Disease Prevention / Health Promotion

Interventions, education and incentives that promote healthy behaviors and improve health outcomes.

Genetic Counseling And Oncology: Proposed Approaches For Collaborative Care Delivery

Oct. 1, 2019

Jacquelyn Powers, Kelsey Spielman, Rebecca Mueller, Melissa Batson, Stacy Pundock, Anna Arutyunova, Heather Symecko, Susan Domchek

Abstract [from journal]

Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has integrated into cancer care. There are currently an insufficient number of genetic counselors (GC) to address genetic testing need through traditional pre- and post-test counseling. Alternative genetic counseling frameworks, discussed here, are under study to increase access to genetic testing while optimizing the skillsets of existent master's-trained GCs.

8 Months to 5 Days: What Happened When Pennsylvania Changed the Vaccination Regulations for Provisional Enrollment?

Sep. 30, 2019

Salini Mohanty, Paul Delamater, Kristen Feemster, Alison M. Buttenheim

Abstract [from journal]

In March 2017, the Pennsylvania Department of Health reduced the time allowed to demonstrate compliance with school-entry vaccination requirements from eight months to five days. We describe changes in provisional enrollment, vaccine exemptions, and vaccine coverage rates before and after the new regulation. Across Pennsylvania, provisional enrollment decreased from 11.1 % in 2016/17 to 2.5% in 2017/18 (77% relative decrease). Personal belief exemptions continued a modest upward trend, similar to previous years, and medical exemptions remained steady


New Strategies to Tackle the Combined Biological and Social Context of Preterm Birth

Sep. 3, 2019

Diana Montoya-Williams, Ramzi G. Salloum, Scott A. Lorch

Abstract [from journal]

Objective: Preterm birth rates in the population and associated racial inequities have remained relatively unchanged in the United States despite research aimed at prevention. This is potentially the result of the multifactorial pathophysiologic pathways that result in preterm birth, where biological and social drivers intersect in unique ways for different women. The field of dissemination and implementation (D&I) science may address this issue by promoting the contextually-aware uptake of science into health and health care


Effects of Age, Sex, Race/Ethnicity, and Allergy Status in Obesity-Related Pediatric Asthma

Christopher B. Forrest, MD, PhD
Aug. 30, 2019

Jason E. Lang, H. Timothy Bunnell, John J. Lima, Jobayer Hossain, Tim Wysocki, Leonard Bacharier, Amanda Dempsey, Lisa Ulrich, Matthew R. Test, Christopher B. Forrest

Abstract [from journal]

Rationale: Obesity in children increases the risk for new asthma. How age, sex, race/ethnicity, and allergy status affect the relationship between obesity and asthma is unclear. This study describes the relationship between high body mass index (BMI) and incident asthma.

Methods: We conducted a retrospective cohort study to compare asthma incidence among normal weight, overweight, and obese 2 to 6, 7 to 11, and 12 to 17 year olds to define the effects of sex, race/ethnicity, and allergy status. Weight status


Self-Care Research: Where Are We Now? Where Are We Going?

Barbara J. Riegel, DNSc, RN, FAAN, FAHA
Aug. 23, 2019

Barbara Riegel, Sandra B. Dunbar, Donna Fitzsimons, Kenneth E. Freedland, Christopher S. Lee, Sandy Middleton, Anna Stromberg, Ercole Vellone, David E. Webber, Tiny Jaarsma

Abstract [from journal]

Background and Objective: The beneficial effects of self-care include improved well-being and lower morbidity, mortality, and healthcare costs. In this article we address the current state of self-care research and propose an agenda for future research based on the inaugural conference of the International Center for Self-Care Research held in Rome, Italy in June 2019. The vision of this Center is a world where self-care is prioritized by individuals, families, and communities and is the first line of approach in every health care


Perspectives on State Vaccine Education Mandate Policy and Implementation among Public Health Department Officials: A Qualitative Study

Kristen Feemster, MD, MPH, MSHP
Aug. 19, 2019

Holden Caplan, Tuhina Srivastava, Kristen A. Feemster

Abstract [from journal]

In response to the increase in non-medical vaccine exemptions (NME), many states have adopted education mandates (EM), required vaccine education for parents requesting NMEs for their school-age children, but these EMs vary greatly in implementation. In order to learn about the administrative aspects of each state's EM, we interviewed fourteen health department officials from nine states with EMs. Interviews were conducted over the phone, transcribed by a professional transcription service, and double-coded using NVivo 12 by two members of the study


Cutting Through the Fat: A Retrospective Analysis of Clinical Outcomes, Cost, and Quality of Life with the Addition of Panniculectomy to Ventral Hernia Repair in Overweight Patients

John Patrick Fischer, MD
Aug. 16, 2019

Claire E. Hutchison, Irfan A. Rhemtulla, Jaclyn T. Mauch, Robyn B. Broach, Fabiola A. Enriquez, Jorge A. Hernandez, Charles A. Messa, Noel N. Willians, Sean P. Harbison, John Patrick Fischer

Abstract [from journal]

Background: Due to the increased prevalence of overweight patients with ventral hernia, abdominal wall reconstruction combining ventral hernia repair (VHR) with panniculectomy (VHR-PAN) in overweight patients is increasingly considered. We present a retrospective comparison between VHR-PAN and VHR alone in overweight patients by examining costs, clinical outcomes, and quality of life (QoL).

Methods: Patients with body mass index (BMI) > 25.0 kg/m2 underwent VHR-PAN or VHR alone between September 2015 and May


THRIVE: Addressing Patients’ Social Needs after Hospitalization

Jul. 30, 2019

Imagine being discharged from the hospital to a two-room apartment badly in need of repair. Your electricity has been cut off and you can barely remember the discharge instructions. You were told to see a specialist in a week, but it will take you 90 minutes one-way on public transportation to get there. Confused about follow-up and juggling the complexities of life, what do you do?

Impact of Sweetened Beverage Tax on Chain Retailers in Philadelphia

Research Brief
Jul. 2, 2019

On January 1, 2017, Philadelphia became the second U.S. city to tax the distribution of sweetened beverages. The 1.5 cent per ounce tax applies to the distribution of sugar- and artificially sweetened beverages. Similar taxes have been passed in several other cities and are being considered at the state level. The authors examined the effect of the tax on beverage prices and sales at chain retail stores in Philadelphia.

Taxes and Front-of-Package Labels Improve the Healthiness of Beverage and Snack Purchases: A Randomized Experimental Marketplace

May. 30, 2019

Rachel B. Acton, Amanda C. Jones, Sharon I. Kirkpatrick, Christina A. Roberto, David Hammond

Abstract [from journal]

Background: Sugar taxes and front-of-package (FOP) nutrition labelling systems are strategies to address diet-related non-communicable diseases. However, there is relatively little experimental data on how these strategies influence consumer behavior and how they may interact. This study examined the relative impact of different sugar taxes and FOP labelling systems on beverage and snack food purchases.

Methods: A total of 3584 Canadians 13 years and older participated in an experimental marketplace study using