Quantifying how hurricanes disrupt educational attainment is essential to evaluating the burden of climate-related disasters. Here, we examine the association between hurricane-force tropical cyclones and educational attainment among elementary and middle school students in all affected areas in the United States during the 2008/2009-2017/2018 school years. Educational performance was based on county-level average standardized test scores in math and reading/language arts (RLAs). Hurricane-force tropical cyclone-exposed counties were those that experienced a sustained maximal wind speed ⩾64 knots. We estimated the association between hurricane-force tropical cyclone exposure and long-term test scores using a Bayesian hierarchical linear model, accounting for time-varying covariates at the county and grade cohort level. For hurricane-exposed counties, compared with the rest of the state, there were better test scores in Florida in math ( = 0.14; 95% CrI: 0.02, 0.26; PP[ > 0] = 99.0%) and RLA ( = 0.11; 95% CrI: 0.02, 0.22; PP[ > 0] = 99.2%), and worse math scores in North Carolina ( = -0.16; 95% CrI: -0.29, -0.03; PP[ < 0] = 99.4%). Grade cohorts with more racialized and minoritized (e.g. Black, Hispanic, Indigenous) and socioeconomically disadvantaged students tended to have lower test scores, while grade cohorts with greater shares of students racialized as Asian and counties with more college-educated adults tended to have higher scores regardless of hurricane exposure. Disaster preparedness must maximize resilience to climate-related stressors' impacts on academic achievement, especially for vulnerable populations.
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http://dx.doi.org/10.1088/2752-5309/adb32b | DOI Listing |
Biometrics
January 2025
Vanke School of Public Health, Tsinghua University, Beijing, 100084, China.
The segmented model has significant applications in scientific research when the change-point effect exists. In this article, we propose a comprehensive semiparametric framework in segmented models to test the existence and estimate the location of change points in the generalized outcome setting. The proposed framework is based on a semismooth estimating equation for the change-point estimation and an average score-type test for hypothesis testing.
View Article and Find Full Text PDFImportance: Exercise intervention studies have shown benefits for patients with lung cancer undergoing surgery, yet most interventions to date have been resource intensive and have followed a one-size-fits-all approach.
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JAMA Netw Open
March 2025
Exercise Medicine Research Institute, Edith Cowan University, Perth, Australia.
Importance: Sexual dysfunction is a common adverse effect of prostate cancer treatment, and current management strategies do not adequately address physical and psychological causes. Exercise is a potential therapy in the management of sexual dysfunction.
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JAMA Netw Open
March 2025
Department of Epidemiology, University of North Carolina at Chapel Hill.
Importance: Numerous efforts have been made to include diverse populations in genetic studies, but American Indian populations are still severely underrepresented. Polygenic scores derived from genetic data have been proposed in clinical care, but how polygenic scores perform in American Indian individuals and whether they can predict disease risk in this population remains unknown.
Objective: To study the performance of polygenic scores for cardiometabolic risk factors of lipid traits and C-reactive protein in American Indian adults and to determine whether such scores are helpful in clinical prediction for cardiometabolic diseases.
JAMA Netw Open
March 2025
Department of Neurology, Dell Medical School, The University of Texas at Austin.
Importance: Tenecteplase is an alternative to alteplase for emergency treatment of acute ischemic stroke. However, limited data are available comparing their clinical effectiveness in routine clinical practice.
Objective: To compare short-term effectiveness and safety outcomes for patients with ischemic stroke treated with intravenous tenecteplase vs alteplase.
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