Department of Epidemiology

MPH


December 21, 2022

Firearm Suicide and Perceived Physical Health Challenges: A Case-Control Study

Firearm suicide is a critical public health issue in the United States as firearms are the mechanism for the majority of all suicides and suicides account for more than half of all firearm-related deaths. Prior research has identified certain physical health diagnoses as well as functional disability as risk factors for suicide particularly among individuals…


Factors associated with facilitators and barriers to gender-affirming care among transgender and nonbinary youth and young adults in Washington: A mixed-methods approach

Background: Access to gender-affirming care is associated with improved mental health among transgender and nonbinary (TNB) individuals, particularly among TNB youth. We conducted a mixed-methods study to examine the association of age with prevalence of facilitators and barriers to gender-affirming care among youth and adults who identify as TNB residing in Washington. In addition, we…


Cancer survival prediction of six cancer types with germline whole-exome sequencing data from the UK Biobank

Background: One of the most important tasks in cancer genomics is to predict cancer prognosis based on genetic signatures. We aim to apply machine learning approaches to germline whole-exome sequencing (WES) data to predict survival for breast cancer, colorectal cancer, kidney cancer, lung cancer, lymphoma, and prostate cancer. Methods: We analyzed the UK Biobank exome…


Evaluating the Association of Military Unit Cohesion with Depressive Symptoms, Suicidal Ideation, and Alcohol Use Among U.S. Military Members Meeting Diagnostic Criteria for PTSD

Mental health issues such as depression, suicidal ideation, and hazardous alcohol use have become increasingly common among military populations in the United States. Current research into the potential protective influences of unit cohesion for these mental health outcomes has yielded mixed results and primarily focused on post-deployment samples despite a relatively high burden of mental…


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…



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