2024
Understanding Barriers and Facilitators to Disaster Preparedness in Federally Qualified Health Centers in the United States: A Mixed Methods Study
Hassan S, Wiciak M, Escobar K, del Mar González Montalvo M, Richards T, Villanueva H, Ortiz J, Evans D, Nunez-Smith M. Understanding Barriers and Facilitators to Disaster Preparedness in Federally Qualified Health Centers in the United States: A Mixed Methods Study. Disaster Medicine And Public Health Preparedness 2024, 18: e138. PMID: 39291834, DOI: 10.1017/dmp.2024.102.Peer-Reviewed Original ResearchConceptsFederally Qualified Health CentersNon-communicable diseasesMultiple non-communicable diseasesMixed-methods study designDisaster preparednessQualified Health CentersQualitative dataMixed methods studyMental health disordersQualitative in-depth interviewsKnowledge of disaster preparednessExperiences of staffHealth disparitiesIn-depth interviewsUnderstanding barriersHealth centersMethods studyHealth disordersStudy designPuerto RicoQuantitative surveyCareNarrative approachPreparednessPerceived gapPrevalence and correlates of alcohol use among the elderly in the Eastern Caribbean Health Outcomes Research Network (ECHORN) cohort study
Ransome Y, Martinez-Brockman J, Galusha D, Thompson T, Adams O, Nazario C, Nunez M, Nunez-Smith M, Maharaj R. Prevalence and correlates of alcohol use among the elderly in the Eastern Caribbean Health Outcomes Research Network (ECHORN) cohort study. Addictive Behaviors 2024, 153: 108001. PMID: 38447411, DOI: 10.1016/j.addbeh.2024.108001.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research NetworkCorrelates of alcohol useCohort studyAlcohol useAlcohol problemsBinge drinking daysResearch NetworkDrinking daysLogistic regression analysisDrinking statusDescriptive statisticsCollege educationReligious attendanceCaribbean peopleSample characteristicsAlcohol measuresLongitudinal studySchool educationReligious servicesRegression analysisDrinking problemsOddsAlcohol dependenceCohortPrevalence
2023
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Martinez-Brockman J, Hromi-Fiedler A, Galusha D, Oladele C, Acosta L, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Pérez-Escamilla R, Group O. Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Frontiers In Public Health 2023, 11: 1269857. PMID: 38074748, PMCID: PMC10702572, DOI: 10.3389/fpubh.2023.1269857.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCohort studyRisk factorsHousehold food insecurityPrevalence of HHFIPopulation-based longitudinal cohort studyBivariate analysisCaribbean Food Security ScaleSex stratified analysisImportant risk factorLongitudinal cohort studyPotential risk factorsCohort study dataYears of ageSelf-rated physical healthEnvironmental risk factorsCross-sectional analysisHFI statusPrimary outcomeMultivariable analysisSmoking statusFood insecuritySevere food insecurityOrdinal logistic regressionStratified analysisConsumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean
Oladele C, Khandpur N, Galusha D, Hassan S, Colón-Ramos U, Miller M, Adams O, Maharaj R, Nazario C, Nunez M, Pérez-Escamilla R, Hassell T, Nunez-Smith M. Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean. Public Health Nutrition 2023, 26: 1403-1413. PMID: 36856024, PMCID: PMC10346089, DOI: 10.1017/s1368980023000381.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudySugar-sweetened beveragesSSB consumptionDietary Screener QuestionnaireIntake of sodaRisk of diabetesUse of medicationsPercentage of participantsTotal mean intakeCoffee/teaT2D diabetesUnknown diabetesCohort studyDiabetes statusPersons 40Screener questionnaireMean intakeGreater oddsDiabetesMultivariate analysisPast monthLogistic regressionLower educationBeverage typeBaseline data
2021
Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Magny-Normilus C, Galusha D, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M, Group O. Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Primary Care Diabetes 2021, 16: 107-115. PMID: 34253484, PMCID: PMC8743302, DOI: 10.1016/j.pcd.2021.06.011.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyGlycemic controlCVD riskCohort studyRisk factorsCVD risk factor managementElevated CVD riskCardiovascular risk factorsCVD risk factorsRisk factor managementCVD risk equationsYears of agePercent of participantsCardiovascular riskIndependent predictorsUncontrolled diabetesPhysical examFactor managementHigh burdenHigh prevalencePremature mortalityMultinomial logistic regressionDiabetesRisk equationsBivariate analysisAnthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Oladele C, Galusha D, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M. Anthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. BMC Public Health 2021, 21: 399. PMID: 33632164, PMCID: PMC7905572, DOI: 10.1186/s12889-021-10399-3.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCVD riskCardiovascular disease riskHigh-risk groupAnthropometric measuresElevated waistCohort studyDisease riskElevated body mass indexASCVD risk scoreOverweight/obeseBody mass indexAmerican Heart AssociationObesity-related riskDifferent anthropometric measuresElevated WHRResultsMean ageWaist circumferenceMass indexHip ratioHeart AssociationRisk groupsRisk scoreRisk algorithmObesity
2018
Quality Of Breast Cancer Care In The US Territories: Insights From Medicare
Layne TM, Aminawung JA, Soulos PR, Nunez-Smith M, Nunez MA, Jones BA, Wang KH, Gross CP. Quality Of Breast Cancer Care In The US Territories: Insights From Medicare. Health Affairs 2018, 37: 421-428. PMID: 29505365, PMCID: PMC7081152, DOI: 10.1377/hlthaff.2017.1045.Peer-Reviewed Original Research
2011
Quality of Care in the US Territories
Nunez-Smith M, Bradley EH, Herrin J, Santana C, Curry LA, Normand SL, Krumholz HM. Quality of Care in the US Territories. JAMA Internal Medicine 2011, 171: 1528-1540. PMID: 21709184, PMCID: PMC3251926, DOI: 10.1001/archinternmed.2011.284.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized readmission ratesRisk-standardized mortality ratesHeart failureMortality rateReadmission ratesProcess measuresHospital characteristicsHighest risk-standardized mortality ratesPrincipal discharge diagnosisQuality of careHealth care qualityDischarge diagnosisService patientsMyocardial infarctionTerritorial HospitalNonfederal hospitalsUS territoriesMedicare feePneumoniaHospitalCare qualityPatientsPerformance of hospitalsUS states