Publications – Hopkins Housing & Health Collaborative
- Unsheltered people experiencing homelessness (PEH) in the United States (US) have a disproportionately high burden of illegal drug use and overdose. Due to their economic and social marginalization, unsheltered PEH who use drugs are often constrained in where they use drugs, and this can hinder their engagement in harm reduction practices and increase their overdose […]
- CONCLUSIONS: Given the complexity and significant unmet needs among older adults, AI's potential benefits and harms are both heightened in this population. Appropriate guardrails are needed to leverage the benefits of AI while mitigating potential harms. Our findings have implications for technology developers to design innovations that align with the stakeholders' perceived roles for AI, […]
- OBJECTIVES: Neighborhood physical disorder has been linked to adverse health outcomes, but less is known about longitudinal patterns of disorder trajectories and their associations with biological markers. This study examined associations between neighborhood physical disorder trajectories and metabolic and inflammatory biomarkers in U.S. older adults.
- Opportunistic salpingectomy reduces ovarian cancer risk. To examine heterogeneity among physicians in their adoption of opportunistic salpingectomy in hysterectomy practice, we identified 33,401 non-pregnant patients aged 18 to 49 years in the Premier Healthcare Database who underwent inpatient hysterectomy for benign indications without oophorectomy in 2011-2021 (operated on by 1297 physicians). Opportunistic salpingectomy was measured […]
- CONCLUSIONS AND IMPLICATIONS: LIHTC has been used to fund a small proportion of total ALs, with a high degree of between-state variability. Compared with other ALs, LIHTC-ALs tend to be in areas of lower socioeconomic status and higher medical need, signaling they may serve a different population than other ALs.
- 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.