42 results match your criteria: "Brown University Center for Primary Care and Prevention[Affiliation]"

Association of Diet Quality With Risk of Incident Rheumatoid Arthritis in the Women's Health Initiative.

J Acad Nutr Diet

November 2024

Brown University Center for Primary Care and Prevention, Pawtucket, RI; Department of Epidemiology, Brown University School of Public Health, Pawtucket, RI; Department of Family Medicine, Warren Alpert Medical School of Brown University, Pawtucket, RI.

Article Synopsis
  • - This study investigates the relationship between diet quality and the risk of developing rheumatoid arthritis (RA) among postmenopausal women, emphasizing that previous research has yielded inconsistent results around this topic.
  • - Conducting a prospective cohort study over an average of 8.1 years, researchers used a food frequency questionnaire to assess the participants' dietary habits and applied the Healthy Eating Index (HEI)-2015 to evaluate overall diet quality.
  • - Results showed that a higher diet quality, as indicated by HEI scores, was linked to a reduced risk of developing RA; specifically, higher quartiles of the HEI scores lowered RA incidence by 1%, 10%, and 19% respectively, highlighting the potential benefits of better
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Undocumented monolingual Spanish-speaking immigrants are one of the most vulnerable and marginalized groups to experience intimate partner violence (IPV) in the United States. This paper explores the barriers that prevent IPV disclosure in healthcare settings. Qualitative interviews ( = 14) were conducted with previously undocumented Spanish-speaking legal clients of a community domestic violence agency.

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Excessive alcohol consumption and the risk of knee osteoarthritis: a prospective study from the Osteoarthritis Initiative.

Osteoarthritis Cartilage

May 2022

Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston MA, USA; Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT, USA. Electronic address:

Objective: To examine the association of alcohol consumption with risk of incident knee osteoarthritis (OA) in a large prospective cohort study.

Design: In the Osteoarthritis Initiative, 2,846 participants aged 45-79 years and free from radiographic knee OA in at least one knee at baseline were followed up to 96 months. Information on baseline alcohol consumption was obtained from the Block Brief Food Frequency Questionnaire.

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Dietary patterns and risk of developing knee osteoarthritis: data from the osteoarthritis initiative.

Osteoarthritis Cartilage

June 2021

Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:

Objective: Some studies have examined the association between dietary factors and risk of knee osteoarthritis (OA). We aimed to examine the prospective association of major dietary patterns with the risk of developing knee OA.

Method: We followed 2,842 participants in Osteoarthritis Initiative (OAI) aged 45-79 years and with at least one knee free from radiographic knee OA at baseline for up to 72 months.

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Background: The association of TSAs with metachronous neoplasms is well established and suggests that TSAs would also have an association with synchronous neoplasms.

Methods: We compared odds ratios and rates of synchronous neoplasms found in colonoscopies with and without TSAs.

Results: There was a mean of 2.

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Background: While some individual foods and nutrients have been associated with knee osteoarthritis (KOA) progression, the association between dietary patterns and KOA progression has received little research attention.

Objective: The objective of this study was to determine whether dietary patterns, derived by principal components analysis (PCA), are associated with KOA progression.

Methods: In the Osteoarthritis Initiative (OAI), a prospective cohort with clinical centers in Maryland, Ohio, Pennsylvania, and Rhode Island, 2757 participants with existing KOA (mean age 62 y) and diet assessed at baseline were followed for ≤72 mo.

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Background: Problems with self-reported drug use include difficulties with recall and recognition as well as the desire to respond to questions in a socially desirable manner. Various methods have been developed to improve and/or validate estimates based on direct questioning of individuals regarding their substance use. For this study, we were interested in validating self-reported use of: 1) tobacco, 2) marijuana, and 3) other substances (i.

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Objective: Rates of sexually transmitted infections (STIs) among adolescents are on the rise. The majority of adolescents who contract STIs do so through risky sexual behavior. Previous literature has identified multiple correlates of risky sexual behaviors among adolescents, including physical and sexual victimization, mental health concerns, and substance use.

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Talking with young children about concussions: an exploratory study.

Child Care Health Dev

September 2017

Research Scientist, Boston Children's Hospital, Center for Media and Child Health, Boston, MA, USA.

Background: Concussion education for children early in their participation in organized sport may help shape lasting attitudes about concussion safety. However, existing programming and research focus on older ages.

Methods: Qualitative interviews about concussions were conducted with twenty children between the ages of six and eight.

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Goals and Plans of Incarcerated Men Postrelease.

J Correct Health Care

April 2016

Brown University Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, RI, USA.

Prior research has not examined the self-identified goals and plans of incarcerated people as they approach release from prison. This study analyzed the goals and plans generated during a motivational interviewing counseling session of incarcerated men who participated in a randomized controlled trial of a smoking abstinence intervention in a tobacco-free prison in the northeastern United States. Using thematic analysis, 53 written goals and plans were independently coded by trained research assistants to identify major themes that included (1) staying smoke-free or reducing the number of cigarettes smoked postrelease, (2) engaging in physical activities to improve health and wellness, and (3) spending time with family and/or friends.

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Introduction: A major health challenge facing persons who are incarcerated is tobacco smoking. Upon reentry to the community, concerns regarding smoking cessation may be less likely to receive needed attention. Many individuals have partners who are pregnant and/or reside in households where children and pregnant women live.

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Background: Incarceration is simultaneously a public health opportunity and a public health concern. We examined the association between maternal/partner incarceration in the year prior to birth and perinatal smoking.

Methods: We pooled 2006-2010 data from the Centers for Disease Control and Prevention's Pregnancy Risk Assessment and Monitoring System.

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The association between impulsivity and alcohol/drug use among prison inmates.

Addict Behav

March 2015

Brown University Center for Primary Care and Prevention, Pawtucket, RI 02860, USA; Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA.

Background: Few studies have examined the relation between impulsivity and drug involvement with prison inmates, in spite of their heavy drug use. Among this small body of work, most studies look at clinically relevant drug dependence, rather than drug use specifically.

Method: N=242 adult inmates (34.

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The relation between smoking status and medical conditions among incarcerated adults.

J Addict Med

January 2015

From the Departments of Family Medicine and Epidemiology (DRP), Alpert Medical School of Brown, University, Providence, RI; Brown University Center for Primary Care and Prevention (DRP, MBR, JJC), Memorial Hospital of Rhode Island, Pawtucket; Memorial Hospital of Rhode Island (DF), Pawtucket; Department of Medicine (RAM, JJC), Alpert Medical School of Brown University, Providence, RI; Psychology Department & Social Sciences Research Center (LARS), University of RI, Kingston; RI Training School (LARS), Cranston; Center for Behavioral and Preventive Medicine (BB), Department of Psychiatry, Brown University, Providence, RI; Department of Family Medicine and Community Health (SAM), University of Massachusetts, Medical School, Worcester; Rhode Island Department of Corrections (CEL), Cranston; and Department of OB/GYN (JJC), Alpert Medical School of Brown University, Providence, RI.

Objectives: The rate of smoking among incarcerated adults is more than 3 times that of the general population. Negative health consequences of smoking have prompted many correctional facilities to become tobacco-free. This presents a unique opportunity to examine health conditions associated with motivation to remain tobacco-free after release from prison.

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Health in all policies: a start in Rhode Island.

R I Med J (2013)

July 2013

Clinical Assistant Professor of Family Medicine, Brown University Center for Primary Care and Prevention at Memorial Hospital of Rhode Island and Founder, Community Health Innovations of Rhode Island.

In Rhode Island, health care access, whether measured as having a regular source of care or as having health insurance, is better than the U.S. average.

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Importance: Millions of Americans are forced to quit smoking as they enter tobacco-free prisons and jails, but most return to smoking within days of release. Interventions are needed to sustain tobacco abstinence after release from incarceration.

Objective: To evaluate the extent to which the WISE intervention (Working Inside for Smoking Elimination), based on motivational interviewing (MI) and cognitive behavioral therapy (CBT), decreases relapse to smoking after release from a smoke-free prison.

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State of the Art Review: Colorectal Cancer Screening.

Am J Lifestyle Med

May 2012

Associate Professor of Medicine, Alpert Medical School of Brown University, Brown University Center for Primary Care and Prevention at Memorial Hospital of Rhode Island, 111 Brewster Street, CPCP bldg- 2 Floor, Pawtucket, RI 02860, ; 401-729-3400.

Although colorectal cancer is the third leading cause of cancer-related deaths in the U.S., the burden of this disease could be dramatically reduced by increased utilization of screening.

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Colorectal cancer screening (CRC) disparities between non-Latino Whites and Latinos remain, and may have increased. The goal of this analysis was to examine the association between Latino race/ethnicity, gender, and English-proficiency and CRC screening. Analysis of the CDC's BRFSS 2008 survey.

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Background: Unplanned pregnancies and sexually transmitted infections (STIs) are important and costly public health problems in the United States resulting from unprotected sexual intercourse. Risk factors for unplanned pregnancies and STIs (poverty, low educational attainment, homelessness, substance abuse, lack of health insurance, history of an abusive environment, and practice of commercial sex work) are especially high among women with a history of incarceration. Project CARE (Contraceptive Awareness and Reproductive Education) is designed to evaluate an innovative intervention, motivational interviewing with computer assistance (MICA), aimed at enhancing contraceptive initiation and maintenance among incarcerated women who do not want a pregnancy within the next year and who are anticipated to be released back to the community.

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Background: Incarcerated individuals suffer disproportionately from the health effects of tobacco smoking due to the high smoking prevalence in this population. In addition there is an over-representation of ethnic and racial minorities, impoverished individuals, and those with mental health and drug addictions in prisons. Increasingly, prisons across the U.

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Food insecurity has been associated with lower nutrient intake as well as lower intake of fruits and vegetables. However, little is known about the association of food insecurity and dietary behaviors, including food choices and preparation methods. This study examines the relationship between food insecurity and dietary behaviors of low-income adults (N = 1,874; 55% Hispanic) who completed the baseline telephone survey for a nutrition education study.

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Beyond the basics: refills by electronic prescribing.

Int J Med Inform

July 2010

Brown University Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA.

Introduction: E-prescribing is part of a new generation of electronic solutions for the medical industry that may have great potential for improving work flow and communication between medical practices and pharmacies. In the US, it has been introduced with minimal monitoring of errors and general usability. This paper examines refill functionality in e-prescribing software.

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Approximately 6% to 10% of women entering jails are pregnant. Women entering jail are often poor, medically underserved, and at high risk for substance abuse and unplanned pregnancies. We hypothesize that many women who are pregnant when entering jail have had a prior incarceration and conceived soon after release.

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Genetic variation in the dopamine pathway and smoking cessation.

Pharmacogenomics

September 2008

Brown University Center for Primary Care and Prevention, Department of Family Medicine, The Warren Alpert Medical School of Brown University, Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA.

Twin and family studies have established that genetic factors account for much of the variation in tobacco dependence. Therefore, identification of genetic variants predictive of successful smoking cessation has implications for the future prospect of personalized smoking cessation therapies. Converging data implicate the dopamine pathway as an important neural substrate for tobacco dependence.

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