MPH
December 21, 2022
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…
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…
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