2024
Racial and Ethnic Discrimination and Medical Students’ Identity Formation
Venkataraman S, Nguyen M, Chaudhry S, Desai M, Hajduk A, Mason H, Webber A, Boatright D. Racial and Ethnic Discrimination and Medical Students’ Identity Formation. JAMA Network Open 2024, 7: e2439727. PMID: 39412803, DOI: 10.1001/jamanetworkopen.2024.39727.Peer-Reviewed Original ResearchConceptsBlack studentsWhite studentsCross-sectional studyMedical schoolsProfessional developmentMedical studentsMedical educationStudent identity formationHolistic student developmentIdentity formationUS medical studentsProfessional identity formationEthnic discriminationEthnic groupsRetrospective cross-sectional studyStudent developmentInclusive environmentMain OutcomesStudentsSchoolDeidentified dataRisk differenceLikert scaleEducationCombat discriminationLeveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration
Wang K, Hendrickson Z, Miller M, Abel E, Skanderson M, Erdos J, Womack J, Brandt C, Desai M, Han L. Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration. Medical Care 2024, 62: 458-463. PMID: 38848139, DOI: 10.1097/mlr.0000000000002017.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationElectronic health recordsResidential addressesHealth recordsHealth AdministrationLeveraging electronic health recordsInfluence health care utilizationVeterans Health Administration dataAssociations of sociodemographicsHealth care utilizationHealth care systemPatient's residential addressCross-sectional analysisGeneralized logistic regressionCare utilizationHealth systemResidential mobilitySubstance use disordersCare systemPatient's residenceLogistic regressionVeteransMultinomial outcomesHealthOdds
2023
Associations of Discrimination, Low Social Support, and Limited English Proficiency with Depression in South Asian Immigrants
Roy S, Hassan S, Kanaya A, Kandula N, Desai M. Associations of Discrimination, Low Social Support, and Limited English Proficiency with Depression in South Asian Immigrants. Journal Of Immigrant And Minority Health 2023, 25: 990-998. PMID: 36940078, PMCID: PMC11070655, DOI: 10.1007/s10903-023-01467-4.Peer-Reviewed Original ResearchMeSH KeywordsAsianCross-Sectional StudiesDepressionEmigrants and ImmigrantsHumansLimited English ProficiencySocial DiscriminationSocial SupportSouth Asian PeopleUnited StatesConceptsLow social supportSouth AsiansSouth Asian immigrantsRisk of depressionSocial supportMediators of AtherosclerosisLogistic regression modelsOverall prevalenceLimited English proficiencyDepressive symptomsAssociation of discriminationAmerica StudyMental healthCross-sectional dataDepressionAsian immigrantsRegression modelsExperiences of discriminationAsiansAssociationStressorsIndividual factorsAtherosclerosisSymptomsPrevalenceGender, Racial, and Ethnic and Inequities in Receipt of Multiple National Institutes of Health Research Project Grants
Nguyen M, Chaudhry S, Desai M, Dzirasa K, Cavazos J, Boatright D. Gender, Racial, and Ethnic and Inequities in Receipt of Multiple National Institutes of Health Research Project Grants. JAMA Network Open 2023, 6: e230855. PMID: 36853608, PMCID: PMC9975935, DOI: 10.1001/jamanetworkopen.2023.0855.Peer-Reviewed Original ResearchMeSH KeywordsAsianBiomedical ResearchBlack PeopleCross-Sectional StudiesDiversity, Equity, InclusionFemaleHumansMaleNational Institutes of Health (U.S.)United StatesConceptsCross-sectional studyResearch project grantsNational cohortHealth Research Project GrantPrincipal investigatorNational InstituteComplex health problemsWarrants further investigationNIH investigatorsProject grantsRacial groupsMAIN OUTCOMEEarly-stage investigatorsHealth problemsRacial distributionHealth investigatorsNIH grantsAnnual numberCohort
2022
Association of Marginalized Identities With Alpha Omega Alpha Honor Society and Gold Humanism Honor Society Membership Among Medical Students
Hill KA, Desai MM, Chaudhry SI, Nguyen M, McDade W, Xu Y, Li F, Fancher T, Hajduk AM, Westervelt MJ, Boatright D. Association of Marginalized Identities With Alpha Omega Alpha Honor Society and Gold Humanism Honor Society Membership Among Medical Students. JAMA Network Open 2022, 5: e2229062. PMID: 36069984, PMCID: PMC9453541, DOI: 10.1001/jamanetworkopen.2022.29062.Peer-Reviewed Original ResearchConceptsIntersections of identitySexual orientationLGB studentsHeterosexual studentsWhite studentsFamily incomeMarginalized groupsStudent raceMarginalized identityAmerican IndiansMultiracial studentsDifferent identitiesAlaska NativesAsian studentsIdentityMembershipSocietyPacific IslandersRaceEthnicityIncomeIntersectionData collection instrumentSociety membershipNativesMarginalized identities, mistreatment, discrimination, and burnout among US medical students: cross sectional survey and retrospective cohort study
Teshome BG, Desai MM, Gross CP, Hill KA, Li F, Samuels EA, Wong AH, Xu Y, Boatright DH. Marginalized identities, mistreatment, discrimination, and burnout among US medical students: cross sectional survey and retrospective cohort study. The BMJ 2022, 376: e065984. PMID: 35318190, PMCID: PMC8938931, DOI: 10.1136/bmj-2021-065984.Peer-Reviewed Original ResearchMeSH KeywordsBurnout, ProfessionalCross-Sectional StudiesEducation, Medical, UndergraduateFemaleHumansMaleRetrospective StudiesStudents, MedicalConceptsUS medical studentsMedical studentsMultiple marginalized identitiesExhaustion scoresMarginalized identitiesFemale studentsMedical schoolsNon-whiteIdentity groupsLGB studentsCross sectional surveyAssociated with burnoutGraduating medical studentsUS medical schoolsUndergraduate medical educationDisengagement scoresMultivariate linear regressionSelf-reported sexOldenburg Burnout Inventory for Medical StudentsSexual orientation groupsAmerican Medical CollegesSectional surveyConfounding associationsMedical educationHigher average scores
2021
Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey
Nwanyanwu KMJH, Nunez-Smith M, Gardner TW, Desai MM. Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey. American Journal Of Preventive Medicine 2021, 61: 900-909. PMID: 34426057, PMCID: PMC8608699, DOI: 10.1016/j.amepre.2021.05.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesDiabetes MellitusDiabetic RetinopathyHumansMaleNutrition SurveysPrevalenceRisk FactorsConceptsSelf-reported diabetesNutrition Examination SurveyDiabetic retinopathyExamination SurveyNational HealthDiabetic retinopathy diagnosisHispanic race/ethnicityUndiagnosed diabetic retinopathyElevated blood pressureHistory of strokeSelf-reported hypertensionRetinopathy diagnosisRace/ethnicityCurrent smokingBlood pressureMale sexBlack raceFundus photographyDecreased oddsRetinopathyPreventable blindnessDiabetesOlder ageLogistic regressionDiagnosisAssociation Between Sexual Orientation, Mistreatment, and Burnout Among US Medical Students
Samuels EA, Boatright DH, Wong AH, Cramer LD, Desai MM, Solotke MT, Latimore D, Gross CP. Association Between Sexual Orientation, Mistreatment, and Burnout Among US Medical Students. JAMA Network Open 2021, 4: e2036136. PMID: 33528552, PMCID: PMC7856540, DOI: 10.1001/jamanetworkopen.2020.36136.Peer-Reviewed Original ResearchConceptsOdds of burnoutAAMC Graduation QuestionnaireMedical studentsSexual orientationAssociated with increased odds of burnoutGraduation QuestionnaireMedical schoolsPoor quality careHeterosexual studentsProbability of burnoutFear of discriminationUS allopathic medical schoolsAssociated with increased oddsExperiences of mistreatmentUS medical studentsAllopathic medical schoolsCross-sectional studyMedical student burnoutLogistic regression modelsSexual minority groupsQuality careOldenburg Burnout Inventory for Medical StudentsLGB sexual orientationTrainee burnoutMain Outcomes
2020
Sex differences in the associations of physical activity and macronutrient intake with child body composition: A cross‐sectional study of 3‐ to 7‐year‐olds in Samoa
Thompson AA, Duckham RL, Desai MM, Choy CC, Sherar LB, Naseri T, Soti‐Ulberg C, Reupena MS, Wetzel AI, Hawley NL. Sex differences in the associations of physical activity and macronutrient intake with child body composition: A cross‐sectional study of 3‐ to 7‐year‐olds in Samoa. Pediatric Obesity 2020, 15: e12603. PMID: 31925928, PMCID: PMC7060109, DOI: 10.1111/ijpo.12603.Peer-Reviewed Original ResearchMeSH KeywordsBody CompositionChildChild, PreschoolCross-Sectional StudiesExerciseFemaleHumansMaleNutrientsOverweightPediatric ObesitySex CharacteristicsConceptsOverweight/obesityPhysical activityBody compositionNutritional intakeDual-energy X-ray absorptiometryPeripheral fat ratioFood frequency questionnaireChildren's nutritional intakeCross-sectional studyChildren's body compositionSamoan childrenX-ray absorptiometrySex-specific associationsSex-stratified analysesFrequency questionnaireObjective physical activity monitoringCarbohydrate intakeIndependent associationDietary intakeMacronutrient intakePhysical activity monitoringIntakeLower trunkFat ratioObesity
2019
Eligibility for Local Therapies in Adolescents and Adults with Cutaneous Leishmaniasis from Southwestern Colombia: A Cross-Sectional Study.
Uribe-Restrepo AF, Prieto MD, Cossio A, Desai M, Castro M. Eligibility for Local Therapies in Adolescents and Adults with Cutaneous Leishmaniasis from Southwestern Colombia: A Cross-Sectional Study. American Journal Of Tropical Medicine And Hygiene 2019, 100: 306-310. PMID: 30628567, PMCID: PMC6367628, DOI: 10.4269/ajtmh.18-0643.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAntimonyAntiprotozoal AgentsChildColombiaCross-Sectional StudiesCryotherapyFemaleHumansHyperthermia, InducedLeishmania braziliensisLeishmania guyanensisLeishmaniasis, CutaneousMaleMiddle AgedParomomycinPentamidinePractice Guidelines as TopicSeverity of Illness IndexConceptsLocal therapyPan American Health OrganizationCutaneous leishmaniasisWorld Health OrganizationIndividualized risk-benefit assessmentCases of CLHealth OrganizationProportion of patientsLarge referral centerRisk-benefit assessmentDifferent treatment guidelinesMaximum lesion sizeReferral centerTreatment guidelinesSystemic drugsWHO criteriaCL patientsSectional studyLeishmania VianniaHigh burdenSevere casesLower riskLesion sizePatientsMild presentation
2018
Prisoner health status at three rural Haitian prisons
LaMonaca K, Desai M, May JP, Lyon E, Altice FL. Prisoner health status at three rural Haitian prisons. International Journal Of Prisoner Health 2018, 14: 197-209. PMID: 30274560, DOI: 10.1108/ijph-02-2017-0010.Peer-Reviewed Original ResearchConceptsBody mass indexHealth statusPhysical functionSociodemographic characteristicsSelf-reported physical functionBetter overall health statusHigher body mass indexPrisoners' health statusOverall health statusCross-sectional studyPhysical health statusMental health statusPoor health outcomesSelf-rated healthLength of detentionAdequate medical careMass indexFood insecurityHealth outcomesAdequate nutritionMedical carePrisoner healthRegional prisonsLow-income countriesMental health
2017
Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study
Ojo TT, Hawley NL, Desai MM, Akiteng AR, Guwatudde D, Schwartz JI. Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study. BMC Public Health 2017, 17: 947. PMID: 29233114, PMCID: PMC5727968, DOI: 10.1186/s12889-017-4954-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCommunity Health WorkersCross-Sectional StudiesFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNoncommunicable DiseasesUgandaConceptsVillage health teamsNon-communicable diseasesNCD preventionVHT membersHealth teamsMaternal-child healthMedical personnelCross-sectional studyResource-limited settingsEastern UgandaNCD servicesHealth workersReferral toolMajor barrierInfectious diseasesMayuge districtHealth issuesDiseaseThematic qualitative analysisPotential rolePreventionRole expansionCommunity awarenessFocus group discussionsEssential personnelChild, maternal and household-level correlates of nutritional status: a cross-sectional study among young Samoan children
Choy CC, Desai MM, Park JJ, Frame EA, Thompson AA, Naseri T, Reupena MS, Duckham RL, Deziel NC, Hawley NL. Child, maternal and household-level correlates of nutritional status: a cross-sectional study among young Samoan children. Public Health Nutrition 2017, 20: 1235-1247. PMID: 28162141, PMCID: PMC10261405, DOI: 10.1017/s1368980016003499.Peer-Reviewed Original ResearchConceptsOverweight/obesityCross-sectional community-based surveyNutritional statusOdds of anemiaOverweight/obeseCross-sectional studyPrevalence of stuntingCommunity-based surveyCondition-specific interventionsMother-child pairsNutritional status outcomesEarly childhood growthHigher family socio-economic statusAnemic mothersObese childrenSugar intakeSamoan childrenChildhood growthStatus outcomesSocio-economic statusDual burdenAge groupsAnemiaHealth programsGrowth standards
2016
Household Food Insecurity and Sleep Patterns Among Mexican Adults: Results from ENSANUT-2012
Jordan ML, Perez-Escamilla R, Desai MM, Shamah-Levy T. Household Food Insecurity and Sleep Patterns Among Mexican Adults: Results from ENSANUT-2012. Journal Of Immigrant And Minority Health 2016, 18: 1093-1103. PMID: 26163336, DOI: 10.1007/s10903-015-0246-5.Peer-Reviewed Original ResearchConceptsPoor sleep qualityHousehold food insecuritySleep durationSleep qualityMexican adultsSevere household food insecuritySelf-reported sleep durationCaribbean Food Security ScaleInadequate sleep durationFood insecurityFood secure householdsPotential confoundersIndependent associationFood Security ScaleSleep patternsBinomial logistic regressionLevels of severitySignificant associationLogistic regressionAdverse effectsVulnerable populationsAdultsAssociationDurationRepresentative survey
2014
Hospital variation in risk-standardized hospital admission rates from US EDs among adults
Capp R, Ross JS, Fox JP, Wang Y, Desai MM, Venkatesh AK, Krumholz HM. Hospital variation in risk-standardized hospital admission rates from US EDs among adults. The American Journal Of Emergency Medicine 2014, 32: 837-843. PMID: 24881514, DOI: 10.1016/j.ajem.2014.03.033.Peer-Reviewed Original ResearchConceptsHospital admission ratesEmergency departmentAdmission ratesClinical characteristicsED visitsHospital factorsClinical factorsAdult ED visitsUS emergency departmentsHospital teaching statusCross-sectional analysisPatient characteristicsHospital admissionHospital variationPatientsTeaching statusHospitalED dataVisitsRepresentative sampleAdultsRural locationsAdmissionFactorsNational variationsAn assessment of health-care students' attitudes toward patients with or at high risk for HIV: implications for education and cultural competency
Jin H, Earnshaw VA, Wickersham JA, Kamarulzaman A, Desai MM, John J, Altice FL. An assessment of health-care students' attitudes toward patients with or at high risk for HIV: implications for education and cultural competency. AIDS Care 2014, 26: 1223-1228. PMID: 24625279, PMCID: PMC4089975, DOI: 10.1080/09540121.2014.894616.Peer-Reviewed Original ResearchConceptsHealth care studentsMSM patientsVulnerable populationsFuture HIV preventionHealth care providersProfessional health-care studentsMultiple clinical contextsHealth care students' attitudesPatient groupGeneral patientsHIV preventionInternet-based surveyHigh riskHIVPatientsPWIDEffective interventionsTreatment effortsClinical contextGroup comparisonsDental studentsGroup differencesMean scoreSignificant differencesSurvey invitationNeed and Unmet Need for Care Coordination Among Children With Mental Health Conditions
Brown NM, Green JC, Desai MM, Weitzman CC, Rosenthal MS. Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions. Pediatrics 2014, 133: e530-e537. PMID: 24534403, DOI: 10.1542/peds.2013-2590.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHealth Services Needs and DemandHumansMaleMental DisordersMental HealthNeeds AssessmentConceptsMental health conditionsCare coordinationFamily-centered careUnmet needHealth conditionsOutcome measuresHealth care characteristicsPrevalence of needLogistic regression modelsParents of childrenCare characteristicsChild healthHigh riskChild anxiety disordersLower riskHealth servicesPrevalenceAnxiety disordersVulnerable populationsChildrenNational surveyFamily supportSocial supportLow incomeCare
2013
Trends in Aortic Valve Replacement for Elderly Patients in the United States, 1999-2011
Barreto-Filho JA, Wang Y, Dodson JA, Desai MM, Sugeng L, Geirsson A, Krumholz HM. Trends in Aortic Valve Replacement for Elderly Patients in the United States, 1999-2011. JAMA 2013, 310: 2078-2084. PMID: 24240935, PMCID: PMC4089974, DOI: 10.1001/jama.2013.282437.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic ValveBicuspid Aortic Valve DiseaseBlack PeopleCohort StudiesCoronary Artery BypassCross-Sectional StudiesFee-for-Service PlansFemaleHeart Defects, CongenitalHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansLength of StayMaleMedicarePatient ReadmissionTreatment OutcomeUnited StatesConceptsSurgical aortic valve replacementAortic valve replacementValve replacementProcedure ratesElderly patientsCoronary artery bypass graft surgeryArtery bypass graft surgeryCross-sectional cohort studyPatients 85 yearsBypass graft surgeryHigh mortality rateCause readmissionCABG surgeryGraft surgeryOlder patientsCohort studyReadmission ratesTranscatheter optionsBlack patientsTranscatheter treatmentMechanical prosthesesThirty-dayContemporary outcomesMAIN OUTCOMEMedicare feeGlobal health experiences of U.S. Physicians: a mixed methods survey of clinician-researchers and health policy leaders
Greysen SR, Richards AK, Coupet S, Desai MM, Padela AI. Global health experiences of U.S. Physicians: a mixed methods survey of clinician-researchers and health policy leaders. Globalization And Health 2013, 9: 19. PMID: 23663501, PMCID: PMC3655883, DOI: 10.1186/1744-8603-9-19.Peer-Reviewed Original ResearchConceptsGlobal health activitiesHealth activitiesGlobal healthHealth services researchHealth policy leadersMulti-specialty groupsHealth policy advocacyHealth involvementU.S. physiciansInternal medicineSocial determinantsHealth policyResultsMost respondentsPhysiciansVulnerable populationsHealth experiencesCareer development pathwaysResidency trainingNational surveyProfessional timeServices researchGlobal health experiencesHealthMedical traineesInvolvementMental Health and Social Support Among HIV-Positive Injection Drug Users and Their Caregivers in China
Greene MC, Zhang J, Li J, Desai M, Kershaw T. Mental Health and Social Support Among HIV-Positive Injection Drug Users and Their Caregivers in China. AIDS And Behavior 2013, 17: 1775-1784. PMID: 23283579, DOI: 10.1007/s10461-012-0396-6.Peer-Reviewed Original ResearchConceptsHIV-positive injection drug usersPatients' mental healthHIV/AIDS treatmentInjection drug usersHIV/AIDSMental healthCaregiver burdenDrug usersInjection drug usePatient-caregiver dyadsCaregivers' mental healthPoor caregiver mental healthNon-clinical caregiversMultivariate linear regression modelingSocial supportHIV careHIV patientsPatient disabilityLinear regression modelingCaregiver healthCaregiver stigmaDrug useAIDS treatmentCaregiver contextCaregivers