8 results on '"Scott T. Shimotsu"'
Search Results
2. COVID-19 Infection Control Measures in Long-Term Care Facility, Pennsylvania, USA
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Ethan M. Berke, Scott T Shimotsu, Ariel R L Johnson, and Daniel O Griffin
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Microbiology (medical) ,Adult ,Male ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Epidemiology ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030231 tropical medicine ,lcsh:Medicine ,Disease ,medicine.disease_cause ,Residential Facilities ,long-term care facilities ,lcsh:Infectious and parasitic diseases ,COVID-19 Infection Control Measures in Long-Term Care Facility, Pennsylvania, USA ,03 medical and health sciences ,respiratory infections ,0302 clinical medicine ,Research Letter ,Medicine ,Infection control ,Humans ,lcsh:RC109-216 ,viruses ,030212 general & internal medicine ,Coronavirus ,Aged ,Infection Control ,business.industry ,SARS-CoV-2 ,lcsh:R ,COVID-19 ,Middle Aged ,Pennsylvania ,testing ,United States ,zoonoses ,Long-term care ,Infectious Diseases ,coronavirus disease ,Population Surveillance ,Emergency medicine ,Female ,business ,Coronavirus Infections ,severe acute respiratory syndrome coronavirus 2 - Abstract
Residents of long-term care facilities are at risk for coronavirus disease. We report a surveillance exercise at such a facility in Pennsylvania, USA. After introduction of a testing strategy and other measures, this facility had a 17-fold lower coronavirus disease case rate compared with those of neighboring facilities.
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- 2020
3. Associations between psychiatric morbidity and COVID-19 vaccine hesitancy: An analysis of electronic health records and patient survey
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Mara Eyllon, Alexander P. Dang, J. Ben Barnes, John Buresh, Gabrielle D. Peloquin, Annika C. Hogan, Scott T. Shimotsu, Susan R. Sama, and Samuel S. Nordberg
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Depressive Disorder, Major ,COVID-19 Vaccines ,SARS-CoV-2 ,COVID-19 ,Psychiatric illness ,Article ,Psychiatry and Mental health ,Cross-Sectional Studies ,Prevalence ,vaccine hesitancy ,Electronic Health Records ,Humans ,Vaccination Hesitancy ,Biological Psychiatry - Abstract
Psychiatric illness confers significant risk for severe COVID-19 morbidity and mortality; identifying psychiatric risk factors for vaccine hesitancy is critical to mitigating risk in this population. This study examined the prevalence of vaccine hesitancy among those with psychiatric illness and the associations between psychiatric morbidity and vaccine hesitancy. Data came from electronic health records and a patient survey obtained from 14,365 patients at a group medical practice between February and May, 2021. Logistic regression was used to calculate odds for vaccine hesitancy adjusted for sociodemographic characteristics and physical comorbidity. Of 14,365 participants 1,761 (12.3%) participants reported vaccine hesitancy. Vaccine hesitancy was significantly more prevalent among participants with substance use (29.6%), attention deficit and hyperactivity (23.3%), posttraumatic stress (23.1%), bipolar (18.0%), generalized anxiety (16.5%), major depressive (16.1%), other anxiety (15.5%), and tobacco use disorders (18.6%), and those previously infected with COVID-19 (19.8%) compared to participants without these disorders. After adjusting for sociodemographic characteristics and physical comorbidities, substance use disorders and tobacco use were significantly associated with increased odds for vaccine hesitancy and bipolar disorder was significantly inversely associated with vaccine hesitancy. Interventions to improve uptake in these populations may be warranted.
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- 2022
4. Medicaid expansion and mental health: A Minnesota case study
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Laura Guzman-Corrales, Katherine Diaz Vickery, Dana Soderlund, Scott T. Shimotsu, Mark Linzer, Ross Owen, and Pam Clifford
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Adult ,Male ,Mental Health Services ,Gerontology ,Minnesota ,Population ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Health care ,Patient Protection and Affordable Care Act ,medicine ,Humans ,030212 general & internal medicine ,education ,Applied Psychology ,Retrospective Studies ,education.field_of_study ,Medicaid ,business.industry ,Mental Disorders ,030503 health policy & services ,Middle Aged ,Mental illness ,medicine.disease ,Mental health ,United States ,Integrated care ,Psychiatry and Mental health ,Housing ,Female ,0305 other medical science ,business ,Psychosocial - Abstract
INTRODUCTION The health status and psychosocial needs of the Medicaid expansion population have been estimated but not measured. This population includes childless adults predicted to have high rates of mental illness, especially among the homeless. Given limitations in access to mental health services, it is unclear how prepared the U.S. health care system is to care for the needs of the expansion population. METHOD Using enrollment and claims data from the Minnesota Department of Human Services, this study presents prevalence rates of mental illness diagnoses and measures of unstable housing in Minnesota's childless-adult early Medicaid expansion population. Rates are compared with prior predictions of serious psychological distress and mental illness constructed from the National Survey on Drug Use and Health (NSDUH) using χ2 and t tests. RESULTS Diagnoses of mental illness in Minnesota's childless-adult early Medicaid expansion population were more than 15% higher than prevalence measures of mental illness/distress for the current Medicaid population. Diagnosis rates fell within confidence intervals of estimates of mental illness for Minnesota's Medicaid expansion population. Almost 1 in 3 enrollees had a marker of unstable housing; of this group, half had mental illness and/or distress. DISCUSSION Findings support predictions of the high burden of mental illness and unstable housing among the Medicaid expansion population. Minnesota offers lessons to other regions working to care for such populations: (a) the use of flexible financing structures to build integrated care systems and (b) passage of legislation to allow data sharing among mental health, social services, and medical care.
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- 2016
5. Increased Likelihood of Missed Appointments ('No Shows') for Racial/Ethnic Minorities in a Safety Net Health System
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Anne Roehrl, Nancy A. Garrett, Katherine Diaz Vickery, Laura Guzman-Corrales, Maribet McCarty, Mark Linzer, and Scott T. Shimotsu
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Adult ,medicine.medical_specialty ,Cross-sectional study ,Safety net ,education ,Psychological intervention ,Ethnic group ,lcsh:Computer applications to medicine. Medical informatics ,Vulnerable Populations ,03 medical and health sciences ,Race (biology) ,Appointments and Schedules ,0302 clinical medicine ,Risk Factors ,Ethnicity ,Research Letter ,Medicine ,Humans ,030212 general & internal medicine ,Community and Home Care ,Primary Health Care ,business.industry ,lcsh:Public aspects of medicine ,030503 health policy & services ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Patient Acceptance of Health Care ,Mental illness ,medicine.disease ,Health equity ,Country of origin ,United States ,Cross-Sectional Studies ,Family medicine ,lcsh:R858-859.7 ,0305 other medical science ,business - Abstract
Missed appointments have been linked to adverse outcomes known to affect racial/ethnic minorities. However, the association of missed appointments with race/ethnicity has not been determined. We sought to determine the relationships between race/ethnicity and missed appointments by performing a cross-sectional study of 161 350 patients in a safety net health system. Several race/ethnicity categories were significantly associated with missed appointment rates, including Hispanic/Latino patients, American Indian/Alaskan Native patients, and Black/African American patients, as compared with White non-Hispanic patients. Other significant predictors included Mexico as country of origin, medical complexity, and major mental illness. We recommend additional research to determine which interventions best reduce missed appointments for minority populations in order to improve the care of vulnerable patients.
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- 2015
6. Capturing the spectrum of household food and beverage purchasing behavior: a review
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Scott T. Shimotsu, Simone A. French, Melanie M. Wall, and Anne Faricy Gerlach
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education.field_of_study ,Nutrition and Dietetics ,digestive, oral, and skin physiology ,Population ,Health Behavior ,Commerce ,Food purchasing ,Feeding Behavior ,Healthful food ,Nutrition Surveys ,Choice Behavior ,Purchasing ,Article ,Diet ,Food Supply ,Food Preferences ,Food choice ,Humans ,Business ,Marketing ,education ,Food Science - Abstract
The household setting may be the most important level at which to understand the food choices of individuals and how healthful food choices can be promoted. However, there are few available measures of the food purchase behaviors of households and little consensus on the best way to measure it. This review explores the currently available measures of household food purchasing behavior. Three main measures are described, evaluated, and compared: home food inventories, food and beverage purchase records and receipts, and Universal Product Code bar code scanning. The development of coding, aggregation, and analytical methods for these measures of household food purchasing behavior is described. Currently, annotated receipts and records are the most comprehensive, detailed measure of household food purchasing behavior, and are feasible for population-based samples. Universal Product Code scanning is not recommended due to its cost and complexity. Research directions to improve household food purchasing behavior measures are discussed.
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- 2007
7. Worksite environment physical activity and healthy food choices: measurement of the worksite food and physical activity environment at four metropolitan bus garages
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Simone A. French, Peter J. Hannan, Anne Faricy Gerlach, and Scott T. Shimotsu
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Nutrition and Dietetics ,business.industry ,lcsh:Public aspects of medicine ,Research ,Physical activity ,Medicine (miscellaneous) ,lcsh:RA1-1270 ,030209 endocrinology & metabolism ,Physical Therapy, Sports Therapy and Rehabilitation ,Metropolitan area ,Work environment ,lcsh:Nutritional diseases. Deficiency diseases ,03 medical and health sciences ,0302 clinical medicine ,Healthy food ,Weight gain prevention ,Environmental health ,Weight management ,Medicine ,Environmental intervention ,Transit bus ,030212 general & internal medicine ,business ,lcsh:RC620-627 - Abstract
Background The present research describes a measure of the worksite environment for food, physical activity and weight management. The worksite environment measure (WEM instrument) was developed for the Route H Study, a worksite environmental intervention for weight gain prevention in four metro transit bus garages in Minneapolis-St. Paul. Methods Two trained raters visited each of the four bus garages and independently completed the WEM. Food, physical activity and weight management-related items were observed and recorded on a structured form. Inter-rater reliability was computed at the item level using a simple percentage agreement. Results The WEM showed high inter-rater reliability for the number and presence of food-related items. All garages had vending machines, microwaves and refrigerators. Assessment of the physical activity environment yielded similar reliability for the number and presence/absence of fitness items. Each garage had a fitness room (average of 4.3 items of fitness equipment). All garages had at least one stationary bike and treadmill. Three garages had at least one weighing scale available. There were no designated walking areas inside or outside. There were on average < 1 food stores or restaurants within sight of each garage. Few vending machine food and beverage items met criteria for healthful choices (15% of the vending machine foods; 26% of the vending machine beverages). The garage environment was perceived to be not supportive of healthy food choices, physical activity and weight management; 52% reported that it was hard to get fruits and vegetables in the garages, and 62% agreed that it was hard to be physically active in the garages. Conclusion The WEM is a reliable measure of the worksite nutrition, physical activity, and weight management environment that can be used to assess changes in the work environment.
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8. Annotated receipts capture household food purchases from a broad range of sources
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Ericka M. Welsh, Melanie M. Wall, Scott T. Shimotsu, Nathan R. Mitchell, and Simone A. French
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2. Zero hunger ,0303 health sciences ,Nutrition and Dietetics ,030309 nutrition & dietetics ,business.industry ,Dietary intake ,Research ,lcsh:Public aspects of medicine ,digestive, oral, and skin physiology ,Food consumption ,Behavioural sciences ,Medicine (miscellaneous) ,Physical Therapy, Sports Therapy and Rehabilitation ,lcsh:RA1-1270 ,Food purchasing ,Agricultural economics ,03 medical and health sciences ,lcsh:Nutritional diseases. Deficiency diseases ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,business ,lcsh:RC620-627 ,Consumer behaviour ,health care economics and organizations - Abstract
Background Accurate measurement of household food purchase behavior (HFPB) is important for understanding its association with household characteristics, individual dietary intake and neighborhood food retail outlets. However, little research has been done to develop measures of HFPB. The main objective of this paper is to describe the development of a measure of HFPB using annotated food purchase receipts. Methods Households collected and annotated food purchase receipts for a four-week period as part of the baseline assessment of a household nutrition intervention. Receipts were collected from all food sources, including grocery stores and restaurants. Households (n = 90) were recruited from the community as part of an obesity prevention intervention conducted in 2007–2008 in Minneapolis, Minnesota, USA. Household primary shoppers were trained to follow a standardized receipt collection and annotation protocol. Annotated receipts were mailed weekly to research staff. Staff coded the receipt data and entered it into a database. Total food dollars, proportion of food dollars, and ounces of food purchased were examined for different food sources and food categories. Descriptive statistics and correlations are presented. Results A total of 2,483 receipts were returned by 90 households. Home sources comprised 45% of receipts and eating-out sources 55%. Eating-out entrees were proportionally the largest single food category based on counts (16.6%) and dollars ($106 per month). Two-week expenditures were highly correlated (r = 0.83) with four-week expenditures. Conclusion Receipt data provided important quantitative information about HFPB from a wide range of sources and food categories. Two weeks may be adequate to reliably characterize HFPB using annotated receipts.
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