Molly Jacobs
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View article: Initial encounter and discharge disposition of Medicare beneficiaries with post-stroke dysphagia
Initial encounter and discharge disposition of Medicare beneficiaries with post-stroke dysphagia Open
Introduction Dysphagia or disordered swallowing is a post-stroke condition that requires early intervention to improve stroke recovery. Individuals with dysphagia require specialized services to support nutrition and reduce the likelihood …
View article: Exploring age-related physical and cognitive decline in a nationally representative sample of US women
Exploring age-related physical and cognitive decline in a nationally representative sample of US women Open
Background: Functional limitations play a critical role in shaping overall health and quality of life. Among women, functional difficulties are influenced by a variety of factors, which may vary across difference life stages. Objectives: T…
View article: Hearing loss and tinnitus: association with employment and income among young adults
Hearing loss and tinnitus: association with employment and income among young adults Open
Introduction Auditory difficulties (i.e., hearing loss, tinnitus, both) are correlated with unemployment, underemployment, and reduced income, particularly among minority populations, Although hearing loss is more common among Non-Hispanic…
View article: Household Characteristics Associated with the Presence of Stuttering
Household Characteristics Associated with the Presence of Stuttering Open
Purpose: Previous studies that have examined concordance of stuttering among monozygotic and dizygotic twins indicate both genetic and environmental influences. However, specific environmental influences that may be associated with the pre…
View article: Protocol for socioecological study of autism, suicide risk, and mental health care: Integrating machine learning and community consultation for suicide prevention
Protocol for socioecological study of autism, suicide risk, and mental health care: Integrating machine learning and community consultation for suicide prevention Open
Introduction Autistic people experience higher risk of suicidal ideation (SI) and suicide attempts (SA) compared to non-autistic people, yet there is limited understanding of complex, multilevel factors that drive this disparity. Further, …
View article: A machine learning analysis of suicidal ideation and suicide attempt among U.S. youth and young adults from multilevel, longitudinal survey data
A machine learning analysis of suicidal ideation and suicide attempt among U.S. youth and young adults from multilevel, longitudinal survey data Open
Objectives To investigate individual, interpersonal, health system, and community factors associated with suicidal ideation (SI) and attempts (SA). Methods Utilizing nationally representative data from the National Longitudinal Study of Ad…
View article: More than a communication disorder: inequities in the financial toxicity of post-stroke aphasia
More than a communication disorder: inequities in the financial toxicity of post-stroke aphasia Open
Introduction Aphasia, a communication disorder often resulting from stroke, can have profound impacts on both health outcomes and financial wellbeing. While the physical and cognitive consequences of stroke are well documented, the financi…
View article: Fibromyalgia Syndrome among Men and Women: Symptom Identification, Diagnosis, and Concurrence in a Nationally Representative Sample
Fibromyalgia Syndrome among Men and Women: Symptom Identification, Diagnosis, and Concurrence in a Nationally Representative Sample Open
Introduction/Objective Fibromyalgia Syndrome (FMS) is characterized by chronic musculoskeletal pain and, no reliable biomarkers, diagnosis is difficult. While predominantly identified in women, men are also affected. This study examined FM…
View article: Identifying predictors of stroke in young adults: a machine learning analysis of sex-specific risk factors
Identifying predictors of stroke in young adults: a machine learning analysis of sex-specific risk factors Open
Introduction Stroke among Americans under age 49 is increasing. While the risk factors for stroke among older adults are well-established, evidence on stroke causes in young adults remains limited. This study used machine learning techniqu…
View article: Protocol for exploring pathways to equitable outcomes in post-stroke aphasia and dysphagia
Protocol for exploring pathways to equitable outcomes in post-stroke aphasia and dysphagia Open
Introduction Longstanding racial disparities in stroke-related outcomes have been well documented. However, the underlying causes of observed disparities have neither been clearly determined nor have strategies to mitigate disparities been…
View article: Allostatic load and cognitive recall among young adults: Racial, ethnic, and sex-specific variations
Allostatic load and cognitive recall among young adults: Racial, ethnic, and sex-specific variations Open
Introduction: While factors such as age and education have been associated with persistent differences in functional cognitive decline, they do not fully explain observed variations particularly those between different racial/ethnic and se…
View article: Multilevel Determinants of Long COVID and Potential for Telehealth Intervention
Multilevel Determinants of Long COVID and Potential for Telehealth Intervention Open
Background Post-coronavirus disease 2019 (COVID-19) syndrome, or long COVID, has a variety of symptoms, but little is known about the condition. This study evaluated the association between individual factors, social determinants of health…
View article: Exploring the association between social determinants and aphasia impairment: A retrospective data integration approach
Exploring the association between social determinants and aphasia impairment: A retrospective data integration approach Open
Introduction Traditionally, the study of aphasia focused on brain trauma, clinical biomarkers, and cognitive processes, rarely considering the social determinants of health. This study evaluates the relationship between aphasia impairment …
View article: Chronic Disease and Minimum Wage: Disparities in Diagnosis among Black and Hispanic Workers
Chronic Disease and Minimum Wage: Disparities in Diagnosis among Black and Hispanic Workers Open
Introduction: While the positive correlation between earnings and health outcomes is well-established, little is known about the relationship between minimum wages and health. Even though some counties and municipalities set minimum wages …
View article: Financial Well-Being Among US Adults with Vascular Conditions: Differential Impacts Among Blacks and Hispanics
Financial Well-Being Among US Adults with Vascular Conditions: Differential Impacts Among Blacks and Hispanics Open
Background The ability to meet current and ongoing financial obligations, known as financial well-being (FWB), is not only associated with the likelihood of adverse health events but is also affected by unexpected health care expenditures.…
View article: Alternatives assessment: An analysis on progress and future needs for research and practice
Alternatives assessment: An analysis on progress and future needs for research and practice Open
Alternatives assessment is a science-policy approach to support the informed substitution of chemicals of concern in consumer products and industries, with the intent of avoiding regrettable substitution and facilitating the transition to …
View article: Racial Disparities in Pain Among Women with Fibromyalgia: Secondary Data Analysis of Severity, Interference with Function, and Response to Guided Imagery
Racial Disparities in Pain Among Women with Fibromyalgia: Secondary Data Analysis of Severity, Interference with Function, and Response to Guided Imagery Open
Background: Fibromyalgia syndrome (FMS) is characterized by widespread persistent musculoskeletal pain. Mostly prevalent among White women, little is known about FMS in other population cohorts. This study examined secondary data of a raci…
View article: Disparities in Health-Related Quality of Life among Adults with Ischemic Heart Disease, Stroke, and Both Conditions
Disparities in Health-Related Quality of Life among Adults with Ischemic Heart Disease, Stroke, and Both Conditions Open
Background: Notable disparities exist in ischemic heart disease (IHD) and stroke outcomes. Studies have identified several causal factors that contribute to these disparities, but few have assessed the disparate quality of life (QOL) among…
View article: Drivers of Individual and Regional Variation in CMS Hierarchical Condition Categories Among Florida Beneficiaries
Drivers of Individual and Regional Variation in CMS Hierarchical Condition Categories Among Florida Beneficiaries Open
Results showed demographics, HCC condition classifications (ie, lifetime, preventable, and treatable), and some specific conditions were associated with higher variation in mean county-level and individual risk scores. Results suggest cons…
View article: Healthcare cost and race: analysis of young women with stroke
Healthcare cost and race: analysis of young women with stroke Open
Background Over the last decade, the prevalence of young stroke has increased 40% particularly among vulnerable populations. These strokes are often more severe with worse outcomes. However, few studies have examined the impact on annual h…
View article: The Cost of Addressing Food Insecurity: An Economic Analysis of the Implementation of a Hospital-Based Medical Food Pantry
The Cost of Addressing Food Insecurity: An Economic Analysis of the Implementation of a Hospital-Based Medical Food Pantry Open
Background: This study compares the cost of implementing a Medical Food Pantry (MFP) serving food insecure (FIS) patients to the predicted hospital utilization costs incurred in the absence of a MFP by FIS patients. Methods: This case-cont…
View article: Disparities in Perceived Physical and Mental Wellness: Relationships Between Social Vulnerability, Cardiovascular Risk Factor Prevalence, and Health Behaviors Among Elderly US Residents
Disparities in Perceived Physical and Mental Wellness: Relationships Between Social Vulnerability, Cardiovascular Risk Factor Prevalence, and Health Behaviors Among Elderly US Residents Open
Introduction: Cardiovascular disease (CVD) is the leading cause of death for males, females, and people of most racial and ethnic groups in the United States. In addition to known epidemiological and behavioral risk factors, recent evidenc…
View article: An actionable definition and criteria for “sustainable chemistry” based on literature review and a global multisectoral stakeholder working group
An actionable definition and criteria for “sustainable chemistry” based on literature review and a global multisectoral stakeholder working group Open
Sustainable chemistry is the development and application of chemicals, chemical processes, and products that benefit current and future generations without harmful impacts to humans or ecosystems.
View article: Age, 12-Step Group Involvement, and Relapse Affect Use of Sobriety Date as Recovery Start Date: A Mixed Methods Analysis
Age, 12-Step Group Involvement, and Relapse Affect Use of Sobriety Date as Recovery Start Date: A Mixed Methods Analysis Open
The purpose of this paper is to explore the use of sobriety date as recovery start date, from the perspective of those in recovery, using a mixed methods approach. We report findings from 389 individuals who identify as being in recovery f…
View article: Stroke in women between 2006 and 2018: Demographic, socioeconomic, and age disparities
Stroke in women between 2006 and 2018: Demographic, socioeconomic, and age disparities Open
Background: Black Americans have a higher prevalence of stroke and stroke-related deaths than any other racial group. Racial disparities in stroke outcomes are even wider among women than men. Conventional studies have cited differences in…