Department of Epidemiology

MPH


December 21, 2022

PrEP Uptake among Eligible Patients Attending the Largest PrEP Clinic in Jackson, Mississippi

Background: Among people at risk for HIV in the United States (US), Black people of all gender identities and sexual orientations have disproportionately high rates of new HIV infection but low uptake of pre-exposure prophylaxis (PrEP), especially in the Southern United States. There is limited research evaluating factors associated with PrEP uptake especially among Black…


Selecting strategies for implementation and comparing strategy prioritization methods for improving PrEP delivery in maternal and child health clinics in Kenya

In high HIV prevalence settings, women are at elevated risk for HIV during pregnancy and postpartum, and pre-exposure prophylaxis (PrEP) is recommended during this period. Integration of PrEP into maternal and child health (MCH) clinics requires implementation optimization. Furthermore, there is a lack of consensus about how to prioritize potential implementation strategies. The PrEP in…


Human Papillomavirus prevalence in Senegalese women in relation with age

Background: Senegal has high cervical cancer incidence rates of 34.7 per 100,000 women-years, disproportionately affecting women at different ages. Data on age-specific HPV prevalence, which potentially could have implications on cervical cancer screening and prevention, for Senegal are scant. Therefore, this study primarily sought to determine the age-specific HPV prevalence, overall and by HPV type,…


Emergency Room Utilization and Methamphetamine Overdose Symptoms Among Syringe Service Program Clients in Washington State

Background: Methamphetamine overdose, also known as overamping or acute methamphetamine toxicity, can cause severe psychological and physical health issues including psychosis, heart attack, and death. People who use methamphetamine (PWUM) who experience methamphetamine overdose symptoms (MOS) are advised to seek emergency healthcare, however the factors related to seeking this care are not well characterized. MethodsThis…


The Association Between Parental Nativity and Developmental Disabilities in the United States: The National Survey of Children’s Health

Background: One in six (17%) children ages 3-17 are diagnosed with developmental disabilities (DD) in the United States. Due to the significant burden of DD on children and families, it is important to understand upstream factors that may contribute to this condition. Nativity has been explored in studies examining child health outcomes; however, few studies…


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…


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…


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…



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