MPH
September 26, 2024
Examining Racial and Ethnic Disparities in the Incidence and Treatment of Urinary Tract Infection During Pregnancy
Maternal mortality and morbidity in the United States continue to rise, with disparate burden experienced by socioeconomically disadvantaged and racial minority groups.1,2 Infections during pregnancy are a leading cause of morbidity during pregnancy, with urinary tract infections (UTIs) and asymptomatic bacteriuria (ASB) occurring in approximately 17-18% of pregnancies.3,4 We conducted a cohort study including pregnant…
Adolescent Nonfatal Firearm Injury Trends at a Level I Trauma Center in King County, WA, 2011-2021
Background: Firearm-related harm is a critical and growing public health problem in the United States, particularly among adolescents. Leveraging multiple data sources can provide a more complete assessment of nonfatal firearm injuries at the local-level, as national-level data may mask variations in firearm injury incidence by and within states. Methods: This retrospective cohort study used…
Association between extreme heat exposure and Seattle, Washington pediatric hospital services, 2006 to 2023
Introduction: Climate change has led to a rise in global temperatures, resulting in more frequent and severe heat waves. These heat events pose significant threats to public health, especially among vulnerable populations such as children. Despite this, research on the specific health impacts of extreme heat on children, especially in Washington state, remains limited. We…
Birth Setting Related Outcomes Among Low-Risk, Midwife-Attended Births in Washington State
Community births attended by midwives have gained attention for their potential to support physiologic childbirth and reduce medical interventions compared to hospital births. However, outcomes comparing midwife-attended births following low-risk pregnancies in community and hospital settings remain understudied. Among midwife-attended births, we examined overall and parity-specific associations of birth setting with physiologic birth and hospital…
Contraceptive method preferences and use among Kenyan women living with HIV
Women living with HIV (WLWH) face unique challenges relating to contraception, and understanding how preferences influence method selection can improve contraceptive counseling. Data are lacking on how contraceptive attribute preferences relate to attributes of methods. We determined relationships between contraceptive attribute preferences and attributes of methods used, identified correlates of contraceptive satisfaction, and identified preference…
September 25, 2024
Nam Pho
September 18, 2024
Investigating the influence of virus-virus interactions on susceptibility to subsequent infections
The co-circulation of multiple respiratory pathogens can lead to competitive or cooperative forms of pathogen–pathogen interactions through broad-acting innate or adaptive immunity leading to enhanced or reduced risk of subsequent infections. Methods: We retrospectively analyzed 6,396 unique individuals from the Seattle Flu Study to investigate viral interference among six respiratory pathogens. Using longitudinal data collected…
Modification of Firearm Law-Firearm Injury Association by Economic Disadvantage
To assess whether the association between firearm law restrictiveness and firearm-related events in the US is modified by community distress and economic connectedness (EC).Methods: National cross-sectional study of firearm incidents (interpersonal and unintentional firearm events) occurring between 1/2015-12/2021 using the Gun Violence Archive (GVA). Exposures were community distress (Distressed Communities Index, DCI), EC, and year-state-level…
Association Between Time of Day of Combination Immune Checkpoint Inhibitor Administration and Overall Survival in Advanced Melanoma Patients
Immune checkpoint inhibitor (ICI) therapy has significantly improved the median overall survival of melanoma patients; however, many patients do not have clinical benefit from ICI therapy. The prognostic role of modifiable factors, such as the time of ICI administration, in immunotherapy treatment outcomes has not been well examined. Recent studies suggest that administration of ICIs…
Characterizing Sociodemographic, Behavioral Correlates, and Trends of Non-binary/genderqueer Patients at Public Health Seattle and King County Sexual Health Clinic
Non-binary/genderqueer (NB/GQ) individuals are a distinct but understudied population within the LGBTQ+ community. We sought to characterize sociodemographic behaviors and STI outcomes for NB/GQ patients attending the Sexual Health Clinic (SHC) and examine how gender identity among SHC patients has evolved over time. Methods: We used Public Health Seattle-King County (PHSKC) SHC data from 2016-2023…
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