NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Bosch, Pamela R; Barr, Dawn; Roy, Indrakshi; Fabricant, Maximillian; Mann, Audrey; Mangone, Elizabeth; Karmarkar, Amol; Kumar, Amit Association of Caregiver Availability and Training With Patient Community Discharge After Stroke Journal Article ScienceDirect, 5 (1), 2023. @article{Bosch2023, title = {Association of Caregiver Availability and Training With Patient Community Discharge After Stroke}, author = {Pamela R. Bosch and Dawn Barr and Indrakshi Roy and Maximillian Fabricant and Audrey Mann and Elizabeth Mangone and Amol Karmarkar and Amit Kumar}, url = {https://doi.org/10.1016/j.arrct.2022.100251}, doi = {10.1016/j.arrct.2022.100251}, year = {2023}, date = {2023-03-15}, journal = {ScienceDirect}, volume = {5}, number = {1}, abstract = {To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke. 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397). 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively). Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge.}, keywords = {}, pubstate = {published}, tppubtype = {article} } To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke. 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397). 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively). Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge. |
Bosch, Pamela Rogers; Barr, Dawn; Roy, Indrakshi; Fabricant, Maximillian; Mann, Audrey; Mangone, Elizabeth; Karmarkar, Amol; Kumar, Amit Association of Caregiver Availability and Training With Patient Community Discharge After Stroke Journal Article Archives of Rehabilitation Research and Clinical Translation, 100251 , 2022, ISSN: 2590-1095. @article{Bosch2022b, title = {Association of Caregiver Availability and Training With Patient Community Discharge After Stroke}, author = {Pamela Rogers Bosch and Dawn Barr and Indrakshi Roy and Maximillian Fabricant and Audrey Mann and Elizabeth Mangone and Amol Karmarkar and Amit Kumar}, url = {https://doi.org/10.1016/j.arrct.2022.100251}, doi = {10.1016/j.arrct.2022.100251}, issn = {2590-1095}, year = {2022}, date = {2022-12-17}, journal = {Archives of Rehabilitation Research and Clinical Translation}, volume = {100251}, abstract = {The objective of this study was to examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation following a stroke. Design Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation. Setting Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area. Participants 1,397 adult patients (mean (SD) age: 69.4 (13.5); 724 males) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke. Intervention None. Main Outcome Measure Community discharge from IRF. Results 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (OR=7.80, 95% CI: 5.03 – 12.10 and OR= 4.89, 95% CI: 3.16 – 7.57 respectively). Conclusion Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The objective of this study was to examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation following a stroke. Design Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation. Setting Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area. Participants 1,397 adult patients (mean (SD) age: 69.4 (13.5); 724 males) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke. Intervention None. Main Outcome Measure Community discharge from IRF. Results 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (OR=7.80, 95% CI: 5.03 – 12.10 and OR= 4.89, 95% CI: 3.16 – 7.57 respectively). Conclusion Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge. |
Carroll, Stephanie Russo; Suina, Michele; Jäger, Mary Beth; Black, Jessica; Cornell, Stephen; Gonzales, Angela A; Jorgensen, Miriam; Palmanteer-Holder, Nancy Lynn; Rosa, Jennifer De La S; Teufel-Shone, Nicolette I Reclaiming Indigenous Health in the US: Moving Beyond the Social Determinants of Health Journal Article Int. J. Environ. Res. Public Health, 19 (7495), 2022. @article{Carroll2022, title = {Reclaiming Indigenous Health in the US: Moving Beyond the Social Determinants of Health}, author = {Stephanie Russo Carroll and Michele Suina and Mary Beth Jäger and Jessica Black and Stephen Cornell and Angela A. Gonzales and Miriam Jorgensen and Nancy Lynn Palmanteer-Holder and Jennifer S. De La Rosa and Nicolette I. Teufel-Shone }, url = {https://doi.org/10.3390/ijerph19127495}, doi = {10.3390/ijerph19127495}, year = {2022}, date = {2022-06-18}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {7495}, abstract = {The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH. |
Jiménez, Dulce J; Sabo, Samantha; Remiker, Mark; Smith, Melinda; Longorio, Alexandra Samarron E; Williamson, Heather J; Chief, Carmenlita; Teufel-Shone, Nicolette I A Multisectoral Approach to Advance Health Equity in Rural northern Arizona: County-level Leaders' Perspectives on Health Equity Journal Article BMC Public Health, 22 (1), pp. 960, 2022. @article{Jiménez2022, title = {A Multisectoral Approach to Advance Health Equity in Rural northern Arizona: County-level Leaders' Perspectives on Health Equity}, author = {Dulce J. Jiménez and Samantha Sabo and Mark Remiker and Melinda Smith and Alexandra E. Samarron Longorio and Heather J. Williamson and Carmenlita Chief and Nicolette I. Teufel-Shone}, url = {https://doi.org/10.1186/s12889-022-13279-6}, doi = {10.1186/s12889-022-13279-6}, year = {2022}, date = {2022-05-13}, journal = {BMC Public Health}, volume = {22}, number = {1}, pages = {960}, abstract = {Multisectoral and public–private partnerships are critical in building the necessary infrastructure, policy, and political will to ameliorate health inequity. A focus on health equity by researchers, practitioners, and decision-makers prioritizes action to address the systematic, avoidable, and unjust differences in health status across population groups sustained over time and generations that are beyond the control of individuals. Health equity requires a collective process in shaping the health and wellbeing of the communities in which we live, learn, work, play, and grow. This paper explores multisectoral leaders’ understanding of the social, environmental, and economic conditions that produce and sustain health inequity in northern Arizona, a geographically expansive, largely rural, and culturally diverse region.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Multisectoral and public–private partnerships are critical in building the necessary infrastructure, policy, and political will to ameliorate health inequity. A focus on health equity by researchers, practitioners, and decision-makers prioritizes action to address the systematic, avoidable, and unjust differences in health status across population groups sustained over time and generations that are beyond the control of individuals. Health equity requires a collective process in shaping the health and wellbeing of the communities in which we live, learn, work, play, and grow. This paper explores multisectoral leaders’ understanding of the social, environmental, and economic conditions that produce and sustain health inequity in northern Arizona, a geographically expansive, largely rural, and culturally diverse region. |
Evans, Linnea; Engelman, Michal; Mikulas, Alex; Malecki, Kristen How are social determinants of health integrated into epigenetic research? A systematic review Journal Article Social Science & Medicine, 273 , 2021, ISBN: 113738. @article{Evans2021, title = {How are social determinants of health integrated into epigenetic research? A systematic review}, author = {Linnea Evans and Michal Engelman and Alex Mikulas and Kristen Malecki}, url = {https://doi.org/10.1016/j.socscimed.2021.113738}, doi = {10.1016/j.socscimed.2021.113738}, isbn = {113738}, year = {2021}, date = {2021-03-01}, journal = {Social Science & Medicine}, volume = {273}, abstract = {Future social epigenetics research should prioritize larger, more diverse and representative population-based samples and employ the SDOH framework to better inform the conceptualization of research questions and interpretation of findings. In particular, the simplified depiction of race/ethnicity, gender, and socioeconomic status as individual-level characteristics should be updated with an explicit acknowledgement that these characteristics are more accurately interpreted as cues used by society to differentiate subpopulations. Social epigenetics research can then more clearly elucidate the biological consequences of these social exposures for patterns of gene expression, subsequent disease etiology, and health inequities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Future social epigenetics research should prioritize larger, more diverse and representative population-based samples and employ the SDOH framework to better inform the conceptualization of research questions and interpretation of findings. In particular, the simplified depiction of race/ethnicity, gender, and socioeconomic status as individual-level characteristics should be updated with an explicit acknowledgement that these characteristics are more accurately interpreted as cues used by society to differentiate subpopulations. Social epigenetics research can then more clearly elucidate the biological consequences of these social exposures for patterns of gene expression, subsequent disease etiology, and health inequities. |
Hulen, Elizabeth; Hardy, Lisa J; Teufel-Shone, Nicolette; Sanderson, Priscilla R; Schwartz, Anna L; Begay, Cruz R Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience Journal Article Journal of Health Care for the Poor and Underserved, 30 (1), pp. 221-237, 2019. @article{Hulen2019, title = {Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience}, author = {Elizabeth Hulen and Lisa J Hardy and Nicolette Teufel-Shone and Priscilla R Sanderson and Anna L Schwartz and Cruz R Begay}, url = {https://muse.jhu.edu/article/717742}, year = {2019}, date = {2019-02-01}, journal = {Journal of Health Care for the Poor and Underserved}, volume = {30}, number = {1}, pages = {221-237}, abstract = {American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.}, keywords = {}, pubstate = {published}, tppubtype = {article} } American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed. |
Maness, Sarah B; Buhi, Eric R; Daley, Ellen M; Baldwin, Julie A; Kromrey, Jeffrey D Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health Journal Article Journal of Adolescent Health, 58 (6), pp. 636-643, 2016. @article{Maness2016, title = {Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health}, author = {Sarah B Maness and Eric R Buhi and Ellen M Daley and Julie A Baldwin and Jeffrey D Kromrey}, url = {https://www.ncbi.nlm.nih.gov/pubmed/27020277}, doi = {10.1016/j.jadohealth.2016.02.006}, year = {2016}, date = {2016-06-01}, journal = {Journal of Adolescent Health}, volume = {58}, number = {6}, pages = {636-643}, abstract = {PURPOSE: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual and interpersonal-level factors. METHODS: On the basis of the Healthy People 2020 Social Determinants of Health Framework, the identification of proxy measures for SDoH within the Add Health study allowed for an analysis of relationships to adolescent pregnancy (N = 9,204). Logistic regression examined associations between adolescent pregnancy and each measure of SDoH. RESULTS: Results indicated that 6 of 17 measures of SDoH had an empirical relationship with adolescent pregnancy. Measures negatively associated with adolescent pregnancy included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, reporting litter or trash in the neighborhood environment as a big problem, and living in a two-parent home. CONCLUSIONS: Findings from this study support the need for increased research and intervention focus in SDoH related to areas of education and social and community context. Results of this study provide information for the allocation of resources to best address SDoH that show a link with adolescent pregnancy. Areas of future research can further explore the areas in which SDoH show a relationship with adolescent pregnancy.}, keywords = {}, pubstate = {published}, tppubtype = {article} } PURPOSE: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual and interpersonal-level factors. METHODS: On the basis of the Healthy People 2020 Social Determinants of Health Framework, the identification of proxy measures for SDoH within the Add Health study allowed for an analysis of relationships to adolescent pregnancy (N = 9,204). Logistic regression examined associations between adolescent pregnancy and each measure of SDoH. RESULTS: Results indicated that 6 of 17 measures of SDoH had an empirical relationship with adolescent pregnancy. Measures negatively associated with adolescent pregnancy included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, reporting litter or trash in the neighborhood environment as a big problem, and living in a two-parent home. CONCLUSIONS: Findings from this study support the need for increased research and intervention focus in SDoH related to areas of education and social and community context. Results of this study provide information for the allocation of resources to best address SDoH that show a link with adolescent pregnancy. Areas of future research can further explore the areas in which SDoH show a relationship with adolescent pregnancy. |
2023 |
Bosch, Pamela R; Barr, Dawn; Roy, Indrakshi; Fabricant, Maximillian; Mann, Audrey; Mangone, Elizabeth; Karmarkar, Amol; Kumar, Amit Association of Caregiver Availability and Training With Patient Community Discharge After Stroke Journal Article ScienceDirect, 5 (1), 2023. @article{Bosch2023, title = {Association of Caregiver Availability and Training With Patient Community Discharge After Stroke}, author = {Pamela R. Bosch and Dawn Barr and Indrakshi Roy and Maximillian Fabricant and Audrey Mann and Elizabeth Mangone and Amol Karmarkar and Amit Kumar}, url = {https://doi.org/10.1016/j.arrct.2022.100251}, doi = {10.1016/j.arrct.2022.100251}, year = {2023}, date = {2023-03-15}, journal = {ScienceDirect}, volume = {5}, number = {1}, abstract = {To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke. 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397). 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively). Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge.}, keywords = {}, pubstate = {published}, tppubtype = {article} } To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke. 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397). 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively). Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge. |
2022 |
Bosch, Pamela Rogers; Barr, Dawn; Roy, Indrakshi; Fabricant, Maximillian; Mann, Audrey; Mangone, Elizabeth; Karmarkar, Amol; Kumar, Amit Association of Caregiver Availability and Training With Patient Community Discharge After Stroke Journal Article Archives of Rehabilitation Research and Clinical Translation, 100251 , 2022, ISSN: 2590-1095. @article{Bosch2022b, title = {Association of Caregiver Availability and Training With Patient Community Discharge After Stroke}, author = {Pamela Rogers Bosch and Dawn Barr and Indrakshi Roy and Maximillian Fabricant and Audrey Mann and Elizabeth Mangone and Amol Karmarkar and Amit Kumar}, url = {https://doi.org/10.1016/j.arrct.2022.100251}, doi = {10.1016/j.arrct.2022.100251}, issn = {2590-1095}, year = {2022}, date = {2022-12-17}, journal = {Archives of Rehabilitation Research and Clinical Translation}, volume = {100251}, abstract = {The objective of this study was to examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation following a stroke. Design Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation. Setting Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area. Participants 1,397 adult patients (mean (SD) age: 69.4 (13.5); 724 males) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke. Intervention None. Main Outcome Measure Community discharge from IRF. Results 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (OR=7.80, 95% CI: 5.03 – 12.10 and OR= 4.89, 95% CI: 3.16 – 7.57 respectively). Conclusion Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The objective of this study was to examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation following a stroke. Design Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation. Setting Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area. Participants 1,397 adult patients (mean (SD) age: 69.4 (13.5); 724 males) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke. Intervention None. Main Outcome Measure Community discharge from IRF. Results 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (OR=7.80, 95% CI: 5.03 – 12.10 and OR= 4.89, 95% CI: 3.16 – 7.57 respectively). Conclusion Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge. |
Carroll, Stephanie Russo; Suina, Michele; Jäger, Mary Beth; Black, Jessica; Cornell, Stephen; Gonzales, Angela A; Jorgensen, Miriam; Palmanteer-Holder, Nancy Lynn; Rosa, Jennifer De La S; Teufel-Shone, Nicolette I Reclaiming Indigenous Health in the US: Moving Beyond the Social Determinants of Health Journal Article Int. J. Environ. Res. Public Health, 19 (7495), 2022. @article{Carroll2022, title = {Reclaiming Indigenous Health in the US: Moving Beyond the Social Determinants of Health}, author = {Stephanie Russo Carroll and Michele Suina and Mary Beth Jäger and Jessica Black and Stephen Cornell and Angela A. Gonzales and Miriam Jorgensen and Nancy Lynn Palmanteer-Holder and Jennifer S. De La Rosa and Nicolette I. Teufel-Shone }, url = {https://doi.org/10.3390/ijerph19127495}, doi = {10.3390/ijerph19127495}, year = {2022}, date = {2022-06-18}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {7495}, abstract = {The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH. |
Jiménez, Dulce J; Sabo, Samantha; Remiker, Mark; Smith, Melinda; Longorio, Alexandra Samarron E; Williamson, Heather J; Chief, Carmenlita; Teufel-Shone, Nicolette I A Multisectoral Approach to Advance Health Equity in Rural northern Arizona: County-level Leaders' Perspectives on Health Equity Journal Article BMC Public Health, 22 (1), pp. 960, 2022. @article{Jiménez2022, title = {A Multisectoral Approach to Advance Health Equity in Rural northern Arizona: County-level Leaders' Perspectives on Health Equity}, author = {Dulce J. Jiménez and Samantha Sabo and Mark Remiker and Melinda Smith and Alexandra E. Samarron Longorio and Heather J. Williamson and Carmenlita Chief and Nicolette I. Teufel-Shone}, url = {https://doi.org/10.1186/s12889-022-13279-6}, doi = {10.1186/s12889-022-13279-6}, year = {2022}, date = {2022-05-13}, journal = {BMC Public Health}, volume = {22}, number = {1}, pages = {960}, abstract = {Multisectoral and public–private partnerships are critical in building the necessary infrastructure, policy, and political will to ameliorate health inequity. A focus on health equity by researchers, practitioners, and decision-makers prioritizes action to address the systematic, avoidable, and unjust differences in health status across population groups sustained over time and generations that are beyond the control of individuals. Health equity requires a collective process in shaping the health and wellbeing of the communities in which we live, learn, work, play, and grow. This paper explores multisectoral leaders’ understanding of the social, environmental, and economic conditions that produce and sustain health inequity in northern Arizona, a geographically expansive, largely rural, and culturally diverse region.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Multisectoral and public–private partnerships are critical in building the necessary infrastructure, policy, and political will to ameliorate health inequity. A focus on health equity by researchers, practitioners, and decision-makers prioritizes action to address the systematic, avoidable, and unjust differences in health status across population groups sustained over time and generations that are beyond the control of individuals. Health equity requires a collective process in shaping the health and wellbeing of the communities in which we live, learn, work, play, and grow. This paper explores multisectoral leaders’ understanding of the social, environmental, and economic conditions that produce and sustain health inequity in northern Arizona, a geographically expansive, largely rural, and culturally diverse region. |
2021 |
Evans, Linnea; Engelman, Michal; Mikulas, Alex; Malecki, Kristen How are social determinants of health integrated into epigenetic research? A systematic review Journal Article Social Science & Medicine, 273 , 2021, ISBN: 113738. @article{Evans2021, title = {How are social determinants of health integrated into epigenetic research? A systematic review}, author = {Linnea Evans and Michal Engelman and Alex Mikulas and Kristen Malecki}, url = {https://doi.org/10.1016/j.socscimed.2021.113738}, doi = {10.1016/j.socscimed.2021.113738}, isbn = {113738}, year = {2021}, date = {2021-03-01}, journal = {Social Science & Medicine}, volume = {273}, abstract = {Future social epigenetics research should prioritize larger, more diverse and representative population-based samples and employ the SDOH framework to better inform the conceptualization of research questions and interpretation of findings. In particular, the simplified depiction of race/ethnicity, gender, and socioeconomic status as individual-level characteristics should be updated with an explicit acknowledgement that these characteristics are more accurately interpreted as cues used by society to differentiate subpopulations. Social epigenetics research can then more clearly elucidate the biological consequences of these social exposures for patterns of gene expression, subsequent disease etiology, and health inequities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Future social epigenetics research should prioritize larger, more diverse and representative population-based samples and employ the SDOH framework to better inform the conceptualization of research questions and interpretation of findings. In particular, the simplified depiction of race/ethnicity, gender, and socioeconomic status as individual-level characteristics should be updated with an explicit acknowledgement that these characteristics are more accurately interpreted as cues used by society to differentiate subpopulations. Social epigenetics research can then more clearly elucidate the biological consequences of these social exposures for patterns of gene expression, subsequent disease etiology, and health inequities. |
2019 |
Hulen, Elizabeth; Hardy, Lisa J; Teufel-Shone, Nicolette; Sanderson, Priscilla R; Schwartz, Anna L; Begay, Cruz R Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience Journal Article Journal of Health Care for the Poor and Underserved, 30 (1), pp. 221-237, 2019. @article{Hulen2019, title = {Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience}, author = {Elizabeth Hulen and Lisa J Hardy and Nicolette Teufel-Shone and Priscilla R Sanderson and Anna L Schwartz and Cruz R Begay}, url = {https://muse.jhu.edu/article/717742}, year = {2019}, date = {2019-02-01}, journal = {Journal of Health Care for the Poor and Underserved}, volume = {30}, number = {1}, pages = {221-237}, abstract = {American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.}, keywords = {}, pubstate = {published}, tppubtype = {article} } American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed. |
2016 |
Maness, Sarah B; Buhi, Eric R; Daley, Ellen M; Baldwin, Julie A; Kromrey, Jeffrey D Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health Journal Article Journal of Adolescent Health, 58 (6), pp. 636-643, 2016. @article{Maness2016, title = {Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health}, author = {Sarah B Maness and Eric R Buhi and Ellen M Daley and Julie A Baldwin and Jeffrey D Kromrey}, url = {https://www.ncbi.nlm.nih.gov/pubmed/27020277}, doi = {10.1016/j.jadohealth.2016.02.006}, year = {2016}, date = {2016-06-01}, journal = {Journal of Adolescent Health}, volume = {58}, number = {6}, pages = {636-643}, abstract = {PURPOSE: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual and interpersonal-level factors. METHODS: On the basis of the Healthy People 2020 Social Determinants of Health Framework, the identification of proxy measures for SDoH within the Add Health study allowed for an analysis of relationships to adolescent pregnancy (N = 9,204). Logistic regression examined associations between adolescent pregnancy and each measure of SDoH. RESULTS: Results indicated that 6 of 17 measures of SDoH had an empirical relationship with adolescent pregnancy. Measures negatively associated with adolescent pregnancy included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, reporting litter or trash in the neighborhood environment as a big problem, and living in a two-parent home. CONCLUSIONS: Findings from this study support the need for increased research and intervention focus in SDoH related to areas of education and social and community context. Results of this study provide information for the allocation of resources to best address SDoH that show a link with adolescent pregnancy. Areas of future research can further explore the areas in which SDoH show a relationship with adolescent pregnancy.}, keywords = {}, pubstate = {published}, tppubtype = {article} } PURPOSE: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual and interpersonal-level factors. METHODS: On the basis of the Healthy People 2020 Social Determinants of Health Framework, the identification of proxy measures for SDoH within the Add Health study allowed for an analysis of relationships to adolescent pregnancy (N = 9,204). Logistic regression examined associations between adolescent pregnancy and each measure of SDoH. RESULTS: Results indicated that 6 of 17 measures of SDoH had an empirical relationship with adolescent pregnancy. Measures negatively associated with adolescent pregnancy included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, reporting litter or trash in the neighborhood environment as a big problem, and living in a two-parent home. CONCLUSIONS: Findings from this study support the need for increased research and intervention focus in SDoH related to areas of education and social and community context. Results of this study provide information for the allocation of resources to best address SDoH that show a link with adolescent pregnancy. Areas of future research can further explore the areas in which SDoH show a relationship with adolescent pregnancy. |