Joshua Tootoo
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View article: Disparities in Timely Access to Certified Stroke Care Among US Census Tracts, by Prevalence of Health Risk Factors
Disparities in Timely Access to Certified Stroke Care Among US Census Tracts, by Prevalence of Health Risk Factors Open
Residents in census tracts lacking timely access to stroke care have higher prevalence of health risk factors. The results highlight areas where education, telehealth infrastructure, and facility placement could improve stroke systems of c…
View article: Prenatal greenness, air pollution, and birthweight: assessing critical windows of exposure and effect modification in a multi-exposure setting
Prenatal greenness, air pollution, and birthweight: assessing critical windows of exposure and effect modification in a multi-exposure setting Open
View article: Interactive Maps to Improve Stroke Systems of Care in Wisconsin
Interactive Maps to Improve Stroke Systems of Care in Wisconsin Open
Stroke is the fifth leading cause of death in the US (1). In 2017, stroke accounted for more than 11,000 hospitalizations in Wisconsin (2). Minimizing the total time from onset of symptoms to delivery of treatment appropriate for the level…
View article: Using Geospatial Methods in Childhood Lead Poisoning Prevention Programs
Using Geospatial Methods in Childhood Lead Poisoning Prevention Programs Open
In this paper, we explore how the construction and analysis of geographically referenced data can improve outcomes for children at risk of lead exposure. We discuss the history of how children were identified for lead testing and lead inte…
View article: Identifying High-Risk ZIP Codes for Childhood Lead Exposure: A Statewide ZCTA-Level Priority List for North Carolina
Identifying High-Risk ZIP Codes for Childhood Lead Exposure: A Statewide ZCTA-Level Priority List for North Carolina Open
Background Research has consistently shown that there is no safe blood lead level (BLL) for children. Despite progress in lead poisoning prevention, lead exposure remains a persistent threat to the health and neurological development of ch…
View article: Segregation and Childhood Blood Lead Levels in North Carolina
Segregation and Childhood Blood Lead Levels in North Carolina Open
BACKGROUND AND OBJECTIVES Using a local measure of racial residential segregation, estimate the association between racial residential segregation and childhood blood lead levels between the early 1990s and 2015 in North Carolina. METHODS …
View article: The Texas flood registry: a flexible tool for environmental and public health practitioners and researchers
The Texas flood registry: a flexible tool for environmental and public health practitioners and researchers Open
Background Making landfall in Rockport, Texas in August 2017, Hurricane Harvey resulted in unprecedented flooding, displacing tens of thousands of people, and creating environmental hazards and exposures for many more. Objective We describ…
View article: Spatial distributed lag data fusion for estimating ambient air pollution
Spatial distributed lag data fusion for estimating ambient air pollution Open
We introduce spatial (DLfuse) and spatiotemporal (DLfuseST) distributed lag data fusion methods for predicting point-level ambient air pollution concentrations, using, as input, gridded average pollution estimates from a deterministic nume…
View article: Leveraging Data Analytics and Scalable Information Technology Tools to Deliver a Culture of Care during an Emergent Natural Disaster
Leveraging Data Analytics and Scalable Information Technology Tools to Deliver a Culture of Care during an Emergent Natural Disaster Open
Rice University’s Culture of Care represents a commitment to ensuring that all are treated with respect, compassion, and deep care. Rice leveraged information technology (IT) to deliver its Culture of Care, in responding to Hurricane Harve…
View article: Geosocial Factors Associated With Adherence to Statin Medications
Geosocial Factors Associated With Adherence to Statin Medications Open
Background: Individual patient characteristics, social determinants, and geographic access may be associated with patients engaging in appropriate health behaviors. Objective: To assess the relationship between statin adherence, geographic…
View article: Access to chiropractic care and the cost of spine conditions among older adults.
Access to chiropractic care and the cost of spine conditions among older adults. Open
OBJECTIVES: Chiropractic care is a service that operates outside of the conventional medical system and is reimbursed by Medicare. Our objective was to examine the extent to which accessibility of chiropractic care affects spending on medi…
View article: Geographic variation in spatial accessibility of U.S. healthcare providers
Geographic variation in spatial accessibility of U.S. healthcare providers Open
The Variable-distance Enhanced 2 step Floating Catchment Area method is a viable approach to measure spatial accessibility at the national scale.
View article: The Rate Stabilizing Tool: Generating Stable Local-Level Measures of Chronic Disease
The Rate Stabilizing Tool: Generating Stable Local-Level Measures of Chronic Disease Open
Accurate and precise estimates of local-level epidemiologic measures are critical to informing policy and program decisions, but they often require advanced statistical knowledge, programming/coding skills, and extensive computing power. I…
View article: Geographical access to electroconvulsive therapy services in Texas
Geographical access to electroconvulsive therapy services in Texas Open
View article: Examining Variation in Life Expectancy Estimates by ZIP Code Tabulation Area (ZCTA) in Hawaii’s Four Main Counties, 2008–2012
Examining Variation in Life Expectancy Estimates by ZIP Code Tabulation Area (ZCTA) in Hawaii’s Four Main Counties, 2008–2012 Open
Evidence shows that a person’s ZIP Code can affect his or her health. Health disparities are often geographically concentrated. For example, areas that lack sidewalks and safe places to exercise have lower levels of physical activity and h…
View article: Supply of Healthcare Providers in Relation to County Socioeconomic and Health Status
Supply of Healthcare Providers in Relation to County Socioeconomic and Health Status Open
View article: Geographical access to electroconvulsive therapy services in Texas
Geographical access to electroconvulsive therapy services in Texas Open
View article: Access to Ophthalmologists in States Where Optometrists Have Expanded Scope of Practice
Access to Ophthalmologists in States Where Optometrists Have Expanded Scope of Practice Open
In the states where optometrists have expanded scope of practice, most residents lived within an ETT of 30 minutes of the nearest ophthalmologist office, as do half of Medicare beneficiaries who received surgical care from optometrists. Th…
View article: Assessing Geographic Variation in Strabismus Diagnosis among Children Enrolled in Medicaid
Assessing Geographic Variation in Strabismus Diagnosis among Children Enrolled in Medicaid Open
View article: Colorectal Cancer Burden and Access to Federally Qualified Health Centers in California
Colorectal Cancer Burden and Access to Federally Qualified Health Centers in California Open
Colorectal cancer (CRC) is the third most common cancer in California among both men and women and the third most common cause of cancer-related death (1). CRC mortality in California has declined over the past 25 years, due in part to inc…