Scholars@Duke
Charlene Wong

Selected Publications

Adolescent and Young Adult Perspectives on Quality and Value in Health Care.

Journal Article Acad Pediatr · 2023 OBJECTIVE: To describe adolescent and young adult (AYA) perspectives on defining quality and value in health care and to gain understanding of their knowledge of value-based payment. METHODS: A text message-based survey was sent to a convenience sample of ... 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

Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges.

Journal Article J Adolesc Health · August 2020 The lives of adolescents and young adults (AYAs) have become increasingly intertwined with technology. In this scoping review, studies about digital health tools are summarized in relation to five key affordances-social, cognitive, identity, emotional, and ... Full text Link to item Cite

Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.

Journal Article Pediatrics · August 2019 OBJECTIVES: To describe the landscape of Medicaid and the Children's Health Insurance Program beneficiary incentive programs for child health and garner key stakeholder insights on incentive program rationale, child and family engagement, and program evalu ... 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

The Roles Of Assisters And Automated Decision Support Tools In Consumers' Marketplace Choices: Room For Improvement.

Journal Article Health Aff (Millwood) · March 2019 Assisters provide in-person and phone-based support to help consumers narrow their plan options on the Affordable Care Act's health insurance Marketplaces. We elicited the perspectives of a national sample of thirty-two assisters from ten states on consume ... Full text Link to item Cite

Engaging Beneficiaries In Medicaid Programs That Incentivize Health-Promoting Behaviors.

Journal Article Health Aff (Millwood) · March 2019 Medicaid programs are increasingly adopting incentive programs to improve health behaviors among beneficiaries. There is limited evidence on what incentives are being offered to Medicaid beneficiaries, how programs are engaging beneficiaries, and how progr ... 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

Shopping on the Public and Private Health Insurance Marketplaces: Consumer Decision Aids and Plan Presentation.

Journal Article J Gen Intern Med · August 2018 BACKGROUND: The design of the Affordable Care Act's (ACA) health insurance marketplaces influences complex health plan choices. OBJECTIVE: To compare the choice environments of the public health insurance exchanges in the fourth (OEP4) versus third (OEP3) ... Full text Link to item Cite

Finding Health Care Prices Online-How Difficult Is It to Be an Informed Health-Care Consumer?

Journal Article JAMA Intern Med · March 1, 2018 This study examines the availability of pricing information for 4 nonemergency medical interventions using 2 online search engines in 8 US cities. ... Full text Link to item Cite

Evaluating the association between the built environment and primary care access for new Medicaid enrollees in an urban environment using Walk and Transit Scores.

Journal Article Prev Med Rep · March 2018 Worse health outcomes among those living in poverty are due in part to lower rates of health insurance and barriers to care. As the Affordable Care Act reduced financial barriers, identifying persistent barriers to accessible health care continues to be im ... Full text Link to item Cite

Effect of Financial Incentives on Glucose Monitoring Adherence and Glycemic Control Among Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial.

Journal Article JAMA Pediatr · December 1, 2017 IMPORTANCE: Glycemic control often deteriorates during adolescence and the transition to young adulthood for patients with type 1 diabetes. The inability to manage type 1 diabetes effectively during these years is associated with poor glycemic control and ... Full text Link to item Cite

Pediatric Price Transparency: Still Opaque With Opportunities for Improvement.

Journal Article Hosp Pediatr · October 2017 OBJECTIVES: Price transparency is gaining importance as families' portion of health care costs rise. We describe (1) online price transparency data for pediatric care on children's hospital Web sites and state-based price transparency Web sites, and (2) th ... Full text Link to item Cite

Pediatric and Adult Physician Networks in Affordable Care Act Marketplace Plans.

Journal Article Pediatrics · April 2017 OBJECTIVES: To describe and compare pediatric and adult specialty physician networks in marketplace plans. METHODS: Data on physician networks, including physician specialty and address, in all 2014 individual marketplace silver plans were aggregated. Netw ... Full text Link to item Cite

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Journal Article J Adolesc Health · March 2017 We reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base f ... Full text Link to item Cite

The Use and Out-of-Pocket Cost of Urgent Care Clinics and Retail-Based Clinics by Adolescents and Young Adults Compared With Children.

Journal Article J Adolesc Health · January 2017 PURPOSE: We describe the use and out-of-pocket cost of urgent care clinics (UCCs) and retail-based clinics (RBCs) as ambulatory care alternatives to physician offices among children, adolescents, and young adults, and examine differences in use by age. MET ... Full text Link to item Cite

Poor Consumer Comprehension and Plan Selection Inconsistencies Under the 2016 HealthCare.gov Choice Architecture.

Journal Article MDM Policy Pract · 2017 BACKGROUND: Many health policy experts have endorsed insurance competition as a way to reduce the cost and improve the quality of medical care. In line with this approach, health insurance exchanges, such as HealthCare.gov, allow consumers to compare insur ... Full text Open Access Link to item Cite

Low-Income Working Families With Employer-Sponsored Insurance Turn To Public Insurance For Their Children.

Journal Article Health Aff (Millwood) · December 1, 2016 Many families rely on employer-sponsored health insurance for their children. However, the rise in the cost of such insurance has outpaced growth in family income, potentially making public insurance (Medicaid or the Children's Health Insurance Plan) an at ... Full text Link to item Cite

Common and Costly Hospitalizations Among Insured Young Adults Since the Affordable Care Act.

Journal Article J Adolesc Health · July 2016 PURPOSE: To describe the most prevalent and costly inpatient hospitalizations in a national cohort of privately insured young adults since the Affordable Care Act. METHODS: Cross-sectional study of a national administrative data set of privately insured yo ... Full text Link to item Cite

NEW MEDICAID ENROLLEES SEE HEALTH AND SOCIAL BENEFITS IN PENNSYLVANIA'S EXPANSION

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · May 1, 2016 Link to item Cite

For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers.

Journal Article Health Aff (Millwood) · April 2016 The design of the Affordable Care Act's online health insurance Marketplaces can improve how consumers make complex health plan choices. We examined the choice environment on the state-based Marketplaces and HealthCare.gov in the third open enrollment peri ... Full text Link to item Cite

How U.S. children's hospitals use social media: A mixed methods study.

Journal Article Healthc (Amst) · March 2016 BACKGROUND: Social media provide new channels for hospitals to engage with communities, a goal of increasing importance as non-profit hospitals face stricter definitions of community benefit under the Affordable Care Act. We describe the variability in soc ... Full text Link to item Cite

New Medicaid Enrollees See Health and Social Benefits in Pennsylvania's Expansion.

Journal Article Inquiry · 2016 Understanding how new Medicaid enrollees are approaching their own health and health care in the shifting health care landscape of the Affordable Care Act has implications for future outreach and enrollment efforts, as well as service planning for this pop ... Full text Link to item Cite

Changes in Young Adult Primary Care Under the Affordable Care Act.

Journal Article Am J Public Health · November 2015 OBJECTIVES: We sought to describe changes in young adults' routine care and usual sources of care (USCs), according to provider specialty, after implementation of extended dependent coverage under the Affordable Care Act (ACA) in 2010. METHODS: We used Med ... Full text Link to item Cite

Seeing Health Insurance and HealthCare.gov Through the Eyes of Young Adults.

Journal Article J Adolesc Health · August 2015 PURPOSE: We describe young adults' perspectives on health insurance and HealthCare.gov, including their attitudes toward health insurance, health insurance literacy, and benefit and plan preferences. METHODS: We observed young adults aged 19-30 years in Ph ... Full text Link to item Cite

Twitter Sentiment Predicts Affordable Care Act Marketplace Enrollment

Journal Article Journal of Medical Internet Research · February 23, 2015 Full text Cite

1. The Young Adult Perspective on Health Insurance

Conference Journal of Adolescent Health · February 2015 Full text Cite

The 2013 US Government Shutdown (#Shutdown) and health: an emerging role for social media.

Journal Article Am J Public Health · December 2014 In October 2013, multiple United States (US) federal health departments and agencies posted on Twitter, "We're sorry, but we will not be tweeting or responding to @replies during the shutdown. We'll be back as soon as possible!" These "last tweets" and the ... Full text Link to item Cite

Evaluating an Electronic Measure of Colorectal Cancer Screening at Indian Health Service Facilities, 2008-2010.

Journal Article IHS Prim Care Provid · June 2014 BACKGROUND: Colorectal cancer (CRC) is a leading cause of cancer mortality in American Indian and Alaska Native (AIAN) people, and incidence rates vary considerably among AIAN populations throughout the United States. Screening has the potential to prevent ... Link to item Cite

American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009.

Journal Article Am J Public Health · June 2014 OBJECTIVES: We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. METHODS: We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Heal ... Full text Link to item Cite

Political tug-of-war and pediatric residency funding.

Journal Article N Engl J Med · December 19, 2013 Full text Link to item Cite

Missed opportunities for adolescent vaccination, 2006-2011.

Journal Article J Adolesc Health · October 2013 OBJECTIVE: To describe missed opportunities for meningococcal (MCV); tetanus, diphtheria, acellular pertussis (Tdap); and human papillomavirus (HPV) vaccination among adolescents. METHODS: Retrospective electronic health record data review of adolescents a ... Full text Link to item Cite

Human papillomavirus vaccine uptake among 9- to 17-year-old girls: National Health Interview Survey, 2008.

Journal Article Cancer · December 15, 2011 BACKGROUND: Since 2006, the human papillomavirus (HPV) vaccine has been routinely recommended for preadolescent and adolescent girls in the United States. Depending on uptake patterns, HPV vaccine could reduce existing disparities in cervical cancer. METHO ... Full text Link to item Cite

Impact of hysterectomy and bilateral oophorectomy prevalence on rates of cervical, uterine, and ovarian cancer among American Indian and Alaska Native women, 1999-2004.

Journal Article Cancer Causes Control · December 2011 OBJECTIVE: To present more accurate incidence rates of cervical, uterine, and ovarian cancer by geographic region in American Indian/Alaska Native (AI/AN) women. METHODS: The authors used data from central cancer registries linked to Indian Health Service ... Full text Link to item Cite

A review of the urologic manifestations of Beckwith-Wiedemann syndrome.

Journal Article J Pediatr Urol · April 2011 OBJECTIVE: Beckwith-Wiedemann syndrome (BWS) is a constellation of congenital anomalies that classically presents with macroglossia, abdominal wall defects and gigantism. Although renal and adrenal pathology are the most commonly associated urologic findin ... Full text Link to item Cite

Approaches to monitoring biological outcomes for HPV vaccination: challenges of early adopter countries.

Journal Article Vaccine · January 29, 2011 In this review, we describe plans to monitor the impact of human papillomavirus (HPV) vaccine on biologic outcomes in selected international areas (Australia, Canada, Mexico, the Nordic countries, Scotland, and the United States) that have adopted this vac ... Full text Link to item Cite

US physicians' intentions regarding impact of human papillomavirus vaccine on cervical cancer screening.

Journal Article Sex Health · September 2010 BACKGROUND: US cervical cancer screening recommendations have not changed since the human papillomavirus (HPV) vaccine introduction in 2006, but epidemiological and cost-effectiveness studies indicate that recommendations will need to change for fully vacc ... Full text Link to item Cite

Invasive and in situ cervical cancer reported to the vaccine adverse event reporting system (VAERS).

Journal Article J Womens Health (Larchmt) · March 2010 The quadrivalent human papillomavirus (HPV) vaccine was recommended in 2006 for routine vaccination of 11 or 12-year-old girls, with catchup through age 26 years, for the prevention of genital HPV-related diseases. The Vaccine Adverse Event Reporting Syste ... Full text Link to item Cite