Department of Epidemiology

MPH


December 22, 2023

Impact of the American Heart Association’s Life’s Essential 8 goals on incident cardiovascular diseases (CVD) in the Strong Heart Family Study

Cardiovascular diseases (CVD) are a leading cause of morbidity and mortality among American Indians. In 2022, the American Heart Association (AHA) developed the Life’s Essential 8 goals to promote optimal cardiovascular health (CVH) for Americans. The goals comprise 4 health behaviors (i.e., diet, physical activity, nicotine exposure, and sleep) and 4 health factors (i.e., body…


Factors associated with guideline-concordant biomarker testing in patients with stage IB-IIIA non-small cell lung cancer

Even with recent advances in identifying oncogenic genomic alterations and developing targeted therapies for non-small cell lung cancer (NSCLC), the uptake of molecular testing remains suboptimal among patients with advanced NSCLC, and comparable estimates for molecular testing in earlier stage NSCLC have not previously been published. This study describes and identifies factors associated with the…


Elevated body mass index, dementia risk, and post-mortem neuropathology

Over two-thirds of Americans aged 20 and over are considered overweight or obese. Compared to those who are within the healthy weight range as determined by body mass index (BMI), overweight and obese individuals are higher risk for poorer cognitive performance and structural brain pathology on neuroimaging studies. In addition, previous studies have shown a…


Associations of Mental Health Disorders, and Social Support with Retention in HIV Care Following Routine HIV Testing in a Refugee Settlement in Uganda

Uganda hosts a large refugee population, including individuals from neighboring countries with high HIV prevalence. Retention in HIV care for this population is crucial to improve health outcomes and reduce HIV transmission rates. Retention is essential to decreasing viral load and adverse health outcomes, all of which are difficult to manage with the complexities of…


Associations of Magnesium Intake with Acyclic Pelvic Pain and Dysmenorrhea

Pelvic pain (with or without endometriosis) is responsible for the deterioration of quality of life, chronic absenteeism and truancy, and loss of intimate relationships. Magnesium is a mineral that aids in muscular relaxation and can relieve cramps in a variety of muscles, including those in the pelvic floor. Little is known about the role of…


Association of Neighborhood Disadvantage and COVID-19 and Influenza Vaccine Uptake and Positivity Among Kaiser Permanente Washington Flu Vaccine Effectiveness Subjects, 2018 – 2022

Neighborhoods with high Area Deprivation Index (ADI) scores have been linked to an increased risk of viral transmission and lower vaccine uptake. Subsequently, ADI has informed public health efforts and interventions at the neighborhood level, especially in the context of the COVID-19 pandemic. Understanding granular patterns and disparities in vaccine uptake and viral transmission is…


Comparison of Chlamydia trachomatis Seroprevalence and Risk Factors for Infection Among Women who have Sex with Women and Women who have Sex with Men in the 2013-2016 cycles of the National Health and Nutrition Examination Survey, United States

Little is known about the lifetime prevalence and risk factors for sexually transmitted infections (STIs) among cisgender women who have sex with women (WSW), despite this subpopulation being at risk for STIs. Using data from a large, nationally-representative survey, we estimated the seroprevalence of Chlamydia trachomatis (CT) among WSW and compared it to seroprevalence in…


Associations of Total Testosterone with Cardiometabolic Biomarkers among Women with Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) affects 6–12% of women of reproductive age in the United States. Women with PCOS are at a higher risk of experiencing cardiovascular and metabolic diseases such as diabetes; however, mechanisms linking PCOS to the development of diabetes remain unclear. This study aimed to investigate the association of total testosterone with cardiometabolic…


Mental Health Care Utilization in Latinx Young Adults Who Grew Up in Rural or Small-Town U.S. Communities by Racial/Ethnic Immigrant Generational Status

To evaluate (1) differences in mental health care utilization across young adulthood by racial/ethnic immigrant generational status for young adults who grew up in a rural setting, (2) whether these differences are explained by language barriers and health insurance coverage, and (3) whether these differences vary longitudinally over the young adulthood period.Methods: Four years of…


Evaluating the Association between Smoking Behaviors and Anal or Vulvar High-Grade Squamous Intraepithelial Lesion (HSIL) Recurrence

HPV-induced high-grade squamous intraepithelial lesions (HSILs) of the anus and vulva have high rates of recurrence after treatment. While many studies have demonstrated the positive association between smoking and primary lesion development, research on its association with anal and vulvar HSIL recurrence is limited. Methods: We used data from a randomized controlled trial assessing the…



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