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Underwood RA, Wood RJ, Tomchek AD, Celestin MD, Culbertson R, Phillippi S, Broyles ST. Exploring Successful Implementation of Organizational Supports at the Worksite Environment: A Mixed Methods Approach. Health Promot Pract 2024; 25:188-195. [PMID: 36321610 DOI: 10.1177/15248399221127045] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
While there is evidence that organizational supports may lead to better employee health, research on implementing such organizational supports is lacking. This research sought to understand organizational supports and implementation of those supports using an Explanatory Sequential Mixed Methods design approach. Employee survey responses (n = 202) were used to classify organizations into "high" and "low" categories for employee-reported health behavior improvement, agreement, and readiness for implementing change. For the qualitative phase of research (organization-level), semi-structured interviews were conducted with organization leads, and data were analyzed through constant comparative analysis procedure. Analyses sought to identify differences between "high" versus "low" organizations. In addition, the researcher used the "high" and "low" classifications to further review themes that emerged, to determine where there may be differences in organizations classified as "high" versus "low." Study results found the following nine themes to explain how organizations can improve implementing organizational supports: provide a contracted wellness program, formalized programming, and wellness incentives; create a culture of wellness in the organization; provide consistency in the supports offered; provide clear communication to employees; utilize leadership role modeling to show support; focus on leadership support that ensures organizational supports are implemented and sustained; and work to combat employee hesitation of organizational supports. The results of this study show that organizations have the opportunity to improve implementation of their organizational supports by applying the nine themes found.
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Affiliation(s)
| | - Ralph J Wood
- Southeastern Louisiana University, Hammond, LA, USA
| | | | - Michael D Celestin
- CTTS Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | | | - Stephen Phillippi
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - Stephanie T Broyles
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
- Pennington Biomedical Research Center, Baton Rouge, LA, USA
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2
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Goldin Evans M, Gee RE, Phillippi S, Sothern M, Theall KP, Wightkin J. Multilevel Barriers to Long-Acting Reversible Contraceptive Uptake: A Narrative Review. Health Promot Pract 2023:15248399231211531. [PMID: 37978809 DOI: 10.1177/15248399231211531] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Unintended pregnancies, which occur in almost half (45%) of all pregnancies in the United States, are associated with adverse health and social outcomes for the infant and the mother. The risk of unintended pregnancies is significantly reduced when women use long-acting reversible contraceptives (LARCs), namely intrauterine devices and implants. Although LARCs are highly acceptable to women at risk of unintended pregnancies, barriers to accessing LARCs hinder its uptake. These barriers are greater among racial and socioeconomic lines and persist within and across the intrapersonal, interpersonal, institutional, and policy levels. A synthesis of these barriers is unavailable in the current literature but would be beneficial to health care providers of reproductive-aged women, clinical managers, and policymakers seeking to provide equitable reproductive health care services. The aim of this narrative review was to aggregate these complex and overlapping barriers into a concise document that examines: (a) patient, provider, clinic, and policy factors associated with LARC access among populations at risk of unintended pregnancy and (b) the clinical implications of mitigating these barriers to provide equitable reproductive health care services. This review outlines numerous barriers to LARC uptake across multiple levels and demonstrates that LARC uptake is possible when the woman is informed of her contraceptive choices and when financial and clinical barriers are minimized. Equitable reproductive health care services entail unbiased counseling, a full range of contraceptive options, and patient autonomy in contraceptive choice.
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Affiliation(s)
- Melissa Goldin Evans
- Mary Amelia Center for Women's Health Equity Research, Tulane University, New Orleans, LA, USA
| | | | - Stephen Phillippi
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - Melinda Sothern
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - Katherine P Theall
- Mary Amelia Center for Women's Health Equity Research, Tulane University, New Orleans, LA, USA
| | - Joan Wightkin
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
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Luo T, Li MS, Williams D, Fritz J, Beiter K, Phillippi S, Yu Q, Kantrow S, Chen L, Chen Y, Tseng TS. A WeChat-based smoking cessation intervention for Chinese smokers: a feasibility study. Transl Behav Med 2022; 12:1018-1027. [PMID: 36130313 DOI: 10.1093/tbm/ibac067] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
WeChat is the largest social media platform in China, yet few WeChat-based smoking cessation interventions have been investigated to date. The objective of this study was to develop and test the feasibility of a WeChat-based smoking cessation intervention for smokers in China. Participants were recruited using WeChat and were then randomized into one of three groups: the Standard Group, the Enhanced Group, and the wait-list Control Group. Feasibility indicators including program reach, recruitment rate, recruitment efficiency, cost per person, attrition rate, intervention message exposure, group discussion utilization rate, intervention message engagement, satisfaction, and the likelihood of recommending to others were measured with assessed. Analyses included Chi-square and Fisher exact test, as well as analysis of variance test. A responsive participant is defined as a participant that responded to a certain assessment. A total of 1,132 individuals connected with ("friended") our project on WeChat between July 1 and August 5, 2019. Of these, 403 were eligible to participate, consented, and completed the baseline assessment. As a result, 136, 135, and 132 smokers were randomly assigned to the Standard Group, the Enhanced Group, and the Control Group, respectively. The total program recruitment rate was 35.6% and the attrition rate was 46.4%. The program cost was $0.85 per person. All responsive participants read at least one message during the intervention and engaged with intervention messages 56.8% of the time. Most responsive participants reported being very or somewhat satisfied, highly or somewhat engaged, and were willing to recommend our program to others. This study demonstrated the feasibility of a smoking cessation interventions using WeChat. The program could be expanded to deliver smoking cessation interventions to a large population of smokers.
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Affiliation(s)
- Ting Luo
- Moores Cancer Center, University of California San Diego, La Jolla, CA 92122, USA.,Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Mirandy S Li
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA.,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Donna Williams
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Jackson Fritz
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA.,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Kaylin Beiter
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA.,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Stephen Phillippi
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Qingzhao Yu
- Biostatistics, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Stephen Kantrow
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Liwei Chen
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 900095, USA
| | - Yongchun Chen
- Department of Clinical Nutrition, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, China
| | - Tung Sung Tseng
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
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Beiter K, Danos D, Conrad E, Broyles S, Zabaleta J, Mussell J, Phillippi S. The COVID-19 pandemic and associated increases in experiences of assault violence among black men with low socioeconomic status living in Louisiana. Heliyon 2022; 8:e09974. [PMID: 35874081 PMCID: PMC9293370 DOI: 10.1016/j.heliyon.2022.e09974] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 03/23/2022] [Accepted: 07/13/2022] [Indexed: 11/04/2022] Open
Abstract
Background The COVID-19 pandemic has had mental health, social, and economic implications among communities with high levels of social disadvantage; this may have impacted community violence rates. The objective of this study was to characterize overall trends in assault and social disadvantage of patients experiencing assault before and during the COVID-19 pandemic. Methods All trauma activations at a level one trauma center serving the entire southeast Louisiana region were included during March–August pre-COVID (2018–2019) and during COVID (2020). ICD-10 E-codes were used to identify trauma intent (assault vs. other). Assaults in this context are defined as physical injuries caused by an act of violence wherein the perpetrator was suspected or confirmed to have intended harm, injury, or death to the victim. Social disadvantage was assessed using the Area Deprivation Index (ADI). Change in the monthly rate of assault-trauma activations was assessed using negative binomial regression with adjustment for race, gender, and injury intent. The study was reviewed and approved by the Louisiana State University Health Sciences Institutional Review Board. Results A total of 4,233 trauma activations were included. The majority of activations occurred among men. Assaults increased from 27.5% of all activations pre-Covid to 35.6% during the pandemic. Penetrating trauma similarly increased from 29.5% to 35.7% of all activations. Negative binomial regression demonstrated that in addition to this increase in proportion of assaults relative to all activations, the monthly assault rate also increased by 20% during the pandemic. These increases were driven primarily by increased assaults among Black men. ADI rank did not change between study periods. Conclusions Health disparities in violence worsened during the pandemic: increased cases of assault occurred disproportionately among Black men, and assaults persisted in occurring primarily among low-ADI communities where burden had been high pre-pandemic. There is a critical need for resources and support to Black men, to mitigate violence and improve racial heath equity.
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Affiliation(s)
- Kaylin Beiter
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Denise Danos
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Erich Conrad
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Stephanie Broyles
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Jovanny Zabaleta
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Jason Mussell
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
| | - Stephen Phillippi
- Louisiana State University Health Sciences Center, 70112, New Orleans, Louisiana, USA
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Beiter K, Danos D, Conrad E, Broyles S, Zabaleta J, Mussell J, Phillippi S. PTSD treatment reduces risk of trauma recidivism in a diverse community at a safety-net hospital: A propensity score analysis of data from a level one trauma center. Injury 2022; 53:2493-2500. [PMID: 35641330 PMCID: PMC11036415 DOI: 10.1016/j.injury.2022.05.026] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 05/09/2022] [Accepted: 05/13/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND Physically-traumatic injuries result in PTSD for approximately 10% of Americans, and this rate is higher among individuals of color and those living in poverty. Individuals of color living in poverty experience lower access to PTSD and other mental health services. Untreated PTSD is associated with increased risk of trauma recidivism, but it is unknown if provision of treatment is actually associated with a subsequent reduction in recidivism risk. METHODS For this observational cross-sectional study, data were collected retrospectively from the Trauma Registry of a level one trauma center, safety-net hospital in New Orleans between 2018 and 2020. Receipt of outpatient PTSD treatment at this same hospital was evaluated via chart review of the electronic health record. Propensity score matching was used to balance confounding variables of trauma type (assault vs. non-assault), gender, and race. McNemar test and Cox proportional hazard model were used with the propensity-balanced dataset to assess differences in trauma recidivism according to PTSD treatment status. RESULTS Among 5916 trauma activations that occurred in the study period, 92 instances of recidivism occurred. 91 pairs were established after balancing with the propensity score. 1-year recidivism was 2.2% (n = 2) of all treated individuals versus 15.4% (n = 14) of non-treated individuals (p < 0.0001). The marginal risk from the Cox proportional hazard model demonstrated an 82% reduction in risk of recidivism (p = 0.02). CONCLUSIONS This study demonstrated that mental health treatment can be used to reduce trauma recidivism. These data were shown among a high-risk population of disproportionately Black men living in a low-income community. Ensuring access to quality mental health care is one way to address the health disparities associated with physically-traumatic injuries.
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Affiliation(s)
- Kaylin Beiter
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States.
| | - Denise Danos
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
| | - Erich Conrad
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
| | - Stephanie Broyles
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
| | - Jovanny Zabaleta
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
| | - Jason Mussell
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
| | - Stephen Phillippi
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, 2020 Gravier Street, Floor 3, New Orleans LA 70112, United States
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Singh SK, Fenton A, Bumbarger B, Beiter K, Simpson L, Thornton M, Phillippi S. Transitioning Behavioral Healthcare in Louisiana Through the COVID-19 Pandemic: Policy and Practice Innovations to Sustain Telehealth Expansion. J Technol Behav Sci 2022; 7:296-306. [PMID: 35372669 PMCID: PMC8959783 DOI: 10.1007/s41347-022-00248-4] [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] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 01/20/2022] [Accepted: 03/04/2022] [Indexed: 11/10/2022]
Abstract
A statewide COVID-19 quarantine order forced an abrupt shift for Louisiana’s behavioral health providers who provide mental health and substance abuse treatment services. The Center for Evidence to Practice conducted a study of this unprecedented shift to better understand the disruption and continuation of care during early statewide adoption of telemental health. The Center performed a mixed-method assessment including a series of focus groups and key informant interviews followed by a survey of over 300 responding providers. Over 85% of providers reported sustaining behavioral health services using a variety of telemental health strategies. While traditional referral networks and client volume were significantly disrupted, temporary relaxation of Medicaid regulatory and reimbursement policies appeared to be a key facilitator of telemental health adoption and continued services. Shifting to telemental health relied on provider’s quick adaptations, engaging clients with a hybrid of teleconferencing platforms, calls/texts, and socially-distanced in-person visits. Larger multi-clinician providers and evidence-based practice (EBP) providers were better equipped to support the adoption of telemental health. Rural and EBPs providers disproportionately discontinued services. Although many practitioners viewed the original COVID-19 pandemic as a short-lived condition, the recent emergence of Delta and other variants has shown the impact on the BH care system may be lasting. Flexibility across policies and a variety of telemental health platforms are keys to telehealth adaptation. However, the contraction of the client base raises concerns of increasing disparities among vulnerable and hard-to-reach populations if telemental health becomes a sustained approach in response to future COVID-19 variants.
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Affiliation(s)
- Sonita K Singh
- Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA 70112 USA
| | - Ashley Fenton
- Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA 70112 USA
| | | | - Kaylin Beiter
- Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA 70112 USA
| | - Lindsay Simpson
- Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA 70112 USA
| | - Matthew Thornton
- The Center for Children and Families, Incorporated, Monroe, LA 71201 USA
| | - Stephen Phillippi
- Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA 70112 USA
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Luo T, Li MS, Williams D, Fritz J, Beiter K, Phillippi S, Yu Q, Kantrow S, Lin WT, Kao YH, Chen Y, Chen L, Tseng TS. A WeChat-based smoking cessation intervention for Chinese smokers: A pilot study. Internet Interv 2022; 28:100511. [PMID: 35646606 PMCID: PMC9136339 DOI: 10.1016/j.invent.2022.100511] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 02/14/2022] [Accepted: 02/15/2022] [Indexed: 10/29/2022] Open
Abstract
BACKGROUND China is the largest tobacco producer and has the highest number of tobacco consumers in the world. Extensive research has demonstrated the utility of social media for smoking cessation. WeChat is the most commonly used social media platform in China, but has not yet been utilized for smoking cessation interventions. The objectives of this study are (1) to evaluate the efficacy of a WeChat-based smoking cessation intervention; and (2) to examine a possible additive effect of integrating oral health and smoking-related information into a tailored, Transtheoretical Model (TTM) guided smoking cessation intervention. METHODS Eligible adults were recruited through WeChat from July 1 to August 6, 2019, to participate in a 3-arm, single-blinded, randomized controlled trial. We enrolled and randomized 403 participants into three groups: the Standard Group, Enhanced Group, or a Waitlist-Control Group. Participants in the Standard Group received 20 smoking cessation-related messages for 2 weeks; participants in the Enhanced Group received this same protocol plus 6 oral health-related messages over an additional week. Participants in the Control Group received smoking cessation-related messages, after the post-intervention assessment. The primary outcome was TTM Stage of Change, and the secondary outcomes were 7-day Point Prevalence Abstinence (PPA), 24-h PPA, daily cigarette use, and nicotine dependence at 4 weeks follow-up post intervention, comparing intervention groups with the control group. The overall program attrition rate was 46%. Paired t-tests, McNemar tests, and linear and logistic regression were used to examine differences in smoking cessation outcomes within and between groups. RESULTS Participants in the Enhanced Group (β = -1.28, 95%CI: -2.13, -0.44) and the Standard Group (β = -1.13, 95%CI: -1.95, -0.30) reported larger changes in nicotine dependence scores, compared to participants in the Waitlist Group. No statistically significant differences were found between the Enhanced Group and the Standard Group. DISCUSSION This WeChat-based intervention was effective for smoking cessation overall. The addition of oral health information did not significantly improve the intervention.
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Affiliation(s)
- Ting Luo
- Moores Cancer Center, University of California San Diego, La Jolla, California 92122, USA,Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA,Corresponding author at: Moores Cancer Center, University of California San Diego, California, USA.
| | - Mirandy S. Li
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Donna Williams
- Moores Cancer Center, University of California San Diego, La Jolla, California 92122, USA
| | - Jackson Fritz
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Kaylin Beiter
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA,School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Stephen Phillippi
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Qingzhao Yu
- Biostatistics, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Stephen Kantrow
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Wei-Ting Lin
- Department of Global Community Health and Behavioral Sciences, School of Public Health & Tropical Medicine, Tulane University, New Orleans, LA 70122, USA
| | - Yu-Hsiang Kao
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
| | - Yongchun Chen
- Department of Clinical Nutrition, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan 450003, China
| | - Liwei Chen
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California 900095, USA
| | - Tung-Sung Tseng
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA
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Beiter K, Hayden E, Phillippi S, Conrad E, Hunt J. Violent trauma as an indirect impact of the COVID-19 pandemic: A systematic review of hospital reported trauma. Am J Surg 2021; 222:922-932. [PMID: 34148669 PMCID: PMC8129999 DOI: 10.1016/j.amjsurg.2021.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 04/26/2021] [Accepted: 05/05/2021] [Indexed: 01/04/2023]
Abstract
INTRODUCTION The COVID-19 pandemic has exacerbated many social conditions associated with violence. The objective of this systematic review was to examine trends in hospital reported violent trauma associated with the pandemic. METHODS Databases were searched in using terms "trauma" or "violence" and "COVID-19," yielding 4,473 records (2,194 de-duplicated). Exclusion criteria included non-hospital based studies and studies not reporting on violent trauma. 44 studies were included in the final review. RESULTS Most studies reported no change in violent trauma incidence. Studies predominately assessed trends with violent trauma as a proportion of all trauma. All studies demonstrating an increase in violent trauma were located in the United States. CONCLUSIONS A disproportionate rise in violence has been reported within the US. However, most studies examined violent trauma as a proportion of all trauma; results may reflect relative changes from lockdowns. Future studies should examine rates of violent trauma to provide additional context.
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Affiliation(s)
- Kaylin Beiter
- Louisiana State University Health Sciences Center, United States.
| | - Ellery Hayden
- Louisiana State University Health Sciences Center, United States
| | | | - Erich Conrad
- Louisiana State University Health Sciences Center, United States
| | - John Hunt
- Louisiana State University Health Sciences Center, United States
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9
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Luo T, Li M, Williams D, Fritz J, Phillippi S, Yu Q, Kantrow S, Chen L, Chen Y, Beiter K, Tseng TS. Urban and Rural Disparities in a WeChat-Based Smoking Cessation Intervention among Chinese Smokers. Int J Environ Res Public Health 2021; 18:ijerph18136731. [PMID: 34201450 PMCID: PMC8268404 DOI: 10.3390/ijerph18136731] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 06/15/2021] [Accepted: 06/18/2021] [Indexed: 01/23/2023]
Abstract
INTRODUCTION Tobacco use, which is directly responsible for 10% of total deaths per year globally, remains consistently high, with approximately 20% of the population reporting regular consumption globally. Moreover, health disparities regarding tobacco consumption and smoking cessation are growing between rural and urban populations worldwide. Social media interventions for tobacco cessation may effectively reach both groups. The objective of this study was to evaluate the efficacy of a WeChat-delivered smoking cessation intervention among rural and urban Chinese smokers, and to assess moderating variables that may contribute to differential intervention efficacy. METHODS WeChat was used to recruit smokers into this intervention study between 1 July and 5 August 2019. Participants were randomized to one of three intervention schedules: participants in the Standard Group and the Enhanced Group received 20 smoking-related messages over 2 weeks, whereas participants in the Enhanced Group received an extra 6 oral health-related messages for one week. Participants in the control group received 20 smoking-related messages after the post-intervention assessment. Participants completed questionnaires at baseline and at 4 weeks follow-up. Our primary outcome was smoking cessation stage of change and secondary outcome was 24-h point prevalence abstinence (PPA). Urban and rural areas were based on self-reported living areas. Chi-squared test, Fisher's exact test, ANOVA test, linear regression, and logistic regression were used for analysis. RESULTS Overall, 403 participants completed the intervention (233 rural, 107 suburban, 63 urban). Compared to urban participants, rural participants were more likely to have progressed to a later stage of change (β = 0.40, 95% CI: 0.13, 0.67) and to report higher 24-h PPA rates at follow-up (aOR = 3.23, 95% CI: 1.36, 7.68). After stratification by living area, the intervention effects in stage of change and 24-h PPA rate at follow-up were only found in the urban subgroup. DISCUSSION Smokers who lived in rural areas reported better smoking cessation outcomes compared with urban smokers; however, the efficacy of a WeChat-based smoking cessation intervention was only found for participants living in an urban area. WeChat based smoking cessation interventions should be used to promote smoking cessation in urban, suburban, and rural areas.
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Affiliation(s)
- Ting Luo
- Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, CA 92122, USA; (M.L.); (K.B.)
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (D.W.); (S.P.); (T.-S.T.)
- Correspondence:
| | - Mirandy Li
- Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, CA 92122, USA; (M.L.); (K.B.)
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (J.F.); (S.K.)
| | - Donna Williams
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (D.W.); (S.P.); (T.-S.T.)
| | - Jackson Fritz
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (J.F.); (S.K.)
| | - Stephen Phillippi
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (D.W.); (S.P.); (T.-S.T.)
| | - Qingzhao Yu
- Biostatistics, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA;
| | - Stephen Kantrow
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (J.F.); (S.K.)
| | - Liwei Chen
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA;
| | - Yongchun Chen
- Department of Clinical Nutrition, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, China;
| | - Kaylin Beiter
- Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, CA 92122, USA; (M.L.); (K.B.)
- School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (J.F.); (S.K.)
| | - Tung-Sung Tseng
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA 70122, USA; (D.W.); (S.P.); (T.-S.T.)
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Phillippi S, Thomas CL, Yoshida Y, Afaneh H. Holistic representation in juvenile defense: An evaluation of a multidisciplinary children's defense team. Behav Sci Law 2021; 39:65-82. [PMID: 33548155 DOI: 10.1002/bsl.2500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 10/31/2020] [Accepted: 11/01/2020] [Indexed: 06/12/2023]
Abstract
This study describes the results of an evaluation of a holistic defense model for juvenile clients. Longitudinal, retrospective analysis of de-identified data from clients (N = 308) measured individual variable outcomes, relationships, and project performance. Bivariate and multivariate analyses examined the strength of association and interrelationships among client and defense team variables. Findings indicate that holistic defense was significantly associated with improved outcomes among juvenile clients, including increased mental health assessment resulting in treatment, increased employment and educational attainment, and decreased odds of recidivism. Favorable court or dispositional outcomes, including lower adjudication or early termination from custody, were also reported. Further practice-level, controlled research is necessary to evaluate these models and offer comparison to other models for holistic defense.
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Affiliation(s)
- Stephen Phillippi
- Department of Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center in New Orleans, New Orleans, Louisiana, USA
| | - Casey L Thomas
- Department of Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center in New Orleans, New Orleans, Louisiana, USA
| | - Yilin Yoshida
- Department of Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center in New Orleans, New Orleans, Louisiana, USA
| | - Hasheemah Afaneh
- Department of Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center in New Orleans, New Orleans, Louisiana, USA
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11
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Yoshida Y, Broyles S, Scribner R, Chen L, Phillippi S, Jackson-Thompson J, Simoes EJ, Tseng TS. Social support modifies the negative effects of acculturation on obesity and central obesity in Mexican men. Ethn Health 2020; 25:1103-1114. [PMID: 29944431 PMCID: PMC9044708 DOI: 10.1080/13557858.2018.1492708] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Accepted: 06/11/2018] [Indexed: 06/08/2023]
Abstract
Background: This study examined the moderating role of social support in the acculturation-obesity/central obesity relationship in Mexican American (MA) men and women. Methods: Data from NHANES 1999-2008 were used. Acculturation derived from language use, country of birth and length of residence in the U.S. Social support assessed emotional and financial support. BMI (≥30) and waist circumference (≥88 cm for women; ≥102 cm for men) measured obesity and central obesity, respectively. Weighted multivariate logistic regression models were used to describe associations. Results: Compared to less acculturation, more acculturation was associated with higher odds of obesity (ORs 2.48; 95% CI 1.06-5.83) and central obesity (2.90; 1.39-6.08) among MA men with low/no social support, but not among MA men reporting high social support. The modifying effects was not observed among women. Conclusion: Higher amounts of social support appeared to attenuate the risk of obesity/central obesity associated with acculturation. Interventions enhancing social support maybe effective among acculturated MAs, particularly among men.
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Affiliation(s)
- Yilin Yoshida
- Department of Health Management and Informatics, School of Medicine, University of Missouri, CE707 CS&E Bldg., One Hospital Drive, Columbia, Missouri 65212
- Missouri Cancer Registry & Research Center, 401 Clark Hall, Columbia, Missouri 65211
| | - Stephanie Broyles
- Behavioral and Community Health Sciences program, School of Public Health, Louisiana State University Health Sciences Center, 3FL, 2020 Gravier St., New Orleans, Louisiana 70112
- Pennington Biomedical Research Center, Baton Rouge, Louisiana
| | - Richard Scribner
- Epidemiology program, School of Public Health, Louisiana State University Health Sciences Center, 3FL, 2020 Gravier St., New Orleans, Louisiana 70112
| | - Liwei Chen
- Department of Public Health Sciences, Clemson University, 503 Edwards Hall, Clemson, SC 29634-0745
| | - Stephen Phillippi
- Behavioral and Community Health Sciences program, School of Public Health, Louisiana State University Health Sciences Center, 3FL, 2020 Gravier St., New Orleans, Louisiana 70112
| | - Jeanette Jackson-Thompson
- Department of Health Management and Informatics, School of Medicine, University of Missouri, CE707 CS&E Bldg., One Hospital Drive, Columbia, Missouri 65212
- Missouri Cancer Registry & Research Center, 401 Clark Hall, Columbia, Missouri 65211
| | - Eduardo J. Simoes
- Department of Health Management and Informatics, School of Medicine, University of Missouri, CE707 CS&E Bldg., One Hospital Drive, Columbia, Missouri 65212
| | - Tung-Sung Tseng
- Behavioral and Community Health Sciences program, School of Public Health, Louisiana State University Health Sciences Center, 3FL, 2020 Gravier St., New Orleans, Louisiana 70112
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Fisher KA, Phillippi S, Robinson WT. Resilience, Distress, and Dependence Influence Injection Related Risk among People Who Inject Drugs. Int J Ment Health Addict 2020. [DOI: 10.1007/s11469-018-9955-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
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13
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Luo T, Li MS, Williams D, Phillippi S, Yu Q, Kantrow S, Kao YH, Celestin M, Lin WT, Tseng TS. Using social media for smoking cessation interventions: a systematic review. Perspect Public Health 2020; 141:50-63. [DOI: 10.1177/1757913920906845] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Previous studies have shown that smoking tobacco significantly increases both incidence and mortality rates for many diseases. Social media has become one of the most influential platforms for various smoking cessation interventions. However, results from smoking cessation interventions have differed from study to study. Limited studies have summarised cessation outcomes from social media–based interventions. Therefore, the objective of this review is to explore the effectiveness of using social media for smoking cessation. Methods: We searched PubMed, MEDLINE, PsycINFO, and CINAHL for articles between June 2008 and June 2018, and also assessed the references of selected articles. We included studies that used social media as intervention platforms, provided a baseline assessment before the intervention, and provided smoking cessation outcomes after the intervention. Results: We identified 13 original studies that enrolled between 16 and 1698 participants; 7-day Point Prevalence Abstinence (PPA) rate was the most frequently used measure of abstinence, with a range of 7%–75%, regardless of the measurement time, study design, and analysis methods. Social media–based smoking cessation interventions were effective, because (1) smokers reported higher 7-day PPA rates after intervention compared to baseline and (2) smokers reported higher 7-day PPA rates in intervention groups than in control groups. Moreover, at each time point, approximately half of all smokers in studies reporting abstinence were found to be biochemically abstinent. There were no significant differences in the effectiveness of smoking cessation outcomes between those that used existing popular social networking platforms (e.g. Pechmann et al’s studies) and those that used individually designed interactive platforms (e.g. MyLastDip, iQuit system, Quitxt system). Conclusions: This review highlights the effectiveness of social media–based smoking cessation intervention studies. Due to the widespread use of social media, as well as its low cost, we suggest embedding smoking cessation interventions within existing popular social media platforms.
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Affiliation(s)
- T Luo
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - MS Li
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
- School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - D Williams
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - S Phillippi
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - Q Yu
- Biostatistics, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - S Kantrow
- School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - YH Kao
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - M Celestin
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - WT Lin
- Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health & Tropical Medicine, New Orleans, LA, USA
| | - TS Tseng
- Associate Professor, Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, 2020 Gravier Street, Room 213, New Orleans, LA 70112, USA
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Goldin Evans M, Broyles S, Frederiksen B, Gee RE, Phillippi S, Sothern M, Theall KP, Wightkin J. Long-acting reversible contraceptive utilization after policy change increasing device reimbursement to wholesale acquisition cost in Louisiana. Am J Obstet Gynecol 2019; 221:128.e1-128.e10. [PMID: 31042498 DOI: 10.1016/j.ajog.2019.04.024] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 03/20/2019] [Accepted: 04/19/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Unintended pregnancies, occurring in nearly 1 out of every 2 (45%) pregnancies in the United States, are associated with adverse health and social outcomes for the infant and the mother. The risk of unintended pregnancies is significantly reduced when women use long-acting reversible contraceptives, namely intrauterine devices and implants. Inadequate reimbursement for long-acting reversible contraceptive devices may be an access barrier to long-acting reversible contraceptive uptake. In 2014, the Louisiana Department of Health Bureau of Health Services Financing implemented a policy change that increased the Medicaid reimbursement rates for acquiring long-acting reversible contraceptive devices to the wholesale acquisition cost. OBJECTIVE To examine the association of a Medicaid policy change that increased the long-acting reversible contraceptive device reimbursement rate to the wholesale acquisition cost (ie, price set by the manufacturers) on long-acting reversible contraceptive uptake among women at risk for unintended pregnancy. MATERIALS AND METHODS This retrospective, repeated cross-sectional study used 2013-2015 Louisiana Medicaid claims data and contraceptive provision measures to assess associations between patient (age, race, urban/rural residence, postpartum status) and provider (urban/rural location, specialty) characteristics and long-acting reversible contraceptive uptake among contraceptive users (N = 193,623) using bivariate and logistic regression analyses. RESULTS After long-acting reversible contraceptive reimbursement increased, there was a 2-fold likelihood increase in use in 2015 vs 2013 (odds ratio, 2.08; 95% confidence interval, 1.69-2.55). Long-acting reversible contraceptive uptake was more likely across all patient and provider subgroups in 2015 vs 2013 but notably among patients receiving contraceptive care from family planning clinics (odds ratio, 3.93; 95% confidence interval, 2.34-6.62). CONCLUSION Removal of a provider-level financial barrier to long-acting reversible contraceptive provision was associated with increased long-acting reversible contraceptive uptake among women at risk for unintended pregnancy. Efforts to improve long-acting reversible contraceptive access should focus on equitable healthcare reimbursement for healthcare providers of reproductive-aged women.
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Keegan R, Grover LT, Patron D, Sugarman OK, Griffith K, Sonnier S, Springgate BF, Jumonville LC, Gardner S, Massey W, Miranda J, Chung B, Wells KB, Phillippi S, Trapido E, Ramirez A, Meyers D, Haywood C, Landry C, Wennerstrom A. Case Study of Resilient Baton Rouge: Applying Depression Collaborative Care and Community Planning to Disaster Recovery. IJERPH 2018; 15:E1208. [PMID: 29890659 PMCID: PMC6025623 DOI: 10.3390/ijerph15061208] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 04/26/2018] [Revised: 05/29/2018] [Accepted: 05/30/2018] [Indexed: 11/16/2022]
Abstract
BACKGROUND Addressing behavioral health impacts of major disasters is a priority of increasing national attention, but there are limited examples of implementation strategies to guide new disaster responses. We provide a case study of an effort being applied in response to the 2016 Great Flood in Baton Rouge. METHODS Resilient Baton Rouge was designed to support recovery after major flooding by building local capacity to implement an expanded model of depression collaborative care for adults, coupled with identifying and responding to local priorities and assets for recovery. For a descriptive, initial evaluation, we coupled analysis of documents and process notes with descriptive surveys of participants in initial training and orientation, including preliminary comparisons among licensed and non-licensed participants to identify training priorities. RESULTS We expanded local behavioral health service delivery capacity through subgrants to four agencies, provision of training tailored to licensed and non-licensed providers and development of advisory councils and partnerships with grassroots and government agencies. We also undertook initial efforts to enhance national collaboration around post-disaster resilience. CONCLUSION Our partnered processes and lessons learned may be applicable to other communities that aim to promote resilience, as well as planning for and responding to post-disaster behavioral health needs.
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Affiliation(s)
- Robin Keegan
- Resilient Baton Rouge, 100 North Street, Suite 900, Baton Rouge, LA 70802, USA.
| | - Leslie T Grover
- Resilient Baton Rouge, 100 North Street, Suite 900, Baton Rouge, LA 70802, USA.
| | - David Patron
- Semel Institute for Neuroscience and Human Behavior, UCLA David Geffin School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
| | - Olivia K Sugarman
- School of Medicine, Section of Community and Population Medicine, Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA 70112, USA.
| | - Krystal Griffith
- Semel Institute for Neuroscience and Human Behavior, UCLA David Geffin School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
| | - Suzy Sonnier
- Executive Director, Baton Rouge Health District.
| | - Benjamin F Springgate
- School of Medicine, Section of Community and Population Medicine, Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA 70112, USA.
| | | | - Sarah Gardner
- Baton Rouge Area Foundation, 100 North Street, Suite 900, Baton Rouge, LA 70802, USA.
| | - Willie Massey
- Resilient Baton Rouge, 100 North Street, Suite 900, Baton Rouge, LA 70802, USA.
| | - Jeanne Miranda
- Semel Institute for Neuroscience and Human Behavior, UCLA David Geffin School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
| | - Bowen Chung
- Semel Institute for Neuroscience and Human Behavior, UCLA David Geffin School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
| | - Kenneth B Wells
- Semel Institute for Neuroscience and Human Behavior, UCLA David Geffin School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
| | - Stephen Phillippi
- School of Medicine, Section of Community and Population Medicine, Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA 70112, USA.
| | - Ed Trapido
- School of Medicine, Section of Community and Population Medicine, Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA 70112, USA.
| | - Alexa Ramirez
- School of Medicine, Section of Community and Population Medicine, Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA 70112, USA.
| | - Diana Meyers
- St. Anna's Episcopal Church, 1313 Esplanade Ave, New Orleans, LA 70116, USA.
| | - Catherine Haywood
- Louisiana Community Health Outreach Network, 1226 N. Broad, New Orleans, LA 70119, USA.
| | - Craig Landry
- UCLA Center for Health Services and Society, Los Angeles, CA 90095, USA.
| | - Ashley Wennerstrom
- Department of Medicine, Tulane University School of Medicine, 1430 Tulane Ave. SL-16 New Orleans, LA 70112, USA.
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Yoshida Y, Scribner R, Chen L, Broyles S, Phillippi S, Tseng TS. Role of Age and Acculturation in Diet Quality Among Mexican Americans - Findings From the National Health and Nutrition Examination Survey, 1999-2012. Prev Chronic Dis 2017; 14:E59. [PMID: 28727545 PMCID: PMC5524523 DOI: 10.5888/pcd14.170004] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Age and acculturation may play a role in diet quality among Mexican Americans. This study examined diet quality in Mexican Americans by age and whether acculturation influences diet quality across different age groups, using data from the National Health and Nutrition Examination Survey (NHANES). Diet quality, measured by the Healthy Eating Index 2010, improved with age except in categories of dairy, sodium, and refined grains. More acculturation was associated with lower scores in overall diet quality and categories of vegetables, fruits, and sodium and empty calories across almost all ages, but higher scores in grain categories, especially in younger groups. A diet rich in fruits and vegetables but low in fat and sodium should be promoted among more acculturated Mexican Americans, and whole-grain foods should be promoted among young but less acculturated Mexican Americans.
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Affiliation(s)
- Yilin Yoshida
- Department of Health Management and Informatics, School of Medicine, University of Missouri, Columbia, Missouri
| | - Richard Scribner
- Epidemiology, School of Public Health, Louisiana State University Health Sciences Center at New Orleans, New Orleans, Louisiana
| | - Liwei Chen
- Department of Public Health Sciences, Clemson University, Clemson, South Carolina
| | - Stephanie Broyles
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center at New Orleans, New Orleans, Louisiana.,Pennington Biomedical Research Center, Baton Rouge, Louisiana
| | - Stephen Phillippi
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center at New Orleans, New Orleans, Louisiana
| | - Tung-Sung Tseng
- Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center at New Orleans, New Orleans, Louisiana.,2020 Gravier St, 3rd Floor, New Orleans, LA 70112.
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Goldin Evans M, Phillippi S, Gee RE. Examining the Screening Practices of Physicians for Postpartum Depression: Implications for Improving Health Outcomes. Womens Health Issues 2015; 25:703-10. [DOI: 10.1016/j.whi.2015.07.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Revised: 07/02/2015] [Accepted: 07/02/2015] [Indexed: 11/28/2022]
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