Service use preceding opioid-related fatality

Mark Olfson, Melanie Wall, Shuai Wang, Stephen Crystal, Carlos Blanco 06/01/2018

Objective: This study analyzed health service patterns before opioid-related death among nonelderly individuals in the Medicaid program, focusing on decedents with and without past-year diagnoses of noncancer chronic pain. Methods: The authors identified opioid-related decedents, age #64 years, in the Medicaid program and characterized their clinical diagnoses, filled medication prescriptions, and nonfatal poisoning events during the 30 days and 12 months before death. The study group included 13,089 opioid-related deaths partitioned by presence or absence of chronic noncancer pain diagnoses in the last year of life.

Competencies for engaging high-needs patients in primary care

Michael Yedidia 06/01/2018

Background: Patients who heavily utilize hospitals and emergency departments frequently have complex needs requiring services spanning medical, behavioral, and social service sectors. This study identifies essential competencies for caring for high-needs patients and highlights their importance to primary care delivery.

Elder Mistreatment Among Older Chinese Americans: The Role of Family Cohesion

Xiang Gao, Fei Sun, Flavio F. Marsiglia, Xinqi Dong 05/03/2018

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 …

Psychotropic medication use among adults with schizophrenia and schizoaffective disorder in the United States

T. Scott Stroup, Tobias Gerhard, Stephen Crystal, Cecilia Huang, Zhiqiang Tan, Melanie M. Wall, Chacku M. Mathai, Mark Olfson 05/01/2018

Objective: The authors examined the use of different classes of psychotropic medication in outpatient treatment of schizophrenia and schizoaffective disorder. Methods: Data from the United States Medicaid program were used to examine psychotropic medication use in a cohort of patients who had a diagnosis of schizophrenia or schizoaffective disorder in the calendar year 2010.

Mental Work Demands and Late-Life Cognitive Impairment: Results From the Shanghai Aging Study

Xiaoniu Liang, Zhao Chen, Xinqi Dong, Qianhua Zhao, Qihao Guo, Li Zheng, Wei Deng, Jianfeng Luo, Ding Ding 04/16/2018

Objective: The aim of this study is to explore the association between mental work demands (MWDs) and late-life cognition among Chinese older adults …

Suicide after deliberate self-harm in adolescents and young adults

Mark Olfson, Melanie Wall, Shuai Wang, Stephen Crystal, Jeffrey A. Bridge, Shang Min Liu, Carlos Blanco 04/01/2018

OBJECTIVES: Among adolescents and young adults with nonfatal self-harm, our objective is to identify risk factors for repeated nonfatal self-harm and suicide death over the following year. METHODS: A national cohort of patients in the Medicaid program, aged 12 to 24 years (n = 32 395), was followed for up to 1 year after self-harm. Cause of death information was obtained from the National Death Index.

Antipsychotic medication treatment patterns in adult depression

Tobias Gerhard, T. Scott Stroup, Christoph U. Correll, Cecilia Huang, Zhiqiang Tan, Stephen Crystal, Mark Olfson 03/01/2018

Objective: To characterize the role of antipsychotic medications in the community treatment of adult depression. Methods: We identified adults (aged 18-64 years) with new episodes of depression treatment (ICD-9-CM 296.2, 296.3, 300.4, or 311) in US national Medicaid data (2001-2010). Patients with alternative ICD-9-CM antipsychotic indications, such as schizophrenia or bipolar disorder, were excluded.

Four Lessons Learned From School Nurses in New Jersey About Building a Culture of Health

Robert Atkins 03/01/2018

Building a Culture of Health will give all members of our society the opportunity to lead healthier lives. To achieve this aim, more stakeholders in the community-residents, elected officials, community-based nonprofits, law enforcement, and schools-need to be engaged in addressing the health challenges in our communities. Moreover, all community stakeholders have to think and act “upstream” by addressing the social determinants of health in their communities. Discussed in this article are some of the lessons that are being learned from the “upstream” actions of school nurses in New Jersey about building a Culture of Health.

Alcohol and Mortality: Combining Self-Reported (AUDIT-C) and Biomarker Detected (PEth) Alcohol Measures Among HIV Infected and Uninfected

VACS Project team 02/01/2018

BACKGROUND: Unhealthy alcohol use may be particularly detrimental among individuals living with HIV and/or hepatitis C virus (HCV), and is often under-reported. Direct biomarkers of alcohol exposure may facilitate improved detection of alcohol use

Predicted Impact of the Food and Drug Administration’s Menu-Labeling Regulations on Restaurants in 4 New Jersey Cities

Jessie Gruner, Robin S. DeWeese, Cori Lorts, Michael Yedidia, Punam Ohri-Vachaspati 02/01/2018

Objectives. To determine the proportion of restaurants that will be required to post calorie information under the Food and Drug Administration’s menu-labeling regulations in 4 New Jersey cities.

Mental health spending and intensity of service use among individuals with diagnoses of eating disorders following federal parity

Haiden A. Huskamp, Hillary Samples, Scott E. Hadland, Emma E. McGinty, Teresa B. Gibson, Howard H. Goldman, Susan H. Busch, Elizabeth A. Stuart, Colleen L. Barry 02/01/2018

Objective: The Mental Health Parity and Addiction Equity Act (MHPAEA) was intended to eliminate differences in insurance coverage for mental health and substance use disorder services and medical-surgical care. No studies have examined mental health service use after federal parity implementation among individuals with diagnoses of eating disorders, for whom financial access to care has often been limited. This study examined whether MHPAEA implementation was associated with changes in use of mental health services and spending in this population…

Is screening and intervention associated with treatment receipt among individuals with alcohol use disorder? Evidence from a national survey

Sachini N. Bandara, Hillary Samples, Rosa M. Crum, Brendan Saloner 01/01/2018

Background: Most individuals with alcohol use disorder do not receive treatment and little national-level United States (U.S.) data exist on the association between screening and intervention with receipt of treatment. Methods: The sample includes adults 18 years and older reporting prior year symptoms of alcohol use disorder from 2013 and 2014 National Survey on Drug Use and Health…

Applying a common data model to asian databases for multinational pharmacoepidemiologic studies: Opportunities and challenges

Edward Chia Cheng Lai, Patrick Ryan, Yinghong Zhang, Martijn Schuemie, N. Chantelle Hardy, Yukari Kamijima, Shinya Kimura, Kiyoshi Kubota, Kenneth K.C. Man, Soo Yeon Cho, Rae Woong Park, Paul Stang, Chien Chou Su, Ian C.K. Wong, Yea Huei Yang Kao, Soko Setoguchi Iwata 01/01/2018

Objective: The goal of the Asian Pharmacoepidemiology Network is to study the effectiveness and safety of medications commonly used in Asia using databases from individual Asian countries. An efficient infrastructure to support multinational pharmacoepidemiologic studies is critical to this effort.

Association of Self-Reported Discrimination and Suicide Ideation in Older Chinese Americans

Lydia W. Li, Gilbert C. Gee, Xinqi Dong 01/01/2018

Objective This study examines racial discrimination as a potential novel risk factor for suicide ideation among older Chinese Americans. Design In a cross-sectional analysis, this study drew on data collected in the Population-based Study of Chinese Elderly in Chicago on Chinese older adults age 60 + in the Greater Chicago area (N = 3,157). Thirty-day suicide ideation was a dichotomous variable, derived from items of the Physical Health Questionnaire and the Geriatric Mental State Examination-Version A. Self-reported discrimination was dichotomously coded, based on the Experiences of Discrimination instrument, which asks respondents whether they have ever experienced discrimination in nine situations because of their race/ethnicity/color.

Correlates of Emergency Department Service Utilization Among U.S. Chinese Older Adults

Dexia Kong, Mengting Li, Yin Ling Irene Wong, Jinjiao Wang, Benjamin C. Sun, Xinqi Dong 01/01/2018

Older adults visit emergency departments (EDs) at a disproportionally higher rate than other age groups. Prior studies examining racial disparities in ED utilization focus on African Americans and Hispanics. There is a dearth of information on ED utilization patterns among older Asian Americans despite the evidence that ED expenditures in Asian Americans are comparable to that of Caucasians.

Health Services Utilization Among Chinese American Older Adults: Moderation of Social Support With Functional Limitation

Jinjiao Wang, Dexia Kong, Benjamin C. Sun, Xinqi Dong 01/01/2018

In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism.

Neighborhood social cohesion and cognitive function in U.S. Chinese older adults—findings from the PINE study

Wei Zhang, Sizhe Liu, Fei Sun, Xinqi Dong 01/01/2018

Objectives: The projected increase in the population of older adults in the United States entails a pressing need to examine risk and protective factors associated with cognitive function. This study aims to examine the association between neighborhood social cohesion and cognitive function among older Chinese adults in the United States.

Impact of the 2010 us Healthy, Hunger-Free Kids Act on School Breakfast and Lunch participation rates between 2008 and 2015

Nicole Vaudrin, Kristen Lloyd, Michael Yedidia, Michael Todd, Punam Ohri-Vachaspati 01/01/2018

Objectives; To evaluate National School Lunch Program (NSLP) and School Breakfast Program (SBP) participation over a 7-year period before and after the implementation of the 2010 Healthy, Hunger-Free Kids Act (HHFKA), which required healthier school lunch options beginning in school year (SY) 2012-2013 and healthier school breakfast options beginning in SY2013-2014.

Patterns of food and physical activity environments related to children’s food and activity behaviors: A latent class analysis

Robin S. DeWeese, Punam Ohri-Vachaspati, Marc A. Adams, Jonathan Kurka, Seung Yong Han, Michael Todd, Michael Yedidia 01/01/2018

Relationships between food and physical activity (PA) environments and children’s related behaviors are complex. Latent class analyses derived patterns from proximity to healthy and unhealthy food outlets, PA facilities and parks, and counts of residential dwellings and intersections.

Short-Form Audit Instrument for Assessing Corner Store Healthfulness

Robin S. DeWeese, Michael Todd, Allison Karpyn, Michael Yedidia, Michelle Kennedy, Meg Bruening, Christopher M. Wharton, Punam Ohri-Vachaspati 01/01/2018

Purpose: To develop a valid and feasible short-form corner store audit tool (SCAT) that could be used in-store or over the phone to capture the healthfulness of corner stores. Design: Nonexperimental.