MPH
December 21, 2022
Correlates of infectious complications of injection drug use among individuals who use drugs in Washington State: An analysis of the 2021 Washington State Syringe Exchange Health Survey
Objectives: Increased use of injection drugs across the United States has likely increased the burden of complications from abscess or skin infections, blood clots or blood infections, and infectious endocarditis (IE) among people who inject drugs (PWID). Among PWID who attended syringe services programs (SSPs) in Washington State, we assessed the prevalence of complications from…
Association Between Sleep Duration and Fruit and Vegetable Consumption in United States Adults and Veterans
INTRODUCTION: Adequate sleep and a diet rich in fruits and vegetables are essential components of a healthy lifestyle. A growing body of evidence suggests an association between sleep duration and fruit and vegetable (FV) consumption, but it has not been well established in U.S. adults. It’s unclear if this association differs for groups at higher…
Methylation markers for anal cancer screening: a repeated cross-sectional analysis of HIV-positive individuals, 2015-2016
Background: HIV-positive individuals remain at risk for anal cancer and will likely benefit from research that prioritizes early detection of anal cancer and optimized screening practices. We assessed host deoxyribonucleic acid (DNA) methylation markers for detecting high-grade anal intraepithelial neoplasia (AIN) versus low-grade AIN or normal samples in HIV-positive individuals in Seattle, Washington. Methods: HIV-positive…
The Association Between Experiencing Racism and Postpartum Care: A Cross-Sectional Study of Pregnant People in the United States in 2019
Background: The United States is the only high-income country with consistently high maternal mortality (MM) and severe maternal morbidity (SMM) rates, with Black pregnant people being disproportionately impacted. Racial and ethnic disparities in MM and SMM are not completely explained by social, economic, and behavioral factors suggesting that the impact of racism should be further…
The association between periconceptional diet quality and adverse pregnancy outcomes
Background: Diet quality during the periconceptional period can have consequences on pregnancy outcomes with potential life course implications for the pregnant person and the offspring. The Healthy Eating Index (total score) has been related to risk of adverse pregnancy outcomes. Little research has been done, however, evaluating associations of each component of the score with…
COVID-19 Vaccination Among Hospitalized Patients at Seattle Children’s Hospital
COVID-19 vaccines are recommended for children and adolescents 5-17 years old; however, little available data have described children and adolescents who have been vaccinated against COVID-19, particularly those who are at the highest risk of complications. This study aimed to characterize hospitalized patients 5-17 years old who received a COVID-19 vaccine before hospital admission and…
Mycobacterium tuberculosis DNA detection on tongue swabs: Effect of anti-tuberculosis drug treatment
Oral swab analysis (OSA) can be used to detect Mycobacterium tuberculosis (MTB) DNA in patients with pulmonary tuberculosis (TB). No previous analyses have investigated the effect of anti-tuberculosis drug treatment on MTB detection via oral swabs. This study, using a cross-sectional design, evaluated the sensitivity and specificity of OSA post-treatment initiation relative to sputum culture….
Assessing Relationships Between Adverse Childhood Experiences and Viral Suppression Among Persons Living with HIV in Washington State
Background: Adverse childhood experiences (ACEs) have been linked to a variety of negative health outcomes in adulthood and have been recognized as a hurdle to participating in HIV care. However, few studies have examined the cumulative impact that different types of childhood trauma have on HIV care engagement and HIV outcomes. To address this gap,…
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…
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