278 results match your criteria: "Columbia Mailman School of Public Health.[Affiliation]"

Examining changes in fatal violence against women after bail reform in New Jersey.

Am J Prev Med

January 2025

The Ubuntu Center on Racism, Global Movements, and Population Health Equity, Drexel University Dornsife School of Public Health, Philadelphia, Pennsylvania.

Introduction Cash bail reforms that end pretrial detention due to the inability to afford bail have been highly debated across the US. A major concern cited by bail reform opponents is that reducing pretrial detention will increase community violence, particularly violence against women. The objective of this study was to assess if New Jersey's cash bail reform was associated with changes in rates of fatal violence against women.

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Effective community engagement in one health research in Sub-Saharan Africa: a systematic review.

One Health Outlook

January 2025

Department of Psychology, Faculty of Humanities, University of Johannesburg, Auckland Park, Johannesburg, South Africa.

Background: The one health (OH) approach, linking human, animal, and environmental health, relies on effective community engagement (CE), education, stewardship, and effective regional and global partnerships. For real impact, communities should be at the centre of research agenda setting and program implementation. This review aimed at synthesizing empirical evidence on how communities are involved in one health research.

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Objectives: Our goal was to measure the impact of postpartum contraceptive implant insertion timing on breastfeeding success and duration in a population at high-risk for low milk supply.

Study Design: We conducted a three-armed randomized non-inferiority study of postpartum people who plan to breastfeed and have known risk factors for low milk supply. Participants were randomized to one of three groups for the timing of implant placement: within 30 minutes of placental delivery, 24-72 hours postpartum, or 6+ weeks postpartum.

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Federal Policy Platforms and Public Health: Reinforcing the Benefits of Air Pollution Control Devices at Power Plants in the United States.

Am J Public Health

January 2025

Jonathan J. Buonocore, Patrick L. Kinney, Brian J. Sousa, and Jonathan I. Levy are with the Department of Environmental Health, Boston University School of Public Health, Boston, MA. Jeremy Fisher and Daniel Prull are with the Sierra Club, Oakland, CA. Mary D. Willis is with the Department of Epidemiology, Boston University School of Public Health. Saravanan Arunachalam is with the Institute for the Environment, University of North Carolina, Chapel Hill. Frederica Perera is with the Department of Environmental Health, Columbia Mailman School of Public Health, New York, NY.

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Ethical, Legal, and Social Implications of Gene-Environment Interaction Research.

Genet Epidemiol

January 2025

Genes, Environment, and Health Branch, Division of Extramural Research and Training, NIEHS, Durham, North Carolina, USA.

Many complex disorders are impacted by the interplay of genetic and environmental factors. In gene-environment interactions (GxE), an individual's genetic and epigenetic makeup impacts the response to environmental exposures. Understanding GxE can impact health at the individual, community, and population levels.

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Article Synopsis
  • * Linking RWD with clinical trial data can fill evidence gaps, improve the accuracy and generalizability of results, and extend follow-ups for better understanding in diverse patient groups.
  • * The paper discusses methods for securely linking RWD to trial data while ensuring patient privacy, highlighting the need for proper consent management and staff training at trial sites.
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Background: The impact of migration on HIV risk among non-migrating household members is poorly understood. We measured HIV incidence among non-migrants living in households with and without migrants in Uganda.

Methods: We used four survey rounds of data collected from July 2011 to May 2018 from non-migrant participants aged 15-49 years in the Rakai Community Cohort Study.

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Background: Lower socioeconomic (SES) communities are more likely to be situated in urban heat islands and have higher heat exposures than their higher SES counterparts, and this inequality is expected to intensify due to climate change.

Objectives: To examine the relationship between surface temperatures and SES in New York City (NYC) by employing a novel analytical approach. Through incorporating modifiable features, this study aims to identify potential locations where mitigation interventions can be implemented to reduce heat disparities associated with SES.

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Background: Alzheimer's disease and other dementias (ADODs) severely threaten the wellbeing of older people, their families, and communities, especially with projected exponential growth. Understanding the macroeconomic implications of ADODs for policy making is essential but under-researched.

Methods: We used a health-augmented macroeconomic model to calculate the macroeconomic burden of ADODs for 152 countries or territories, accounting for: the effect on labour supply of reduced working hours of informal caregivers; the effect on labour supply of ADODs-related mortality and morbidity; age-sex-specific differences in education, work experience, labour market participations, and informal caregivers; and treatment and formal care costs diverting from savings and investments.

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Objective: The objective of this study was to quantify associations of infant 24-hour sleep duration and nighttime sleep consolidation with later child cognition.

Methods: This study included children from Project Viva, a prospective cohort in Massachusetts with (1) sleep measures in infancy (median age 6.4 months) and (2) child cognition in early childhood (median age 3.

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Background: Mechanistic studies of the effects of environmental risk factors have been exploring the potential role of microRNA(miRNAs) as a possible pathway to clinical disease. In this study we examine whether levels of toenail metals are associated with changes in extracellular miRNA(ex-miRNA) expression.

Methods: We used data derived from the Normative Aging Study from 1996 to 2014 to conduct our analyses.

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Background: Understanding the chronic obstructive pulmonary disease (COPD) care cascade is crucial for identifying where and when to intervene to improve COPD outcomes. We aimed to determine the proportion of patients with COPD seeking care in China's health system who are lost at each stage of the COPD care cascade and how the patterns of loss vary across geographical regions and population groups.

Methods: From November 3, 2018, to April 22, 2021, we used individual-level patient data from the national Chinese 'Happy Breathing' Programme, which aims to identify patients with COPD and provide appropriate care.

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Mothers living with HIV are faced with managing their own complex healthcare and wellness needs while caring for their children. Understanding the lived experiences of mothers living with HIV, including grandmothers and mothers with older children - who are less explicitly represented in existing literature, may guide the development of interventions that best support them and their families. This study sought to explore the role of motherhood and related social/structural factors on engagement with HIV care, treatment-seeking behaviour, and overall HIV management among mothers living with HIV in the USA to inform such efforts.

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COVID-19 changed the way we care. Scholars have long argued that care often requires proximity, especially when it comes to care for, with, and by older adults. With lockdowns and the imposition of widespread public health guidelines aimed at curbing the spread of COVID-19, such as physically distancing and sheltering-in-place, in-person care practices became increasingly difficult.

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Article Synopsis
  • The study explored the link between visual impairment (VI) and cognitive decline in older adults and how factors like loneliness and social activity play a role.
  • Data from over 2,600 participants was analyzed over a 16-year period using various assessments for cognitive function, depressive symptoms, and social activity levels.
  • Results indicated that lower social activity and increased loneliness serve as mediators in the relationship between VI and cognitive decline, while depressive symptoms alone did not show a significant mediating effect.
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Article Synopsis
  • The study investigates the prevalence of monoclonal gammopathy of undetermined significance (MGUS) in Eswatini, comparing it with data from Olmsted County, Minnesota, to understand its impact, particularly among Black individuals.
  • A total of 515 plasma samples from a nationally representative survey showed a 13.2% prevalence of MGUS, with findings indicating that while overall MGUS rates are similar between Eswatini and Olmsted County, light-chain MGUS is significantly higher in Eswatini.
  • The results suggest that current definitions of light-chain MGUS may need reevaluation, particularly in the context of untreated HIV infections, as they could be reflecting different underlying conditions.
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Psychological interventions delivered by non-specialist providers have shown mixed results for treating maternal depression. mHealth solutions hold the possibility for unobtrusive behavioural data collection to identify challenges and reinforce change in psychological interventions. We conducted a proof-of-concept study using passive sensing integrated into a depression intervention delivered by non-specialists to twenty-four adolescents and young mothers (30% 15-17 years old; 70% 18-25 years old) with infants (< 12 months old) in rural Nepal.

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Estimating treatment effects conditional on observed covariates can improve the ability to tailor treatments to particular individuals. Doing so effectively requires dealing with potential confounding, and also enough data to adequately estimate effect moderation. A recent influx of work has looked into estimating treatment effect heterogeneity using data from multiple randomized controlled trials and/or observational datasets.

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Structural barriers perpetuate mental health disparities for minoritized US populations; global mental health (GMH) takes an interdisciplinary approach to increasing mental health care access and relevance. Mutual capacity building partnerships between low and middle-income countries and high-income countries are beginning to use GMH strategies to address disparities across contexts. We highlight these partnerships and shared GMH strategies through a case series of said partnerships between Kenya-North Carolina, South Africa-Maryland, and Mozambique-New York.

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Background: The unmet need for mental health care affects millions of Americans. A growing body of evidence in implementation science supports the effectiveness of task sharing in the delivery of brief psychosocial interventions. The digitization of training and processes supporting supervision can rapidly scale up task-shared interventions and enable frontline health workers (FLWs) to learn, master, and deliver interventions with quality and support.

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Structural racism in the United States has resulted in neighborhoods with higher proportions of non-Hispanic Black (Black) or Hispanic/Latine residents having more features that intensify, and less that cool, the local-heat environment. This study identifies areas of New York City (NYC) where racial/ethnic heat exposure disparities are concentrated. We analyzed data from the 2013-2017 American Community Survey, U.

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Alcohol consumption has a key role in more than 200 diseases and health injuries, being an important factor for social and public health costs. Studies with clinical populations show an association between alcohol use disorders (AUD) and bipolar disorder. In this meta-analysis we included studies, reports, or summaries identified in Google Scholar, Lilacs, Medline, and MedCaribe that reported original data published up to 31 January 2023.

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There have been increased concerns that the use of statins, one of the most commonly prescribed drugs for treating coronary artery disease, is potentially associated with the increased risk of new-onset Type II diabetes (T2D). Nevertheless, to date, there is no robust evidence supporting as to whether and what kind of populations are indeed vulnerable for developing T2D after taking statins. In this case study, leveraging the biobank and electronic health record data in the Partner Health System, we introduce a new data analysis pipeline and a novel statistical methodology that address existing limitations by (i) designing a rigorous causal framework that systematically examines the causal effects of statin usage on T2D risk in observational data, (ii) uncovering which patient subgroup is most vulnerable for developing T2D after taking statins, and (iii) assessing the replicability and statistical significance of the most vulnerable subgroup via a bootstrap calibration procedure.

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Disparities in Noninvasive Traditional and Advanced Testing for Coronary Artery Disease: Findings from the INCAPS-COVID 2 Study.

Am J Cardiol

March 2024

Seymour, Paul and Gloria Milstein Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, New York; Department of Medicine, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, New York.

Article Synopsis
  • The COVID-19 pandemic significantly disrupted cardiovascular care, particularly affecting noninvasive testing for coronary artery disease (CAD), with unclear trends across different income levels.
  • A global survey by the International Atomic Energy Agency included data from 669 centers in 107 countries, revealing that traditional tests decreased by 14%, while advanced tests increased by 15% from 2019 to 2021.
  • The rise in advanced testing mainly occurred in high- and upper middle-income countries, highlighting a growing disparity in CAD diagnostic practices between wealthier and lower-income nations.
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