated with treatment response among White (aOR = 3.57, 95% CI = 3.15-4.06), Hispanic (aOR = 2.11, 95% CI = 1.55-2.86), and Black clients (aOR = 1.79, 95% CI = 1.41-2.27), but no association was observed for homeless American Indian/Alaska Native clients. Transitioning from homeless to independent living was strongly associated with treatment response among all groups with the strongest association observed among White clients (aOR = 4.70, 95% CI = 4.26-5.19). Conclusions: Interventions aimed at improving OUD treatment outcomes among homeless clients should identify individual and structural factors that support moving into fully housed and independent living environments. Dependent living offers needed support during crises, but should be temporary and priority should be placed on independent, permanent, and autonomous living environments.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Homeless opioid treatment clients who transition into housing generally demonstrate better outcomes, but housing environments vary widely and may not benefit racial/ethnic minority populations equally. We sought to identify how race/ethnicity moderates the association between positive opioid treatment response and moving into dependent or independent living environments. Methods: We used the Treatment Episode Dataset-Discharges (2018–2019) to identify outpatient treatment clients who were homeless at admission and indicated heroin or other opioids as their primary drug of choice (n = 20,021). We defined positive treatment response as a reduction in opioid use between admission and discharge. We used multivariable logistic regression to model treatment response. We included an interaction between housing at discharge (remained homeless [reference], dependent living, or independent living) and race/ethnicity, and adjusted for relevant confounders. Results: Transitioning from homeless to dependent living was positively associated with treatment response among White (aOR = 3.57, 95% CI = 3.15-4.06), Hispanic (aOR = 2.11, 95% CI = 1.55-2.86), and Black clients (aOR = 1.79, 95% CI = 1.41-2.27), but no association was observed for homeless American Indian/Alaska Native clients. Transitioning from homeless to independent living was strongly associated with treatment response among all groups with the strongest association observed among White clients (aOR = 4.70, 95% CI = 4.26-5.19). Conclusions: Interventions aimed at improving OUD treatment outcomes among homeless clients should identify individual and structural factors that support moving into fully housed and independent living environments. Dependent living offers needed support during crises, but should be temporary and priority should be placed on independent, permanent, and autonomous living environments. |
Pepic, Vesna; McWilliams, Suzanne; Williamson, Shaylynne Shuler Heather J; Secakuku, Aaron Evaluating the Impact of a Culturally Sensitive Art Program on the Resilience, Perceived Stress, and Mood of Urban American Indian Youth Journal Article American Indian and Alaska Native Mental Health Research Journal, 29 (1), pp. 37-58, 2022. @article{Pepic2022, title = {Evaluating the Impact of a Culturally Sensitive Art Program on the Resilience, Perceived Stress, and Mood of Urban American Indian Youth}, author = {Vesna Pepic and Suzanne McWilliams and Shaylynne Shuler Heather J. Williamson and Aaron Secakuku}, url = {https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol29/29_1_2022_37_pepic.pdf}, doi = {10.5820/aian.2901.2022.37}, year = {2022}, date = {2022-03-01}, journal = {American Indian and Alaska Native Mental Health Research Journal}, volume = {29}, number = {1}, pages = {37-58}, abstract = {American Indian and Alaska Native (AI/AN) youth face a history of adversity and trauma that are linked to academic and health concerns. Culturally grounded art-based interventions hold promise to address challenges faced by AI youth. AI culture and wisdom can evoke a sense of capability in youth that strengthens their resilience. This study sought to evaluate a culturally oriented art therapy curriculum on its impact on resilience, stress, and mood for AI youth (n = 36). A paired-samples t-test was conducted to compare the perceived stress scores of the participants before and after a 12-week art intervention. There was a significant decrease in participant perceived stress between the pre (M = 16.7, SD = 4.7) and post conditions (M = 20.4, SD = 4.6); t (24) =, -3.5 p = 0.002). A paired-samples t-test was conducted to compare the mood of each participant before and after each instance of art activity to see if there was a self-reported change in mood. There was a significant improvement in participant mood in 10 out of 11 of the intervention weeks. Although no statistically significant change was found in participant resilience, participants in this study did report high levels of resilience. This study provides promising evidence that a culturally salient after-school art curriculum program can reduce stress and improve mood for urban AI youth.}, keywords = {}, pubstate = {published}, tppubtype = {article} } American Indian and Alaska Native (AI/AN) youth face a history of adversity and trauma that are linked to academic and health concerns. Culturally grounded art-based interventions hold promise to address challenges faced by AI youth. AI culture and wisdom can evoke a sense of capability in youth that strengthens their resilience. This study sought to evaluate a culturally oriented art therapy curriculum on its impact on resilience, stress, and mood for AI youth (n = 36). A paired-samples t-test was conducted to compare the perceived stress scores of the participants before and after a 12-week art intervention. There was a significant decrease in participant perceived stress between the pre (M = 16.7, SD = 4.7) and post conditions (M = 20.4, SD = 4.6); t (24) =, -3.5 p = 0.002). A paired-samples t-test was conducted to compare the mood of each participant before and after each instance of art activity to see if there was a self-reported change in mood. There was a significant improvement in participant mood in 10 out of 11 of the intervention weeks. Although no statistically significant change was found in participant resilience, participants in this study did report high levels of resilience. This study provides promising evidence that a culturally salient after-school art curriculum program can reduce stress and improve mood for urban AI youth. |
Dreifuss, Heather M; Belin, Kalvina L; Wilson, Jamie; George, Shawndeena; Waters, Amber-Rose; Bauer, Carmella Kahn 1and Mark B C; Teufel-Shone, Nicolette I Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program Journal Article Frontiers in Public Heath, 10 , 2022. @article{Dreifuss2022, title = {Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program}, author = {Heather M Dreifuss and Kalvina L Belin and Jamie Wilson and Shawndeena George and Amber-Rose Waters and Carmella B Kahn 1and Mark C Bauer and Nicolette I Teufel-Shone}, url = {https://pubmed.ncbi.nlm.nih.gov/35273937/10.3389/fpubh.2022.789994}, doi = {10.3389/fpubh.2022.789994}, year = {2022}, date = {2022-02-22}, journal = {Frontiers in Public Heath}, volume = {10}, abstract = {Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series}, keywords = {}, pubstate = {published}, tppubtype = {article} } Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series |
Hunter, Amanda M; Carlos, Mikah; Nuño, Velia L; Tippeconnic-Fox, Mary Jo; Carvajal, Scott; Yuan, Nicole P Native Spirit: Development of a culturally grounded after-school program to promote well-being among American Indian adolescents Journal Article American Journal of Community Psychology, 2022. @article{Hunter2022, title = {Native Spirit: Development of a culturally grounded after-school program to promote well-being among American Indian adolescents}, author = {Amanda M. Hunter and Mikah Carlos and Velia L. Nuño and Mary Jo Tippeconnic-Fox and Scott Carvajal and Nicole P. Yuan}, url = {https://doi.org/10.1002/ajcp.12590}, doi = {10.1002/ajcp.12590}, year = {2022}, date = {2022-02-22}, journal = {American Journal of Community Psychology}, abstract = {Culturally grounded after-school programs (ASPs), based on local cultural values and practices, are often developed and implemented by and for the local community. Culturally grounded programs promote health and well-being for American Indian and Alaska Native (AI/AN) adolescents by allowing them to reconnect to cultural teachings that have faced attempted historical and contemporary erasure. This article is a first-person account that describes the development and implementation of a culturally grounded ASP, Native Spirit (NS), for AI adolescents (grades 7–12) living on a Southwest urban-based reservation. NS, a 13-session culturally grounded ASP, was developed by an academic–community partnership that focuses on increasing cultural engagement as a form of positive youth development. Each session was guided by one to two local cultural practitioners and community leaders. The development of the NS program contributed to an Indigenous prevention science that emphasizes the positive impacts of Indigenous culture and community on health and well-being. The use of the ASP format, in partnership with the Boys & Girls Club, increased the feasibility of dissemination and refinement of the NS program by tribal communities and organizations.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Culturally grounded after-school programs (ASPs), based on local cultural values and practices, are often developed and implemented by and for the local community. Culturally grounded programs promote health and well-being for American Indian and Alaska Native (AI/AN) adolescents by allowing them to reconnect to cultural teachings that have faced attempted historical and contemporary erasure. This article is a first-person account that describes the development and implementation of a culturally grounded ASP, Native Spirit (NS), for AI adolescents (grades 7–12) living on a Southwest urban-based reservation. NS, a 13-session culturally grounded ASP, was developed by an academic–community partnership that focuses on increasing cultural engagement as a form of positive youth development. Each session was guided by one to two local cultural practitioners and community leaders. The development of the NS program contributed to an Indigenous prevention science that emphasizes the positive impacts of Indigenous culture and community on health and well-being. The use of the ASP format, in partnership with the Boys & Girls Club, increased the feasibility of dissemination and refinement of the NS program by tribal communities and organizations. |
Wagner, Eric F; Lowe, John Chapter 14: Prevention of Substance Use Disorders in Native Americans Journal Article Forthcoming Forthcoming. @article{Wagner2022, title = {Chapter 14: Prevention of Substance Use Disorders in Native Americans}, author = {Eric F Wagner and John Lowe}, editor = {Edward Chang and Christina A Downey}, year = {2022}, date = {2022-02-01}, booktitle = {Historical Context and Cultural Competence in Substance Use Disorder}, publisher = {American Psychological Association}, keywords = {}, pubstate = {forthcoming}, tppubtype = {article} } |
Camplain, Ricky; Lininger, Monica; Baldwin, Julie A; Trotter, Robert T Validity of the International Physical Activity Questionnaire among jail inmates. Medicine and Science in Sports and Exercise Journal Article Forthcoming Clearinghouse, Forthcoming. @article{Camplain2022, title = {Validity of the International Physical Activity Questionnaire among jail inmates. Medicine and Science in Sports and Exercise}, author = {Ricky Camplain and Monica Lininger and Julie A Baldwin and Robert T Trotter}, year = {2022}, date = {2022-02-01}, journal = {Clearinghouse}, keywords = {}, pubstate = {forthcoming}, tppubtype = {article} } |
Camplain, Ricky; Becenti, Lyle; Pinn, Travis; Williamson, Heather; Pro, George Physical Activity Patterns Among Women Incarcerated in Jail Journal Article Journal of Correct Health Care, 28 (1), pp. 6-11, 2022. @article{Camplain2022c, title = {Physical Activity Patterns Among Women Incarcerated in Jail}, author = {Ricky Camplain and Lyle Becenti and Travis Pinn and Heather Williamson and George Pro}, url = {https://pubmed.ncbi.nlm.nih.gov/34846925/}, doi = {10.1089/jchc.20.05.0041}, year = {2022}, date = {2022-02-01}, journal = {Journal of Correct Health Care}, volume = {28}, number = {1}, pages = {6-11}, abstract = {The physical and mental health benefits of physical activity in all populations are well established. In 2019, incarcerated women at a Southwest county jail were observed during "recreation time," a time when physical activity is encouraged, to identify the proportion of women who participated in recreation time and their physical activity levels. During observed recreation times, 28% of women attended; 56% were sedentary, 4% engaged in vigorous physical activity, and approximately 40% walked or performed similarly moderate physical activity. Future research should identify barriers to being physically active while incarcerated, leading to targeted interventions to promote physical activity.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The physical and mental health benefits of physical activity in all populations are well established. In 2019, incarcerated women at a Southwest county jail were observed during "recreation time," a time when physical activity is encouraged, to identify the proportion of women who participated in recreation time and their physical activity levels. During observed recreation times, 28% of women attended; 56% were sedentary, 4% engaged in vigorous physical activity, and approximately 40% walked or performed similarly moderate physical activity. Future research should identify barriers to being physically active while incarcerated, leading to targeted interventions to promote physical activity. |
Camplain, Ricky; Chief, Carmenlita; Camplain, Carolyn; Teufel-shone, Nicolette; Baldwin, Julie A American Indian/Alaska Native Involvement in the US Justice System: Trends, Health Impacts and Health Disparities Journal Article Forthcoming Indigenous Justice Series: Indigenous Peoples, Health, Resilience and Justice, Forthcoming. @article{Camplain2022b, title = {American Indian/Alaska Native Involvement in the US Justice System: Trends, Health Impacts and Health Disparities}, author = {Ricky Camplain and Carmenlita Chief and Carolyn Camplain and Nicolette Teufel-shone and Julie A Baldwin}, year = {2022}, date = {2022-02-01}, journal = {Indigenous Justice Series: Indigenous Peoples, Health, Resilience and Justice}, keywords = {}, pubstate = {forthcoming}, tppubtype = {article} } |
Lau, PWC; Ma, FK; Ransdell, LB; Wu, W; Wang, JJ An investigation into opening school sport facilities to community use in Hong Kong Journal Article Forthcoming World Leisure Journal, Forthcoming. @article{Lau2022, title = {An investigation into opening school sport facilities to community use in Hong Kong}, author = {PWC Lau and FK Ma and LB Ransdell and W Wu and JJ Wang}, year = {2022}, date = {2022-02-01}, journal = {World Leisure Journal}, keywords = {}, pubstate = {forthcoming}, tppubtype = {article} } |
McCarthy, Michael J; Garcia, Evie Y; Remiker, Mark; Hustead, Morgan Lee-Regalado; Bacon, Rachel; Williamson, Heather J; Baldwin, Dorothy Dunn &Julie J Aging & Mental Health, 2022. @article{McCarthy2022, title = {Diverse rural caregivers for individuals with Alzheimer’s disease or related dementias: analysis of health factors at the individual, interpersonal, and community level}, author = {Michael J. McCarthy and Y. Evie Garcia and Mark Remiker and Morgan Lee-Regalado Hustead and Rachel Bacon and Heather J. Williamson and Dorothy J. Dunn &Julie Baldwin}, url = {https://doi.org/10.1080/13607863.2022.2026880}, doi = {10.1080/13607863.2022.2026880}, year = {2022}, date = {2022-01-31}, journal = {Aging & Mental Health}, abstract = {Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. |
McCarthy, Michael J; Garcia, Evie Y; Remiker, Mark; Hustead, Morgan Lee-Regalado; Bacon, Rachel; Williamson, Heather J; Dunn, Dorothy J; Baldwin, Julie A Aging Mental Health, 1 , pp. 94-100, 2022. @article{McCarthy2022b, title = {Diverse rural caregivers for individuals with Alzheimer's disease or related dementias: analysis of health factors at the individual, interpersonal, and community level}, author = {Michael J. McCarthy and Y. Evie Garcia and Mark Remiker and Morgan Lee-Regalado Hustead and Rachel Bacon and Heather J. Williamson and Dorothy J. Dunn and Julie A. Baldwin}, url = {https://www.tandfonline.com/doi/full/10.1080/13607863.2022.2026880}, doi = {10.1080/13607863.2022.2026880}, year = {2022}, date = {2022-01-31}, journal = {Aging Mental Health}, volume = {1}, pages = {94-100}, abstract = {Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health. |
Kumar, Amit; Roy, Indrakshi; Warren, Meghan; Shaibi, Stefany D; Fabricant, Maximilian; Falvey, Jason R; Vashist, Amit; Karmarkar, Amol M Impact of Hospital-Based Rehabilitation Services on Discharge to the Community by Value-Based Payment Programs after Joint Replacement Surgery Journal Article Physical Therapy, 2022. @article{Kumar2022, title = {Impact of Hospital-Based Rehabilitation Services on Discharge to the Community by Value-Based Payment Programs after Joint Replacement Surgery}, author = {Amit Kumar and Indrakshi Roy and Meghan Warren and Stefany D Shaibi and Maximilian Fabricant and Jason R Falvey and Amit Vashist and Amol M Karmarkar}, url = {https://doi.org/10.1093/ptj/pzab313}, doi = {10.1093/ptj/pzab313}, year = {2022}, date = {2022-01-13}, journal = {Physical Therapy}, abstract = {The purpose of this study was to examine the impact of hospital-based rehabilitation services on community discharge rates after hip and knee replacement surgery according to hospital participation in value-based care models: bundled payments for care improvement (BPCI) and comprehensive care for joint replacement (CJR). The secondary objective was to determine whether community discharge rates after hip and knee replacement surgery differed by participation in these models.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The purpose of this study was to examine the impact of hospital-based rehabilitation services on community discharge rates after hip and knee replacement surgery according to hospital participation in value-based care models: bundled payments for care improvement (BPCI) and comprehensive care for joint replacement (CJR). The secondary objective was to determine whether community discharge rates after hip and knee replacement surgery differed by participation in these models. |
Harris, Robin B; Brown, Heidi E; Begay, Rachelle L; Sanderson, Priscilla R; Chief, Carmenlita; Monroy, Fernando P; Oren, Eyal Helicobacter pylori Prevalence and Risk Factors in Three Rural Indigenous Communities of Northern Arizona Journal Article Int. J. Environ. Res. Public Health, 19 (2), pp. 797, 2022. @article{Harris2022, title = {Helicobacter pylori Prevalence and Risk Factors in Three Rural Indigenous Communities of Northern Arizona}, author = {Robin B. Harris and Heidi E. Brown and Rachelle L. Begay and Priscilla R. Sanderson and Carmenlita Chief and Fernando P. Monroy and Eyal Oren }, url = {https://www.mdpi.com/1660-4601/19/2/797}, doi = {10.3390/ijerph19020797}, year = {2022}, date = {2022-01-12}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {2}, pages = {797}, abstract = {Helicobacter pylori (H. pylori) is one of the most common bacterial stomach infections and is implicated in a majority of non-cardia gastric cancer. While gastric cancer has decreased in the United States (US), the incidence in the Navajo Nation is nearly four times higher than surrounding Non-Hispanic White populations. Little is known about H. pylori prevalence in this population or other Indigenous communities in the lower 48 states. In this cross-sectional study, 101 adults representing 73 households from three Navajo Nation chapter communities completed surveys and a urea breath test for active H. pylori. Accounting for intrahousehold correlation, H. pylori prevalence was 56.4% (95% CI, 45.4–66.8) and 72% of households had at least one infected person. The odds of having an active infection in households using unregulated water were 8.85 (95% CI, 1.50–53.38) that of the use of regulated water, and males had 3.26 (95% CI, 1.05–10.07) higher odds than female. The prevalence of H. pylori in Navajo is similar to that seen in Alaska Natives. Further investigation into factors associated with prevention of infection is needed as well as understanding barriers to screening and treatment.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Helicobacter pylori (H. pylori) is one of the most common bacterial stomach infections and is implicated in a majority of non-cardia gastric cancer. While gastric cancer has decreased in the United States (US), the incidence in the Navajo Nation is nearly four times higher than surrounding Non-Hispanic White populations. Little is known about H. pylori prevalence in this population or other Indigenous communities in the lower 48 states. In this cross-sectional study, 101 adults representing 73 households from three Navajo Nation chapter communities completed surveys and a urea breath test for active H. pylori. Accounting for intrahousehold correlation, H. pylori prevalence was 56.4% (95% CI, 45.4–66.8) and 72% of households had at least one infected person. The odds of having an active infection in households using unregulated water were 8.85 (95% CI, 1.50–53.38) that of the use of regulated water, and males had 3.26 (95% CI, 1.05–10.07) higher odds than female. The prevalence of H. pylori in Navajo is similar to that seen in Alaska Natives. Further investigation into factors associated with prevention of infection is needed as well as understanding barriers to screening and treatment. |
Hunter, Amanda M; Richards, Jennifer; Ali-Joseph, Alisse; Camplain, Carolyn Between Two Worlds: Impacts of COVID-19 on the AI/AN Health Research Workforce. American Indian and Alaska Native Mental Health Research Journal Article AIANMHR, 29 (2), pp. 193–198, 2022. @article{Hunter2022b, title = {Between Two Worlds: Impacts of COVID-19 on the AI/AN Health Research Workforce. American Indian and Alaska Native Mental Health Research}, author = {Amanda M. Hunter and Jennifer Richards and Alisse Ali-Joseph and Carolyn Camplain}, url = {https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol29/29_2_2022_183_hunter.pdf}, year = {2022}, date = {2022-01-01}, journal = {AIANMHR}, volume = {29}, number = {2}, pages = {193–198}, abstract = {The COVID-19 pandemic has had devastating global and national impacts including major loss of life, economic downturns, and ongoing impairments to mental and physical health. Conducting health research has remained a priority and has helped mitigate some of the COVID-19 devastation; however, challenges to research have arisen due to COVID-19 prevention strategies and changing community priorities for research. The purpose of this article is to focus on a critical piece of the health research process with American Indian and Alaska Native (AI/AN) communities and the AI/AN health research workforce. Throughout this editorial, we provide challenges faced while conducting research with AI/AN communities during the COVID-19 pandemic including changes to research processes and ongoing research studies, taking on multiple roles in academic spaces, and mourning for continuous community loss while continuing to conduct research that may benefit AI/AN communities. Using a strengths-based lens, we also provide examples of flexibility, adaptation, and resilience in the face of the ongoing COVID-19 pandemic.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The COVID-19 pandemic has had devastating global and national impacts including major loss of life, economic downturns, and ongoing impairments to mental and physical health. Conducting health research has remained a priority and has helped mitigate some of the COVID-19 devastation; however, challenges to research have arisen due to COVID-19 prevention strategies and changing community priorities for research. The purpose of this article is to focus on a critical piece of the health research process with American Indian and Alaska Native (AI/AN) communities and the AI/AN health research workforce. Throughout this editorial, we provide challenges faced while conducting research with AI/AN communities during the COVID-19 pandemic including changes to research processes and ongoing research studies, taking on multiple roles in academic spaces, and mourning for continuous community loss while continuing to conduct research that may benefit AI/AN communities. Using a strengths-based lens, we also provide examples of flexibility, adaptation, and resilience in the face of the ongoing COVID-19 pandemic. |
Remiker, Mark; Sabo, Samantha; Jiménez, Dulce; Longorio, Alexandra Samarron; Chief, Carmenlita; Williamson, Heather; Teufel-Shone, Nicolette Using a Multisectoral Approach to Advance Health Equity in Rural Arizona: Community-Engaged Survey Development and Implementation Study Journal Article JMIR Formative Research, 5 (5), 2021. @article{Remiker2021, title = {Using a Multisectoral Approach to Advance Health Equity in Rural Arizona: Community-Engaged Survey Development and Implementation Study}, author = {Mark Remiker and Samantha Sabo and Dulce Jiménez and Alexandra Samarron Longorio and Carmenlita Chief and Heather Williamson and Nicolette Teufel-Shone }, url = {https://formative.jmir.org/2021/5/e25577}, doi = {10.2196/25577}, year = {2021}, date = {2021-12-05}, journal = {JMIR Formative Research}, volume = {5}, number = {5}, abstract = {Over the past decade, public health research and practice sectors have shifted their focus away from identifying health disparities and toward addressing the social, environmental, and economic determinants of health equity. Given the complex and interrelated nature of these determinants, developing policies that will advance health equity requires collaboration across sectors outside of health. However, engaging various stakeholder groups, tapping into their unique knowledge systems, and identifying common objectives across sectors is difficult and time consuming and can impede collaborative efforts.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Over the past decade, public health research and practice sectors have shifted their focus away from identifying health disparities and toward addressing the social, environmental, and economic determinants of health equity. Given the complex and interrelated nature of these determinants, developing policies that will advance health equity requires collaboration across sectors outside of health. However, engaging various stakeholder groups, tapping into their unique knowledge systems, and identifying common objectives across sectors is difficult and time consuming and can impede collaborative efforts. |
Baldwin, Julie A; II, Robert Trotter T; Remiker, Mark; Buck, Loren C; Aguirre, Amanda; Milner, Trudie; Torres, Emma; von Hippel, Frank A A Community-Engaged Approach to Environmental Health Research: Process and Lessons Learned Journal Article Muse, 15 (4), pp. 533-540, 2021. @article{Baldwin2021, title = {A Community-Engaged Approach to Environmental Health Research: Process and Lessons Learned}, author = {Julie A. Baldwin and Robert T. Trotter II and Mark Remiker and C. Loren Buck and Amanda Aguirre and Trudie Milner and Emma Torres and Frank A. von Hippel}, url = {https://muse.jhu.edu/article/842128}, doi = {10.1353/cpr.2021.0043}, year = {2021}, date = {2021-12-01}, journal = {Muse}, volume = {15}, number = {4}, pages = {533-540}, publisher = {Johns Hopkins University Press}, abstract = {Background: This study used a community-engaged approach to examine associations between environmental contaminants and health outcomes among residents of Yuma, Arizona. Our team conducted a process evaluation to assess scientific rigor and adherence to community engagement principles. Objective: Our evaluation focused on four dimensions of community-based participatory research: 1) context, 2) group dynamics, 3) intervention and research, and 4) outcomes. Methods: Interviews were conducted with key informants from community partner organizations. Thematic analysis was used to evaluate community partners' experiences with our collaborative process. Lessons Learned: Community partners reported collaborating to establish research goals, recruit participants, collect data, plan analyses, and formulate dissemination strategies. Training needs, roles, and expectations of community partners varied based on available resources, prior research experience, and perceived research challenges. Conclusions: Leveraging community-engaged principles for studies of environmental contamination can expedite recruitment efforts and stimulate action to improve health outcomes.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: This study used a community-engaged approach to examine associations between environmental contaminants and health outcomes among residents of Yuma, Arizona. Our team conducted a process evaluation to assess scientific rigor and adherence to community engagement principles. Objective: Our evaluation focused on four dimensions of community-based participatory research: 1) context, 2) group dynamics, 3) intervention and research, and 4) outcomes. Methods: Interviews were conducted with key informants from community partner organizations. Thematic analysis was used to evaluate community partners' experiences with our collaborative process. Lessons Learned: Community partners reported collaborating to establish research goals, recruit participants, collect data, plan analyses, and formulate dissemination strategies. Training needs, roles, and expectations of community partners varied based on available resources, prior research experience, and perceived research challenges. Conclusions: Leveraging community-engaged principles for studies of environmental contamination can expedite recruitment efforts and stimulate action to improve health outcomes. |
Solomon, TG Arambula; Jones, D; Laurila, L; Ritchey, J; Cordova-Marks, FM; Hunter, AU; Villanueva, B Using the Community Readiness Model to Assess American Indian Communities Readiness to Address Cancer Prevention and Control Programs Journal Article Journal of Cancer Education, 2021. @article{Solomon2021, title = {Using the Community Readiness Model to Assess American Indian Communities Readiness to Address Cancer Prevention and Control Programs}, author = {TG Arambula Solomon and D Jones and L Laurila and J Ritchey and FM Cordova-Marks and AU Hunter and B Villanueva}, url = {https://doi.org/10.1007/s13187-021-02100-4}, doi = {10.1007/s13187-021-02100-4}, year = {2021}, date = {2021-11-29}, journal = {Journal of Cancer Education}, abstract = {Cancer disparities continue among American Indian and Alaska Native (AI/AN) populations while they have decreased among other racial and ethnic groups. No studies were found that utilized the Community Readiness Model (CRM) to ascertain the readiness of Tribal and American Indian organizations to participate in cancer research and cancer prevention and control initiatives. The Partnership for Native American Cancer Prevention conducted an assessment of the status of American Indian communities’ readiness to implement activities for prevention, early detection, and treatment to improve AI/AN cancer rates. The assessment was a component of the Community Outreach Core of the grant. Thirty-four key Informants participated in the interview process. The Community Readiness Assessment (CRA) provided a baseline assessment of community partners’ readiness to participate in cancer research and programming. Despite years of cancer intervention programs, the communities were classified as being in the early stages of readiness [1–5] of the nine-stage model. Additionally, findings showed low levels of awareness of previous or ongoing cancer research. The findings in prevention and control efforts indicated a need for technical assistance and funding to support community projects in prevention and control. This supported the implementation of a community grants initiative. They also indicated that communities were not ready to conduct research, despite ongoing cancer related research in at least two communities. Communication tools and social media methods and messages were developed to increase awareness of cancer as a health concern and cancer research in the community. The CRM informed these and other engagement activities to meet the appropriate stage of readiness for each Tribe/community, and to build their capacity to participate in cancer research and programming activities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Cancer disparities continue among American Indian and Alaska Native (AI/AN) populations while they have decreased among other racial and ethnic groups. No studies were found that utilized the Community Readiness Model (CRM) to ascertain the readiness of Tribal and American Indian organizations to participate in cancer research and cancer prevention and control initiatives. The Partnership for Native American Cancer Prevention conducted an assessment of the status of American Indian communities’ readiness to implement activities for prevention, early detection, and treatment to improve AI/AN cancer rates. The assessment was a component of the Community Outreach Core of the grant. Thirty-four key Informants participated in the interview process. The Community Readiness Assessment (CRA) provided a baseline assessment of community partners’ readiness to participate in cancer research and programming. Despite years of cancer intervention programs, the communities were classified as being in the early stages of readiness [1–5] of the nine-stage model. Additionally, findings showed low levels of awareness of previous or ongoing cancer research. The findings in prevention and control efforts indicated a need for technical assistance and funding to support community projects in prevention and control. This supported the implementation of a community grants initiative. They also indicated that communities were not ready to conduct research, despite ongoing cancer related research in at least two communities. Communication tools and social media methods and messages were developed to increase awareness of cancer as a health concern and cancer research in the community. The CRM informed these and other engagement activities to meet the appropriate stage of readiness for each Tribe/community, and to build their capacity to participate in cancer research and programming activities. |
2020 |
Pro, George; Hubach, Randolph; Wheeler, Denna; Camplain, Ricky; Haberstroh, Shane; Giano, Zach; Camplain, Carolyn; Baldwin, Julie A Differences in US COVID-19 case rates and case fatality rates across the urban-rural continuum Journal Article Rural Remote Health, 20 (3), pp. 6074, 2020. @article{Pro2020h, title = {Differences in US COVID-19 case rates and case fatality rates across the urban-rural continuum}, author = {George Pro and Randolph Hubach and Denna Wheeler and Ricky Camplain and Shane Haberstroh and Zach Giano and Carolyn Camplain and Julie A Baldwin}, url = {https://www.rrh.org.au/journal/article/6074}, doi = {10.22605/RRH6074}, year = {2020}, date = {2020-08-19}, journal = {Rural Remote Health}, volume = {20}, number = {3}, pages = {6074}, abstract = {The majority of COVID-19 public health and media messaging in the USA has focused on major outbreaks in densely populated urban areas, including New York City, New Orleans and Seattle. This attention is indeed warranted, as the number of deaths is an important indicator of outbreak severity and informs public health, medical and government responses. In addition to case rates and the number of deaths, the case fatality rate is another epidemiologic tool used in disease surveillance and is helpful in illuminating disparities between urban and rural populations. Case fatality rates account for the number of deaths (numerator) and the number of reported cases (denominator), allowing for direct comparisons of the mortality burden of a disease between areas where the reported case rates may differ.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The majority of COVID-19 public health and media messaging in the USA has focused on major outbreaks in densely populated urban areas, including New York City, New Orleans and Seattle. This attention is indeed warranted, as the number of deaths is an important indicator of outbreak severity and informs public health, medical and government responses. In addition to case rates and the number of deaths, the case fatality rate is another epidemiologic tool used in disease surveillance and is helpful in illuminating disparities between urban and rural populations. Case fatality rates account for the number of deaths (numerator) and the number of reported cases (denominator), allowing for direct comparisons of the mortality burden of a disease between areas where the reported case rates may differ. |
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. |
Ghazanfari, Behzad; Afghah, Fatemeh; Hajiaghayi, Mohammadtaghi Inverse Feature Learning: Feature Learning Based on Representation Learning of Error Journal Article IEEEXplore, 8 , pp. 132937 - 132949, 2020. @article{Ghazanfari2020, title = {Inverse Feature Learning: Feature Learning Based on Representation Learning of Error}, author = {Behzad Ghazanfari and Fatemeh Afghah and Mohammadtaghi Hajiaghayi}, url = {https://ieeexplore.ieee.org/document/9143092}, doi = {10.1109/ACCESS.2020.3009902}, year = {2020}, date = {2020-07-17}, journal = {IEEEXplore}, volume = {8}, pages = {132937 - 132949}, abstract = {This paper proposes inverse feature learning (IFL) as a novel supervised feature learning technique that learns a set of high-level features for classification based on an error representation approach. The key contribution of this method is to learn the representation of error as high-level features, while current representation learning methods interpret error by loss functions which are obtained as a function of differences between the true labels and the predicted ones. One advantage of this error representation is that the learned features for each class can be obtained independently of learned features for other classes; therefore, IFL can learn simultaneously meaning that it can learn new classes' features without retraining. Error representation learning can also help with generalization and reduce the chance of over-fitting by adding a set of impactful features to the original data set which capture the relationships between each instance and different classes through an error generation and analysis process. This method can be particularly effective in data sets, where the instances of each class have diverse feature representations or the ones with imbalanced classes. The experimental results show that the proposed IFL results in better performance compared to the state-of-the-art classification techniques for several popular data sets. We hope this paper can open a new path to utilize the proposed perspective of error representation learning in different feature learning domains.}, keywords = {}, pubstate = {published}, tppubtype = {article} } This paper proposes inverse feature learning (IFL) as a novel supervised feature learning technique that learns a set of high-level features for classification based on an error representation approach. The key contribution of this method is to learn the representation of error as high-level features, while current representation learning methods interpret error by loss functions which are obtained as a function of differences between the true labels and the predicted ones. One advantage of this error representation is that the learned features for each class can be obtained independently of learned features for other classes; therefore, IFL can learn simultaneously meaning that it can learn new classes' features without retraining. Error representation learning can also help with generalization and reduce the chance of over-fitting by adding a set of impactful features to the original data set which capture the relationships between each instance and different classes through an error generation and analysis process. This method can be particularly effective in data sets, where the instances of each class have diverse feature representations or the ones with imbalanced classes. The experimental results show that the proposed IFL results in better performance compared to the state-of-the-art classification techniques for several popular data sets. We hope this paper can open a new path to utilize the proposed perspective of error representation learning in different feature learning domains. |
Ingram, Maia; Sabo, Samantha; Redondo, Floribella; Soto, Yanitza; Russell, Kim; Carter, Heather; Bender, Brook; de Zapien, Jill Guernsey Establishing voluntary certification of community health workers in Arizona: a policy case study of building a unified workforce Journal Article Human Resources for Health, 18 (46), 2020. @article{Ingram2020, title = {Establishing voluntary certification of community health workers in Arizona: a policy case study of building a unified workforce}, author = {Maia Ingram and Samantha Sabo and Floribella Redondo and Yanitza Soto and Kim Russell and Heather Carter and Brook Bender and Jill Guernsey de Zapien }, url = {https://doi.org/10.1186/s12960-020-00487-7}, doi = {10.1186/s12960-020-00487-7}, year = {2020}, date = {2020-06-26}, journal = {Human Resources for Health}, volume = {18}, number = {46}, abstract = {Community health workers (CHWs) are widely recognized as essential to addressing disparities in health care delivery and outcomes in US vulnerable populations. In the state of Arizona, the sustainability of the workforce is threatened by low wages, poor job security, and limited opportunities for training and advancement within the profession. CHW voluntary certification offers an avenue to increase the recognition, compensation, training, and standardization of the workforce. However, passing voluntary certification legislation in an anti-regulatory state such as Arizona posed a major challenge that required a robust advocacy effort.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community health workers (CHWs) are widely recognized as essential to addressing disparities in health care delivery and outcomes in US vulnerable populations. In the state of Arizona, the sustainability of the workforce is threatened by low wages, poor job security, and limited opportunities for training and advancement within the profession. CHW voluntary certification offers an avenue to increase the recognition, compensation, training, and standardization of the workforce. However, passing voluntary certification legislation in an anti-regulatory state such as Arizona posed a major challenge that required a robust advocacy effort. |
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. |
Marhefka, Stephanie L; Lockhart, Elizabeth; Turner, DeAnne; Wang, Wei; Dolcini, Margaret M; Baldwin, Julie A; Roig-Romero, Regina Maria; Lescano, Celia M; Glueckauf, Robert L AIDS Behav, 24 (5), pp. 1463-1475, 2020. @article{Marhefka2020, title = {Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management: Health Equity Implications from Project TECH}, author = {Stephanie L Marhefka and Elizabeth Lockhart and DeAnne Turner and Wei Wang and M Margaret Dolcini and Julie A Baldwin and Regina Maria Roig-Romero and Celia M Lescano and Robert L Glueckauf}, doi = {10.1007/s10461-019-02723-1}, year = {2020}, date = {2020-05-01}, journal = {AIDS Behav}, volume = {24}, number = {5}, pages = {1463-1475}, abstract = {Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information. Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness. Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use. Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Evaluate the relationships between social characteristics of Floridian persons living with HIV (PLWH) and both use of digital technologies and willingness to use eHealth for HIV-related information. Ryan White case managers (N = 155) from 55 agencies in 47 Florida counties administered a survey to PLWH (N = 1268) from June 2016-April 2017. Multilevel logistic regression models were used to identify correlates of technology use and willingness. Use of mobile phones with text messaging was high (89%). Older (vs. younger) adults and non-Hispanic blacks (vs. whites) were less likely to use most technologies. These groups, along with Hispanics (vs. whites) were less likely to express willingness to use technologies for HIV-related information in models adjusting for use. Among PLWH in Florida, eHealth-related inequities exist. Willingness to engage in HIV-related eHealth is affected by social determinants, even when considering technology access. Although eHealth may reduce some healthcare inequities, it may exacerbate others. |
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. |
Barger, Steven D; Broom, Timothy W; Esposito, Michael V; Lane, Taylor S BMJ Open, 10 (1), 2020. @article{Barger2020, title = {Is subjective well-being independently associated with mortality? A 14-year prospective cohort study in a representative sample of 25 139 US men and women}, author = {Steven D Barger and Timothy W Broom and Michael V Esposito and Taylor S Lane}, url = {http://dx.doi.org/10.1136/bmjopen-2019-031776}, doi = {10.1136/bmjopen-2019-031776}, year = {2020}, date = {2020-01-14}, journal = {BMJ Open}, volume = {10}, number = {1}, abstract = {Design A population-based prospective cohort study based on an in-person interview. Cox regression was used to examine mortality hazards for happiness alone and for a standardised summary well-being measure that included happiness, life satisfaction and negative emotions. Using prespecified analyses, we first adjusted for age and then additionally adjusted for self-rated health and then race/ethnicity, marital status, smoking and socioeconomic status.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Design A population-based prospective cohort study based on an in-person interview. Cox regression was used to examine mortality hazards for happiness alone and for a standardised summary well-being measure that included happiness, life satisfaction and negative emotions. Using prespecified analyses, we first adjusted for age and then additionally adjusted for self-rated health and then race/ethnicity, marital status, smoking and socioeconomic status. |
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. |
Dickerson, Daniel; Baldwin, Julie A; Belcourt, Annie; Belone, Lorenda; Gittelsohn, Joel; Kaholokula, Joseph Keawe’aimoku; Lowe, John; Patten, Christi A; Wallerstein, Nina Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions Journal Article Prevention Science, 2020. @article{Dickerson2018b, title = {Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions}, author = {Daniel Dickerson and Julie A Baldwin and Annie Belcourt and Lorenda Belone and Joel Gittelsohn and Joseph Keawe’aimoku Kaholokula and John Lowe and Christi A Patten and Nina Wallerstein}, url = {https://link.springer.com/article/10.1007%2Fs11121-018-0926-1}, doi = {https://doi.org/10.1007/s11121-018-0926-1}, year = {2020}, date = {2020-01-01}, journal = {Prevention Science}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
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} } |
Green, Amy L; Kutash, Krista; Ferron, John; Levin, Bruce Lubotsky; Debate, Rita; Baldwin, Julie A Understanding caregiver strain and related constructs in caregivers of youth with emotional and behavioral disorders Journal Article Journal of Child and Family Studies, 2019. @article{Green2019, title = {Understanding caregiver strain and related constructs in caregivers of youth with emotional and behavioral disorders}, author = {Amy L. Green and Krista Kutash and John Ferron and Bruce Lubotsky Levin and Rita Debate and Julie A. Baldwin}, url = {https://doi.org/10.1007/s10826-019-01626-y}, doi = {10.1007/s10826-019-01626-y}, year = {2019}, date = {2019-10-16}, journal = {Journal of Child and Family Studies}, abstract = {There is evidence to suggest the level of caregiver strain experienced by parents and other caregivers may have implications for engagement in their child’s mental health and education services. This is particularly important for caregivers of youth with emotional and behavioral disorders in special education, as these caregivers tend to be less involved than other caregivers. The purpose of this study was to understand caregiver strain and theoretically-related constructs in caregivers of youth with emotional and behavioral disorders.MethodsThe sample included 112 caregivers of youth receiving special education services for Emotional Disturbance (ED). Using structural equation modeling and the Modified Double ABCX Model as a theoretical framework, the relationships among caregiver strain, stressors, resources, and perceptions were examined.ResultsConsistent with findings from previous studies, results indicated that more problems with youth functioning were related to higher levels of caregiver strain. Resources were found to be positively related to both perceptions and caregiver strain. The strongest relationship was observed between caregiver perceptions and caregiver strain, with more negative perceptions associated with higher levels of caregiver strain.ConclusionsFindings reveal the nature of the relationships among caregiver strain and related constructs, as well as the potential importance of perceptions as a target for interventions for families and youth. An understanding of caregiver strain as it relates to stressors, resources, and perceptions provides insight into how we might leverage these factors in order to increase caregiver engagement in services, ultimately improving outcomes for youth and their families.}, keywords = {}, pubstate = {published}, tppubtype = {article} } There is evidence to suggest the level of caregiver strain experienced by parents and other caregivers may have implications for engagement in their child’s mental health and education services. This is particularly important for caregivers of youth with emotional and behavioral disorders in special education, as these caregivers tend to be less involved than other caregivers. The purpose of this study was to understand caregiver strain and theoretically-related constructs in caregivers of youth with emotional and behavioral disorders.MethodsThe sample included 112 caregivers of youth receiving special education services for Emotional Disturbance (ED). Using structural equation modeling and the Modified Double ABCX Model as a theoretical framework, the relationships among caregiver strain, stressors, resources, and perceptions were examined.ResultsConsistent with findings from previous studies, results indicated that more problems with youth functioning were related to higher levels of caregiver strain. Resources were found to be positively related to both perceptions and caregiver strain. The strongest relationship was observed between caregiver perceptions and caregiver strain, with more negative perceptions associated with higher levels of caregiver strain.ConclusionsFindings reveal the nature of the relationships among caregiver strain and related constructs, as well as the potential importance of perceptions as a target for interventions for families and youth. An understanding of caregiver strain as it relates to stressors, resources, and perceptions provides insight into how we might leverage these factors in order to increase caregiver engagement in services, ultimately improving outcomes for youth and their families. |
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. |
Chee, V A; Teran, E; Hernandez, I; Wright, L; Izurieta, R; Reina-Ortiz, M; Flores, M; Bejarano, S; Dào, L U; Baldwin, J; Martinez-Tyson, D 'Desculturización,' urbanization, and nutrition transition among urban Kichwas Indigenous communities residing in the Andes highlands of Ecuador Journal Article Public Health, 176 , pp. 21-28, 2019. @article{Chee2019, title = {'Desculturización,' urbanization, and nutrition transition among urban Kichwas Indigenous communities residing in the Andes highlands of Ecuador}, author = {V A Chee and E Teran and I Hernandez and L Wright and R Izurieta and M Reina-Ortiz and M Flores and S Bejarano and L U Dào and J Baldwin and D Martinez-Tyson}, url = {https://www.sciencedirect.com/science/article/pii/S0033350619302422?via%3Dihub}, doi = {10.1016/j.puhe.2019.07.015}, year = {2019}, date = {2019-10-01}, journal = {Public Health}, volume = {176}, pages = {21-28}, abstract = {The nutrition transition continues to affect populations throughout the world. The added impact of market integration and urbanization exacerbates the impact of the nutrition transition upon Indigenous populations worldwide.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The nutrition transition continues to affect populations throughout the world. The added impact of market integration and urbanization exacerbates the impact of the nutrition transition upon Indigenous populations worldwide. |
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. |
Goldtooth, Carol; Teufel-Shone, Nicolette; Gachupin, Francine C Abstract LB-158: Tribal sovereignty and approval for research in Native American communities Journal Article American Association for Cancer Research Publications, 2019. @article{Goldtooth201, title = {Abstract LB-158: Tribal sovereignty and approval for research in Native American communities}, author = {Carol Goldtooth and Nicolette Teufel-Shone and Francine C. Gachupin}, url = {https://cancerres.aacrjournals.org/content/79/13_Supplement/LB-158.short}, doi = {10.1158/1538-7445.AM2019-LB-158}, year = {2019}, date = {2019-07-02}, journal = {American Association for Cancer Research Publications}, abstract = {Native Americans (NAs) experience worse outcomes and lower chances of cancer survival than other racial groups in the US. Despite improvements in cancer screening techniques and major developments in cancer treatment in past decades, NA communities do not benefit equally from these advances. Furthermore, relatively little of the advancements in cancer research addresses the specific vulnerabilities and strengths in these communities. Community-based research with NA populations including cancer research is influenced by the ways tribes approach and approve research. Tribe specific approval processes are assertions of sovereignty and of tribal right to govern and manage activities on tribal lands. Researchers often interpret required tribal approval for research, presentation and publication as punitive and a barrier to timely research and dissemination}, keywords = {}, pubstate = {published}, tppubtype = {article} } Native Americans (NAs) experience worse outcomes and lower chances of cancer survival than other racial groups in the US. Despite improvements in cancer screening techniques and major developments in cancer treatment in past decades, NA communities do not benefit equally from these advances. Furthermore, relatively little of the advancements in cancer research addresses the specific vulnerabilities and strengths in these communities. Community-based research with NA populations including cancer research is influenced by the ways tribes approach and approve research. Tribe specific approval processes are assertions of sovereignty and of tribal right to govern and manage activities on tribal lands. Researchers often interpret required tribal approval for research, presentation and publication as punitive and a barrier to timely research and dissemination |