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Sarah L Szanton

Biographic Data

ID148221
NAMESarah L Szanton
GIVEN NAMESSarah L
FAMILY NAMESzanton
SIGNATURESZANTON S L
AFFILIATIONSJohns Hopkins University
ORCID0000-0001-5418-4982
VERIFIEDYes
TOTAL WORKS35
TOTAL CITATIONS168
AUTHOR COUNT35
EDITOR COUNT0
FIRST PUBLICATION YEAR2008
LATEST PUBLICATION YEAR2026
H-INDEX7
  • Is doing better science enough?

    Open Access•Paris B Adkins-Jackson, Emily A Haozous et al.•ARTICLE•Ethnicity and Health•2026

    OBJECTIVES: Addressing structural racism remains a critical challenge in population health and social sciences, as traditional quantitative approaches often fail to disrupt long-standing racialized health hierarchies. This study critically interrogates the process of a multidisciplinary scientific collaboration attempting to operationalize and measure life course structural racism while enacting an anti-racist praxis. DESIGN: Utilizing a collabor…

  • A 5-year examination of Capable implementation using RE-AIM and CFIR frameworks

    Open Access•Deborah L Paone, Deborah Paone et al.•ARTICLE•Frontiers in Public Health•2025

    Background: Examining the experience of organizations implementing evidence-based programs can help future programs address barriers to effective implementation, sustainment, and scaling. CAPABLE is an evidence-based 4-to-6-month program that improves daily function of older adults and modifies their home environments in modest ways to support their goal attainment. Through a guided process, utilizing an occupational therapist, nurse, and handy w…

  • Financial strain measures and associations with adult health

    Open Access•Laura J Samuel, Martha Abshire Saylor et al.•ARTICLE•Social Science & Medicine•2025

  • The Place Where Danger Waits”

    Open Access•Paris B Adkins-Jackson, Ariana N Gobaud et al.•ARTICLE•Journal of Urban Health•2025•References: 3

  • Older Black Americans' Perspectives on Structural Racism-Resilience as a Form of Resistance

    Open Access•Amanda J Bergman, Sarah L Szanton et al.•ARTICLE•Journal of Racial and Ethnic…•2025•References: 25

  • A meta-synthesis of the cycle of financial strain, coping behaviors and health outcomes across the life course

    Open Access•Martha Abshire Saylor, Catherine Clair et al.•ARTICLE•Social Sciences & Humanities Open•2024

    Background: The lived experience and impact of financial strain on broad physical and mental health outcomes is important and yet underexplored. Improving our depth of understanding of the relationship between financial strain and health may offer important insights to address this complex phenomenon. Objective: The primary objective of this study was to conduct a meta-synthesis of existing qualitative literature that investigated or described th…

  • “Hang Ups, Let Downs, Bad Breaks, Setbacks”

    Open Access•Paris B Adkins-Jackson, Boeun Kim et al.•ARTICLE•Health Equity•2024

    Introduction: Older adults racialized as Black experience higher rates of dementia than those racialized as White. Structural racism produces socioeconomic challenges, described by artist Marvin Gaye as “hang ups, let downs, bad breaks, setbacks” that likely contribute to dementia disparities. Robust dementia literature suggests socioeconomic factors may also be key resiliencies. Methods: We linked state-level data reflecting the racialized lands…

  • Where to Retire? Experiences of Older African Immigrants in the United States

    Open Access•Manka Nkimbeng, Alvine Akumbom et al.•ARTICLE•International Journal of…•2022

    Doubling in size since the 1970s, the aging needs of the African immigrant population are not fully understood. This qualitative study examined experiences of aging and retirement planning for African immigrant older adults in the United States (U.S.). Specifically, it explored the factors, processes, and ultimate decision of where these older adults planned to retire. Secondary analysis of semi-structured interviews with 15 older African immigra…

  • Electronic Wearable Device Use for Physical Activity in Older Adults

    Open Access•Mengchi Li, Miranda McPhillips et al.•ARTICLE•Work Aging and Retirement•2022•References: 4

    Innovative solutions to help older adults increase physical activity are critically important. In this qualitative study, we explored older adults' acceptance, capability, and experiences of using three different types of electronic wearable devices over a period of 4-24 weeks for self-monitoring and promoting physical activity. We conducted 23 semistructured interviews with older adults who participated in three physical activity intervention st…

  • Public Health Nursing and Older Adults

    Sarah L Szanton, Alice Bonner•ARTICLE•American Journal of Public Health•2022•References: 3

  • Quantifying Older Black Americans’ Exposure to Structural Racial Discrimination

    Open Access•Sarah LaFave, S E LaFave et al.•ARTICLE•Journal of Urban Health•2022•Cited by: 3•References: 13

  • Race, ethnicity, poverty and the social determinants of the coronavirus divide

    Open Access•Laura J Samuel, Darrell J Gaskin et al.•ARTICLE•BMC Public Health•2021

    These results document differential pandemic impact in counties with more residents who are Black, Hispanic or Native American, highlighting the roles of residential racial segregation and other forms of discrimination. Factors including economic opportunities, occupational risk, public transit and housing conditions should be addressed in pandemic-related public health strategies to mitigate disparities across counties for the current pandemic a…

  • Home and Neighborhood Context of Falls Among Black and White Older Americans

    Open Access•Safiyyah Okoye, Laura J Samuel et al.•ARTICLE•Journal of Aging and Health•2021•References: 5

    Objectives: To examine social and physical environmental fall-risk factors in a nationally representative sample of community-living older adults overall and by racial group. Methods: We used data from the 2015 and 2016 rounds of the National Health and Aging Trends Study ( n = 5581) linked to census tract measures from the American Community Survey. Recurrent falls are defined as 2+ self-reported falls over 12 months. Results: Older adults with …

  • Pain in low-income older women with disabilities

    James L Taylor, Janiece L Taylor et al.•ARTICLE•Journal of Women & Aging•2020

    The purpose of this qualitative study was to identify how low-income older women with disabilities perceive pain, pain management, and communication with healthcare providers. We interviewed 26 low-income women (average age 75 years; SD 7.0), eliciting the following overarching themes: "Invisibility of Pain: Unnoticed or Undetected," "Escalating Pain Leads to Help Seeking," "Communication with Healthcare Providers and Outcomes," "Pain Management …

  • Discrimination Is Associated with Elevated Cardiovascular Disease Risk among African Immigrants in the African Immigrant Health Study

    Ruth‐Alma Turkson‐Ocran, Sarah L Szanton et al.•ARTICLE•Ethnicity & Disease•2020

    African immigrants with frequent experiences of discrimination were more likely to have elevated CVD risk. Targeted and culturally appropriate interventions are needed to reduce the high burden of CVD risk in this population. Health care providers should be aware of discrimination as a meaningful social determinant of CVD risk. At the societal level, policies and laws are needed to reduce the occurrence of discrimination among African immigrants …

  • So I am stuck, but it ́s OK”

    Open Access•Marianne Granbom, Manka Nkimbeng et al.•ARTICLE•Housing and Society•2020•Cited by: 1•References: 7

    Housing preferences and housing decision-making in later life are critical aspects of aging in place, which is a public health priority in many Western countries. However, few studies have examined the economic, social, and health factors that guide older adults' preferences and decisions about where to live, and even less so among older adults with low income or disabilities who may face greater barriers to aging in place. We sought to understan…

  • Leveraging naturally occurring variation in financial stress to examine associations with inflammatory burden among older adults

    Laura J Samuel, Sarah L Szanton et al.•ARTICLE•Journal of Epidemiology and…•2020•References: 38

    Background Financial strain is associated with earlier disability and mortality, but causal links are underexplored, partly because it is unethical to randomise people to financial stress. This study leverages naturally occurring random variation in days since monthly Social Security payment arrival among older adults to test associations with inflammatory biomarkers. Methods Biomarker data, including tumour necrosis factor (TNF)-α, interleukin (…

  • Disparities in the Prevalence and Correlates of Disability in Older Immigrants in the USA

    Open Access•Manka Nkimbeng, Joycelyn Cudjoe et al.•ARTICLE•Journal of Racial and Ethnic…•2019

  • Prevalence of functional limitations among foreign and US-born Black older adults

    Manka Nkimbeng, Ruth‐Alma Turkson‐Ocran et al.•ARTICLE•Ethnicity and Health•2019•References: 4

    Compared to their US-born counterparts, foreign-born Black older adults had a markedly lower prevalence of upper and lower extremity functional limitations. Future comparative studies should examine reasons for this apparent health advantage among foreign-born adults to inform social and medical interventions to prevent functional decline in Black older adults in the US

  • Household Accessibility and Residential Relocation in Older Adults

    Open Access•Marianne Granbom, Novella Perrin et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 4•References: 4

    One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice

  • The Epidemiology of Social Isolation

    Open Access•Thomas K M Cudjoe, David L Roth et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 39•References: 9

    Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population

  • Loneliness in middle age and biomarkers of systemic inflammation

    Open Access•Paula V Nersesian, Hae-Ra Han et al.•ARTICLE•Social Science & Medicine•2018•Cited by: 12•References: 64

  • Home but still engaged

    Open Access•Sarah L Szanton, Laken Roberts et al.•ARTICLE•Quality of Life Research•2016

    This information can be useful in designing community programs that will foster meaningful social and community engagement for older adults, which may improve their quality of life

  • Development of an Exergame for Urban-dwelling Older Adults With Functional Limitations

    Sarah L Szanton, Rachel K Walker et al.•ARTICLE•Progress in community health…•2016

    This pilot showed promising results for improving strength and balance in the home setting, and yielded valuable lessons about health technology development with community partners

  • Where does the neighborhood go? Trust, social engagement, and health among older adults in Baltimore City

    Open Access•Joshua Garoon, Michal Engelman et al.•ARTICLE•Health & Place•2016•Cited by: 7•References: 22

Next
  • The Epidemiology of Social Isolation

    Open Access•Thomas K M Cudjoe, David L Roth et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 39•References: 9

    Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population

  • Life-course financial strain and health in African-Americans

    Open Access•Sarah L Szanton, Roland J Thorpe et al.•ARTICLE•Social Science & Medicine•2010•Cited by: 32•References: 49

  • Effect of Financial Strain on Mortality in Community-Dwelling Older Women

    Sarah L Szanton, Jerilyn K Allen et al.•ARTICLE•The Journals of Gerontology…•2008•Cited by: 21•References: 6

    For older women, financial strain may be a better predictor of mortality than annual income, particularly in the case of older African American women

  • Accelerated Health Declines among African Americans in the USA

    Open Access•Roland J Thorpe, Ruth G Fesahazion et al.•ARTICLE•Journal of Urban Health•2016•Cited by: 13•References: 14

  • Loneliness in middle age and biomarkers of systemic inflammation

    Open Access•Paula V Nersesian, Hae-Ra Han et al.•ARTICLE•Social Science & Medicine•2018•Cited by: 12•References: 64

  • Relationship of race and poverty to lower extremity function and decline

    Open Access•Roland J Thorpe, Judith D Kasper et al.•ARTICLE•Social Science & Medicine•2008•Cited by: 11•References: 41

  • Socioeconomic status is associated with frailty

    Sarah L Szanton, Christopher L Seplaki et al.•ARTICLE•Journal of Epidemiology and…•2010•Cited by: 10•References: 36

    BACKGROUND: Frailty is a common risk factor for morbidity and mortality in older adults. Although both low socioeconomic status (SES) and frailty are important sources of vulnerability, there is limited research examining their relationship. A study was undertaken to determine (1) the extent to which low SES was associated with increased odds of frailty and (2) whether race was associated with frailty, independent of SES. METHODS: A cross-section…

  • Where does the neighborhood go? Trust, social engagement, and health among older adults in Baltimore City

    Open Access•Joshua Garoon, Michal Engelman et al.•ARTICLE•Health & Place•2016•Cited by: 7•References: 22

  • Household and neighborhood conditions partially account for associations between education and physical capacity in the National Health and Aging Trends Study

    Open Access•Laura J Samuel, Thomas A Gla et al.•ARTICLE•Social Science & Medicine•2015•Cited by: 7•References: 55

  • Household Accessibility and Residential Relocation in Older Adults

    Open Access•Marianne Granbom, Novella Perrin et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 4•References: 4

    One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice

  • Racial/Ethnic and Socioeconomic Disparities in Hearing Health Care Among Older Americans

    Open Access•Carrie L Nieman, Nicole Marrone et al.•ARTICLE•Journal of Aging and Health•2015•Cited by: 4•References: 3

    Racial/ethnic and socioeconomic disparities exist in hearing health care and represent critical areas for research and intervention

  • Quantifying Older Black Americans’ Exposure to Structural Racial Discrimination

    Open Access•Sarah LaFave, S E LaFave et al.•ARTICLE•Journal of Urban Health•2022•Cited by: 3•References: 13

  • Evaluation of a Mindfulness-Based Intervention Program to Decrease Blood Pressure in Low-Income African-American Older Adults

    Open Access•Priya Palta, G Page et al.•ARTICLE•Journal of Urban Health•2012•Cited by: 3•References: 1

  • So I am stuck, but it ́s OK”

    Open Access•Marianne Granbom, Manka Nkimbeng et al.•ARTICLE•Housing and Society•2020•Cited by: 1•References: 7

    Housing preferences and housing decision-making in later life are critical aspects of aging in place, which is a public health priority in many Western countries. However, few studies have examined the economic, social, and health factors that guide older adults' preferences and decisions about where to live, and even less so among older adults with low income or disabilities who may face greater barriers to aging in place. We sought to understan…

  • Association between lung function and disability in African–Americans

    Roland J Thorpe, Sarah L Szanton et al.•ARTICLE•Journal of Epidemiology and…•2009•Cited by: 1•References: 27

    BACKGROUND: Impaired lung function is independently associated with higher rates of disability; however, few studies have examined the extent to which this relationship varies by sex. Because men are less likely to have disability, it is expected that the relationship between lung function and disability will be greater among women. METHODS: Logistic regression models were specified to examine the relationship between lung function and disability…

  • Effect of Financial Strain on Mortality in Community-Dwelling Older Women

    Sarah L Szanton, Jerilyn K Allen et al.•ARTICLE•The Journals of Gerontology…•2008•Cited by: 21•References: 6

    For older women, financial strain may be a better predictor of mortality than annual income, particularly in the case of older African American women

  • Relationship of race and poverty to lower extremity function and decline

    Open Access•Roland J Thorpe, Judith D Kasper et al.•ARTICLE•Social Science & Medicine•2008•Cited by: 11•References: 41

  • Association between lung function and disability in African–Americans

    Roland J Thorpe, Sarah L Szanton et al.•ARTICLE•Journal of Epidemiology and…•2009•Cited by: 1•References: 27

    BACKGROUND: Impaired lung function is independently associated with higher rates of disability; however, few studies have examined the extent to which this relationship varies by sex. Because men are less likely to have disability, it is expected that the relationship between lung function and disability will be greater among women. METHODS: Logistic regression models were specified to examine the relationship between lung function and disability…

  • Socioeconomic status is associated with frailty

    Sarah L Szanton, Christopher L Seplaki et al.•ARTICLE•Journal of Epidemiology and…•2010•Cited by: 10•References: 36

    BACKGROUND: Frailty is a common risk factor for morbidity and mortality in older adults. Although both low socioeconomic status (SES) and frailty are important sources of vulnerability, there is limited research examining their relationship. A study was undertaken to determine (1) the extent to which low SES was associated with increased odds of frailty and (2) whether race was associated with frailty, independent of SES. METHODS: A cross-section…

  • Life-course financial strain and health in African-Americans

    Open Access•Sarah L Szanton, Roland J Thorpe et al.•ARTICLE•Social Science & Medicine•2010•Cited by: 32•References: 49

  • Evaluation of a Mindfulness-Based Intervention Program to Decrease Blood Pressure in Low-Income African-American Older Adults

    Open Access•Priya Palta, G Page et al.•ARTICLE•Journal of Urban Health•2012•Cited by: 3•References: 1

  • Depression and Oxidative Stress

    Priya Palta, Laura J Samuel et al.•ARTICLE•Psychosomatic Medicine•2014

    OBJECTIVE: To perform a systematic review and meta-analysis that quantitatively tests and summarizes the hypothesis that depression results in elevated oxidative stress and lower antioxidant levels. METHODS: We performed a meta-analysis of studies that reported an association between depression and oxidative stress and/or antioxidant status markers. PubMed and EMBASE databases were searched for articles published from January 1980 through Decembe…

  • Racial/Ethnic and Socioeconomic Disparities in Hearing Health Care Among Older Americans

    Open Access•Carrie L Nieman, Nicole Marrone et al.•ARTICLE•Journal of Aging and Health•2015•Cited by: 4•References: 3

    Racial/ethnic and socioeconomic disparities exist in hearing health care and represent critical areas for research and intervention

  • Household and neighborhood conditions partially account for associations between education and physical capacity in the National Health and Aging Trends Study

    Open Access•Laura J Samuel, Thomas A Gla et al.•ARTICLE•Social Science & Medicine•2015•Cited by: 7•References: 55

  • Home but still engaged

    Open Access•Sarah L Szanton, Laken Roberts et al.•ARTICLE•Quality of Life Research•2016

    This information can be useful in designing community programs that will foster meaningful social and community engagement for older adults, which may improve their quality of life

  • Development of an Exergame for Urban-dwelling Older Adults With Functional Limitations

    Sarah L Szanton, Rachel K Walker et al.•ARTICLE•Progress in community health…•2016

    This pilot showed promising results for improving strength and balance in the home setting, and yielded valuable lessons about health technology development with community partners

  • Where does the neighborhood go? Trust, social engagement, and health among older adults in Baltimore City

    Open Access•Joshua Garoon, Michal Engelman et al.•ARTICLE•Health & Place•2016•Cited by: 7•References: 22

  • Accelerated Health Declines among African Americans in the USA

    Open Access•Roland J Thorpe, Ruth G Fesahazion et al.•ARTICLE•Journal of Urban Health•2016•Cited by: 13•References: 14

  • Household Accessibility and Residential Relocation in Older Adults

    Open Access•Marianne Granbom, Novella Perrin et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 4•References: 4

    One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice

  • The Epidemiology of Social Isolation

    Open Access•Thomas K M Cudjoe, David L Roth et al.•ARTICLE•The Journals of Gerontology…•2018•Cited by: 39•References: 9

    Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population

  • Loneliness in middle age and biomarkers of systemic inflammation

    Open Access•Paula V Nersesian, Hae-Ra Han et al.•ARTICLE•Social Science & Medicine•2018•Cited by: 12•References: 64

  • Disparities in the Prevalence and Correlates of Disability in Older Immigrants in the USA

    Open Access•Manka Nkimbeng, Joycelyn Cudjoe et al.•ARTICLE•Journal of Racial and Ethnic…•2019

  • Prevalence of functional limitations among foreign and US-born Black older adults

    Manka Nkimbeng, Ruth‐Alma Turkson‐Ocran et al.•ARTICLE•Ethnicity and Health•2019•References: 4

    Compared to their US-born counterparts, foreign-born Black older adults had a markedly lower prevalence of upper and lower extremity functional limitations. Future comparative studies should examine reasons for this apparent health advantage among foreign-born adults to inform social and medical interventions to prevent functional decline in Black older adults in the US

  • Pain in low-income older women with disabilities

    James L Taylor, Janiece L Taylor et al.•ARTICLE•Journal of Women & Aging•2020

    The purpose of this qualitative study was to identify how low-income older women with disabilities perceive pain, pain management, and communication with healthcare providers. We interviewed 26 low-income women (average age 75 years; SD 7.0), eliciting the following overarching themes: "Invisibility of Pain: Unnoticed or Undetected," "Escalating Pain Leads to Help Seeking," "Communication with Healthcare Providers and Outcomes," "Pain Management …

  • Discrimination Is Associated with Elevated Cardiovascular Disease Risk among African Immigrants in the African Immigrant Health Study

    Ruth‐Alma Turkson‐Ocran, Sarah L Szanton et al.•ARTICLE•Ethnicity & Disease•2020

    African immigrants with frequent experiences of discrimination were more likely to have elevated CVD risk. Targeted and culturally appropriate interventions are needed to reduce the high burden of CVD risk in this population. Health care providers should be aware of discrimination as a meaningful social determinant of CVD risk. At the societal level, policies and laws are needed to reduce the occurrence of discrimination among African immigrants …

  • So I am stuck, but it ́s OK”

    Open Access•Marianne Granbom, Manka Nkimbeng et al.•ARTICLE•Housing and Society•2020•Cited by: 1•References: 7

    Housing preferences and housing decision-making in later life are critical aspects of aging in place, which is a public health priority in many Western countries. However, few studies have examined the economic, social, and health factors that guide older adults' preferences and decisions about where to live, and even less so among older adults with low income or disabilities who may face greater barriers to aging in place. We sought to understan…

  • Leveraging naturally occurring variation in financial stress to examine associations with inflammatory burden among older adults

    Laura J Samuel, Sarah L Szanton et al.•ARTICLE•Journal of Epidemiology and…•2020•References: 38

    Background Financial strain is associated with earlier disability and mortality, but causal links are underexplored, partly because it is unethical to randomise people to financial stress. This study leverages naturally occurring random variation in days since monthly Social Security payment arrival among older adults to test associations with inflammatory biomarkers. Methods Biomarker data, including tumour necrosis factor (TNF)-α, interleukin (…

  • Race, ethnicity, poverty and the social determinants of the coronavirus divide

    Open Access•Laura J Samuel, Darrell J Gaskin et al.•ARTICLE•BMC Public Health•2021

    These results document differential pandemic impact in counties with more residents who are Black, Hispanic or Native American, highlighting the roles of residential racial segregation and other forms of discrimination. Factors including economic opportunities, occupational risk, public transit and housing conditions should be addressed in pandemic-related public health strategies to mitigate disparities across counties for the current pandemic a…

  • Home and Neighborhood Context of Falls Among Black and White Older Americans

    Open Access•Safiyyah Okoye, Laura J Samuel et al.•ARTICLE•Journal of Aging and Health•2021•References: 5

    Objectives: To examine social and physical environmental fall-risk factors in a nationally representative sample of community-living older adults overall and by racial group. Methods: We used data from the 2015 and 2016 rounds of the National Health and Aging Trends Study ( n = 5581) linked to census tract measures from the American Community Survey. Recurrent falls are defined as 2+ self-reported falls over 12 months. Results: Older adults with …

  • Where to Retire? Experiences of Older African Immigrants in the United States

    Open Access•Manka Nkimbeng, Alvine Akumbom et al.•ARTICLE•International Journal of…•2022

    Doubling in size since the 1970s, the aging needs of the African immigrant population are not fully understood. This qualitative study examined experiences of aging and retirement planning for African immigrant older adults in the United States (U.S.). Specifically, it explored the factors, processes, and ultimate decision of where these older adults planned to retire. Secondary analysis of semi-structured interviews with 15 older African immigra…

Medicine (30 works) · Gerontology (27 works) · Psychology (20 works) · Health disparities and outcomes (15 works) · Sociology (15 works) · Demography (14 works) · Demography (11 works) · Environmental health (10 works) · Population (9 works) · Public health (7 works)

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