Article
Obstetrics & Gynecology
R. Garland Almquist, M. Chloe Barrera, Rachel Fried, L. Sheree L. Boulet, F. Jennifer Kawwass, S. Heather Hipp
Summary: This study investigated the association between race/ethnicity, access to care (including insurance coverage, distance to the clinic, and zip code), and care discontinuation following IVF. The results showed that women with high access to care had poorer IVF prognosis compared to the low access group, which may have influenced the association with care discontinuation. Distance to the clinic, rather than insurance coverage or zip code, was associated with an increased risk of care discontinuation. Non-Hispanic Black women, despite having higher rates of insurance coverage, were more likely to discontinue care and less likely to achieve a live birth compared to non-Hispanic White women.
REPRODUCTIVE BIOMEDICINE ONLINE
(2022)
Article
Medicine, General & Internal
Kenton J. Johnston, Gmerice Hammond, David J. Meyers, Karen E. Joynt Maddox
Summary: This study compared rates of enrollment, ambulatory care access, and ambulatory care quality for minority beneficiaries in Medicare Advantage vs traditional Medicare plans. It found that minority beneficiaries generally had worse outcomes compared to White or multiracial beneficiaries, but Medicare Advantage was associated with better outcomes for some measures.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Anne Ordway, Chris Garbaccio, Michael Richardson, Kathe Matrone, Kurt L. Johnson
Summary: In the context of health care reform, people with disabilities still face multiple barriers to health care access under Titles II and III of the ADA. However, it is notable that several provisions of the Patient Protection and Affordable Care Act (ACA) may have strengthened existing directives implementing requirements for health care access under the ADA.
DISABILITY AND HEALTH JOURNAL
(2021)
Article
Public, Environmental & Occupational Health
Andrea L. Deierlein, Jaqueline Litvak, Cheryl R. Stein
Summary: The study found that women with disabilities were more likely to have a range of preconception health issues, including depression and diabetes. Disparities in preconception health indicators can be reduced by providing adequate healthcare, changing lifestyle habits, and education and training for healthcare practitioners.
JOURNAL OF WOMENS HEALTH
(2022)
Article
Pediatrics
Kirkpatrick B. Fergus, Alan Zambeli-Ljepovic, Lindsay A. Hampson, Hillary L. Copp, Jason M. Nagata
Summary: This study found that young adults with physical disabilities are more likely to have unmet health care needs and utilize last-resort health care services, such as emergency departments and hospital wards, compared to their non-disabled peers.
Article
Rehabilitation
Agnieszka Wolowicz, Magdalena Kocejko, Kamila Ferenc
Summary: This study aims to examine the challenges faced by women with disabilities in accessing gynaecological care services in Poland. The findings show that the healthcare system is not equipped to meet the needs of women with disabilities, who encounter barriers such as infrastructure, mobility, organizational, and communication issues, along with ethical concerns related to authority and power.
DISABILITY & SOCIETY
(2022)
Article
Environmental Sciences
Sera Kim, Jong-Tae Lee
Summary: This study investigated the association between short-term exposure to PM10 and cardiovascular hospital admissions in South Korea, and found that persons with disabilities may be more susceptible to the negative effects of PM10 than persons without disabilities.
SCIENCE OF THE TOTAL ENVIRONMENT
(2022)
Article
Otorhinolaryngology
Emily Y. Huang, Hyonoo Joo, Desi Schoo, Yuri Agrawal, Jenny X. Chen
Summary: Individuals with hearing loss are more likely to have limited access to healthcare compared to those with normal hearing. This study examined the impact of the COVID-19 pandemic on healthcare access for adults with hearing loss in the United States. The results showed that adults with hearing loss had higher odds of receiving no medical care or delayed medical care due to the pandemic. However, they did not have higher odds of COVID-19 diagnosis or vaccination. Strategies should be developed to improve healthcare access for adults with hearing loss during public health emergencies.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Genetics & Heredity
Ashlee Joan Macalino, Randall S. Porter, Lindsay Smith, Hongyue Wang, Alex V. Levin
Summary: The study aimed to investigate pediatric genetic care delivery before and during the COVID-19 pandemic, and assess if there were any disparities in care. Through retrospective review of electronic medical records, the study compared outcomes such as time between referral and new visit, completion of genetic testing and follow-up, and telemedicine usage. The study found no disparities across ethnicity, race, socioeconomic status, or use of medical interpretation services. The findings provide insights into the impact of the pandemic on pediatric genetics care delivery.
AMERICAN JOURNAL OF MEDICAL GENETICS PART A
(2023)
Article
Surgery
Jason Tong, Ezra S. Brooks, Catherine L. Mavroudis, Christopher Wirtalla, Cary B. Aarons, Nicole M. Saur, Najjia N. Mahmoud, Giorgos C. Karakousis, Rachel R. Kelz
Summary: The study found that Medicaid Expansion was associated with an increase in Medicaid enrollment and a decrease in the likelihood of commercially insured patients using high-volume surgeons. However, there was no statistically significant difference in the use of colorectal-boarded surgeons following the reform.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Environmental Sciences
Sera Kim, Garam Byun, Jong-Tae Lee
Summary: This study found differential temperature-related impacts on cardiovascular disease hospitalization based on disability status. Persons with disabilities showed maladaptation to heat and cold over time, highlighting the importance of considering disability in investigating temperature-related health disparities and adopting disability-inclusive adaptation strategies.
SCIENCE OF THE TOTAL ENVIRONMENT
(2023)
Review
Urology & Nephrology
Clodagh Cogley, Claire Carswell, Kate Bramham, Joseph Chilcot
Summary: Individuals with severe mental illness have a higher risk of developing chronic kidney disease, partly due to known risk factors such as lithium treatment and cardiovascular disease. However, the reasons for the higher proportion of chronic kidney disease in this population still require further research. Similarly, there is a lack of data on the rates of severe mental illness in individuals with chronic kidney disease. Furthermore, individuals with severe mental illness and chronic kidney disease have poorer health outcomes and receive suboptimal kidney care. Education and closer collaboration between kidney healthcare staff and psychiatry may improve care for this population.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Article
Public, Environmental & Occupational Health
Briana C. C. Prager, Sherri M. M. Broder, Marvin R. R. Natowicz
Summary: Adults with intellectual or developmental disability (IDD) make up a small percentage of the global population, but they are at a significant risk of premature morbidity or mortality. This is mainly due to preventable health conditions that can be improved through the intervention of caregivers. They are also more likely to experience neglect or mistreatment, which is a problem documented in various countries and care settings. Practical and cost-effective interventions can address the existing disparities and challenges.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Economics
Garrett Anstreicher
Summary: The study found that introducing a health center specializing in mental health and substance abuse services in rural counties can reduce DI participation rates and save money. Cost-benefit analysis suggests that these savings can cover over a third of the costs the federal government faces in funding targeted health care access initiatives.
Article
Health Care Sciences & Services
William C. Livingood, Maria A. B. Bautista, Carmen Smotherman, Daidre Azueta, Jeremy Coleman, Reetu Grewal, Eric Stewart, Lori A. Orlando, Christopher Scuderi
Summary: This study examined the differences in health literacy and internet access between primary-care clinics in different neighborhoods in Northeast Florida. The results showed that clinics in economically disadvantaged neighborhoods had lower health literacy and less access to internet technology, which has important implications for the use of digital technology for health.
Article
Rehabilitation
Elizabeth Riedman, Haley Scott, Philippa Clarke, Michelle Meade, Martin Forchheimer, Denise Tate
Summary: This study aims to understand the subjective experiences of individuals aging with SCI in relation to their social and physical environments. Four main themes emerged from the qualitative data, including maintaining physical independence, the importance of resources and special equipment, planning ahead, and finding ways to adapt. The findings highlight the importance of considering social and environmental factors in supporting independence and participation for people aging with long-term SCI.
DISABILITY AND REHABILITATION
(2022)
Article
Ophthalmology
Alec Bernard, Sara Weiss, Moshiur Rahman, Sheryl S. Ulin, Clive D'Souza, Anah Salgat, Kate Panzer, Joshua D. Stein, Michelle A. Meade, Michael M. McKee, Joshua R. Ehrlich
Summary: The study revealed that the COVID-19 pandemic has significantly impacted individuals with sensory impairments, especially those with visual impairments facing more difficulties in daily activities. Efforts on targeted policy approaches are suggested to support this vulnerable population during the pandemic and future crises.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2022)
Article
Ophthalmology
A. J. A. Y. Kolli, K. R. I. S. T. I. A. N. Seiler, N. E. I. L. Kamdar, Lindsey B. de Lott, Mark D. Peterson, Michelle A. Meade, Joshua R. Ehrlich
Summary: The purpose of the study was to compare the incidence and hazard of neuropsychiatric, musculoskeletal, and cardiometabolic conditions among adults with and without vision impairment. The study found that adults with vision impairment had a significantly greater risk of these conditions compared to those without vision impairment, regardless of age group.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2022)
Article
Clinical Neurology
Elham Mahmoudi, Paul Lin, Neil Kamdar, Gabriella Gonzales, Alexandra Norcott, Mark D. Peterson
Summary: The study found that older adults with cerebral palsy have a higher risk of developing Alzheimer's disease and related dementia. It suggests that clinical guidelines for early screening of cognitive function among individuals with cerebral palsy need updating, and preventative and/or therapeutic services should be used to reduce the risk of ADRD.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2022)
Article
Clinical Neurology
Mark D. Peterson, Michelle A. Meade, Paul Lin, Neil Kamdar, Gianna Rodriguez, James S. Krause, Elham Mahmoudi
Summary: Adults with traumatic spinal cord injury (SCI) have a higher incidence and risk for common psychological morbidities compared to those without SCI. Centralized and neuropathic pain are associated with all psychological disorders.
Article
Clinical Neurology
Elham Mahmoudi, Shima Sadaghiyani, Paul Lin, Neil Kamdar, Alexandra Norcott, Mark D. Peterson, Michelle A. Meade
Summary: This study compared the time to diagnosis and adjusted hazard for Alzheimer's disease and related dementia (ADRD) between adults with and without multiple sclerosis (MS) using administrative claims data. The results showed that individuals with MS had a higher incidence and risk for early-onset ADRD diagnosis compared to those without MS.
MULTIPLE SCLEROSIS AND RELATED DISORDERS
(2022)
Article
Psychology, Clinical
Ted Allaire, Marisa Perera, Claudia Drossel, Ketlyne Sol, Mary Theisen-Goodvich, Michelle A. Meade
Summary: The study revealed the factors associated with positive psychological outcomes in adults with chronic spinal cord injury, highlighting a resilient personality profile, good social support, and unimpaired executive functioning capabilities as key characteristics of individuals who thrive with chronic TSCI.
REHABILITATION PSYCHOLOGY
(2022)
Article
Health Care Sciences & Services
Philippa Clarke, Anam M. Khan, Neil Kamdar, Kristian Seiler, Kenzie Latham-Mintus, Mark D. Peterson, Michelle A. Meade, Joshua R. Ehrlich
Summary: This study examined the relationship between neighborhood characteristics and incident type 2 diabetes mellitus among adults aging with vision impairment. The results showed that living in neighborhoods with greater intersection density and high-speed roads increased the risk of T2DM for older adults with VI. On the other hand, living in neighborhoods with broadband internet access, optical stores, supermarkets, and gyms/fitness centers reduced the risk of T2DM for both younger and older adults with VI.
DISABILITY AND HEALTH JOURNAL
(2023)
Article
Gerontology
Nasya Tan, Martin Forchheimer, Denise G. Tate, Michelle A. Meade, Lisa Reber, Philippa J. Clarke
Summary: An increasing number of adults with spinal cord injury (SCI) acquired earlier in life are growing older. Social integration plays a crucial role in their health and participation after SCI. However, little is known about how the community built environment supports the social integration of adults aging with SCI. Through a structured telephone survey conducted with 182 adults aging with SCI in the midwestern United States, it was discovered that a greater number of community built environment facilitators (e.g., curb cuts, automatic doors, paved surfaces) and fewer barriers (e.g., gravel surfaces, crowds) significantly increased the likelihood of regularly engaging in both formal and informal social activities.
JOURNAL OF AGING AND ENVIRONMENT
(2023)
Article
Health Care Sciences & Services
Wenbo Wu, Kaes J. Holkeboer, Temidun O. Kolawole, Lorrie Carbone, Elham Mahmoudi
Summary: The objective of this study was to develop a natural language processing (NLP) algorithm that can identify various social determinants of health (SDoH) for patients with Alzheimer's disease and related dementias (ADRD). The algorithm was trained and validated using 1000 medical notes from the social worker records at Michigan Medicine. The rule-based NLP algorithm performed well in identifying most categories of SDoH.
HEALTH SERVICES RESEARCH
(2023)
Article
Clinical Neurology
Allan J. Kozlowski, Jennifer A. Weaver, Trudy Mallinson, Cally Gooch, Rachel Hren, Michelle A. Meade, John F. Butzer
Summary: This study explored the application of the Rasch Measurement Model to the Moorong Self-Efficacy Scale (MSES), finding issues with the original scale's structural and content validity. Adjustments were made to the rating scale and two items were removed based on the analysis. However, due to the small sample size, the results may be biased and further research is needed for validation.
JOURNAL OF SPINAL CORD MEDICINE
(2023)
Article
Health Care Sciences & Services
Beatrice Palazzolo, Loretta Carbone, Tyler G. James, Robert Heizelman, Ananda Sen, Elham Mahmoudi, Michael McKee
Summary: The study aims to evaluate the implementation of a health program for people with physical disabilities, with the goal of developing best practices in primary care to reduce preventable causes of morbidity and improve functioning in this population. The study will involve the design and implementation of a pilot health program, data collection through quantitative and qualitative analysis, and assessment of the program's impact on screening, monitoring, social work assistance, and emergency and hospital services.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Psychology, Clinical
Ted A. A. Barrios, Kristian Manley, Najae Dixon, Pamela S. S. Schnur, Carrie R. R. Pilarski, James S. S. Krause, Seth A. A. Warschausky, Michelle A. A. Meade
Summary: The purpose of this study was to evaluate the acceptability and feasibility of conducting cognitive testing for adults with traumatic spinal cord injury (TSCI) via teleconference. The results showed that 97.4% of the 77 participants who started the cognitive testing completed it, and almost all cognitive testing variables had nearly normal distributions. No ceiling or floor effects were observed. Participants rated this approach to cognitive testing as highly acceptable. In conclusion, administering cognitive testing via teleconference to adults with TSCI is both feasible and acceptable.
REHABILITATION PSYCHOLOGY
(2023)
Article
Computer Science, Interdisciplinary Applications
Pei-Yao Hung, Drew Canada, Michelle A. Meade, Mark S. Ackerman
Summary: Chronic health conditions are widespread and sharing patient-generated health data plays a crucial role in chronic care. This paper presents a new design that allows fine-grained control over data sharing to support collaborative self-care, giving patients control over their own health data. The system is particularly useful for severe chronic conditions that require daily support from caregivers. The paper outlines the development process and evaluates the system's advantages through qualitative analysis.
FRONTIERS IN COMPUTER SCIENCE
(2022)