Publications by authors named "Elizabeth Courtney-Long"

Purpose: Although smoking cessation reduces the risk of all-cause mortality, evidence-based cessation treatments are underused. This study examined healthcare provider knowledge of evidence-based cessation treatments and associations between knowledge and clinical practice characteristics.

Design: Cross-sectional survey.

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Introduction: Although current cigarette smoking among US adults decreased from 42.4% in 1965 to 12.5% in 2020, prevalence is higher among certain racial and ethnic groups, including non-Hispanic American Indian and Alaska Native (AIAN) adults.

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Background: Cigarette smoking is the leading cause of preventable disease and death in the United States. The tobacco product landscape has diversified to include electronic cigarettes (e-cigarettes). Adults with disabilities are more likely than adults without disabilities to smoke cigarettes, but within the current body of literature, there is limited information on the use of e-cigarettes among adults with disabilities.

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Objective: To assess the association between the change in statewide smoke-free laws and the rate of preterm or low birth weight delivery hospitalizations.

Data Source: 2002-2013 Healthcare Cost and Utilization Project State Inpatient Databases.

Study Design: Quasi-experimental difference-in-differences design.

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Article Synopsis
  • Youth cigarette smoking, particularly menthol, has seen a decline among young smokers in the U.S. from 2011 to 2018, with a decrease in menthol smoking from 57.3% to 45.7% and an increase in non-menthol smoking from 38.2% to 47.3%.
  • The study utilized National Youth Tobacco Survey data to analyze smoking trends, revealing that while menthol smoking decreased overall, certain demographics, like non-Hispanic black and Hispanic smokers, did not show a decline.
  • In 2018, about 50% of current youth smokers were still using menthol cigarettes, indicating ongoing risk factors like ethnic background and smoking frequency play significant roles in
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Background: The Physical Activity Guidelines for Americans, second edition, recommend that all adults participate in moderate-intensity equivalent aerobic physical activity at least 150-300 min/week for substantial health benefits and muscle-strengthening activities involving all major muscle groups 2 or more days a week. The prevalence of the general population meeting the Guidelines and the types of physical activity in which they engage have been described elsewhere. Similar descriptions are lacking for individuals with mobility disability whose physical activity profiles may differ from the general population.

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Background: Short sleep duration is associated with an increased risk of chronic disease and all-cause death. A better understanding of sleep disparities between people with and without disabilities can help inform interventions designed to improve sleep duration among people with disabilities.

Objective: To examine population-based prevalence estimates of short sleep duration by disability status and disability type among noninstitutionalized adults aged ≥18 years.

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Article Synopsis
  • On September 6, 2019, the CDC reported 215 potential cases of severe lung disease linked to e-cigarette use from 25 state health departments, as of August 27, 2019.
  • E-cigarettes create aerosols by heating a liquid that contains harmful materials, such as heavy metals and cancer-causing substances, which users inhale into their lungs.
  • The report provides interim case definitions and guidance for identifying and reporting instances of severe pulmonary illness associated with e-cigarette use, with plans for updates as new information emerges.
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Adults with intellectual and developmental disabilities (IDD) are known to experience significant health disparities; however, few studies have described anti-hypertensive medication adherence in this population. Using administrative data from South Carolina from 2000-2014, we evaluated the odds of adherence to anti-hypertensive medication among a cohort of adults with IDD and hypertension. Approximately half (49.

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Background: Quantifying the number of people with and types of disabilities is helpful for medical, policy, and public health planning.

Objective/hypothesis: To update prior estimates on types, prevalence, and main causes of disability among U.S.

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Article Synopsis
  • * Prevalence of disability was found to be different depending on the measurement method, with BADQ showing 31.1% disabled and 6Q showing 17.5%. Similarly, physical inactivity among people with disabilities was 42.9% for BADQ and 52.5% for 6Q; both methods revealed significant inactivity gaps between disabled and non-disabled groups.
  • * The findings emphasize the importance of choosing appropriate disability measures, as they significantly
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Objective: To assess patterns of contraceptive use at last intercourse among women with physical or cognitive disabilities compared to women without disabilities.

Study Design: We analyzed responses to 12 reproductive health questions added by seven states to their 2013 Behavioral Risk Factor Surveillance System questionnaire. Using responses from female respondents 18-50 years of age, we performed multinomial regression to calculate estimates of contraceptive use among women at risk for unintended pregnancy by disability status and type, adjusted for age, race/ethnicity, marital status, education, health insurance status, and parity.

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Introduction: Adults with disabilities are more likely to be physically inactive than those without disabilities. Although receiving a health care provider recommendation is associated with physical activity participation in this population, there is little information on factors associated with primary care providers recommending physical activity to patients with disabilities.

Methods: We used 2014 DocStyles data to assess primary care provider characteristics and perceived barriers to and knowledge-related factors of recommending physical activity to adult patients with disabilities, by how prepared primary care providers felt in making recommendations.

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Each year in the United States, about 4000 deaths are attributed to cervical cancer, and over 40,000 deaths are attributed to breast cancer (U.S. Cancer Statistics Working Group, 2015).

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Article Synopsis
  • Many studies on cancer screening among adults with disabilities often overlook differences within specific disability subgroups; this study aimed to highlight those differences.
  • Using 2013 National Health Interview Survey data, the researchers analyzed the prevalence of cancer screening tests and barriers faced by individuals with various disabilities compared to those without disabilities.
  • Results showed that women with disabilities had significantly lower rates of Pap tests and mammograms, and the most common barrier identified was difficulty in scheduling appointments; targeted interventions are needed to improve screening rates among these populations.
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Nearly 40 million persons in the United States have a disability, as defined by responses to six questions recommended by the U.S. Department of Health and Human Services as the national standard for identifying disabilities in population-based health surveys (1).

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  • The study estimated that around 5.4 million people in the U.S. live with functional paralysis, primarily affecting those under 65 years old.
  • The main causes of paralysis were identified as stroke (33.7%), spinal cord injury (27.3%), multiple sclerosis (18.6%), and cerebral palsy (8.3%).
  • The findings suggest the need for targeted health promotion strategies to support this population, especially those aged 18-64, in collaboration with state and local health agencies.
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  • Starting in 2013, the Behavioral Risk Factor Surveillance System (BRFSS) expanded its disability questions by adding a 5-question set to better assess disability prevalence and respondent characteristics.
  • Analysis of the 2013 data showed that 21.6% of adults reported disabilities using the 2-question set, while 22.7% reported disabilities with the 5-question set, with over half of those identifying disabilities with both.
  • The new 5-question set enhances understanding of disability types and demographics, aiding in the development of tailored health interventions and programs for individuals with specific disabilities.
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Objectives: People with disabilities are known to experience disparities in behavioral health risk factors including smoking and obesity. What is unknown is how disability, race/ethnicity, and socioeconomic status combine to affect prevalence of these health behaviors. We assessed the association between race/ethnicity, socioeconomic factors (income and education), and disability on two behavioral health risk factors.

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Article Synopsis
  • - Understanding disability prevalence is crucial for public health, as it helps address the needs of individuals with disabilities.
  • - The CDC's 2013 analysis of BRFSS data revealed that mobility and cognitive disabilities were the most commonly reported, with varying state-level prevalence rates.
  • - Higher disability rates were noted among women and adults in Southern states, with older age groups particularly affected, providing essential insights for targeted public health interventions.
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Objective: To describe the percentage of US public health schools and programs offering graduate-level courses with disability content as a potential baseline measurement for Healthy People 2020 objective DH-3 and compare the percentage of public health schools that offered disability coursework in 1999 with those in 2011.

Design: In 2011, using SurveyMonkey.com, cross-sectional information was collected from the deans, associate deans, directors, or chairpersons of master of public health-granting public health schools and programs that were accredited and listed with the Council on Education for Public Health.

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The prevalence of hypertension among people with disabilities is not well understood. We combined data from the 2001-2010 National Health and Nutrition Examination Survey to obtain estimates of hypertension prevalence by disability status and type (cognitive, hearing, vision, or mobility limitation) and assess the association between disability and hypertension. Overall, 34% of adults with disabilities had hypertension compared with 27% of adults without disabilities; adults with mobility limitations were more likely to have hypertension than adults without disabilities (adjusted prevalence ratio: 1.

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Background: Adults with disabilities are less active and have higher rates of chronic disease than the general population. Given the health benefits of physical activity, understanding physical activity, its relationship with chronic disease, and health professional recommendations for physical activity among young to middle-age adults with disabilities could help increase the effectiveness of health promotion efforts.

Methods: Data from the 2009-2012 National Health Interview Survey (NHIS) were used to estimate the prevalence of, and association between, aerobic physical activity (inactive, insufficiently active, or active) and chronic diseases (heart disease, stroke, diabetes, and cancer) among adults aged 18-64 years by disability status and type (hearing, vision, cognitive, and mobility).

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Objectives: Smoking, the leading cause of disease and death in the United States, has been linked to a number of health conditions including cancer and cardiovascular disease. While people with a disability have been shown to be more likely to report smoking, little is known about the prevalence of smoking by type of disability, particularly for adults younger than 50 years of age.

Methods: We used data from the 2009-2011 National Health Interview Survey to estimate the prevalence of smoking by type of disability and to examine the association of functional disability type and smoking among adults aged 18-49 years.

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Objective: Obesity is associated with adverse health outcomes in people with and without disabilities. However, little is known about disability prevalence among people who are obese. The purpose of this study is to determine the prevalence and type of disability among adults who are obese.

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