2024
Prevalence 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
2023
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Martinez-Brockman J, Hromi-Fiedler A, Galusha D, Oladele C, Acosta L, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Pérez-Escamilla R, Group O. Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Frontiers In Public Health 2023, 11: 1269857. PMID: 38074748, PMCID: PMC10702572, DOI: 10.3389/fpubh.2023.1269857.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCohort studyRisk factorsHousehold food insecurityPrevalence of HHFIPopulation-based longitudinal cohort studyBivariate analysisCaribbean Food Security ScaleSex stratified analysisImportant risk factorLongitudinal cohort studyPotential risk factorsCohort study dataYears of ageSelf-rated physical healthEnvironmental risk factorsCross-sectional analysisHFI statusPrimary outcomeMultivariable analysisSmoking statusFood insecuritySevere food insecurityOrdinal logistic regressionStratified analysisTimeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Timeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data. PLOS ONE 2023, 18: e0289692. PMID: 37682914, PMCID: PMC10490884, DOI: 10.1371/journal.pone.0289692.Peer-Reviewed Original ResearchConceptsPostmenopausal bleedingFirst diagnostic procedureDiagnostic evaluationDiagnostic proceduresGynecologic conditionsMedicaid patientsCox proportional hazards modelPrompt diagnostic evaluationRetrospective cohort studyMarketScan Research DatabasesAdditional risk factorsNon-clinical factorsCommon gynecologic conditionProportional hazards modelLower ratesCohort studyMost patientsPatient characteristicsBenign etiologyGynecologic cancerCancer patientsPreventive careUterine cancerInsurance typeRisk factorsConsumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean
Oladele C, Khandpur N, Galusha D, Hassan S, Colón-Ramos U, Miller M, Adams O, Maharaj R, Nazario C, Nunez M, Pérez-Escamilla R, Hassell T, Nunez-Smith M. Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean. Public Health Nutrition 2023, 26: 1403-1413. PMID: 36856024, PMCID: PMC10346089, DOI: 10.1017/s1368980023000381.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudySugar-sweetened beveragesSSB consumptionDietary Screener QuestionnaireIntake of sodaRisk of diabetesUse of medicationsPercentage of participantsTotal mean intakeCoffee/teaT2D diabetesUnknown diabetesCohort studyDiabetes statusPersons 40Screener questionnaireMean intakeGreater oddsDiabetesMultivariate analysisPast monthLogistic regressionLower educationBeverage typeBaseline data
2022
Perceptions of the local food environment and fruit and vegetable intake in the Eastern Caribbean Health Outcomes research Network (ECHORN) Cohort study
Oladele CR, Colón-Ramos U, Galusha D, Tran E, Adams OP, Maharaj RG, Nazario CM, Nunez M, Pérez-Escamilla R, Nunez-Smith M. Perceptions of the local food environment and fruit and vegetable intake in the Eastern Caribbean Health Outcomes research Network (ECHORN) Cohort study. Preventive Medicine Reports 2022, 26: 101694. PMID: 35242499, PMCID: PMC8861285, DOI: 10.1016/j.pmedr.2022.101694.Peer-Reviewed Original ResearchLocal food environmentDaily servingsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyFood environmentFV intakeDietary Screener QuestionnaireMean daily servingsDaily FV intakeMore daily servingsConsumption of FVChi-square testStudy baseline dataCross-sectional analysisCohort studyScreener questionnaireCardiovascular healthVegetable intakeDietary intakeHigh-income countriesPoisson regressionSignificant associationDaily intakeIntakeFood insecurityImportance of affordability
2021
Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Magny-Normilus C, Galusha D, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M, Group O. Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Primary Care Diabetes 2021, 16: 107-115. PMID: 34253484, PMCID: PMC8743302, DOI: 10.1016/j.pcd.2021.06.011.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyGlycemic controlCVD riskCohort studyRisk factorsCVD risk factor managementElevated CVD riskCardiovascular risk factorsCVD risk factorsRisk factor managementCVD risk equationsYears of agePercent of participantsCardiovascular riskIndependent predictorsUncontrolled diabetesPhysical examFactor managementHigh burdenHigh prevalencePremature mortalityMultinomial logistic regressionDiabetesRisk equationsBivariate analysisAnthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Oladele C, Galusha D, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M. Anthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. BMC Public Health 2021, 21: 399. PMID: 33632164, PMCID: PMC7905572, DOI: 10.1186/s12889-021-10399-3.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCVD riskCardiovascular disease riskHigh-risk groupAnthropometric measuresElevated waistCohort studyDisease riskElevated body mass indexASCVD risk scoreOverweight/obeseBody mass indexAmerican Heart AssociationObesity-related riskDifferent anthropometric measuresElevated WHRResultsMean ageWaist circumferenceMass indexHip ratioHeart AssociationRisk groupsRisk scoreRisk algorithmObesity
2019
Egocentric Health Networks and Cardiovascular Risk Factors in the ECHORN Cohort Study
Oladele CR, Thompson TA, Wang K, Galusha D, Tran E, Martinez-Brockman JL, Adams OP, Maharaj RG, Nazario CM, Nunez M, Nunez-Smith M. Egocentric Health Networks and Cardiovascular Risk Factors in the ECHORN Cohort Study. Journal Of General Internal Medicine 2019, 35: 784-791. PMID: 31823310, PMCID: PMC7080938, DOI: 10.1007/s11606-019-05550-1.Peer-Reviewed Original ResearchConceptsCVD risk factorsRisk factorsHealth NetworkCohort studyCardiovascular diseaseEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCVD risk factor reductionCardiovascular risk factorsRisk factor reductionBackground Cardiovascular diseaseCause of morbidityOngoing longitudinal cohortLarge health networkHealth-related mattersLongitudinal cohortAdults 40Name generator questionsPhysical activityGreater oddsHealthcare professionalsBaseline surveyMean network sizeHealthcare decisionsFactor reductionMore studies
2018
Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study
Hassan S, Ojo T, Galusha D, Martinez‐Brockman J, Adams OP, Maharaj R, Nazario C, Nunez M, Nunez‐Smith M. Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Obesity Science & Practice 2018, 4: 367-378. PMID: 30151231, PMCID: PMC6105698, DOI: 10.1002/osp4.280.Peer-Reviewed Original ResearchEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyBody mass indexWeight misperceptionCohort studyWeight lossHistory of diabetesMultivariable logistic regressionWeight loss programObesity-related diseasesNon-communicable diseasesActual weightClass I participantsWeight control behaviorsAccurate weight perceptionBMI categoriesLoss programMass indexObesity interventionsLower oddsLogistic regressionObesityI participantsLower likelihoodReduced engagementWeight perceptionNon-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
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 period