2024
Peripheral 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
2022
Evaluation 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 patients
2021
Barriers 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 regressionDiagnosisTrends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018
Mahajan S, Caraballo C, Lu Y, Valero-Elizondo J, Massey D, Annapureddy AR, Roy B, Riley C, Murugiah K, Onuma O, Nunez-Smith M, Forman HP, Nasir K, Herrin J, Krumholz HM. Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018. JAMA 2021, 326: 637-648. PMID: 34402830, PMCID: PMC8371573, DOI: 10.1001/jama.2021.9907.Peer-Reviewed Original ResearchConceptsHealth care accessFair health statusSelf-reported health statusCare accessHealth statusWhite individualsEthnic differencesLatino/HispanicNational Health Interview Survey dataSerial cross-sectional studySelf-reported functional limitationsBlack individualsHealth Interview Survey dataLow incomeCross-sectional studyCross-sectional survey studyInterview Survey dataSelf-reported raceSelf-report measuresMAIN OUTCOMEUS adultsFunctional limitationsPercentage of peopleSignificant decreaseAdultsOlder immigrants perceived health after migration to the United States: Influence of age and level of acculturation
Kang G, Hajduk A, Marottoli R, Nunez‐Smith M. Older immigrants perceived health after migration to the United States: Influence of age and level of acculturation. Journal Of The American Geriatrics Society 2021, 69: 2625-2637. PMID: 34252200, PMCID: PMC8440395, DOI: 10.1111/jgs.17363.Peer-Reviewed Original ResearchConceptsHealth statusAge groupsWorse healthWorse health statusCross-sectional studyLevel of acculturationSpecific health needsYears of ageInfluence of ageAge-related differencesRepresentative cohortFunctional comorbiditiesHealth needsAcculturation levelDemographic characteristicsMain predictorsAgeHealthLate-life immigrantsSecondary variablesUnited StatesStatusAssociationGroupYears
2020
Racial and Ethnic Disparities in Population-Level Covid-19 Mortality
Gross CP, Essien UR, Pasha S, Gross JR, Wang SY, Nunez-Smith M. Racial and Ethnic Disparities in Population-Level Covid-19 Mortality. Journal Of General Internal Medicine 2020, 35: 3097-3099. PMID: 32754782, PMCID: PMC7402388, DOI: 10.1007/s11606-020-06081-w.Peer-Reviewed Original Research
2019
Phenotypes of Hypertensive Ambulatory Blood Pressure Patterns: Design and Rationale of the ECHORN Hypertension Study.
Spatz ES, Martinez-Brockman JL, Tessier-Sherman B, Mortazavi B, Roy B, Schwartz JI, Nazario CM, Maharaj R, Nunez M, Adams OP, Burg M, Nunez-Smith M. Phenotypes of Hypertensive Ambulatory Blood Pressure Patterns: Design and Rationale of the ECHORN Hypertension Study. Ethnicity & Disease 2019, 29: 535-544. PMID: 31641320, PMCID: PMC6802166, DOI: 10.18865/ed.29.4.535.Peer-Reviewed Original ResearchConceptsAmbulatory blood pressure measurementsABPM patternsBP patternAmbulatory blood pressure patternsMore precision-based approachesAmbulatory BP patternsDiagnosis of HTNTreatment of HTNBlood pressure patternWave 2High-risk populationBlood pressure measurementsCommunity-residing adultsPrecision-based approachesAntihypertensive medicationsBlood pressureProspective studyHypertension StudyHypertensive phenotypeCardiovascular diseaseParent studyHTNEcological momentary assessmentSelf-report surveyHigh rate
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 ResearchNon-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Wang KH, Thompson TA, Galusha D, Friedman H, Nazario CM, Nunez M, Maharaj RG, Adams OP, Nunez-Smith M, on behalf of the ECHORN Writing Group. Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Cancer Causes & Control 2018, 29: 315-324. PMID: 29423760, PMCID: PMC6587190, DOI: 10.1007/s10552-018-1005-4.Peer-Reviewed Original ResearchConceptsNon-communicable chronic diseasesTimely breast cancer screeningBreast cancer screeningChronic diseasesCancer screeningBreast cancerEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyUsual sourceReceipt of mammographyChronic disease controlCohort studyEligible womenCancer deathCross-sectional data analysisPreventive screeningCancer preventionSubstantial burdenClinical providersTimely screeningDiabetesTimely mammographyBivariate analysisHypertensionDisease controlDisease
2017
Quality of Care in the United States Territories, 1999–2012
Nuti SV, Wang Y, Masoudi FA, Nunez-Smith M, Normand ST, Murugiah K, Rodríguez-Vilá O, Ross JS, Krumholz HM. Quality of Care in the United States Territories, 1999–2012. Medical Care 2017, 55: 886-892. PMID: 28906314, PMCID: PMC6482857, DOI: 10.1097/mlr.0000000000000797.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHeart failureHospitalization ratesMedicare beneficiariesMortality rateService Medicare beneficiariesQuality of careRecent study periodPneumonia hospitalizationsMyocardial infarctionPatient outcomesMillions of AmericansMedicare feeHealth outcomesPneumoniaService beneficiariesHospital reimbursementUnique beneficiariesHealth equityStudy periodPatient paymentsInpatient paymentsHealth careMortalityCare
2016
Estimating healthcare mobility in the Veterans Affairs Healthcare System
Wang KH, Goulet JL, Carroll CM, Skanderson M, Fodeh S, Erdos J, Womack JA, Abel EA, Bathulapalli H, Justice AC, Nunez-Smith M, Brandt CA. Estimating healthcare mobility in the Veterans Affairs Healthcare System. BMC Health Services Research 2016, 16: 609. PMID: 27769221, PMCID: PMC5075153, DOI: 10.1186/s12913-016-1841-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDelivery of Health CareElectronic Health RecordsEmigration and ImmigrationFemaleHospitals, VeteransHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthYoung AdultConceptsHealthcare systemVeterans Health Administration electronic health recordsVeterans Affairs Healthcare SystemHealthcare mobilityRetrospective cohort studyHepatitis C virusOutcomes of careDifferent healthcare systemsDistinct healthcare systemsElectronic health recordsClinical characteristicsCohort studyHealthcare utilizationC virusSpecialty carePsychiatric disordersYounger veteransDisease preventionYounger agePopulation healthHealth recordsVeteransStatus changesCareYear periodHospitalization Rates for Acute Myocardial Infarction Among Asian-American Subgroups: Have We Been Underestimating the Problem?
Chakkalakal RJ, Fox JP, Green JC, Nunez-Smith M, Nallamothu BK, Hasnain-Wynia R. Hospitalization Rates for Acute Myocardial Infarction Among Asian-American Subgroups: Have We Been Underestimating the Problem? Journal Of Immigrant And Minority Health 2016, 20: 20-25. PMID: 27757693, PMCID: PMC5395357, DOI: 10.1007/s10903-016-0517-9.Peer-Reviewed Original Research
2013
Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services
MacIntosh T, Desai MM, Lewis TT, Jones BA, Nunez-Smith M. Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services. PLOS ONE 2013, 8: e64522. PMID: 23704992, PMCID: PMC3660607, DOI: 10.1371/journal.pone.0064522.Peer-Reviewed Original ResearchConceptsHealthcare discriminationCancer screeningBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemReceipt of vaccinationPreventive healthcare servicesInfluence health outcomesNon-Hispanic whitesCross-sectional analysisRace/ethnicityPneumococcal vaccinationPreventive carePreventive servicesPreventive vaccinationAge 60Health outcomesEthnic minoritiesVaccinationW groupDistrict of ColumbiaHealthcare servicesSignificant differencesRace/Similar ratesSurveillance system
2012
The Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities
Neal-Boylan L, Hopkins A, Skeete R, Hartmann SB, Iezzoni LI, Nunez-Smith M. The Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities. Academic Medicine 2012, 87: 172-178. PMID: 22189880, DOI: 10.1097/acm.0b013e31823e1e1c.Peer-Reviewed Original ResearchConceptsHealth care professionalsPermanent disabilityCare professionalsLicensed Registered NursesHealth care workforceDiverse health care workforceRegistered NursesSelf-identified disabilityNursesPatient safetyPhysiciansEmotional spectrumInterpersonal interactionsCare workforceDisabilityWorkplace accommodationsParticipants' responsesSensory disabilitiesPersonal responsibilityCareer choiceInterview transcriptsWorkplaceResponseConsistent themeCareer trajectories
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 statesSelf-management among patients living with diabetes in the United States Virgin Islands.
Nunez MA, Yarandi H, Nunez-Smith M. Self-management among patients living with diabetes in the United States Virgin Islands. Journal Of Health Care For The Poor And Underserved 2011, 22: 271-83. PMID: 21317521, PMCID: PMC3140693, DOI: 10.1353/hpu.2011.0024.Peer-Reviewed Original ResearchConceptsUnited States Virgin IslandsCultural nuancesCultural contextVirgin IslandersRecurrent themesU.S. territoriesU.S. mainlandQualitative analysisSelf-management knowledgeSelf-management practicesSpecific challengesVirgin IslandsSelf-management behaviorsSelf-administered questionnaireSpecific needsDiabetes epidemicMedical homeHome interviewsAdapting the everyday discrimination scale to medical settings: reliability and validity testing in a sample of African American patients.
Peek ME, Nunez-Smith M, Drum M, Lewis TT. Adapting the everyday discrimination scale to medical settings: reliability and validity testing in a sample of African American patients. Ethnicity & Disease 2011, 21: 502-9. PMID: 22428358, PMCID: PMC3350778.Peer-Reviewed Original ResearchConceptsAfrican American patientsTest-retest reliabilityAmerican patientsMedical settingsEpidemiologic Studies Depression ScaleCross-sectional studyHealth Care ScaleAcademic medical centerHealth care settingsConvergent validityInternal consistencyHealth care systemExcellent internal consistencyCare ScaleBaseline interviewCare settingsDepression ScaleMedical CenterDiscriminant validityHealth disparitiesPatientsKey subscalesCare systemDiscrimination ScaleEveryday Discrimination Scale
2010
Professional Experiences of International Medical Graduates Practicing Primary Care in the United States
Chen PG, Nunez-Smith M, Bernheim SM, Berg D, Gozu A, Curry LA. Professional Experiences of International Medical Graduates Practicing Primary Care in the United States. Journal Of General Internal Medicine 2010, 25: 947-953. PMID: 20502974, PMCID: PMC2917670, DOI: 10.1007/s11606-010-1401-2.Peer-Reviewed Original Research