Kate L Lapane
Dados Biográficos
| ID | 191074 |
|---|---|
| NOME | Kate L Lapane |
| PRENOMES | Kate L |
| SOBRENOME | Lapane |
| ASSINATURA | LAPANE K L |
| AFILIAÇÕES | University of Massachusetts Chan Medical School |
| ORCID | 0000-0001-9957-7747 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAÇÕES | 60 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1995 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Exploring Chinese Family Caregivers’ Experience as They Support Loved Ones With Dementia Transitioning Into Nursing Homes
For Asian American family caregivers, transitioning loved ones with dementia into a U.S. nursing home can be particularly challenging due to cultural expectations and the scarcity of linguistically and culturally appropriate care. This qualitative study, focusing on the largest Asian American community, examined the experiences of Chinese family caregivers navigating this transition, using thematic analysis of twelve semi-structured interviews co…
Social Contact, Social Participation, and Emotional Well-Being Among Older Adults During the Covid-19 Pandemic
This study examined whether social contact, social participation, and social support during the COVID-19 pandemic were associated with depression and anxiety. Data were taken from the 2020 COVID-19 Supplement of the National Health and Aging Trends Study ( N = 2,778). Depression and anxiety were regressed on social contact frequency, social participation, and social support. Path analyses were also performed. The results showed that in-person con…
Geographic Variation of Antidementia and Antipsychotic Medication Use Among US Nursing Home Residents With Dementia
BACKGROUND: Several antidementia medications have been approved for symptomatic treatment of cognitive and functional impairment due to Alzheimer disease. Antipsychotics are often prescribed off-label for behavioral symptoms. OBJECTIVE: The aim of this study was to describe the basis for regional variation in antidementia and antipsychotic medication use. SETTING: US nursing homes (n=9735), hospital referral regions (HRR; n=289). SUBJECTS: Long-s…
Methods for structural sexism and population health research
Accumulating evidence links structural sexism to gendered health inequities, yet methodological challenges have precluded comprehensive examinations into life-course and/or intersectional effects. To help address this gap, we introduce an analytic framework that uses sequential conditional mean models (SCMMs) to jointly account for longitudinal exposure trajectories and moderation by multiple dimensions of social identity/position, which we then …
Mental Health Utilization in Youth and Young Adults
Cumulative exposure to state-level structural sexism and risk of disordered eating
Health Care Satisfaction in Relation to Gender Identity
BACKGROUND: Health care satisfaction is a key component of patient-centered care. Prior research on transgender populations has been based on convenience samples, and/or grouped all gender minorities into a single category. OBJECTIVE: The objective of this study was to quantify differences in health care satisfaction among transgender men, transgender women, gender nonconforming, and cisgender adults in a diverse multistate sample. RESEARCH DESIG…
Geographic Variation of Statin Use Among US Nursing Home Residents With Life-limiting Illness
BACKGROUND: Medically compromised nursing home residents continue to be prescribed statins, despite questionable benefits. OBJECTIVE: To describe regional variation in statin use among residents with life-limiting illness. RESEARCH DESIGN: Cross-sectional study using 2016 Minimum Data Set 3.0 assessments linked to Medicare administrative data and health service utilization area resource files. SETTING: Nursing homes (n=14,147) within hospital ref…
Variation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity
Eating-related pathology at the intersection of gender identity and expression, sexual orientation, and weight status
The Role of Limited English Proficiency and Access to Health Insurance and Health Care in the Affordable Care Act Era
Purpose: Limited English proficiency adversely impacts people's ability to access health services. This study examines the association between English language proficiency and insurance access and use of a usual care provider after the implementation of the Affordable Care Act (ACA). Methods: Using cross-sectional data from the 2016 Medical Panel Expenditures Survey, we identified 24,099 adults (weighted n=240,035,048) and categorized them by sel…
Variation in Hospice Patient and Admission Characteristics by Referral Location
BACKGROUND: Little is known regarding differences between patients referred to hospice from different care locations. OBJECTIVE: The objective this study was to describe the associations between hospice referral locations and hospice patient and admission characteristics. RESEARCH DESIGN: Cross-sectional analysis of hospice administrative data. SUBJECTS: Adult (age older than 18 y) decedents of a national, for-profit, hospice chain across 19 US s…
Missing Data in Marginal Structural Models
BACKGROUND: The use of marginal structural models (MSMs) to adjust for time-varying confounding has increased in epidemiologic studies. However, in the setting of MSMs, recommendations for how best to handle missing data are contradictory. We present a plasmode simulation study to compare the validity and precision of MSMs estimates using complete case analysis (CC), multiple imputation (MI), and inverse probability weighting (IPW) in the presenc…
Geographic Variation in the Initiation of Commonly Used Opioids and Dosage Strength in United States Nursing Homes
OBJECTIVES: To examine and quantify geographic variation in the initiation of commonly used opioids and prescribed dosage strength among older US nursing home residents. METHODS: We merged 2011 Minimum Data Set 3.0 to Medicare claims and facility characteristics data to conduct a cross-sectional study among long-stay nursing home residents who initiated short-acting opioids commonly used in nursing homes (oxycodone, hydrocodone, or tramadol). We …
The Impact of Nondifferential Exposure Misclassification on the Performance of Propensity Scores for Continuous and Binary Outcomes
PURPOSE: To investigate the ability of the propensity score (PS) to reduce confounding bias in the presence of nondifferential misclassification of treatment, using simulations. METHODS: Using an example from the pregnancy medication safety literature, we carried out simulations to quantify the effect of nondifferential misclassification of treatment under varying scenarios of sensitivity and specificity, exposure prevalence (10%, 50%), outcome t…
Age at first intercourse and subsequent sexual partnering among adult women in the United States, a cross-sectional study
Sexual debut at <15 years is associated with both concurrency and serial monogamy with 1-3 month gaps between partners in U.S. women aged 21-44
Plus ça change, plus c’est la même chose [The More Things Change, the More They Stay the Same]
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA The author declares no conflict of interest. Reprints: Kate L. Lapane, PhD, MS, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655. E-mail: [email protected]
Sexual Discordance and Sexual Partnering Among Heterosexual Women
Adherence to behavioral therapy and psychiatry visits in a safety-net setting in Virginia, USA
Little is known about predictors of adherence to outpatient behavioural therapy and psychiatry visits in those who experience homelessness. Yet, consistent receipt of services in the community is critical to preventing use of acute care psychiatric services, which cause a significant cost burden to the mental health system. This retrospective study examined sociodemographic, housing instability and health-related factors associated with adherence…
Contextual determinants of US nursing home racial/ethnic diversity
Evaluating the impact of non-response bias in the Behavioral Risk Factor Surveillance System (BRFSS)
BACKGROUND: Response rates of national health surveys are decreasing, which potentially can bias obtained prevalence estimates. The purpose of this study is to evaluate the extent to which non-response impacts the representativeness of the 2000 Behavioral Risk Factor Surveillance System (BRFSS) sample compared to the 2000 Decennial Census. METHODS: The 2000 BRFSS had a median response rate of 48%, while the 2000 Decennial Census had a response ra…
Contraceptive Insurance Mandates and Consistent Contraceptive Use Among Privately Insured Women
INTRODUCTION: Half of the states in the United States mandate that health insurers cover contraceptives. Health care reform includes recommendations to extend these mandates nationally through the essential benefits package. This study evaluates the association of state-level insurance mandates and consistent contraceptive use among privately insured women aged 15-44. STUDY DESIGN: The National Survey of Family Growth (2006-2008) included 2276 pr…
Does the Presence of a Dementia Special Care Unit Improve Nursing Home Quality
Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU
Correlates of the Stages of Change for Physical Activity in a Population Survey
Objectives. We sought to identify variables associated with being in a particular stage of change for physical activity—a measure of behavioral intention to engage in regular physical activity. Understanding behavioral intentions can be useful in explaining why individuals are physically inactive or active. Methods. Data from the Rhode Island 2000 Behavioral Risk Factor Surveillance System were used to evaluate predictors of stage of change for p…
Long-term Care Market Competition and Nursing Home Dementia Special Care Units
BACKGROUND: The proliferation of noninstitutional long-term care (LTC) alternatives, particularly assisted living (AL), raises questions about how the nursing home (NH) industry is affected. Dementia special care units (SCUs), which provided NHs a competitive edge in the past, are of interest because they have traditionally served residents who now have other options. OBJECTIVES: To quantify the effect of LTC competition on the odds of SCU presen…
Cumulative exposure to state-level structural sexism and risk of disordered eating
Eating-related pathology at the intersection of gender identity and expression, sexual orientation, and weight status
Evaluating the impact of non-response bias in the Behavioral Risk Factor Surveillance System (BRFSS)
BACKGROUND: Response rates of national health surveys are decreasing, which potentially can bias obtained prevalence estimates. The purpose of this study is to evaluate the extent to which non-response impacts the representativeness of the 2000 Behavioral Risk Factor Surveillance System (BRFSS) sample compared to the 2000 Decennial Census. METHODS: The 2000 BRFSS had a median response rate of 48%, while the 2000 Decennial Census had a response ra…
Longitudinal study of the inception of perimenopause in relation to lifetime history of sexual or physical violence
Study objective: To investigate of the extent to which violence over the life course accelerates the onset of perimenopause, as measured by menstrual changes. Design: Prospective cohort study. Setting: Boston, Massachusetts. Participants: 603 premenopausal women aged 36–45 years at baseline who completed a cross sectional survey on childhood and adult violence history. Main outcome measure: Time to perimenopause, defined as time in months from ba…
Methods for structural sexism and population health research
Accumulating evidence links structural sexism to gendered health inequities, yet methodological challenges have precluded comprehensive examinations into life-course and/or intersectional effects. To help address this gap, we introduce an analytic framework that uses sequential conditional mean models (SCMMs) to jointly account for longitudinal exposure trajectories and moderation by multiple dimensions of social identity/position, which we then …
Sexual Discordance and Sexual Partnering Among Heterosexual Women
Contextual determinants of US nursing home racial/ethnic diversity
Correlates of the Stages of Change for Physical Activity in a Population Survey
Objectives. We sought to identify variables associated with being in a particular stage of change for physical activity—a measure of behavioral intention to engage in regular physical activity. Understanding behavioral intentions can be useful in explaining why individuals are physically inactive or active. Methods. Data from the Rhode Island 2000 Behavioral Risk Factor Surveillance System were used to evaluate predictors of stage of change for p…
Variation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity
Effects of a community-based intervention on physical activity
OBJECTIVES: The effect of a community-based physical activity program in Pawtucket, RI, was evaluated relative to one in a comparison community. METHODS: Cross-sectional surveys of 7529 residents of Pawtucket, RI, and 7732 residents of the comparison city were conducted at 2-year intervals during 7 years of intervention. RESULTS: There were no differences in self-reported knowledge of the benefits of physical activity, attempts to increase exerci…
Is a History of Depressive Symptoms Associated With an Increased Risk of Infertility in Women
Researchers have reported an association between self-reported antidepressant use and increased risk of ovulatory infertility but could not control for confounding by the drug indication. We evaluated the role of depressive symptoms in the development of infertility. We recontacted a population-based sample of Pawtucket Heart Health Program (PHHP) health survey respondents to perform this case-control study. Self-reported infertility was defined …
Trans fatty acid and coronary disease
Trans fatty acid and coronary disease: the debate continues. 3. What should we tell consumers? K M Gans, and K LapaneCopyRight https://doi.org/10.2105/AJPH.85.3.411 Published Online: October 07, 2011
Religion and Cardiovascular Disease Risk
Effects of a community-based intervention on physical activity
OBJECTIVES: The effect of a community-based physical activity program in Pawtucket, RI, was evaluated relative to one in a comparison community. METHODS: Cross-sectional surveys of 7529 residents of Pawtucket, RI, and 7732 residents of the comparison city were conducted at 2-year intervals during 7 years of intervention. RESULTS: There were no differences in self-reported knowledge of the benefits of physical activity, attempts to increase exerci…
Influence of Facility Characteristics on Use of Antipsychotic Medications in Nursing Homes
OBJECTIVES: This study investigated the effect of facility and resident characteristics on the use of antipsychotic medications in the long-term care setting. RESEARCH DESIGN: This research used data available from the On-Line Survey and Certification of Automated Records (OSCAR) for all Medicare/Medicaid-certified nursing homes in the contiguous United States in 1997. The data consisted of 14,631 facilities. MEASURES: A multiple linear regressio…
Generalizability of guidelines and physicians' adherence. Case study on the Sixth Joint National Commitee's guidelines on hypertension
JNC VI guidelines may not be generalizable to their target population. We found a relatively poor adherence rate to these guidelines. Failing of completely taking into account the clinical characteristics of the patients may be partly responsible for this lack of adherence
Context of care and contraceptive method use
Longitudinal study of the inception of perimenopause in relation to lifetime history of sexual or physical violence
Study objective: To investigate of the extent to which violence over the life course accelerates the onset of perimenopause, as measured by menstrual changes. Design: Prospective cohort study. Setting: Boston, Massachusetts. Participants: 603 premenopausal women aged 36–45 years at baseline who completed a cross sectional survey on childhood and adult violence history. Main outcome measure: Time to perimenopause, defined as time in months from ba…
Which Organizational Characteristics Are Associated With Increased Management of Depression Using Antidepressants in US Nursing Homes
BACKGROUND: There is universal agreement that organizational characteristics of nursing facilities can and do influence the quality of care and resident outcomes. OBJECTIVE: This study evaluated the relation between organizational characteristics and management of depression using antidepressants. RESEARCH DESIGN: This was a cross-sectional study of Medicare/Medicaid certified nursing homes in 6 states in 2000. SUBJECTS: We studied 87,907 residen…
An Evaluation of the Impact of the Prospective Payment System on Antidepressant Use in Nursing Home Residents
OBJECTIVES: To determine the impact of the prospective payment system (PPS) for skilled nursing facilities on the pharmacologic treatment of depression. METHODS: We used a quasi-experimental study comparing the pharmacological treatment rates for depression in the pre-PPS period (1997) to the post-PPS period (2000) in 8149 residents with documented depression living in over 500 nursing facilities in Ohio. Logistic regression models adjusting for …
Impact of Cognitive Function on Assessments of Nursing Home Residents’ Pain
OBJECTIVES: We sought to examine the impact of residents' cognitive function on the quality of Minimum Data Set (MDS) pain data using the latent variable approach. RESEARCH DESIGN: Using the Resident Assessment Instrument (RAI) protocol, nursing home (NH) staff and well-trained study nurses independently assessed 3736 NH residents. MEASURES: Inter-rater agreement of pain ratings between NH staff and study nurses was quantified by weighted kappas …
Long-term Care Market Competition and Nursing Home Dementia Special Care Units
BACKGROUND: The proliferation of noninstitutional long-term care (LTC) alternatives, particularly assisted living (AL), raises questions about how the nursing home (NH) industry is affected. Dementia special care units (SCUs), which provided NHs a competitive edge in the past, are of interest because they have traditionally served residents who now have other options. OBJECTIVES: To quantify the effect of LTC competition on the odds of SCU presen…
Does the Presence of a Dementia Special Care Unit Improve Nursing Home Quality
Differences in care processes between NHs with and without D-SCUs are the result of differences in their underlying approach to care, not the result of care practice diffusion from the D-SCU
Correlates of the Stages of Change for Physical Activity in a Population Survey
Objectives. We sought to identify variables associated with being in a particular stage of change for physical activity—a measure of behavioral intention to engage in regular physical activity. Understanding behavioral intentions can be useful in explaining why individuals are physically inactive or active. Methods. Data from the Rhode Island 2000 Behavioral Risk Factor Surveillance System were used to evaluate predictors of stage of change for p…
Evaluating the impact of non-response bias in the Behavioral Risk Factor Surveillance System (BRFSS)
BACKGROUND: Response rates of national health surveys are decreasing, which potentially can bias obtained prevalence estimates. The purpose of this study is to evaluate the extent to which non-response impacts the representativeness of the 2000 Behavioral Risk Factor Surveillance System (BRFSS) sample compared to the 2000 Decennial Census. METHODS: The 2000 BRFSS had a median response rate of 48%, while the 2000 Decennial Census had a response ra…
Contraceptive Insurance Mandates and Consistent Contraceptive Use Among Privately Insured Women
INTRODUCTION: Half of the states in the United States mandate that health insurers cover contraceptives. Health care reform includes recommendations to extend these mandates nationally through the essential benefits package. This study evaluates the association of state-level insurance mandates and consistent contraceptive use among privately insured women aged 15-44. STUDY DESIGN: The National Survey of Family Growth (2006-2008) included 2276 pr…
Adherence to behavioral therapy and psychiatry visits in a safety-net setting in Virginia, USA
Little is known about predictors of adherence to outpatient behavioural therapy and psychiatry visits in those who experience homelessness. Yet, consistent receipt of services in the community is critical to preventing use of acute care psychiatric services, which cause a significant cost burden to the mental health system. This retrospective study examined sociodemographic, housing instability and health-related factors associated with adherence…
Contextual determinants of US nursing home racial/ethnic diversity
Age at first intercourse and subsequent sexual partnering among adult women in the United States, a cross-sectional study
Sexual debut at <15 years is associated with both concurrency and serial monogamy with 1-3 month gaps between partners in U.S. women aged 21-44
Plus ça change, plus c’est la même chose [The More Things Change, the More They Stay the Same]
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA The author declares no conflict of interest. Reprints: Kate L. Lapane, PhD, MS, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655. E-mail: [email protected]
Sexual Discordance and Sexual Partnering Among Heterosexual Women
Geographic Variation in the Initiation of Commonly Used Opioids and Dosage Strength in United States Nursing Homes
OBJECTIVES: To examine and quantify geographic variation in the initiation of commonly used opioids and prescribed dosage strength among older US nursing home residents. METHODS: We merged 2011 Minimum Data Set 3.0 to Medicare claims and facility characteristics data to conduct a cross-sectional study among long-stay nursing home residents who initiated short-acting opioids commonly used in nursing homes (oxycodone, hydrocodone, or tramadol). We …
The Impact of Nondifferential Exposure Misclassification on the Performance of Propensity Scores for Continuous and Binary Outcomes
PURPOSE: To investigate the ability of the propensity score (PS) to reduce confounding bias in the presence of nondifferential misclassification of treatment, using simulations. METHODS: Using an example from the pregnancy medication safety literature, we carried out simulations to quantify the effect of nondifferential misclassification of treatment under varying scenarios of sensitivity and specificity, exposure prevalence (10%, 50%), outcome t…
Missing Data in Marginal Structural Models
BACKGROUND: The use of marginal structural models (MSMs) to adjust for time-varying confounding has increased in epidemiologic studies. However, in the setting of MSMs, recommendations for how best to handle missing data are contradictory. We present a plasmode simulation study to compare the validity and precision of MSMs estimates using complete case analysis (CC), multiple imputation (MI), and inverse probability weighting (IPW) in the presenc…
The Role of Limited English Proficiency and Access to Health Insurance and Health Care in the Affordable Care Act Era
Purpose: Limited English proficiency adversely impacts people's ability to access health services. This study examines the association between English language proficiency and insurance access and use of a usual care provider after the implementation of the Affordable Care Act (ACA). Methods: Using cross-sectional data from the 2016 Medical Panel Expenditures Survey, we identified 24,099 adults (weighted n=240,035,048) and categorized them by sel…
Medicine (33 obras) · Demography (15 obras) · Nursing (15 obras) · Internal Medicine (14 obras) · Confidence interval (11 obras) · Environmental health (11 obras) · Internal Medicine (11 obras) · Logistic regression (11 obras) · Psychology (11 obras) · Family medicine (10 obras)