Catarina I Kiefe
Datos Biográficos
| ID | 248535 |
|---|---|
| NOMBRE | Catarina I Kiefe |
| NOMBRES | Catarina I |
| APELLIDO | Kiefe |
| FIRMA | KIEFE C I |
| AFILIACIONES | University of Massachusetts Chan Medical School |
| ORCID | 0000-0001-8719-6963 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 55 |
| TOTAL DE CITAS | 571 |
| TOTAL COMO AUTOR | 55 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1996 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 12 |
Associations between historical redlining and BMI
It is unknown whether living in neighborhoods historically rated as "high-risk" mortgage by lenders (i.e., "redlining") defined by maps of the Home Owners' Loan Corporation (HOLC) neighborhood ratings may associate with obesity through neighborhood factors and health behaviors, or how such associations might differ by race and gender. We used data from the 1985-86 Coronary Artery Risk Development in Young Adults (CARDIA) study to test whether ret…
Developing a Novel Index for Individual-Level Social Determinants and Cardiovascular Diseases in the Coronary Artery Risk Development in Young Adults (Cardia) Study
Higher iSDH indices in early adulthood were associated with increased LVMI values in midlife. The association between the iSDH index and CVD was stronger among Black adults than with White adults
The Association between Food Insecurity and Insomnia Symptoms among Young Adults in Puerto Rico and the Mediating Role of Psychological Distress Symptoms
Residents of Puerto Rico face a high burden of food insecurity (FI), which has been associated with insomnia symptoms (IS). However, this association remains understudied in Puerto Rican young adults, a vulnerable group experiencing an elevated prevalence of FI and poor sleep. We evaluated the association between FI and IS and the mediating role of psychological distress symptoms among young adults in Puerto Rico. Data are derived from the PR-OUT…
Accelerated aging
We provide new evidence that accelerated aging based on easily measurable biomarkers may be a viable marker to partially explain how social factors can lead to cardiovascular outcomes and death
Association between incarceration and incident cardiovascular disease events
Incarceration was associated with incident cardiovascular disease rates, but associations were only significant in one sex-race group after multivariable adjustment
Navigating Black Aging
Given the known association between perceived racial discrimination and depressive symptoms, we provide a novel instance of the long-term effects of social inequality. Specifically, biological age acceleration, a marker of physiological dysregulation, is associated with time among Black persons and more strongly associated among those with depressive symptoms
Complex Patients Have More Emergency Visits
IMPORTANCE: Better patient management can reduce emergency department (ED) use. Performance measures should reward plans for reducing utilization by predictably high-use patients, rather than rewarding plans that shun them. OBJECTIVE: The objective of this study was to develop a quality measure for ED use for people diagnosed with serious mental illness or substance use disorder, accounting for both medical and social determinants of health (SDH)…
Social Risk Factors for Medication Nonadherence
Objectives: Nonadherence to medications has been documented, but the combined effect of social risk factors on medication nonadherence has not been investigated. Methods: We conducted a cross-sectional analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a population-based prospective cohort. The sample (N = 1506) included subjects who at Year 20 (2005-06) were taking prescription medications and completed a …
Impact of comorbid conditions on disease-specific quality of life in older men and women with atrial fibrillation
Racial differences in the association of accelerated aging with future cardiovascular events and all-cause mortality
We provide evidence that AccA is associated with future CVD
Association of negative financial shocks during the Great Recession with depressive symptoms and substance use in the USA
Background The Great Recession of 2008 was marked by large increases in unemployment and decreases in the household wealth of many Americans. In the 21st century, there have also been increases in depressive symptoms, alcohol use and drug use among some groups in the USA. The objective of this analysis is to evaluate the influence of negative financial shocks incurred during the Great Recession on depressive symptoms, alcohol and drug use. Method…
Education, Race/Ethnicity, and Causes of Premature Mortality Among Middle-Aged Adults in 4 US Urban Communities
Objectives. To assess causes of premature death and whether race/ethnicity or education is more strongly and independently associated with premature mortality in a diverse sample of middle-aged adults in the United States. Methods. The Coronary Artery Risk Development in Young Adults study (CARDIA) is a longitudinal cohort study of 5114 participants recruited in 1985 to 1986 and followed for up to 29 years, with rigorous ascertainment of all deat…
Gendered Race and Setting Matter
Evaluating Longitudinal Associations Between Depressive Symptoms, Smoking, and Biomarkers of Cardiovascular Disease in the Cardia Study
OBJECTIVE: The aim of the study was to evaluate associations between 15-year trajectories of co-occurring depressive symptoms and smoking with biomarkers of cardiovascular disease at year 15. METHODS: In the Coronary Artery Risk Development in Young Adults study, we modeled trajectories of depressive symptoms (Center for Epidemiologic Studies-Depression scale [CES-D]) and smoking (cigarettes per day [CPD]) among 3614 adults followed from year 0 (…
Intersectional effects of racial and gender discrimination on cardiovascular health vary among black and white women and men in the Cardia study
The Shifting Salience of Skin Color for Educational Attainment
Findings of an association between skin color and educational attainment have been fairly consistent among Americans born before the civil rights era, but little is known regarding the persistence of this relationship in later born cohorts. The authors ask whether the association between skin color and educational attainment has changed between black American baby boomers and millennials. The authors observe a large and statistically significant …
Racial differences in weathering and its associations with psychosocial stress
Biological age (BA) is a construct that captures accelerated biological aging attributable to "wear and tear" from various exposures; we measured BA and weathering, defined as the difference between BA and chronological age, and their associations with race and psychosocial factors in a middle-aged bi-racial cohort. We used data from the Coronary Artery Risk in Young Adults study (CARDIA), conducted in 4 U.S. cities from 1985-2016 to examine weat…
Personal Bias in Scientific Review
Allison, Jeroan J. MD, MS*; Horner, Ronnie D. PhD†; Kiefe, Catarina MD, PhD* Author Information
Neighborhood Socioeconomic Status Predicts Health After Hospitalization for Acute Coronary Syndromes
OBJECTIVE: To explore the influence of contextual factors on health-related quality of life (HRQoL), which is sometimes used as an indicator of quality of care, we examined the association of neighborhood socioeconomic status (NSES) and trajectories of HRQoL after hospitalization for acute coronary syndromes (ACS). METHODS: We studied 1481 patients hospitalized with acute coronary syndromes in Massachusetts and Georgia querying HRQoL via the ment…
Complicating Colorism
Both conventional public beliefs and existing academic research on colorism presuppose that variation in skin color predicts social outcomes among minorities but is inconsequential among whites. The authors draw on social psychological research on stereotyping to suggest that in quick, low-information decisions such as an arrest, the opposite may be true. Contrary to findings for longer-term socioeconomic outcomes, the authors find that black men…
Medical Debt and Related Financial Consequences Among Older African American and White Adults
Objectives. To evaluate African American–White differences in medical debt among older adults and the extent to which economic and health factors explained these. Methods. We used nationally representative data from the 2007 and 2010 US Health Tracking Household Survey (n = 5838) and computed population-based estimates of medical debt attributable to economic and health factors with adjustment for age, gender, marital status, and education. Resul…
Combined measure of neighborhood food and physical activity environments and weight-related outcomes
Marriage and parenthood in relation to obesogenic neighborhood trajectories
Neighborhood Availability of Convenience Stores and Diet Quality
Objectives. We examined the association between neighborhood convenience stores and diet outcomes for 20 years of the Coronary Artery Risk Development in Young Adults study. Methods. We used dietary data from the Coronary Artery Risk Development in Young Adults study years 1985–1986, 1992–1993, and 2005–2006 (n = 3299; Birmingham, AL; Chicago, IL; Minneapolis, MN; and Oakland, CA) and geographically and temporally matched neighborhood-level food …
Neighborhood socioeconomic status and food environment
Self-reported health, perceived racial discrimination, and skin color in African Americans in the Cardia study
Self-Reported Experiences of Racial Discrimination and Black–White Differences in Preterm and Low-Birthweight Deliveries
Self-reported experiences of racial discrimination were associated with preterm and low-birthweight deliveries, and such experiences may contribute to Black-White disparities in perinatal outcomes
Racial discrimination, racial/ethnic segregation, and health behaviors in the Cardia study
Racial discrimination may impact individuals' adoption of healthy and unhealthy behaviors independent of racial/ethnic segregation. These behaviors may help individuals buffer or reduce the stress of discrimination
Racial/ethnic and gender differences in the association between self-reported experiences of racial/ethnic discrimination and inflammation in the Cardia cohort of 4 US communities
Relationships Between Skin Color, Income, and Blood Pressure Among African Americans in the Cardia Study
Objectives. We explored how income and skin color interact to influence the blood pressure of African American adults enrolled in the longitudinal Coronary Artery Risk Development in Young Adults (CARDIA) Study. Methods. Data were derived from 1893 African American CARDIA year-15 participants who had undergone skin reflectance assessments at year 7. We adjusted for age, gender, body mass index, smoking status, and use of antihypertensive medicati…
Skin color, sex, and educational attainment in the post-civil rights era
Neighborhood socioeconomic status predictors of physical activity through young to middle adulthood
Complicating Colorism
Both conventional public beliefs and existing academic research on colorism presuppose that variation in skin color predicts social outcomes among minorities but is inconsequential among whites. The authors draw on social psychological research on stereotyping to suggest that in quick, low-information decisions such as an arrest, the opposite may be true. Contrary to findings for longer-term socioeconomic outcomes, the authors find that black men…
Intersectional effects of racial and gender discrimination on cardiovascular health vary among black and white women and men in the Cardia study
Neighborhood socioeconomic status and food environment
Neighbourhood characteristics, individual level socioeconomic factors, and depressive symptoms in young adults
Study objective: To investigate the relation between neighbourhood socioeconomic and ethnic characteristics with depressive symptoms in a population based sample. Design: Cross sectional data from the CARDIA study, including the Center for Epidemiological Studies depression scale score (CES-D). Neighbourhoods were 1990 US census blocks of 1000 people; six census variables reflecting wealth/income, education, and occupation investigated separately…
Impact of socioeconomic status on longitudinal accumulation of cardiovascular risk in young adults
Causes and demographic, medical, lifestyle and psychosocial predictors of premature mortality
Trajectories of Change in Obesity and Symptoms of Depression
Objectives. We investigated whether, over time, baseline obesity is associated with change in depressive symptoms or if baseline symptoms of depression are associated with change in body mass index (BMI) and waist circumference. Methods. We used latent growth curve modeling to examine data from years 5, 10, 15, and 20 of the Coronary Artery Risk Development in Young Adults study (n = 4643). We assessed depressive symptomatology with the Center fo…
Gendered Race and Setting Matter
Navigating Black Aging
Given the known association between perceived racial discrimination and depressive symptoms, we provide a novel instance of the long-term effects of social inequality. Specifically, biological age acceleration, a marker of physiological dysregulation, is associated with time among Black persons and more strongly associated among those with depressive symptoms
Body mass index in young adults
OBJECTIVES: Associations of parental education, parental body size, and offspring's education with body mass index and 7-year change in body mass index were examined among participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study. METHODS: CARDIA is a study of coronary artery disease risk factors in 5115 Black and White persons aged 18 to 30 at baseline. Analyses of covariance were carried out with body mass index and ch…
Combined measure of neighborhood food and physical activity environments and weight-related outcomes
Neighborhood Availability of Convenience Stores and Diet Quality
Objectives. We examined the association between neighborhood convenience stores and diet outcomes for 20 years of the Coronary Artery Risk Development in Young Adults study. Methods. We used dietary data from the Coronary Artery Risk Development in Young Adults study years 1985–1986, 1992–1993, and 2005–2006 (n = 3299; Birmingham, AL; Chicago, IL; Minneapolis, MN; and Oakland, CA) and geographically and temporally matched neighborhood-level food …
Association of negative financial shocks during the Great Recession with depressive symptoms and substance use in the USA
Background The Great Recession of 2008 was marked by large increases in unemployment and decreases in the household wealth of many Americans. In the 21st century, there have also been increases in depressive symptoms, alcohol use and drug use among some groups in the USA. The objective of this analysis is to evaluate the influence of negative financial shocks incurred during the Great Recession on depressive symptoms, alcohol and drug use. Method…
The Shifting Salience of Skin Color for Educational Attainment
Findings of an association between skin color and educational attainment have been fairly consistent among Americans born before the civil rights era, but little is known regarding the persistence of this relationship in later born cohorts. The authors ask whether the association between skin color and educational attainment has changed between black American baby boomers and millennials. The authors observe a large and statistically significant …
Medical Debt and Related Financial Consequences Among Older African American and White Adults
Objectives. To evaluate African American–White differences in medical debt among older adults and the extent to which economic and health factors explained these. Methods. We used nationally representative data from the 2007 and 2010 US Health Tracking Household Survey (n = 5838) and computed population-based estimates of medical debt attributable to economic and health factors with adjustment for age, gender, marital status, and education. Resul…
Racial differences in the association of accelerated aging with future cardiovascular events and all-cause mortality
We provide evidence that AccA is associated with future CVD
Education, Race/Ethnicity, and Causes of Premature Mortality Among Middle-Aged Adults in 4 US Urban Communities
Objectives. To assess causes of premature death and whether race/ethnicity or education is more strongly and independently associated with premature mortality in a diverse sample of middle-aged adults in the United States. Methods. The Coronary Artery Risk Development in Young Adults study (CARDIA) is a longitudinal cohort study of 5114 participants recruited in 1985 to 1986 and followed for up to 29 years, with rigorous ascertainment of all deat…
Disentangling the Influence of Socioeconomic Status on Differences Between African American and White Women in Unmet Medical Needs
Objectives. We sought to disentangle the relationships between race/ethnicity, socioeconomic status (SES), and unmet medical care needs. Methods. Data from the 2003–2004 Community Tracking Study Household Survey were used to examine associations between unmet medical needs and SES among African American and White women. Results. No significant racial/ethnic differences in unmet medical needs (24.8% of Whites, 25.9% of African Americans; P = .59) …
Body mass index in young adults
OBJECTIVES: Associations of parental education, parental body size, and offspring's education with body mass index and 7-year change in body mass index were examined among participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study. METHODS: CARDIA is a study of coronary artery disease risk factors in 5115 Black and White persons aged 18 to 30 at baseline. Analyses of covariance were carried out with body mass index and ch…
Can data-driven benchmarks be used to set the goals of healthy people 2010
OBJECTIVES: Expert panels determined the public health goals of Healthy People 2000 subjectively. The present study examined whether data-driven benchmarks provide a better alternative. METHODS: We developed the "pared-mean" method to define from data the best achievable health care practices. We calculated the pared-mean benchmark for screening mammography from the 1994 National Health Interview Survey, using the metropolitan statistical area as…
Predicting Rehospitalization After Bypass Surgery
Center for Outcomes and Effectiveness Research and Education; University of Alabama at Birmingham; Birmingham, Alabama Address correspondence to: Catarina Kiefe, MD, PhD, Center for Outcomes and Effectiveness Research and Education, University of Alabama at Birmingham, Birmingham, AL 35205-4785
Veterans Affairs Quality Enhancement Research Initiative in Chronic Heart Failure
Chronic heart failure (CHF) is a highly prevalent condition associated with serious morbidity, intense levels of health services use, and shortened survival. It is also a condition for which ameliorative therapies exist. The evidence indicates that there is substantial need to change clinical practice and health care delivery for people with CHF and thereby improve their outcomes. The goal of the Veterans Affairs (VA) Quality Enhancement Research…
Area Characteristics and Individual-Level Socioeconomic Position Indicators in Three Population-Based Epidemiologic Studies
Transforming Self-Rated Health and the SF-36 Scales to Include Death and Improve Interpretability
BACKGROUND: Most measures of health-related quality of life are undefined for people who die. Longitudinal analyses are often limited to a healthier cohort (survivors) that cannot be identified prospectively, and that may have had little change in health. OBJECTIVE: To develop and evaluate methods to transform a single self-rated health item (excellent to poor; EVGGFP) and the physical component score of the SF-36 (PCS) to new variables that incl…
Do Local Opinion Leaders Augment Hospital Quality Improvement Efforts
BACKGROUND: The influence of an opinion leader intervention on adherence to Unstable Angina (UA) guidelines compared with a traditional quality improvement model was investigated. RESEARCH DESIGN: A group-randomized controlled trial with 2210 patients from 21 hospitals was designed. There were three intervention arms: (1) no intervention (NI); (2) a traditional Health Care Quality Improvement Program (HCQIP); and (3) a physician opinion leader in…
Nurse Staffing and Mortality for Medicare Patients with Acute Myocardial Infarction
CONTEXT: Recent hospital reductions in registered nurses (RNs) for hospital care raise concerns about patient outcomes. OBJECTIVE: Assess the association of nurse staffing with in-hospital mortality for patients with acute myocardial infarction (AMI). DESIGN, SETTING, AND PATIENTS: Medical record review data from the 1994-1995 Cooperative Cardiovascular Project were linked with American Hospital Association data for 118,940 fee-for-service Medica…
Self-Reported Experiences of Racial Discrimination and Black–White Differences in Preterm and Low-Birthweight Deliveries
Self-reported experiences of racial discrimination were associated with preterm and low-birthweight deliveries, and such experiences may contribute to Black-White disparities in perinatal outcomes
Relation of Childhood Socioeconomic Status and Family Environment to Adult Metabolic Functioning in the Cardia Study
Objective: Low SES and a conflict-ridden, neglectful, or harsh family environment in childhood have been linked to a high rate of physical health disorders in adulthood. The objective of the present investigation was to evaluate a model of the pathways that may help to explain these links and to relate them to metabolic functioning (MF) in the Coronary Artery Risk Development In Young Adults (CARDIA) dataset. Methods: Participants (n = 3225) in t…
Neighbourhood characteristics, individual level socioeconomic factors, and depressive symptoms in young adults
Study objective: To investigate the relation between neighbourhood socioeconomic and ethnic characteristics with depressive symptoms in a population based sample. Design: Cross sectional data from the CARDIA study, including the Center for Epidemiological Studies depression scale score (CES-D). Neighbourhoods were 1990 US census blocks of 1000 people; six census variables reflecting wealth/income, education, and occupation investigated separately…
Impact of socioeconomic status on longitudinal accumulation of cardiovascular risk in young adults
Causes and demographic, medical, lifestyle and psychosocial predictors of premature mortality
Self-reported health, perceived racial discrimination, and skin color in African Americans in the Cardia study
Self-reported Racial Discrimination and Substance Use in the Coronary Artery Risk Development in Adults Study
The authors investigated whether substance use and self-reported racial discrimination were associated in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Smoking status, alcohol consumption, and lifetime use of marijuana, amphetamines, and opiates were ascertained in 2000-2001, 15 years after baseline (1985-1986). Most of the 1,507 African Americans reported having experienced racial discrimination, 79.5% at year 7 and 74.6% …
Relationships Between Skin Color, Income, and Blood Pressure Among African Americans in the Cardia Study
Objectives. We explored how income and skin color interact to influence the blood pressure of African American adults enrolled in the longitudinal Coronary Artery Risk Development in Young Adults (CARDIA) Study. Methods. Data were derived from 1893 African American CARDIA year-15 participants who had undergone skin reflectance assessments at year 7. We adjusted for age, gender, body mass index, smoking status, and use of antihypertensive medicati…
A Message from the New Medical Care Co-Editors-in-Chief
From the University of Alabama at Birmingham Center for Outcomes and Effectiveness Research and Education, Birmingham, Alabama. Reprints: Jeroan J. Allison, MD, MS, Professor of Medicine, Division of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL. E-mail: [email protected]
Announcing a New Occasional Feature of Medical Care
Medical Care: August 2007 - Volume 45 - Issue 8 - p 697-698 doi: 10.1097/MLR.0b013e318074cebd
Disentangling the Influence of Socioeconomic Status on Differences Between African American and White Women in Unmet Medical Needs
Objectives. We sought to disentangle the relationships between race/ethnicity, socioeconomic status (SES), and unmet medical care needs. Methods. Data from the 2003–2004 Community Tracking Study Household Survey were used to examine associations between unmet medical needs and SES among African American and White women. Results. No significant racial/ethnic differences in unmet medical needs (24.8% of Whites, 25.9% of African Americans; P = .59) …
Depressive Symptoms, Race, and Circulating C-Reactive Protein
Objective: To examine the prospective association of depressive symptoms with circulating C-reactive protein (CRP) and to determine the direction of that association. Methods: Using data from 2,544 healthy participants in the Coronary Artery Risk Development in Young Adults study (ages, 33-45 years; 55% female; 42% black), we examined the prospective association of depressive symptoms, as measured by the Centers for Epidemiologic Studies Depressi…
Trajectories of Change in Obesity and Symptoms of Depression
Objectives. We investigated whether, over time, baseline obesity is associated with change in depressive symptoms or if baseline symptoms of depression are associated with change in body mass index (BMI) and waist circumference. Methods. We used latent growth curve modeling to examine data from years 5, 10, 15, and 20 of the Coronary Artery Risk Development in Young Adults study (n = 4643). We assessed depressive symptomatology with the Center fo…
Health, Market Forces, and Debate in Medical Care
From the Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA. Reprints: Catarina Kiefe, MD, PhD, 55 Lake Avenue North, Worcester, MA 01655-0002. Email: [email protected]
Neighborhood socioeconomic status predictors of physical activity through young to middle adulthood
Racial discrimination, racial/ethnic segregation, and health behaviors in the Cardia study
Racial discrimination may impact individuals' adoption of healthy and unhealthy behaviors independent of racial/ethnic segregation. These behaviors may help individuals buffer or reduce the stress of discrimination
Racial/ethnic and gender differences in the association between self-reported experiences of racial/ethnic discrimination and inflammation in the Cardia cohort of 4 US communities
Medicine (50 obras) · Demography (32 obras) · Gerontology (30 obras) · Internal Medicine (26 obras) · Psychology (20 obras) · Demography (19 obras) · Health disparities and outcomes (19 obras) · Environmental health (15 obras) · Gerontology (15 obras) · Internal Medicine (15 obras)