1. Non-communicable disease training for public health workers in low- and middle-income countries: lessons learned from a pilot training in Tanzania.

    International Health 7(5):339 (2015) PMID 25526907

    Non-communicable diseases (NCDs) are increasing worldwide. A lack of training and experience in NCDs among public health workers is evident in low- and middle- income countries. We describe the design and outcomes of applied training in NCD epidemiology and control piloted in Tanzania that inclu...
  2. Outcomes of a 12-month technology-based intervention to promote weight loss in adolescents at risk for type 2 diabetes.

    Journal of diabetes science and technology (Onl... 7(3):759 (2013) PMID 23759410 PMCID PMC3869145

    Obese adolescents are at risk for type 2 diabetes mellitus (T2DM). Obesity interventions delivered through media, such as the web and text messages [short message service (SMS)] may be beneficial when targeting obese adolescents.. A randomized controlled trial, Pace-Internet for Diabetes Prevent...
  3. Prevalence, management, and control of hypertension among US workers: does occupation matter?

    Journal of Occupational and Environmental Medicine 54(9):1150 (2012) PMID 22885710

    The role of occupation in the management of cardiovascular risk factors including hypertension is not well known. We analyzed the 1999-2004 National Health and Nutrition Examination Survey data of 6928 workers aged 20 years or older from 40 occupational groups. Hypertension was defined as measur...
  4. Health status and risk indicator trends of the aging US health care workforce.

    Journal of Occupational and Environmental Medicine 54(4):497 (2012) PMID 22446575 PMCID PMC3323772

    To describe the health status and risk indicator trends in a representative sample of US health care workers aged 45 years and older. Using pooled data from the 1997 to 2009 National Health Interview Survey, logistic regression analyses were performed to determine whether age-group specific morb...
  5. Nutrient intake and adherence to dietary recommendations among US workers.

    Journal of Occupational and Environmental Medicine 54(1):101 (2012) PMID 22193114 PMCID PMC3258352

    To assess nutrient intake according to dietary guidelines among US worker groups. Participants of 1999 to 2004 National Health and Nutrition Examination Survey completed two 24-hour recall dietary interviews to assess daily intake of protein, carbohydrate, fat, cholesterol, calcium, sodium, and ...
  6. Sociodemographic correlates of eye care provider visits in the 2006-2009 Behavioral Risk Factor Surveillance Survey.

    BMC Research Notes 5:253 (2012) PMID 22621330 PMCID PMC3444410

    Research has suggested that adults 40 years old and over are not following eye care visit recommendations. In the United States, the proportion of older adults is expected to increase drastically in the coming years. This has important implications for population ocular disease burden, given the...
  7. Age-related macular degeneration and smoking cessation advice by eye care providers: a pilot study.

    Preventing chronic disease 8(6):A147 (2011) PMID 22005640 PMCID PMC3221586

    Smoking is a modifiable risk factor for age-related macular degeneration (AMD), the leading cause of irreversible vision loss in the United States. We conducted a pilot study among eye care providers and AMD patients to assess smoking cessation preferences and cessation services offered at a lar...
  8. Occupational vs. industry sector classification of the US workforce: which approach is more strongly associated with worker health outcomes?

    American Journal of Industrial Medicine 54(10):748 (2011) PMID 21671459 PMCID PMC3168588

    Through use of a nationally representative database, we examined the variability in both self-rated health and overall mortality risk within occupations across the National Occupational Research Agenda (NORA) Industry Sectors, as well as between the occupations within the NORA Industry sectors. ...
  9. Cardiovascular fitness levels among American workers.

    Journal of Occupational and Environmental Medicine 53(10):1115 (2011) PMID 21915067 PMCID PMC3190024

    To explore cardiovascular fitness in 40 occupations using a nationally representative sample of the US population. Respondents aged 18 to 49 years (N = 3354) from the 1999 to 2004 National Health and Nutrition Examination Survey were evaluated for cardiovascular fitness and classified into low, ...
  10. Trends in glaucoma medication expenditure: Medical Expenditure Panel Survey 2001-2006.

    Archives of Ophthalmology 129(10):1345 (2011) PMID 21670329

    To study trends of glaucoma medication expenditure from 2001 to 2006 using a nationally representative sample of US adults. We analyzed glaucoma medication expenditure trends among participants of the 2001-2006 Medical Expenditure Panel Survey, a subsample of the National Health Interview Survey...
  11. Health-related quality of life and nicotine dependence, Florida 2007.

    American Journal of Health Behavior 35(3):280 (2011) PMID 21683018

    To explore the relationship between health-related quality of life (HRQOL) and nicotine dependence in a representative sample of 3560 Florida smokers. Data from the 2007 Behavioral Risk Factor Surveillance System-Florida Tobacco Callback Survey were used. Logistic regression models were conducte...
  12. Long work hours is associated with suboptimal glycemic control among US workers with diabetes.

    American Journal of Industrial Medicine 54(5):375 (2011) PMID 21246586

    Increasing numbers of US workers are diabetic. We assessed the relationship between glycemic control and work hours and type of occupation among employed US adults with type 2 diabetes. Data were obtained from the 1999-2004 National Health and Nutrition Examination Survey (NHANES). A representat...
  13. Health indicators among unemployed and employed young adults.

    Journal of Occupational and Environmental Medicine 53(2):196 (2011) PMID 21270653 PMCID PMC3073661

    Research on the prevalence of health indicators by employment status among young US adults is limited. We analyzed data from a nationally representative sample of young adults aged 18 to 24 years to document the prevalence of five health behaviors (cigarette smoking, risky drinking, leisure-time...
  14. Trends in smokeless tobacco use in the us workforce: 1987-2005.

    Tobacco Induced Diseases 9(1):6 (2011) PMID 21631951 PMCID PMC3118314

    The primary aim was to examine whether increasing workplace smoking restrictions have led to an increase in smokeless tobacco use among US workers. Smokeless tobacco exposure increases the risk of oral cavity, esophageal, and pancreatic cancers, and stroke. The prevalence of smokeless tobacco u...
  15. Strict glycemic control and mortality risk among US adults with type 2 diabetes.

    Journal of Diabetes and its Complications 25(5):289 (2011) PMID 21658973

    To assess the relationships between strict HbA1c levels and mortality risk among adults with type 2 diabetes by age, insulin therapy, and hypertension comorbidity. Data of adult participants with type 2 diabetes from the third National Health and Nutrition Examination Survey (1988-1994) and its ...
  16. Secondhand smoke exposure and the risk of hearing loss.

    Tobacco Control 20(1):82 (2011) PMID 21081307 PMCID PMC3071573

    Hearing loss has been associated with tobacco smoking, but its relationship with secondhand smoke is not known. We sought to investigate the association between secondhand smoke exposure and hearing loss in a nationally representative sample of adults. The National Health and Nutrition Examinati...
  17. Application of handheld devices to field research among underserved construction worker populations: a workplace health assessment pilot study.

    Environmental Health 10:27 (2011) PMID 21453552 PMCID PMC3078837

    Novel low-cost approaches for conducting rapid health assessments and health promotion interventions among underserved worker groups are needed. Recruitment and participation of construction workers is particularly challenging due to their often transient periods of work at any one construction ...
  18. Prevalence of the metabolic syndrome among U.S. workers.

    Diabetes Care 33(11):2390 (2010) PMID 20585004 PMCID PMC2963500

    Differences in the prevalence of cardiovascular disease (CVD) and its risk factors among occupational groups have been found in several studies. Certain types of workers (such as shift workers) may have a greater risk for metabolic syndrome, a precursor of CVD. The objective of this study was to...
  19. Cancer screening behaviors among smokers and non-smokers.

    Cancer Epidemiology 34(5):611 (2010) PMID 20655820

    We explored whether smoking is associated with cancer screening behaviors. We used data from the 2007 Florida Behavioral Risk Factor Surveillance System and the Florida Tobacco Callback Survey to examine screening behaviors related to four cancer types (breast, cervical, prostate, and colorectal...
  20. Young adults, mortality, and employment.

    Journal of Occupational and Environmental Medicine 52(5):501 (2010) PMID 20431416 PMCID PMC4139005

    This study assessed the relationship between employment status and mortality over a 2-year period among a nationally representative sample of young adults aged 18 to 24 years (n = 121,478, representing more than 21 million US young adults). By using data from the 1986-2000 National Health Interv...