Department of Epidemiology

MPH


November 25, 2020

Pregnancy Intention and Postpartum Depressive Symptoms: An Analysis of PRAMS Data

Background: Understanding the effect of pregnancy intention on the prevalence of postpartum depressive symptoms (PPDS) and the influence of discussing depression risk during prenatal care can inform prenatal care provision and improve maternal and child health outcomes. Objective: The aims of the study were to measure the association between pregnancy intention and PPDS and to…


Systemic monocyte activation levels and developmental milestone attainment in HIV-infected infants initiating antiretroviral therapy

Background: Peripheral monocyte activation has been associated with poor neurocognitive outcomes in HIV-infected adults. We hypothesized that HIV infected infants with persistent systemic monocyte activation following antiretroviral treatment (ART) would have later attainment of developmental milestones. Materials and Methods: HIV infected infants initiated ART at age <5 months as part of the Optimizing Pediatric HIV-1…


Racial Disparities in the Utilization of Preventive Health Service among Older Women with Early Stage Endometrial Cancer Enrolled in Medicare

Objective: To assess differences in the receipt of preventive health services by race/ethnicity among older women with endometrial cancer enrolled in Medicare. Methods: We conducted a retrospective population-based cohort study of women diagnosed with endometrial cancer from 2001 to 2011 in the Surveillance Epidemiology and End Results (SEER)-Medicare database. Women with stage I or II…


The Effect of Arrest on Intimate Partner Violence Recidivism

Introduction: Intimate partner violence (IPV) is experienced by over a third of U.S. women at some point in their lifetimes. As a result of the abuse, survivors of IPV experience a range of poor health outcomes, with long-term and severe abuse more likely to cause multiple comorbidities. Objective: Our study aim was to measure the…


Dairy Consumption and Incident Type 2 Diabetes Among American Indians: The Strong Heart Family Study

Background: Type 2 Diabetes (T2D) disproportionately impacts American Indians (AIs); the prevalence of T2D is two to three times higher among AIs than the general US population. Obesity and poor diets are common in AI communities and the relationships of specific dietary factors with T2D have not been well studied in this population. Whether dairy…


Using GPS data to explore demographic predictors of life-space: a pooled analysis

Background: Life-space is defined as an individual’s spatial movement through the environment as covered in daily living. A restricted life-space is associated with cognitive decline, Alzheimer’s disease, frailty and depression. We sought to use GPS data to explore demographic predictors of a restricted life-space. Methods: An exploratory, cross-sectional analysis was conducted using GPS data from…


HIV Status and Risk Factors for Hypertension in South African Adults

Background: As treatment innovations increase the life expectancy of those with HIV, the relationship between HIV infection, hypertension risk and subsequent CVD is increasingly important to understand. We investigated the relationship between HIV infection and hypertension among a cohort of ART-naïve South African adults presenting for voluntary HIV screening. Methods: We conducted a cross-sectional, observational…


Safer Conception Among HIV-1 Sero-Discordant Couples in East Africa: Understanding Knowledge, Attitudes, and Experiences

Context: Supporting people affected by HIV-1 in achieving their reproductive goals while minimizing the risk of HIV-1 transmission is a public health imperative. Background: For HIV-1 serodiscordant couples, HIV-1 exposure and risk of transmission to the uninfected partner and unborn children is heightened during pregnancy attempts but safer conception strategies can mitigate risk. Understanding couples’…


Power, privilege and HIV prevalence: examination of sexual HIV-risk factors in MSM and transgender women who engage in transactional sex

Objective: To understand power-related predictors for risky sexual behavior among men who have sex with men (MSM) and Transgender Women (TW) at high risk for HIV infection in Lima, Peru. Methods: Survey data from a cross-sectional sample were analyzed. Risk of unprotected anal intercourse (UAI) associated with different transactional sex roles (i.e. giving money or…


Constructing and evaluating alternative prediction models for identifying clinically relevant cases in an STD clinic

Background: Many STD clinics have incorporated “express visits” – testing-only visits without a clinician evaluation. To identify which patients can safely receive express care at the Public Health–Seattle & King County (PHSKC) STD Clinic, we constructed and evaluated alternative triage algorithms based on computer assisted self-interview (CASI) responses. Methods: We evaluated the performance of the…



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