Department of Epidemiology

Graduate


December 21, 2022

Regional Escherichia coli antibiotic resistance among outpatients in Washington state from 2013-2019

Escherichia coli is a predominant pathogen of urinary tract infections (UTIs) in the United States. Understanding regional patterns of uropathogenic E. coli antimicrobial resistance (AMR) may help further antibiotic stewardship by creating region-specific antibiograms. We analyzed regional patterns of uropathogenic E. coli AMR among outpatients in Washington state. Deidentified results from antibiotic susceptibility tests performed…


Experience of Being Bullied, Depressive Symptoms, Suicidality, and Substance Use among Adolescents

Background: Depressive symptoms, suicidality, and the experience of having been bullied are prevalent among adolescents in the United States. In addition, substance use is also common among adolescents in the United States. Both the experience of depressive symptoms and suicidality and of having been bullied have been associated with substance use. However, the context in…


Role of air pollution in development of asthma among children with a history of bronchiolitis in infancy

Background: Few studies have identified potential modifiable risk factors for the development of asthma among infants who experience bronchiolitis. Air pollution has been associated with child asthma development and may be particularly important for this high-risk group. Objectives We assessed the role of early life air pollution on asthma and wheeze among children age 4-6…


Neighborhood cultural environment and anxiety and depression symptoms among majority Mexican American adults: Results from the HCHS/SOL

Previous research on associations of neighborhood ethnic composition with indicators of mental health is limited, with findings mixed regarding the impact of Latine ethnic composition, language isolation, and other related factors in relation to depression. We hypothesized that neighborhood environments characterized by greater concentration of Latine culture were associated with lower odds of elevated self-reported…


Cumulative Risk of Colorectal Cancer and Colorectal Cancer Mortality in Screen-Eligible Older Adults with History of Adequate Screening

The decision of whether or not to continue colorectal cancer (CRC) screening at older ages is complex. Although most guidelines recommend routine screening of adults older than age 45 years for CRC, there is ambiguity on when to stop screening. The United States Preventive Services Task Force (USPSTF), American Cancer Society, and the Multi-Society Task…


Examination of Associations Between Zip Code Level COVID-19 Case Rates and Mental Health in Washington Counties among Young Adults

Background: Young adults have shown elevated levels of depressive and anxiety symptoms during the pandemic. However, few studies which have examined the impact of the COVID-19 pandemic on mental health have used area level COVID-19 case rates over time as a possible predictor for adverse outcomes. Method: The study sample included 382 participants residing in…


Trajectories of financial distress during the COVID-19 pandemic and their associations with mental health and substance use outcomes in a cohort of young adults

The COVID-19 pandemic has led to unprecedented disruptions in the lives of young adults, with increases in job insecurity and financial strain documented for this population. Mental health problems and substance use have also increased during the pandemic, and young adults may be particularly vulnerable for experiencing these challenges. The present study examined trajectories of…


Evaluating the Lethal Means of Non-Fatal Suicide Attempts Presenting to Washington State Emergency Departments Before and During the COVID-19 Pandemic

Introduction: During the COVID-19 pandemic, concerns about increasing mental health conditions have emerged due to intersecting stressors associated with COVID-19 morbidity and mortality as well as disease mitigation efforts such as stay-at-home orders, school closures, and social distancing. However, little is known regarding the COVID-19 pandemic’s impact on suicidal behavior in Washington. Methods: This observational…


HPV Vaccine Effectiveness by Age and Timing of Vaccination Relative to Age at First Sex Among Men Who Have Sex with Men – Seattle, Washington, 2018-2020

Men who have sex with men (MSM) are at high risk for anal human papillomavirus (HPV) infection, the primary cause of anal cancer. HPV vaccines are approved for individuals aged 9-45 years. We evaluated the effectiveness of the vaccine at preventing vaccine-type anal HPV infection among 18–45-year-old MSM using surveillance data from a sexual health…


December 12, 2022

Associations between the Sweetened Beverage Tax Implementation in Seattle, WA and Changes in Supermarket Interior Marketing Displays

Sugar-sweetened beverages (SSBs) are a significant contributor to added sugar intake, leading to implementation of sugar beverage taxes. SSB taxes may impact supermarket in-store marketing strategies, leaning either towards or away from taxed beverages. Our study aims to evaluate the changes in supermarket interior marketing displays one year after the implementation of Seattle’s Sweetened Beverage…



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