Department of Epidemiology

PhD


December 22, 2023

Multilevel sociodemographic and socioeconomic disparities in COVID-19 outcomes in the Central Puget Sound region, 2020-2021

Presence of at least one underlying health condition (UHC) is positively associated with severe COVID-19. Although disparities in severe COVID-19 outcomes by race, ethnicity, and socioeconomic position (SEP) are extensively documented, there is little research examining these associations beyond the effect of UHCs. Studies also show regions of lower SEP and higher racial residential segregation…


Characterizing modifiable risk factors of breast cancer recurrence and mortality in a cohort of women with luminal, triple-negative, and HER2-overexpressing breast cancer

Breast cancer is the most common cancer diagnosed among women in the United States; ten to 20% of survivors will experience a recurrence in the decade after diagnosis. To improve the understanding of the relationship between modifiable risk factors and breast cancer recurrence and mortality, overall and by subtype, we evaluated the relationship between smoking,…


December 21, 2023

FAMILY MATTERS: Relationship dynamics among couples affected by HIV during pregnancy, and neurodevelopment of HIV-exposed uninfected infants in sub-Saharan Africa

Relationship dynamics among couples affected by HIV during pregnancy, and neurodevelopment of HIV-exposed uninfected infants in sub-Saharan Africa Michelle A Bulterys Chair of the Supervisory Committee:Dr. Grace John-Stewart Departments of Epidemiology, Global Health and Pediatrics Introduction: Caregiver wellbeing is closely linked to child health and neurodevelopmental outcomes. Families affected by HIV in sub-Saharan Africa (SSA)…


December 21, 2022

Heterogeneity in HIV/STI Prevalence, Testing, and PrEP Use among Transgender and Non-binary People and their Partners in the US

Transgender and non-binary (TNB) people in the U.S. are disproportionately impact by HIV and sexually transmitted infections (STIs). As a result of socio-structural stigma, institutional barriers, and fear of mistreatment, and discrimination, TNB people experience significant barriers to engaging in health care, including HIV/STI prevention. In addition, the HIV/STI prevalence and behaviors of their sex…


New Insights into Neisseria gonorrhoeae (NG): Geographic heterogeneity in Black-White disparities and spatiotemporal trends among US females and the role of azithromycin use for STI treatment in antibiotic resistance

Gonorrhea (caused by the Neisseria gonorrhoeae (NG) bacterium) is the second most-commonly reported sexually transmitted infection (STI) in the United States (US) and can cause serious, permanent reproductive sequalae in females. Gonorrhea rates have increased rapidly in the US throughout the last 3 decades, while profound racial disparities have stubbornly persisted with non-Hispanic Black (NHB)…


Assessing Helicobacter pylori infections among adults from the Navajo Nation

Background: Although the burden of gastric cancer is low in the United States (US) overall, a substantial burden of gastric cancer continues to be observed in American Indians and Alaska Natives (AI/AN), particularly in the Southwest and Alaska regions of the US. In particular, gastric cancer incidence is 3.5 times higher in the Navajo Nation,…


The Association of Upper Airway Anatomy with Cognitive Test Performance and Brain Structure: The Multi-Ethnic Study of Atherosclerosis

Sleep apnea, affecting an estimated 1 in 4 American adults, has been reported to be associated with both impaired cognitive function and brain structural abnormality. It is important to explore upper airway anatomy as a risk factor for brain structural abnormality and poor cognitive function both overall and above and beyond its effect on sleep….


Epidemiology of Violence in Colombia

Armed conflict is a major cause of injury and death worldwide, posing a significant public health problem. In addition to mortality directly resulting from violence, armed conflicts indirectly cause morbidity and mortality through destruction of health infrastructure and diversion of resources, forced displacement, environmental damage to water/sanitation access, and erosion of social and economic security….


Associations between cannabis use and availability on prescription opioid use and related outcomes among injured workers

INTRODUCTION: Work-related injuries are a significant contributor to the high prevalence of acute and chronic, non-cancer pain in the U.S. While opioids are often prescribed for work- related injuries, inappropriate prescribing of opioids for pain management has contributed to the rise in opioid dependence, overdose, and death. Increasing access to medical and nonmedical (also called…


Perinatal depression and adverse infant outcomes among Kenyan mother-infant pairs

Pregnancy and postpartum are periods of high vulnerability to mental disorder. More than 1 in 10 women experience a mental disorder during pregnancy and 13% after delivery, most commonly depression. Pregnancy and postpartum are critical time periods for the health and survival of mothers and their infants, yet maternal depression, remains underprioritized. Women in low-…



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