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Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting.

Das, Jyotirmoy Nirupam ;

Ji, Linying

April 2025 | Sleep Health, 2025, v. 11, no. 2

One challenge using wearable sensors is nonwear time. Without a nonwear (e.g., capacitive) sensor, actigraphy data quality can be biased by subjective determinations confounding sleep/wake classification. We developed and evaluated a machine learning algorithm supplemented by dynamic features to discern wear/nonwear episodes.Actigraphy data from wr ...

10/09/2026

Supporting Files

Title : Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting. Personal Author(s) : Das, Jyotirmoy Nirupam;Ji, Linying;Shen, Yuqi;Kumara, Soundar;Buxton, Orfeu M.;Chow, Sy-Miin; Published Date : April 2025 Pages in Document : 166-173 (22 pdf pages) Source : Sleep Health, 2025, v. 11, no. 2 DOI : https://doi.org/10.1016/j.sleh.2024.10.003 Journal Title : Sleep Health
Das, J. N., Ji, L., Shen, Y., Kumara, S., Buxton, O. M., & Chow, S. M. (2025). Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting. Sleep Health, 11(2). https://doi.org/10.1016/j.sleh.2024.10.003

Das, Jyotirmoy Nirupam, Linying Ji, Yuqi Shen, Soundar Kumara, Orfeu M. Buxton, and Sy-Miin Chow. "Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting." Sleep Health 11, no. 2 (2025). https://doi.org/10.1016/j.sleh.2024.10.003.

Das, Jyotirmoy Nirupam, et al. "Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting." Sleep Health, vol. 11, no. 2, 2025. Stacks. https://doi.org/10.1016/j.sleh.2024.10.003.
Export RIS Citation Information. TY - Journal Article AU - Das, Jyotirmoy Nirupam AU - Ji, Linying AU - Shen, Yuqi AU - Kumara, Soundar AU - Buxton, Orfeu M. AU - Chow, Sy-Miin AB - One challenge using wearable sensors is nonwear time. Without a nonwear (e.g., capacitive) sensor, actigraphy data quality can be biased by subjective determinations confounding sleep/wake classification. We developed and evaluated a machine learning algorithm supplemented by dynamic features to discern wear/nonwear episodes. AB - Actigraphy data from wrist actigraph (Spectrum, Philips-Respironics). AB - The built-in nonwear sensor as "ground truth" to classify nonwear periods using other data, mimicking features of Actiwatch 2. AB - Data were collected over 1week from employed adults (n = 853). AB - Extreme gradient boosting (XGBoost), a tree-based classifier algorithm, was used to classify wear/nonwear, supplemented by dynamic features calculated over various time windows. AB - The performance of the proposed algorithm was tested over 30-second epochs. Additional analytics and exploratory analyses: Evaluation of the SHapley Additive exPlanations (SHAP) values to find the effectiveness of the dynamic features. AB - The XGBoost classifier yielded substantial improvements in balanced accuracy, sensitivity, and specificity, including dynamic features and comparison to default actiwatch classification algorithms. AB - The proposed classifier effectively distinguished between valid and invalid days, and the duration of contiguous periods of nonwear correctly identified. AB - Our findings highlight the potential of XGBoost using dynamic features of varying activity levels across the time series to provide insights on wear/nonwear classification using a large dataset. The methodology provides an alternative to laborious manual benchmarking of the data for similar devices that do not have a nonwear sensor. AB - Author manuscript AN - cdc:261785 C4 - PMC12712857 DO - https://doi.org/10.1016/j.sleh.2024.10.003 IS - 2 J2 - Sleep Health KW - Sleep KW - Female KW - Wearable Electronic Devices KW - Male KW - Humans KW - Middle Aged KW - Algorithms KW - Adult KW - Actigraphy KW - Machine Learning KW - non-wear detection KW - machine learning KW - actigraphy KW - sleep KW - Humans KW - Actigraphy KW - Machine Learning KW - Adult KW - Female KW - Male KW - Algorithms KW - Wearable Electronic Devices KW - Middle Aged KW - Sleep LA - eng PY - 2025 T2 - Sleep Health T2 - Sleep Health, 2025, v. 11, no. 2 TI - Performance Evaluation of a Machine Learning-based Methodology Using Dynamical Features to Detect Nonwear Intervals in Actigraphy Data in a Free-living Setting. VL - 11 UR - https://stacks.cdc.gov/view/cdc/261785 ER -
Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology.

Ainsworth, Hannah C. ;

Frost, DeAnna Baker

February 2025 | Nature Reviews. Rheumatology, 2025, v. 21, no. 2

Health disparities in rheumatic disease are well established and urgently need addressing. Obstacles to precision medicine equity span both the clinical and the research domains, with a focus placed on structural barriers limiting equitable health care access and inclusivity in research. Less articulated factors include the use of inaccurate popula ...

10/09/2026

Supporting Files

Title : Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology. Personal Author(s) : Ainsworth, Hannah C.;Frost, DeAnna Baker;Lim, S. Sam;Ramos, Paula S.; Published Date : February 2025 Pages in Document : 98-110 (29 pdf pages) Source : Nature Reviews. Rheumatology, 2025, v. 21, no. 2 DOI : https://doi.org/10.1038/s41584-024-01204-7 Journal Title : Nature Reviews. Rheumatology
Ainsworth, H. C., Frost, D. B., Lim, S. S., & Ramos, P. S. (2025). Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology. Nature Reviews. Rheumatology, 21(2). https://doi.org/10.1038/s41584-024-01204-7

Ainsworth, Hannah C., DeAnna Baker Frost, S. Sam Lim, and Paula S. Ramos. "Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology." Nature Reviews. Rheumatology 21, no. 2 (2025). https://doi.org/10.1038/s41584-024-01204-7.

Ainsworth, Hannah C., et al. "Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology." Nature Reviews. Rheumatology, vol. 21, no. 2, 2025. Stacks. https://doi.org/10.1038/s41584-024-01204-7.
Export RIS Citation Information. TY - Journal Article AU - Ainsworth, Hannah C. AU - Frost, DeAnna Baker AU - Lim, S. Sam AU - Ramos, Paula S. AB - Health disparities in rheumatic disease are well established and urgently need addressing. Obstacles to precision medicine equity span both the clinical and the research domains, with a focus placed on structural barriers limiting equitable health care access and inclusivity in research. Less articulated factors include the use of inaccurate population descriptors and the existence of research silos in rheumatology research, which creates a knowledge gap that precludes addressing the health disparities and fulfilling the goals of precision medicine to understand the 'full patient'. The biopsychosocial model is a research framework that intertwines layers of biological and environmental effects to understand disease. However, very limited rheumatology research bridges across molecular and epidemiological studies of environmental exposures, such as physical and social determinants of health. In this Review, we discuss clinical obstacles to health care equity, including access to health care and the use of inaccurate language when labelling population groups. We explore the goals and data needed for research under the biopsychosocial model. We describe results from a rheumatic disease literature search that highlights the paucity of studies investigating the molecular influences of systemic exposures. We conclude with a list of considerations and recommendations to help achieve equitable precision medicine. AB - Author manuscript AN - cdc:261784 C4 - PMC11910143 DO - https://doi.org/10.1038/s41584-024-01204-7 IS - 2 J2 - Nature Reviews. Rheumatology KW - Biomedical Research KW - Healthcare Disparities KW - Rheumatology KW - Rheumatic Diseases KW - Health Equity KW - Humans KW - Health Services Accessibility KW - Precision Medicine KW - Humans KW - Precision Medicine KW - Rheumatology KW - Rheumatic Diseases KW - Healthcare Disparities KW - Health Services Accessibility KW - Health Equity KW - Biomedical Research LA - eng PY - 2025 T2 - Nature Reviews. Rheumatology T2 - Nature Reviews. Rheumatology, 2025, v. 21, no. 2 TI - Breaking Research Silos to Achieve Equitable Precision Medicine in Rheumatology. VL - 21 UR - https://stacks.cdc.gov/view/cdc/261784 ER -
Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns.

Sorensen, Julie A ;

Jenkins, Paul

April 2025 | Journal of Agromedicine, 2025, v. 30, no. 2

Commercial fishing is one of the most dangerous industries in the United States, and although injuries have been a prominent focus for research, some health and safety risk factors such as sleep are understudied. In this paper, data from a multi-modal research study of sleep patterns, lifestyle factors, occupational exposures, medical histories, an ...

10/09/2026

Supporting Files

Title : Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns. Personal Author(s) : Sorensen, Julie A;Jenkins, Paul;Gertz, Kimberly;Roome, Amanda;Weil, Rebecca;Graham, Judith;Quinn, Brian;Kincl, Laurel;Dzugan, Jerry;McCue-Weil, Leigh; Published Date : April 2025 Pages in Document : 286-296 (15 pdf pages) Source : Journal of Agromedicine, 2025, v. 30, no. 2 DOI : https://doi.org/10.1080/1059924X.2025.2451625 Journal Title : Journal of Agromedicine
Sorensen, J. A., Jenkins, P., Gertz, K., Roome, A., Weil, R., Graham, J., Quinn, B., Kincl, L., Dzugan, J., & McCue-Weil, L. (2025). Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns. Journal of Agromedicine, 30(2). https://doi.org/10.1080/1059924X.2025.2451625

Sorensen, Julie A, Paul Jenkins, Kimberly Gertz, Amanda Roome, Rebecca Weil, Judith Graham, Brian Quinn, Laurel Kincl, Jerry Dzugan, and Leigh McCue-Weil. "Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns." Journal of Agromedicine 30, no. 2 (2025). https://doi.org/10.1080/1059924X.2025.2451625.

Sorensen, Julie A, et al. "Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns." Journal of Agromedicine, vol. 30, no. 2, 2025. Stacks. https://doi.org/10.1080/1059924X.2025.2451625.
Export RIS Citation Information. TY - Journal Article AU - Sorensen, Julie A AU - Jenkins, Paul AU - Gertz, Kimberly AU - Roome, Amanda AU - Weil, Rebecca AU - Graham, Judith AU - Quinn, Brian AU - Kincl, Laurel AU - Dzugan, Jerry AU - McCue-Weil, Leigh AB - Commercial fishing is one of the most dangerous industries in the United States, and although injuries have been a prominent focus for research, some health and safety risk factors such as sleep are understudied. In this paper, data from a multi-modal research study of sleep patterns, lifestyle factors, occupational exposures, medical histories, and health assessments in four U.S. fisheries are used to explore the connections between pain and sleep. AB - A mixture of randomized cluster sampling, study promotions, and dockside recruitment was utilized to gather a sufficient number of fishermen in the Alaska Salmon, Oregon Dungeness Crab, Massachusetts Scallop, and Massachusetts Lobster fisheries for the study. Fishermen were surveyed about sleep patterns, occupational exposures, and lifestyle factors. Surveyed fishermen were provided with free comprehensive health assessments by occupational health nurses and physicians or Advanced Practice Providers. Data were collected in REDCap and downloaded into SAS for analysis using a variety of analytic methods. AB - A total of 262 surveys and 162 physical examinations were completed with captains and crew members in the four fisheries targeted for study. The average self-reported consecutive hours of sleep for fisheries workers that spend several days at sea (i.e. Crab, Scallop, and Salmon fisheries) were roughly 3.5 to 4.0 h in a 24-h period. Of particular note, the majority of fishermen, regardless of fishery, suffered from back pain, and roughly 40% of fishermen noted pain and discomfort significantly impede their ability to sleep. AB - This study underscores the connections between musculoskeletal pain and sleep, providing yet further impetus for preventing musculoskeletal injuries among fishermen. Given the ties between existing sleep debt in the industry and the health and safety risks posed by repeated exposure to insufficient sleep, this study highlights the need for the prevention of these injuries and potentially better treatment options for fishermen who suffer from musculoskeletal disorders. AB - Author manuscript AN - cdc:261783 C4 - PMC13056262 DO - https://doi.org/10.1080/1059924X.2025.2451625 IS - 2 J2 - Journal of Agromedicine KW - Occupational Exposure KW - Female KW - Animals KW - Occupational Injuries KW - Young Adult KW - Fisheries KW - Occupational Diseases KW - Sleep KW - Life Style KW - Musculoskeletal Pain KW - Surveys and Questionnaires KW - Risk Factors KW - Male KW - Middle Aged KW - Humans KW - Adult KW - Commercial fishing KW - health assessments KW - musculoskeletal pain KW - sleep patterns KW - sleep studies KW - Humans KW - Fisheries KW - Musculoskeletal Pain KW - Male KW - Adult KW - Middle Aged KW - Sleep KW - Animals KW - Female KW - Occupational Diseases KW - Occupational Injuries KW - Occupational Exposure KW - Life Style KW - Young Adult KW - Surveys and Questionnaires KW - Risk Factors LA - eng PY - 2025 T2 - Journal of Agromedicine T2 - Journal of Agromedicine, 2025, v. 30, no. 2 TI - Adding Insult to Injury: the Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns. VL - 30 UR - https://stacks.cdc.gov/view/cdc/261783 ER -
Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis.

Hernandez, Christopher Justin ;

Trujillo, Dillon

April 2025 | AIDS and Behavior, 2025, v. 29, no. 4

Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections, a disparity that has only worsened in recent years. During the COVID-19 pandemic, an overall increasing trend remained.We utilized data from the MSM cycle of the National HIV Behavioral Surveillance (NHBS) study in San Francisco, California, conducte ...

10/09/2026

Supporting Files

Title : Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis. Personal Author(s) : Hernandez, Christopher Justin;Trujillo, Dillon;Tate, Moranda;Baguso, Glenda;Quintana, Jerry;McNaughten, Katherine C.;Jain, Jennifer P.;Santos, Glenn-Milo;Arayasirikul, Sean;McFarland, Willi;Wilson, Erin C.; Published Date : April 2025 Pages in Document : 1352-1361 (18 pdf pages) Source : AIDS and Behavior, 2025, v. 29, no. 4 DOI : https://doi.org/10.1007/s10461-024-04608-4 Journal Title : AIDS and Behavior
Hernandez, C. J., Trujillo, D., Tate, M., Baguso, G., Quintana, J., McNaughten, K. C., Jain, J. P., Santos, G. M., Arayasirikul, S., McFarland, W., & Wilson, E. C. (2025). Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis. AIDS and Behavior, 29(4). https://doi.org/10.1007/s10461-024-04608-4

Hernandez, Christopher Justin, Dillon Trujillo, Moranda Tate, Glenda Baguso, Jerry Quintana, Katherine C. McNaughten, and Jennifer P. Jain, et al.. "Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis." AIDS and Behavior 29, no. 4 (2025). https://doi.org/10.1007/s10461-024-04608-4.

Hernandez, Christopher Justin, et al. "Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis." AIDS and Behavior, vol. 29, no. 4, 2025. Stacks. https://doi.org/10.1007/s10461-024-04608-4.
Export RIS Citation Information. TY - Journal Article AU - Hernandez, Christopher Justin AU - Trujillo, Dillon AU - Tate, Moranda AU - Baguso, Glenda AU - Quintana, Jerry AU - McNaughten, Katherine C. AU - Jain, Jennifer P. AU - Santos, Glenn-Milo AU - Arayasirikul, Sean AU - McFarland, Willi AU - Wilson, Erin C. AB - Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections, a disparity that has only worsened in recent years. During the COVID-19 pandemic, an overall increasing trend remained. AB - We utilized data from the MSM cycle of the National HIV Behavioral Surveillance (NHBS) study in San Francisco, California, conducted from June 2021 through December 2021, to identify socio-ecological disruptions during the COVID-19 pandemic that were associated with sexually transmitted infections. AB - In total, 505 participants were surveyed, and approximately 24% of the participants reported having been diagnosed with an STI infection within the past 12 months. In the adjusted Poisson regression models, socio-ecologic factors that were independently associated with STI infection included barriers to STI testing due to COVID-19 (aRR 1.62, 95% CI 1.18-2.23), sex with partners part of small social circles/pods (aRR 2.41, 95% CI 1.41-4.12), sex with partners whose risk for COVID-19 was not known (aRR 3.53, 95% CI 2.05-6.06), and an increase or relapse in recreational substance use (aRR 2.01, 95% CI 1.49-2.72). AB - These findings indicate the importance of enacting comprehensive policies that not only address an ongoing global pandemic but also consider its potential effects on other public health epidemics, such as sexually transmitted infections among men who have sex with men. AB - Author manuscript AN - cdc:261782 C4 - PMC13292803 DO - https://doi.org/10.1007/s10461-024-04608-4 IS - 4 J2 - AIDS and Behavior KW - Sexually Transmitted Diseases KW - SARS-CoV-2 KW - COVID-19 KW - Young Adult KW - Homosexuality, Male KW - Sexual Partners KW - Risk Factors KW - Risk Assessment KW - Male KW - Middle Aged KW - Humans KW - Adult KW - Sexual Behavior KW - Men who have sex with men KW - STD risk KW - Socio-ecological risk KW - COVID-19 pandemic KW - Humans KW - Male KW - COVID-19 KW - Sexually Transmitted Diseases KW - Homosexuality, Male KW - Adult KW - Sexual Partners KW - SARS-CoV-2 KW - Risk Factors KW - Sexual Behavior KW - Middle Aged KW - Young Adult KW - Risk Assessment LA - eng PY - 2025 T2 - AIDS and Behavior T2 - AIDS and Behavior, 2025, v. 29, no. 4 TI - Assessing the Risk of Sexually Transmitted Infections Among Men Who Have Sex With Men in San Francisco During COVID-19: a Socio-ecological Analysis. VL - 29 UR - https://stacks.cdc.gov/view/cdc/261782 ER -
Elucidating the Outpatient Burden of RSV Disease in Children.

Dawood, Fatimah S ;

McMorrow, Meredith L

February 2025 | The Lancet. Respiratory Medicine, 2025, v. 13, no. 2

Respiratory syncytial virus (RSV) was first identified as a cause of human infection more than six decades ago, after the virus was isolated from respiratory swabs from two children with outpatient illnesses.1 Studies of RSV in hospitalised children have predominated because RSV is a leading cause of severe lower respiratory tract infection in infa ...

10/09/2026

Supporting Files

Title : Elucidating the Outpatient Burden of RSV Disease in Children. Personal Author(s) : Dawood, Fatimah S;McMorrow, Meredith L; Published Date : February 2025 Pages in Document : 106-108 (3 pdf pages) Source : The Lancet. Respiratory Medicine, 2025, v. 13, no. 2 DOI : https://doi.org/10.1016/S2213-2600(24)00402-8 Journal Title : The Lancet. Respiratory Medicine
Dawood, F. S., & McMorrow, M. L. (2025). Elucidating the Outpatient Burden of RSV Disease in Children. The Lancet. Respiratory Medicine, 13(2). https://doi.org/10.1016/S2213-2600(24)00402-8

Dawood, Fatimah S and Meredith L McMorrow. "Elucidating the Outpatient Burden of RSV Disease in Children." The Lancet. Respiratory Medicine 13, no. 2 (2025). https://doi.org/10.1016/S2213-2600(24)00402-8.

Dawood, Fatimah S, and Meredith L McMorrow "Elucidating the Outpatient Burden of RSV Disease in Children." The Lancet. Respiratory Medicine, vol. 13, no. 2, 2025. Stacks. https://doi.org/10.1016/S2213-2600(24)00402-8.
Export RIS Citation Information. TY - Journal Article AU - Dawood, Fatimah S AU - McMorrow, Meredith L AB - Respiratory syncytial virus (RSV) was first identified as a cause of human infection more than six decades ago, after the virus was isolated from respiratory swabs from two children with outpatient illnesses.1 Studies of RSV in hospitalised children have predominated because RSV is a leading cause of severe lower respiratory tract infection in infants and young children.2 In a 2009 landmark paper on RSV burden in children younger than 5 years, Hall and colleagues noted "the total burden of RSV infection during the first 5 years of life remains poorly defined, particularly in the outpatient setting".3 In their study, Hall and colleagues prospectively surveilled medically attended acute respiratory tract infection via systematic RSV testing in children younger than 5 years in three US counties, and found that RSV was associated with 355 (16·3%) of 2175 and 173 (22·1%) of 784 annual outpatient visits for acute respiratory tract infection in children younger than 5 years and those younger than 1 year, respectively. AB - Author manuscript AN - cdc:261781 C4 - PMC12833739 DO - https://doi.org/10.1016/S2213-2600(24)00402-8 IS - 2 J2 - The Lancet. Respiratory Medicine KW - Outpatients KW - Child, Hospitalized KW - Respiratory Syncytial Virus Infections KW - Respiratory Tract Infections KW - Respiratory Syncytial Viruses KW - Classification KW - Child, Hospitalized KW - Classification KW - Outpatients KW - Respiratory Syncytial Virus Infections KW - Respiratory Syncytial Viruses KW - Respiratory Tract Infections LA - eng PY - 2025 T2 - The Lancet. Respiratory Medicine T2 - The Lancet. Respiratory Medicine, 2025, v. 13, no. 2 TI - Elucidating the Outpatient Burden of RSV Disease in Children. VL - 13 UR - https://stacks.cdc.gov/view/cdc/261781 ER -
Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial.

Ba, El-hadji Konko Ciré ;

Roh, Michelle E

June 2025 | The Lancet. Infectious Diseases, 2025, v. 25, no. 6

In Africa, the scale-up of malaria-control interventions has reduced malaria burden, but progress towards elimination has stalled. Mass drug administration (MDA) is promising as a transmission-reducing strategy, but evidence from low-to-moderate transmission settings is needed. We aimed to assess the safety, coverage, and effect of three cycles of ...

10/09/2026

Supporting Files

Title : Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial. Personal Author(s) : Ba, El-hadji Konko Ciré;Roh, Michelle E;Diallo, Abdoulaye;Gadiaga, Tidiane;Seck, Amadou;Thiam, Sylla;Fogelson, Ari;Gaye, Seynabou;Diallo, Ibrahima;Lo, Aminata Colle;Diouf, Elhadji;Ba, Oumar Gallo;Gueye, Alioune Badara;Wu, Xue;Milligan, Paul;Kibuka, Tabitha;Hama, Moustapha;Eckert, Erin;Thwing, Julie;Bennett, Adam;Gosling, Roly;Hwang, Jimee;Sene, Doudou;Ba, Fatou;Cissé, Bayal;Sturm-Ramirez, Katharine;Hsiang, Michelle S;Ndiaye, Jean Louis; Published Date : June 2025 Pages in Document : 656-667 (27 pdf pages) Source : The Lancet. Infectious Diseases, 2025, v. 25, no. 6 DOI : https://doi.org/10.1016/S1473-3099(24)00741-2 Journal Title : The Lancet. Infectious Diseases
Ba, E. h. K. C., Roh, M. E., Diallo, A., Gadiaga, T., Seck, A., Thiam, S., Fogelson, A., Gaye, S., Diallo, I., Lo, A. C., Diouf, E., Ba, O. G., Gueye, A. B., Wu, X., Milligan, P., Kibuka, T., Hama, M., Eckert, E., Thwing, J., ... Ndiaye, J. L. (2025). Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial. The Lancet. Infectious Diseases, 25(6). https://doi.org/10.1016/S1473-3099(24)00741-2

Ba, El-hadji Konko Ciré, Michelle E Roh, Abdoulaye Diallo, Tidiane Gadiaga, Amadou Seck, Sylla Thiam, and Ari Fogelson, et al.. "Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial." The Lancet. Infectious Diseases 25, no. 6 (2025). https://doi.org/10.1016/S1473-3099(24)00741-2.

Ba, El-hadji Konko Ciré, et al. "Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial." The Lancet. Infectious Diseases, vol. 25, no. 6, 2025. Stacks. https://doi.org/10.1016/S1473-3099(24)00741-2.
Export RIS Citation Information. TY - Journal Article AU - Ba, El-hadji Konko Ciré AU - Roh, Michelle E AU - Diallo, Abdoulaye AU - Gadiaga, Tidiane AU - Seck, Amadou AU - Thiam, Sylla AU - Fogelson, Ari AU - Gaye, Seynabou AU - Diallo, Ibrahima AU - Lo, Aminata Colle AU - Diouf, Elhadji AU - Ba, Oumar Gallo AU - Gueye, Alioune Badara AU - Wu, Xue AU - Milligan, Paul AU - Kibuka, Tabitha AU - Hama, Moustapha AU - Eckert, Erin AU - Thwing, Julie AU - Bennett, Adam AU - Gosling, Roly AU - Hwang, Jimee AU - Sene, Doudou AU - Ba, Fatou AU - Cissé, Bayal AU - Sturm-Ramirez, Katharine AU - Hsiang, Michelle S AU - Ndiaye, Jean Louis AB - In Africa, the scale-up of malaria-control interventions has reduced malaria burden, but progress towards elimination has stalled. Mass drug administration (MDA) is promising as a transmission-reducing strategy, but evidence from low-to-moderate transmission settings is needed. We aimed to assess the safety, coverage, and effect of three cycles of MDA with dihydroartemisinin-piperaquine plus single, low-dose primaquine on Plasmodium falciparum incidence and prevalence in southeast Senegal. AB - We conducted a two-arm, open-label, cluster-randomised controlled trial in villages in the Tambacounda health district of southeast Senegal. Eligible villages had a population size of 200-800, were within a health-post catchment area with an annual malaria incidence of 60-160 cases per 1000 people, and had an established or planned Prise en Charge à Domicile Plus model. We randomly assigned villages (1:1) using a stratified, constrained randomisation approach to receive either three cycles of MDA with oral dihydroartemisinin-piperaquine plus single, low-dose primaquine administered at 6-week intervals (intervention) or to standard of care, which included three cycles of seasonal malaria chemoprevention (SMC) with oral sulfadoxine-pyrimethamine plus amodiaquine administered at 4-week intervals (control). Participants, the field team, and all investigators, including those who assessed outcomes and analysed data, were unmasked to allocation assignment. Laboratory technicians were masked to intervention assignment. The primary outcome was village-level, P falciparum-confirmed malaria incidence in the post-intervention year (ie, July to December, 2022). Secondary outcomes included malaria incidence during the intervention year (ie, July to December, 2021), coverage and safety of MDA, and adverse events. We conducted analyses using an intention-to-treat approach. The trial is registered with ClinicalTrials.gov (NCT04864444) and is completed. AB - Between Sept 1 and Oct 25, 2020, 523 villages were geolocated and screened for eligibility; 111 met the inclusion criteria. Of these, 60 villages were randomly selected and assigned to the intervention arm or control arm. Distribution coverage of all three doses of dihydroartemisinin-piperaquine was 6057 (73·6%) of 8229 participants in the first cycle, 6836 (78·8%) of 8673 participants in the second cycle, and 7065 (81·3%) of 8690 participants in the third cycle. Distribution coverage of single, low-dose primaquine was 6286 (78·6%) of 7999 participants in the first cycle, 6949 (82·1%) of 8462 participants in the second cycle, and 7199 (84·0%) of 8575 participants in the third cycle. Distribution coverage of all three doses of SMC was 3187 (92·2%) of 3457 children aged 3-120 months in the first cycle, 3158 (91·8%) of 3442 children aged 3-120 months in the second cycle, and 3139 (91·4%) of 3434 children aged 3-120 months in the third cycle. In the intervention year (ie, July to December, 2021), the adjusted effect of MDA was 55% (95% CI 28 to 71). In the post-intervention year (ie, July to December 2022), the adjusted MDA effect was 26% (-17 to 53). Malaria incidence during the transmission season of the post-intervention year was 126 cases per 1000 population in the intervention arm and 146 cases per 1000 population in the control arm. No serious adverse events were reported. AB - In southeast Senegal, a low-to-moderate transmission setting where malaria-control measures have been scaled up, three cycles of MDA with dihydroartemisinin-piperaquine plus single, low-dose primaquine was safe and reduced malaria burden during the intervention year. However, its sustained effect was weak and continuation of MDA or another transmission-reducing strategy could be required. AB - US President's Malaria Initiative. AB - Author manuscript AN - cdc:261780 C4 - PMC12103279 DO - https://doi.org/10.1016/S1473-3099(24)00741-2 IS - 6 J2 - The Lancet. Infectious Diseases KW - Mass Drug Administration KW - Adolescent KW - Plasmodium falciparum KW - Malaria, Falciparum KW - Female KW - Artemisinins KW - Pyrimethamine KW - Drug Combinations KW - Young Adult KW - Quinolines KW - Child KW - Antimalarials KW - Piperazines KW - Infant KW - Incidence KW - Prevalence KW - Primaquine KW - Male KW - Middle Aged KW - Humans KW - Child, Preschool KW - Adult KW - Humans KW - Antimalarials KW - Incidence KW - Artemisinins KW - Mass Drug Administration KW - Male KW - Female KW - Malaria, Falciparum KW - Quinolines KW - Primaquine KW - Child, Preschool KW - Adult KW - Adolescent KW - Child KW - Young Adult KW - Infant KW - Plasmodium falciparum KW - Drug Combinations KW - Prevalence KW - Middle Aged KW - Pyrimethamine KW - Piperazines LA - eng PY - 2025 T2 - The Lancet. Infectious Diseases T2 - The Lancet. Infectious Diseases, 2025, v. 25, no. 6 TI - Effect of Mass Drug Administration on Malaria Incidence in Southeast Senegal During 2020-22: a Two-arm, Open-label, Cluster-randomised Controlled Trial. VL - 25 UR - https://stacks.cdc.gov/view/cdc/261780 ER -
Costs of Typhoid Vaccination For International Travelers From the United States.

Joo, Heesoo ;

Maskery, Brian A.

November 14, 2025 | Travel Medicine and Infectious Disease, 2025, v. 64

In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of typhoid exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated typhoid vaccination costs by route (injectable vs. oral) and provider setting (clinic vs. pharmacy). Of 165,930 vaccinated individuals, 9 ...

10/09/2026

Supporting Files

Title : Costs of Typhoid Vaccination For International Travelers From the United States. Personal Author(s) : Joo, Heesoo;Maskery, Brian A.;Francois Watkins, Louise K.;Park, Joohyun;Angelo, Kristina M.;Halsey, Eric S.; Published Date : November 14, 2025 Pages in Document : 102798 (9 pdf pages) Source : Travel Medicine and Infectious Disease, 2025, v. 64 DOI : https://doi.org/10.1016/j.tmaid.2025.102798 Journal Title : Travel Medicine and Infectious Disease
Joo, H., Maskery, B. A., Francois Watkins, L. K., Park, J., Angelo, K. M., & Halsey, E. S. (2025). Costs of Typhoid Vaccination For International Travelers From the United States. Travel Medicine and Infectious Disease, 64. https://doi.org/10.1016/j.tmaid.2025.102798

Joo, Heesoo, Brian A. Maskery, Louise K. Francois Watkins, Joohyun Park, Kristina M. Angelo, and Eric S. Halsey. "Costs of Typhoid Vaccination For International Travelers From the United States." Travel Medicine and Infectious Disease 64 (2025). https://doi.org/10.1016/j.tmaid.2025.102798.

Joo, Heesoo, et al. "Costs of Typhoid Vaccination For International Travelers From the United States." Travel Medicine and Infectious Disease, vol. 64, 2025. Stacks. https://doi.org/10.1016/j.tmaid.2025.102798.
Export RIS Citation Information. TY - Journal Article AU - Joo, Heesoo AU - Maskery, Brian A. AU - Francois Watkins, Louise K. AU - Park, Joohyun AU - Angelo, Kristina M. AU - Halsey, Eric S. AB - In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of typhoid exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated typhoid vaccination costs by route (injectable vs. oral) and provider setting (clinic vs. pharmacy). Of 165,930 vaccinated individuals, 99,471 received injectable and 66,459 received oral typhoid vaccines, with 88 % and 17 % respectively administered at clinics. Average costs for injectable vaccination were $132.91 per person [95 % confidence interval (CI): $132.68-$133.13], with clinic and pharmacy costs at $136.38 [95 % CI: $136.14-$136.63] and $107.45 [95 % CI: $107.13-$107.77], respectively. Oral vaccination costs averaged $81.23 per person [95 % CI: $81.14-$81.33], encompassing $86.61 [95 % CI: $86.13-$87.10] at clinics and $80.14 [95 % CI: $80.09-$80.19] at pharmacies. Out-of-pocket costs comprised 21 % and 33 % of total costs for injectable and oral vaccinations. These findings may inform clinical decision-making to protect international travelers' health. AB - Author manuscript AN - cdc:261779 C4 - PMC12617018 DO - https://doi.org/10.1016/j.tmaid.2025.102798 J2 - Travel Medicine and Infectious Disease KW - Typhoid-Paratyphoid Vaccines KW - Female KW - Vaccination KW - Administration, Oral KW - Male KW - Middle Aged KW - Humans KW - Travel KW - Adult KW - Health Care Costs KW - Typhoid Fever KW - typhoid fever KW - typhoid vaccination KW - vaccination costs KW - Humans KW - Typhoid-Paratyphoid Vaccines KW - Typhoid Fever KW - Travel KW - Vaccination KW - Administration, Oral KW - Female KW - Male KW - Adult KW - Health Care Costs KW - Middle Aged LA - eng PY - 2025 T2 - Travel Medicine and Infectious Disease T2 - Travel Medicine and Infectious Disease, 2025, v. 64 TI - Costs of Typhoid Vaccination For International Travelers From the United States. VL - 64 UR - https://stacks.cdc.gov/view/cdc/261779 ER -
Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018.

Stierman, Bryan ;

Helms Garrison, Veronica

August 2025 | Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 2025, v. 27, no. 9

The prevalence of cigarette smoking is high among U.S. Department of Housing and Urban Development (HUD) assistance recipients, putting others at risk for secondhand smoke (SHS) exposure. We evaluated the burden of SHS exposure among HUD-assisted children, adolescents, and adults.Using 2007-2018 National Health and Nutrition Examination Survey (NHA ...

10/09/2026

Supporting Files

Title : Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018. Personal Author(s) : Stierman, Bryan;Helms Garrison, Veronica;Brody, Debra J.;Bachand, Jacqueline V.; Published Date : August 2025 Pages in Document : 1541-1551 (19 pdf pages) Source : Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 2025, v. 27, no. 9 DOI : https://doi.org/10.1093/ntr/ntaf006 Journal Title : Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Stierman, B., Helms Garrison, V., Brody, D. J., & Bachand, J. V. (2025). Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 27(9). https://doi.org/10.1093/ntr/ntaf006

Stierman, Bryan, Veronica Helms Garrison, Debra J. Brody, and Jacqueline V. Bachand. "Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018." Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco 27, no. 9 (2025). https://doi.org/10.1093/ntr/ntaf006.

Stierman, Bryan, et al. "Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018." Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, vol. 27, no. 9, 2025. Stacks. https://doi.org/10.1093/ntr/ntaf006.
Export RIS Citation Information. TY - Journal Article AU - Stierman, Bryan AU - Helms Garrison, Veronica AU - Brody, Debra J. AU - Bachand, Jacqueline V. AB - The prevalence of cigarette smoking is high among U.S. Department of Housing and Urban Development (HUD) assistance recipients, putting others at risk for secondhand smoke (SHS) exposure. We evaluated the burden of SHS exposure among HUD-assisted children, adolescents, and adults. AB - Using 2007-2018 National Health and Nutrition Examination Survey (NHANES) data linked with HUD administrative data, we assessed SHS exposure prevalence, defined using serum cotinine, among non-tobacco, non-nicotine-using, HUD-assisted children and adolescents (ages 3-17 years, n = 955) and adults (ages ≥ 18 years, n = 878) and among low-income, HUD-unassisted children and adolescents (n = 5788) and adults (n = 8027). Time trends were evaluated. Unadjusted and adjusted multivariable logistic regression models were created to assess SHS exposure by HUD assistance status. AB - The prevalence of SHS exposure during 2015-2018 was 73.2% (95% CI = 63.2% to 81.7%) among HUD-assisted children and adolescents and 50.1% (95% CI = 40.1% to 60.1%) among HUD-assisted adults. Decreases in SHS exposure among HUD-assisted individuals from 2007-2010 through 2015-2018 were significant only for ages 12-17 years (78.6% [95% CI = 68.0% to 87.0%] to 64.3% [95% CI = 52.5% to 74.9%]; p = .04). Among low-income individuals, SHS exposure was higher during 2007-2018 among HUD-assisted than HUD-unassisted children and adolescents (OR = 3.39 [95% CI = 2.58 to 4.47]) and adults (2.11 [95% CI = 1.66 to 2.68]). Results remained significant after adjusting for social, demographic, and housing characteristics. AB - HUD-assisted children, adolescents, and adults had higher exposure to SHS than those not receiving HUD assistance. SHS exposure among HUD-assisted individuals was high for all years studied, compared to published estimates for the general US population, but did decrease among children and adolescents aged 12-17 years. AB - This study is the first to provide biomarker-derived prevalence estimates of SHS exposure among recipients of HUD assistance within a nationally representative sample of the United States. The findings suggest that HUD-assisted children, adolescents, and adults are an at-risk population for SHS exposure, independent of known confounding social and demographic factors. AB - Author manuscript AN - cdc:261778 C4 - PMC12333854 DO - https://doi.org/10.1093/ntr/ntaf006 IS - 9 J2 - Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco KW - Adolescent KW - Nutrition Surveys KW - Female KW - Poverty KW - Young Adult KW - Cotinine KW - Child KW - Tobacco Smoke Pollution KW - Public Assistance KW - Prevalence KW - Male KW - Middle Aged KW - Humans KW - Environmental Exposure KW - Child, Preschool KW - Adult KW - NHANES KW - HUD KW - housing KW - public housing KW - secondhand smoke exposure KW - serum cotinine KW - prevalence KW - housing quality KW - indoor air quality KW - Humans KW - Tobacco Smoke Pollution KW - Cotinine KW - Adolescent KW - Child KW - Male KW - Female KW - Adult KW - Nutrition Surveys KW - Child, Preschool KW - Middle Aged KW - Prevalence KW - Young Adult KW - Environmental Exposure KW - Poverty KW - Public Assistance LA - eng PY - 2025 T2 - Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco T2 - Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 2025, v. 27, no. 9 TI - Cotinine-Measured Secondhand Smoke Exposure Among Federal Housing Assistance Recipients Without Active Tobacco or Nicotine Use in the United States: NHANES, 2007-2018. VL - 27 UR - https://stacks.cdc.gov/view/cdc/261778 ER -
Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use.

Tidwell, Colin A. ;

Danvers, Alexander F.

February 2025 | Journal of Personality and Social Psychology, 2025, v. 128, no. 2

Women are widely assumed to be more talkative than men. Challenging this assumption, Mehl et al. (2007) provided empirical evidence that men and women do not differ significantly in their daily word use, speaking about 16,000 words per day (WPD) each. However, concerns were raised that their sample was too small to yield generalizable estimates and ...

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Supporting Files

Title : Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use. Personal Author(s) : Tidwell, Colin A.;Danvers, Alexander F.;Pfeifer, Valeria A.;Abel, Danielle B.;Alisic, Eva;Beer, Andrew;Bierstetel, Sabrina J.;Bollich-Ziegler, Kathryn L.;Bruni, Michelle;Calabrese, William R.;Chiarello, Christine;Demiray, Burcu;Dimidjian, Sona;Fingerman, Karen L.;Haas, Maximilian;Kaplan, Deanna M.;Kim, Yijung K.;Knezevic, Goran;Lazarevic, Ljiljana B.;Luo, Minxia;Macbeth, Alessandra;Manson, Joseph H.;Mascaro, Jennifer S.;Metcalf, Christina;Minor, Kyle S.;Moseley, Suzanne;Polsinelli, Angelina J.;Raison, Charles L.;Rilling, James K.;Robbins, Megan L.;Sbarra, David;Slatcher, Richard B.;Sun, Jessie;Vasileva, Mira;Vazire, Simine;Mehl, Matthias R.; Published Date : February 2025 Pages in Document : 367-391 (46 pdf pages) Source : Journal of Personality and Social Psychology, 2025, v. 128, no. 2 DOI : https://doi.org/10.1037/pspp0000534 Journal Title : Journal of Personality and Social Psychology
Tidwell, C. A., Danvers, A. F., Pfeifer, V. A., Abel, D. B., Alisic, E., Beer, A., Bierstetel, S. J., Bollich-Ziegler, K. L., Bruni, M., Calabrese, W. R., Chiarello, C., Demiray, B., Dimidjian, S., Fingerman, K. L., Haas, M., Kaplan, D. M., Kim, Y. K., Knezevic, G., Lazarevic, L. B., ... Mehl, M. R. (2025). Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use. Journal of Personality and Social Psychology, 128(2). https://doi.org/10.1037/pspp0000534

Tidwell, Colin A., Alexander F. Danvers, Valeria A. Pfeifer, Danielle B. Abel, Eva Alisic, Andrew Beer, and Sabrina J. Bierstetel, et al.. "Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use." Journal of Personality and Social Psychology 128, no. 2 (2025). https://doi.org/10.1037/pspp0000534.

Tidwell, Colin A., et al. "Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use." Journal of Personality and Social Psychology, vol. 128, no. 2, 2025. Stacks. https://doi.org/10.1037/pspp0000534.
Export RIS Citation Information. TY - Journal Article AU - Tidwell, Colin A. AU - Danvers, Alexander F. AU - Pfeifer, Valeria A. AU - Abel, Danielle B. AU - Alisic, Eva AU - Beer, Andrew AU - Bierstetel, Sabrina J. AU - Bollich-Ziegler, Kathryn L. AU - Bruni, Michelle AU - Calabrese, William R. AU - Chiarello, Christine AU - Demiray, Burcu AU - Dimidjian, Sona AU - Fingerman, Karen L. AU - Haas, Maximilian AU - Kaplan, Deanna M. AU - Kim, Yijung K. AU - Knezevic, Goran AU - Lazarevic, Ljiljana B. AU - Luo, Minxia AU - Macbeth, Alessandra AU - Manson, Joseph H. AU - Mascaro, Jennifer S. AU - Metcalf, Christina AU - Minor, Kyle S. AU - Moseley, Suzanne AU - Polsinelli, Angelina J. AU - Raison, Charles L. AU - Rilling, James K. AU - Robbins, Megan L. AU - Sbarra, David AU - Slatcher, Richard B. AU - Sun, Jessie AU - Vasileva, Mira AU - Vazire, Simine AU - Mehl, Matthias R. AB - Women are widely assumed to be more talkative than men. Challenging this assumption, Mehl et al. (2007) provided empirical evidence that men and women do not differ significantly in their daily word use, speaking about 16,000 words per day (WPD) each. However, concerns were raised that their sample was too small to yield generalizable estimates and too age and context homogeneous to permit inferences beyond college students. This registered report replicated and extended the previous study of binary gender differences in daily word use to address these concerns. Across 2,197 participants (more than five-fold the original sample size), pooled over 22 samples (631,030 ambient audio recordings), men spoke on average 11,950 WPD and women 13,349 WPD, with very large individual differences (< 100 to > 120,000 WPD). The estimated gender difference (1,073 WPD; AB - = 0.13; 95% CrI [316, 1,824]) was about twice as large as in the original study. Smaller differences emerged among adolescent (513 WPD), emerging adult (841 WPD), and older adult (-788 WPD) participants, but a substantially larger difference emerged for participants in early and middle adulthood (3,275 WPD; AB - = 0.32). Despite the considerable sample size(s), all estimates carried large statistical uncertainty and, except for the gender difference in early and middle adulthood, provide inconclusive evidence regarding whether the two genders ultimately speak a practically equivalent number of WPD, based on the preregistered ± 1,000 WPD regions of practical equivalence criterion. Experienced stress had no meaningful effect on the gender difference, and no clear pattern emerged as to whether the gender difference is accentuated for subjectively rated compared with objectively observed talkativeness. (PsycInfo Database Record (c) 2025 APA, all rights reserved). AB - Author manuscript AN - cdc:261777 C4 - PMC11825285 DO - https://doi.org/10.1037/pspp0000534 IS - 2 J2 - Journal of Personality and Social Psychology KW - Sex Characteristics KW - Adolescent KW - Female KW - Aged KW - Young Adult KW - Verbal Behavior KW - Pre-Registration Publication KW - Sex Factors KW - Speech KW - Male KW - Humans KW - Middle Aged KW - Adult KW - gender stereotypes KW - sex differences KW - lexical budget KW - daily vocabulary KW - replication KW - Humans KW - Female KW - Male KW - Adult KW - Young Adult KW - Adolescent KW - Middle Aged KW - Sex Factors KW - Aged KW - Speech KW - Sex Characteristics KW - Verbal Behavior KW - Pre-Registration Publication LA - eng PY - 2025 T2 - Journal of Personality and Social Psychology T2 - Journal of Personality and Social Psychology, 2025, v. 128, no. 2 TI - Are Women Really (not) More Talkative Than Men? a Registered Report of Binary Gender Similarities/differences in Daily Word Use. VL - 128 UR - https://stacks.cdc.gov/view/cdc/261777 ER -
Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters.

Schmitz, Amber N. ;

Giuliani-Dewig, Hayden K.

February 2025 | Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2

The purpose of this study was to (1) examine the relationship between perceived work-related fatigue and performance fatigability, and (2) assess the impact of percent body fat (%BF) on perceived fatigue constructs in career firefighters.Thirty-nine career firefighters completed body composition testing, the Occupational Fatigue Exhaustion Recovery ...

10/09/2026

Supporting Files

Title : Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters. Personal Author(s) : Schmitz, Amber N.;Giuliani-Dewig, Hayden K.;Laffan, Megan R.;Trivisonno, Abigail J.;Gerstner, Gena R.;Mota, Jacob A.;Buoncristiani, Nicholas A.;Ryan, Eric D.; Published Date : February 2025 Pages in Document : 110-114 (15 pdf pages) Source : Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2 DOI : https://doi.org/10.1097/JOM.0000000000003282 Journal Title : Journal of Occupational and Environmental Medicine
Schmitz, A. N., Giuliani-Dewig, H. K., Laffan, M. R., Trivisonno, A. J., Gerstner, G. R., Mota, J. A., Buoncristiani, N. A., & Ryan, E. D. (2025). Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters. Journal of Occupational and Environmental Medicine, 67(2). https://doi.org/10.1097/JOM.0000000000003282

Schmitz, Amber N., Hayden K. Giuliani-Dewig, Megan R. Laffan, Abigail J. Trivisonno, Gena R. Gerstner, Jacob A. Mota, Nicholas A. Buoncristiani, and Eric D. Ryan. "Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters." Journal of Occupational and Environmental Medicine 67, no. 2 (2025). https://doi.org/10.1097/JOM.0000000000003282.

Schmitz, Amber N., et al. "Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters." Journal of Occupational and Environmental Medicine, vol. 67, no. 2, 2025. Stacks. https://doi.org/10.1097/JOM.0000000000003282.
Export RIS Citation Information. TY - Journal Article AU - Schmitz, Amber N. AU - Giuliani-Dewig, Hayden K. AU - Laffan, Megan R. AU - Trivisonno, Abigail J. AU - Gerstner, Gena R. AU - Mota, Jacob A. AU - Buoncristiani, Nicholas A. AU - Ryan, Eric D. AB - The purpose of this study was to (1) examine the relationship between perceived work-related fatigue and performance fatigability, and (2) assess the impact of percent body fat (%BF) on perceived fatigue constructs in career firefighters. AB - Thirty-nine career firefighters completed body composition testing, the Occupational Fatigue Exhaustion Recovery (OFER15) scale assessing three subscales of work-related fatigue (acute fatigue, chronic fatigue, and inter-shift recovery), and maximal leg extensor isometric strength testing prior to and following an isotonic fatiguing protocol. AB - Performance fatigability was not associated with any of the OFER15 perceived work-related fatigue variables ( P ≥ 0.513). Greater %BF was associated with greater %∆ peak torque ( r = -0.41, P = 0.010) but none of the OFER15 perceived work-related fatigue variables ( P ≥ 0.638). AB - Performance fatigability was not associated with OFER15 perceived work-related fatigue, and greater adiposity negatively impacted performance fatigability but not perceived fatigability. AB - Author manuscript AN - cdc:261776 C4 - PMC12012835 DO - https://doi.org/10.1097/JOM.0000000000003282 IS - 2 J2 - Journal of Occupational and Environmental Medicine KW - Occupational Diseases KW - Adiposity KW - Female KW - Muscle Fatigue KW - Fatigue KW - Firefighters KW - Male KW - Muscle Strength KW - Middle Aged KW - Humans KW - Body Composition KW - Adult KW - occupational health KW - neuromuscular function KW - shiftwork KW - obesity KW - Humans KW - Firefighters KW - Male KW - Adult KW - Fatigue KW - Female KW - Middle Aged KW - Muscle Fatigue KW - Adiposity KW - Muscle Strength KW - Body Composition KW - Occupational Diseases LA - eng PY - 2025 T2 - Journal of Occupational and Environmental Medicine T2 - Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2 TI - Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters. VL - 67 UR - https://stacks.cdc.gov/view/cdc/261776 ER -
Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease.

Hellmers, Natalie ;

Stimpfel, Amy Witkoski

February 2025 | Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2

The purpose of study was to explore family caregiver perspectives on work-life balance while caring for adults with Parkinson's disease.The study was performed using a convergent mixed methods design and a revised adaptation of the Work-Life Conflict model. Caregivers completed surveys followed by semistructured interviews ( n = 40).Work-life balan ...

10/09/2026

Supporting Files

Title : Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease. Personal Author(s) : Hellmers, Natalie;Stimpfel, Amy Witkoski;Fletcher, Jason;Dickson, Victoria Vaughan; Published Date : February 2025 Pages in Document : e114-e122 (25 pdf pages) Source : Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2 DOI : https://doi.org/10.1097/JOM.0000000000003283 Journal Title : Journal of Occupational and Environmental Medicine
Hellmers, N., Stimpfel, A. W., Fletcher, J., & Dickson, V. V. (2025). Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease. Journal of Occupational and Environmental Medicine, 67(2). https://doi.org/10.1097/JOM.0000000000003283

Hellmers, Natalie, Amy Witkoski Stimpfel, Jason Fletcher, and Victoria Vaughan Dickson. "Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease." Journal of Occupational and Environmental Medicine 67, no. 2 (2025). https://doi.org/10.1097/JOM.0000000000003283.

Hellmers, Natalie, et al. "Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease." Journal of Occupational and Environmental Medicine, vol. 67, no. 2, 2025. Stacks. https://doi.org/10.1097/JOM.0000000000003283.
Export RIS Citation Information. TY - Journal Article AU - Hellmers, Natalie AU - Stimpfel, Amy Witkoski AU - Fletcher, Jason AU - Dickson, Victoria Vaughan AB - The purpose of study was to explore family caregiver perspectives on work-life balance while caring for adults with Parkinson's disease. AB - The study was performed using a convergent mixed methods design and a revised adaptation of the Work-Life Conflict model. Caregivers completed surveys followed by semistructured interviews ( n = 40). AB - Work-life balance is bidirectionally influenced by time, stress, and behavior across the working and caregiving role. Caregiver burden was offset by higher decision latitude at work. Supervisor support and coworker support were positively associated with work-life balance. Barriers included physical, emotional, and financial stress, and speech and cognitive changes of the care recipient. AB - The results of this study identify the influence of work-life imbalance on caregiver burden and stress, and generate discussion of potential solutions that optimize well-being and health of this working population. AB - Author manuscript AN - cdc:261775 C4 - PMC11805610 DO - https://doi.org/10.1097/JOM.0000000000003283 IS - 2 J2 - Journal of Occupational and Environmental Medicine KW - Female KW - Cost of Illness KW - Aged KW - Caregivers KW - Work-Life Balance KW - Social Support KW - Surveys and Questionnaires KW - Male KW - Humans KW - Middle Aged KW - Parkinson Disease KW - Stress, Psychological KW - Adult KW - Work-life-balance KW - caregiver KW - stress KW - mixed methods KW - Humans KW - Parkinson Disease KW - Male KW - Female KW - Caregivers KW - Middle Aged KW - Work-Life Balance KW - Aged KW - Stress, Psychological KW - Adult KW - Surveys and Questionnaires KW - Social Support KW - Cost of Illness LA - eng PY - 2025 T2 - Journal of Occupational and Environmental Medicine T2 - Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 2 TI - Multicontextual Factors That Influence Work-Life Balance of Family Caregivers of Adults With Parkinson's Disease. VL - 67 UR - https://stacks.cdc.gov/view/cdc/261775 ER -
Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018.

DiPrete, Bethany L. ;

Ranapurwala, Shabbar I.

January 2025 | Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1

Long-term opioid therapy (LTOT) has been shown to be associated with opioid overdose, but the definition of LTOT varies widely across studies. We use a rigorous LTOT definition to examine risk of opioid overdose by duration of treatment.Data were from a large private health insurance provider in North Carolina linked to mortality records from 2006- ...

10/09/2026

Supporting Files

Title : Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018. Personal Author(s) : DiPrete, Bethany L.;Ranapurwala, Shabbar I.;Pettifor, Audrey E.;Powers, Kimberly A.;Delamater, Paul L.;Fulcher, Naoko;Pence, Brian W.; Published Date : January 2025 Pages in Document : e70090 (20 pdf pages) Source : Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1 DOI : https://doi.org/10.1002/pds.70090 Journal Title : Pharmacoepidemiology and Drug Safety
DiPrete, B. L., Ranapurwala, S. I., Pettifor, A. E., Powers, K. A., Delamater, P. L., Fulcher, N., & Pence, B. W. (2025). Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018. Pharmacoepidemiology and Drug Safety, 34(1). https://doi.org/10.1002/pds.70090

DiPrete, Bethany L., Shabbar I. Ranapurwala, Audrey E. Pettifor, Kimberly A. Powers, Paul L. Delamater, Naoko Fulcher, and Brian W. Pence. "Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018." Pharmacoepidemiology and Drug Safety 34, no. 1 (2025). https://doi.org/10.1002/pds.70090.

DiPrete, Bethany L., et al. "Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018." Pharmacoepidemiology and Drug Safety, vol. 34, no. 1, 2025. Stacks. https://doi.org/10.1002/pds.70090.
Export RIS Citation Information. TY - Journal Article AU - DiPrete, Bethany L. AU - Ranapurwala, Shabbar I. AU - Pettifor, Audrey E. AU - Powers, Kimberly A. AU - Delamater, Paul L. AU - Fulcher, Naoko AU - Pence, Brian W. AB - Long-term opioid therapy (LTOT) has been shown to be associated with opioid overdose, but the definition of LTOT varies widely across studies. We use a rigorous LTOT definition to examine risk of opioid overdose by duration of treatment. AB - Data were from a large private health insurance provider in North Carolina linked to mortality records from 2006-2018. Eligible patients were adults (18-64) newly initiating opioid therapy after a pain diagnosis or surgery. We defined LTOT as ≥ 1 opioid prescription per month totaling ≥ 60 days' supply within 90 days. We used inverse probability (IP)-weighted cumulative incidence functions to estimate three-year risk of opioid overdose and IP-weighted Fine-Gray models to estimate sub-distribution hazard ratios, comparing LTOT to short- to medium-term opioid therapy (SMTOT). We also examined modification by derived indication of acute pain or surgery versus chronic pain. AB - We identified 491 369 patients, and 1.7% were exposed to LTOT. The three-year risk of opioid overdose was 0.3 percentage points (RD AB - = 0.003, 95% CI: 0.001, 0.005) higher in LTOT patients compared to patients with SMTOT. The weighted hazard of opioid overdose was 4.4 times as high (HR AB - 4.42, 95% CI 2.41, 8.11) among patients exposed to LTOT versus SMTOT. We did not find meaningful modification by clinical indication for opioid therapy. AB - Exposure to LTOT was associated with increased risk of opioid overdose in this population of privately insured patients using a rigorous definition of LTOT. These findings confirm the importance of guidelines to minimize duration of opioid therapy whenever possible. AB - Author manuscript AN - cdc:261774 C4 - PMC12034376 DO - https://doi.org/10.1002/pds.70090 IS - 1 J2 - Pharmacoepidemiology and Drug Safety KW - Adolescent KW - Female KW - Chronic Pain KW - Young Adult KW - Retrospective Studies KW - Acute Pain KW - Analgesics, Opioid KW - Risk Factors KW - Opiate Overdose KW - Male KW - Humans KW - Middle Aged KW - Time Factors KW - Adult KW - Drug Overdose KW - opioid analgesics KW - opioid-related disorders KW - opioid overdose KW - chronic pain KW - postoperative pain KW - acute pain KW - opioid epidemic KW - Humans KW - Analgesics, Opioid KW - Adult KW - Male KW - Female KW - Middle Aged KW - Opiate Overdose KW - Young Adult KW - Adolescent KW - Chronic Pain KW - Time Factors KW - Risk Factors KW - Retrospective Studies KW - Acute Pain KW - Drug Overdose LA - eng PY - 2025 T2 - Pharmacoepidemiology and Drug Safety T2 - Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1 TI - Long-Term Opioid Therapy and Risk of Opioid Overdose by Derived Clinical Indication in North Carolina, 2006-2018. VL - 34 UR - https://stacks.cdc.gov/view/cdc/261774 ER -
Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research.

Chen, Cheng ;

Nguyen, Thanh Phuong Pham

January 2025 | Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1

Drug-drug interactions (DDIs) represent a significant concern for clinical care and public health, but the health consequences of many DDIs remain largely underexplored. This knowledge gap underscores the critical need for pharmacoepidemiologic research to evaluate real-world health outcomes of DDIs. In this review, we summarize the definitions com ...

10/09/2026

Supporting Files

Title : Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research. Personal Author(s) : Chen, Cheng;Nguyen, Thanh Phuong Pham;Hughes, John E.;Hennessy, Sean;Leonard, Charles E.;Miano, Todd A.;Douros, Antonios;Gagne, Joshua J.;Bykov, Katsiaryna; Published Date : January 2025 Pages in Document : e70088 (19 pdf pages) Source : Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1 DOI : https://doi.org/10.1002/pds.70088 Journal Title : Pharmacoepidemiology and Drug Safety
Chen, C., Nguyen, T. P. P., Hughes, J. E., Hennessy, S., Leonard, C. E., Miano, T. A., Douros, A., Gagne, J. J., & Bykov, K. (2025). Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research. Pharmacoepidemiology and Drug Safety, 34(1). https://doi.org/10.1002/pds.70088

Chen, Cheng, Thanh Phuong Pham Nguyen, John E. Hughes, Sean Hennessy, Charles E. Leonard, Todd A. Miano, Antonios Douros, Joshua J. Gagne, and Katsiaryna Bykov. "Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research." Pharmacoepidemiology and Drug Safety 34, no. 1 (2025). https://doi.org/10.1002/pds.70088.

Chen, Cheng, et al. "Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research." Pharmacoepidemiology and Drug Safety, vol. 34, no. 1, 2025. Stacks. https://doi.org/10.1002/pds.70088.
Export RIS Citation Information. TY - Journal Article AU - Chen, Cheng AU - Nguyen, Thanh Phuong Pham AU - Hughes, John E. AU - Hennessy, Sean AU - Leonard, Charles E. AU - Miano, Todd A. AU - Douros, Antonios AU - Gagne, Joshua J. AU - Bykov, Katsiaryna AB - Drug-drug interactions (DDIs) represent a significant concern for clinical care and public health, but the health consequences of many DDIs remain largely underexplored. This knowledge gap underscores the critical need for pharmacoepidemiologic research to evaluate real-world health outcomes of DDIs. In this review, we summarize the definitions commonly used in pharmacoepidemiologic DDI studies, discuss common sources of bias, and illustrate through examples how these biases can be mitigated. AB - Author manuscript AN - cdc:261773 C4 - PMC12074612 DO - https://doi.org/10.1002/pds.70088 IS - 1 J2 - Pharmacoepidemiology and Drug Safety KW - Drug-Related Side Effects and Adverse Reactions KW - Bias KW - Pharmacoepidemiology KW - Humans KW - Drug Interactions KW - Drug-drug interaction KW - design considerations KW - biases KW - methodology KW - study design KW - review KW - Drug Interactions KW - Pharmacoepidemiology KW - Humans KW - Bias KW - Drug-Related Side Effects and Adverse Reactions LA - eng PY - 2025 T2 - Pharmacoepidemiology and Drug Safety T2 - Pharmacoepidemiology and Drug Safety, 2025, v. 34, no. 1 TI - Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research. VL - 34 UR - https://stacks.cdc.gov/view/cdc/261773 ER -
Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States.

Holcomb, Karen M. ;

Biggerstaff, Brad J.

April 2025 | The American Journal of Tropical Medicine and Hygiene, 2025, v. 112, no. 4

Plague is a rare, potentially fatal flea-borne zoonosis endemic in the western United States. A previous model described interannual variation in human cases based on temperature and lagged precipitation. We recreated this model in northeastern Arizona (1960-1997) to evaluate its capacity to predict recent cases (1998-2022). In recreating the origi ...

10/09/2026

Supporting Files

Title : Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States. Personal Author(s) : Holcomb, Karen M.;Biggerstaff, Brad J.;Johansson, Michael A.;Mead, Paul S.;Kugeler, Kiersten J.;Eisen, Rebecca J.; Published Date : April 2025 Pages in Document : 840-844 (9 pdf pages) Source : The American Journal of Tropical Medicine and Hygiene, 2025, v. 112, no. 4 DOI : https://doi.org/10.4269/ajtmh.24-0255 Journal Title : The American Journal of Tropical Medicine and Hygiene
Holcomb, K. M., Biggerstaff, B. J., Johansson, M. A., Mead, P. S., Kugeler, K. J., & Eisen, R. J. (2025). Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States. The American Journal of Tropical Medicine and Hygiene, 112(4). https://doi.org/10.4269/ajtmh.24-0255

Holcomb, Karen M., Brad J. Biggerstaff, Michael A. Johansson, Paul S. Mead, Kiersten J. Kugeler, and Rebecca J. Eisen. "Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States." The American Journal of Tropical Medicine and Hygiene 112, no. 4 (2025). https://doi.org/10.4269/ajtmh.24-0255.

Holcomb, Karen M., et al. "Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States." The American Journal of Tropical Medicine and Hygiene, vol. 112, no. 4, 2025. Stacks. https://doi.org/10.4269/ajtmh.24-0255.
Export RIS Citation Information. TY - Journal Article AU - Holcomb, Karen M. AU - Biggerstaff, Brad J. AU - Johansson, Michael A. AU - Mead, Paul S. AU - Kugeler, Kiersten J. AU - Eisen, Rebecca J. AB - Plague is a rare, potentially fatal flea-borne zoonosis endemic in the western United States. A previous model described interannual variation in human cases based on temperature and lagged precipitation. We recreated this model in northeastern Arizona (1960-1997) to evaluate its capacity to predict recent cases (1998-2022). In recreating the original model, we found that future instead of concurrent temperature had inadvertently been used for the presented fit. Prediction from our revised models with lagged precipitation and temporally plausible temperature relationships aligned with low observed cases in 1998-2022. Elevated precipitation associated with high cases in historical data (>6 inches combined precipitation over two previous springs) was only observed once in the last quarter century, so we could not assess if these conditions were reliably associated with elevated (four or more) human plague cases. Observed weather conditions were similar to those previously associated with low (fewer than or equal to two) case counts, suggesting "baseline" conditions in the last quarter century. AB - Author manuscript AN - cdc:261772 C4 - PMC11964823 DO - https://doi.org/10.4269/ajtmh.24-0255 IS - 4 J2 - The American Journal of Tropical Medicine and Hygiene KW - Temperature KW - Weather KW - Seasons KW - Humans KW - Plague KW - Humans KW - Plague KW - Weather KW - Temperature KW - Seasons LA - eng PY - 2025 T2 - The American Journal of Tropical Medicine and Hygiene T2 - The American Journal of Tropical Medicine and Hygiene, 2025, v. 112, no. 4 TI - Revisiting the Relationship Between Weather and Interannual Variation in Human Plague Cases in the Southwestern United States. VL - 112 UR - https://stacks.cdc.gov/view/cdc/261772 ER -
Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults.

Carlson, Alyssa S. ;

Schwager, Laura E.

March 2025 | Journal of Applied Physiology (Bethesda, Md. : 1985), 2025, v. 138, no. 3

We investigated the associations of ongoing, chronic stress exposure and stress appraisal on vascular endothelial function (VEF) in young adults. In 72 healthy young adults (74% female; age = 25 ± 1 yr), we assessed chronic stress exposure and appraisal with a measure that quantified chronic stress exposure and chronic stress appraisal related to e ...

10/09/2026

Supporting Files

Title : Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults. Personal Author(s) : Carlson, Alyssa S.;Schwager, Laura E.;Hart, Thomas W.;Diesel, Sara J.;Harris, Jordan L.;Flores, Mark;West, Kylee;Thomas, Emily B.K.;Jenkins, Nathaniel D.M.; Published Date : March 2025 Pages in Document : 783-791 (20 pdf pages) Source : Journal of Applied Physiology (Bethesda, Md. : 1985), 2025, v. 138, no. 3 DOI : https://doi.org/10.1152/japplphysiol.00457.2024 Journal Title : Journal of Applied Physiology (Bethesda, Md. : 1985)
Carlson, A. S., Schwager, L. E., Hart, T. W., Diesel, S. J., Harris, J. L., Flores, M., West, K., Thomas, E. B., & Jenkins, N. D. (2025). Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults. Journal of Applied Physiology (Bethesda, Md. : 1985), 138(3). https://doi.org/10.1152/japplphysiol.00457.2024

Carlson, Alyssa S., Laura E. Schwager, Thomas W. Hart, Sara J. Diesel, Jordan L. Harris, Mark Flores, Kylee West, Emily B.K. Thomas, and Nathaniel D.M. Jenkins. "Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults." Journal of Applied Physiology (Bethesda, Md. : 1985) 138, no. 3 (2025). https://doi.org/10.1152/japplphysiol.00457.2024.

Carlson, Alyssa S., et al. "Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults." Journal of Applied Physiology (Bethesda, Md. : 1985), vol. 138, no. 3, 2025. Stacks. https://doi.org/10.1152/japplphysiol.00457.2024.
Export RIS Citation Information. TY - Journal Article AU - Carlson, Alyssa S. AU - Schwager, Laura E. AU - Hart, Thomas W. AU - Diesel, Sara J. AU - Harris, Jordan L. AU - Flores, Mark AU - West, Kylee AU - Thomas, Emily B.K. AU - Jenkins, Nathaniel D.M. AB - We investigated the associations of ongoing, chronic stress exposure and stress appraisal on vascular endothelial function (VEF) in young adults. In 72 healthy young adults (74% female; age = 25 ± 1 yr), we assessed chronic stress exposure and appraisal with a measure that quantified chronic stress exposure and chronic stress appraisal related to eight specific stressors over the last year. Participants completed the perceived stress scale (PSS) as a measure of global, proximal stress appraisal. VEF was assessed using the brachial artery flow-mediated dilation technique. We examined relations among ongoing, chronic stress exposure and stress appraisal versus VEF adjusted for age and sex, and then assessed whether stress appraisal moderated the effect of chronic stress exposure on VEF. Chronic stress exposure (β = -0.24, AB - = 0.045), but not chronic stress appraisal (β = 0.07, AB - = 0.56) or perceived stress (β = -0.20, AB - = 0.11), was related to VEF. Perceived stress ( AB - = 0.046), but not chronic stress appraisal ( AB - = 0.54), moderated the association between chronic stress exposure and VEF. The effect of chronic stress exposure on VEF ceased to be significant at a PSS score of ∼22. Subsequent exploratory stratified analysis indicated that those with PSS ≥22 had increased exposure to adverse childhood experiences (+1.6 ± 0.6, AB - = 0.01), greater depressive symptoms (+10.2 ± 2.7, AB - < 0.001), and reduced psychological resilience (-7.6 ± 3.5, AB - = 0.036). Chronic stress exposure significantly predicts impaired VEF among young adults. Furthermore, this relation is influenced by proximal perceived stress, such that the association of chronic stress exposure on VEF may be obscured at high levels of proximal perceived stress. AB - Our findings indicate that ongoing chronic stress exposure over the last year is significantly associated with reduced vascular endothelial function among apparently healthy young adults. Our data provide important insights into the interplay of chronic stress exposure versus proximal perceived stress and may also support the hypothesis that young adults who are sensitized to stress may be particularly vulnerable to stress-related impairments in vascular endothelial function. AB - Author manuscript AN - cdc:261770 C4 - PMC12208104 DO - https://doi.org/10.1152/japplphysiol.00457.2024 IS - 3 J2 - Journal of Applied Physiology (Bethesda, Md. : 1985) KW - Female KW - Vasodilation KW - Brachial Artery KW - Male KW - Humans KW - Endothelium, Vascular KW - Young Adult KW - Stress, Psychological KW - Adult KW - psychosocial stress KW - early life stress KW - cardiovascular disease KW - vascular endothelium KW - vasodilation KW - Humans KW - Male KW - Female KW - Stress, Psychological KW - Endothelium, Vascular KW - Adult KW - Brachial Artery KW - Young Adult KW - Vasodilation LA - eng PY - 2025 T2 - Journal of Applied Physiology (Bethesda, Md. : 1985) T2 - Journal of Applied Physiology (Bethesda, Md. : 1985), 2025, v. 138, no. 3 TI - Interactions of Chronic Stress Exposure and Stress Appraisal on Vascular Endothelial Function Among Young Adults. VL - 138 UR - https://stacks.cdc.gov/view/cdc/261770 ER -
Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda.

Aanyu, Hellen Tukamuhebwa ;

Nalunkuma, Cissy

February 2025 | Vaccine, 2025, v. 48

The underlying causes for lower rotavirus vaccine effectiveness (VE) in high-child-mortality settings are not well understood. Uganda introduced the human monovalent G1P[8] rotavirus vaccine (Rotarix) in June 2018. We determined the effectiveness of Rotarix against rotavirus diarrhea requiring hospital care among Ugandan children.We compared the va ...

10/09/2026

Supporting Files

Title : Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda. Personal Author(s) : Aanyu, Hellen Tukamuhebwa;Nalunkuma, Cissy;Kaudha, Elizabeth;Nalumansi, Esther;Gyagenda, Stephen;Nakiragga, Gladys;Mugisha, David;Mulindwa, Augustine;Kisakye, Annet;Chavers, Tyler;Weldegebriel, Goitom G.;Mwenda, Jason M.;Katsande, Reggis;Shaba, Keith;Parashar, Umesh D.;Tate, Jacqueline E.;Gastañaduy, Paul A.; Published Date : February 2025 Pages in Document : 126726 (15 pdf pages) Source : Vaccine, 2025, v. 48 DOI : https://doi.org/10.1016/j.vaccine.2025.126726 Journal Title : Vaccine
Aanyu, H. T., Nalunkuma, C., Kaudha, E., Nalumansi, E., Gyagenda, S., Nakiragga, G., Mugisha, D., Mulindwa, A., Kisakye, A., Chavers, T., Weldegebriel, G. G., Mwenda, J. M., Katsande, R., Shaba, K., Parashar, U. D., Tate, J. E., & Gastañaduy, P. A. (2025). Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda. Vaccine, 48. https://doi.org/10.1016/j.vaccine.2025.126726

Aanyu, Hellen Tukamuhebwa, Cissy Nalunkuma, Elizabeth Kaudha, Esther Nalumansi, Stephen Gyagenda, Gladys Nakiragga, and David Mugisha, et al.. "Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda." Vaccine 48 (2025). https://doi.org/10.1016/j.vaccine.2025.126726.

Aanyu, Hellen Tukamuhebwa, et al. "Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda." Vaccine, vol. 48, 2025. Stacks. https://doi.org/10.1016/j.vaccine.2025.126726.
Export RIS Citation Information. TY - Journal Article AU - Aanyu, Hellen Tukamuhebwa AU - Nalunkuma, Cissy AU - Kaudha, Elizabeth AU - Nalumansi, Esther AU - Gyagenda, Stephen AU - Nakiragga, Gladys AU - Mugisha, David AU - Mulindwa, Augustine AU - Kisakye, Annet AU - Chavers, Tyler AU - Weldegebriel, Goitom G. AU - Mwenda, Jason M. AU - Katsande, Reggis AU - Shaba, Keith AU - Parashar, Umesh D. AU - Tate, Jacqueline E. AU - Gastañaduy, Paul A. AB - The underlying causes for lower rotavirus vaccine effectiveness (VE) in high-child-mortality settings are not well understood. Uganda introduced the human monovalent G1P[8] rotavirus vaccine (Rotarix) in June 2018. We determined the effectiveness of Rotarix against rotavirus diarrhea requiring hospital care among Ugandan children. AB - We compared the vaccination status of children with laboratory-confirmed rotavirus (cases) and non-rotavirus (controls) diarrhea who were age-eligible to receive Rotarix and admitted to 3 hospitals in Uganda October 2018-December 2022. VE ([1-odds ratio of vaccination among cases and controls] x 100]) was calculated using unconditional logistic regression adjusting for age, birth month-year, and hospital. AB - Among 187 cases and 622 controls, respectively, 93 % (173/187) and 93 % (579/622) had received ≥1 doses of Rotarix. Adjusted full-series (2 dose) VE against rotavirus diarrhea was 29 % (95 % confidence interval: -37 %-63 %) in children 4-59 months of age. Two-dose VE was 62 % (9 %-84 %) in infants 4-11 months of age and - 69 % (-401 %-43 %) in children 12-59 months of age (P = 0.20). VE against strains partially-heterotypic to the vaccine strain (including G3P[8], the most common curculating genotype) was 59 % (1 %-83 %). AB - Routine Rotarix vaccination was effective in preventing hospital visits for rotavirus diarrhea among Ugandan infants, although protection was not sustained after the first year of life. Protection was demonstrated against partially heterotypic rotavirus strains. These results support the continued use of rotavirus vaccines in Uganda. Additional studies are needed to understand the lower rotavirus VE seen in Uganda and other high-mortality settings. AB - Author manuscript AN - cdc:261769 C4 - PMC11848724 DO - https://doi.org/10.1016/j.vaccine.2025.126726 J2 - Vaccine KW - Rotavirus Vaccines KW - Female KW - Vaccination KW - Gastroenteritis KW - Rotavirus KW - Diarrhea KW - Infant KW - Vaccines, Attenuated KW - Vaccine Efficacy KW - Hospitalization KW - Male KW - Humans KW - Child, Preschool KW - Rotavirus Infections KW - Diarrhea KW - Rotavirus KW - Vaccine effectiveness KW - Uganda KW - Humans KW - Rotavirus Vaccines KW - Rotavirus Infections KW - Infant KW - Male KW - Female KW - Vaccines, Attenuated KW - Child, Preschool KW - Gastroenteritis KW - Vaccine Efficacy KW - Rotavirus KW - Diarrhea KW - Hospitalization KW - Vaccination LA - eng PY - 2025 T2 - Vaccine T2 - Vaccine, 2025, v. 48 TI - Effectiveness of Monovalent Rotavirus Vaccine Against Hospital-attended Rotavirus Gastroenteritis Among Children in Uganda. VL - 48 UR - https://stacks.cdc.gov/view/cdc/261769 ER -
Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease.

Sooy-Mossey, Meredith ;

Sethi, Neeta J.

January 2026 | Pediatric Cardiology, 2026, v. 47, no. 1

Sociodemographic factors influence outcomes in children with congenital heart disease (CHD). We predict an association between measures of social isolation and outcomes in infants with complex CHD. These measures, racial (RI) and educational (EI) isolation range from 0 to 1, with 0 being no isolation and 1 being fully isolated within a specific pop ...

10/09/2026

Supporting Files

Title : Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease. Personal Author(s) : Sooy-Mossey, Meredith;Sethi, Neeta J.;Mulder, Hillary;Chiswell, Karen E.;Hoffman, Timothy M.;Hartman, Robert J.;Walsh, Michael J.;Welke, Karl;Paolillo, Joseph A.;Sarno, Lauren A.;Sang, Charlie J.;D'Ottavio, Alfred;Osgood, Claire;Bravo, Mercedes A.;Miranda, Marie Lynn;Li, Jennifer S.; Published Date : January 2026 Pages in Document : 350-361 (20 pdf pages) Source : Pediatric Cardiology, 2026, v. 47, no. 1 DOI : https://doi.org/10.1007/s00246-025-03772-1 Journal Title : Pediatric Cardiology
Sooy-Mossey, M., Sethi, N. J., Mulder, H., Chiswell, K. E., Hoffman, T. M., Hartman, R. J., Walsh, M. J., Welke, K., Paolillo, J. A., Sarno, L. A., Sang, C. J., D'Ottavio, A., Osgood, C., Bravo, M. A., Miranda, M. L., & Li, J. S. (2026). Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease. Pediatric Cardiology, 47(1). https://doi.org/10.1007/s00246-025-03772-1

Sooy-Mossey, Meredith, Neeta J. Sethi, Hillary Mulder, Karen E. Chiswell, Timothy M. Hoffman, Robert J. Hartman, and Michael J. Walsh, et al.. "Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease." Pediatric Cardiology 47, no. 1 (2026). https://doi.org/10.1007/s00246-025-03772-1.

Sooy-Mossey, Meredith, et al. "Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease." Pediatric Cardiology, vol. 47, no. 1, 2026. Stacks. https://doi.org/10.1007/s00246-025-03772-1.
Export RIS Citation Information. TY - Journal Article AU - Sooy-Mossey, Meredith AU - Sethi, Neeta J. AU - Mulder, Hillary AU - Chiswell, Karen E. AU - Hoffman, Timothy M. AU - Hartman, Robert J. AU - Walsh, Michael J. AU - Welke, Karl AU - Paolillo, Joseph A. AU - Sarno, Lauren A. AU - Sang, Charlie J. AU - D'Ottavio, Alfred AU - Osgood, Claire AU - Bravo, Mercedes A. AU - Miranda, Marie Lynn AU - Li, Jennifer S. AB - Sociodemographic factors influence outcomes in children with congenital heart disease (CHD). We predict an association between measures of social isolation and outcomes in infants with complex CHD. These measures, racial (RI) and educational (EI) isolation range from 0 to 1, with 0 being no isolation and 1 being fully isolated within a specific population. We identified patients less than 1 year old undergoing CHD surgery in North Carolina from 2008 to 2013. We used negative binomial and logistic regression models to assess the case-mix adjusted associations between RI and EI and length of stay, complications, mortality, and resource utilization. We quantified the association of race with these indices and outcomes. We included 1217 infants undergoing CHD surgery. Black infants had increased LOS (p < 0.001), other complications (p = 0.03), and death (p = 0.02). RI up to 0.3 was associated with decreased outpatient encounters (p < 0.001). RI was associated with increased inpatient encounters RI up to 0.3 (p < 0.001) but decreased for RI beyond 0.3 (p = 0.01). There was an association with increased risk of one or more emergency department visits (p = 0.001) at higher levels of EI. Race and RI showed a cumulative effect with children with Black race and greater than median RI having increased LOS (p < 0.001) and fewer outpatient encounters (p = 0.02). RI, EI, and Black race are associated with poorer outcomes. Children with Black race and greater than median levels of RI are at the highest risk of poor outcomes. These differences may be caused by differential access to resources or community support. AB - Author manuscript AN - cdc:261768 C4 - PMC12260034 DO - https://doi.org/10.1007/s00246-025-03772-1 IS - 1 J2 - Pediatric Cardiology KW - White KW - Female KW - Infant, Newborn KW - Social Isolation KW - Retrospective Studies KW - Risk Factors KW - Infant KW - Heart Defects, Congenital KW - Length of Stay KW - Male KW - Educational Status KW - Humans KW - Cardiac Surgical Procedures KW - Black or African American KW - Complex Congenital Heart Disease KW - Health Disparities KW - Race KW - Racial Isolation KW - Educational Isolation KW - Humans KW - Heart Defects, Congenital KW - Male KW - Female KW - Infant KW - Infant, Newborn KW - Social Isolation KW - Educational Status KW - Retrospective Studies KW - Black or African American KW - Length of Stay KW - Cardiac Surgical Procedures KW - Risk Factors KW - White LA - eng PY - 2026 T2 - Pediatric Cardiology T2 - Pediatric Cardiology, 2026, v. 47, no. 1 TI - Racial and Educational Isolation Are Associated With Worse Outcomes in Congenital Heart Disease. VL - 47 UR - https://stacks.cdc.gov/view/cdc/261768 ER -
Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions.

Ray, Evan L. ;

Wang, Yijin

March 2025 | Epidemics, 2025, v. 50

Over the last ten years, the US Centers for Disease Control and Prevention (CDC) has organized an annual influenza forecasting challenge with the motivation that accurate probabilistic forecasts could improve situational awareness and yield more effective public health actions. Starting with the 2021/22 influenza season, the forecasting targets for ...

10/09/2026

Supporting Files

Title : Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions. Personal Author(s) : Ray, Evan L.;Wang, Yijin;Wolfinger, Russell D.;Reich, Nicholas G.; Published Date : March 2025 Pages in Document : 100810 (34 pdf pages) Source : Epidemics, 2025, v. 50 DOI : https://doi.org/10.1016/j.epidem.2024.100810 Journal Title : Epidemics
Ray, E. L., Wang, Y., Wolfinger, R. D., & Reich, N. G. (2025). Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions. Epidemics, 50. https://doi.org/10.1016/j.epidem.2024.100810

Ray, Evan L., Yijin Wang, Russell D. Wolfinger, and Nicholas G. Reich. "Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions." Epidemics 50 (2025). https://doi.org/10.1016/j.epidem.2024.100810.

Ray, Evan L., et al. "Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions." Epidemics, vol. 50, 2025. Stacks. https://doi.org/10.1016/j.epidem.2024.100810.
Export RIS Citation Information. TY - Journal Article AU - Ray, Evan L. AU - Wang, Yijin AU - Wolfinger, Russell D. AU - Reich, Nicholas G. AB - Over the last ten years, the US Centers for Disease Control and Prevention (CDC) has organized an annual influenza forecasting challenge with the motivation that accurate probabilistic forecasts could improve situational awareness and yield more effective public health actions. Starting with the 2021/22 influenza season, the forecasting targets for this challenge have been based on hospital admissions reported in the CDC's National Healthcare Safety Network (NHSN) surveillance system. Reporting of influenza hospital admissions through NHSN began within the last few years, and as such only a limited amount of historical data are available for this target signal. To produce forecasts in the presence of limited data for the target surveillance system, we augmented these data with two signals that have a longer historical record: 1) ILI+, which estimates the proportion of outpatient doctor visits where the patient has influenza; and 2) rates of laboratory-confirmed influenza hospitalizations at a selected set of healthcare facilities. Our model, Flusion, is an ensemble model that combines two machine learning models using gradient boosting for quantile regression based on different feature sets with a Bayesian autoregressive model. The gradient boosting models were trained on all three data signals, while the autoregressive model was trained on only data for the target surveillance signal, NHSN admissions; all three models were trained jointly on data for multiple locations. In each week of the influenza season, these models produced quantiles of a predictive distribution of influenza hospital admissions in each state for the current week and the following three weeks; the ensemble prediction was computed by averaging these quantile predictions. Flusion emerged as the top-performing model in the CDC's influenza prediction challenge for the 2023/24 season. In this article we investigate the factors contributing to Flusion's success, and we find that its strong performance was primarily driven by the use of a gradient boosting model that was trained jointly on data from multiple surveillance signals and multiple locations. These results indicate the value of sharing information across multiple locations and surveillance signals, especially when doing so adds to the pool of available training data. AB - Author manuscript AN - cdc:261767 C4 - PMC12367328 DO - https://doi.org/10.1016/j.epidem.2024.100810 J2 - Epidemics KW - Forecasting KW - Bayes Theorem KW - Information Sources KW - Seasons KW - Hospitalization KW - Humans KW - Population Surveillance KW - Machine Learning KW - Influenza, Human KW - Centers for Disease Control and Prevention, U.S. KW - Models, Statistical KW - Infectious disease KW - Forecasting KW - Gradient boosting KW - Transfer learning KW - Influenza, Human KW - Humans KW - Forecasting KW - Hospitalization KW - Centers for Disease Control and Prevention, U.S. KW - Bayes Theorem KW - Machine Learning KW - Population Surveillance KW - Seasons KW - Models, Statistical KW - Information Sources LA - eng PY - 2025 T2 - Epidemics T2 - Epidemics, 2025, v. 50 TI - Flusion: Integrating Multiple Data Sources For Accurate Influenza Predictions. VL - 50 UR - https://stacks.cdc.gov/view/cdc/261767 ER -
Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood.

Goering, Marlon ;

Barker-Kamps, Malcolm

May 2025 | Developmental Psychology, 2025, v. 61, no. 5

Early pubertal timing is associated with adverse health in adulthood. These effects may be mediated by DNA methylation changes associated with accelerated cellular aging and mortality risk, but few studies tested associations between pubertal timing and epigenetic markers in adulthood. Additionally, pubertal timing effects often vary by sex and are ...

10/09/2026

Supporting Files

Title : Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood. Personal Author(s) : Goering, Marlon;Barker-Kamps, Malcolm;Patki, Amit;Tiwari, Hemant K.;Mrug, Sylvie; Published Date : May 2025 Pages in Document : 912-927 (31 pdf pages) Source : Developmental Psychology, 2025, v. 61, no. 5 DOI : https://doi.org/10.1037/dev0001903 Journal Title : Developmental Psychology
Goering, M., Barker-Kamps, M., Patki, A., Tiwari, H. K., & Mrug, S. (2025). Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood. Developmental Psychology, 61(5). https://doi.org/10.1037/dev0001903

Goering, Marlon, Malcolm Barker-Kamps, Amit Patki, Hemant K. Tiwari, and Sylvie Mrug. "Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood." Developmental Psychology 61, no. 5 (2025). https://doi.org/10.1037/dev0001903.

Goering, Marlon, et al. "Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood." Developmental Psychology, vol. 61, no. 5, 2025. Stacks. https://doi.org/10.1037/dev0001903.
Export RIS Citation Information. TY - Journal Article AU - Goering, Marlon AU - Barker-Kamps, Malcolm AU - Patki, Amit AU - Tiwari, Hemant K. AU - Mrug, Sylvie AB - Early pubertal timing is associated with adverse health in adulthood. These effects may be mediated by DNA methylation changes associated with accelerated cellular aging and mortality risk, but few studies tested associations between pubertal timing and epigenetic markers in adulthood. Additionally, pubertal timing effects often vary by sex and are understudied in diverse youth. Thus, this longitudinal study examined links between pubertal timing and later epigenetic aging and mortality risk together with sex differences in predominantly Black youth. Participants included 350 individuals (58% female, 42% male; 80% Black, 19% non-Hispanic White). Perceived pubertal timing relative to peers and self-reported phenotypic pubertal timing based on age-adjusted Tanner scores were assessed during early adolescence ( AB - = 13) whereas epigenetic aging (GrimAge, DunedinPace of Aging Calculated from the Epigenome, and PhenoAge) and mortality risk were measured during young adulthood ( AB - = 27). After adjusting for covariates (smoking, body mass index, family income, early-life stress, race/ethnicity, sex, parenthood), early pubertal timing (both perceived and phenotypic) predicted higher epigenetic mortality risk, and early phenotypic pubertal timing predicted accelerated DunedinPace of Aging Calculated from the Epigenome. Both perceived and phenotypic early pubertal timing were correlated with accelerated GrimAge. Off-time phenotypic pubertal timing (i.e., early and late) was associated with accelerated PhenoAge in males only whereas perceived off-time pubertal timing was unexpectedly linked with lower PhenoAge acceleration. These findings extend prior research by linking two dimensions of early pubertal timing with epigenetic mortality risk and accelerated aging in racially diverse young adults and showing nonlinear effects on PhenoAge acceleration that differ across pubertal timing measures and show some sex differences. (PsycInfo Database Record (c) 2025 APA, all rights reserved). AB - Author manuscript AN - cdc:261766 C4 - PMC12021574 DO - https://doi.org/10.1037/dev0001903 IS - 5 J2 - Developmental Psychology KW - Longitudinal Studies KW - Adolescent KW - White KW - Female KW - Young Adult KW - Mortality KW - Aging KW - Epigenesis, Genetic KW - Puberty KW - Male KW - Humans KW - Black or African American KW - Adult KW - Pubertal Timing KW - Epigenetic Age Acceleration KW - Mortality Risk KW - DNA Methylation KW - Humans KW - Male KW - Female KW - Epigenesis, Genetic KW - Longitudinal Studies KW - Young Adult KW - Puberty KW - Adolescent KW - Adult KW - Aging KW - Mortality KW - Black or African American KW - White LA - eng PY - 2025 T2 - Developmental Psychology T2 - Developmental Psychology, 2025, v. 61, no. 5 TI - Pubertal Timing as a Predictor of Epigenetic Aging and Mortality Risk in Young Adulthood. VL - 61 UR - https://stacks.cdc.gov/view/cdc/261766 ER -
Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021.

Jiva, Sumera ;

Hanchey, Arianna

January 2025 | Disaster Medicine and Public Health Preparedness, 2025, v. 19

Evacuation can reduce morbidity and mortality by ensuring households are safely out of the path of, and ensuing impacts from, a disaster. Our goal was to characterize potential evacuation behaviors among a nationally representative sample.We added 10 questions to the existing Porter Novelli's (PN) ConsumerStyles surveys in Fall 2020, Spring 2021, a ...

10/09/2026

Supporting Files

Title : Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021. Personal Author(s) : Jiva, Sumera;Hanchey, Arianna;Kieszak, Stephanie;Schnall, Amy; Published Date : January 2025 Pages in Document : e16 (23 pdf pages) Source : Disaster Medicine and Public Health Preparedness, 2025, v. 19 DOI : https://doi.org/10.1017/dmp.2024.269 Journal Title : Disaster Medicine and Public Health Preparedness
Jiva, S., Hanchey, A., Kieszak, S., & Schnall, A. (2025). Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021. Disaster Medicine and Public Health Preparedness, 19. https://doi.org/10.1017/dmp.2024.269

Jiva, Sumera, Arianna Hanchey, Stephanie Kieszak, and Amy Schnall. "Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021." Disaster Medicine and Public Health Preparedness 19 (2025). https://doi.org/10.1017/dmp.2024.269.

Jiva, Sumera, et al. "Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021." Disaster Medicine and Public Health Preparedness, vol. 19, 2025. Stacks. https://doi.org/10.1017/dmp.2024.269.
Export RIS Citation Information. TY - Journal Article AU - Jiva, Sumera AU - Hanchey, Arianna AU - Kieszak, Stephanie AU - Schnall, Amy AB - Evacuation can reduce morbidity and mortality by ensuring households are safely out of the path of, and ensuing impacts from, a disaster. Our goal was to characterize potential evacuation behaviors among a nationally representative sample. AB - We added 10 questions to the existing Porter Novelli's (PN) ConsumerStyles surveys in Fall 2020, Spring 2021, and Fall 2021.We conducted a weighted analysis using SAS 9.4 to examine distributions and estimate associations of potential evacuation behaviors of each survey separately. AB - When asked about barriers to evacuation if public authorities announced a mandatory evacuation because of a large-scale disaster, ~7% reported nothing would prevent them from evacuating. Over half of respondents across the 3 surveys (51.1%-52.4%) had no preparedness plans, and almost two-thirds of respondents (63.7%-66.2%) did not have an emergency supply kit. AB - Knowing potential evacuation behaviors can help frame messages and provide a starting point for interventions to improve disaster preparedness and response. Overall, data show that there is much work to be done regarding evacuation behaviors and overall preparedness in the United States. These data can be used to tailor public messaging and work with partners to increase knowledge about evacuation. AB - Author manuscript AN - cdc:261765 C4 - PMC11792164 DO - https://doi.org/10.1017/dmp.2024.269 J2 - Disaster Medicine and Public Health Preparedness KW - Female KW - Surveys and Questionnaires KW - Disaster Planning KW - Pandemics KW - Male KW - Family Characteristics KW - Humans KW - Middle Aged KW - Perception KW - COVID-19 KW - Adult KW - public health surveillance KW - disasters KW - evacuation KW - disaster-related mortality KW - shelter surveillance KW - Humans KW - COVID-19 KW - Surveys and Questionnaires KW - Adult KW - Male KW - Female KW - Family Characteristics KW - Middle Aged KW - Perception KW - Pandemics KW - Disaster Planning LA - eng PY - 2025 T2 - Disaster Medicine and Public Health Preparedness T2 - Disaster Medicine and Public Health Preparedness, 2025, v. 19 TI - Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021. VL - 19 UR - https://stacks.cdc.gov/view/cdc/261765 ER -

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