2024
Supporting diversity in clinical trials: the equitable breakthroughs in medicine site maturity model
Harris T, Nunez-Smith M, Suttiratana S, Fretz S, Leonard S, Linnander E, Curry L. Supporting diversity in clinical trials: the equitable breakthroughs in medicine site maturity model. Trials 2024, 25: 764. PMID: 39543751, PMCID: PMC11566401, DOI: 10.1186/s13063-024-08594-9.Peer-Reviewed Original ResearchConceptsSocial determinants of healthQuantitative self-report dataDeterminants of healthCommunity engagementHealth care providersRepresentation of diverse populationsSelf-reported dataSocial determinantsCare providersContent validityPotential participantsClinical trial capabilitiesClinical trial diversityDiverse populationsInclusion of diverse participantsClinical trialsAssessment of capabilitiesTrial infrastructureDiverse participantsU.S. sitesClinical researchAbstract BackgroundParticipantsDiversity effortsStructural assessmentDisentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools
Alpert A, Hernandez T, Ruddick R, Manzano C, Adams S, Rivers L, Ramos-Pibernus A, Sevelius J, Poteat T, Obedin-Maliver J, Cicero E, Radix A, Lett E, Operario D, Chapman B, Wittink M, Cupertino A, Murchison G, Nunez-Smith M, Cartujano-Barrera F. Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools. Patient Education And Counseling 2024, 130: 108473. PMID: 39471780, DOI: 10.1016/j.pec.2024.108473.Peer-Reviewed Original ResearchTGD peopleGender identity questionTGD participantsConflation of sexConcepts of sexIdentical questionsTGD adultsGender identityCommunity membersTGDContextual factorsQualitative dataGenderDecrease stigmaPeopleData collection toolTemplate analysisQuantitative dataAnalyzed quantitative dataCisgenderismCollective preferencesQuestionsTransgenderMedical careMixing methodDiagnostic experiences of Black and White patients with uterine cancer: A qualitative study
Britton M, Izampuye E, Clark M, Ornstein R, Nunez-Smith M, Wright J, Xu X. Diagnostic experiences of Black and White patients with uterine cancer: A qualitative study. Gynecologic Oncology 2024, 191: 67-73. PMID: 39362045, DOI: 10.1016/j.ygyno.2024.09.010.Peer-Reviewed Original ResearchDiagnosis of uterine cancerUterine cancerRacial disparitiesHealthcare systemSocial determinants of healthNon-Hispanic White (WhiteGynecologic careDeterminants of healthDiscriminatory experiencesSemi-structured interviewsPatient engagementSocial determinantsAcceptance of discomfortHealthcare accessPerceived barriersPatient experienceThematic analysisDiagnostic journeyQualitative studyAudio-recordedBlack respondentsWhite patientsNegative experiencesHealthcareStage II-IV diseaseUnderstanding 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 dependenceCohortPrevalenceThe Case for Data Visibility
Nunez-Smith M. The Case for Data Visibility. Daedalus 2024, 153: 18-20. DOI: 10.1162/daed_a_02046.Peer-Reviewed Original Research
2023
The Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study: Design, Methods, and Baseline Characteristics
Thompson T, Desai M, Martinez-Brockman J, Tessier-Sherman B, Nunez M, Adams O, Nazario C, Maharaj R, Nunez-Smith M. The Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study: Design, Methods, and Baseline Characteristics. International Journal Of Environmental Research And Public Health 2023, 21: 17. PMID: 38276805, PMCID: PMC10815461, DOI: 10.3390/ijerph21010017.Peer-Reviewed Original ResearchBlack-White differences in uterine cancer symptomatology and stage at diagnosis
Xu X, Chen L, Nunez-Smith M, Clark M, Ferris J, Hershman D, Wright J. Black-White differences in uterine cancer symptomatology and stage at diagnosis. Gynecologic Oncology 2023, 180: 118-125. PMID: 38091770, PMCID: PMC10922746, DOI: 10.1016/j.ygyno.2023.11.029.Peer-Reviewed Original ResearchAdvanced stage diagnosisWhite patientsPostmenopausal bleedingPatient characteristicsEnd Results-Medicare databaseBlack-white differencesBlack-White disparitiesBlack patientsUterine cancerCancer symptomsHigh riskPatientsAdvanced stageSymptomsDiagnosisCancer symptomatologyRegression modelsRiskLarge proportionBleedingHistologyCancerEpidemiologySymptomatologyMonthsRisk 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 ResearchPrologue
Nunez-Smith M. Prologue. 2023, 143-148. DOI: 10.1017/9781009265690.016.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 factorsClassification of blood pressure during sleep impacts designation of nocturnal nondipping
Mortazavi B, Martinez-Brockman J, Tessier-Sherman B, Burg M, Miller M, Nowroozilarki Z, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Spatz E. Classification of blood pressure during sleep impacts designation of nocturnal nondipping. PLOS Digital Health 2023, 2: e0000267. PMID: 37310958, PMCID: PMC10263317, DOI: 10.1371/journal.pdig.0000267.Peer-Reviewed Original ResearchAmbulatory blood pressure monitorBlood pressure monitorNocturnal nondippingBlood pressurePressure monitorAmbulatory blood pressure monitoringClinic blood pressure measurementsAmbulatory blood pressureFuture cardiovascular riskBlood pressure monitoringSleep periodBlood pressure measurementsCardiovascular riskHypertension StudyTotal sleep lengthCardiovascular diseaseNondippingSleep qualitySleep efficiencyPressure monitoringSleep patternsSecondary analysisSleep onsetSleep lengthFleiss' kappaExcess 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 education