Jose A Pagan
Biographic Data
| ID | 808917 |
|---|---|
| NAME | Jose A Pagan |
| GIVEN NAMES | Jose A |
| FAMILY NAME | Pagan |
| SIGNATURE | PAGAN J A |
| AFFILIATIONS | New York University |
| ORCID | 0000-0002-8915-9602 |
| VERIFIED | Yes |
| TOTAL WORKS | 50 |
| TOTAL CITATIONS | 75 |
| AUTHOR COUNT | 50 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Association between subway iron particulate matter exposure and respiratory disease in New York City
Particulate matter exposure is linked to increased morbidity and mortality. Iron-rich particulate matter (PM2.5), common in rapid transit systems, is a potential but understudied contributor to respiratory illness. Using electronic health records (EHR) from 452,272 patients in the INSIGHT Clinical Research Network in New York City (2020–2023), we examined whether local iron exposure is associated with asthma, chronic obstructive pulmonary disease…
Happiness and hypertension prevalence
The prevalence of hypertension around the world is high while hypertension control is relatively low. The objective of this study is to investigate the association between happiness and hypertension prevalence across countries. We used World Happiness Report (WHR) data, NCD (non-communicable disease) Risk Factor Collaboration (NCD-RisC) data, and machine learning methods (K-means clustering, XGBoost) to assess the influence of key variables that …
Proportion of Fentanyl Reports in Illicit Drug Seizures and Opioid Mortality
The study results suggest that current decline in the proportion of fentanyl reports in illicit drug seizures is associated with 9.2% of the total observed decline in mortality. Additional contributing factors may include other shifts in the drug supply not captured by fentanyl prevalence in illicit drug seizures, shifts in drug use behavior, and the effect of public health programs, interventions, and policies
Ghost gun recovery and firearm deaths in California, 2014–2023
BACKGROUND: We investigated whether ghost gun recovery rates are significantly associated with firearm mortality rates in the following year across California's 58 counties from 2014 to 2023. METHODS: We obtained yearly county-level data on ghost guns recovered in California from The Trace's Gun Violence Data Hub. County-level firearm death counts (total, suicide and homicide) were pulled from the Centers for Disease Control and Prevention's Rest…
Overall and Avoidable Healthcare Utilization among Heterogeneous Hispanic/Latino Ethnic Groups with Cognitive Impairment in the Study of Latinos-Investigation of Neurocognitive Aging (SOL-Inca)
Racial and Ethnic Disparities in Adolescent Utilization of School Based Mental Health Services
Enrollment Patterns of Medicare Advantage Beneficiaries by Dental, Vision, and Hearing Benefits
The results of this study suggest that racial and ethnic minority individuals and those with lower income or educational attainment are more likely to choose MA plans with dental or vision benefits. As the federal government prepares to adjust MA plan star ratings for health equity, implements MA payment cuts, and allows increasing flexibility in supplemental benefit offerings, these findings may inform benefit monitoring for MA
United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico
Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico’s deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniq…
Spatiotemporal Optimization for the Placement of Automated External Defibrillators Using Mobile Phone Data
With over 350,000 cases occurring each year, out-of-hospital cardiac arrest (OHCA) remains a severe public health concern in the United States. The correct and timely use of automated external defibrillators (AEDs) has been widely acknowledged as an effective measure to improve the survival rate of OHCA. While general guidelines have been provided by the American Heart Association (AHA) for AED deployment, the lack of detailed instructions hinder…
Rural-urban disparities in health outcomes, clinical care, health behaviors, and social determinants of health and an action-oriented, dynamic tool for visualizing them
While rural-urban disparities in health and health outcomes have been demonstrated, because of their impact on (and intervenability to improve) health and health outcomes, we sought to examine cross-sectional and longitudinal inequities in health, clinical care, health behaviors, and social determinants of health (SDOH) between rural and non-rural counties in the pre-pandemic era (2015 to 2019), and to present a Health Equity Dashboard that can b…
A Call to Increase Health Data Availability in US Territories—Not Too Small to Count
This Viewpoint discusses gaps in collection systems for health care data in US territories
An observational, sequential analysis of the relationship between local economic distress and inequities in health outcomes, clinical care, health behaviors, and social determinants of health
In the late 2010s, the least prosperous US counties overwhelmingly had worse values in measures of Health Outcomes, Clinical Care, Health Behaviors, the Physical Environment, and Social and Economic Factors than more prosperous counties. Between 2015 and 2019, for most measures, inequities between the least and most prosperous counties widened. Our findings suggest that local economic prosperity may serve as a proxy for health and SDOH status of …
Utilizing Publicly Available Community Data to Address Social Determinants of Health
To compile a compendium of data sources representing different areas of social determinants of health (SDOH) in New York City. We conducted a PubMed search of the peer-reviewed and gray literature using the terms "social determinants of health" and "New York City," with the Boolean operator "AND." We then conducted a search of the "gray literature," defined as sources outside of standard bibliographic databases, using similar terms. We extracted …
Covid-19 vaccine inequality
By the end of 2021, more than 12 billion COVID-19 vaccine doses have been globally distributed and administered [1]. However, nearly one million new daily cases and more than two thousand new daily deaths were reported by July 2022. The best way to slow the spread of the COVID-19 virus and the most effective way [...]
Building and Sustaining Community Partnerships
Social network analysis provided visual and quantitative information that helped reinforce relationships and identify opportunities to improve connectedness and collaboration among diverse community partners, helping to support the coalition's goals and objectives
Building and Sustaining Community Partnerships
Progress in Community Health Partnerships: Research, Education, and Action - Volume 16, Issue 4, Winter 2022
Rurality and Origin–Destination Trajectories of Medical School Application and Matriculation in the United States
Physician shortages are more pronounced in rural than in urban areas. The geography of medical school application and matriculation could provide insights into geographic differences in physician availability. Using data from the Association of American Medical Colleges (AAMC), we conducted geospatial analyses, and developed origin–destination (O–D) trajectories and conceptual graphs to understand the root cause of rural physician shortages. Geog…
Trends in Medical School Application and Matriculation Rates Across the United States From 2001 to 2015
PURPOSE: Socioeconomic and geographic determinants of medical school application and matriculation may help explain the unequal distribution of physicians in the United States. This study describes trends in MD-granting medical school application and matriculation rates and explores the relationship between county median family income, proximity to a medical school, and medical school application and matriculation rates. METHOD: Data were obtaine…
Effects of New York’s Executive Order on Face Mask Use on Covid-19 Infections and Mortality
Excess Deaths During the Covid-19 Economic Downturn
Aligning Health Care and Social Services to Reduce Hospitalizations and Emergency Department Visits
BACKGROUND: Integration of social services in health care delivery is increasingly recognized as a potential strategy for improving health and reducing the use of acute care services. Collaborative models that provide older adults with case management, linkages to social services, and assistance with health care navigation have emerged as promising strategies. OBJECTIVE: The objective of this study was to evaluate the Community Care Connections (…
Connecting healthcare professionals in Central America through management and leadership development
BACKGROUND: Leadership and management training has become increasingly important in the education of health care professionals. Previous research has shown the benefits that a network provides to its members, such as access to resources and information, but ideas for creating these networks vary. This study used social network analysis to explore the interactions among Central American Healthcare Initiative (CAHI) Fellowship alumni and learn more…
Hey, We Can Do This Together”
Multi-sectoral coalitions focused on systemic health inequities are commonly promoted as important mechanisms to facilitate changes with lasting impacts on population health. However, the development and implementation of such initiatives present significant challenges, and evaluation results are commonly inconclusive. In an effort to add to the evidence base, we conducted a mixed-methods evaluation of the Claremont Healthy Village Initiative, a …
Timely Postpartum Visits for Low-Income Women
A health care system and a Medicaid payer partnered to develop an educational intervention and payment redesign program to improve timely postpartum visits for low-income, high-risk mothers in New York City between April 2015 and October 2016. The timely postpartum visit rate was higher for 363 mothers continuously enrolled in the program than for a control group matched by propensity score (67% [243/363] and 56% [407/726], respectively; P
Sleep Duration and Health Care Expenditures in the United States
OBJECTIVE: To estimate the average incremental health care expenditures associated with habitual long and short duration of sleep as compared with healthy/average sleep duration. DATA SOURCE: Medical Expenditure Panel Survey data (2012; N=6476) linked to the 2010-2011 National Health Interview Survey. STUDY DESIGN: Annual differences in health care expenditures are estimated for habitual long and short duration sleepers as compared with average d…
Mortgage Delinquency and Changes in Access to Health Resources and Depressive Symptoms in a Nationally Representative Cohort of Americans Older Than 50 Years
Objectives. We evaluated associations between mortgage delinquency and changes in health and health-relevant resources over 2 years, with data from the Health and Retirement Study, a longitudinal survey representative of US adults older than 50 years. Methods. In 2008, participants reported whether they had fallen behind on mortgage payments since 2006 (n = 2474). We used logistic regression to compare changes in health (incidence of elevated dep…
Persistent Disparities in the Use of Health Care Along the US–Mexico Border
Objectives. We examined disparities in health care use among US–Mexico border residents, with a focus on the unique binational environment of the region, to determine factors that may influence health care use in Mexico. Methods. Data were from 2 waves of a population-based study of 1048 Latino residents of selected Texas border counties. Logistic regression models examined predictors of health insurance coverage. Results from these models were u…
Acculturation and the use of complementary and alternative medicine
Material Resources and Population Health
Objectives. We examined associations between material resources and late-life declines in health. Methods. We used logistic regression to estimate the odds of declines in self-rated health and incident walking limitations associated with material disadvantages in a prospective panel representative of US adults aged 51 years and older (N = 15 441). Results. Disadvantages in health care (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.23, …
Living in the "land of no"? Consumer perceptions of healthy lifestyle portrayals in direct-to-consumer advertisements of prescription drugs
Gender Differences in Labor Market Decisions
Immigration reform, the INS, and the distribution of interior and border enforcement resources
Social Norms and the Consumption of Fruits and Vegetables across New York City Neighborhoods
Correlation between Cocaine Prices and Purity with Trends in Emergency Department Visits in a Major Metropolitan Area
The Impact of Irca on the Job Opportunities and Earnings of Mexican- American and Hispanic-American Workers
Alberto Davila, Jose A. Pagan, Montserrat Viladrich Grau, The Impact of IRCA on the Job Opportunities and Earnings of Mexican- American and Hispanic-American Workers, The International Migration Review, Vol. 32, No. 1 (Spring, 1998), pp. 79-95
The Impact of Irca on the Job Opportunities and Earnings of Mexican-American and Hispanic-American Workers
This article studies the earnings gap between Mexican, Hispanic and non-Hispanic white male workers resulting from changes in both the wage structure and immigration laws that occurred during the 1980s. Our results suggest that Mexican and Hispanic workers were adversely affected by these two changes. Using data from the 1980 and 1990 One Percent Public Use Microdata Samples, we show that these “at-risk” workers minimized the negative impact of t…
United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico
Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico’s deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniq…
Advancing the Use of Evidence-Based Decision-Making in Local Health Departments With Systems Science Methodologies
Objectives. We assessed how systems science methodologies might be used to bridge resource gaps at local health departments (LHDs) so that they might better implement evidence-based decision-making (EBDM) to address population health challenges. Methods. We used the New York Academy of Medicine Cardiovascular Health Simulation Model to evaluate the results of a hypothetical program that would reduce the proportion of people smoking, eating fewer …
Share of Mass Transit Miles Traveled and Reduced Motor Vehicle Fatalities in Major Cities of the United States
Occupational Attainment and Gender Earnings Differentials in Mexico
Women earned about 20.8% less than men in Mexico in 1987, a difference that increased to 22.0% by 1993. Using 1987-93 data from Mexico's National Urban Employment Survey, the authors study the role of occupational attainment in this wage differential. Most of the 1987-93 increase in the gender log monthly earnings gap, they find, can be explained by relative chnges in human capital endowments; wage coefficient changes would have slightly reduced …
The Role of Occupational Attainment, Labor Market Structure, and Earnings Inequality on the Relative Earnings of Mexican Americans
This article analyzes how the 1990-1991 recession and recent changes in U.S. immigration laws may have affected the employment and earnings of Mexican Americans. Using data from the 1986 and 1992 waves of the National Longitudinal Survey of Youth (n = 2,091), the authors attempt to explain the decline in real earnings experienced by Mexican Americans during this period. The relative earnings of Mexican American males (females) fell from 92.41% (7…
The Impact of Irca on the Job Opportunities and Earnings of Mexican- American and Hispanic-American Workers
Alberto Davila, Jose A. Pagan, Montserrat Viladrich Grau, The Impact of IRCA on the Job Opportunities and Earnings of Mexican- American and Hispanic-American Workers, The International Migration Review, Vol. 32, No. 1 (Spring, 1998), pp. 79-95
The Impact of Irca on the Job Opportunities and Earnings of Mexican-American and Hispanic-American Workers
This article studies the earnings gap between Mexican, Hispanic and non-Hispanic white male workers resulting from changes in both the wage structure and immigration laws that occurred during the 1980s. Our results suggest that Mexican and Hispanic workers were adversely affected by these two changes. Using data from the 1980 and 1990 One Percent Public Use Microdata Samples, we show that these “at-risk” workers minimized the negative impact of t…
Immigration reform, the INS, and the distribution of interior and border enforcement resources
Occupational Attainment and Gender Earnings Differentials in Mexico
Women earned about 20.8% less than men in Mexico in 1987, a difference that increased to 22.0% by 1993. Using 1987-93 data from Mexico's National Urban Employment Survey, the authors study the role of occupational attainment in this wage differential. Most of the 1987-93 increase in the gender log monthly earnings gap, they find, can be explained by relative chnges in human capital endowments; wage coefficient changes would have slightly reduced …
Gender Differences in Labor Market Decisions
Persistent Disparities in the Use of Health Care Along the US–Mexico Border
Objectives. We examined disparities in health care use among US–Mexico border residents, with a focus on the unique binational environment of the region, to determine factors that may influence health care use in Mexico. Methods. Data were from 2 waves of a population-based study of 1048 Latino residents of selected Texas border counties. Logistic regression models examined predictors of health insurance coverage. Results from these models were u…
Acculturation and the use of complementary and alternative medicine
Material Resources and Population Health
Objectives. We examined associations between material resources and late-life declines in health. Methods. We used logistic regression to estimate the odds of declines in self-rated health and incident walking limitations associated with material disadvantages in a prospective panel representative of US adults aged 51 years and older (N = 15 441). Results. Disadvantages in health care (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.23, …
Acculturation and healthy lifestyle habits among Hispanics in United States-Mexico border communities
Findings confirmed an association between acculturation and healthy lifestyle habits and supported the hypothesis that acculturation in border community populations tends to decrease the practice of some healthy dietary habits while increasing exposure to and awareness of the importance of other healthy behaviors
Where Would You Rather Live If You Were Insured? Assessing Community Uninsurance Spillover Effects on the Insured
Mortgage Delinquency and Changes in Access to Health Resources and Depressive Symptoms in a Nationally Representative Cohort of Americans Older Than 50 Years
Objectives. We evaluated associations between mortgage delinquency and changes in health and health-relevant resources over 2 years, with data from the Health and Retirement Study, a longitudinal survey representative of US adults older than 50 years. Methods. In 2008, participants reported whether they had fallen behind on mortgage payments since 2006 (n = 2474). We used logistic regression to compare changes in health (incidence of elevated dep…
Living in the "land of no"? Consumer perceptions of healthy lifestyle portrayals in direct-to-consumer advertisements of prescription drugs
Income Inequality and Obesity Prevalence Among Oecd Countries
Using recent pooled data from the World Health Organization Global Infobase and the World Factbook compiled by the Central Intelligence Agency of the United States, this study assesses the relation between income inequality and obesity prevalence among 31 OECD countries through a series of bivariate and multivariate linear regressions. The United States and Mexico well lead OECD countries in both obesity prevalence and income inequality. A sensit…
Persistent disparities in cholesterol screening among immigrants to the United States
There are persistent disparities in cholesterol screening for immigrants, particularly recent immigrants from Mexico, but improved access to health care may be a viable policy intervention to reduce disparities
Substitution of Formal Health Care Services by Latinos/Hispanics in the US-Mexico Border Region of South Texas
BACKGROUND: Pervasive poverty and high uninsurance rates in the US-Mexico border region coupled with rising US health care costs and the availability of alternatives to formal US health services-both in the United States and Mexico-have resulted in widespread use of alternatives to formal US health care. OBJECTIVES: We investigate variation in the purchase of substitutes for formal US health services among border residents reporting health-relate…
Rural‐Urban Differences in Health Services Utilization in the US‐Mexico Border Region
Purpose: Evaluate the association between driving distance to the US‐Mexico border and rural‐urban differences in the use of health services in Mexico by US border residents from Texas. Methods: Data for this study come from the Cross‐Border Utilization of Health Care Survey, a population‐based telephone survey conducted in the Texas border region in spring 2008. Driving distances to the border were estimated from the nearest border crossing stat…
A News Media Analysis of the Economic and Reputational Penalties of the Hospital Readmissions Reduction Program
Section 3025 of the Affordable Care Act (ACA) of 2010 established the Hospital Readmissions Reduction Program (HRRP), an initiative designed to penalize hospitals with excess 30-day readmissions. This study investigates whether readmission penalties under HRRP impose significant reputational effects on hospitals. Data extracted from 2012 to 2013 news stories suggest that the higher the actual penalty, the higher the perceived cost of the penalty,…
Correlation between Cocaine Prices and Purity with Trends in Emergency Department Visits in a Major Metropolitan Area
Share of Mass Transit Miles Traveled and Reduced Motor Vehicle Fatalities in Major Cities of the United States
Advancing the Use of Evidence-Based Decision-Making in Local Health Departments With Systems Science Methodologies
Objectives. We assessed how systems science methodologies might be used to bridge resource gaps at local health departments (LHDs) so that they might better implement evidence-based decision-making (EBDM) to address population health challenges. Methods. We used the New York Academy of Medicine Cardiovascular Health Simulation Model to evaluate the results of a hypothetical program that would reduce the proportion of people smoking, eating fewer …
Social Norms and the Consumption of Fruits and Vegetables across New York City Neighborhoods
Delivery and Payment Redesign to Reduce Disparities in High Risk Postpartum Care
Assessing the Impact of Language Access Regulations on the Provision of Pharmacy Services
Approximately 25 million people in the United States are limited English proficient (LEP). Appropriate language services can improve care for LEP individuals, and health care facilities receiving federal funds are required to provide such services. Recognizing the risk of inadequate comprehension of prescription medication instructions, between 2008 and 2012, New York City and State passed a series of regulations that require chain pharmacies to …
Patient Perception and Cost-Effectiveness of a Patient Navigation Program to Improve Breast Cancer Screening for Hispanic Women
Purpose: Hispanic women are less likely to be screened for breast cancer than non-Hispanic women, which contributes to the disproportionate prevalence of advanced-stage breast cancer in this population group. Patient navigation may be a promising approach to help women overcome the complexity of accessing multiple health care services related to breast cancer screening and treatment. The goal of this study is to assess patient perception and cost…
Medicine (38 works) · Environmental health (23 works) · Health care (22 works) · Population (19 works) · Nursing (18 works) · Political science (18 works) · Business (17 works) · Economics (17 works) · Economic growth (15 works) · Gerontology (15 works)