MPH
September 18, 2024
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…
The Association Between Group Identity and Advanced Therapies in a Cohort of Patients Hospitalized with Venous Thromboembolic Disease: The Medical Inpatient Thrombosis and Hemostasis (MITH) Study.
Background: The mainstay therapy for venous thromboembolism (VTE) is anticoagulation but advanced therapies as systemic thrombolysis or catheter-directed thrombolysis (CDT), extracorporeal membrane oxygenation (ECMO), and surgical or catheter-guided thrombectomy, are used in eligible patients. There is a dearth of studies evaluating group identity-based disparities, driven by systemic discrimination, in the use of advanced therapies and…
September 5, 2024
Raymond Lam
My name is Raymond W. Lam, and I am a Master of Public Health (MPH) Student in Epidemiology at the University of Washington. My main interest focuses on infectious disease research, specifically communicable disease surveillance. I became interested in public health and epidemiology because of my desire to understand and address the health disparities that…
March 13, 2024
Cervical Cancer Screening Rates in Females Living with HIV at Three Healthcare Settings in the United States, 2010-2019
Females living with HIV (FLWHIV) are at greater risk of developing cervical cancer compared to females without HIV. National cervical cancer screening guidelines recommend more frequent screening for FLWHIV to address their increased risk. We sought to examine screening rates among FLWHIV during the most recent decade. This retrospective cohort study was conducted at Kaiser…
December 26, 2023
The Impact of a Walk-In HIV Care Model for People who are Incompletely Engaged in Care: the Moderate Needs (MOD) Clinic
The MOD Clinic in Seattle, Washington provides walk-in primary care for people with HIV who are incompletely engaged in standard care.Methods: We evaluated HIV outcomes among patients enrolled in the MOD Clinic (within group analysis) and, separately, among MOD patients vs. patients who were MOD-eligible but did not enroll (comparison group analysis) during 1/1/2018-9/30/2021. The…
Difficulty Walking and Contraceptive Use among Reproductive Aged Women: The 2019 CDC’s Behavioral Risk Factor Surveillance System (BRFSS)
A disproportionate number of physically disabled women face barriers to timely and appropriate reproductive healthcare. Yet, little is known about the relationships between functional limitations and contraceptive use. Further, racial minorities (e.g., Black and Hispanic disabled women) in the United States frequently experience racial inequality related compounding factors that exacerbate lack of access to quality…
Polygenic risk scores and current exogenous estrogen use on the risk of venous thromboembolism in the Heart and Vascular Health Study: a case-only approach
Venous thromboembolism (VTE) is a serious condition characterized by blood clot formation in veins. Exogenous hormone use is known to increase VTE risk, and understanding the interplay between genetic variants and hormone use can enhance our understanding of VTE development. Gene-environment interactions (GxE) can reveal how genetic factors modify the effect of environmental exposures, such…
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