Scholars@Duke
Asheley Cockrell Skinner

Asheley Cockrell Skinner

Professor in Population Health Sciences
Population Health Sciences
asheley.skinner@duke.edu
215 Morris Street, Suite 210, Durham, NC 27701
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Selected Publications

The Injury Prevention Program to Reduce Early Childhood Injuries: A Cluster Randomized Trial.

Journal Article Pediatrics · May 1, 2024 BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics designed The Injury Prevention Program (TIPP) in 1983 to help pediatricians prevent unintentional injuries, but TIPP's effectiveness has never been formally evaluated. We sought to evaluate the ... Full text Link to item Cite

Physical activity and sleep changes among children during the COVID-19 pandemic.

Journal Article NPJ Digit Med · March 16, 2024 Daily routines, including in-person school and extracurricular activities, are important for maintaining healthy physical activity and sleep habits in children. The COVID-19 pandemic significantly disrupted daily routines as in-person school and activities ... Full text Link to item Cite

A Proposed Pediatric Clinical Cardiovascular Health Reference Standard.

Journal Article Am J Prev Med · February 2024 INTRODUCTION: Clinical cardiovascular health is a construct that includes 4 health factors-systolic and diastolic blood pressure, fasting glucose, total cholesterol, and body mass index-which together provide an evidence-based, more holistic view of cardio ... Full text Link to item Cite

The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.

Journal Article Pediatr Obes · December 2023 BACKGROUND: Neighbourhood factors are associated with cardiovascular health in adults, but these relationships are under-explored in youth. OBJECTIVES: To characterize the associations between neighbourhood factors and child and adolescent health among you ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.

Journal Article Ann Epidemiol · December 2023 PURPOSE: This paper aims to examine the association between asthma severity and one-year lagged fitness in New York City Public school youth by neighborhood opportunity. METHODS: Using the Child Opportunity Index 2.0 and individual-level repeated measures ... Full text Link to item Cite

Associations Between Neighborhood Opportunity and Indicators of Physical Fitness for New York City Public School Youth.

Journal Article Child Obes · October 13, 2023 Background: Fewer than 1/4th of US children and adolescents meet physical activity (PA) guidelines, leading to health disparities that track into adulthood. Neighborhood opportunity may serve as a critical modifiable factor to improve fitness attainment an ... Full text Link to item Cite

Neighborhood Public Transportation Access and Adolescent Body Mass Index: Results from the FLASHE Study.

Journal Article Child Obes · August 22, 2023 Background: Prior investigators have examined the relationship between neighborhood public transportation access and physical activity among adolescents, but research is lacking on the association with obesity in this age group. This study examines the ass ... Full text Link to item Cite

Longitudinal Associations Between Neighborhood Child Opportunity and Physical Fitness for New York City Public School Youth.

Journal Article Am J Epidemiol · August 4, 2023 Neighborhood environments can support fitness-promoting behavior, yet little is known about their influence on youth physical fitness outcomes over time. We examined longitudinal associations between neighborhood opportunity and youth physical fitness amon ... Full text Link to item Cite

Effects of caregiver-child acculturation on child obesity among US Latino individuals.

Journal Article Obesity (Silver Spring) · August 2023 OBJECTIVE: The goal of this study was to assess the association of Latino caregiver-child nativity status (US- and foreign-born) with child obesity using a nationally representative sample. METHODS: Using data from the National Health and Nutrition Examina ... Full text Link to item Cite

Organizational trust, usability, and inclusivity are key implementation facilitators for a proposed assets-based mobile health intervention.

Journal Article Transl Behav Med · July 1, 2023 Assets-based interventions can address child health disparities by connecting families to existing community resources. Community collaboration when designing interventions may identify barriers and facilitators to implementation. The objective of this stu ... Full text Link to item Cite

Timing and Magnitude of Peak Body Mass Index and Peak Weight Velocity in Infancy Predict Body Mass Index at 2 Years in a Retrospective Cohort of Electronic Health Record Data.

Journal Article J Pediatr · June 2023 OBJECTIVES: To use growth data from electronic health records to describe and model infant growth (weight velocity and peak body mass index [pBMI]) characteristics. STUDY DESIGN: We extracted data from all children born at ≥34 weeks of gestation within one ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness among new York City public school youth.

Journal Article Prev Med · May 2023 Severe persistent childhood asthma is associated with low physical activity and may be associated with poor physical fitness. Research on the asthma severity-fitness association longitudinally and across sociodemographic subgroups is needed to inform fitne ... Full text Link to item Cite

American Heart Association's Children's Strategically Focused Research Network Experience.

Journal Article J Am Heart Assoc · April 4, 2023 The American Heart Association's Strategically Focused Children's Research Network started in July 2017 with 4 unique programs at Children's National Hospital in Washington, DC; Duke University in Durham, North Carolina; University of Utah in Salt Lake Cit ... Full text Link to item Cite

Longitudinal Association between Weight Status, Aerobic Capacity, Muscular Strength, and Endurance among New York City Youth, 2010-2017.

Journal Article Child Obes · April 2023 Background: Child weight status is inversely associated with fitness, but less is known about this relationship across fitness domains. This study examined the longitudinal association between weight status and fitness domains in a large, diverse sample of ... Full text Link to item Cite

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Journal Article Implement Sci · February 24, 2023 BACKGROUND: Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recomm ... Full text Open Access Link to item Cite

Severe obesity and fitness in New York City public school youth, 2010-2018.

Journal Article BMC Public Health · February 16, 2023 BACKGROUND: Obesity is associated with poorer youth fitness. However, little research has examined the magnitude of this relationship in youth with severe obesity. Therefore, we sought to determine the relationship between increasing weight status and fitn ... Full text Link to item Cite

The Injury Prevention Program to Reduce Early Childhood Injuries: A Cluster Randomized Trial.

Journal Article Pediatrics · May 1, 2024 BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics designed The Injury Prevention Program (TIPP) in 1983 to help pediatricians prevent unintentional injuries, but TIPP's effectiveness has never been formally evaluated. We sought to evaluate the ... Full text Link to item Cite

Physical activity and sleep changes among children during the COVID-19 pandemic.

Journal Article NPJ Digit Med · March 16, 2024 Daily routines, including in-person school and extracurricular activities, are important for maintaining healthy physical activity and sleep habits in children. The COVID-19 pandemic significantly disrupted daily routines as in-person school and activities ... Full text Link to item Cite

A Proposed Pediatric Clinical Cardiovascular Health Reference Standard.

Journal Article Am J Prev Med · February 2024 INTRODUCTION: Clinical cardiovascular health is a construct that includes 4 health factors-systolic and diastolic blood pressure, fasting glucose, total cholesterol, and body mass index-which together provide an evidence-based, more holistic view of cardio ... Full text Link to item Cite

The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.

Journal Article Pediatr Obes · December 2023 BACKGROUND: Neighbourhood factors are associated with cardiovascular health in adults, but these relationships are under-explored in youth. OBJECTIVES: To characterize the associations between neighbourhood factors and child and adolescent health among you ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.

Journal Article Ann Epidemiol · December 2023 PURPOSE: This paper aims to examine the association between asthma severity and one-year lagged fitness in New York City Public school youth by neighborhood opportunity. METHODS: Using the Child Opportunity Index 2.0 and individual-level repeated measures ... Full text Link to item Cite

Associations Between Neighborhood Opportunity and Indicators of Physical Fitness for New York City Public School Youth.

Journal Article Child Obes · October 13, 2023 Background: Fewer than 1/4th of US children and adolescents meet physical activity (PA) guidelines, leading to health disparities that track into adulthood. Neighborhood opportunity may serve as a critical modifiable factor to improve fitness attainment an ... Full text Link to item Cite

Neighborhood Public Transportation Access and Adolescent Body Mass Index: Results from the FLASHE Study.

Journal Article Child Obes · August 22, 2023 Background: Prior investigators have examined the relationship between neighborhood public transportation access and physical activity among adolescents, but research is lacking on the association with obesity in this age group. This study examines the ass ... Full text Link to item Cite

Longitudinal Associations Between Neighborhood Child Opportunity and Physical Fitness for New York City Public School Youth.

Journal Article Am J Epidemiol · August 4, 2023 Neighborhood environments can support fitness-promoting behavior, yet little is known about their influence on youth physical fitness outcomes over time. We examined longitudinal associations between neighborhood opportunity and youth physical fitness amon ... Full text Link to item Cite

Effects of caregiver-child acculturation on child obesity among US Latino individuals.

Journal Article Obesity (Silver Spring) · August 2023 OBJECTIVE: The goal of this study was to assess the association of Latino caregiver-child nativity status (US- and foreign-born) with child obesity using a nationally representative sample. METHODS: Using data from the National Health and Nutrition Examina ... Full text Link to item Cite

Organizational trust, usability, and inclusivity are key implementation facilitators for a proposed assets-based mobile health intervention.

Journal Article Transl Behav Med · July 1, 2023 Assets-based interventions can address child health disparities by connecting families to existing community resources. Community collaboration when designing interventions may identify barriers and facilitators to implementation. The objective of this stu ... Full text Link to item Cite

Timing and Magnitude of Peak Body Mass Index and Peak Weight Velocity in Infancy Predict Body Mass Index at 2 Years in a Retrospective Cohort of Electronic Health Record Data.

Journal Article J Pediatr · June 2023 OBJECTIVES: To use growth data from electronic health records to describe and model infant growth (weight velocity and peak body mass index [pBMI]) characteristics. STUDY DESIGN: We extracted data from all children born at ≥34 weeks of gestation within one ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness among new York City public school youth.

Journal Article Prev Med · May 2023 Severe persistent childhood asthma is associated with low physical activity and may be associated with poor physical fitness. Research on the asthma severity-fitness association longitudinally and across sociodemographic subgroups is needed to inform fitne ... Full text Link to item Cite

American Heart Association's Children's Strategically Focused Research Network Experience.

Journal Article J Am Heart Assoc · April 4, 2023 The American Heart Association's Strategically Focused Children's Research Network started in July 2017 with 4 unique programs at Children's National Hospital in Washington, DC; Duke University in Durham, North Carolina; University of Utah in Salt Lake Cit ... Full text Link to item Cite

Longitudinal Association between Weight Status, Aerobic Capacity, Muscular Strength, and Endurance among New York City Youth, 2010-2017.

Journal Article Child Obes · April 2023 Background: Child weight status is inversely associated with fitness, but less is known about this relationship across fitness domains. This study examined the longitudinal association between weight status and fitness domains in a large, diverse sample of ... Full text Link to item Cite

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Journal Article Implement Sci · February 24, 2023 BACKGROUND: Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recomm ... Full text Open Access Link to item Cite

Severe obesity and fitness in New York City public school youth, 2010-2018.

Journal Article BMC Public Health · February 16, 2023 BACKGROUND: Obesity is associated with poorer youth fitness. However, little research has examined the magnitude of this relationship in youth with severe obesity. Therefore, we sought to determine the relationship between increasing weight status and fitn ... Full text Link to item Cite

Appraisal of Clinical Care Practices for Child Obesity Treatment. Part I: Interventions.

Journal Article Pediatrics · February 1, 2023 The objective of this technical report is to provide clinicians with evidence-based, actionable information upon which to make assessment and treatment decisions for children and adolescents with obesity. In addition, this report will provide an evidence b ... Full text Link to item Cite

Appraisal of Clinical Care Practices for Child Obesity Treatment. Part II: Comorbidities.

Journal Article Pediatrics · February 1, 2023 The objective of this technical report is to provide clinicians with actionable evidence-based information upon which to make treatment decisions. In addition, this report will provide an evidence base on which to inform clinical practice guidelines for th ... Full text Link to item Cite

Prevalence of food insecurity among students attending four Historically Black Colleges and Universities.

Journal Article J Am Coll Health · January 2023 Objective: This study examined the prevalence of food insecurity (FI) among students attending Historically Black Colleges and Universities (HBCUs) in the Southeastern United States. Participants: Students attending four HBCUs (N = 351) completed an anonym ... Full text Open Access Link to item Cite

Advanced Obesity Treatment Selection among Adolescents in a Pediatric Weight Management Program.

Journal Article Child Obes · June 2022 Background: Treatment options for adolescents with obesity are limited. Yet, therapies previously reserved for adults, such as medications and bariatric surgery, are increasingly available to adolescents in tertiary obesity treatment settings. We aimed to ... Full text Link to item Cite

Association between parenthood and cardiovascular disease risk: Analysis from NHANES 2011-2016.

Journal Article Preventive medicine reports · 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 ... Full text Cite

Using geographic information systems to characterize food environments around historically black colleges and universities: Implications for nutrition interventions.

Journal Article J Am Coll Health · April 2022 ObjectiveTo understand the distribution of healthy and unhealthy food stores near historically black colleges and universities (HBCUs). Participants and methods: Using ArcGIS Pro's network analysis tools and ReferenceUSA database, this study characterized ... Full text Open Access Link to item Cite

Abstract EP17: Associations Between Neighborhood Child Opportunity And Cardiovascular Fitness For New York City Public School Youth

Conference Circulation · March 2022 Introduction: Fewer than 1/4th of US youth meet physical activity guidelines, leading to physical fitness-related cardiovascular disease disparities tracking into adulthood. Neighborhood opportunity m ... Full text Cite

Abstract EP16: High Area Level Public Transportation Associated With Increased Body Mass Index In High School And Male Adolescents

Conference Circulation · March 2022 Overweight and obesity rates increased dramatically among United States youth from 1999-2016, particularly among adolescents. Promoting physical activity can reduce youth obesity rates, particularly among overweight adolescents, most o ... Full text Cite

Elevated blood pressure in youth in pediatric weight management programs in the Pediatric Obesity Weight Evaluation Registry (POWER).

Journal Article J Clin Hypertens (Greenwich) · February 2022 Blood pressure (BP) assessment and management are important aspects of care for youth with obesity. This study evaluates data of youth with obesity seeking care at 35 pediatric weight management (PWM) programs enrolled in the Pediatric Obesity Weight Evalu ... Full text Link to item Cite

Patient Retention in Pediatric Weight Management Programs in the United States: Analyses of Data from the Pediatrics Obesity Weight Evaluation Registry.

Journal Article Child Obes · January 2022 Objective: Meeting recommended provider contact hours in multicomponent pediatric weight management (PWM) programs is difficult when patient retention is low. Our objective was to examine associations between individual patient characteristics, program cha ... Full text Link to item Cite

Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina.

Journal Article Acad Pediatr · 2022 OBJECTIVES: We evaluated the prevalence of high weight status in children ages 0 to 24 months (m) using data from electronic health records (EHR) and NHANES. We also examined relationships between weight status during infancy and obesity at 24 months of ag ... Full text Link to item Cite

The Implementation of Farm-to-University Program in Historically Black Colleges and Universities: Assessment of Feasibility and Barriers

Journal Article American Journal of Health Education · January 1, 2022 Background: Farm-to-University (Farm2U) programs make healthy eating accessible, easier, and the default option. Yet, few published studies have focused on Farm2U implementations in Historically Black Colleges and Universities (HBCUs) in conjunction with m ... Full text Cite

A Mixed-Methods Examination of Referral Processes to Clinic-Community Partnership Programs for the Treatment of Childhood Obesity.

Journal Article Child Obes · December 2021 Background: Partnerships with community programs have been used to improve access to obesity care and address clinical barriers to childhood obesity management; however, little is known about the program referral process. The objective of this study was to ... Full text Link to item Cite

Victimization and Adversity in Child Welfare Involved Youth: The Cumulative Influence on Child and Caregiver Reported Behavioral Health Symptoms.

Journal Article J Interpers Violence · November 2021 Exposure to childhood victimization and adversity (CVA) is pervasive for child welfare (CW) involved youth. However, most research with CW samples has focused on types of maltreatment and fails to recognize the additive influence of exposure to CVA beyond ... Full text Link to item Cite

The Association Between Neighborhood Public Transportation Usage and Youth Physical Activity.

Journal Article Am J Prev Med · November 2021 INTRODUCTION: Routine adolescent physical activity is a well-established predictor of positive health across the lifespan, although wide disparities in youth physical activity engagement persist across sex and race/ethnicity. Transportation barriers may be ... Full text Link to item Cite

Weight-Related Behaviors of Children with Obesity during the COVID-19 Pandemic.

Journal Article Child Obes · September 2021 Background: During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of th ... Full text Link to item Cite

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016.

Journal Article J Adolesc Health · August 2021 PURPOSE: Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aime ... Full text Link to item Cite

Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.

Journal Article Obes Surg · August 2021 INTRODUCTION: Racial disparities exist in obesity prevalence and obesity-related comorbid conditions among youth. We hypothesized that non-White adolescents would have poorer 30-day outcomes after adolescent bariatric surgery. METHODS: Adolescent patients ... Full text Link to item Cite

Racial Residential Segregation and Race Differences in Ideal Cardiovascular Health among Young Men.

Journal Article Int J Environ Res Public Health · July 22, 2021 BACKGROUND: Race disparities in cardiovascular disease (CVD) related morbidity and mortality are evident among men. While previous studies show health in young adulthood and racial residential segregation (RRS) are important factors for CVD risk, these fac ... Full text Link to item Cite

The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.

Journal Article Ann Epidemiol · May 2021 PURPOSE: Striking disparities persist in cardiovascular disease risk factors among minority youth. We examined the association between multiple indicators of neighborhood quality and minority youth fitness. METHODS: The primary exposure was the Child Oppor ... Full text Link to item Cite

The association between the supply of select nonpharmacologic providers for pain and use of nonpharmacologic pain management services and initial opioid prescribing patterns for Medicare beneficiaries with persistent musculoskeletal pain.

Journal Article Health Serv Res · April 2021 OBJECTIVE: To test the relationship between the supply of select nonpharmacologic providers (physical therapy (PT) and mental health (MH)) and use of nonpharmacologic services among older adults with a persistent musculoskeletal pain (MSP) episode. DATA SO ... Full text Link to item Cite

Subject Matter Experts Identify Health Equity Concerns in Breastfeeding for African American Women.

Journal Article J Perinat Neonatal Nurs · April 2021 Although the rate of breastfeeding initiation in the United States has continued to rise since 1972, African American mothers continue to experience a significant disparity in initiation. The aim of this study was to explore the perceptions of the facilita ... Full text Link to item Cite

Effects of Breastfeeding, Formula Feeding, and Complementary Feeding on Rapid Weight Gain in the First Year of Life.

Journal Article Acad Pediatr · March 2021 OBJECTIVE: To determine whether proportion of breast versus formula feeding and timing of complementary food introduction affect the odds of rapid gain in weight status in a diverse sample of infants. METHODS: Using data from Greenlight Intervention Study, ... Full text Link to item Cite

Food insecurity is associated with increased weight loss attempts in children and adolescents.

Journal Article Pediatr Obes · January 2021 Household food insecurity (HFI) has been associated with adverse childhood outcomes and shares many common risk factors with obesity. Half of adolescents with overweight or obesity are actively attempting to lose weight. We aim to evaluate whether HFI is a ... Full text Link to item Cite

Changes in the Recreational Built Environment and Youth Body Mass Index.

Journal Article Acad Pediatr · 2021 OBJECTIVE: Many cities have implemented programs to improve the recreational built environment. We evaluated whether neighborhood recreational built environmental changes are associated with change in body mass index (BMI). METHODS: We performed a longitud ... Full text Link to item Cite

The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Adolescents.

Journal Article Am J Prev Med · January 2021 INTRODUCTION: This study examines the dose-response relationship between moderate-to-vigorous physical activity and cardiometabolic measures in adolescents. METHODS: Cross-sectional spline analyses were performed using 2003-2016 National Health and Nutriti ... Full text Link to item Cite

Relationship Between Parental Locus of Control and Childhood Injury.

Journal Article J Prim Prev · December 2020 Although pediatricians routinely counsel parents about preventing childhood injuries, we know little about parents' locus of control (LOC) in regards to preventing their children from being injured. We performed an observational analysis of sociodemographi ... Full text Link to item Cite

The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Young Adults.

Journal Article J Adolesc Health · August 2020 PURPOSE: Guidelines recommend 150 minutes of weekly moderate-to-vigorous physical activity (MVPA) for all adults, although physical activity level correlation with cardiometabolic health is not well characterized for young adults. We determined the dose-re ... Full text Link to item Cite

Rationale and design of "Hearts & Parks": study protocol for a pragmatic randomized clinical trial of an integrated clinic-community intervention to treat pediatric obesity.

Journal Article BMC Pediatr · June 26, 2020 BACKGROUND: The prevalence of child and adolescent obesity and severe obesity continues to increase despite decades of policy and research aimed at prevention. Obesity strongly predicts cardiovascular and metabolic disease risk; both begin in childhood. Ch ... Full text Link to item Cite

Associations between milk fat content and obesity, 1999 to 2016.

Journal Article Pediatr Obes · May 2020 BACKGROUND: The relationship between milk fat content and body mass index (BMI) remains unclear. The objective of this study was to determine if milk fat content is associated with obesity in children, adolescents and young adults. METHODS: We used repeate ... Full text Link to item Cite

The Association Between the Supply of Nonpharmacologic Providers, Use of Nonpharmacologic Pain Treatments, and High-risk Opioid Prescription Patterns Among Medicare Beneficiaries With Persistent Musculoskeletal Pain.

Journal Article Med Care · May 2020 BACKGROUND: Opioids are prescribed more frequently than nonpharmacologic treatments for persistent musculoskeletal pain (MSP). We estimate the association between the supply of physical therapy (PT) and mental health (MH) providers and early nonpharmacolog ... Full text Link to item Cite

Understanding the Role of Fathers in Children's Physical Activity: A Qualitative Study.

Journal Article J Phys Act Health · May 1, 2020 BACKGROUND: Parents are influential in supporting children's physical activity, but relatively little is known about the role of fathers in children's physical activity. METHODS: Semi-structured interviews (n = 24) were conducted with low-active and active ... Full text Link to item Cite

Long-term opioid therapy definitions and predictors: A systematic review.

Journal Article Pharmacoepidemiol Drug Saf · March 2020 PURPOSE: This review sought to (a) describe definitions of long-term opioid therapy (LTOT) outcome measures, and (b) identify the predictors associated with the transition from short-term opioid use to LTOT for opioid-naïve individuals. METHODS: We conduct ... Full text Link to item Cite

Weight-related quality of life and temperament as predictors and moderators of outcomes among treatment-seeking, low-income, ethnically diverse children with obesity.

Journal Article Transl Behav Med · February 3, 2020 Within any childhood obesity treatment program, some children have better outcomes than others. Little is known about predictors or moderators of more positive outcomes. We aimed to identify whether child temperament and weight-related quality of life pred ... Full text Link to item Cite

A review of Kenya's cancer policies to improve access to cancer testing and treatment in the country.

Journal Article Health Res Policy Syst · January 7, 2020 BACKGROUND: Cancer is the third-leading cause of mortality in Kenya, resulting in unique challenges to the country's health system. An increase in the number of cancer cases in Kenya over the past decade resulted in legislative actions and policies to guid ... Full text Link to item Cite

The lock-in loophole: Using mixed methods to explain patient circumvention of a Medicaid opioid restriction program.

Journal Article Subst Abus · 2020 Lock-in programs are proliferating among private and public payers to restrict access to controlled substance prescriptions and enhance care coordination for patients exhibiting high-risk use of, primarily, opioids. Patients enrolled in lock-in programs ar ... Full text Link to item Cite

Body Mass Index Change Between Referral to and Enrollment in Pediatric Weight Management.

Journal Article Clin Pediatr (Phila) · January 2020 This study describes changes in body mass index z score (BMIz) and percent of 95th percentile (P95) between referral to pediatric weight management (PWM) and initial PWM visit. We conducted a prospective cohort analysis among subjects (n = 77) aged 5 to 11 ... Full text Link to item Cite

Understanding the Relationship Between Male Gender Socialization and Gender-Based Violence Among Refugees in Sub-Saharan Africa.

Journal Article Trauma Violence Abuse · December 2019 Gender-based violence (GBV) in humanitarian emergencies is progressively recognized as a global public health problem. Detrimental gender norms influence male perpetrated GBV against women, and social and structural contexts of forced migration and camp re ... Full text Link to item Cite

Prevalence of hyperfiltration among US youth/young adults with overweight and obesity: A population-based association study.

Journal Article Obes Sci Pract · December 2019 OBJECTIVE: Determine prevalence of hyperfiltration (high estimated glomerular filtration rate "eGFR" >95th percentile for age/sex) among youth and association with BMI classification. METHODS: With the use of 1999 to 2016 National Health and Nutrition Exam ... Full text Link to item Cite

Using Telehealth to Disseminate Primary, Secondary, and Tertiary CVD Interventions to Rural Populations.

Journal Article Curr Hypertens Rep · November 7, 2019 PURPOSE OF REVIEW: This study aims to review the evidence on telehealth interventions in rural communities that use primary, secondary, or tertiary strategies for the prevention and management of cardiovascular disease (CVD). RECENT FINDINGS: Studies focus ... Full text Link to item Cite

Carrying the Weight: Athletics and Obesity in High School Football Players.

Journal Article Clin Pediatr (Phila) · November 2019 This article determines the prevalence of obesity among high school football players nationwide and compares obesity between position groups of football players and across team sports. We calculate body mass index (BMI) for 391 212 males participating in b ... Full text Link to item Cite

Characteristics of New Opioid Use Among Medicare Beneficiaries: Identifying High-Risk Patterns.

Journal Article J Manag Care Spec Pharm · September 2019 BACKGROUND: Opioid prescription patterns, including long-term use, multiple prescribers, and high opioid doses, increase the risk for adverse outcomes; however, previous research in older adult populations has primarily described opioid dose patterns using ... Full text Link to item Cite

Adolescent and Young Adult Recreational, Occupational, and Transportation Activity: Activity Recommendation and Weight Status Relationships.

Journal Article J Adolesc Health · July 2019 PURPOSE: Physical activity can occur in many settings, or domains, including recreation, occupation, and transportation. We described patterns of adolescent and young adult (YA) activity in each domain, and the extent that accounting for different domains ... Full text Link to item Cite

Concordance of Child and Parent Reports of Children's Screen Media Use.

Journal Article Acad Pediatr · July 2019 OBJECTIVE: Little is known about the concordance of parent and child reports of children's media consumption, even though parents are often asked to report for their children in clinical care settings. Our objective was to understand how parent and child r ... Full text Link to item Cite

Evaluation of a Medicaid Lock-in Program: Increased Use of Opioid Use Disorder Treatment but No Impact on Opioid Overdose Risk.

Journal Article Med Care · March 2019 BACKGROUND: "Lock-in" programs (LIPs) identify beneficiaries demonstrating potential overutilization of opioids, and other controlled substances, and restrict their access to these medications. LIPs are expanding to address the opioid crisis and could be a ... Full text Link to item Cite

Trajectories of dispensed prescription opioids among beneficiaries enrolled in a Medicaid controlled substance "lock-in" program.

Journal Article Pharmacoepidemiol Drug Saf · January 2019 PURPOSE: "Lock-in" programs (LIPs) are used by health insurers to address potential substance (eg, opioid) misuse among beneficiaries. We sought to (1) examine heterogeneity in trajectories of dispensed opioids (in average daily morphine milligram equivale ... Full text Link to item Cite

Health Care Utilization and Comorbidity History of North Carolina Medicaid Beneficiaries in a Controlled Substance "Lock-in" Program.

Journal Article N C Med J · 2019 BACKGROUND Medicaid "lock-in" programs (MLIPs) are a widely used strategy for addressing potential misuse of prescription drugs among beneficiary populations. However, little is known about the health care needs and attributes of beneficiaries selected int ... Full text Link to item Cite

Kinship Care and Foster Care: A Comparison of Out-of-Home Placement From the Perspective of Child Abuse Experts in North Carolina.

Journal Article N C Med J · 2019 BACKGROUND Children may be placed in either kinship or foster care, forms of out-of-home placement (OHP), if maltreatment is suspected. The American Academy of Pediatrics has identified them as children with special health needs requiring elevated care. Wh ... Full text Link to item Cite

Clinical outcomes and treatment patterns among Medicare patients with nonvalvular atrial fibrillation (NVAF) and chronic kidney disease.

Journal Article PLoS One · 2019 BACKGROUND: Patients with nonvalvular atrial fibrillation (NVAF) and chronic kidney disease (CKD) have increased risk of adverse outcomes. This study evaluated treatment with oral anticoagulants and outcomes in elderly NVAF patients with CKD. METHODS: Retr ... Full text Link to item Cite

Improving Timeliness of Medical Evaluations for Children Entering Foster Care.

Journal Article Pediatrics · December 2018 BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics (AAP) recommends children in foster care (FC) have an initial medical evaluation within 3 days of custody initiation; however, this vulnerable population often suffers from disjointed care. Our ... Full text Link to item Cite

Improving Access to Cancer Testing and Treatment in Kenya.

Journal Article J Glob Oncol · September 2018 PURPOSE: In response to the increasing cancer burden in Kenya, this study identified barriers to patients seeking access to cancer testing and treatment and to clinicians in delivering these services. Policy recommendations based on findings are presented. ... Full text Link to item Cite

Association of Physical Activity With Income, Race/Ethnicity, and Sex Among Adolescents and Young Adults in the United States: Findings From the National Health and Nutrition Examination Survey, 2007-2016.

Journal Article JAMA Pediatr · August 1, 2018 IMPORTANCE: Physical activity in youth is associated with adult health. Understanding the prevalence and factors of moderate to vigorous physical activity among adolescents and young adults will guide public health and policy efforts. OBJECTIVES: To descri ... Full text Link to item Cite

Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.

Journal Article Clin Pediatr (Phila) · June 2018 BACKGROUND: "Bull City Fit" is a childhood obesity treatment partnership between Duke Children's pediatric weight management clinic and Durham Department of Parks and Recreation. OBJECTIVES: Report on feasibility and implementation, characteristics of part ... Full text Link to item Cite

Elevations of inflammatory proteins in neonatal blood are associated with obesity and overweight among 2-year-old children born extremely premature.

Journal Article Pediatr Res · June 2018 BackgroundChildhood obesity is associated with elevated blood concentrations of inflammation markers. It is not known to what extent inflammation precedes the development of obesity.MethodsIn a cohort of 882 infants born before 28 weeks of gestation, we ex ... Full text Link to item Cite

Factors That Influence Breastfeeding Initiation Among African American Women.

Journal Article J Obstet Gynecol Neonatal Nurs · May 2018 OBJECTIVE: To examine cultural and socioenvironmental factors that affect breastfeeding initiation among African American women. DESIGN: Qualitative descriptive design and conventional content analysis. SETTING: A large, inner-city, primary care center aff ... Full text Link to item Cite

Prevalence of Obesity and Severe Obesity in US Children, 1999-2016.

Journal Article Pediatrics · March 2018 OBJECTIVES: To provide updated prevalence data on obesity trends among US children and adolescents aged 2 to 19 years from a nationally representative sample. METHODS: We used the NHANES for years 1999 to 2016. Weight status was determined by using measure ... Full text Link to item Cite

Etiology and Resource Use of Fever of Unknown Origin in Hospitalized Children.

Journal Article Hosp Pediatr · March 2018 BACKGROUND: Fever of unknown origin (FUO) is a well-known pediatric presentation. The primary studies determining the causes of prolonged fever in children were performed 4 decades ago, before major advances in laboratory and diagnostic testing. Given that ... Full text Link to item Cite

Perceptions of Equipoise, Risk-Benefit Ratios, and "Otherwise Healthy Volunteers" in the Context of Early-Phase HIV Cure Research in the United States: A Qualitative Inquiry.

Journal Article Journal of empirical research on human research ethics : JERHRE · February 2018 Early-phase HIV cure research is conducted against a background of highly effective antiretroviral therapy, and involves risky interventions in individuals who enjoy an almost normal life expectancy. To explore perceptions of three ethical topics in the co ... Full text Cite

"We Need to Deploy Them Very Thoughtfully and Carefully": Perceptions of Analytical Treatment Interruptions in HIV Cure Research in the United States-A Qualitative Inquiry.

Journal Article AIDS Res Hum Retroviruses · January 2018 Strategies to control HIV in the absence of antiretroviral therapy are needed to cure HIV. However, such strategies will require analytical treatment interruptions (ATIs) to determine their efficacy. We investigated how U.S. stakeholders involved in HIV cu ... Full text Link to item Cite

Evaluating short- and long-term impacts of a Medicaid "lock-in" program on opioid and benzodiazepine prescriptions dispensed to beneficiaries.

Journal Article Drug Alcohol Depend · January 1, 2018 BACKGROUND: Insurance-based "lock-in" programs (LIPs) have become a popular strategy to address controlled substance (CS) (e.g., opioid) misuse. However, little is known about their impacts. We examined changes in CS dispensing to beneficiaries in the 12-m ... Full text Link to item Cite

An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial.

Journal Article Pediatrics · January 2018 BACKGROUND AND OBJECTIVES: Effective treatment of childhood obesity remains elusive. Integration of clinical and community systems may achieve effective and sustainable treatment. However, the feasibility and effectiveness of this integrated model are unkn ... Full text Link to item Cite

Hospital and clinical care costs associated with atrial fibrillation for Medicare beneficiaries in the Cardiovascular Health Study and the Framingham Heart Study.

Journal Article SAGE Open Med · 2018 BACKGROUND: Atrial fibrillation is increasingly prevalent as the US population ages and is associated with significant morbidity and mortality. Care for patients with atrial fibrillation can be costly, US health care costs are comparatively high, and there ... Full text Link to item Cite

A Novel Healthcare-community Partnership for Childhood Obesity Treatment: Study Design and Baseline Findings

Conference Innovations in Obesity Prevention, Assessment and Treatment Forum · January 2018 Full text Cite

Obesogenic Behavior and Weight-Based Stigma in Popular Children's Movies, 2012 to 2015.

Journal Article Pediatrics · December 2017 BACKGROUND: Obesity-promoting content and weight-stigmatizing messages are common in child-directed television programming and advertisements, and 1 study found similar trends in G- and PG-rated movies from 2006 to 2010. Our objective was to examine the pr ... Full text Link to item Cite

Research on HIV cure: Mapping the ethics landscape.

Journal Article PLoS Med · December 2017 In an essay, Karine Dubé and coauthors discuss the ethics of preclinical and clinical studies relevant to achieving an HIV cure. ... Full text Link to item Cite

Early Prevention and Treatment Interventions for Childhood Obesity

Journal Article Current Pediatrics Reports · December 1, 2017 Purpose of Review: Childhood obesity is a challenge that pediatric providers face daily in the clinical setting. As a multifactorial chronic illness, obesity is complex, with numerous possible prevention, and treatment strategies. Clinical interventions in ... Full text Cite

Influence of product placement in children's movies on children's snack choices.

Journal Article Appetite · July 1, 2017 BACKGROUND: Media exposure affects health, including obesity risk. Children's movies often contain food placements-frequently unhealthy foods. However, it is not known if these cues influence children's food choices or consumption after viewing. We explore ... Full text Link to item Cite

Implicit Weight Bias in Children Age 9 to 11 Years.

Journal Article Pediatrics · July 2017 OBJECTIVES: Assess implicit weight bias in children 9 to 11 years old. METHODS: Implicit weight bias was measured in children ages 9 to 11 (N = 114) by using the Affect Misattribution Procedure. Participants were shown a test image of a child for 350 milli ... Full text Link to item Cite

Perceptions of the medical home by parents of children with chronic illnesses.

Journal Article Am J Manag Care · February 1, 2017 OBJECTIVES: The patient-centered medical home (PCMH) strives to improve the quality of care in the primary care setting. Recently, certification programs for patient-centered coordinated care have expanded to subspecialty care. Children with chronic condit ... Link to item Cite

Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents.

Journal Article Acad Pediatr · 2017 BACKGROUND AND OBJECTIVE: Effective communication with primary care physicians is important yet incompletely understood for Spanish-speaking parents. We predicted lower satisfaction among Spanish-speaking compared to English-speaking Latino and non-Latino ... Full text Link to item Cite

'Well, It's the Risk of the Unknown… Right?': A Qualitative Study of Perceived Risks and Benefits of HIV Cure Research in the United States.

Journal Article PLoS One · 2017 INTRODUCTION: Biomedical research towards an HIV cure is advancing in the United States and elsewhere, yet little is known about perceptions of risks and benefits among potential study participants and other stakeholders. We conducted a qualitative study t ... Full text Link to item Cite

Tweeting to Health: A Novel mHealth Intervention Using Fitbits and Twitter to Foster Healthy Lifestyles.

Journal Article Clin Pediatr (Phila) · January 2017 We developed and pilot tested a mHealth intervention, "Tweeting to Health," which used Fitbits, Twitter, and gamification to facilitate support for healthy lifestyle changes in overweight/obese (OW) and healthy weight (HW) young adults. Participants tracke ... Full text Link to item Cite

Willingness to participate and take risks in HIV cure research: survey results from 400 people living with HIV in the US.

Journal Article J Virus Erad · January 1, 2017 INTRODUCTION: Participation in early-phase HIV cure studies includes clinical risks with little to no likelihood of clinical benefit. Examining the willingness of people living with HIV to participate is important to guide study design and informed consent ... Link to item Cite

The unbuilt environment: culture moderates the built environment for physical activity.

Journal Article BMC Public Health · December 5, 2016 BACKGROUND: While research has demonstrated a link between the built environment and obesity, much variation remains unexplained. Physical features are necessary, but not sufficient, for physical activity: residents must choose to use these features in hea ... Full text Link to item Cite

Parental Perceptions of Weight Status in Preterm Compared with Term Infants.

Journal Article Am J Perinatol · December 2016 Background Parents of overweight children frequently under-recognize their child's overweight status. We hypothesized that parents of preterm children would be more likely than parents of term children to incorrectly perceive their child's weight. Methods  ... Full text Link to item Cite

Reducing Opioid Misuse: Evaluation of a Medicaid Controlled Substance Lock-In Program.

Journal Article J Pain · November 2016 UNLABELLED: Opioid misuse, abuse, and overdose are a rapidly growing public health epidemic. Medicaid Lock-In Programs (MLIPs) are designed to prevent overutilization of controlled substances by Medicaid patients. However, despite widespread use, there is ... Full text Link to item Cite

Outcome of Pediatric Gastroenterology Outpatients With Fever and Central Line.

Journal Article Pediatr Emerg Care · November 2016 OBJECTIVE: Although management algorithms for fever and central venous catheters (CVCs) have been implemented for pediatric oncology (PO) patients, management of pediatric outpatients with noncancer diagnoses and CVCs lacks clear protocols. The aim of the ... Full text Link to item Cite

Controlled Substance Lock-In Programs: Examining An Unintended Consequence Of A Prescription Drug Abuse Policy.

Journal Article Health Aff (Millwood) · October 1, 2016 Controlled substance lock-in programs are garnering increased attention from payers and policy makers seeking to combat the epidemic of opioid misuse. These programs require high-risk patients to visit a single prescriber and pharmacy for coverage of contr ... Full text Link to item Cite

Parental Perceptions of Weight During the First Year of Life.

Journal Article Acad Pediatr · August 2016 BACKGROUND: More than half of parents underestimate their overweight child's weight; however, previous research focuses on children older than 2 years of age. The objective of this study was to assess whether parents of 2- to 12-month-old infants are able ... Full text Link to item Cite

Bottle Size and Weight Gain in Formula-Fed Infants.

Journal Article Pediatrics · July 2016 BACKGROUND: Formula-fed infants may be at greater risk for overfeeding and rapid weight gain. Different size bottles are used for feeding infants, although little is known about whether bottle size is related to weight gain in bottle-fed infants. METHODS: ... Full text Link to item Cite

Prevalence of obesity and severe obesity in US children, 1999-2014.

Journal Article Obesity (Silver Spring) · May 2016 OBJECTIVE: Provide the most recent data on the prevalence of obesity and severe obesity among United States children and adolescents aged 2 to 19 years. METHODS: The National Health and Nutrition Examination Survey, 1999-2014, was used. Weight status was d ... Full text Link to item Cite

The prevalence and validity of high, biologically implausible values of weight, height, and BMI among 8.8 million children.

Journal Article Obesity (Silver Spring) · May 2016 OBJECTIVE: This study assessed the prevalence and consistency of high values of weight, height, and BMI considered to be biologically implausible (BIV) using cut points proposed by WHO among 8.8 million low-income children (13.7 million observations). METH ... Full text Link to item Cite

Urban Park Development and Pediatric Obesity Rates: A Quasi-Experiment Using Electronic Health Record Data.

Journal Article Int J Environ Res Public Health · April 8, 2016 INTRODUCTION: Childhood obesity affects ~20% of children in the United States. Environmental influences, such as parks, are linked with increased physical activity (PA). OBJECTIVE: To examine whether changes in Body Mass Index (BMI) z-score were associated ... Full text Link to item Cite

Association Between Bottle Size and Formula Intake in 2-Month-Old Infants.

Journal Article Acad Pediatr · April 2016 OBJECTIVE: To determine range of bottle sizes used and examine the relationship between bottle size and total daily consumption of infant formula. METHODS: Cross-sectional analysis of baseline data collected as part of Greenlight, a cluster randomized tria ... Full text Link to item Cite

Regression to the Mean: A Commonly Overlooked and Misunderstood Factor Leading to Unjustified Conclusions in Pediatric Obesity Research.

Journal Article Child Obes · April 2016 OBJECTIVE: In this paper we discuss what regression to the mean (RTM) is, the magnitude of RTM in realistic situations, interpretation of RTM, and recommendations for how to address RTM in study design. METHODS: Public health research faces many challenges ... Full text Link to item Cite

Common scientific and statistical errors in obesity research.

Journal Article Obesity (Silver Spring) · April 2016 This review identifies 10 common errors and problems in the statistical analysis, design, interpretation, and reporting of obesity research and discuss how they can be avoided. The 10 topics are: 1) misinterpretation of statistical significance, 2) inappro ... Full text Link to item Cite

Screening for Major Depressive Disorder in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · March 1, 2016 BACKGROUND: Major depressive disorder (MDD) is common among children and adolescents and is associated with functional impairment and suicide. PURPOSE: To update the 2009 U.S. Preventive Services Task Force (USPSTF) systematic review on screening for and t ... Full text Link to item Cite

Cardiometabolic Risks and Obesity in the Young.

Journal Article N Engl J Med · February 11, 2016 Full text Link to item Cite

Evaluating Guideline-Recommended Antibiotic Practices for Childhood Respiratory Infections: Is It Time to Consider Case-Based Formats?

Journal Article Clin Pediatr (Phila) · February 2016 OBJECTIVE: We sought to better understand barriers to adherence to published guidelines for respiratory infections among community providers. METHODS: A case-based survey was developed and emailed to all members of the state pediatric society. Providers ch ... Full text Link to item Cite

Behaviors and motivations for weight loss in children and adolescents.

Journal Article Obesity (Silver Spring) · February 2016 OBJECTIVES: To examine the association between weight loss behaviors and motivations for weight loss in children and adolescents and the association of weight status with these behaviors and motivations in a nationally representative sample. METHODS: Data ... Full text Link to item Cite

Reasons for Refusal of Newborn Vitamin K Prophylaxis: Implications for Management and Education.

Journal Article Hosp Pediatr · January 2016 OBJECTIVE: The American Academy of Pediatrics recommends intramuscular (IM) vitamin K prophylaxis for all newborns to prevent vitamin K deficiency bleeding. Given the serious implications of late-onset vitamin K deficiency bleeding, our objective was to ex ... Full text Link to item Cite

Patient Portals: Who uses them? What features do they use? And do they reduce hospital readmissions?

Journal Article Appl Clin Inform · 2016 BACKGROUND: Patient portals have demonstrated numerous benefits including improved patient-provider communication, patient satisfaction with care, and patient engagement. Recent literature has begun to illustrate how patients use selected portal features a ... Full text Link to item Cite

Validity of the WHO cutoffs for biologically implausible values of weight, height, and BMI in children and adolescents in NHANES from 1999 through 2012.

Journal Article Am J Clin Nutr · November 2015 BACKGROUND: The WHO cutoffs to classify biologically implausible values (BIVs) for weight, height, and weight-for-height in children and adolescents are widely used in data cleaning. OBJECTIVES: We assess 1) the prevalence of these BIVs, 2) whether they we ... Full text Link to item Cite

Cardiometabolic Risks and Severity of Obesity in Children and Young Adults.

Journal Article N Engl J Med · October 2015 BACKGROUND: The prevalence of severe obesity among children and young adults has increased over the past decade. Although the prevalence of cardiometabolic risk factors is relatively low among children and young adults who are overweight or obese, those wi ... Full text Link to item Cite

Participation in HIV cure-related research: a scoping review of the proxy literature and implications for future research.

Journal Article J Virus Erad · October 2015 OBJECTIVE: To identify the main types of HIV cure-related strategies and examine possible risks (and benefits) associated with participating in HIV cure-related research studies. METHODS: We undertook a scoping review to first map out the landscape of HIV ... Link to item Cite

Ignoring regression to the mean leads to unsupported conclusion about obesity.

Journal Article Int J Behav Nutr Phys Act · May 7, 2015 Childhood obesity remains a substantial health concern for our population and thoughtful attempts to develop and evaluate the utility of programs to reduce childhood obesity levels are needed. Unfortunately, we believe the conclusion by Burke et al. that t ... Full text Link to item Cite

Weight-for-length trajectories in the first year of life in children of mothers with eating disorders in a large Norwegian Cohort.

Journal Article Int J Eat Disord · May 2015 OBJECTIVE: To describe weight-for-length (WFL) trajectories in the children (birth-12 months) of mothers with and without eating disorders. METHOD: This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institu ... Full text Link to item Cite

Racial disparities across provider specialties in opioid prescriptions dispensed to medicaid beneficiaries with chronic noncancer pain.

Journal Article Pain Med · April 2015 OBJECTIVE: Chronic pain affects both psychological and physical functioning, and is responsible for more than $60 billion in lost productivity annually in the United States. Although previous studies have demonstrated racial disparities in opioid treatment ... Full text Link to item Cite

World peace, to be a millionaire, and hoop dreams: adolescent wishes on health screening surveys.

Journal Article N C Med J · 2015 OBJECTIVE: This study sought to learn the wishes of young adolescents via an open-ended survey question and to determine the association of these wishes with sociodemographic variables. METHODS: We performed a cross-sectional study of consecutive adolescen ... Full text Link to item Cite

Food allergies affect growth in children.

Journal Article J Allergy Clin Immunol Pract · 2015 Food allergy-associated elimination diets may place children at risk for impaired growth compared to their peers, especially with elimination of > 2 foods and/or milk. ... Full text Link to item Cite

Reported Sports Participation, Race, Sex, Ethnicity, and Obesity in US Adolescents From NHANES Physical Activity (PAQ_D).

Journal Article Glob Pediatr Health · 2015 Objective. To understand the relationships between participation in different types of leisure time sport activity and adolescent obesity, and how those relationships might differ based on race, gender, and household income. Methods. Data consisted of 6667 ... Full text Open Access Link to item Cite

North Carolina Medicaid recipient management lock-in program: the pharmacist's perspective.

Journal Article J Manag Care Spec Pharm · November 2014 BACKGROUND: The misuse and abuse of prescription opioids have become an urgent health issue in North Carolina (NC), particularly among Medicaid patients who suffer high rates of morbidity and mortality due to abuse and overdose. The NC Division of Medical ... Full text Link to item Cite

Gestational and postpartum weight change patterns in mothers with eating disorders.

Journal Article Eur Eat Disord Rev · November 2014 BACKGROUND: Although pregnancy can be associated with adaptive changes in weight and eating behaviour for women with eating disorders, less is known about whether these changes are maintained in the postpartum period. We used a longitudinal design to exami ... Full text Link to item Cite

Pass the popcorn: "obesogenic" behaviors and stigma in children's movies.

Journal Article Obesity (Silver Spring) · July 2014 OBJECTIVE: To determine the prevalence of obesity-related behaviors and attitudes in children's movies. METHODS: A mixed-methods study of the top-grossing G- and PG-rated movies, 2006-2010 (4 per year) was performed. For each 10-min movie segment, the foll ... Full text Link to item Cite

Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012.

Journal Article JAMA Pediatr · June 2014 IMPORTANCE: Childhood obesity is the focus of public health efforts and accurate estimates of the prevalence and severity of obesity are needed for policy decisions and directions for future research. OBJECTIVE: To examine the prevalence of obesity and sev ... Full text Link to item Cite

Assessing the present state and potential of Medicaid controlled substance lock-in programs.

Journal Article J Manag Care Spec Pharm · May 2014 Nonmedical use of prescription medications--particularly controlled substances--has risen dramatically in recent decades, resulting in alarming increases in overdose-related health care utilization, costs, and mortality. The Centers for Disease Control and ... Full text Link to item Cite

Racial and ethnic differences associated with feeding- and activity-related behaviors in infants.

Journal Article Pediatrics · April 2014 OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort of parents of 2-month-olds and how they differ by race/ethnicity. METHODS: Parents participating in Greenlight, a cluster, randomized trial of obesity prevention at 4 heal ... Full text Link to item Cite

2011 North Carolina YRBS: Athletic Participation, Violence, and Bullying

Journal Article Journal of Adolescent Health · February 2014 Full text Cite

Sex differences in adult outcomes by changes in weight status from adolescence to adulthood: results from Add Health.

Journal Article Acad Pediatr · 2014 OBJECTIVE: Changes in weight status from adolescence to adulthood may be associated with varying social, vocational, economic, and educational outcomes, which may differ by sex. We studied whether there are differences in adult outcomes by sex for differen ... Full text Link to item Cite

Differential prescribing of opioid analgesics according to physician specialty for Medicaid patients with chronic noncancer pain diagnoses.

Journal Article Pain Res Manag · 2014 BACKGROUND: Despite >20 years of studies investigating the characteristics of patients seeking or receiving opioid analgesics, research characterizing factors associated with physicians' opioid prescribing practices has been inconclusive, and the role of p ... Full text Link to item Cite

Is bigger really better? Obesity among high school football players, player position, and team success.

Journal Article Clin Pediatr (Phila) · October 2013 OBJECTIVE: American football is one of the most common high school sports in the United States. We examine obesity among high school football players, and variations based on positions, team division, and team success. PATIENTS AND METHODS: We used 2 data ... Full text Open Access Link to item Cite

Obesity and Metabolic Abnormalities in Antipsychotic Exposed Youth

Conference PHARMACOEPIDEMIOLOGY AND DRUG SAFETY · October 1, 2013 Link to item Cite

Impact of Food Allergy On Growth in the Pediatric Population

Conference Journal of Allergy and Clinical Immunology · February 2013 Full text Cite

Source of parental reports of child height and weight during phone interviews and influence on obesity prevalence estimates among children aged 3-17 years.

Journal Article Public Health Rep · 2013 OBJECTIVE: We compared parental reports of children's height and weight when the values were estimated vs. parent-measured to determine how these reports influence the estimated prevalence of childhood obesity. METHODS: In the 2007 and 2008 North Carolina ... Full text Link to item Cite

Accuracy of child and adolescent weight perceptions and their relationships to dieting and exercise behaviors: a NHANES study.

Journal Article Acad Pediatr · 2013 OBJECTIVE: Recent public health and media attention on child obesity may have altered accuracy of self-perception of obesity and associated weight control behaviors in children and adolescents. Thus, we examined whether accuracy of weight perceptions were ... Full text Link to item Cite

Systems science and childhood obesity: a systematic review and new directions.

Journal Article J Obes · 2013 As a public health problem, childhood obesity operates at multiple levels, ranging from individual health behaviors to school and community characteristics to public policies. Examining obesity, particularly childhood obesity, from any single perspective i ... Full text Link to item Cite

The importance of screening for healthy weight and recommending healthy lifestyles in pediatric patients.

Journal Article N C Med J · 2013 Regular pediatric care should focus on early obesity prevention and healthy lifestyles and should include obesity screening with sensitive and culturally appropriate communication, beginning at age 2 years. North Carolina is a leader with its Eat Smart, Mo ... Link to item Cite

NEIGHBORHOOD DISADVANTAGE AND DISORDER AND ADOLESCENT WEIGHT CHANGE OVER TIME

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2013 Cite

PARENTS' REASONS FOR REFUSING OR POSTPONING VACCINES FOR ADOLESCENTS

Conference JOURNAL OF ADOLESCENT HEALTH · 2013 Cite

Self-reported energy intake by age in overweight and healthy-weight children in NHANES, 2001-2008.

Journal Article Pediatrics · October 2012 OBJECTIVE: Variation in energy intake by weight status at different ages may explain inconsistencies in previous research on energy intake and obesity. Therefore, our objective was to determine the relationship between reported daily energy intake and cate ... Full text Link to item Cite

Parental attitudes toward obesity and overweight screening and communication for hospitalized children.

Journal Article Hosp Pediatr · July 2012 OBJECTIVE: Many studies have evaluated BMI screening, communication, and follow-up recommendations in the outpatient setting. However, few studies have examined parental attitudes toward using the inpatient setting as a time to screen and counsel families ... Full text Link to item Cite

Parental recall of doctor communication of weight status: national trends from 1999 through 2008.

Journal Article Arch Pediatr Adolesc Med · April 2012 OBJECTIVE: To examine time trends in parental reports of health professional notification of childhood overweight over the last decade and to determine the characteristics most associated with such notification. DESIGN: Secondary data analysis using χ(2) t ... Full text Link to item Cite

Cholesterol curves to identify population norms by age and sex in healthy weight children.

Journal Article Clin Pediatr (Phila) · March 2012 OBJECTIVE: Develop clinically applicable charts of lipid values illustrating fluctuations throughout childhood and by sex among healthy weight children. METHODS: The National Health and Nutrition Examination Survey (1999-2008) was used to estimate total ch ... Full text Link to item Cite

Physical activity and BMI in a nationally representative sample of children and adolescents.

Journal Article Clin Pediatr (Phila) · February 2012 OBJECTIVE: To examine objectively measured physical activity levels by age, sex, and BMI for children and adolescents in a nationally representative sample. METHODS: Data were from the 2003-2004 and 2005-2006 National Health and Nutrition Examination Surve ... Full text Link to item Cite

Validation of a short version of the glaucoma medication self-efficacy questionnaire.

Journal Article Br J Ophthalmol · February 2012 AIMS: The aims of this study were: (1) to examine whether the original glaucoma medication adherence and eye drop technique self-efficacy scales could be shortened for easier use in practice settings; and (2) to validate these scales against objective medi ... Full text Link to item Cite

Patient race, reported problems in using glaucoma medications, and adherence.

Journal Article ISRN Ophthalmol · 2012 Objective. The objectives of the study were to (a) describe various factors potentially related to objectively measured adherence to glaucoma medications and self-reported glaucoma medication adherence self-efficacy and (b) examine the relationship between ... Full text Link to item Cite

The relationship between glaucoma medication adherence, eye drop technique, and visual field defect severity.

Journal Article Ophthalmology · December 2011 OBJECTIVE: The purpose of the study was to examine (1) how patient adherence and eye drop technique were associated with visual field defect severity and (2) how general glaucoma adherence self-efficacy and eye drop technique self-efficacy were related to ... Full text Link to item Cite

Use of a tool to determine perceived barriers to children's healthy eating and physical activity and relationships to health behaviors.

Journal Article J Pediatr Nurs · October 2011 This pilot investigation assesses whether barriers to children's healthy eating and physical activity reported by parents on a newly developed brief pediatric obesity screening and counseling tool are related to healthy eating and physical activity behavio ... Full text Link to item Cite

Fasting might not be necessary before lipid screening: a nationally representative cross-sectional study.

Journal Article Pediatrics · September 2011 BACKGROUND: There are barriers to fasting lipid screening for at-risk children. Results of studies in adults have suggested that lipid testing might be reliably performed without fasting. OBJECTIVE: To examine population-level differences in pediatric lipi ... Full text Link to item Cite

SOCIAL, VOCATIONAL, AND EDUCATIONAL OUTCOMES OF OBESITY IN ADULTHOOD

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · May 1, 2011 Link to item Cite

Improving the quality of discharge communication with an educational intervention.

Journal Article Pediatrics · October 2010 BACKGROUND: Communication between hospital providers and primary care physicians at the time of hospital discharge is necessary for optimal patient care and safety. Content of the inpatient discharge summary (DS) is not uniformly addressed by residency pro ... Full text Link to item Cite

Healthy for now? A cross-sectional study of the comorbidities in obese preschool children in the United States.

Journal Article Clin Pediatr (Phila) · July 2010 OBJECTIVE: Examine health of preschoolers by BMI status. METHODS: A cross-sectional analysis of children 3 to 5 years old in the 1999-2008 National Health and Nutrition Examination Survey was carried out. The measured age- and sex-specific BMI percentiles ... Full text Link to item Cite

Multiple markers of inflammation and weight status: cross-sectional analyses throughout childhood.

Journal Article Pediatrics · April 2010 OBJECTIVE: Inflammatory markers such as C-reactive protein (CRP) are related to obesity in adults, but the association is less clear in children. Our objective was to examine relationships between multiple markers of inflammation and children's weight stat ... Full text Link to item Cite

Use of a pediatrician toolkit to address parental perception of children's weight status, nutrition, and activity behaviors.

Journal Article Acad Pediatr · 2010 BACKGROUND: Communication of children's weight status and targeted counseling by pediatricians may change parental perceptions or child dietary and physical activity behaviors. The aim of this study was to determine whether accuracy of parental perception ... Full text Link to item Cite

Influence of changes in supply on the distribution of pediatric subspecialty care.

Journal Article Arch Pediatr Adolesc Med · December 2009 OBJECTIVES: To examine whether recently certified pediatric subspecialists enter markets that previously lacked subspecialists and to determine whether changes in overall supply are associated with changes in geographic availability of care. DESIGN: Multip ... Full text Link to item Cite

Using BMI to determine cardiovascular risk in childhood: how do the BMI cutoffs fare?

Journal Article Pediatrics · November 2009 OBJECTIVE: Although adverse health outcomes are increased among children with BMI above the 85th (overweight) and 95th (obese) percentiles, previous studies have not clearly defined the BMI percentile at which adverse health outcomes begin to increase. We ... Full text Link to item Cite

Accuracy of perceptions of overweight and relation to self-care behaviors among adolescents with type 2 diabetes and their parents.

Journal Article Diabetes Care · February 2008 OBJECTIVE: To examine how adolescents with type 2 diabetes and their parents/primary caregivers perceive the adolescents' weight and the relationship of those perceptions to diet and exercise behaviors and perceived barriers to healthy behaviors. RESEARCH ... Full text Link to item Cite

Health status and health care expenditures in a nationally representative sample: how do overweight and healthy-weight children compare?

Journal Article Pediatrics · February 2008 OBJECTIVE: Childhood overweight is epidemic in the United States. Although limited, previous studies suggest that overweight children have chronic health problems. A more complete understanding of the effect of overweight on children's health requires a na ... Full text Link to item Cite

Effects of insurance status on children's access to specialty care: a systematic review of the literature.

Journal Article BMC Health Serv Res · November 28, 2007 BACKGROUND: The current climate of rising health care costs has led many health insurance programs to limit benefits, which may be problematic for children needing specialty care. Findings from pediatric primary care may not transfer to pediatric specialty ... Full text Link to item Cite

Intensive care in critical access hospitals.

Journal Article J Rural Health · 2007 CONTEXT: Although critical access hospitals (CAHs) have limitations on number of acute care beds and average length of stay, some of them provide intensive care unit (ICU) services. PURPOSE: To describe the facilities, equipment, and staffing used by CAHs ... Full text Link to item Cite

Rural/urban differences in barriers to and burden of care for children with special health care needs.

Journal Article J Rural Health · 2007 PURPOSE: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. METHODS: The National Survey of Children with Special Health Care Needs was used to examine rur ... Full text Link to item Cite

Developing practitioner leaders in a distance education doctoral program: challenges and opportunities.

Journal Article J Health Adm Educ · 2007 The nation's first executive doctoral program in health leadership was launched at the University of North Carolina School of Public Health in August 2005. The program confers a DrPH in health administration. This paper describes the program goals, admissi ... Link to item Cite

The effect of rural residence on dental unmet need for children with special health care needs.

Journal Article J Rural Health · 2006 BACKGROUND: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special ... Full text Link to item Cite

The effects of rural residence and other social vulnerabilities on subjective measures of unmet need.

Journal Article Med Care Res Rev · October 2005 To determine whether self-reports of unmet need are biased measures of access to health care, the authors examine the relationship between rural residence and perceived need for physician services. They perform logistic regression analyses to examine the l ... Full text Link to item Cite

Too many, too few, too concentrated? A review of the pediatric subspecialty workforce literature.

Journal Article Arch Pediatr Adolesc Med · December 2004 OBJECTIVES: To summarize recent pediatric subspecialty workforce analyses and to highlight similarities and differences across studies. DESIGN: By using MEDLINE, we conducted a systematic search of the literature published from January 1, 1992, through Dec ... Full text Link to item Cite

Addressing disparity in treatment received - Reply

Journal Article PEDIATRICS · August 1, 2004 Link to item Cite

Unmet need for routine and specialty care: data from the National Survey of Children With Special Health Care Needs.

Journal Article Pediatrics · February 2004 OBJECTIVE: To assess the prevalence of unmet needs for routine and specialty care among children with special health care needs (CSHCN) and to identify factors associated with the likelihood of having unmet need for medical care. METHODS: Data come from th ... Full text Link to item Cite

Unmet need for therapy services, assistive devices, and related services: data from the national survey of children with special health care needs.

Journal Article Ambul Pediatr · 2004 OBJECTIVE: To estimate the prevalence of unmet needs for therapy services, vision and hearing care or aids, mobility aids, and communication aids and to investigate the association between predisposing, enabling, need, and environmental factors and unmet n ... Full text Link to item Cite

Outcomes of physician job satisfaction: a narrative review, implications, and directions for future research.

Journal Article Health Care Manage Rev · 2003 The decline in physician job satisfaction is well documented, but its impact on physicians and patients is not. This article reviews 44 articles that address these impacts. Four findings emerge from this study along with recommendations for improving the m ... Full text Link to item Cite