861 results match your criteria: "Sanford School of Public Policy; Duke University; 228 Rubenstein Hall[Affiliation]"

Much literature in the US documents an intergenerational transmission of birthing person and perinatal morbidity in socioeconomically disadvantaged groups. A separate line of work indicates that family cash transfers may improve life chances of low-income families well into adulthood. By exploiting a quasi-random natural experiment of a large family cash transfer among a southeastern American Indian (AI) tribe in rural North Carolina, we examine whether a "perturbation" in socioeconomic status during childhood improves birthing person/perinatal outcomes when they become parents themselves.

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Article Synopsis
  • The study involved a large online experiment with 6,567 participants across six European countries to assess which non-pharmaceutical interventions (NPIs) they believe effectively reduce the spread of SARS-Cov-2.
  • Results showed that mask-wearing and outdoor meetings significantly influenced participants' perceptions of transmission risk, while factors like physical distancing and meeting size had less impact.
  • The research emphasizes the need for better health communication and education around NPIs and transmission risks, especially considering differences among demographic groups such as age, gender, and cognitive styles.
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A diverse portfolio of marine protected areas can better advance global conservation and equity.

Proc Natl Acad Sci U S A

March 2024

Duke Marine Laboratory, Nicholas School of the Environment, Duke University, Beaufort, NC 28516.

Marine protected areas (MPAs) are widely used for ocean conservation, yet the relative impacts of various types of MPAs are poorly understood. We estimated impacts on fish biomass from no-take and multiple-use (fished) MPAs, employing a rigorous matched counterfactual design with a global dataset of >14,000 surveys in and around 216 MPAs. Both no-take and multiple-use MPAs generated positive conservation outcomes relative to no protection (58.

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To what extent do economic preferences and institutional trust predict compliance with physical distancing rules during the COVID-19 pandemic? We reexamine this question by introducing the theoretical and empirical distinction between individual health behaviors in the public and in the private domain (e.g., keeping a distance from strangers vs.

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Smart portable devices- smartphones and smartwatches- are rapidly being adopted by the general population, which has brought forward an opportunity to use the large volumes of physiological, behavioral, and activity data continuously being collected by these devices in naturalistic settings to perform research, monitor health, and track disease. While these data can serve to revolutionize health monitoring in research and clinical care, minimal research has been conducted to understand what motivates people to use these devices and their interest and comfort in sharing the data. In this study, we aimed to characterize the ownership and usage of smart devices among patients from an expansive academic health system in the southeastern US and understand their willingness to share data collected by the smart devices.

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Most health care providers in developing countries know that oral rehydration salts (ORS) are a lifesaving and inexpensive treatment for child diarrhea, yet few prescribe it. This know-do gap has puzzled experts for decades. Using randomized experiments in India, we estimated the extent to which ORS underprescription is driven by perceptions that patients do not want ORS, provider's financial incentives, and ORS stock-outs (out-of-stock events).

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Background: Equitable representation of members from historically marginalized groups is important in clinical trials, which inform standards of care. The goal of this study was to characterize the demographics and proportional subgroup reporting and representation of participants enrolled in randomized controlled trials (RCTs) of antibacterials used to treat Staphylococcus aureus infections.

Methods: We examined randomized controlled registrational and strategy trials published from 2000 to 2021 to determine the sex, race, and ethnicity of participants.

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Background: Elevated amyloid-β (Aβ) on positron emission tomography (PET) scan is used to aid diagnosis of Alzheimer's disease (AD), but many prior studies have focused on patients with a typical AD phenotype such as amnestic mild cognitive impairment (MCI). Little is known about whether elevated Aβ on PET scan predicts rate of cognitive and functional decline among those with MCI or dementia that is clinically less typical of early AD, thus leading to etiologic uncertainty.

Objective: We aimed to investigate whether elevated Aβ on PET scan predicts cognitive and functional decline over an 18-month period in those with MCI or dementia of uncertain etiology.

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Objective: Schools are an important setting because students spend much of their time in school and engage in physical activity during the school day that could exacerbate asthma symptoms. Our objective is to understand the barriers and facilitators to implementing an experimental community health worker-delivered care coordination program for students with asthma within the context of the West Philadelphia Controls Asthma study.

Methods: Surveys ( = 256) and semi-structured interviews ( = 41) were completed with principals, teachers, nurses, and community health workers from 21 public and charter schools in West Philadelphia between January 2019 and September 2021.

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This study considers the multigenerational consequences of wealth transmission for the transition to young adulthood. Using a wider set of outcomes than has previously been considered, and by analyzing parental and grandparental wealth simultaneously, this work underscores the salience of multiple generations of wealth as a predictor for young adult well-being. Data comes from the US Panel Study of Income Dynamics on a sample of youth followed from mid-adolescence until the age of 20.

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The COVID-19 pandemic has been stressful, potentially affecting caregivers' feeding choices. Caregivers play a role in shaping children's diets, yet few studies have explored how their competence and autonomy, defined by the Self-Determination Theory, impact children's diets. We examined the relationship between caregivers' autonomy and competence and their feeding practices before and during the first year of the pandemic.

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Intergenerational transmission processes have long been of interest to demographers, but prior research on the intergenerational transmission of criminal justice contact is relatively sparse and limited by its lack of attention to the correlated "family troubles" and familial incarceration that predate criminal justice contact. In this article, we provide a test of the intergenerational transmission of criminal justice contact after adjusting extensively for these factors that predate such contact by linking longitudinal data from the Project on Human Development in Chicago Neighborhoods with official arrest histories from 1995 to 2020. The results provide support for three conclusions.

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Article Synopsis
  • The study explores the lesser-known role of the cerebellum in PTSD by analyzing cerebellar volume differences in a large sample of 4,215 adults, with 1,642 diagnosed with PTSD and 2,573 as healthy controls.
  • Using advanced deep-learning techniques, researchers assessed the total cerebellum volume and 28 subregions, revealing significant reductions in both gray and white matter in individuals with PTSD, especially in specific posterior lobe and vermis areas.
  • The results suggest that changes in cerebellar structure are linked to cognitive and emotional dysfunctions in PTSD, highlighting the cerebellum's importance beyond its traditional role in motor control.
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Primary care providers (PCPs) can play an important role in the continuity of care for children who experience sexual abuse (SA). We performed a retrospective, chart-based study of children 3 to 17 years old with SA history. Primary care medical records were reviewed for 2 years after a subspecialty SA evaluation.

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Objectives: To estimate the economic impact of failure to find and treat tuberculosis disease and prevent tuberculosis infection from progressing to active disease.

Design: Estimating the economic cost of not finding and treating a patient suffering from tuberculosis.

Setting: Estimation methodology is developed in the Indian context, as informed by local costs and reported tuberculosis epidemiology.

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The studies in this special issue on forgiveness and vengeance in the Muslim world explore three hypotheses drawn from interpersonal acceptance-rejection theory (IPARTheory): (1) Adults' memories of maternal and paternal in childhood are associated with the disposition toward forgiveness, as mediated by psychological adjustment. (2) Adults' memories of maternal and paternal in childhood are associated with the disposition toward vengeance, as mediated by psychological maladjustment. (3) There are no significant gender differences in relations between adults' (men's and women's) memories of parental acceptance-rejection in childhood and adults' disposition toward forgiveness or vengeance, as mediated by psychological (mal)adjustment.

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Background: Telehealth has been proposed as one strategy to improve the quality of time-sensitive sepsis care in rural emergency departments (EDs). The purpose of this study was to measure the association between telehealth-supplemented ED (tele-ED) care, health care costs, and clinical outcomes among patients with sepsis in rural EDs.

Methods: Cohort study using Medicare fee-for-service claims data for beneficiaries treated for sepsis in rural EDs between February 1, 2017, and September 30, 2019.

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Purpose: The Targeted Agent and Profiling Utilization Registry Study is a phase II basket study evaluating antitumor activity of commercially available targeted agents in patients with advanced cancers with genomic alterations known to be drug targets. The results in a cohort of patients with solid tumors with mutations treated with cobimetinib plus vemurafenib are reported.

Methods: Eligible patients had measurable disease (RECIST v.

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Introduction: The Latinx Advocacy Team & Interdisciplinary Network for COVID-19 (LATIN-19) is a unique multi-sector coalition formed early in the COVID-19 pandemic to address the multi-level health inequities faced by Latinx communities in North Carolina.

Methods: We utilized the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to conduct a directed content analysis of 58 LATIN-19 meeting minutes from April 2020 through October 2021. Application of the NIMHD Research Framework facilitated a comprehensive assessment of complex and multidimensional barriers and interventions contributing to Latinx health while centering on community voices and perspectives.

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Contraceptive Provision to Women With Intellectual and Developmental Disabilities Enrolled in Medicaid.

Obstet Gynecol

December 2023

Duke Global Health Institute, the Sanford School of Public Policy, the Department of Political Science, Department of Obstetrics and Gynecology, and the Center for Global Reproductive Health, Duke University, Durham, and IntraHealth International, Chapel Hill, North Carolina.

Article Synopsis
  • A study compared contraceptive access between women with and without intellectual and developmental disabilities in North Carolina's Medicaid program.
  • It found that only 30.1% of women with disabilities received effective contraception, compared to 36.3% of those without, indicating significant disparities.
  • Additionally, women with disabilities who used effective contraception were more likely to have menstrual disorders, highlighting the need for improved reproductive health services for this population.
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Background: It is unknown whether dietary intake of polyunsaturated fatty acids (PUFA) modifies the cardiovascular disease (CVD) risk associated with a family history of CVD. We assessed interactions between biomarkers of low PUFA intake and a family history in relation to long-term CVD risk in a large consortium.

Methods: Blood and tissue PUFA data from 40 885 CVD-free adults were assessed.

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Objective: To develop a framework to estimate the practical costs incurred from, and programmatic impact related to, tuberculosis (TB) infection testing-tuberculin skin tests (TST) versus interferon gamma release assay (IGRA)-in a densely populated high-burden TB area.

Methods: We developed a seven-step framework that can be tailored to individual TB programmes seeking to compare TB infection (TBI) diagnostics to inform decision-making. We present methodology to estimate (1) the prevalence of TBI, (2) true and false positives and negatives for each test, (3) the cost of test administration, (4) the cost of false negatives, (5) the cost of treating all that test positive, (6) the per-test cost incurred due to treatment and misdiagnosis and (7) the threshold at which laboratory infrastructure investments for IGRA are outweighed by system-wide savings incurred due to IGRA utilisation.

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Introduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major challenges, including the crucial aspect of its funding system. This systematic review aimed to assess the challenges in the FPP relative to its financing.

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Military exposures and Gulf War illness in veterans with and without posttraumatic stress disorder.

J Trauma Stress

February 2024

Cooperative Studies Program Epidemiology Center, Durham VA Medical Center, Durham VA Health Care System, Durham, North Carolina, USA.

Article Synopsis
  • Gulf War illness (GWI) is a sickness that affects veterans who served in the Gulf War and is believed to be caused by harmful substances they were exposed to during their deployment.
  • Many veterans also experience posttraumatic stress disorder (PTSD), which may influence the symptoms of GWI.
  • A study showed that veterans with both GWI and PTSD reported more military exposures compared to those without PTSD, highlighting how both GWI and PTSD can be connected to their experiences during the war.
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