Publications by authors named "Kathryn Shahan"

Introduction: To examine the associations of neighborhood socioeconomic status (nSES), ethnic enclaves, residential Black segregation with screening for breast, cervical and colorectal (CRC) cancers across the state of Texas (TX).

Methods: Using an ecologic study design, spatial clustering of low breast, cervical and CRC screening rates were identified across TX census tracts using local Moran's I statistics. Binomial spatial probit regression was used to estimate the associations between nSES, Hispanic/Latino and Asian American (AA) ethnic enclave neighborhoods and residential Black segregation with geospatial clusters of low screening, adjusting for behavioral characteristics.

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Article Synopsis
  • A study explored the presence of implantable cardioverter defibrillators (ICDs) in older cancer patients and how they impact end-of-life care, revealing that 6% of cancer decedents had an ICD.
  • Among patients with ICDs, a higher percentage died in hospitals and experienced aggressive medical interventions, indicating a potential lack of alignment between treatment and patient goals.
  • The findings emphasize the need for healthcare discussions about ICDs and patient care preferences to ensure better end-of-life experiences for individuals with cancer.
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Objective: Food pantries and the Supplemental Nutrition Assistance Program (SNAP) are widely available resources for individuals facing food insecurity, yet the dietary quality of individuals using both programmes is not well characterised. We describe the dietary intake of individuals in North Texas who use both food pantries and SNAP to identify nutritional gaps and opportunities to improve food assistance programmes.

Design: We analysed baseline data from a randomised controlled trial examining food security and dietary intake.

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Objective: The COVID-19 pandemic initially doubled the rates of food insecurity across the USA and tripled rates among households with children. Despite the association among food insecurity, chronic disease and psychological distress, narratives depicting the experiences of already food insecure populations are notably underrepresented in the literature. The current study assessed the impact of COVID-19 on clients of a food pantry who were also enrolled in the Supplemental Nutrition Assistance Program (SNAP).

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