322 results match your criteria: "Center for Health and Community.[Affiliation]"

Background: Household food insecurity persists in the United States and has important implications for health and well-being. Food insecurity in female-identified caregivers is particularly concerning, given its association with their mental health and adverse health outcomes for their children. Food insecurity is associated with disordered eating but, to our knowledge, no prior studies have examined an association between food insecurity and food addiction.

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Objective: Vulnerable populations face numerous barriers in managing chronic disease(s). As healthcare systems work toward integrating social risk factors into electronic health records and healthcare delivery, we need better understanding of the interrelated nature of social needs within patients' everyday lives to inform effective informatics interventions to advance health equity.

Materials And Methods: We conducted in-depth interviews, participant-led neighborhood tours, and clinic visit observations involving 10 patients with diabetes in underserved San Francisco neighborhoods and 10 community leaders serving those neighborhoods.

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Although it has been demonstrated that (a) body dissatisfaction and internalization of societal appearance standards contribute to disordered eating and (b) that internalization of societal appearance standards leads to decreased skin color satisfaction among Black women, it has not been established whether skin color dissatisfaction contributes to disordered eating among Black women or girls. The objective of the present study is to determine the influence of skin color satisfaction as a potential predictor for binge eating, and its effect through body image in Black girls during the vulnerable developmental period of adolescence. Using data from ten annual measurements in 1213 Black girls across ages 10-19, we sought to determine whether skin color satisfaction predicts Binge Eating Disorder (BED) risk and symptoms using pre-registered logistic and multilevel models.

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Heterogeneous treatment effects in social policy studies: An assessment of contemporary articles in the health and social sciences.

Ann Epidemiol

June 2022

Department of Epidemiology and Biostatistics, University of California, San Francisco, CA; Department of Population Health, New York University Grossman School of Medicine, New York, NY; Center for Opioid Epidemiology and Policy, Division of Epidemiology, Department of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY 10016.. Electronic address:

Purpose: Social policies are important determinants of population health but may have varying effects on subgroups of people. Evaluating heterogeneous treatment effects (HTEs) of social policies is critical to determine how social policies will affect health inequities. Methods for evaluating HTEs are not standardized.

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Importance: Racial and ethnic inequities in COVID-19 mortality may be driven by occupation and education, but limited evidence has assessed these mechanisms.

Objective: To estimate whether occupational characteristics or educational attainment explained the associations between race and ethnicity and COVID-19 mortality.

Design, Setting, And Participants: This population-based retrospective cohort study of Californians aged 18 to 65 years linked COVID-19 deaths to population estimates within strata defined by race and ethnicity, gender, age, nativity in the US, region of residence, education, and occupation.

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This secondary analysis of a randomized clinical trial compares the use of a social resources handout alone vs a handout plus guidance for children’s health and health services use.

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Background: Poor sleep is common during pregnancy and is associated with increased risk of negative health outcomes. Research indicates that physical discomfort and having an active mind are primary factors for prenatal sleep disturbances. Mindfulness-based interventions have the potential for addressing these factors, but have yet to be optimized for this purpose in this population.

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Background: The coronavirus disease 2019 (COVID-19) pandemic is co-occurring with a drug addiction and overdose crisis.

Methods: We fit overdispersed Poisson models, accounting for seasonality and secular trends, to estimate the excess fatal drug overdoses (i.e.

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Article Synopsis
  • Early detection of COVID-19 is crucial for controlling transmission, and consumer wearables like the Oura Ring can help by tracking physiological metrics and gathering user-reported data.
  • In a study with over 63,000 participants, a machine learning algorithm successfully predicted COVID-19 onset an average of 2.75 days before testing, achieving a sensitivity of 82% and specificity of 63%.
  • The algorithm's accuracy improved when including continuous temperature data, and results showed variations based on age and sex, emphasizing the need for diverse representation in detection technology development.
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A descriptive analysis of 2020 California Occupational Safety and Health Administration covid-19-related complaints.

SSM Popul Health

March 2022

University of California, San Francisco, School of Medicine, Department of Epidemiology and Biostatistics, San Francisco, CA, 94158, USA.

COVID-19 mortality has disproportionately affected specific occupations and industries. The Occupational Safety and Health Administration (OSHA) protects the health and safety of workers by setting and enforcing standards for working conditions. Workers may file OSHA complaints about unsafe conditions.

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This study examined how teachers discuss various factors as impacting their ability to execute with fidelity the Michigan Model for Health (MMH), an evidence-based health universal prevention curriculum widely adopted throughout Michigan. Researchers have found a robust relationship between fidelity and participant outcomes, including in schools. While previous studies have identified barriers that inhibit fidelity, few have focused on identifying key barriers and deepening our understanding of how these factors influence intervention fidelity.

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A descriptive analysis of 2020 California Occupational Safety and Health Administration COVID-19-related complaints.

medRxiv

December 2021

University of California, San Francisco, School of Medicine, Department of Epidemiology and Biostatistics, San Francisco, CA, 94158, USA.

COVID-19 mortality disproportionately affected specific occupations and industries. The Occupational Safety and Health Administration (OSHA) protects the health and safety of workers by setting and enforcing standards for working conditions. Workers may file OSHA complaints about unsafe conditions.

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Study Objectives: To evaluate the effects of digital cognitive behavior therapy for insomnia (dCBT-I) delivered during pregnancy on subjective sleep outcomes, depressive symptoms, and anxiety symptoms through 6 months postpartum.

Methods: People up to 28 weeks gestation (N = 208) with insomnia were randomized to 6 weekly sessions of dCBT-I or standard care. We report follow-up data at 3 and 6 months postpartum.

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Childhood stress and midlife depression in women: the influence of diet quality.

Nutr Neurosci

December 2022

Community Health Sciences Division, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.

Objective: How does diet quality (DQ) moderate associations between serious childhood stress exposures and adult depression?

Methods: We analyzed a cohort of Californian women at midlife (N=382; age 36-42). Serious childhood stress was defined as high perceived stress during childhood or adverse childhood experiences (ACEs) of physical abuse, sexual abuse, and/or household substance abuse. Women were dichotomized by current depression risk (high/low).

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Experiences of Discrimination and Depression Trajectories over Pregnancy.

Womens Health Issues

April 2022

Department of Psychology, University of Denver, Denver, Colorado; Department of Psychiatry and Human Behavior, University of California, Irvine, Irvine, California.

Introduction: Research on risk factors for prenatal depression is critical to improve the understanding, prevention, and treatment of women's psychopathology. The current study examines the relation between experiences of racial discrimination and trajectories of depression symptoms over the course of pregnancy.

Method: Participants completed standardized measures regarding symptoms of depression at four timepoints during pregnancy and reported on experiences of racial discrimination at one timepoint.

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Introduction: Causal methods have been adopted and adapted across health disciplines, particularly for the analysis of single studies. However, the sample sizes necessary to best inform decision-making are often not attainable with single studies, making pooled individual-level data analysis invaluable for public health efforts. Researchers commonly implement causal methods prevailing in their home disciplines, and how these are selected, evaluated, implemented and reported may vary widely.

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COVID-19 mortality increases markedly with age and is also substantially higher among Black, Indigenous, and People of Color (BIPOC) populations in the United States. These two facts can have conflicting implications because BIPOC populations are younger than white populations. In analyses of California and Minnesota—demographically divergent states—we show that COVID vaccination schedules based solely on age benefit the older white populations at the expense of younger BIPOC populations with higher risk of death from COVID-19.

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Documentation and review of social determinants of health data in the EHR: measures and associated insights.

J Am Med Inform Assoc

November 2021

Center for Clinical Informatics & Improvement Research, University of California, San Francisco, San Francisco, California, USA.

Objective: Electronic Health Records (EHRs) increasingly include designated fields to capture social determinants of health (SDOH). We developed measures to characterize their use, and use of other SDOH data types, to optimize SDOH data integration.

Materials And Methods: We developed 3 measures that accommodate different EHR data types on an encounter or patient-year basis.

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Implementation science issues in understanding, collecting, and using cost estimates: a multi-stakeholder perspective.

Implement Sci

August 2021

Dissemination and Implementation Science Program of ACCORDS (Adult and Child Consortium for Health Outcomes Research and Delivery Science), University of Colorado School of Medicine, Aurora, CO, USA.

Understanding the resources needed to achieve desired implementation and effectiveness outcomes is essential to implementing and sustaining evidence-based practices (EBPs). Despite this frequent observation, cost and economic measurement and reporting are rare, but becoming more frequent in implementation science, and when present is seldom reported from the perspective of multiple stakeholders (e.g.

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Provider Impacts of Socioeconomic Risk Screening and Referral Programs: A Scoping Review.

J Am Board Fam Med

October 2021

From LAC-USC Department of Emergency Medicine, Los Angeles, CA (AQR); Center for Health and Community, University of California, San Francisco (HEW, LMG); ZSFG Library, University of California, San Francisco (JBW); Medical College of Wisconsin, Milwaukee (MY); Department of Social and Behavioral Sciences, University of California, San Francisco (JMH); Department of Family and Community Medicine, University of California, San Francisco (LMG).

METHODS: RESULTS: CONCLUSIONS:

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An immunogenomic phenotype predicting behavioral treatment response: Toward precision psychiatry for mothers and children with trauma exposure.

Brain Behav Immun

January 2022

Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California San Francisco, United States; Center for Health and Community, University of California San Francisco, United States; Department of Pediatrics, Division of Developmental Medicine, University of California San Francisco, United States. Electronic address:

Inflammatory pathways predict antidepressant treatment non-response among individuals with major depression; yet, this phenomenon may have broader transdiagnostic and transtherapeutic relevance. Among trauma-exposed mothers (M = 32 years) and their young children (M = 4 years), we tested whether genomic and proteomic biomarkers of pro-inflammatory imbalance prospectively predicted treatment response (PTSD and depression) to an empirically-supported behavioral treatment. Forty-three mother-child dyads without chronic disease completed Child Parent Psychotherapy (CPP) for roughly 9 months.

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Early childhood and pregnancy are two sensitive periods of heightened immune plasticity, when exposure to adversity may disproportionately increase health risks. However, we need deeper phenotyping to disentangle the impact of adversity during sensitive periods from that across the total lifespan. This study examined whether retrospective reports of adversity during childhood or pregnancy were associated with inflammatory imbalance, in an ethnically diverse cohort of 53 low-income women seeking family-based trauma treatment following exposure to interpersonal violence.

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Background: Shorter leukocyte telomere length (LTL) is associated with increased risk of a number of metabolic diseases including insulin resistance and the development of type 2 diabetes mellitus. Shorter LTL is also associated with stress reactivity suggestive of a possible role for LTL to predict response to behavioral interventions. However, few studies have evaluated how interventions, such as weight loss or dietary changes, are associated with LTL changes or whether LTL can predict behavioral responses to interventions.

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Purpose: Population-based surveys are possible sources from which to draw representative control data for case-control studies. However, these surveys involve complex sampling that could lead to biased estimates of measures of association if not properly accounted for in analyses. Approaches to incorporating complex-sampled controls in density-sampled case-control designs have not been examined.

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