Publications – Hopkins Housing & Health Collaborative
- Social determinants of health are major drivers of adverse cardiovascular outcomes throughout the life course. As the population ages, understanding how social determinants influence vascular, myocardial, valvular, and electrophysiologic aging trajectories will be essential to improving cardiovascular outcomes. This review summarizes key frameworks for social determinants of health and cardiovascular aging, then examines social determinants' […]
- CONCLUSIONS: This paper introduces Neighborhood Nursing, contrasts it with the current US system, examines international precedents, discusses implementation within value-based payment ecosystems, and outlines evaluation approaches for assessing health outcomes, community trust, and system efficiency.
- INTRODUCTION: Older adults with cognitive impairment (CI) face challenges to aging in the community. Little is known about the housing characteristics of US older adults with CI.
- BACKGROUND: Racial/ethnic dementia disparities among older adults with end-stage kidney disease (ESKD) are likely driven by environmental and social injustices. We quantified the impact of fine particulate air pollution exposure (PM(2.5); environmental injustice) by racial/ethnic segregation (social injustice) on dementia diagnosis in ESKD.
- CONCLUSION: Across various scenarios of physician recruitment, URiM representation in the cancer physician workforce will remain below half the US population share by 2060.
- CONCLUSIONS AND RELEVANCE: The findings of this cohort study of older adults with cancer suggest that federal housing assistance was associated with earlier-stage diagnosis of breast cancer, colorectal cancer, and NSCLC, highlighting its potential role in mitigating the adverse associations of housing insecurity with cancer outcomes.
- BackgroundMessaging strategies hold promise to reduce breast cancer overscreening. However, it is not known whether they may have differential effects among medical maximizers who prefer to take action about their health versus medical minimizers who prefer to wait and see.MethodsIn a randomized controlled survey experiment that included 2 sequential surveys with 3,041 women aged 65+ […]
- CONCLUSIONS: Among recently hospitalized persons receiving skilled home health care, CAPABLE did not improve ADLs. However, it improved functional mobility and benefited those with ≥ 4 comorbidities. This study provides novel information on targeting CAPABLE in the post-hospitalization period.
- CONCLUSIONS AND RELEVANCE: In this retrospective cohort study of postpartum and interval sterilizations, surgeons who previously shared patients with other physicians with high rates of opportunistic salpingectomy use were more likely to adopt opportunistic salpingectomy in their own subsequent practice. These results suggest physician peer influence in salpingectomy uptake.
- CONCLUSIONS: High maternal prepregnancy BMI was associated with a stepwise increase in offspring BMI in childhood. Preterm children had a higher probability of elevated blood pressure/hypertension than term children. These findings highlight a possible window of opportunity to modify lifestyles and behavior of at-risk children prior to adolescence to positively impact adolescent cardiometabolic health.
- CONCLUSION: These categories were interdependent and spanned across life stages, illustrating the dynamic, cumulative and relational qualities of structural resilience. Furthermore, structural resources were identified as key to safeguarding, empowering and restorative responses to adversity.
- BACKGROUND: Childhood obesity is a global public health issue, which has prompted governments to invest in prevention programmes. We aimed to investigate the effectiveness of parent-focused early childhood obesity prevention interventions globally.
- CONCLUSIONS: While OS increased over time, a substantial proportion of physicians remained low adopters. Geographic and demographic differences in adoption suggest potential inequitable access.
- CONCLUSIONS AND IMPLICATIONS: Even among cognitively intact older adults, subtle global cognitive decline predicted higher risk of depressive symptoms, anxiety symptoms, insomnia, falls, and impaired daily functioning. Profiles with orientation deficits were vulnerable to depression, shopping, and banking difficulties, whereas global impairment with preserved orientation was linked to increased anxiety symptoms. Implementing early cognitive screening […]
- INTRODUCTION: Low-income adults with disabilities experience disproportionately high rates of food insecurity and preventable healthcare utilisation. The Supplemental Nutrition Assistance Program (SNAP) can reduce food insecurity and improve health, but there are accessibility gaps in the SNAP enrolment process. Existing outreach and enrolment assistance programmes have been shown to boost SNAP enrolment, but their health […]