Comorbid Depressive Symptoms and Chronic Medical Conditions Among US Chinese Older Adult
OBJECTIVES: The prevalence and health consequences of comorbid depressive symptoms (DSs) and chronic medical conditions (CMCs) among older ethnic minority populations ..
Advancing Asian Health Equity: Multimodal Approach to Translate Research into Practice and Policy
Minority populations are increasing rapidly in the United States, with the Asians the fastest growing population. Preliminary research showed marked disparities in relationship …
Filial discrepancy and mortality among community-dwelling older adults: a prospective cohort study
Objectives: Adult children play a significant role in ageing parents’ health and well-being. However, the evidence is mixed regarding whether the parent-child relations will affect older adults’ …
Patient perspectives on the linkage of health data for research: Insights from an online patient community questionnaire
Objective: To examine the patient perspective on the risks and benefits of linking existing data sources for research. Materials and methods: Between December 2015 and February 2016, we fielded a questionnaire in PatientsLikeMe, an online patient community representing over 2500 health conditions. The questionnaire was developed using subject matter expertise and patient feedback from a concept elicitation phase (N = 57 patients).
Psychological well-being of Chinese Immigrant adult-child caregivers: how do filial expectation, self-rated filial performance, and filial discrepancy matter?
Background: Given the importance of ethnic culture in family caregiving and recent Chinese immigrant population growth, this study explored effects of multiple filial piety traits—filial expectation, self-rated filial performance, and filial discrepancy—on psychological well-being of Chinese immigrants who care for older parents (adult-child caregivers) in the United States.
Opioid Use and Misuse and Suicidal Behaviors in a Nationally Representative Sample of US Adults
Prior research has shown associations between opioid misuse and suicidal behaviors, but the relationship between medical opioid use and suicidal behaviors is not known. We assessed associations of opioid use and misuse with suicidal ideation, suicide plans, and suicide attempts among adults aged 18-64 years (n = 86,186) using nationally representative cross-sectional data from the 2015 and 2016 administrations of the National Survey on Drug Use and Health…
Participation in the Supplemental Nutrition Assistance Program and Dietary Behaviors: Role of Community Food Environment
Background: The United States Department of Agriculture’s Supplemental Nutrition Assistance Program (SNAP) is the country’s largest nutrition assistance program for low-income populations. Although SNAP has been shown to reduce food insecurity, research findings on the diet quality of program participants are inconsistent.
Cognitive deficit, physical frailty, hospitalization and emergency department visits in later life
Objectives: To examine the added effect of having both cognitive deficit and physical frailty, compared to having either one only, on hospitalization and emergency department (ED) visits …
Youth perceptions of parental involvement and monitoring, discrepancies with parental perceptions, and their associations with first cigarette use in black and white girls
Objective: Low parental involvement and monitoring are risk factors for adolescent cigarette use. Assessments of parental involvement and monitoring by youth and parents may capture an additional source of risk: Differences in perceptions of these parenting behaviors. This study tested for unique contributions of youth-reported parental involvement and monitoring and youth–parent discrepancies in reporting to first cigarette use in girls. Method: Data were drawn from interviews at ages 8–17 with 1,869 girls (57.3% Black, 42.7% White) and their primary caregivers (94% mothers) in the Pittsburgh Girls Study…
The Relationship Between Depressive Symptoms and Health Services Utilization in U.S. Chinese Older Adults
BACKGROUND AND OBJECTIVES: Depressive symptomatology is a significant predictor of increased health services utilization and health care cost in the general older adult population. However, there is scant information on the relationship between depressive symptoms and health service utilization among U.S. Chinese older adults. The objective of this study was to examine the relationship between depressive symptoms and physician visits, emergency department (ED) visits, and hospitalization.
Comparative Effectiveness of Adjunctive Psychotropic Medications in Patients with Schizophrenia
Importance: People with schizophrenia are commonly treated with psychotropic medications in addition to antipsychotics, but there is little evidence about the comparative effectiveness of these adjunctive treatment strategies. Objective: To study the comparative real-world effectiveness of adjunctive psychotropic treatments for patients with schizophrenia.
Depression and all-cause mortality risk in HIV-infected and HIV-uninfected US veterans: a cohort study
Objectives: The contribution of depression to mortality in adults with and without HIV infection is unclear. We hypothesized that depression increases mortality risk and that this association is stronger among those with HIV infection. Methods: Veterans Aging Cohort Study (VACS) data were analysed from the first clinic visit on or after 1 April 2003 (baseline) to 30 September 2015.
Predictors of timely opioid agonist treatment initiation among veterans with and without HIV
Background: Opioid use disorder (OUD) is prevalent among people with HIV (PWH). Opioid agonist therapy (OAT) is the most effective treatment for OUD and is associated with improved health outcomes, but is often not initiated.
Association of Medicaid Enrollee Characteristics and Primary Care Utilization with Cancer Outcomes for the Period Spanning Medicaid Expansion in New Jersey
Cancer outcomes for Medicaid enrollees may be affected by patients’ primary care (PC) utilization and complex Medicaid enrollment dynamics, which have recently changed for many states under the Affordable Care Act.
Building a Culture of Health: A Policy Roadmap to Help All New Jerseyans Live Their Healthiest Lives
New Jersey has a lot to be proud of when it comes to health, including comparatively low rates of smoking, teen births, infant deaths, and premature deaths, and high rates of preschool enrollment and high school graduation.
Learning from Supportive Housing Programs in New Jersey: Results from Interviews with Program Leaders
There is substantial evidence that social factors influence health, health services use, and health care spending. Among these “social determinants of health”, housing is key (Doran, Misa, and Shah 2013).
Elder Mistreatment Among Older Chinese Americans: The Role of Family Cohesion
Cultural values are believed to influence perceptions of and solutions to elder mistreatment (EM) perpetrated by family members. This study aimed to understand the influence of family cohesion on EM reported by community-dwelling older Chinese Americans.
Characteristics of precollege sexual violence victimization and associations with sexual violence revictimization during college
Objective: To examine the prevalence and characteristics of precollege sexual victimization (SV) experiences and associations with revictimization and recent substance use behaviors among a sample of college students who reported precollege SV. Participants: A sub-sample of 931 college students who reported precollege SV at baseline data collection for an ongoing multi-site clinical trial. Methods: Data were collected via electronic surveys between September 2015 and March 2017. Measures included precollege and during college SV, recent substance use, and alcohol-related harm reduction behaviors…
Trends in the Supply, Utilization, and Payment for Primary Care Services in New Jersey FamilyCare before and after ACA Medicaid Expansion
Medicaid expansion under the Affordable Care Act (ACA) has raised questions about whether and how the program will be able to meet the rising demand for demand for services from new enrollees. The supply of primary care services is of particular concern. Numerous reports have warned about national shortages in the supply of primary care physicians overall and many practicing physicians do not participate in Medicaid.
Validation studies of claims data in the Asia-Pacific region: A comprehensive review
Purpose: To describe published validation studies of administrative health care claims data in the Asia-Pacific region. Methods: A comprehensive literature search was conducted in PubMed for English language articles published through 31-Oct-2017 in humans from 10 Asian-Pacific countries or regions (Japan, Australia, New Zealand, China, Hong Kong, India, Singapore, South Korea, Taiwan, and Thailand) that validated claims-based diagnoses with a gold standard data source. Search terms included the: validation, validity, accuracy, sensitivity, agreement, specificity, positive predictive value, kappa, kappa coefficient, and Cohen’s kappa. Results: Forty-three studies across six countries were identified: Australia (21); Japan (6); South Korea (6); Taiwan (7); Singapore (2); and New Zealand (1).