Robert A Hiatt
Datos Biográficos
| ID | 85851 |
|---|---|
| NOMBRE | Robert A Hiatt |
| NOMBRES | Robert A |
| APELLIDO | Hiatt |
| FIRMA | HIATT R A |
| AFILIACIONES | University of California, San Francisco |
| ORCID | 0000-0001-7174-8436 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 97 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1982 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 6 |
Socio-economic position, area-level deprivation and gradients in cancer incidence
The findings demonstrate the importance of socioeconomic position in the incidence of some common cancers prior to diagnosis and treatment and reinforces the need for further research to address the contribution of upstream social determinants in the etiology of cancer
Tobacco industry influence on breast cancer research, policy and public opinion
The CTR and TI Records are a rich source of documents related to tobacco industry efforts to influence breast cancer research, policy and public opinion away from any aetiologic relationship between tobacco use and breast cancer
A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries
Cancer incidence and mortality rates continue to rise globally, a trend mostly driven by preventable cancers occurring in low-and middle-income countries (LMICs). There is growing concern that many LMICs are ill-equipped to cope with markedly increased burden of cancer due to lack of comprehensive cancer control programs that incorporate primary, secondary, and tertiary prevention strategies. Notably, few countries have allocated budgets to imple…
Cancer Risk Behaviors, Cancer Beliefs, and Health Information Seeking Among Under-Represented Populations in San Francisco
Purpose: Sexual and gender minority (SGM) individuals in the United States are at increased risk of cancer compared to the non-SGM population. Understanding how SGM persons perceive cancer risk and their practices and preferences for accessing health information is key for improving the preventive and health care services they receive. Methods: In this cross-sectional study, we analyzed data from the San Francisco Health Information National Tren…
Socioeconomic status and colorectal cancer screening behaviors in a vulnerable multiethnic population
Participants with lower SES characteristics were less likely to adhere to CRC screening guidelines and being retired was a predictor of compliance. There was evidence of heterogeneity in associations between SES and CRC screening by race/ethnicity. Life circumstances of retired people could provide insights for designing interventions aimed to improve CRC screening uptake in these priority groups. Future efforts should consider mechanisms underly…
Environmental Tobacco Smoke Exposure in Relation to Family Characteristics, Stressors and Chemical Co-Exposures in California Girls
Childhood environmental tobacco smoke (ETS) exposure is a risk factor for adverse health outcomes and may disproportionately burden lower socioeconomic status groups, exacerbating health disparities. We explored associations of demographic factors, stressful life events, and chemical co-exposures, with cotinine levels, among girls in the CYGNET Study. Data were collected from families of girls aged 6-8 years old in Northern California, through cl…
Health Information–seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort
INTRODUCTION: In order to address health disparities, it is important to understand how vulnerable individuals seek information. This study used an adapted version of the Health Information National Trends Survey (HINTS) administered in English, Spanish, and Chinese to describe the behaviors and preferences of a diverse group of vulnerable urban residents. METHODS: We administered a modified HINTS survey in English, Spanish, and Chinese and used …
The Ethics of Translational Science
Biomedical research is increasingly informed by expectations of “translation,” which call for the production of scientific knowledge that can be used to create services and products that improve health outcomes. In this paper, we ask how translation, in particular the idea of social responsibility, is understood and enacted in the post-genomic life sciences. Drawing on theories examining what constitutes “good science,” and interviews with 35 inv…
Socioeconomic position in childhood and cancer in adulthood
BACKGROUND: The relationship of childhood socioeconomic position (SEP) to adult cancer has been inconsistent in the literature and there has been no review summarising the current evidence focused solely on cancer outcomes. METHODS AND RESULTS: We performed a rapid review of the literature, which identified 22 publications from 13 studies, primarily in the UK and northern European countries that specifically analysed individual measures of SEP in…
Accounting for Complexity
Scientists now agree that common diseases arise through interactions of genetic and environmental factors, but there is less agreement about how scientific research should account for these interactions. This paper examines the politics of quantification in gene-environment interaction (GEI) research. Drawing on interviews and observations with GEI researchers who study common, complex diseases, we describe quantification as an unfolding moral ec…
Breastfeeding Versus Formula-Feeding and Girls’ Pubertal Development
Homogeneity and heterogeneity as situational properties
In this article, we explore current thinking and practices around the logics of difference in gene-environment interaction research in the post-genomic era. We find that scientists conducting gene-environment interaction research continue to invoke well-worn notions of racial difference and diversity, but use them strategically to try to examine other kinds of etiologically significant differences among populations. Scientists do this by seeing p…
Race and Ancestry in the Age of Inclusion
This article examines how race and ancestry are taken up in gene-environment interaction (GEI) research on complex diseases such as heart disease, diabetes, and cancer. Using 54 in-depth interviews of 33 scientists and over 200 hours of observation at scientific conferences, we explore how GEI researchers use and interpret race, ethnicity, and ancestry in their work. We find that the use of self-identified race and ethnicity (SIRE) exists alongsi…
Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health
Legislators and their scientific beneficiaries express growing concerns that the fruits of their investment in health research are not reaching the public, policy makers, and practitioners with evidence-based practices. Practitioners and the public lament the lack of relevance and fit of evidence that reaches them and barriers to their implementation of it. Much has been written about this gap in medicine, much less in public health. We review th…
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment
Further research should focus on the adaptation of participatory research principles for different kinds of community partners and on the development and refinement of standards and tools to assist in evaluating the process and outcome of participatory research
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment Juliana Van Olphen, Judith Ottoson, Lawrence Green, Janice Barlow, Kathy Koblick, and Robert Hiatt What Is the Purpose of This Study? • The Community Outreach and Translation Core of the Bay Area Breast Cancer and the Environment Research Center adopted a participatory approach to involve the community in the development of specific components of the…
Approaching Health Disparities From a Population Perspective
Addressing health disparities has been a national challenge for decades. The National Institutes of Health-sponsored Centers for Population Health and Health Disparities are the first federal initiative to support transdisciplinary multilevel research on the determinants of health disparities. Their novel research approach combines population, clinical, and basic science to elucidate the complex determinants of health disparities. The centers are…
Trends in Colonoscopy for Colorectal Cancer Screening
BACKGROUND: A major health priority is to increase colorectal cancer screening, and colonoscopy has become an increasingly important method of screening. The Medicare program began coverage for colonoscopy for average risk individuals in 2001. OBJECTIVES: We sought to examine whether overall colorectal cancer screening increased over time and whether these increases were a result of increased utilization of all methods or a result of greater use …
Trends and disparities in socioeconomic and behavioural characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979–2003
BACKGROUND: Immigrants are a growing segment of the US population. In 2003, there were 33.5 million immigrants, accounting for 12% of the total US population. Despite a rapid increase in their numbers, little information exists as to how immigrants' health and mortality profile has changed over time. In this study, we analysed trends in social and behavioural characteristics, life expectancy, and mortality patterns of immigrants and the US-born f…
Cancer Screening in Public Health Clinics
OBJECTIVES: To determine how screening for breast and cervical cancer in public health clinics was associated with overall clinic utilization. METHODS: Evidence of screening and clinic visits between June 1989 and May 1992 was obtained by medical record audit for a random sample of 1825 women aged 40 to 75 attending eight public health clinics in the San Francisco Bay Area. RESULTS: With an average number of visits (4 per year), women who did not…
Gender, Ethnic, and Acculturation Differences in Sexual Behaviors
Hispanics have an increased prevalence of sexually transmitted diseases (STDs). To describe the prevalence of sexual behaviors of Hispanics, we conducted surveys of randomly selected residents in census tract areas and members of a health maintenance organization (n = 2,596). Hispanic men were more likely to start sexual intercourse at an earlier age and reported lower rates of condom use than non-Hispanic White men. Hispanic women reported havin…
Seroprevalence of HIV-type 1 in a northern California health plan population
We conducted an unlinked seroprevalence survey for human immunodeficiency virus-type 1 (HIV-1) of 9821 persons who had a routine personal health appraisal examination in 1989 while members of the Kaiser Permanente Medical Care Program in northern California. An outside laboratory performed enzyme immunoassay (EIA) analyses, and the California Viral and Rickettsial Diseases Laboratory confirmed EIA-reactive samples by immunofluorescent assay and W…
Epidemiologic features of treated end-stage renal disease in a large prepaid health plan
We examined the incidence of treated end-stage renal disease (ESRD) among the two million members of the Kaiser Permanente Medical Care Program of Northern California from 1973 through 1985. The age-adjusted incidence rates rose from 33.9 to 81.7 per million person-years and showed no signs of stabilization. Rates were higher in men than in women and rose with age. Marked upward trends (p less than .001) in the rates of treated ESRD associated wi…
A survival analysis of hospitalization among patients with acquired immunodeficiency syndrome
Survival analysis techniques were used in estimating lifetime inpatient utilization among patients diagnosed with acquired immunodeficiency syndrome (AIDS) using data on 863 members of the Kaiser Permanente Medical Care Program in the Northern California Region diagnosed with AIDS between January 1, 1981 and June 30, 1987. Using information on both deceased and living patients, we estimated means of 40.3 lifetime inpatient days and 3.3 hospitaliz…
Characteristics of patients referred for treatment of end-stage renal disease in a defined population
We studied the incidence of referral for treatment of end-stage renal disease (ESRD) in the Kaiser Foundation Health Plan (KFHP) in northern California from 1972 through 1977. In this population of over 1 million persons, we found an age-adjusted annual incidence of 44.9 per million after 1973, when the Federal ESRD Program went into effect. Age-specific incidence was highest in in men greater than 70 years of age and in women in the 50- to 59-ye…
Approaching Health Disparities From a Population Perspective
Addressing health disparities has been a national challenge for decades. The National Institutes of Health-sponsored Centers for Population Health and Health Disparities are the first federal initiative to support transdisciplinary multilevel research on the determinants of health disparities. Their novel research approach combines population, clinical, and basic science to elucidate the complex determinants of health disparities. The centers are…
Homogeneity and heterogeneity as situational properties
In this article, we explore current thinking and practices around the logics of difference in gene-environment interaction research in the post-genomic era. We find that scientists conducting gene-environment interaction research continue to invoke well-worn notions of racial difference and diversity, but use them strategically to try to examine other kinds of etiologically significant differences among populations. Scientists do this by seeing p…
Accounting for Complexity
Scientists now agree that common diseases arise through interactions of genetic and environmental factors, but there is less agreement about how scientific research should account for these interactions. This paper examines the politics of quantification in gene-environment interaction (GEI) research. Drawing on interviews and observations with GEI researchers who study common, complex diseases, we describe quantification as an unfolding moral ec…
Gender, Ethnic, and Acculturation Differences in Sexual Behaviors
Hispanics have an increased prevalence of sexually transmitted diseases (STDs). To describe the prevalence of sexual behaviors of Hispanics, we conducted surveys of randomly selected residents in census tract areas and members of a health maintenance organization (n = 2,596). Hispanic men were more likely to start sexual intercourse at an earlier age and reported lower rates of condom use than non-Hispanic White men. Hispanic women reported havin…
A survival analysis of hospitalization among patients with acquired immunodeficiency syndrome
Survival analysis techniques were used in estimating lifetime inpatient utilization among patients diagnosed with acquired immunodeficiency syndrome (AIDS) using data on 863 members of the Kaiser Permanente Medical Care Program in the Northern California Region diagnosed with AIDS between January 1, 1981 and June 30, 1987. Using information on both deceased and living patients, we estimated means of 40.3 lifetime inpatient days and 3.3 hospitaliz…
Race and Ancestry in the Age of Inclusion
This article examines how race and ancestry are taken up in gene-environment interaction (GEI) research on complex diseases such as heart disease, diabetes, and cancer. Using 54 in-depth interviews of 33 scientists and over 200 hours of observation at scientific conferences, we explore how GEI researchers use and interpret race, ethnicity, and ancestry in their work. We find that the use of self-identified race and ethnicity (SIRE) exists alongsi…
Seroprevalence of HIV-type 1 in a northern California health plan population
We conducted an unlinked seroprevalence survey for human immunodeficiency virus-type 1 (HIV-1) of 9821 persons who had a routine personal health appraisal examination in 1989 while members of the Kaiser Permanente Medical Care Program in northern California. An outside laboratory performed enzyme immunoassay (EIA) analyses, and the California Viral and Rickettsial Diseases Laboratory confirmed EIA-reactive samples by immunofluorescent assay and W…
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment
Further research should focus on the adaptation of participatory research principles for different kinds of community partners and on the development and refinement of standards and tools to assist in evaluating the process and outcome of participatory research
Characteristics of patients referred for treatment of end-stage renal disease in a defined population
We studied the incidence of referral for treatment of end-stage renal disease (ESRD) in the Kaiser Foundation Health Plan (KFHP) in northern California from 1972 through 1977. In this population of over 1 million persons, we found an age-adjusted annual incidence of 44.9 per million after 1973, when the Federal ESRD Program went into effect. Age-specific incidence was highest in in men greater than 70 years of age and in women in the 50- to 59-ye…
Characteristics of patients referred for treatment of end-stage renal disease in a defined population
We studied the incidence of referral for treatment of end-stage renal disease (ESRD) in the Kaiser Foundation Health Plan (KFHP) in northern California from 1972 through 1977. In this population of over 1 million persons, we found an age-adjusted annual incidence of 44.9 per million after 1973, when the Federal ESRD Program went into effect. Age-specific incidence was highest in in men greater than 70 years of age and in women in the 50- to 59-ye…
A survival analysis of hospitalization among patients with acquired immunodeficiency syndrome
Survival analysis techniques were used in estimating lifetime inpatient utilization among patients diagnosed with acquired immunodeficiency syndrome (AIDS) using data on 863 members of the Kaiser Permanente Medical Care Program in the Northern California Region diagnosed with AIDS between January 1, 1981 and June 30, 1987. Using information on both deceased and living patients, we estimated means of 40.3 lifetime inpatient days and 3.3 hospitaliz…
Epidemiologic features of treated end-stage renal disease in a large prepaid health plan
We examined the incidence of treated end-stage renal disease (ESRD) among the two million members of the Kaiser Permanente Medical Care Program of Northern California from 1973 through 1985. The age-adjusted incidence rates rose from 33.9 to 81.7 per million person-years and showed no signs of stabilization. Rates were higher in men than in women and rose with age. Marked upward trends (p less than .001) in the rates of treated ESRD associated wi…
Seroprevalence of HIV-type 1 in a northern California health plan population
We conducted an unlinked seroprevalence survey for human immunodeficiency virus-type 1 (HIV-1) of 9821 persons who had a routine personal health appraisal examination in 1989 while members of the Kaiser Permanente Medical Care Program in northern California. An outside laboratory performed enzyme immunoassay (EIA) analyses, and the California Viral and Rickettsial Diseases Laboratory confirmed EIA-reactive samples by immunofluorescent assay and W…
Gender, Ethnic, and Acculturation Differences in Sexual Behaviors
Hispanics have an increased prevalence of sexually transmitted diseases (STDs). To describe the prevalence of sexual behaviors of Hispanics, we conducted surveys of randomly selected residents in census tract areas and members of a health maintenance organization (n = 2,596). Hispanic men were more likely to start sexual intercourse at an earlier age and reported lower rates of condom use than non-Hispanic White men. Hispanic women reported havin…
Cancer Screening in Public Health Clinics
OBJECTIVES: To determine how screening for breast and cervical cancer in public health clinics was associated with overall clinic utilization. METHODS: Evidence of screening and clinic visits between June 1989 and May 1992 was obtained by medical record audit for a random sample of 1825 women aged 40 to 75 attending eight public health clinics in the San Francisco Bay Area. RESULTS: With an average number of visits (4 per year), women who did not…
Trends and disparities in socioeconomic and behavioural characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979–2003
BACKGROUND: Immigrants are a growing segment of the US population. In 2003, there were 33.5 million immigrants, accounting for 12% of the total US population. Despite a rapid increase in their numbers, little information exists as to how immigrants' health and mortality profile has changed over time. In this study, we analysed trends in social and behavioural characteristics, life expectancy, and mortality patterns of immigrants and the US-born f…
Trends in Colonoscopy for Colorectal Cancer Screening
BACKGROUND: A major health priority is to increase colorectal cancer screening, and colonoscopy has become an increasingly important method of screening. The Medicare program began coverage for colonoscopy for average risk individuals in 2001. OBJECTIVES: We sought to examine whether overall colorectal cancer screening increased over time and whether these increases were a result of increased utilization of all methods or a result of greater use …
Approaching Health Disparities From a Population Perspective
Addressing health disparities has been a national challenge for decades. The National Institutes of Health-sponsored Centers for Population Health and Health Disparities are the first federal initiative to support transdisciplinary multilevel research on the determinants of health disparities. Their novel research approach combines population, clinical, and basic science to elucidate the complex determinants of health disparities. The centers are…
Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health
Legislators and their scientific beneficiaries express growing concerns that the fruits of their investment in health research are not reaching the public, policy makers, and practitioners with evidence-based practices. Practitioners and the public lament the lack of relevance and fit of evidence that reaches them and barriers to their implementation of it. Much has been written about this gap in medicine, much less in public health. We review th…
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment
Further research should focus on the adaptation of participatory research principles for different kinds of community partners and on the development and refinement of standards and tools to assist in evaluating the process and outcome of participatory research
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment
Evaluation of a Partnership Approach to Translating Research on Breast Cancer and the Environment Juliana Van Olphen, Judith Ottoson, Lawrence Green, Janice Barlow, Kathy Koblick, and Robert Hiatt What Is the Purpose of This Study? • The Community Outreach and Translation Core of the Bay Area Breast Cancer and the Environment Research Center adopted a participatory approach to involve the community in the development of specific components of the…
Breastfeeding Versus Formula-Feeding and Girls’ Pubertal Development
Homogeneity and heterogeneity as situational properties
In this article, we explore current thinking and practices around the logics of difference in gene-environment interaction research in the post-genomic era. We find that scientists conducting gene-environment interaction research continue to invoke well-worn notions of racial difference and diversity, but use them strategically to try to examine other kinds of etiologically significant differences among populations. Scientists do this by seeing p…
Race and Ancestry in the Age of Inclusion
This article examines how race and ancestry are taken up in gene-environment interaction (GEI) research on complex diseases such as heart disease, diabetes, and cancer. Using 54 in-depth interviews of 33 scientists and over 200 hours of observation at scientific conferences, we explore how GEI researchers use and interpret race, ethnicity, and ancestry in their work. We find that the use of self-identified race and ethnicity (SIRE) exists alongsi…
Socioeconomic position in childhood and cancer in adulthood
BACKGROUND: The relationship of childhood socioeconomic position (SEP) to adult cancer has been inconsistent in the literature and there has been no review summarising the current evidence focused solely on cancer outcomes. METHODS AND RESULTS: We performed a rapid review of the literature, which identified 22 publications from 13 studies, primarily in the UK and northern European countries that specifically analysed individual measures of SEP in…
Accounting for Complexity
Scientists now agree that common diseases arise through interactions of genetic and environmental factors, but there is less agreement about how scientific research should account for these interactions. This paper examines the politics of quantification in gene-environment interaction (GEI) research. Drawing on interviews and observations with GEI researchers who study common, complex diseases, we describe quantification as an unfolding moral ec…
The Ethics of Translational Science
Biomedical research is increasingly informed by expectations of “translation,” which call for the production of scientific knowledge that can be used to create services and products that improve health outcomes. In this paper, we ask how translation, in particular the idea of social responsibility, is understood and enacted in the post-genomic life sciences. Drawing on theories examining what constitutes “good science,” and interviews with 35 inv…
Environmental Tobacco Smoke Exposure in Relation to Family Characteristics, Stressors and Chemical Co-Exposures in California Girls
Childhood environmental tobacco smoke (ETS) exposure is a risk factor for adverse health outcomes and may disproportionately burden lower socioeconomic status groups, exacerbating health disparities. We explored associations of demographic factors, stressful life events, and chemical co-exposures, with cotinine levels, among girls in the CYGNET Study. Data were collected from families of girls aged 6-8 years old in Northern California, through cl…
Health Information–seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort
INTRODUCTION: In order to address health disparities, it is important to understand how vulnerable individuals seek information. This study used an adapted version of the Health Information National Trends Survey (HINTS) administered in English, Spanish, and Chinese to describe the behaviors and preferences of a diverse group of vulnerable urban residents. METHODS: We administered a modified HINTS survey in English, Spanish, and Chinese and used …
Socioeconomic status and colorectal cancer screening behaviors in a vulnerable multiethnic population
Participants with lower SES characteristics were less likely to adhere to CRC screening guidelines and being retired was a predictor of compliance. There was evidence of heterogeneity in associations between SES and CRC screening by race/ethnicity. Life circumstances of retired people could provide insights for designing interventions aimed to improve CRC screening uptake in these priority groups. Future efforts should consider mechanisms underly…
A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries
Cancer incidence and mortality rates continue to rise globally, a trend mostly driven by preventable cancers occurring in low-and middle-income countries (LMICs). There is growing concern that many LMICs are ill-equipped to cope with markedly increased burden of cancer due to lack of comprehensive cancer control programs that incorporate primary, secondary, and tertiary prevention strategies. Notably, few countries have allocated budgets to imple…
Cancer Risk Behaviors, Cancer Beliefs, and Health Information Seeking Among Under-Represented Populations in San Francisco
Purpose: Sexual and gender minority (SGM) individuals in the United States are at increased risk of cancer compared to the non-SGM population. Understanding how SGM persons perceive cancer risk and their practices and preferences for accessing health information is key for improving the preventive and health care services they receive. Methods: In this cross-sectional study, we analyzed data from the San Francisco Health Information National Tren…
Socio-economic position, area-level deprivation and gradients in cancer incidence
The findings demonstrate the importance of socioeconomic position in the incidence of some common cancers prior to diagnosis and treatment and reinforces the need for further research to address the contribution of upstream social determinants in the etiology of cancer
Tobacco industry influence on breast cancer research, policy and public opinion
The CTR and TI Records are a rich source of documents related to tobacco industry efforts to influence breast cancer research, policy and public opinion away from any aetiologic relationship between tobacco use and breast cancer
Medicine (21 obras) · Environmental health (14 obras) · Demography (11 obras) · Internal Medicine (11 obras) · Population (11 obras) · Cancer (8 obras) · Psychology (8 obras) · Sociology (8 obras) · Political science (7 obras) · Internal Medicine (6 obras)