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 gapPeripheral Arterial Disease prevalence and risk factors in the Eastern Caribbean Health Outcomes Research Network (ECHORN) cohort
Adams O, Galusha D, Martinez-Brockman J, Morris E, Hassan S, Maharaj R, Nazario C, Nunez M, Nunez-Smith M. Peripheral Arterial Disease prevalence and risk factors in the Eastern Caribbean Health Outcomes Research Network (ECHORN) cohort. PLOS ONE 2024, 19: e0306918. PMID: 39186495, PMCID: PMC11346651, DOI: 10.1371/journal.pone.0306918.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research NetworkAnkle brachial indexPeripheral arterial disease prevalencePeripheral arterial diseasePotential risk factorsSample of community-dwelling peopleRisk factorsCommunity-dwelling peopleAssociation of potential risk factorsFemale sexLower educational attainmentHistory of heart diseaseRisk factors of peripheral arterial diseaseCohort Study participantsAssociated with peripheral arterial diseaseHigh school educationHeart diseaseBody mass indexMultivariate logistic regressionOscillometric deviceAssociation of increasing ageSmoking statusYears of ageStudy participantsHeart disease historyPrevalence 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 analysisU.S. State Medical Boards' Antiracism Education Requirements for Physicians.
Nguemeni Tiako M, Nobles A, Muhammad M, Nunez-Smith M, Barnett M. U.S. State Medical Boards' Antiracism Education Requirements for Physicians. Annals Of Internal Medicine 2023, 176: 1680-1682. PMID: 37983826, DOI: 10.7326/m23-1476.Peer-Reviewed Original ResearchTimeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Timeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data. PLOS ONE 2023, 18: e0289692. PMID: 37682914, PMCID: PMC10490884, DOI: 10.1371/journal.pone.0289692.Peer-Reviewed Original ResearchConceptsPostmenopausal bleedingFirst diagnostic procedureDiagnostic evaluationDiagnostic proceduresGynecologic conditionsMedicaid patientsCox proportional hazards modelPrompt diagnostic evaluationRetrospective cohort studyMarketScan Research DatabasesAdditional risk factorsNon-clinical factorsCommon gynecologic conditionProportional hazards modelLower ratesCohort studyMost patientsPatient characteristicsBenign etiologyGynecologic cancerCancer patientsPreventive careUterine cancerInsurance typeRisk factorsExcess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020
Caraballo C, Massey D, Ndumele C, Haywood T, Kaleem S, King T, Liu Y, Lu Y, Nunez-Smith M, Taylor H, Watson K, Herrin J, Yancy C, Faust J, Krumholz H. Excess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020. JAMA 2023, 329: 1662-1670. PMID: 37191702, PMCID: PMC10189563, DOI: 10.1001/jama.2023.7022.Peer-Reviewed Original ResearchConceptsExcess mortality ratesExcess deathsMortality ratePotential lifeWhite populationExcess mortalitySerial cross-sectional studyHighest excess mortality ratesBlack populationCause-specific mortalityCross-sectional studyHigh mortality rateNon-Hispanic whitesYears of lifeUS national dataMiddle-aged adultsCause mortalityHeart diseaseDeath certificatesNon-Hispanic black populationMAIN OUTCOMEAge groupsDisease controlMortalityBlack malesSelf-Management and Glycemic Targets in Adult Haitian Immigrants With Type 2 Diabetes
Magny-Normilus C, Whittemore R, Nunez-Smith M, Lee C, Schnipper J, Wexler D, Sanders J, Grey M. Self-Management and Glycemic Targets in Adult Haitian Immigrants With Type 2 Diabetes. Nursing Research 2023, 72: 211-217. PMID: 36929756, PMCID: PMC10121794, DOI: 10.1097/nnr.0000000000000649.Peer-Reviewed Original ResearchConceptsType 2 diabetesSelf-management behaviorsGlycemic targetsSelf-management education programDiabetes self-management education programT2D-related complicationsHaitian immigrantsPrimary study objectiveResearch Electronic Data CaptureSelf-management practicesChronic conditionsGlucose variabilityContinuous glucose monitorMultiple recruitment methodsPhysical activityElevated riskElectronic data captureDisproportionate burdenU.S. adultsT2DDiabetesSelf-ManagementRecruitment methodsStudy objectiveGlucose monitorConsumption 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 dataRacial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Racial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries. Journal Of The National Cancer Institute 2023, 115: 636-643. PMID: 36788453, PMCID: PMC10248843, DOI: 10.1093/jnci/djad027.Peer-Reviewed Original ResearchConceptsAbnormal uterine bleedingWhite patientsUterine cancerFirst diagnostic procedureDiagnostic evaluationBlack patientsDiagnostic proceduresBlack-White disparitiesManagement visitsMarketScan Multi-State Medicaid DatabaseMulti-State Medicaid DatabaseUterine bleedingPatient characteristicsMedicaid databaseEarly diagnosisMedicaid beneficiariesMultivariable regressionPatientsCancerRacial disparitiesDiagnosisVisitsMore evaluationDisparitiesBleeding
2022
Setting an Opportunity Agenda for Multisectoral Partnerships: Building on Learnings from COVID-19.
Nunez-Smith M. Setting an Opportunity Agenda for Multisectoral Partnerships: Building on Learnings from COVID-19. Journal Of Health Care For The Poor And Underserved 2022, 33: vii-xix. PMID: 36533454, DOI: 10.1353/hpu.2022.0154.Peer-Reviewed Original ResearchCentering Health Equity Within COVID-19 Contact Tracing: Connecticut's Community Outreach Specialist Program
Johnson K, Diallo K, Hennein R, Shelby T, Zhou X, Gupta AJ, Ludomirsky A, Weiss JM, Nunez-Smith M, Soto K, Davis JL. Centering Health Equity Within COVID-19 Contact Tracing: Connecticut's Community Outreach Specialist Program. Journal Of Public Health Management And Practice 2022, 28: 728-738. PMID: 36194817, PMCID: PMC9560910, DOI: 10.1097/phh.0000000000001608.Peer-Reviewed Original ResearchConceptsNon-English speaking populationsRelevant language skillsLanguage skillsCultural barriersCompetent careField notesContact tracingLanguageCommunication effortsTarget communityCOVID-19-related stigmaMaterial supportSpecialist programLocal health departmentsQualitative analysisLow socioeconomic statusCross-sectional analysisCommunity-engaged strategiesProportion of residentsSpeakingCOVID-19 contactHealth departmentsCommunityHealth equityCOVID-19 educationDevelopment of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study Data
Almodóvar-Rivera IA, Rosario-Rosado RV, Nazario CM, Hernández-Santiago J, Ramírez-Marrero FA, Nunez M, Maharaj R, Adams P, Martinez-Brockman JL, Tessier-Sherman B, Nunez-Smith M. Development of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study Data. International Journal Of Environmental Research And Public Health 2022, 19: 10415. PMID: 36012047, PMCID: PMC9408472, DOI: 10.3390/ijerph191610415.Peer-Reviewed Original ResearchConceptsBlood sugar levelsHigh blood sugar levelsElevated blood sugarSugar levelsBlood sugarCohort study dataPublic health initiativesAnthropometric indicesFamily historyAnthropometric measuresBMIHealth initiativesCaribbean populationLinear mixed modelsHigher likelihoodPopulation groupsStudy dataCurrent studyMixed modelsDiabetesLevelsGroupIndexPopulationIndividualsEvaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery
Bakkila BF, Kerekes D, Nunez-Smith M, Billingsley KG, Ahuja N, Wang K, Oladele C, Johnson CH, Khan SA. Evaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery. JAMA Network Open 2022, 5: e225664. PMID: 35377425, PMCID: PMC8980937, DOI: 10.1001/jamanetworkopen.2022.5664.Peer-Reviewed Original ResearchConceptsGastrointestinal tract cancerNegative resection marginsTract cancerNegative surgical marginsBlack patientsAdequate lymphadenectomyWhite patientsQuality of careRacial disparitiesSurgical resectionResection marginsSurgical marginsSurgical careNational Cancer DatabaseRetrospective cohort studySite of cancerLonger median survivalHealth careStandard of careCommon age rangeSignificant racial disparitiesAdjuvant chemotherapyBiliary resectionAdjuvant therapyAdult patientsEvaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018
Caraballo C, Mahajan S, Valero-Elizondo J, Massey D, Lu Y, Roy B, Riley C, Annapureddy AR, Murugiah K, Elumn J, Nasir K, Nunez-Smith M, Forman HP, Jackson CL, Herrin J, Krumholz HM. Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018. JAMA Network Open 2022, 5: e226385. PMID: 35389500, PMCID: PMC8990329, DOI: 10.1001/jamanetworkopen.2022.6385.Peer-Reviewed Original ResearchConceptsCross-sectional studyLong sleep durationSleep durationWhite individualsBlack individualsLatino individualsEthnic differencesSerial cross-sectional studyNational Health Interview Survey dataHealth Interview Survey dataSelf-reported sleep durationShort sleep durationInterview Survey dataMiddle-aged adultsSelf-reported raceEstimated prevalenceMAIN OUTCOMELong sleepSleep deficiencyHigher household incomeEthnic disparitiesAge groupsHealth disparitiesPrevalenceSleep disparitiesTechnology Utilization in Black Adolescents with Type 1 Diabetes: Exploring the Decision-Making Process
Mencher SR, Weinzimer SA, Nally LM, Van Name M, Nunez-Smith M, Sadler LS. Technology Utilization in Black Adolescents with Type 1 Diabetes: Exploring the Decision-Making Process. Diabetes Technology & Therapeutics 2022, 24: 249-257. PMID: 35085444, PMCID: PMC11074720, DOI: 10.1089/dia.2021.0413.Peer-Reviewed Original Research
2021
Put Your Money Where Your Mouth Is: How Bioethics Can Learn from Organized Medicine
Clayborne EP, Nunez-Smith M. Put Your Money Where Your Mouth Is: How Bioethics Can Learn from Organized Medicine. The American Journal Of Bioethics 2021, 22: 1-2. PMID: 34962191, DOI: 10.1080/15265161.2022.2009700.Peer-Reviewed Original ResearchDemographic Differences in Medical Students’ Perceptions of Respect for Diversity Among Faculty
Weiss J, Balasuriya L, Cramer LD, Nunez-Smith M, Genao I, Gonzalez-Colaso R, Wong AH, Samuels EA, Latimore D, Boatright D, Sharifi M. Demographic Differences in Medical Students’ Perceptions of Respect for Diversity Among Faculty. Academic Medicine 2021, 96: s218-s219. PMID: 34705721, DOI: 10.1097/acm.0000000000004284.Peer-Reviewed Original ResearchBarriers to Type 2 Diabetes Management Among Older Adult Haitian Immigrants
Magny-Normilus C, Whittemore R, Wexler DJ, Schnipper JL, Nunez-Smith M, Fu MR. Barriers to Type 2 Diabetes Management Among Older Adult Haitian Immigrants. The Science Of Diabetes Self-Management And Care 2021, 47: 382-390. PMID: 34610761, PMCID: PMC8939501, DOI: 10.1177/26350106211040435.Peer-Reviewed Original ResearchConceptsHaitian immigrantsFinancial hardshipSocial isolationDescriptive qualitative approachGood community supportImmigrantsPublic effortsCommunity supportDescriptive data analysis methodBasic needsQualitative approachIndividual effortsHardshipInterviewsChallenge interpretationsMajor barrierHealth careNVivoBarriersEffortsThemesTremendous impactExperienceSupportData analysis methodsAwareness 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 ResearchConceptsSelf-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 regressionDiagnosis