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Coudray MS, Hansel S, Alesci S, Meyer WA, Christenson RH, Landry LG, Edwards C, Puckrein G, Forney DJ, Akinboboye O. Vitamin D Levels and SARS-CoV-2 Infection among Medically Underserved Populations in the Minority and Rural Coronavirus Insights Study. Viruses 2024; 16:639. [PMID: 38675979 PMCID: PMC11053904 DOI: 10.3390/v16040639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Revised: 04/12/2024] [Accepted: 04/14/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Extant literature presents contradictory findings on the role of vitamin D on SARS-CoV-2 infection. Our study included an examination of the relationship between vitamin D levels and SARS-CoV-2 infection among the Minority and Rural Coronavirus Insights Study (MRCIS) cohort, a diverse population of medically underserved persons presenting at five Federally qualified health centers in the United States. METHODS We conducted a descriptive analysis to explore the relationship between vitamin D levels and SARS-CoV-2 infection among medically underserved participants. A combined molecular and serologic assessment was used to determine the prevalence of SARS-CoV-2 infection. Vitamin D was examined as both a categorical (vitamin D status: deficient, insufficient, optimal) and continuous (vitamin D level) variable. Chi-squared testing, polynomial regression models, and logistic regression models were used to assess the relationship between vitamin D and SARS-CoV-2 infection. RESULTS The overall SARS-CoV-2 infection rate among participants was 25.9%. Most participants were either vitamin D deficient (46.5%) or insufficient (29.7%), and 23.8% had an optimal level. Vitamin D status was significantly associated with key SARS-CoV-2 infection risk factors. As mean vitamin D levels increased, the proportion of participants with SARS-CoV-2 infection decreased. For every 10 ng/mL increase in vitamin D levels the odds of SARS-CoV-2 infection decreased by 12% when adjusting for race/ethnicity and age (main effect model). Participants who identified as Hispanic/Latino or Black non-Hispanic had approximately two times increased odds of SARS-CoV-2 infection when adjusting for age and vitamin D levels compared to white non-Hispanics. However, when additional factors were added to the main effect model, the relationship between vitamin D levels and SARS-CoV-2 infection did not remain significant. CONCLUSION Vitamin D levels were associated with an increased risk of SARS-CoV-2 infection. Hispanic/Latino and Black, non-Hispanic compared to White, non-Hispanic participants were at increased odds for infection, after adjusting for race/ethnicity and age.
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Affiliation(s)
- Makella S. Coudray
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
- Department of Population Health Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd, Orlando, FL 32827, USA
| | - Shantoy Hansel
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
| | - Salvatore Alesci
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
| | | | - Robert H. Christenson
- Department of Pathology, University of Maryland School of Medicine, 655 W. Baltimore St., Baltimore, MD 21201, USA;
| | - Latrice G. Landry
- Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Building 421, Philadelphia, PA 19104, USA
| | - Christina Edwards
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
| | - Gary Puckrein
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
| | - Derrick J. Forney
- National Minority Quality Forum, 1201 15th St NW #340, Washington, DC 20005, USA (S.A.); (G.P.); (D.J.F.)
| | - Ola Akinboboye
- Queens Heart Institute, 23436 Merrick Blvd, New York, NY 11422, USA;
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Coudray MS, Hansel S, Mata-McMurry LV, Il'yasova D, Lee L, Chalasani N, Edwards C, Puckrein G, Meyer WA, Landry LG, Wiltz G, Sampson M, Brandt Dee T, Gregerson P, Barron C, Marable J, Akinboboye O. The Minority and Rural Coronavirus Insights Study: Design and Baseline Characteristics of a Minority Cohort. Popul Health Manag 2023; 26:397-407. [PMID: 37843889 DOI: 10.1089/pop.2023.0168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023] Open
Abstract
The Minority and Rural Coronavirus Insights Study (MRCIS) is an ongoing prospective cohort study examining health disparities associated with SARS-CoV-2 infection among medically underserved populations. This report describes procedures implemented to establish the MRCIS cohort and examines the factors associated with the molecular and serological assessment of SARS-CoV-2 infection status at participant enrollment. Participants were recruited from 5 geographically dispersed federally qualified health centers between November 2020 and April 2021. At baseline, participants completed a detailed demographic survey and biological samples were collected for testing. SARS-CoV-2 infection status was determined based on the combined molecular and serological test results. Chi-squared and logistic regression analyses were conducted to examine associations between sociodemographic factors, COVID-19 safety measures, existing comorbidities, and SARS-CoV-2 infection status. The final cohort included 3238 participants. The mean age of participants was 50.2 ± 15.8 years. Most participants identified as female (60.0%), heterosexual or straight (93.0%), White (47.6%), and Hispanic or Latino (49.1%). Approximately 26.1% of participants had at least one positive SARS-CoV-2 test result. The main effect model included age, sex, and race/ethnicity. Compared with adults ≥65 years, participants in all other age groups had ∼2 times increased odds of a positive SARS-CoV-2 test result. In addition, racial/ethnic minorities had ∼2 times increased odds of a positive SARS-CoV-2 infection status compared with non-Hispanic Whites. A unique cohort of a traditionally medically underserved minority population was established. Significant racial and ethnic disparities in SARS-CoV-2 infection status at baseline were discovered.
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Affiliation(s)
- Makella S Coudray
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
- Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, Florida, USA
| | - Shantoy Hansel
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
| | - Lina V Mata-McMurry
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
| | - Dora Il'yasova
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
- Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina, USA
| | - LaTasha Lee
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
- School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA
| | - Nishanth Chalasani
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
- Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Christina Edwards
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
| | - Gary Puckrein
- Center for Clinical and Social Research, National Minority Quality Forum, Washington, District of Columbia, USA
| | | | - Latrice G Landry
- Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Gary Wiltz
- Teche Action Clinic, Franklin, Louisiana, USA
| | - Marian Sampson
- Osceola Community Health Services, Kissimmee, Florida, USA
| | | | | | - Charles Barron
- Aunt Martha's Health and Wellness, Olympia Fields, Illinois, USA
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Matas JL, Landry LG, Lee L, Hansel S, Coudray MS, Mata-McMurry LV, Chalasani N, Xu L, Stair T, Edwards C, Puckrein G, Meyer W, Wiltz G, Sampson M, Gregerson P, Barron C, Marable J, Akinboboye O, Il'yasova D. Demographic Determinants and Geographical Variability of COVID-19 Vaccine Hesitancy in Underserved Communities. JMIR Public Health Surveill 2023; 9:e34163. [PMID: 36811869 PMCID: PMC10176133 DOI: 10.2196/34163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 05/31/2022] [Accepted: 02/22/2023] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND COVID-19 hospitalizations and deaths disproportionately affect underserved and minority populations, emphasizing that vaccine hesitancy can be an especially important public health risk factor in these populations. OBJECTIVE To characterize COVID-19 vaccine hesitancy in underserved diverse populations. METHODS The Minority and Rural Coronavirus Insights Study recruited a convenience sample of adults (ages ≥18, n=3,735) from Federally Qualified Health Centers in California, Midwest (Illinois/Ohio), Florida and Louisiana and collected baseline data in November 2020-April 2021. Vaccine hesitancy status was defined as responses "no" or "undecided" to the question "Would you get a coronavirus vaccine, if it was available?" ("yes" categorized as not hesitant). The cross-sectional descriptive analyses and logistic regression models examined vaccine hesitancy prevalence by age, gender, race/ethnicity, and geography. The expected vaccine hesitancy estimates for the general population were calculated for the study counties using published county-level data. Crude associations with demographic characteristics within each region were assessed by the chi-squared test. The main effect model included age, gender, race/ethnicity, and geographical region to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Interactions between geography and each demographic characteristic were evaluated in separate models. RESULTS The strongest vaccine hesitancy variability was by geographic region: in California 28.3% (26.5-31.1), the Midwest 36.1 % (32.1-40.2), Louisiana 59.1% (56.0-62.1), Florida 67.9% (65.0-70.8). The expected estimates for the general population were lower: 9.7% (California), 15.2 % (Midwest), 18.2% (Florida), and 27.0% (Louisiana). The demographic patterns also varied by geography. An inverted U-shape age pattern was found, with the highest prevalence among ages 25-34 in the Midwest (39.3%), Florida (79.5%,) and Louisiana (79.4%) (p <0.05). Females were more hesitant than males in the Midwest (36.5% vs 23.9%), Florida (71.6% vs 59.4%), and Louisiana (66.5% vs. 46.4%) (p<0.05). Racial/ethnic differences were found in California with the highest prevalence among non-Hispanic Black (45.8%) and in Florida with the highest among Hispanic (69.3%) participants (p<0.05) but not in the Midwest and Louisiana. The main effect model confirmed the U-shape association with age: strongest association with age 25-34, OR=2.28 (1.74, 2.99). Statistical interactions of gender and race/ethnicity with the region were significant, following the pattern found by the crude analysis. The associations with the female gender were strongest in Florida and Louisiana: ORs were 7.83 (5.94, 10.33) and 6.04 (4.52, 8.06) compared to males in California, respectively. Compared to non-Hispanic White participants in California, the strongest associations were found with being Hispanic in Florida and Black in Louisiana: ORs were 11.18 (7.01, 17.85) and 8.94 (5.53, 14.47), respectively. However, the strongest race/ethnicity variability was observed within California and Florida: ORs varied 4.7- and 2-fold between racial/ethnic groups in these regions, respectively. CONCLUSIONS These findings highlight the role of local contextual factors in driving vaccine hesitancy and its demographic patterns. CLINICALTRIAL
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Affiliation(s)
| | - Latrice G Landry
- University of Pennsylvania, Philadelphia, US.,Dana Farber Cancer Institute, Boston, US.,Harvard Medical School, Boston, US
| | - LaTasha Lee
- The George Washington University, Washington, US
| | | | | | | | | | - Liou Xu
- National Minority Quality Forum, Washington, US
| | | | | | | | | | | | | | | | | | | | | | - Dora Il'yasova
- National Minority Quality Forum, 1201 15th Street, NWSuite 340, Washington, US.,Department of Family Medicine and Community Health, School of Medicine, Duke University, Durham, US
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Cyrus E, Sanchez J, Madhivanan P, Lama JR, Bazo AC, Valencia J, Leon SR, Villaran M, Vagenas P, Sciaudone M, Vu D, Coudray MS, Atice FL. Prevalence of Intimate Partner Violence, Substance Use Disorders and Depression among Incarcerated Women in Lima, Perú. Int J Environ Res Public Health 2021; 18:ijerph182111134. [PMID: 34769653 PMCID: PMC8583326 DOI: 10.3390/ijerph182111134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 10/14/2021] [Accepted: 10/15/2021] [Indexed: 12/03/2022]
Abstract
Background: Globally, there is evidence supporting the co-occurrence of intimate partner violence (IPV), substance use disorders (SUD) and mental health disorders among women in prisons, however, there is limited research investigating these domains in the Andean region where rates of female incarceration have increased. The study objective was to explore the prevalence of IPV, SUD and depression among incarcerated women in a Peruvian prison and explore associations among these variables and related correlates. Methods: 249 incarcerated women responded to a questionnaire about IPV, substance use, depression, and sexual behavior, and were screened for HIV/sexually transmitted diseases (STDs). Univariate analysis and logistic regression were used to estimate relative risk and the influence of substance use and depression on IPV rates. Results: Twelve months prior to incarceration, of the women with sexual partners pre-incarceration (n = 212), 69.3% experienced threats of violence, 61.4% experienced ≥1 acts of physical violence, and 28.3% reported ≥1 act of sexual aggression. Pre-incarceration, 68.1% of drug-using women had a SUD, and 61.7% of those who consumed alcohol reported hazardous/harmful drinking. There were 20 (8.0%) HIV/STD cases; and 67.5% of the women reported depressive symptoms. Compared to women with no experiences of physical violence, a greater proportion of women who experienced least l violent act had depressive symptoms and engaged in sex work pre-incarceration. Depression was associated with physical violence (adjusted relative risk = 1.35, 95% confidence interval: 1.14–1.58). Recommendations: The findings provide evidence of a syndemic of IPV, substance abuse and depression among incarcerated women in a Peruvian prison. To help guide policy makers, further research is needed to determine if this is indicative of trends for other at-risk women in the region, and viable options to treat these women during incarceration to prevent recidivism and other long-term negative sequalae.
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Affiliation(s)
- Elena Cyrus
- Department of Population Health Sciences, College of Medicine, University of Central Florida (UCF), Orlando, FL 32827, USA; (D.V.); (M.S.C.)
- School of Public Health, Yale University, New Haven, CT 06520, USA;
- Correspondence:
| | - Jorge Sanchez
- Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales, Callao 07006, Peru;
| | - Purnima Madhivanan
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA;
- Public Health Research Institute of India, Mysore 560020, Karnataka, India
| | - Javier R. Lama
- Asociación Civil Impacta Salud y Educación, Lima 15603, Peru; (J.R.L.); (J.V.); (M.V.)
| | - Andrea Cornejo Bazo
- International Degrees Department, Universidad Peruana de Ciencias Aplicadas, Lima 15023, Peru;
| | - Javier Valencia
- Asociación Civil Impacta Salud y Educación, Lima 15603, Peru; (J.R.L.); (J.V.); (M.V.)
| | - Segundo R. Leon
- Office of Research and Technology Transfer, Universidad Privada San Juan Bautista, Chorrillos 15067, Peru;
| | - Manuel Villaran
- Asociación Civil Impacta Salud y Educación, Lima 15603, Peru; (J.R.L.); (J.V.); (M.V.)
| | - Panagiotis Vagenas
- Berkeley Research Development Office, University of California, Berkeley, CA 94704, USA;
| | - Michael Sciaudone
- Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA;
- Tulane School of Medicine, New Orleans, LA 70112, USA
| | - David Vu
- Department of Population Health Sciences, College of Medicine, University of Central Florida (UCF), Orlando, FL 32827, USA; (D.V.); (M.S.C.)
| | - Makella S. Coudray
- Department of Population Health Sciences, College of Medicine, University of Central Florida (UCF), Orlando, FL 32827, USA; (D.V.); (M.S.C.)
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Ruiz-Perez D, Coudray MS, Colbert B, Krupp K, Kumari H, Stebliankin V, Mathee K, Cook RL, Schwebke J, Narasimhan G, Madhivanan P. Effect of metronidazole on vaginal microbiota associated with asymptomatic bacterial vaginosis. Access Microbiol 2021; 3:000226. [PMID: 34151180 PMCID: PMC8209634 DOI: 10.1099/acmi.0.000226] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 03/17/2021] [Indexed: 01/10/2023] Open
Abstract
Vaginal dysbiosis-induced by an overgrowth of anaerobic bacteria is referred to as bacterial vaginosis (BV). The dysbiosis is associated with an increased risk for acquisition of sexually transmitted infections. Women with symptomatic BV are treated with oral metronidazole (MET), but its effectiveness remains to be elucidated. This study used whole-genome sequencing (WGS) to determine the changes in the microbiota among women treated with MET. WGS was conducted on DNA obtained from 20 vaginal swabs collected at four time points over 12 months from five randomly selected African American (AA) women. The baseline visit included all women who were diagnosed with asymptomatic BV and were untreated. All subjects were tested subsequently once every 2 months and received a course of MET for each BV episode during the 12 months. The BV status was classified according to Nugent scores (NSs) of vaginal smears. The microbial and resistome profiles were analysed along with the sociodemographic metadata. Despite treatment, none of the five participants reverted to normal vaginal flora - two were consistently positive for BV, and the rest experienced episodic cases of BV. WGS analyses showed Gardnerella spp. as the most abundant organism. After treatment with MET, there was an observed decline of Lactobacillus and Prevotella species. One participant had a healthy vaginal microbiota based on NS at one follow-up time point. Resistance genes including tetM and lscA were detected. Though limited in subjects, this study shows specific microbiota changes with treatment, presence of many resistant genes in their microbiota, and recurrence and persistence of BV despite MET treatment. Thus, MET may not be an effective treatment option for asymptomatic BV, and whole metagenome sequence would better inform the choice of antibiotics.
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Affiliation(s)
- Daniel Ruiz-Perez
- Bioinformatics Research Group (BioRG), Knight Foundation School of Computing and Information Sciences, College of Engineering and Computing, Florida International University (FIU), Miami, FL, USA
| | - Makella S Coudray
- Department of Epidemiology, Stempel College of Public Health, FIU, Miami, FL, USA.,Present address: Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, FL 32827, USA
| | - Brett Colbert
- Department of Biological Sciences, College of Arts, Sciences and Education, FIU, Miami, FL, USA.,Present address: Miller School of Medicine, University of Miami, Miami, FL 33136, USA
| | - Karl Krupp
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Hansi Kumari
- Department of Human and Molecular Genetics, Herbert Wertheim College of Medicine, FIU, Miami, FL, USA
| | - Vitalii Stebliankin
- Bioinformatics Research Group (BioRG), Knight Foundation School of Computing and Information Sciences, College of Engineering and Computing, Florida International University (FIU), Miami, FL, USA
| | - Kalai Mathee
- Department of Human and Molecular Genetics, Herbert Wertheim College of Medicine, FIU, Miami, FL, USA.,Biomolecular Sciences Institute, FIU, Miami, FL, USA
| | - Robert L Cook
- Department of Epidemiology, College of Public Health and Health Professions, University of Florida (UF), Gainesville, FL 32611, USA.,Department of Medicine, Division of General Internal Medicine, UF, Gainesville, FL 32611, USA
| | - Jane Schwebke
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Giri Narasimhan
- Bioinformatics Research Group (BioRG), Knight Foundation School of Computing and Information Sciences, College of Engineering and Computing, Florida International University (FIU), Miami, FL, USA.,Biomolecular Sciences Institute, FIU, Miami, FL, USA
| | - Purnima Madhivanan
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.,Division of Infectious Diseases, College of Medicine, University of Arizona (UA), Tucson, AZ, USA.,Department of Family & Community Medicine, UA, Tucson, AZ, USA.,Public Health Research Institute of India, Mysore, Karnataka, India
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Cyrus E, Coudray MS, Kiplagat S, Mariano Y, Noel I, Galea JT, Hadley D, Dévieux JG, Wagner E. A review investigating the relationship between cannabis use and adolescent cognitive functioning. Curr Opin Psychol 2021; 38:38-48. [PMID: 32818908 PMCID: PMC7365113 DOI: 10.1016/j.copsyc.2020.07.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 07/03/2020] [Accepted: 07/07/2020] [Indexed: 12/15/2022]
Abstract
Given varying state-level laws regarding cannabis use, the objective of the review was to summarize contemporary literature on the relationship between adolescent cognitive function and academic performance with cannabis use. Frequency and quantity of cannabis use were associated with decreased functional connectivity of the brain. Earlier age at cannabis initiation and more frequent use was associated with poorer executive control and academic performance. Social determinants such as minimal parental monitoring, peer use and low social cohesion were associated with more frequent adolescent use. Race/ethnicity and residence were other factors influencing cannabis use. To prevent cannabis use disorders among adolescents, interventions should aim to prevent early initiation that can lead to chronic use in youth who may be more at risk.
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Affiliation(s)
- Elena Cyrus
- Department of Population Health Sciences, College of Medicine, University of Central Florida (UCF), 6850 Lake Nona Boulevard, Orlando, FL, 32827, USA.
| | - Makella S Coudray
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University (FIU), 11200 SW 8thStreet, Miami, FL, 33199, USA
| | - Sandra Kiplagat
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University (FIU), 11200 SW 8thStreet, Miami, FL, 33199, USA
| | - Yandra Mariano
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University (FIU), 11200 SW 8thStreet, Miami, FL, 33199, USA
| | - Ines Noel
- Department of Psychological Sciences, College of Arts and Sciences, 5998 Alcala Park, University of San Diego, San Diego, CA, 92110, USA
| | - Jerome T Galea
- School of Social Work & College of Public Health, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA
| | - Dexter Hadley
- Department of Clinical Sciences, College of Medicine, UCF, 6850 Lake Nona Boulevard, Orlando, FL, 32827, USA
| | - Jessy G Dévieux
- Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, 11200 SW 8thStreet, Miami, FL, 33199, USA
| | - Eric Wagner
- Community-Based Research Institute, FIU, 11200 SW 8thStreet, Miami, FL, 33199, USA
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Coudray MS, Degarege A, Khan A, Ravi K, Srinivas V, Klausner JD, Madhivanan P, Placek CD. Partner age difference and sociodemographic correlates of herpes simplex virus type 2 seropositivity: A community-based study in South India. Indian J Sex Transm Dis AIDS 2020; 41:219-221. [PMID: 33817604 PMCID: PMC8000660 DOI: 10.4103/ijstd.ijstd_90_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 02/10/2019] [Accepted: 06/16/2019] [Indexed: 11/25/2022] Open
Affiliation(s)
- Makella S Coudray
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Abraham Degarege
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Anisa Khan
- Public Health Research Institute of India, Mysore, Karnataka, India
| | - Kavitha Ravi
- Public Health Research Institute of India, Mysore, Karnataka, India
| | - Vijaya Srinivas
- Public Health Research Institute of India, Mysore, Karnataka, India
| | - Jeffery D Klausner
- David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles, California, USA
| | - Purnima Madhivanan
- Public Health Research Institute of India, Mysore, Karnataka, India.,Department of Health Promotion Sciences Mel & Enid Zuckerman College of Public Health, University of Arizona, Tuscon, Arizona
| | - Caitlyn D Placek
- Department of Anthropology, Ball State University, Muncie, Indiana
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8
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Kiplagat S, Coudray MS, Ravi K, Jayakrishna P, Krupp K, Arun A, Madhivanan P. Evaluating a Conditional Cash Transfer Scheme in a Maternal Health Care Utilization Program Among Rural Pregnant Women in Mysore District, India. Womens Health Rep (New Rochelle) 2020; 1:159-166. [PMID: 32617535 PMCID: PMC7325491 DOI: 10.1089/whr.2019.0021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/20/2020] [Indexed: 06/11/2023]
Abstract
Background: According to the World Bank report in 2015, the maternal death rate in India was 174 per 100,000, which is among the highest in the world. The Indian Government launched the Janani Suraksha Yojana (JSY) conditional cash transfer program in 2005 to curb the adverse birth outcomes by promoting institutional delivery and providing antenatal care (ANC) services for pregnant women. This study evaluates the factors associated with JSY conditional cash transfer program in rural Mysore, India. Methods: Between 2011 and 2014, a prospective cohort study was conducted to examine the feasibility and acceptability of integrated ANC and HIV testing using mobile clinics in rural Mysore. Pregnant women in the Mysore Taluk provided an informed consent and answered an interviewer-administered questionnaire in local language, Kannada. All women underwent routine ANC services and were followed-up immediately after delivery, and 6 months and 12 months after delivery. Binary logistic regression was performed to identify factors associated with JSY benefits. Results: The mean age of the 1,806 mothers was 21.2 ± 2.2 years and 58.9% of the mothers had primary education. Nearly half (51.6%) of the women reported having received JSY benefits. Factors associated with receiving JSY benefits included pregnant woman's partner not having any formal education (adjusted odds ratio [AOR]: 1.35; 95% confidence interval [CI]: 1.01-1.80), having income ≤4,000 Indian Rupees (AOR: 1.47; 95% CI: 1.04-2.09), rare visits (once in 3 months visit) with Accredited Social Health Activists (AOR: 3.55; 95% CI: 1.55-8.51), and delivery in a public institution (AOR: 1.23; 95% CI: 1.01-1.51). Conclusions: While JSY has been operational in India since 2005, there continue to remain major gaps in the receipt of JSY services in rural India. Future interventions should include targeted services and expansion of JSY scheme, specifically among rural pregnant women, who are most at need of these services.
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Affiliation(s)
- Sandra Kiplagat
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Makella S. Coudray
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Kavitha Ravi
- Public Health Research Institute, Yadavgiri, Mysore, India
| | | | - Karl Krupp
- Public Health Research Institute, Yadavgiri, Mysore, India
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Anjali Arun
- Public Health Research Institute, Yadavgiri, Mysore, India
| | - Purnima Madhivanan
- Public Health Research Institute, Yadavgiri, Mysore, India
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
- Division of Infectious Diseases, College of Medicine, University of Arizona, Tucson, Arizona, USA
- Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona, USA
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Cadet GDJ, Coudray MS, Stephens DP, Adsul P, Siddaiah A, Madhivanan P. Knowledge, gender, and guidance: Factors influencing Indian mothers responses to Attention Deficit Hyperactivity Disorder (ADHD). Indian J Health Wellbeing 2019; 10:195-200. [PMID: 35070918 PMCID: PMC8782239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In the current study, we examined the socio-demographic characteristics and attitudes of Indian mothers, their knowledge about behaviors related to Attention Deficit Hyperactivity Disorder (ADHD) and the relationship with ADHD diagnosis among their children. Previous research showed 11.3% of primary school children in India have been diagnosed with ADHD, yet little research has been conducted on how mothers perceive these behaviors. A survey was completed by 100 mothers with children aged between 4-12 years. The Centers for Disease Control (CDC) ADHD Checklist for Children was used to assess the presence of ADHD symptoms in Indian children. The surveys were analyzed to identify maternal ADHD knowledge, socio-demographic characteristics and attitudes associated with ADHD within the context of Indian culture using SPSS. It was determined that the gender of the child, the geographical location the mother was raised, willingness of mother to seek professional help, mother's knowledge on handling child's behavior and mother's knowledge on ADHD were significantly associated with ADHD. Further analyses revealed that a lack of knowledge of ADHD and handling child's behavior were most associated with anADHD diagnosis based on the CDCADHD checklist.
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Affiliation(s)
| | - Makella S Coudray
- Robert Stempel College of Public Health and Social Work Florida International University, US
| | | | - Prajakta Adsul
- Division of Cancer Control and Population Sciences National Cancer Institute, US
| | - Anand Siddaiah
- Public Health Research Institute of India Teresian College, PG Department of Psychology, Mysore, Karnataka, IN
| | - Purnima Madhivanan
- Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, US Public Health Research Institute of India, Mysore, Karnataka, IN
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