Last data update: Sep 16, 2024. (Total: 47680 publications since 2009)
Records 1-5 (of 5 Records) |
Query Trace: Sandoval-Rosario M [original query] |
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State-specific prevalence and characteristics of frequent mental distress and history of depression diagnosis among adults with arthritis - United States, 2017
Price JD , Barbour KE , Liu Y , Lu H , Amerson NL , Murphy LB , Helmick CG , Calanan RM , Sandoval-Rosario M , Samanic CM , Greenlund KJ , Thomas CW . MMWR Morb Mortal Wkly Rep 2020 68 (5152) 1173-1178 What is already known about this topic? Persons with arthritis have unique challenges because the interplay between anxiety, depression, and chronic pain is cyclical, with each having the potential to exacerbate the others. What is added by this report? In 2017, frequent mental distress and history of depression were commonly reported by adults with arthritis in all states, with clustering of high prevalence of frequent mental distress in Appalachian and southern states. What are the implications for public health practice? All adults with arthritis might benefit from systematic mental health screening by their health care team (if needed, referral to mental health services) and participation in evidence-based interventions such as physical activity and self-management education programs whose proven benefits include reduced pain and improved mental health. © 2020 Department of Health and Human Services. All rights reserved. |
Achieving excellence in the practice of chronic disease epidemiology
Calanan RM , Sandoval-Rosario M , Price JD , Samanic CM , Lu H , Barbour KE . Prev Chronic Dis 2018 15 E146 Heart disease, diabetes, cancer, arthritis, and other chronic diseases are the leading causes of death and disability and the leading drivers of health care costs in the United States (1). Health disparities and inequalities exist across chronic diseases, behavioral risk factors, environmental exposures, social determinants, and health care access by sex, race and ethnicity, income, education, disability status, and other social characteristics (2). A white paper developed by the Council of State and Territorial Epidemiologists’ (CSTE’s) Chronic Disease Epidemiology Capacity Building Workgroup stated that for 3 of the Essential Public Health Services — surveillance, communication, and consultation — chronic disease epidemiologists (CDEs) perform functions that are critical to health departments (3). Collecting, analyzing, interpreting, and disseminating data on chronic diseases and related risk factors is vital to understanding and raising awareness about morbidity, mortality, associated costs, and disparities. These data are also vital inputs throughout the process of implementing evidence-based public health approaches to reduce the burden of chronic diseases in the United States. |
Health disparities among American Indians/Alaska Natives - Arizona, 2017
Adakai M , Sandoval-Rosario M , Xu F , Aseret-Manygoats T , Allison M , Greenlund KJ , Barbour KE . MMWR Morb Mortal Wkly Rep 2018 67 (47) 1314-1318 Compared with other racial/ethnic groups, American Indians/Alaska Natives (AI/AN) have a lower life expectancy, lower quality of life, and are disproportionately affected by many chronic conditions (1,2). Arizona has the third largest population of AI/AN in the United States (approximately 266,000 in 2017), and is home to 22 federally recognized American Indian tribal nations.* The small AI/AN sample size in previous Behavioral Risk Factor Surveillance System (BRFSS) surveys has presented analytic challenges in making statistical inferences about this population. To identify health disparities among AI/AN living in Arizona, the Arizona Department of Health Services (ADHS) and CDC analyzed data from the 2017 BRFSS survey, for which AI/AN were oversampled. Compared with whites, AI/AN had significantly higher prevalences of sugar-sweetened beverage consumption (33.0% versus 26.8%), being overweight or having obesity (76.7% versus 63.2%), diabetes (21.4% versus 8.0%), high blood pressure (32.9% versus 27.6%), report of fair or poor health status (28.7% versus 16.3%), and leisure-time physical inactivity during the past month (31.1% versus 23.0%). AI/AN also reported a lower prevalence of having a personal doctor or health care provider (63.1%) than did whites (72.8%). This report highlights the need to enhance surveillance measures at the local, state, and national levels and can inform interventions centered on confronting social inequities, developing culturally competent prevention strategies, and facilitating access to care to improve population health and work toward health equity. |
Prevalence of arthritis among adults with prediabetes and arthritis-specific barriers to important interventions for prediabetes - United States, 2009-2016
Sandoval-Rosario M , Nayeri BM , Rascon A , Boring M , Aseret-Manygoats T , Helmick CG , Murphy LB , Hootman JM , Imperatore G , Barbour KE . MMWR Morb Mortal Wkly Rep 2018 67 (44) 1238-1241 An estimated 54.4 million U.S. adults have doctor-diagnosed arthritis (arthritis), and this number is projected to rise to 78.4 million by 2040 (1,2). Physical inactivity and obesity are two factors associated with an increased risk for developing type 2 diabetes,* and arthritis has been determined to be a barrier to physical activity among adults with obesity (3). The prevalence of arthritis among the 33.9% (estimated 84 million)(dagger) of U.S. adults with prediabetes and how these conditions are related to physical inactivity and obesity are unknown. To examine the relationships among arthritis, prediabetes, physical inactivity, and obesity, CDC analyzed combined data from the 2009-2016 National Health and Nutrition Examination Surveys (NHANES). Overall, the unadjusted prevalence of arthritis among adults with prediabetes was 32.0% (26 million). Among adults with both arthritis and prediabetes, the unadjusted prevalences of leisure-time physical inactivity and obesity were 56.5% (95% confidence intervals [CIs] = 51.3-61.5) and 50.1% (CI = 46.5-53.6), respectively. Approximately half of adults with both prediabetes and arthritis are either physically inactive or have obesity, further increasing their risk for type 2 diabetes. Health care and public health professionals can address arthritis-specific barriers( section sign) to physical activity by promoting evidence-based physical activity interventions.( paragraph sign) Furthermore, weight loss and physical activity promoted though the National Diabetes Prevention Program can reduce the risk for type 2 diabetes and reduce pain from arthritis. |
Chronic conditions and barriers to care: exploring the health of migrant and seasonal farmworkers in Indiana
Sandoval-Rosario M , Hunter TM , Durnham A , Holt A , Pontones P , Perry G . Int J Hum Rights Healthc 2016 9 (4) 229-234 Purpose: Migrant and seasonal farmworkers (MSFWs) have many health challenges due to the nature of their work, low wages, living conditions, mobility, and lack of health insurance. The purpose of this paper is to assess the availability of health services, barriers to accessing health care, and the prevalence of chronic conditions among MSFWs in Indiana. Design/methodology/approach: A site-based convenience sample of MSFWs aged 14 years and older completed a cross-sectional survey. A total of 97 participants who currently or previously identified as farmworkers completed the questionnaire. Findings: Almost one-third of the respondents reported no access to a health care provider. Of those, 43 percent reported that cost prevented them from seeking care. Of those who reported chronic conditions (n=22), over 50 percent did not have access to a health care provider. These findings highlight the need to further investigate the magnitude of the problem and begin exploring ways to improve affordable health care access among MSFWs in Northeastern Indiana. Originality/value: The results from this study highlight the need for the development and implementation of community health education programs that target MSFWs in Indiana. The findings, although not generalized, offer important insights into health care challenges and barriers to access in Indiana. The authors recommend that assistance programs should be implemented for providing affordable health care services for Hispanic MSFWs. |
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