Melvin D Livingston
Datos Biográficos
| ID | 119628 |
|---|---|
| NOMBRE | Melvin D Livingston |
| NOMBRES | Melvin D |
| APELLIDO | Livingston |
| FIRMA | LIVINGSTON M D |
| AFILIACIONES | Emory University |
| ORCID | 0000-0002-6327-8910 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 122 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2012 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Fiscal reform under the ‘One Big Beautiful Bill’ and its public health implications
Experiences of discrimination in reproductive healthcare
Experiences of discrimination in healthcare settings contribute to inequities in healthcare access and outcomes. Black, Latina, and Indigenous communities have lower levels of trust in reproductive healthcare due to a longstanding history of abuses. In this context, discriminatory behaviors by providers may be particularly problematic. This study aimed to test the psychometric properties of a nine-item measure of lifetime experiences of discrimin…
Sexualized Drug Use Linked to Higher HIV Testing Frequency Among Men Who Have Sex with Men in Three Chinese Cities with High HIV Prevalence
BACKGROUND: Men who have sex with men (MSM) in China experience high HIV prevalence, yet little is known about the HIV testing behaviors of MSM among those who engage in sexualized drug use (SDU). Clarifying these patterns is essential for designing targeted HIV prevention interventions. METHODS: We analyzed baseline survey data from 1,800 MSM recruited in Chengdu, Suzhou, and Wuhan (2021-2022). Participants reported HIV testing history and SDU, …
Barriers and Facilitators to Accessing Mental Health Supports Among Black Perinatal Women
Experiences of recent hate-related violence and their association with mental and physical health among people living with HIV in Atlanta, Georgia
BACKGROUND: People with HIV (PWH) are disproportionately affected by violence. The majority of violence research has focused on intimate partner violence, childhood abuse, gender-based violence, and sexual violence more generally. Less research has examined community violence among PWH. In this analysis, we test the association between hate crime experience and mental and HIV outcomes in a sample of adults with HIV, majority of whom are Black/Afr…
Associations between interpersonal and community-level violence experiences and HIV outcomes
Violence experience, interpersonal and community-level, is commonly reported by people living with HIV (PLWH). Understanding the impact of the various forms of violence on HIV outcomes is critical for prioritizing violence screening and support resources in care settings. From February 2021 to December 2022, among 285 PLWH purposively sampled to attain diversity by gender, race/ethnicity, and HIV care retention status in Atlanta, Georgia, we exam…
Safety Net Programs as Primary Prevention Against Adverse Childhood Experiences (ACEs) in the United States
We examine access to U.S. welfare programs-Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP)-as primary prevention strategies against adverse childhood experiences (ACEs). Using the University of Kentucky's National Welfare Data and National Survey of Children's Health (2016-2022), we estimate two-way fixed effects models linking state-level access rates to child-level ACE incidence. TANF access p…
Economic insecurity and depression among youth of color during the Covid-19 pandemic
Although the pandemic intensified acute stressors, these findings highlight deeper, long-standing structural inequities that contribute to the mental health challenges of youth of color and remain relevant in the post-pandemic period. The personal salience of COVID-related financial strain may have had a particularly strong psychological link during this period. Accordingly, we discuss implications for clinical, community, and policy intervention…
Likelihood of using a harm reduction vending machine among rural people who inject drugs in Appalachian Kentucky
Together we are stronger”
Latinx adolescents, representing 25% of the U.S. child population, face significant mental health challenges due to aggressive immigration enforcement and policies rooted in racism, nativism, and ethnocentrism. These systemic issues contribute to increased rates of sadness, hopelessness, and suicidal behaviors among Latinx adolescents. Addressing this crisis requires interventions that mitigate the harms of these policies and promote youth voice …
Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities
Objectives. To determine the Connect intervention’s effectiveness in reducing substance use among rural and tribal adolescents in northeastern Oklahoma. Methods. We conducted a 2-arm cluster randomized trial from 2021 to 2024, with 10 high schools per condition. Results. At baseline, 919 students were enrolled (mean age = 15 years), and the majority were American Indian or White. Alcohol-use days during the past 30 days was reduced by 18% per sur…
Under the Influence of Norms
Adolescent substance use is influenced by social support and social norms, which can be protective or risk-enhancing. This study analyzed survey data at baseline and 6-month follow-up from 919 adolescents attending schools on or near the Cherokee Nation Reservation. Generalized linear mixed-effects models assessed the influence of social support from parents/caregivers, teachers, community adults, and peers on alcohol and cannabis use with tests …
Charting a path forward toward integrating macrolevel phenomena, marginalization, and health equity principles in into dissemination and implementation science
The long-term health effects of welfare reform
Experiences of childhood, intimate partner, non-partner, and hate crime-related violence among a sample of people living with HIV in the epicenter of the U.S. HIV epidemic
Introduction: Experiences of violence among people living with HIV (PLWH) are thought to be highly prevalent but remain inadequately captured. As a first step toward acceptable, trauma informed practices that improve engagement and retention in care for PLWH, we must acquire more comprehensive understanding of violence experiences. We examined experiences of various forms of lifetime violence: adverse childhood experiences (ACES), intimate partne…
“There’s room to do more”
Introduction Intimate partner violence (IPV) is a risk factor for homicides and suicides. As poverty is both a predictor and a consequence of IPV, interventions that alleviate poverty-related stressors could mitigate IPV-related harms. Temporary Assistance for Needy Families (TANF), a monthly cash assistance program, is one such potential intervention. In the state of Georgia, the TANF diversion program, which provides a non-recurrent lump-sum pa…
Syringe reuse among people who inject drugs in rural Appalachian Kentucky
Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States
Trauma is common among people with HIV (PWH) and associated with low HIV care engagement, thus trauma-informed care (TIC) integration within HIV services is critical. From December 2019 to April 2020, we conducted surveys with 321 administrators, providers, and staff of 46 Ryan White HIV clinics (RWCs) in 8 Southeastern U.S. states to assess level of TIC implementation and clinic-level factors associated with TIC adoption. The mean score for TIC …
Facing a dual threat
BACKGROUND: Exclusionary immigration policies rooted in structural racism threaten the wellbeing of Latinx families, increasing stress, anxiety, depression, and distress among immigrant parents. The COVID-19 pandemic has had devastating and disproportionate impacts on communities of color with unique impacts on Latinx immigrant parents in mixed-status families. AIMS: From a syndemic theory lens, we explored the convergence of structural racism an…
The Impact of Temporary Assistance for Needy Families Benefit Requirements and Sanctions on Maternal Material Hardship, Mental Health, and Parental Aggravation
Correlates of Recent HIV Testing Among People Who Inject Drugs in Rural Areas
Overdoses, Reproductive Justice, and Harm Reduction
Overdoses, Reproductive Justice, and Harm Reduction Hannah L. F. Cooper ScD, Whitney Rice DrPH, Janet Cummings PhD, Melvin D. Livingston PhD, Snigdha Peddireddy MPH, Erin Rogers MPH, Anne Dunlop MD, Michael Kramer PhD, and Natalie D. Hernandez PhD Affiliation Hannah L. F. Cooper, Whitney Rice, Melvin D. Livingston, and Snigdha Peddireddy are with the Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health,…
Women’s Lived Experiences with Temporary Assistance for Needy Families (Tanf)
Women experiencing poverty are more likely to face intimate partner violence (IPV), poor health, and stigma. IPV survivors are overrepresented among those who receive Temporary Assistance for Needy Families (TANF), a conditional cash program serving families experiencing poverty. More generous TANF policies may be protective against IPV, but a greater insight into TANF's effect could be gleaned through a contemporaneous study that examines inters…
Popularity of Delta-8 THC on the Internet Across US States, 2021
Objectives. To assess the popularity of an emergent drug, delta-8 tetrahydrocannabinol (THC), and compare interest levels between US states with or without legalized recreational cannabis. Methods. We used Google Trends to assess the growth of interest among delta-8 THC–related search terms from May 17, 2020, to May 9, 2021. We examined differences between states with or without legalized cannabis using state-level Google Trends data from Februar…
Perceived Racial/Ethnic Discrimination and Depressive Symptoms among Adolescents Living in the Cherokee Nation
The objective of this study was to examine the longitudinal relationship between perceived racial/ethnic discrimination and depressive symptoms among adolescents living in the Cherokee Nation, as well as the potential moderating roles of race and social support. Self-reported survey data were analyzed from a sample of high school students (n = 1,622) who identified as American Indian only, American Indian and White, and White only. Compared to st…
Perceived racial/ethnic discrimination, problem behaviors, and mental health among minority urban youth
Most adolescents had experienced racial/ethnic discrimination due to their race/ethnicity. Even occasional experiences of racial/ethnic discrimination likely contribute to maladaptive behavioral and mental health outcomes among adolescents. Prevention and coping strategies are important targets for intervention
Effects of state-level Earned Income Tax Credit laws in the U.S. on maternal health behaviors and infant health outcomes
The Effect of an Increased Minimum Wage on Infant Mortality and Birth Weight
Objectives. To investigate the effects of state minimum wage laws on low birth weight and infant mortality in the United States. Methods. We estimated the effects of state-level minimum wage laws using a difference-in-differences approach on rates of low birth weight ( Results. Across all models, a dollar increase in the minimum wage above the federal level was associated with a 1% to 2% decrease in low birth weight births and a 4% decrease in po…
Effects of increased minimum wages by unemployment rate on suicide in the USA
BACKGROUND: Social welfare policies such as the minimum wage can affect population health, though the impact may differ by the level of unemployment experienced by society at a given time. METHODS: We ran difference-in-differences models using monthly data from all 50 states and Washington, DC from 1990 to 2015. We used educational attainment to define treatment and control groups. The exposure was the difference between state and federal minimum…
The impact of temporary assistance for needy families, minimum wage, and Earned Income Tax Credit on Women's well-being and intimate partner violence victimization
Effects of State Medical Marijuana Laws on Adolescent Marijuana Use
Objectives. Medical marijuana laws (MMLs) have been suggested as a possible cause of increases in marijuana use among adolescents in the United States. We evaluated the effects of MMLs on adolescent marijuana use from 2003 through 2011. Methods. We used data from the Youth Risk Behavior Survey and a difference-in-differences design to evaluate the effects of passage of state MMLs on adolescent marijuana use. The states examined (Montana, Rhode Is…
Recreational Cannabis Legalization and Opioid-Related Deaths in Colorado, 2000–2015
Objectives. To examine the association between Colorado’s legalization of recreational cannabis use and opioid-related deaths. Methods. We used an interrupted time-series design (2000–2015) to compare changes in level and slope of monthly opioid-related deaths before and after Colorado stores began selling recreational cannabis. We also describe the percent change in opioid-related deaths by comparing the unadjusted model-smoothed number of death…
Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Objectives. To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. Methods. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quar…
Popularity of Delta-8 THC on the Internet Across US States, 2021
Objectives. To assess the popularity of an emergent drug, delta-8 tetrahydrocannabinol (THC), and compare interest levels between US states with or without legalized recreational cannabis. Methods. We used Google Trends to assess the growth of interest among delta-8 THC–related search terms from May 17, 2020, to May 9, 2021. We examined differences between states with or without legalized cannabis using state-level Google Trends data from Februar…
Together we are stronger”
Latinx adolescents, representing 25% of the U.S. child population, face significant mental health challenges due to aggressive immigration enforcement and policies rooted in racism, nativism, and ethnocentrism. These systemic issues contribute to increased rates of sadness, hopelessness, and suicidal behaviors among Latinx adolescents. Addressing this crisis requires interventions that mitigate the harms of these policies and promote youth voice …
Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities
Objectives. To determine the Connect intervention’s effectiveness in reducing substance use among rural and tribal adolescents in northeastern Oklahoma. Methods. We conducted a 2-arm cluster randomized trial from 2021 to 2024, with 10 high schools per condition. Results. At baseline, 919 students were enrolled (mean age = 15 years), and the majority were American Indian or White. Alcohol-use days during the past 30 days was reduced by 18% per sur…
Effects of Alcohol Interventions on Other Drug Use in the Cherokee Nation
Objectives. To evaluate effects of 2 alcohol prevention interventions—Communities Mobilizing for Change on Alcohol (CMCA), a community organizing intervention designed to reduce youth alcohol access, and CONNECT, an individual-level screening and brief intervention approach—on other drug use outcomes. Methods. We conducted a community intervention trial with quarterly surveys over 3 years (2012–2015) of high school students living within the juri…
Effects of a 2009 Illinois Alcohol Tax Increase on Fatal Motor Vehicle Crashes
Objectives. We examined the effects of a 2009 increase in alcohol taxes in Illinois on alcohol-related fatal motor vehicle crashes. Methods. We used an interrupted time-series design, with intrastate and cross-state comparisons and measurement derived from driver alcohol test results, for 104 months before and 28 months after enactment. Our analyses used autoregressive moving average and generalized linear mixed Poisson models. We examined both p…
Perceived racial/ethnic discrimination, problem behaviors, and mental health among minority urban youth
Most adolescents had experienced racial/ethnic discrimination due to their race/ethnicity. Even occasional experiences of racial/ethnic discrimination likely contribute to maladaptive behavioral and mental health outcomes among adolescents. Prevention and coping strategies are important targets for intervention
Effects of State Medical Marijuana Laws on Adolescent Marijuana Use
Objectives. Medical marijuana laws (MMLs) have been suggested as a possible cause of increases in marijuana use among adolescents in the United States. We evaluated the effects of MMLs on adolescent marijuana use from 2003 through 2011. Methods. We used data from the Youth Risk Behavior Survey and a difference-in-differences design to evaluate the effects of passage of state MMLs on adolescent marijuana use. The states examined (Montana, Rhode Is…
Effects of a 2009 Illinois Alcohol Tax Increase on Fatal Motor Vehicle Crashes
Objectives. We examined the effects of a 2009 increase in alcohol taxes in Illinois on alcohol-related fatal motor vehicle crashes. Methods. We used an interrupted time-series design, with intrastate and cross-state comparisons and measurement derived from driver alcohol test results, for 104 months before and 28 months after enactment. Our analyses used autoregressive moving average and generalized linear mixed Poisson models. We examined both p…
The Effect of an Increased Minimum Wage on Infant Mortality and Birth Weight
Objectives. To investigate the effects of state minimum wage laws on low birth weight and infant mortality in the United States. Methods. We estimated the effects of state-level minimum wage laws using a difference-in-differences approach on rates of low birth weight ( Results. Across all models, a dollar increase in the minimum wage above the federal level was associated with a 1% to 2% decrease in low birth weight births and a 4% decrease in po…
Supply-Side Disruption in Cocaine Production Associated With Cocaine-Related Maternal and Child Health Outcomes in the United States
Objectives. To investigate the effects of precursor chemical regulation aimed at reducing cocaine production on cocaine-related maternal and newborn hospital stays in the United States. Methods. We analyzed monthly counts of maternal and neonatal stays from January 2002 through December 2013 by using a quasi-experimental interrupted time series design. We estimated the preregulation linear trend, postregulation change in linear trend, and abrupt …
Recreational Cannabis Legalization and Opioid-Related Deaths in Colorado, 2000–2015
Objectives. To examine the association between Colorado’s legalization of recreational cannabis use and opioid-related deaths. Methods. We used an interrupted time-series design (2000–2015) to compare changes in level and slope of monthly opioid-related deaths before and after Colorado stores began selling recreational cannabis. We also describe the percent change in opioid-related deaths by comparing the unadjusted model-smoothed number of death…
Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Objectives. To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. Methods. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quar…
Effects of state-level Earned Income Tax Credit laws in the U.S. on maternal health behaviors and infant health outcomes
Serious mental illness and negative substance use consequences among adults on probation
BACKGROUND: Adults on probation are at greater risk of both using substances and having a mental disorder compared to the general population. Several theories explain the relationship between substance use and poor mental health. However, the interaction between substance use, mental health, and substance-related consequences is not well understood. A better understanding of this relationship may help treatment programs become more responsive to …
Adverse life experiences and risk of unintended pregnancy in adolescence and early adulthood
ALEs increased the risk of unintended first pregnancy overall, and different levels of exposure impacting the risk of pregnancy differently for different sub-groups of women. Our ongoing research is further investigating the role of stress-associated adversity in shaping reproductive health outcomes and disparities in the United States
Electronic cigarette explosion and burn injuries, US Emergency Departments 2015–2017
There are more e-cigarette explosion and burn injuries in the USA than estimated in the past reports. Improved surveillance of e-cigarette injuries and regulation of e-cigarette devices is urgently needed. NEISS could be a valuable resource for e-cigarette injury surveillance
Human Papillomavirus Vaccine Initiation for Adolescents Following Rhode Island’s School-Entry Requirement, 2010–2016
Objectives. To assess changes in human papillomavirus (HPV) vaccine initiation for adolescent girls and boys in Rhode Island compared with all other states. Methods. We estimated the gender-specific effects of Rhode Island’s school-entry HPV vaccination policy on self-reported HPV vaccination initiation by using a difference-in-differences design with the National Immunization Survey–Teen from 2010 through 2016. Results. Compared with boys in oth…
Livingston et al. Respond
AffiliationsMelvin D. Livingston is with the Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth. Tracey E. Barnett is with the Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center. Chris Delcher is with the Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesv…
Effects of Alcohol Interventions on Other Drug Use in the Cherokee Nation
Objectives. To evaluate effects of 2 alcohol prevention interventions—Communities Mobilizing for Change on Alcohol (CMCA), a community organizing intervention designed to reduce youth alcohol access, and CONNECT, an individual-level screening and brief intervention approach—on other drug use outcomes. Methods. We conducted a community intervention trial with quarterly surveys over 3 years (2012–2015) of high school students living within the juri…
Effects of State-Level Earned Income Tax Credit Laws on Birth Outcomes by Race and Ethnicity
Purpose: Health disparities persist in birth outcomes by mother's income, education, and race in the United States. Disadvantaged mothers may experience benefit from supplements to family income, such as the earned income tax credit (EITC). We examined the effects of state-level EITCs on birth outcomes among women with a high school education or less, stratified by race and ethnicity. Methods: A quasi-experimental multistate and multiyear differe…
Effects of changes in earned income tax credit
Poverty has numerous deleterious effects on health, and the Earned Income Tax Credit (EITC) is the major policy tool used to alleviate poverty in the U.S. We evaluate effects of four distinct changes in earned income tax credit law in Washington, DC on maternal behaviors and infant outcomes. An interrupted time-series design was used with 312 monthly measures from 1990 through 2015 analyzed in 2018 (total n = 225,933 births). States with no EITC …
Avocado Cutting Injuries
Objectives: In the United States (US), avocado consumption has increased dramatically since the year 2000. Despite media attention concerning injuries resulting from cutting or pitting avocados, such injuries have not been monitored systematically. The current study is the first to estimate the number of people with avocado cutting injuries presenting to US hospital emergency departments. Methods: We utilized cross-sectional data from the US Cons…
Effects of increased minimum wages by unemployment rate on suicide in the USA
BACKGROUND: Social welfare policies such as the minimum wage can affect population health, though the impact may differ by the level of unemployment experienced by society at a given time. METHODS: We ran difference-in-differences models using monthly data from all 50 states and Washington, DC from 1990 to 2015. We used educational attainment to define treatment and control groups. The exposure was the difference between state and federal minimum…
The impact of temporary assistance for needy families, minimum wage, and Earned Income Tax Credit on Women's well-being and intimate partner violence victimization
Perceptions and Knowledge About the MenB Vaccine Among Parents of High School Students
Serogroup B meningococcal disease (MenB) causes almost 60% of meningitis cases among adolescents and young adults. Yet, MenB vaccine coverage among adolescents remains below 10%. Since parents are the primary medical decision makers for adolescents, we examined MenB vaccination rates and parent attitudes about meningitis and the MenB vaccine. In 2018, in conjunction with a county-wide, school-based immunization campaign, we conducted a mixed meth…
Women’s Lived Experiences with Temporary Assistance for Needy Families (Tanf)
Women experiencing poverty are more likely to face intimate partner violence (IPV), poor health, and stigma. IPV survivors are overrepresented among those who receive Temporary Assistance for Needy Families (TANF), a conditional cash program serving families experiencing poverty. More generous TANF policies may be protective against IPV, but a greater insight into TANF's effect could be gleaned through a contemporaneous study that examines inters…
Popularity of Delta-8 THC on the Internet Across US States, 2021
Objectives. To assess the popularity of an emergent drug, delta-8 tetrahydrocannabinol (THC), and compare interest levels between US states with or without legalized recreational cannabis. Methods. We used Google Trends to assess the growth of interest among delta-8 THC–related search terms from May 17, 2020, to May 9, 2021. We examined differences between states with or without legalized cannabis using state-level Google Trends data from Februar…
Perceived Racial/Ethnic Discrimination and Depressive Symptoms among Adolescents Living in the Cherokee Nation
The objective of this study was to examine the longitudinal relationship between perceived racial/ethnic discrimination and depressive symptoms among adolescents living in the Cherokee Nation, as well as the potential moderating roles of race and social support. Self-reported survey data were analyzed from a sample of high school students (n = 1,622) who identified as American Indian only, American Indian and White, and White only. Compared to st…
Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States
Trauma is common among people with HIV (PWH) and associated with low HIV care engagement, thus trauma-informed care (TIC) integration within HIV services is critical. From December 2019 to April 2020, we conducted surveys with 321 administrators, providers, and staff of 46 Ryan White HIV clinics (RWCs) in 8 Southeastern U.S. states to assess level of TIC implementation and clinic-level factors associated with TIC adoption. The mean score for TIC …
Facing a dual threat
BACKGROUND: Exclusionary immigration policies rooted in structural racism threaten the wellbeing of Latinx families, increasing stress, anxiety, depression, and distress among immigrant parents. The COVID-19 pandemic has had devastating and disproportionate impacts on communities of color with unique impacts on Latinx immigrant parents in mixed-status families. AIMS: From a syndemic theory lens, we explored the convergence of structural racism an…
Medicine (36 obras) · Environmental health (19 obras) · Psychiatry (19 obras) · Psychology (19 obras) · Political science (15 obras) · Public health (13 obras) · Poison control (12 obras) · Demography (11 obras) · Nursing (11 obras) · Economics (10 obras)