Department of Epidemiology

MPH


September 18, 2024

Physical Inactivity and Obesity in Relation to Tumor Site and Age Onset for CRC on the Rising Incidence of Early-onset Colon Cancer and Early-onset Rectal Cancer

Overall incidence of colorectal cancer (CRC) has declined in recent decades; however, the incidence of early-onset CRC, particularly early-onset rectal cancer, has been increasing steadily since the mid-1990s among younger adults. The factors underlying observed increases in early-onset rectal cancer remain unclear. This study assessed the association of physical activity and obesity with early-onset rectal…


Building Demolitions and Police-reported Crime in Philadelphia, 2013-2023

Vacant properties in urban cities have been shown to be associated with increases in all police-reported crime and violent police-reported crime incidents. Building demolitions conducted in the name of blight removal are of increasing interest as non-carceral violence prevention methods. Objective: Our study aim was to examine if buildings demolished for safety reasons in Philadelphia…


Rectal Douching is not associated with Incident Rectal Gonorrhea or Chlamydia among Men Who Have Sex with Men (MSM)

Prior studies have identified an association between rectal douching and prevalent rectal Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT), but few studies have examined associations with incident infections. We implemented a case-crossover study nested within the ExGen study, a 48-week cohort study conducted in Seattle, Washington, 2016-2018. Each week, ExGen participants completed a survey and…


Diagnostic Test Evaluation of Urine and Clinical Swab HPV Tests for Detection of HPV DNA and Pre-Invasive Cervical Lesions in Women in Senegal, 1998 – 2001

Cervical cancer remains a significant health challenge, particularly in Western Africa, where resources for screening are limited. This cross-sectional study evaluated the efficacy of urine HPV tests compared to swab HPV tests as diagnostic and screening tools for cervical cancer among 1,397 women aged 35 to 80 attending health centers in Dakar, Senegal, from 1998…


Examining the Association Between Perceived School Safety and Adolescent Electronic Cigarette Use in Washington State High School Students: 2023 Washington State Healthy Youth Survey

In the United States, adolescent substance use continues to be an important factor in negative health outcomes in adolescents. While previous research has established an association between school climate and adolescent use of alcohol, marijuana, and tobacco, minimal research has been conducted on the influences of school safety on adolescent electronic cigarette (e-cigarette) use in…


Associations of Pregnancy History and Complications with Incident Cardiovascular Disease Among American Indian Women: The Strong Heart Family Study

In the United States, cardiovascular disease is a leading cause of death among American Indian women. We examined the associations of parity (0/1, 2-4, >=5) and pregnancy complications (history of preeclampsia, protein in urine; eclampsia or seizures; gestational diabetes, hypertension) with incident cardiovascular disease (myocardial infarction, coronary heart disease, congestive heart failure, ischemic stroke) among…


Epidemiology of Human Metapneumovirus Infection in a Community-Based Setting, Seattle, WA, USA

To better quantify human metapneumovirus (hMPV) prevalence, associated risk factors, and genomic epidemiology in a community setting. Methods: This is a secondary analysis using data from the Seattle Flu Study (SFS). SFS was a community-based observational surveillance study for respiratory infections among clinical and community populations across the greater Seattle area from 2018-2022. SFS utilized…


Route of opioid consumption and association with overdose among people who inject drugs in Seattle, WA: an analysis of the National HIV Behavioral Surveillance survey 2005 – 2022

To better characterize trends in route of opioid consumption and associations with overdose, we analyzed data from six cycles of the National HIV Behavioral Surveillance survey from 2005 to 2022. Respondents reported injection and non-injection use of heroin, prescription opioids, fentanyl, and goofballs as well as overdose in the past 12 months. Proportional odds logistic…


Association of physical activity and recurrent venous thromboembolism

Background: Preventing recurrent venous thromboembolism (VTE) will reduce further physical decline and fatalities among patients who have experienced an incident VTE. Understanding the role of moderate to vigorous physical activity (MVPA) in relation to VTE recurrence risk could help inform behavioral health recommendations. Methods: The Heart and Vascular Health (HVH) study was set in a…


Association between skin tone and mental health status in the National Longitudinal Survey of Youth 1997 cohort

While the relationship between race and mental health has been studied extensively, skin tone also contributes to social stratification and experiences of colorism can result in poor mental health. This study evaluated the association between skin tone, a proxy for colorism, and mental health status, and whether race and ethnicity modified the association. Methods: This…



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