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Whitney R Robinson

Associate Professor in Obstetrics and Gynecology
Obstetrics and Gynecology, Women's Community & Population Health
DUMC Box 3084, Durham, NC 27710
Office hours Wednesdays: Office hours for in-person and Zoom meetings at Duke campus  

Selected Publications


Endometriosis and Disability: Analysis of Federal Court Appeals of Social Security Disability Insurance and Supplemental Security Income Claims by Individuals Suffering From Endometriosis.

Journal Article Womens Health Issues · February 27, 2024 BACKGROUND: Endometriosis, a chronic noncancerous gynecologic condition commonly characterized by disruptive physical and psychosocial symptoms, can be disabling. Individuals in the United States with endometriosis who are unable to work before retirement ... Full text Link to item Cite

Mass Probation: Effects of Sentencing Severity on Mental Health for Black and White Individuals.

Journal Article Epidemiology · January 1, 2024 BACKGROUND: Incarceration is associated with negative impacts on mental health. Probation, a form of community supervision, has been lauded as an alternative. However, the effect of probation versus incarceration on mental health is unclear. Our objective ... Full text Link to item Cite

The Carolina hysterectomy cohort (CHC): a novel case series of reproductive-aged hysterectomy patients across 10 hospitals in the US south.

Journal Article BMC Womens Health · December 19, 2023 BACKGROUND: Hysterectomy is a common surgery among reproductive-aged U.S. patients, with rates highest among Black patients in the South. There is limited insight on causes of these racial differences. In the U.S., electronic medical records (EMR) data can ... Full text Link to item Cite

Mass probation: Temporal and geographic correlation of county-level probation rates & mental health in North Carolina.

Journal Article SSM Ment Health · December 2023 High community incarceration rates are associated with worse community mental health. However, it remains unknown whether higher rates of probation, a form of criminal legal community supervision, are similarly associated with worse community mental health ... Full text Link to item Cite

Patient and Surgery Characteristics of Inpatient Hysterectomies Among Transgender Individuals.

Journal Article LGBT Health · October 2023 Purpose: The purpose of this study is to estimate population-based rates of inpatient hysterectomy and accompanying bilateral salpingo-oophorectomy by indication and evaluate surgical patient characteristics by indication, year, patient age, and hospital l ... Full text Link to item Cite

A Rubric to Center Equity in Obstetrics and Gynecology Research.

Journal Article Obstetrics and gynecology · October 2023 The Steering Committee for the Obstetrics & Gynecology special edition titled "Racism in Reproductive Health: Lighting a Path to Health Equity" formed a working group to create an equity rubric. The goal was to provide a tool to help researchers systematic ... Full text Cite

Ethnoracial Differences in Premenopausal Hysterectomy: The Role of Symptom Severity.

Journal Article Obstet Gynecol · August 1, 2023 OBJECTIVE: To evaluate whether greater symptom severity can explain higher hysterectomy rates among premenopausal non-Hispanic Black compared with White patients in the U.S. South rather than potential overtreatment of Black patients. METHODS: Using electr ... Full text Link to item Cite

Hysterectomy With and Without Oophorectomy, Tubal Ligation, and Risk of Cardiovascular Disease in the Nurses' Health Study II.

Journal Article J Womens Health (Larchmt) · July 2023 Background: Hysterectomy, oophorectomy, and tubal ligation are common surgical procedures. The literature regarding cardiovascular disease (CVD) risk after these surgeries has focused on oophorectomy with limited research on hysterectomy or tubal ligation. ... Full text Link to item Cite

Disparities in job characteristics by race and sex in a Southern aluminum smelting facility.

Journal Article Am J Ind Med · April 2023 BACKGROUND: Former workers at a Southern aluminum smelting facility raised concerns that the most hazardous jobs were assigned to Black workers, but the role of workplace segregation had not been quantified or examined in the company town. Prior studies di ... Full text Link to item Cite

A comparison of analytic approaches for investigating the obesity paradox in kidney cancer.

Journal Article Cancer Causes Control · April 2023 PURPOSE: Body mass index (BMI) and kidney cancer mortality are inconsistently associated in the scientific literature. To understand how study design affects results, we contrasted associations between pre-diagnosis BMI and mortality under different analyt ... Full text Link to item Cite

Single-center serological surveillance of SARS-CoV-2 in pregnant patients presenting to labor and delivery.

Journal Article Int J Gynaecol Obstet · March 2023 OBJECTIVE: To measure maternal/fetal SARS-CoV-2 antibody levels. METHODS: A prospective observational study of eligible parturients admitted to the hospital for infant delivery was conducted between April and September 2020. SARS-CoV-2 antibody levels were ... Full text Link to item Cite

Inequities in life course criminal legal system sanctions: measuring cumulative involvement.

Journal Article Ann Epidemiol · December 2022 PURPOSE: The impact of incarceration on health is well known. Yet, most studies measure incarceration alone and miss additional exposure to the criminal legal system over time. We evaluated adult criminal legal sanctions - inclusive of arrests, charges, pr ... Full text Link to item Cite

North Carolina public school teachers' contact patterns and mask use within and outside of school during the prevaccine phase of the COVID-19 pandemic.

Journal Article Am J Infect Control · June 2022 BACKGROUND: Teachers are central to school-associated transmission networks, but little is known about their behavioral patterns during the COVID-19 pandemic. METHODS: We conducted a cross-sectional survey of 700 North Carolina public school teachers in 4 ... Full text Link to item Cite

Trends in surgical treatment of early-stage breast cancer reveal decreasing mastectomy use between 2003 and 2016 by age, race, and rurality.

Journal Article Breast Cancer Res Treat · June 2022 PURPOSE: To examine trends in the surgical treatment of breast cancer by age, rurality, and among Black women in a populous, racially diverse, state in the Southeastern United States of America. METHODS: We identified women diagnosed with localized or regi ... Full text Link to item Cite

Public health critical race praxis at the intersection of traffic stops and injury epidemiology.

Journal Article Inj Epidemiol · March 21, 2022 BACKGROUND: Law enforcement traffic stops are one of the most common entryways to the US justice system. Conventional frameworks suggest traffic stops promote public safety by reducing dangerous driving practices and non-vehicular crime with little to no c ... Full text Link to item Cite

Development of an algorithm to assess unmeasured symptom severity in gynecologic care.

Journal Article Am J Obstet Gynecol · March 2022 BACKGROUND: Healthcare disparities research is often limited by incomplete accounting for differences in health status by populations. In the United States, hysterectomy shows marked variation by race and geography, but it is difficult to understand what f ... Full text Link to item Cite

Validity of breast cancer surgery treatment information in a state-based cancer registry.

Journal Article Cancer Causes Control · February 2022 PURPOSE: Surgery is an important part of early stage breast cancer treatment that affects overall survival. Many studies of surgical treatment of breast cancer rely on data sources that condition on continuous insurance coverage or treatment at specified f ... Full text Link to item Cite

Prevalence of SARs-CoV-2 Infection Among Pregnant Women in a Rural Pandemic Hotspot in the Southern U.S.

Journal Article American Journal of Obstetrics and Gynecology · February 2022 Full text Cite

Correlates of Receiving Guideline-Concordant Postpartum Health Services in the Community Health Center Setting.

Journal Article Womens Health Rep (New Rochelle) · 2022 Introduction: New clinical guidelines recommend comprehensive and timely postpartum services across 3 months after birth. Research is needed to characterize correlates of receiving guideline-concordant, quality postpartum care in federally qualified health ... Full text Link to item Cite

Endometriosis and Disability: Analysis of Federal Court Appeals of Social Security Disability Insurance and Supplemental Security Income Claims by Individuals Suffering From Endometriosis.

Journal Article Womens Health Issues · February 27, 2024 BACKGROUND: Endometriosis, a chronic noncancerous gynecologic condition commonly characterized by disruptive physical and psychosocial symptoms, can be disabling. Individuals in the United States with endometriosis who are unable to work before retirement ... Full text Link to item Cite

Mass Probation: Effects of Sentencing Severity on Mental Health for Black and White Individuals.

Journal Article Epidemiology · January 1, 2024 BACKGROUND: Incarceration is associated with negative impacts on mental health. Probation, a form of community supervision, has been lauded as an alternative. However, the effect of probation versus incarceration on mental health is unclear. Our objective ... Full text Link to item Cite

The Carolina hysterectomy cohort (CHC): a novel case series of reproductive-aged hysterectomy patients across 10 hospitals in the US south.

Journal Article BMC Womens Health · December 19, 2023 BACKGROUND: Hysterectomy is a common surgery among reproductive-aged U.S. patients, with rates highest among Black patients in the South. There is limited insight on causes of these racial differences. In the U.S., electronic medical records (EMR) data can ... Full text Link to item Cite

Mass probation: Temporal and geographic correlation of county-level probation rates & mental health in North Carolina.

Journal Article SSM Ment Health · December 2023 High community incarceration rates are associated with worse community mental health. However, it remains unknown whether higher rates of probation, a form of criminal legal community supervision, are similarly associated with worse community mental health ... Full text Link to item Cite

Patient and Surgery Characteristics of Inpatient Hysterectomies Among Transgender Individuals.

Journal Article LGBT Health · October 2023 Purpose: The purpose of this study is to estimate population-based rates of inpatient hysterectomy and accompanying bilateral salpingo-oophorectomy by indication and evaluate surgical patient characteristics by indication, year, patient age, and hospital l ... Full text Link to item Cite

A Rubric to Center Equity in Obstetrics and Gynecology Research.

Journal Article Obstetrics and gynecology · October 2023 The Steering Committee for the Obstetrics & Gynecology special edition titled "Racism in Reproductive Health: Lighting a Path to Health Equity" formed a working group to create an equity rubric. The goal was to provide a tool to help researchers systematic ... Full text Cite

Ethnoracial Differences in Premenopausal Hysterectomy: The Role of Symptom Severity.

Journal Article Obstet Gynecol · August 1, 2023 OBJECTIVE: To evaluate whether greater symptom severity can explain higher hysterectomy rates among premenopausal non-Hispanic Black compared with White patients in the U.S. South rather than potential overtreatment of Black patients. METHODS: Using electr ... Full text Link to item Cite

Hysterectomy With and Without Oophorectomy, Tubal Ligation, and Risk of Cardiovascular Disease in the Nurses' Health Study II.

Journal Article J Womens Health (Larchmt) · July 2023 Background: Hysterectomy, oophorectomy, and tubal ligation are common surgical procedures. The literature regarding cardiovascular disease (CVD) risk after these surgeries has focused on oophorectomy with limited research on hysterectomy or tubal ligation. ... Full text Link to item Cite

Disparities in job characteristics by race and sex in a Southern aluminum smelting facility.

Journal Article Am J Ind Med · April 2023 BACKGROUND: Former workers at a Southern aluminum smelting facility raised concerns that the most hazardous jobs were assigned to Black workers, but the role of workplace segregation had not been quantified or examined in the company town. Prior studies di ... Full text Link to item Cite

A comparison of analytic approaches for investigating the obesity paradox in kidney cancer.

Journal Article Cancer Causes Control · April 2023 PURPOSE: Body mass index (BMI) and kidney cancer mortality are inconsistently associated in the scientific literature. To understand how study design affects results, we contrasted associations between pre-diagnosis BMI and mortality under different analyt ... Full text Link to item Cite

Single-center serological surveillance of SARS-CoV-2 in pregnant patients presenting to labor and delivery.

Journal Article Int J Gynaecol Obstet · March 2023 OBJECTIVE: To measure maternal/fetal SARS-CoV-2 antibody levels. METHODS: A prospective observational study of eligible parturients admitted to the hospital for infant delivery was conducted between April and September 2020. SARS-CoV-2 antibody levels were ... Full text Link to item Cite

Inequities in life course criminal legal system sanctions: measuring cumulative involvement.

Journal Article Ann Epidemiol · December 2022 PURPOSE: The impact of incarceration on health is well known. Yet, most studies measure incarceration alone and miss additional exposure to the criminal legal system over time. We evaluated adult criminal legal sanctions - inclusive of arrests, charges, pr ... Full text Link to item Cite

North Carolina public school teachers' contact patterns and mask use within and outside of school during the prevaccine phase of the COVID-19 pandemic.

Journal Article Am J Infect Control · June 2022 BACKGROUND: Teachers are central to school-associated transmission networks, but little is known about their behavioral patterns during the COVID-19 pandemic. METHODS: We conducted a cross-sectional survey of 700 North Carolina public school teachers in 4 ... Full text Link to item Cite

Trends in surgical treatment of early-stage breast cancer reveal decreasing mastectomy use between 2003 and 2016 by age, race, and rurality.

Journal Article Breast Cancer Res Treat · June 2022 PURPOSE: To examine trends in the surgical treatment of breast cancer by age, rurality, and among Black women in a populous, racially diverse, state in the Southeastern United States of America. METHODS: We identified women diagnosed with localized or regi ... Full text Link to item Cite

Public health critical race praxis at the intersection of traffic stops and injury epidemiology.

Journal Article Inj Epidemiol · March 21, 2022 BACKGROUND: Law enforcement traffic stops are one of the most common entryways to the US justice system. Conventional frameworks suggest traffic stops promote public safety by reducing dangerous driving practices and non-vehicular crime with little to no c ... Full text Link to item Cite

Development of an algorithm to assess unmeasured symptom severity in gynecologic care.

Journal Article Am J Obstet Gynecol · March 2022 BACKGROUND: Healthcare disparities research is often limited by incomplete accounting for differences in health status by populations. In the United States, hysterectomy shows marked variation by race and geography, but it is difficult to understand what f ... Full text Link to item Cite

Validity of breast cancer surgery treatment information in a state-based cancer registry.

Journal Article Cancer Causes Control · February 2022 PURPOSE: Surgery is an important part of early stage breast cancer treatment that affects overall survival. Many studies of surgical treatment of breast cancer rely on data sources that condition on continuous insurance coverage or treatment at specified f ... Full text Link to item Cite

Prevalence of SARs-CoV-2 Infection Among Pregnant Women in a Rural Pandemic Hotspot in the Southern U.S.

Journal Article American Journal of Obstetrics and Gynecology · February 2022 Full text Cite

Correlates of Receiving Guideline-Concordant Postpartum Health Services in the Community Health Center Setting.

Journal Article Womens Health Rep (New Rochelle) · 2022 Introduction: New clinical guidelines recommend comprehensive and timely postpartum services across 3 months after birth. Research is needed to characterize correlates of receiving guideline-concordant, quality postpartum care in federally qualified health ... Full text Link to item Cite

Changing trends in Black-White racial differences in surgical menopause: a population-based study.

Journal Article Am J Obstet Gynecol · November 2021 BACKGROUND: Bilateral oophorectomy before menopause, or surgical menopause, is associated with negative health outcomes, including an increased risk for stroke and other cardiovascular outcomes; however, surgical menopause also dramatically reduces ovarian ... Full text Link to item Cite

Patterns of black and white hysterectomy incidence among reproductive aged women.

Journal Article Health Serv Res · October 2021 OBJECTIVE: To investigate the intersection of race and economic context in treatment with hysterectomy among reproductive aged women with noncancerous gynecologic conditions. DATA SOURCES: We combined administrative billing records of inpatient and outpati ... Full text Link to item Cite

Estimated Performance of Transvaginal Ultrasonography for Evaluation of Postmenopausal Bleeding in a Simulated Cohort of Black and White Women in the US.

Journal Article JAMA Oncol · August 1, 2021 IMPORTANCE: Black women in the US with endometrial cancer (EC) are more likely to be diagnosed with advanced-stage disease independent of insured status and histologic type. The most common way of diagnosing EC at early stages is through screening of peopl ... Full text Link to item Cite

Timing, delays and pathways to diagnosis of endometriosis: a scoping review protocol.

Journal Article BMJ Open · June 24, 2021 INTRODUCTION: Pathways to diagnosis for women with endometriosis are frequently characterised with delays. Internationally, women face significant barriers and times to diagnosis. The prolonged time without a diagnosis may result in treatment delay, with c ... Full text Link to item Cite

Mexican households' food shopping patterns in 2015: analysis following nonessential food and sugary beverage taxes.

Journal Article Public Health Nutr · June 2021 OBJECTIVE: To examine patterns of taxed and untaxed food and beverage shopping across store types after Mexico's sugary drink and non-essential food taxes, the nutritional quality of these patterns and the socio-economic characteristics associated with the ... Full text Link to item Cite

Incorporating measures of structural racism into population studies of reproductive health in the United States: A Narrative Review

Journal Article Health Equity · February 1, 2021 Purpose: Black women in the United States face poor outcomes across reproductive health measures - from pregnancy outcomes to gynecologic cancers. Racial health inequities are attributable to systemic racism, but few population studies of reproductive heal ... Full text Cite

Inquiry into women's pathways to diagnosis of endometriosis: A qualitative study protocol.

Journal Article J Adv Nurs · February 2021 AIMS: This protocol describes a study aiming to: (1) describe pathways and experiences of women's symptom recognition, appraisal and management of endometriosis; and (2) identify differences in pathways and experiences among a socioeconomically and raciall ... Full text Link to item Cite

Longitudinal Associations of US Acculturation With Cognitive Performance, Cognitive Impairment, and Dementia.

Journal Article Am J Epidemiol · November 2, 2020 US Latinos, a growing, aging population, are disproportionately burdened by cognitive decline and dementia. Identification of modifiable risk factors is needed for interventions aimed at reducing risk. Broad sociocultural context may illuminate complex eti ... Full text Link to item Cite

Racial Capitalism Within Public Health-How Occupational Settings Drive COVID-19 Disparities.

Journal Article Am J Epidemiol · November 2, 2020 Epidemiology of the US coronavirus disease 2019 (COVID-19) outbreak focuses on individuals' biology and behaviors, despite centrality of occupational environments in the viral spread. This demonstrates collusion between epidemiology and racial capitalism b ... Full text Link to item Cite

The epidemiology of gynaecologic health: contemporary opportunities and challenges.

Journal Article J Epidemiol Community Health · October 27, 2020 The field of reproductive epidemiology has primarily focused on reproductive outcomes and gynaecologic cancers. The study of non-cancerous, gynaecologic conditions (eg, uterine fibroids, endometriosis) has not received serious treatment in existing epidemi ... Full text Link to item Cite

Cancer and noncancer mortality among aluminum smelting workers in Badin, North Carolina.

Journal Article Am J Ind Med · September 2020 BACKGROUND: Badin, North Carolina, hosted an aluminum smelting plant from 1917 to 2007. The Concerned Citizens of West Badin reported suspected excess cancer mortality among former employees. This study aimed to investigate these concerns. METHODS: The stu ... Full text Link to item Cite

Comparative analysis of pedestrian injuries using police, emergency department, and death certificate data sources in north carolina, u.S., 2007–2012

Journal Article Transportation Research Record · July 3, 2020 Pedestrian safety programs are needed to address the rising incidence of pedestrian fatalities. Unfortunately, most communities lack comprehensive information on the circumstances of pedestrian crashes and resulting injuries that could help guide decision- ... Full text Cite

Integrating Surveillance Data to Estimate Race/Ethnicity-specific Hysterectomy Inequalities Among Reproductive-aged Women: Who's at Risk?

Journal Article Epidemiology · May 2020 BACKGROUND: Inequalities by race and ethnicity in hysterectomy for noncancerous conditions suggest that some subgroups may be shouldering an unfair burden of procedure-associated negative health impacts. We aimed to estimate race- and ethnicity-specific ra ... Full text Link to item Cite

Teaching yourself about structural racism will improve your machine learning.

Journal Article Biostatistics · April 1, 2020 In this commentary, we put forth the following argument: Anyone conducting machine learning in a health-related domain should educate themselves about structural racism. We argue that structural racism is a critical body of knowledge needed for generalizab ... Full text Link to item Cite

Invited Commentary: What Social Epidemiology Brings to the Table-Reconciling Social Epidemiology and Causal Inference.

Journal Article Am J Epidemiol · March 2, 2020 In response to the Galea and Hernán article, "Win-Win: Reconciling Social Epidemiology and Causal Inference" (Am J Epidemiol. 2020;189(XX):XXXX-XXXX), we offer a definition of social epidemiology. We then argue that methodological challenges most salient t ... Full text Link to item Cite

Neighborhood characteristics associated with park use and park-based physical activity among children in low-income diverse neighborhoods in New York City.

Journal Article Prev Med · February 2020 Urban parks provide spaces and facilities for children's physical activity (PA) and can be a free resource in low-income communities. This study examined whether neighborhood characteristics were associated with children's park use and park-based moderate- ... Full text Link to item Cite

Premenopausal gynecologic surgery and survival among black and white women with breast cancer.

Journal Article Cancer Causes Control · February 2020 PURPOSE: In the United States, hysterectomies and oophorectomies are frequently performed before menopause for benign conditions. The procedures are associated with reduced breast cancer-specific mortality among White women. The relationship between premen ... Full text Link to item Cite

Re-prioritizing traffic stops to reduce motor vehicle crash outcomes and racial disparities.

Journal Article Inj Epidemiol · January 20, 2020 BACKGROUND: Law enforcement traffic stops are one of the most common entryways to the US justice system. Conventional frameworks suggest traffic stops promote public safety by reducing dangerous driving practices and non-vehicular crime. Law enforcement ag ... Full text Link to item Cite

The caloric and sugar content of beverages purchased at different store-types changed after the sugary drinks taxation in Mexico.

Journal Article Int J Behav Nutr Phys Act · November 12, 2019 BACKGROUND: Following the 2014 sugary drinks tax implementation in Mexico, promising reduction in the volume of purchases of taxed beverages were observed overall and at different store-types. However, the tax's effects on purchasing patterns of calories a ... Full text Link to item Cite

Perceived discrimination and depressive symptoms among US Latinos: the modifying role of educational attainment.

Journal Article Ethn Health · April 2019 OBJECTIVE: Despite growing evidence that discrimination may contribute to poor mental health, few studies have assessed this association among US Latinos. Furthermore, the interaction between discrimination and educational attainment in shaping Latino ment ... Full text Link to item Cite

Employment characteristics and cause-specific mortality at automotive electronics manufacturing plants in Huntsville, Alabama.

Journal Article Am J Ind Med · April 2019 BACKGROUND: This study was carried out in response to worker concerns over their exposure to lead solder and chlorinated solvents at automotive electronics manufacturing plants in Huntsville, Alabama. METHODS: A study of 4396 United Autoworkers members eve ... Full text Link to item Cite

Mortality among autoworkers manufacturing electronics in Huntsville, Alabama.

Journal Article Am J Ind Med · April 2019 BACKGROUND: Workers raised concerns over suspected excesses of mortality at automotive electronics manufacturing facilities in Huntsville, Alabama. METHODS: A study of 4396 UAW members ever-employed at Huntsville facilities between 1972 and 1993 was conduc ... Full text Link to item Cite

US acculturation and poor sleep among an intergenerational cohort of adult Latinos in Sacramento, California.

Journal Article Sleep · March 1, 2019 Acculturation may shape the disproportionate burden of poor sleep among Latinos in the United States. Existing studies are limited by unidimensional acculturation proxies that are incapable of capturing cultural complexities across generations. Understandi ... Full text Link to item Cite

The legacy of redlining in the effect of foreclosures on Detroit residents' self-rated health.

Journal Article Health Place · January 2019 Historical practices, such as housing discrimination in Detroit, have been shown to have lasting impacts on communities. Perhaps the most explicit example is the practice of redlining in the 1930s, whereby lenders outlined financially undesirable neighborh ... Full text Link to item Cite

How do we assess a racial disparity in health? Distribution, interaction, and interpretation in epidemiological studies.

Journal Article Ann Epidemiol · January 2019 Identifying the exposures or interventions that exacerbate or ameliorate racial health disparities is one of the fundamental goals of social epidemiology. Introducing an interaction term between race and an exposure into a statistical model is commonly use ... Full text Link to item Cite

Neighborhood language isolation and depressive symptoms among elderly U.S. Latinos.

Journal Article Ann Epidemiol · November 2018 PURPOSE: Neighborhood segregation related to cultural factors, such as language use, may influence elderly Latino depression. We examined the association between neighborhood-level Spanish language segregation and individual depressive symptoms among elder ... Full text Link to item Cite

Contemporary Geographic Variation and Sociodemographic Correlates of Hysterectomy Rates Among Reproductive-Age Women.

Journal Article South Med J · October 2018 OBJECTIVE: For decades hysterectomy rates have famously demonstrated unexplained geographic variation. The aim of this study was to identify county-level correlates of hysterectomy rates among reproductive-age women. METHODS: Using county-level data from m ... Full text Link to item Cite

Educational Mobility Across Generations and Depressive Symptoms Over 10 Years Among US Latinos.

Journal Article Am J Epidemiol · August 1, 2018 Few studies have collected intergenerational data to assess the association between educational mobility across multiple generations and offspring depression. Using data from the Sacramento Area Latino Study on Aging (1998-2008), we assessed the influence ... Full text Link to item Cite

Survival-related Selection Bias in Studies of Racial Health Disparities: The Importance of the Target Population and Study Design.

Journal Article Epidemiology · July 2018 The impact of survival-related selection bias has not always been discussed in relevant studies of racial health disparities. Moreover, the analytic approaches most frequently employed in the epidemiologic literature to minimize selection bias are difficul ... Full text Link to item Cite

Early, regular breast-milk pumping may lead to early breast-milk feeding cessation.

Journal Article Public Health Nutr · June 2018 OBJECTIVE: To estimate the effect of early, regular breast-milk pumping on time to breast-milk feeding (BMF) and exclusive BMF cessation, for working and non-working women. DESIGN: Using the Infant Feeding Practices Survey II (IFPS II), we estimated weight ... Full text Link to item Cite

Race, Menopausal Hormone Therapy, and Invasive Breast Cancer in the Carolina Breast Cancer Study.

Journal Article J Womens Health (Larchmt) · March 2018 PURPOSE: The use of combined estrogen-progestin menopausal hormone therapy (MHT) has been shown to increase the risk of breast cancer, however, recent observational studies have suggested that the association between MHT and breast cancer may be modified b ... Full text Link to item Cite

Longitudinal Associations of Neighborhood-level Racial Residential Segregation with Obesity Among Blacks.

Journal Article Epidemiology · March 2018 BACKGROUND: Despite 50 years since the passage of the Fair Housing Act of 1968, the majority of black Americans continue to live in highly segregated communities. Differing exposure to obesogenic environments in segregated neighborhoods may contribute to r ... Full text Link to item Cite

Racial Differences in PAM50 Subtypes in the Carolina Breast Cancer Study.

Journal Article J Natl Cancer Inst · February 1, 2018 BACKGROUND: African American breast cancer patients have lower frequency of hormone receptor-positive (HR+)/human epidermal growth factor receptor 2 (HER2)-negative disease and higher subtype-specific mortality. Racial differences in molecular subtype with ... Full text Link to item Cite

Accuracy of Self-reported Weight in Hispanic/Latino Adults of the Hispanic Community Health Study/Study of Latinos.

Journal Article Epidemiology · November 2017 BACKGROUND: Previous US population-based studies have found that body weight may be underestimated when self-reported. However, this research may not apply to all US Hispanics/Latinos, many of whom are immigrants with distinct cultural orientations to idea ... Full text Link to item Cite

A limited evaluation of the association of race and anesthetic medication administration: A single-center experience with appendectomies.

Journal Article Paediatr Anaesth · November 2017 BACKGROUND: Although it is known that a patient's race may influence their medical care, racial patterns of medication administration in pediatric anesthesia have not been well-studied. The aim of this study was to determine if differences exist between Bl ... Full text Link to item Cite

For U.S. Black women, shift of hysterectomy to outpatient settings may have lagged behind White women: a claims-based analysis, 2011-2013.

Journal Article BMC Health Serv Res · August 4, 2017 BACKGROUND: Hysterectomy is among the most common surgeries performed on U.S. women. For benign conditions, minimally invasive hysterectomy is recommended, whenever permitted by clinical indication and previous surgery history. No study has examined whethe ... Full text Link to item Cite

Impact of Hurricane Exposure on Reproductive Health Outcomes, Florida, 2004.

Journal Article Disaster Med Public Health Prep · August 2017 OBJECTIVE: Prenatal hurricane exposure may be an increasingly important contributor to poor reproductive health outcomes. In the current literature, mixed associations have been suggested between hurricane exposure and reproductive health outcomes. This ma ... Full text Link to item Cite

Association of Changes in Neighborhood-Level Racial Residential Segregation With Changes in Blood Pressure Among Black Adults: The CARDIA Study.

Journal Article JAMA Intern Med · July 1, 2017 IMPORTANCE: Despite cross-sectional evidence linking racial residential segregation to hypertension prevalence among non-Hispanic blacks, it remains unclear how changes in exposure to neighborhood segregation may be associated with changes in blood pressur ... Full text Link to item Cite

Trans-ethnic fine-mapping of genetic loci for body mass index in the diverse ancestral populations of the Population Architecture using Genomics and Epidemiology (PAGE) Study reveals evidence for multiple signals at established loci.

Journal Article Hum Genet · June 2017 Most body mass index (BMI) genetic loci have been identified in studies of primarily European ancestries. The effect of these loci in other racial/ethnic groups is less clear. Thus, we aimed to characterize the generalizability of 170 established BMI varia ... Full text Link to item Cite

Low maternal adherence to a Mediterranean diet is associated with increase in methylation at the MEG3-IG differentially methylated region in female infants.

Journal Article Environ Epigenet · May 2017 Diet is dictated by the surrounding environment, as food access and availability may change depending on where one lives. Maternal diet during pregnancy is an important part of the in utero environment, and may affect the epigenome. Studies looking at over ... Full text Link to item Cite

Hurricane Charley Exposure and Hazard of Preterm Delivery, Florida 2004.

Journal Article Matern Child Health J · December 2016 Objective Hurricanes are powerful tropical storm systems with high winds which influence many health effects. Few studies have examined whether hurricane exposure is associated with preterm delivery. We aimed to estimate associations between maternal hurri ... Full text Link to item Cite

Maternal Dietary Patterns during Pregnancy Are Associated with Child Growth in the First 3 Years of Life.

Journal Article J Nutr · November 2016 BACKGROUND: Child obesity is a major problem in the United States. Identifying early-life risk factors is necessary for prevention. Maternal diet during pregnancy is a primary source of fetal energy and might influence risk of child obesity. OBJECTIVE: We ... Full text Link to item Cite

Insurance-Based Differences in Time to Diagnostic Follow-up after Positive Screening Mammography.

Journal Article Cancer Epidemiol Biomarkers Prev · November 2016 BACKGROUND: Insurance may lengthen or inhibit time to follow-up after positive screening mammography. We assessed the association between insurance status and time to initial diagnostic follow-up after a positive screening mammogram. METHODS: Using 1995-20 ... Full text Link to item Cite

Associations of Premenopausal Hysterectomy and Oophorectomy With Breast Cancer Among Black and White Women: The Carolina Breast Cancer Study, 1993-2001.

Journal Article Am J Epidemiol · September 1, 2016 Black women experience higher rates of hysterectomy than other women in the United States. Although research indicates that premenopausal hysterectomy with bilateral oophorectomy decreases the risk of breast cancer in black women, it remains unclear how hy ... Full text Link to item Cite

Effect of a community-based pedestrian injury prevention program on driver yielding behavior at marked crosswalks.

Journal Article Accid Anal Prev · August 2016 BACKGROUND: Few studies have comprehensively evaluated the effectiveness of multi-faceted interventions intended to improve pedestrian safety. "Watch for Me NC" is a multi-faceted, community-based pedestrian safety program that includes widespread media an ... Full text Link to item Cite

Maternal Dietary Patterns are Associated with Lower Levels of Cardiometabolic Markers during Pregnancy.

Journal Article Paediatr Perinat Epidemiol · May 2016 BACKGROUND: Elevated levels of cardiometabolic markers are characteristic of normal pregnancy, however, insulin resistance and increased glucose, triglyceride, and cholesterol levels can adversely influence maternal and child health. Diet is a modifiable b ... Full text Link to item Cite

Where people shop is not associated with the nutrient quality of packaged foods for any racial-ethnic group in the United States.

Journal Article Am J Clin Nutr · April 2016 BACKGROUND: In the literature, it has been suggested that there are race-ethnic disparities in what Americans eat. In addition, some studies have shown that residents of African American and low-income neighborhoods have less access to grocery stores and s ... Full text Link to item Cite

The spatial distribution of gender differences in obesity prevalence differs from overall obesity prevalence among US adults.

Journal Article Ann Epidemiol · April 2016 PURPOSE: Although obesity disparities between racial and socioeconomic groups have been well characterized, those based on gender and geography have not been as thoroughly documented. This study describes obesity prevalence by state, gender, and race and/o ... Full text Link to item Cite

Deconstructing race and gender differences in adolescent obesity: Oaxaca-blinder decomposition.

Journal Article Obesity (Silver Spring) · March 2016 OBJECTIVE: To analyze sources of racial and gender disparities in adolescent obesity prevalence in the United States using Oaxaca-Blinder decomposition. METHODS: Data were obtained from the National Youth Physical Activity and Nutrition Study, a 2010 natio ... Full text Link to item Cite

Association of Parity and Time since Last Birth with Breast Cancer Prognosis by Intrinsic Subtype.

Journal Article Cancer Epidemiol Biomarkers Prev · January 2016 BACKGROUND: Parity and time since last birth influence breast cancer risk and vary by intrinsic tumor subtype, but the independent effects of these factors on prognosis have received limited attention. METHODS: Study participants were 1,140 invasive breast ... Full text Link to item Cite

Post-diagnosis adiposity and survival among breast cancer patients: influence of breast cancer subtype.

Journal Article Cancer Causes Control · December 2015 PURPOSE: Adiposity has been linked with increased breast cancer risk and mortality. It is established that etiologic associations for adiposity vary by tumor subtype, but the influence of adiposity on subtype-specific survival is unknown. METHODS: Study pa ... Full text Link to item Cite

US Household Food Shopping Patterns: Dynamic Shifts Since 2000 And Socioeconomic Predictors.

Journal Article Health Aff (Millwood) · November 2015 Under the assumption that differential food access might underlie nutritional disparities, programs and policies have focused on the need to build supermarkets in underserved areas, in an effort to improve dietary quality. However, there is limited evidenc ... Full text Link to item Cite

Socioeconomic Differences in the Association Between Competitive Food Laws and the School Food Environment.

Journal Article J Sch Health · September 2015 BACKGROUND: Schools of low socioeconomic status (SES) tend to sell fewer healthy competitive foods/beverages. This study examined whether state competitive food laws may reduce such disparities. METHODS: School administrators for fifth- and eighth grade re ... Full text Link to item Cite

Hormonal contraceptive use before and after conception in relation to preterm birth and small for gestational age: an observational cohort study.

Journal Article BJOG · September 2015 OBJECTIVE: To evaluate whether hormonal contraceptives, used before or in early pregnancy, confer increased risk of preterm birth or reduced fetal growth. DESIGN: Population-based cohort study conducted by the Norwegian Institute of Public Health (Mother a ... Full text Link to item Cite

Race-associated biological differences among Luminal A breast tumors.

Journal Article Breast Cancer Res Treat · July 2015 African-American (AA) women have higher breast cancer-specific mortality rates. A higher prevalence of the worse outcome Basal-like breast cancer subtype contributes to this, but AA women also have higher mortality even within the more favorable outcome Lu ... Full text Link to item Cite

Exploring racial differences in the obesity gender gap.

Journal Article Ann Epidemiol · June 2015 PURPOSE: To investigate whether the gender gap in obesity prevalence is greater among U.S. blacks than whites in a study designed to account for racial differences in socioeconomic and environmental conditions. METHODS: We estimated age-adjusted, race-stra ... Full text Link to item Cite

Body mass index associated with genome-wide methylation in breast tissue.

Journal Article Breast Cancer Res Treat · June 2015 Gene expression studies indicate that body mass index (BMI) is associated with molecular pathways involved in inflammation, insulin-like growth factor activation, and other carcinogenic processes in breast tissue. The goal of this study was to determine wh ... Full text Link to item Cite

Associations of intergenerational education with metabolic health in U.S. Latinos.

Journal Article Obesity (Silver Spring) · May 2015 OBJECTIVE: The purpose of this study was to examine the association of intergenerational education and country of birth with waist circumference, metabolic syndrome, and type 2 diabetes among older adult Latinos in the United States. METHODS: We used cross ... Full text Link to item Cite

Body mass index is associated with gene methylation in estrogen receptor-positive breast tumors.

Journal Article Cancer Epidemiol Biomarkers Prev · March 2015 BACKGROUND: Although obesity is associated with breast cancer incidence and prognosis, the underlying mechanisms are poorly understood. Identification of obesity-associated epigenetic changes in breast tissue may advance mechanistic understanding of breast ... Full text Link to item Cite

County-level hurricane exposure and birth rates: application of difference-in-differences analysis for confounding control.

Journal Article Emerg Themes Epidemiol · 2015 BACKGROUND: Epidemiological analyses of aggregated data are often used to evaluate theoretical health effects of natural disasters. Such analyses are susceptible to confounding by unmeasured differences between the exposed and unexposed populations. To dem ... Full text Link to item Cite

Coming unmoored: disproportionate increases in obesity prevalence among young, disadvantaged white women.

Journal Article Obesity (Silver Spring) · January 2015 OBJECTIVES: Since the 1980s, older, low-educated White women experienced an unprecedented decrease in life expectancy. We investigated whether a similar phenomenon was evident among younger women for obesity. METHODS: Using the National Health and Nutritio ... Full text Link to item Cite

The authors respond.

Journal Article Epidemiology · November 2014 Full text Link to item Cite

Abstract LB-292: Race-associated gene expression in tumors and breast cancer mortality disparities

Conference Cancer Research · October 1, 2014 AbstractBackground: African American (AA) women have lower incidence, but higher mortality rates when they are diagnosed with breast cancer. Biological differences in tumor subtypes, with greater prevalence ... Full text Cite

Sleep duration and obesity among adolescents transitioning to adulthood: do results differ by sex?

Journal Article J Pediatr · October 2014 OBJECTIVES: To examine the association between short sleep duration and obesity among adolescents (mean age 16 years) transitioning into young adulthood (mean age 21 years) in the National Longitudinal Study of Adolescent Health (N = 10,076). STUDY DESIGN: ... Full text Link to item Cite

Maternal hormonal contraceptive use and offspring overweight or obesity.

Journal Article Int J Obes (Lond) · October 2014 BACKGROUND/OBJECTIVES: Experiments in animal models have shown a positive association between in utero exposure to pharmacologic sex hormones and offspring obesity. The developmental effects of such hormones on human obesity are unknown. SUBJECTS/METHODS: ... Full text Link to item Cite

Body size across the life course and risk of premenopausal and postmenopausal breast cancer in Black women, the Carolina Breast Cancer Study, 1993-2001.

Journal Article Cancer Causes Control · September 2014 BACKGROUND: It is believed that greater adiposity is associated with reduced risk of breast cancer in premenopausal but increased risk in postmenopausal women. However, few studies have evaluated these relationships among Black women or examined anthropome ... Full text Link to item Cite

Throwing out the baby with the bathwater?: Comparing 2 approaches to implausible values of change in body size.

Journal Article Epidemiology · July 2014 BACKGROUND: In childhood obesity research, the appearance of height loss, or "shrinkage," indicates measurement error. It is unclear whether a common response--excluding "shrinkers" from analysis--reduces bias. METHODS: Using data from the National Longitu ... Full text Link to item Cite

On the causal interpretation of race in regressions adjusting for confounding and mediating variables.

Journal Article Epidemiology · July 2014 We consider several possible interpretations of the "effect of race" when regressions are run with race as an exposure variable, controlling also for various confounding and mediating variables. When adjustment is made for socioeconomic status early in a p ... Full text Link to item Cite

Childbearing is not associated with young women's long-term obesity risk.

Journal Article Obesity (Silver Spring) · April 2014 OBJECTIVE: Contemporary childbearing is associated with greater gestational weight gain and postpartum weight retention than in previous decades, potentially leading to a more pronounced effect of childbearing on women's long-term obesity risk. Previous wo ... Full text Link to item Cite

Quantifying the contributions of behavioral and biological risk factors to socioeconomic disparities in coronary heart disease incidence: the MORGEN study.

Journal Article Eur J Epidemiol · October 2013 Quantifying the impact of different modifiable behavioral and biological risk factors on socioeconomic disparities in coronary heart disease (CHD) may help inform targeted, population-specific strategies to reduce the unequal distribution of the disease. P ... Full text Link to item Cite

Serum fatty acids and incidence of ischemic stroke among postmenopausal women.

Journal Article Stroke · October 2013 BACKGROUND AND PURPOSE: Although studies have linked types of fatty acids with coronary heart disease, data on individual fatty acids and risk of ischemic stroke are limited. We aimed to examine the associations between serum fatty acid concentrations and ... Full text Link to item Cite

Birth cohort effects on abdominal obesity in the United States: the Silent Generation, Baby Boomers and Generation X.

Journal Article Int J Obes (Lond) · August 2013 BACKGROUND: Abdominal obesity predicts a wide range of adverse health outcomes. Over the past several decades, prevalence of abdominal obesity has increased markedly in industrialized countries like the United States No previous analyses, however, have eva ... Full text Link to item Cite

Birth cohort effects among US-born adults born in the 1980s: foreshadowing future trends in US obesity prevalence.

Journal Article Int J Obes (Lond) · March 2013 BACKGROUND: Obesity prevalence stabilized in the US in the first decade of the 2000s. However, obesity prevalence may resume increasing if younger generations are more sensitive to the obesogenic environment than older generations. METHODS: We estimated co ... Full text Link to item Cite

Gender-specific effects of early nutritional restriction on adult obesity risk: evidence from quasi-experimental studies.

Journal Article Obesity (Silver Spring) · December 2012 In countries undergoing nutrition transition and historically poor minority groups in wealthy countries, obesity tends to be more common in women than men. A potential contributor to this female excess of obesity is a mismatch between perinatal nutritional ... Full text Link to item Cite

The role of adolescent behaviors in the female-male disparity in obesity incidence in US black and white young adults.

Journal Article Obesity (Silver Spring) · July 2010 In the United States, black women are at much greater risk for obesity than black men. We explored whether adolescent behaviors (family dinners, hours of television, playing sports with mother, playing sports with father, bouts of physical activity) were a ... Full text Link to item Cite

What is a cohort effect? Comparison of three statistical methods for modeling cohort effects in obesity prevalence in the United States, 1971-2006.

Journal Article Soc Sci Med · April 2010 Analysts often use different conceptual definitions of a cohort effect, and therefore different statistical methods, which lead to differing empirical results. A definition often used in sociology assumes that cohorts have unique characteristics confounded ... Full text Link to item Cite

The female-male disparity in obesity prevalence among black American young adults: contributions of sociodemographic characteristics of the childhood family.

Journal Article Am J Clin Nutr · April 2009 BACKGROUND: In the United States, black women are at much greater risk of obesity than are black men. Little is known about the factors underlying this disparity. OBJECTIVE: We explored whether childhood sociodemographic factors (parental education, single ... Full text Link to item Cite

Systematic review of prostate cancer's association with body size in childhood and young adulthood.

Journal Article Cancer Causes Control · October 2008 Body size relatively early in life may influence men's later rate of prostate cancer. We searched for published, English-language studies of the association between prostate cancer incidence or mortality and body size between ages 5 and 29 years. We summar ... Full text Link to item Cite

Obesity before age 30 years and risk of advanced prostate cancer.

Journal Article Am J Epidemiol · June 15, 2005 Adult obesity has shown little association with prostate cancer risk, but obesity at younger ages may be associated with reduced risk. In 1997-2000, the relation between obesity before age 30 years and incident advanced prostate cancer was investigated in ... Full text Link to item Cite