Journal ArticleJ Racial Ethn Health Disparities · October 2024
OBJECTIVE: We examined factors associated with telehealth utilization during COVID-19 among adult Medicaid beneficiaries with behavioral health conditions. DATA SOURCES AND STUDY SETTING: NC Medicaid 2019-2021 beneficiary and claims data. STUDY DESIGN: Thi ...
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Journal ArticleJ Racial Ethn Health Disparities · September 30, 2024
OBJECTIVE: We developed a telephonic outreach and care coordination program for children in immigrant and refugee families (CIRF) at a federally qualified health center (FQHC) in North Carolina to address unmet health-related social needs (HRSN). METHODS: ...
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Journal ArticleBMC Prim Care · September 27, 2024
This statement from the Pediatric Academic Societies Maternal Child Health: First 1,000 Days Special Interest Group provides an overview of the rationale, evidence, and key action steps needed to engage Community Health Workers (CHWs) into team-based well- ...
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Journal ArticlePediatrics · September 1, 2024
BACKGROUND AND OBJECTIVES: Place-based social disadvantage indices are increasingly used to promote health equity, but vary in design. We compared associations between 3 commonly used indices (Social Vulnerability Index [SVI], Area Deprivation Index [ADI], ...
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Journal ArticleTelemed J E Health · August 2024
Background: Increased availability of telehealth can improve access to health care. However, there is evidence of persistent disparities in telehealth usage, as well as among people from minoritized racial and ethnic groups and rural residents. The objecti ...
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Journal ArticleMed Care Res Rev · June 2024
Pediatric value-based payment reform has been hindered by limited return on investment (ROI) for child-focused measures and the accrual of financial benefits to non-health care sectors. States participating in the federally-funded Integrated Care for Kids ...
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Journal ArticleAm J Health Promot · June 2024
PURPOSE: To evaluate the congruence between food insecurity screening outcome and clinic-based food pantry utilization and to examine caregiver reported comfort, motivation, and benefits of utilization. DESIGN: Mixed-methods study. SETTING: Academic pediat ...
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Journal ArticleMatern Child Health J · May 2024
OBJECTIVES: Missed infant well-child visits (WCV) result in lost opportunities for critical preventive care. Black infants consistently receive less WCV care than other racial groups. We sought to understand barriers and facilitators to timely infant WCV f ...
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Journal ArticleJournal of Racial and Ethnic Health Disparities · January 1, 2024
Background: The current pediatric mental health crisis has disproportionately impacted Latino youth in the United States (US), as demonstrated by their elevated risks of depression, substance use disorder, and anxiety. Despite this, research suggests Latin ...
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Journal ArticleJ Immigr Minor Health · August 2023
Restrictive immigration policies may adversely affect the health of Latina mothers and their infants. We hypothesized that undocumented Latina mothers and their US born children would have worse birth outcomes and healthcare utilization following the Novem ...
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Journal ArticleJAMA Netw Open · August 1, 2023
IMPORTANCE: Despite momentum for pediatric value-based payment models, little is known about tailoring design elements to account for the unique needs and utilization patterns of children and young adults. OBJECTIVE: To simulate attribution to a hypothetic ...
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Journal ArticleSci Rep · June 7, 2023
The diagnostic accuracy of a screening tool is often characterized by its sensitivity and specificity. An analysis of these measures must consider their intrinsic correlation. In the context of an individual participant data meta-analysis, heterogeneity is ...
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Journal ArticleJ Racial Ethn Health Disparities · April 2023
Previous research has demonstrated that undocumented Latinx immigrants in the USA report worse physical health outcomes than documented immigrants. Some studies suggest that immigration-related stress and healthcare related-stress may explain this relation ...
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Journal ArticlePLOS Global Public Health · April 1, 2023
Following the 2016 US Presidential election, immigration enforcement became more aggressive, with variation by state and region depending on local policies and sentiment. Increases in enforcement created an environment of risk for decreased use of health c ...
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Journal ArticleHealth Aff (Millwood) · January 2023
Food insecurity has been associated with the health care expenditures of individuals, but it can affect the entire family. Evaluating the relationship between food insecurity and family expenditures provides a better understanding of the financial implicat ...
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Journal ArticleNorth Carolina Medical Journal · January 1, 2023
background Childhood food insecurity increased considerably during the COVID-19 pandemic and is associated with compromised health. Health care systems are increasingly prioritizing food insecurity interventions to improve health, but it is unclear how hea ...
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Journal ArticleNorth Carolina Medical Journal · January 1, 2023
North Carolina Integrated Care for Kids (NC InCK) is a pilot health care delivery and payment model for Medicaid-enrolled children in five North Carolina counties. We describe early learnings from the NC InCK approach to pro-mote the vision of whole-child ...
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Journal ArticleNorth Carolina Medical Journal · January 1, 2023
In North Carolina, childhood food and nutrition insecurity are persistent problems. This article explores challenges, highlights potential opportunities, and proposes policy solutions for food and nutrition insecurity among households with children. North ...
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Journal ArticleFront Public Health · 2023
INTRODUCTION: The Latinx Advocacy Team & Interdisciplinary Network for COVID-19 (LATIN-19) is a unique multi-sector coalition formed early in the COVID-19 pandemic to address the multi-level health inequities faced by Latinx communities in North Carolina. ...
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Journal ArticleThe Milbank quarterly · December 2022
Policy Points The rapid uptake of disadvantage indices during the pandemic highlights investment in implementing tools that address health equity to inform policy. Existing indices differ in their design, including data elements, social determinants of hea ...
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Journal ArticlePrev Med Rep · June 2022
The objective of this study was to examine the association between parenthood and cardiovascular disease (CVD) risk factors among a nationally representative sample of United States adults. A cross sectional analysis was conducted with adults aged 20-59 ye ...
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Journal ArticleJAMA Health Forum · December 2021
IMPORTANCE: Brief disruptions in insurance coverage among eligible participants are associated with poorer health outcomes for children. OBJECTIVE: To describe factors associated with coverage disruptions among children enrolled in North Carolina Medicaid ...
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Journal ArticleInt J Methods Psychiatr Res · September 2021
OBJECTIVES: Selectively reported results from only well-performing cutoffs in diagnostic accuracy studies may bias estimates in meta-analyses. We investigated cutoff reporting patterns for the Patient Health Questionnaire-9 (PHQ-9; standard cutoff 10) and ...
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Journal ArticleAcad Pediatr · July 2021
OBJECTIVE: The United States benefits economically and socially from the diverse skill-set and innovative contributions of immigrants. By applying a socioecological framework with an equity lens, we aim to provide an overview of the health of children in i ...
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Journal ArticleJ Adolesc Health · April 2021
PURPOSE: To examine the pandemic response plans of institutes of higher education (i.e., colleges and universities), including COVID-19 prevention, enforcement, and testing strategies. METHOD: Data from the largest public (n = 50) and private (n = 50) US i ...
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Journal ArticlePediatrics · February 2021
BACKGROUND: US immigration policy changes may affect health care use among Latinx children. We hypothesized that January 2017 restrictive immigration executive actions would lead to decreased health care use among Latinx children. METHODS: We used controll ...
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Journal ArticlePsychother Psychosom · 2021
INTRODUCTION: Three previous individual participant data meta-analyses (IPDMAs) reported that, compared to the Structured Clinical Interview for the DSM (SCID), alternative reference standards, primarily the Composite International Diagnostic Interview (CI ...
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Journal ArticleInt J Integr Care · 2021
INTRODUCTION: Over the last decade in the United States (US), the burden of chronic disease, health care costs, and fragmented care delivery have increased at alarming rates. To address these challenges, policymakers have prioritized new payment and delive ...
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Journal ArticleStatistical methods in medical research · September 2020
Researchers increasingly use meta-analysis to synthesize the results of several studies in order to estimate a common effect. When the outcome variable is continuous, standard meta-analytic approaches assume that the primary studies report the sample mean ...
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Journal ArticleBreastfeed Med · July 2020
Background: Little is known about intended breastfeeding duration of women who initiate breastfeeding. We describe the association between intended and actual breastfeeding duration among low-income, diverse mothers who report maintaining breastfeeding for ...
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Journal ArticlePsychol Med · June 2020
BACKGROUND: Item 9 of the Patient Health Questionnaire-9 (PHQ-9) queries about thoughts of death and self-harm, but not suicidality. Although it is sometimes used to assess suicide risk, most positive responses are not associated with suicidality. The PHQ- ...
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Journal ArticlePsychother Psychosom · 2020
BACKGROUND: Screening for major depression with the Patient Health Questionnaire-9 (PHQ-9) can be done using a cutoff or the PHQ-9 diagnostic algorithm. Many primary studies publish results for only one approach, and previous meta-analyses of the algorithm ...
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Journal ArticleAIDS Behav · December 2019
Psychiatric comorbidity, the presence of two or more psychiatric disorders, leads to worse HIV outcomes in the United States; this relationship has not been studied in sub-Saharan Africa. We conducted a preliminary study to describe the prevalence of psych ...
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Journal ArticleBr J Psychiatry · June 2018
BACKGROUND: Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini Intern ...
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Journal ArticleAIDS Behav · June 2017
Delayed engagement in HIV care threatens the success of HIV treatment programs in sub-Saharan Africa and may be influenced by depression. We examined the relationship between depression prior to HIV diagnosis and engagement in HIV care at a primary care cl ...
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Journal ArticlePLoS One · 2017
BACKGROUND: Depression affects 20-30% of HIV-infected patients and is associated with worse HIV outcomes. Although effective depression treatment is available, depression is largely untreated or undertreated in this population. METHODS: We quantified gaps ...
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Journal ArticleJ Clin Psychiatry · October 2015
OBJECTIVE: To systematically review the literature on prevalence and incidence of perinatal depression in human immunodeficiency virus (HIV)-infected African women. DATA SOURCES: We searched 17 databases, including PubMed, PsycINFO, Cochrane, EMBASE, Web o ...
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Journal ArticleJ Affect Disord · 2014
BACKGROUND: Integration of depression screening into primary care may increase access to mental health services in sub-Saharan Africa, but this approach requires validated screening instruments. We sought to validate the Patient Health Questionnaire-9 (PHQ ...
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Journal ArticleBMC Infect Dis · March 21, 2012
BACKGROUND: Life-threatening infections present major challenges for health systems in Malawi and the developing world because routine microbiologic culture and sensitivity testing are not performed due to lack of capacity. Use of empirical antimicrobial t ...
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Journal ArticlePLoS One · April 12, 2011
BACKGROUND: In Africa, infant susceptibility to Plasmodium falciparum malaria increases substantially as fetal hemoglobin (HbF) and maternal immune IgG disappear from circulation. During the first few months of life, however, resistance to malaria is evide ...
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Journal ArticleProc Natl Acad Sci U S A · January 22, 2008
Sickle trait, the heterozygous state of normal hemoglobin A (HbA) and sickle hemoglobin S (HbS), confers protection against malaria in Africa. AS children infected with Plasmodium falciparum are less likely than AA children to suffer the symptoms or severe ...
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Journal ArticleJ Exp Med · October 17, 2005
The molecular immunopathogenesis of West Nile virus (WNV) infection is poorly understood. Here, we characterize a mouse model for WNV using a subcutaneous route of infection and delineate leukocyte subsets and immunoregulatory factors present in the brains ...
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