2023
The Affordable Rental Housing Crisis and Population Health Equity: a Multidimensional and Multilevel Framework
Keene D, Blankenship K. The Affordable Rental Housing Crisis and Population Health Equity: a Multidimensional and Multilevel Framework. Journal Of Urban Health 2023, 100: 1212-1223. PMID: 37991605, PMCID: PMC10728029, DOI: 10.1007/s11524-023-00799-8.Peer-Reviewed Original ResearchConceptsHousing insecurityPopulation health equityHousing crisisStructural racismHealth equityUnequal burdenCurrent housing crisisMultilevel frameworkHousing arrangementsRacismInsecurityIndividual householdsHousing conditionsEquityCrisisHousingPolicyPopulation healthMultiple formsCommunityConsiderable bodyInsecure individualsFull impactHomelessnessHouseholdsTrusted residents and housing assistance to decrease violence exposure in New Haven (TRUE HAVEN): a strengths-based and community-driven stepped-wedge intervention to reduce gun violence
Tong G, Spell V, Horton N, Thornhill T, Keene D, Montgomery C, Spiegelman D, Wang E, Roy B. Trusted residents and housing assistance to decrease violence exposure in New Haven (TRUE HAVEN): a strengths-based and community-driven stepped-wedge intervention to reduce gun violence. BMC Public Health 2023, 23: 1545. PMID: 37580653, PMCID: PMC10426138, DOI: 10.1186/s12889-023-15997-x.Peer-Reviewed Original ResearchConceptsGun violenceHousing assistanceStructural racismHousing stabilityViolence exposureMulti-level interventionsCommunity gun violenceMulti-stakeholder coalitionsRental assistance programsCommunity-based organizationsHousing supportPolicy changesFinancial educationStable housingBeing of individualsViolenceTarget neighborhoodsCommunity membersNew HavenNeighborhood ratesAssistance programsOrganization leadersRacismHavenNeighborhoodRental assistance improves food security and nutrition: An analysis of National Survey Data
Denary W, Fenelon A, Whittaker S, Esserman D, Lipska K, Keene D. Rental assistance improves food security and nutrition: An analysis of National Survey Data. Preventive Medicine 2023, 169: 107453. PMID: 36813247, PMCID: PMC10037672, DOI: 10.1016/j.ypmed.2023.107453.Peer-Reviewed Original ResearchConceptsRental assistanceNational quasi-experimental studyFood securityHousing affordability crisisComparable control groupDaily fruitMore cupsProject‐based assistanceEligible individualsVegetable consumptionCurrent unmetControl groupQuasi-experimental studyNational survey dataAffordability crisisHousing accessLong waitlistsAdverse health implicationsHealth implicationsFood insecurityWaitlistAverage wait timeWait timeHealth necessitySurvey data“‘Oh gosh, why go?’ cause they are going to look at me and not hire”: intersectional experiences of black women navigating employment during pregnancy and parenting
Mehra R, Alspaugh A, Dunn J, Franck L, McLemore M, Keene D, Kershaw T, Ickovics J. “‘Oh gosh, why go?’ cause they are going to look at me and not hire”: intersectional experiences of black women navigating employment during pregnancy and parenting. BMC Pregnancy And Childbirth 2023, 23: 17. PMID: 36627577, PMCID: PMC9830615, DOI: 10.1186/s12884-022-05268-9.Peer-Reviewed Original ResearchConceptsFamily-friendly workplace policiesIntersectional frameworkPregnancy discriminationLived experienceWorkplace policiesUnited StatesSemi-structured interviewsEconomic marginalizationIntersectional experiencesWomen's experiencesWomen's perspectivesRacial inequitiesSocial identityLabor forceEmployment contextSecure futureQualitative dataHealth equityInterview transcriptsI WannaBlack womenLegal protectionPolicyPregnant women's experiencesEmploymentStructural Racism, the Social Determination of Health, and Health Inequities: The Intersecting Impacts of Housing and Mass Incarceration
Blankenship K, Rosenberg A, Schlesinger P, Groves A, Keene D. Structural Racism, the Social Determination of Health, and Health Inequities: The Intersecting Impacts of Housing and Mass Incarceration. American Journal Of Public Health 2023, 113: s58-s64. PMID: 36696621, PMCID: PMC9877374, DOI: 10.2105/ajph.2022.307116.Peer-Reviewed Original ResearchConceptsStructural racismHealth inequitiesMass incarcerationConceptualization of racismAffordable housing optionsImpact of housingRacist practicesRace inequitiesHousing optionsSegregated neighborhoodsPublic health researchersRacismUS societySocial determinationBlack peopleRacial health disparitiesHealth equityHousingSocial determinantsInequitiesNew formsHealth researchersPolicyIncarcerationHealth disparities
2022
Perspectives of Historically Black College and University Advisors to Premedical Students During the COVID-19 Pandemic
Weiss J, Holaday L, Keene D, Akingbesote ND, Balasuriya L, Sharifi M, Latimore D, Genao I. Perspectives of Historically Black College and University Advisors to Premedical Students During the COVID-19 Pandemic. JAMA Network Open 2022, 5: e2238563. PMID: 36269351, PMCID: PMC9587479, DOI: 10.1001/jamanetworkopen.2022.38563.Peer-Reviewed Original ResearchConceptsMedical school admissions processPremedical studentsSchool admissions processHistorically Black CollegesCOVID-19 pandemicMedical schoolsHBCU studentsPremedical advisorsBlack CollegesAdmission processVirtual learning environmentMedical school admissionsQualitative studyVaried educational backgroundsDepth of experienceEquitable patient careLearning environmentVirtual learningUniversity advisorsBlack studentsSchool admissionsAcademic responsibilitiesHousing Insecurity Among Patients With Cancer
Fan Q, Keene DE, Banegas MP, Gehlert S, Gottlieb LM, Yabroff KR, Pollack CE. Housing Insecurity Among Patients With Cancer. Journal Of The National Cancer Institute 2022, 114: 1584-1592. PMID: 36130291, PMCID: PMC9949594, DOI: 10.1093/jnci/djac136.Peer-Reviewed Original ResearchConceptsCancer careSocial determinantsNational Cancer Policy ForumHealth system interventionsCancer control continuumKey social determinantsHousing insecurityTransportation insecurityPatient outcomesHealth disparitiesHealth equitySocioeconomic statusCareHealth carePatientsStable housingControl continuumCancerSystem interventionsHealthOutcomesEquitable accessDeterminantsSeries of webinarsDiagnosisAssociation Between Rental Assistance Programs and Hemoglobin A1c Levels Among US Adults
Fenelon A, Lipska KJ, Denary W, Blankenship KM, Schlesinger P, Esserman D, Keene DE. Association Between Rental Assistance Programs and Hemoglobin A1c Levels Among US Adults. JAMA Network Open 2022, 5: e2222385. PMID: 35857325, PMCID: PMC9301513, DOI: 10.1001/jamanetworkopen.2022.22385.Peer-Reviewed Original ResearchConceptsUS adultsWaitlist groupCohort studyUncontrolled diabetesDiabetes outcomesMean blood glucose levelHemoglobin A1c levelsNutrition Examination SurveyImproved diabetes outcomesBlood glucose levelsOlder US adultsA1c levelsPrimary outcomeDiabetes controlExamination SurveyGlycated hemoglobinBlood glucoseNational HealthGlucose levelsMAIN OUTCOMEHealth StatisticsLogistic regressionCut pointsAdultsOutcomesEviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health
Groves AK, Smith PD, Gebrekristos LT, Keene DE, Rosenberg A, Blankenship KM. Eviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health. Social Science & Medicine 2022, 305: 115030. PMID: 35594760, PMCID: PMC9332133, DOI: 10.1016/j.socscimed.2022.115030.Peer-Reviewed Original ResearchConceptsHIV sexual riskSexual partnership dynamicsHIV riskSexual riskLongitudinal cohort studySexual risk factorsIPV victimizationCohort studyNegative health effectsRisk factorsViolence screeningPartnership dynamicsHealth effectsDisproportionate riskPotential mediatorsPolicy-level solutionsIntimate partner violenceIPV perpetrationRiskPartner violence victimizationTwo-thirdsIntimate partner violence (IPV) victimizationBaselineOne-fifthPartner violenceStressors on frontline healthcare workers during the COVID-19 pandemic: a focus on moral injury and implications for the future
Adeyemo OO, Tu S, Falako S, Keene D. Stressors on frontline healthcare workers during the COVID-19 pandemic: a focus on moral injury and implications for the future. International Archives Of Occupational And Environmental Health 2022, 95: 1755-1762. PMID: 35482111, PMCID: PMC9048619, DOI: 10.1007/s00420-022-01867-3.Peer-Reviewed Original ResearchConceptsHealth care workersFrontline health care workersPatient care assistantsFrontline healthcare workersCOVID-19 pandemicRespiratory therapistsHealthcare workersMoral injuryPatient's familyCare workersQualitative studyCare assistantsHealth systemInjuryPsychological outcomesInitial phasePandemicRiskNegative psychological outcomesFirst waveStressorsPsychological strainMain themesMethodsWeNurses“Police shootings, now that seems to be the main issue” – Black pregnant women’s anticipation of police brutality towards their children
Mehra R, Alspaugh A, Franck LS, McLemore MR, Kershaw TS, Ickovics JR, Keene DE, Sewell AA. “Police shootings, now that seems to be the main issue” – Black pregnant women’s anticipation of police brutality towards their children. BMC Public Health 2022, 22: 146. PMID: 35057776, PMCID: PMC8781435, DOI: 10.1186/s12889-022-12557-7.Peer-Reviewed Original ResearchConceptsPolice brutalitySources of stressBlack pregnant womenSemi-structured interviewsHealth outcomesPositive experiencesInterview questionsSocietal levelPolice shootingsNeighborhood factorsChildrenBlack peopleBrutalityPoliceStressorsMethodsThis qualitative studyWomen’s anticipationAnticipationQualitative studySparse literatureSocioeconomic statusPeopleExperienceDisproportionate numberFear
2021
How to lead health care workers during unprecedented crises: A qualitative study of the COVID-19 pandemic in Connecticut, USA
Adeyemo OO, Tu S, Keene D. How to lead health care workers during unprecedented crises: A qualitative study of the COVID-19 pandemic in Connecticut, USA. PLOS ONE 2021, 16: e0257423. PMID: 34520505, PMCID: PMC8439455, DOI: 10.1371/journal.pone.0257423.Peer-Reviewed Original ResearchConceptsHealth care workersCare workersCOVID-19 pandemicHealth care leadersHCl responsesFrontline health care workersPatient care assistantsHealth care systemHCWs' experiencesOutpatient settingRespiratory therapistsQualitative studyCare assistantsHealth systemCare systemFuture pandemicsCare leadersEarly phasePandemicFirst waveSemi-structured interviewsResponseParticipantsEnded semi-structured interviewsInpatientsThe Impact of a Pediatric Medical-Legal Partnership on Pediatric Providers: A Qualitative Study
Murillo SN, Rosenthal A, Fenick AM, Keene D. The Impact of a Pediatric Medical-Legal Partnership on Pediatric Providers: A Qualitative Study. Academic Pediatrics 2021, 22: 447-453. PMID: 34271085, DOI: 10.1016/j.acap.2021.06.015.Peer-Reviewed Original ResearchConceptsHealth-harming legal needsChild healthPediatric providersPatient's familyHealth care providersProvider relationshipAcademic medical centerMedical-legal partnershipsParents/guardiansProvider awarenessProvider interviewsMedical CenterCare providersClinical practiceProvider-family relationshipProviders' perceptionsProvider efficacySocial determinantsProvider behaviorLegal PartnershipsPatientsSDOHPopulation healthHealthLegal carePerspectives of Internal Medicine Residency Program Directors on the Accreditation Council for Graduate Medical Education (ACGME) Diversity Standards
Martinez-Strengel A, Balasuriya L, Black A, Berg D, Genao I, Gross CP, Keene D, Latimore D, Sotto-Santiago S, Boatright D. Perspectives of Internal Medicine Residency Program Directors on the Accreditation Council for Graduate Medical Education (ACGME) Diversity Standards. Journal Of General Internal Medicine 2021, 36: 2539-2546. PMID: 34145516, PMCID: PMC8390633, DOI: 10.1007/s11606-021-06825-2.Peer-Reviewed Original ResearchConceptsAssociate program directorsDiversity standardsGraduate Medical EducationCommon Program RequirementsInternal medicine program directorsProgram directorsMedical educationInclusion effortsAccreditation CouncilProgram requirementsProgram leadershipForm of educationResidency programsUS internal medicine residency programsNew common program requirementsConstant comparative methodInternal medicine residency programsInternal medicine residency program directorsSuccessful implementationAcademic yearResidency program directorsMedicine residency programsGME programsProgram leadersResultsThree main themesDoes rental assistance improve mental health? Insights from a longitudinal cohort study
Denary W, Fenelon A, Schlesinger P, Purtle J, Blankenship KM, Keene DE. Does rental assistance improve mental health? Insights from a longitudinal cohort study. Social Science & Medicine 2021, 282: 114100. PMID: 34144434, PMCID: PMC8299474, DOI: 10.1016/j.socscimed.2021.114100.Peer-Reviewed Original ResearchConceptsRental assistanceUnited StatesHousing costsLow-income individualsUrban developmentMental healthEligible householdsBudgetary constraintsAssistanceFixed-effects analysisPsychological distressHouseholdsFinancial strainLongitudinal dataLongitudinal cohort studyLow-income adultsNew HavenNon-significant decreaseCross-sectional analysisRentersHousingU.S. DepartmentCohort studySocial Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability
Blankenship KM, Rosenberg A, Keene DE, Dawson AJ, Groves AK, Schlesinger P. Social Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability. AIDS And Behavior 2021, 25: 190-201. PMID: 33796957, PMCID: PMC8484381, DOI: 10.1007/s10461-021-03238-4.Peer-Reviewed Original ResearchConceptsRelationship workMass incarcerationHousing vulnerabilitySocial determinationLongitudinal qualitative interviewsHIV-related riskQualitative interviewsSurveillance stateAbductive approachSexual practicesCommitted relationshipSocial determinantsHIV preventionCase studyIncarcerationSexual riskHIV-negative womenNeighborhoodContextNew HavenVulnerabilityWomenHIVStudy periodInterviewsMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risks“I don't know what home feels like anymore”: Residential spaces and the absence of ontological security for people returning from incarceration
Rosenberg A, Keene DE, Schlesinger P, Groves AK, Blankenship KM. “I don't know what home feels like anymore”: Residential spaces and the absence of ontological security for people returning from incarceration. Social Science & Medicine 2021, 272: 113734. PMID: 33601251, PMCID: PMC8942126, DOI: 10.1016/j.socscimed.2021.113734.Peer-Reviewed Original ResearchConceptsOntological securityResidential experiencesHealth inequitiesResidential spaceHealth equityIntersection of housingIdea of homeWaves of interviewsSense of feelingCarceral stateMass incarcerationHousing vulnerabilityParticipants' narrativesU.S. citiesBasic securityPlace rulesHousingIncarcerationOne's identityUnderstudied aspectPrisonInequitiesSecurityPeopleEquityEviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy
Benfer EA, Vlahov D, Long MY, Walker-Wells E, Pottenger JL, Gonsalves G, Keene D. Eviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy. Journal Of Urban Health 2021, 98: 1-12. PMID: 33415697, PMCID: PMC7790520, DOI: 10.1007/s11524-020-00502-1.Peer-Reviewed Original ResearchConceptsNon-Hispanic whitesHealth inequitiesPandemic mitigation strategiesInfection rateCOVID-19COVID-19 infectionCOVID-19 infection ratesRacial health inequitiesNegative health effectsSupportive measuresHealth outcomesLow-income populationsHealth effectsUnprecedented unemployment ratesPandemic control strategiesDecreased abilityCOVID-19 pandemicPublic healthRecent dataCOVID-19 spreadDisproportionate ratesPrevention policiesPreventionDeathRecent studiesHousing Instability and HIV Risk: Expanding our Understanding of the Impact of Eviction and Other Landlord-Related Forced Moves
Groves AK, Niccolai LM, Keene DE, Rosenberg A, Schlesinger P, Blankenship KM. Housing Instability and HIV Risk: Expanding our Understanding of the Impact of Eviction and Other Landlord-Related Forced Moves. AIDS And Behavior 2021, 25: 1913-1922. PMID: 33389317, PMCID: PMC7778418, DOI: 10.1007/s10461-020-03121-8.Peer-Reviewed Original Research