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Article Reference Troff document (with manpage macros)Everyday and major experiences of racial/ethnic discrimination and sleep health in a multiethnic population of U.S. women: Findings from the Sister Study
Background Perceived racial/ethnic discrimination and poor sleep occur across all races/ethnicities in the U.S., though both are most common among racial/ethnic minorities. Few studies have investigated associations between perceived racial/ethnic discrimination and various sleep dimensions in a multiethnic population. Methods We analyzed cross-sectional associations among 40,038 eligible Sister Study participants (enrollment: 2003-2009) who reported ever/never experiencing specific types of everyday (e.g., treated unfairly at a store or restaurant) or major (e.g., unfairly stopped, threatened, or searched by police) discrimination attributed to their race/ethnicity during a follow-up survey in 2008-2012. Participants also reported short sleep duration (<7 hours), sleep debt (≥2-hour difference between longest and shortest sleep duration), frequent napping (≥3 times/week), and insomnia. Poisson regression with robust variance estimation, adjusted for sociodemographic and health characteristics, estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) for the association between each type of racial/ethnic discrimination and each sleep dimension, overall and by race/ethnicity. Results Mean age was 55 ± 8.9 years, 89% were NH-white, 8% NH-black, and 3% Hispanic/Latina. NH-black participants were the most likely to report everyday (76% vs. 4% [NH-whites] and 36% [Hispanics/Latinas]) and major racial/ethnic discrimination (52% vs. 2% [NH-whites] and 18% [Hispanics/Latinas]). Participants who experienced both types versus neither were more likely to report short sleep duration (PR=1.17 [95% CI: 1.09-1.25]) and insomnia symptoms (PR=1.10 [1.01-1.20]) but not other poor sleep dimensions. Conclusions Racial/ethnic minority women were most likely to experience racial/ethnic discrimination, which was associated with certain poor sleep dimensions among women of all races/ethnicities.
Located in Retired Persons / Natalie Slopen, Sc.D. / Natalie Slopen Publications
Article Reference Troff document (with manpage macros)Evidence of the Linkage Between Hospital-based Care Coordination Strategies and Hospital Overall (Star) Ratings
BACKGROUND:In the new era of value-based payment models and pay for performance, hospitals are in search of the silver bullet strategy or bundle of strategies capable of improving their performance on quality measures. OBJECTIVES:To determine whether there is an association between adoption of hospital-based care coordination strategies and Centers for Medicare and Medicaid Services overall hospital quality (star) ratings and readmission rates. RESEARCH DESIGN:We used survey data from the American Hospital Association (AHA) and categorized respondents by the number of care coordination strategies that they reported having widely implemented. We used multiple logistic regression models to examine the association between the number of strategies and hospital overall rating performance and disease-specific 30-day excess readmission ratios, while controlling for hospital and county characteristics and state-fixed effects. SUBJECTS:A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 AHA Care Systems and Payment Survey. MEASURES:Centers for Medicare and Medicaid Services overall hospital ratings, 30-day excess readmission ratios. RESULTS:As compared with hospitals with 0-2 strategies, hospitals with 3 to 4 strategies (P=0.007), 5-7 strategies (P=0.002), or 8-12 strategies (P=0.002) had approximately 2.5× the odds of receiving a top rating (4 or 5 stars). Care coordination strategies were positively associated with lower 30-day readmission ratios for patients with chronic medical conditions, but not for surgical patients. Medication reconciliation, visit summaries, outreach after discharge, discharge care plans, and disease management programs were each individually associated with top ratings. CONCLUSIONS:Care coordination strategies are associated with high overall hospital ratings.
Located in MPRC People / Jie Chen, Ph.D. / Jie Chen Publications
Examining and Addressing COVID-19 Racial Disparities in Detroit
Governance Studies at Brookings paper
Located in Research / Selected Research
Article ReferenceExamining prevalence and correlates of cigarette and marijuana co-use among young adults using ten years of NHANES data
Background Prior research has documented a strong association between cigarette and marijuana use among young adults; it is critical to study patterns and risk factors for co-use. Methods Appended, cross-sectional National Health and Nutrition  Examination Survey (NHANES) data were used to assess prevalence and correlates of cigarette and marijuana co-use among young adults (ages 21–30) over a 10-year period (2005–2014). Respondents (unweighted sample = 4,948) were classified into four categories regarding past-month behavior: neither use, cigarette-only use, marijuana-only use, and co-use of both. Regression models were computed to predict these categories using three waves of NHANES (unweighted sample = 3,073). Results Prevalence of past-month cigarette use decreased from 30.9% in 2005–2006 to 23.7% in 2013–2014 (p = 0.024) while past-month marijuana use (average 18.0%) and past-month co-use (average 9.8%) remained stable during this time. Co-use differed significantly by gender (p < 0.001; average 12.9% men, 6.8% women). Co-users were less likely to be married, more likely to endorse non-Hispanic black racial identity, more likely to have engaged in non-marijuana drug use in their lifetime and more likely to drink alcohol monthly than cigarette-only users. Co-users were more likely to have depressive symptoms, ever use non-marijuana drugs, live with a smoker, and initiate marijuana at a younger age than marijuana-only users. Conclusions Co-use of cigarettes and marijuana remained stable but high over a ten-year period; understanding the unique characteristics, living situations, experiences, and substance use behaviors of co-users can contribute to more effective, tailored prevention and education strategies to reduce the burden of comorbid cigarette and marijuana use.
Located in MPRC People / Kerry Green, Ph.D. / Kerry Green Publications
Examining the effects of maternal smoking on offspring depression
Maternal smoking quantity seen as vital factor
Located in Research / Selected Research
Article Reference Troff document (with manpage macros)Exposure to Particulate Matter and Adverse Birth Outcomes: A Comprehensive Review and Meta Analysis.
Increasing number of studies have investigated the impact of maternal exposure to air pollution during pregnancy and adverse birth outcomes, particularly low birth weight (LBW, <2,500 g at birth) and preterm birth (PTB, <37 completed weeks of gestation). We performed a comprehensive review of the peer-reviewed literature and a meta-analysis to quantify the association between maternal exposure to particulate matter with aerodynamic diameter 2.5 and 10 μm (PM 2.5  and PM 10 ) during pregnancy and the risk of LBW and PTB. We identified 20 peer-reviewed articles providing quantitative estimate of exposure and outcome that met our selection criteria. There was significant heterogeneity between studies, particularly for findings related to PM 10  exposure (LBW,  I -squared 54%,  p  = 0.01; PTB,  I -squared = 73%,  p  < 0.01). Results from random-effect meta-analysis suggested a 9% increase in risk of LBW associated with a 10-μg/m 3  increase in PM 2.5  (combined odds ratios (OR), 1.09; 95% confidence interval (CI), 0.90–1.32), but our 95% CI included the null value. We estimated a 15% increase in risk of PTB for each 10-μg/m 3  increase in PM 2.5  (combined OR, 1.15; CI, 1.14–1.16). The magnitude of risk associated with PM 10  exposure was smaller (2% per 10-μg/m 3  increase) and similar in size for both LBW and PTB, neither reaching formal statistical significance. We observed no significant publication bias, with  p  > 0.05 based on both Begg's and Egger's bias tests. Our results suggest that maternal exposure to PM, particularly PM 2.5  may have adverse effect on birth outcomes. Additional mechanistic studies are needed to understand the underlying mechanisms for this association.
Located in MPRC People / Amir Sapkota, Ph.D. / Amir Sapkota Publications
Article Reference Troff document (with manpage macros)Externalizing trajectories predict elevated inflammation among adolescents exposed to early institutional rearing: A randomized clinical trial
  BACKGROUND: There has been mounting interest in the pathophysiological relation between inflammation and psychopathology. In this paper, we examined associations between internalizing and externalizing psychopathology and inflammation in adolescents with a history of severe psychosocial deprivation and children reared in typical family contexts. METHOD: The Bucharest Early Intervention Project is a longitudinal randomized trial of high-quality foster care as an alternative to institutional care. This report is based on 56 institutionalized children randomized to care as usual, 59 institutionalized children randomized to foster care, and 101 never institutionalized children who were recruited as an in-country comparison sample. Externalizing and internalizing behaviors were reported by parents and teachers at ages 8, 12, and 16. At age 16, C-reactive protein (CRP) was derived from blood spots in a subset of participants (n = 127). Multiple-group latent growth curve models were used to examine externalizing and internalizing trajectories and their associations with CRP. RESULTS: Among children assigned to care as usual, higher levels of externalizing behaviors at age 8, as well as smaller decreases in these behaviors from 8 to 16 years predicted higher levels of CRP at age 16. In the same group of children, higher internalizing behaviors at age 8, but not the rate of change in these behaviors, also predicted higher levels of CRP. In contrast, these relations were not observed in the children assigned to foster care and never institutionalized controls. CONCLUSIONS: Early institutional rearing is associated with a coupling of psychopathology and inflammation, whereas early placement into foster care buffers against these risks. These findings have implications for promoting healthy mental and physical development amongst institutionalized children.
Located in Retired Persons / Natalie Slopen, Sc.D. / Natalie Slopen Publications
Faculty Associate authors win 2021 IPUMS Global Health Research Award
Population Development and Review article lauded
Located in News
Article Reference Troff document (with manpage macros)Faith-based communities for rural coastal resilience: lessons from collaborative learning on the Chesapeake Bay
Rural coastal areas are highly vulnerable to climate change impacts. In the USA, much energy is devoted to conserving rural coastal ecosystems by promoting their adaptation to climate change. However, these areas are also home to vulnerable and underserved communities who can be challenging to engage in climate adaptation discussions. Churches—as trusted social institutions—may offer a structure through which government decision-makers and rural residents can engage to improve the resilience of these rural coastal regions. We employed collaborative learning to engage government decision-makers and rural church members on the topic of climate impacts on Maryland’s Eastern Shore of the Chesapeake Bay. We analyzed the collaborative learning process and its outcomes using ethnographic methods. In this paper, we present our approach and discuss the benefits and challenges of collaborative learning with rural churches. We found that this approach yielded major benefits including greater understanding of capacities and limitations in addressing environmental challenges, increased trust and social networks, expanded engagement with a greater diversity of stakeholders, increased opportunities for new conversations, new pathways toward interventions, and stakeholder empowerment. Collaborating with churches is not without challenges though; it requires considerable time and effort and presents difficulties in navigating social hierarchies and specialized language, identifying common goals, grappling with the newness of climate change, and overcoming institutional barriers. Despite these challenges, we conclude that collaborative learning with churches is a valuable approach for information exchange and network-building toward more resilient rural coasts.
Located in Retired Persons / Michael Paolisso, Ph.D. / Michael Paolisso Publications
FileFamily Instability and Early Childhood Health in the Developing World
Laurie DeRose, University of Maryland, et al.; 2014-009
Located in Research / Working Papers / WP Documents