Regina A Shih
Biographic Data
| ID | 2393682 |
|---|---|
| NAME | Regina A Shih |
| GIVEN NAMES | Regina A |
| FAMILY NAME | Shih |
| SIGNATURE | SHIH R A |
| AFFILIATIONS | RAND Corporation |
| ORCID | 0000-0003-0062-6356 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 96 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 6 |
Key Informants’ Visions and Solutions to Improve Home- and Community-Based Services for Older Adults and Persons With Dementia
Recent decades have seen state successes in rebalancing Medicaid long-term care from institutional care (e.g., nursing homes) into home and community settings. However, significant barriers can prevent access to home and community-based services (HCBS) among older adults and persons with dementia. Qualitative research on potential innovations and solutions in the contemporary context with attention to a wider range of state-level policy contexts …
Perceived loss of support to community caregivers during the Covid‐19 pandemic in the United States
Coronavirus disease (COVID-19) had a negative impact on the health and well-being of community caregivers. Few studies examine the pandemic's negative impact on the availability of social networks of caregivers. This article uses data collected during COVID-19 before vaccination to examine caregivers' reports of perceived lost and reduced network support. We assessed the personal networks of a nationally representative sample of 2214 community ca…
The challenge of identifying young carers in the US: How State Laws Put Families at Risk for Separation
Differential item functioning of the Acculturation, Habits, and Interests Multicultural Scale for Adolescents (Ahimsa) by race/ethnicity
Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers
System refinements, such as incentivizing cognitive screening, can improve detection and increase access to HCBS. Disparities in HCBS access experienced by minoritized persons with dementia may be addressed through culturally competent awareness campaigns and policies that recognize the necessity of familial caregivers in supporting persons with dementia. These findings can inform efforts to ensure more equitable access to HCBS, improve dementia …
How Do College Students Use Their Free Time? A Latent Profile Analysis of Leisure Activities and Substance Use
College is a critical period of transition to independence and the substantial amount of time that students have to participate in leisure activities may be conducive to substance use. However, little is known about the associations between leisure activities and substance use over time, or whether these associations differ by residential status (i.e., living with parents vs. on their own). Using latent profile analysis, this study found six dist…
Evaluating the Accuracy of 2020 Census Block-Level Estimates in California
In this study, we provide an assessment of data accuracy from the 2020 Census. We compare block-level population totals from a sample of 173 census blocks in California across three sources: (1) the 2020 Census, which has been infused with error to protect respondent confidentiality; (2) the California Neighborhoods Count, the first independent enumeration survey of census blocks; and (3) projections based on the 2010 Census and subsequent Americ…
Neighborhood social environment change in late adolescence predicts substance use in emerging adulthood
Science Policy to Advance a Climate Change and Health Research Agenda in the United States
Climate change is thought to be one of the greatest public health threats of the 21st century and there has been a tremendous growth in the published literature describing the health implications of climate change over the last decade. Yet, there remain several critical knowledge gaps in this field. Closing these gaps is crucial to developing effective interventions to minimize the health risks from climate change. In this commentary, we discuss …
Big Data Needs and Challenges to Advance Research on Racial and Ethnic Inequities in Maternal and Child Health
The Foreclosure Crisis, Community Change, and the Cognitive Health of Older Adults
This study shows that the adverse consequences of home foreclosures spill over to the local community, with implications for the cognitive health of older adults
Ambient air pollution and children’s cognitive outcomes
Long-term Associations Between Substance Use-Related Media Exposure, Descriptive Norms, and Alcohol Use from Adolescence to Young Adulthood
Fugitive Chemicals and Environmental Justice: A Model for Environmental Monitoring Following Climate-Related Disasters
The combination of population growth in areas of mixed (residential, commercial, and industrial) land use along U.S. waterfronts and the increasing frequency of devastating hurricanes and storm surges has led to community fears of widespread toxic chemical contamination resulting from accidental industrial or small business releases, particularly in the aftermath of an extreme weather event, such as a hurricane. Industrial waterfront communities,…
Associations of Alcohol and Marijuana Use With Condom Use Among Young Adults: The Moderating Role of Partner Type
This study used multiple levels of analysis to examine associations of alcohol and marijuana (AM) use with condom use, including the moderating role of partner type, in a general sample of 754 sexually active young adults (mean age = 18.6, SD = 0.63; 77% non-White). Multivariable models examined associations over the past 30 days (global) and at the most recent sexual event (event specific). Over the past 30 days, participants who had a recent ca…
Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents
Neighborhood age structure and cognitive function in a nationally-representative sample of older adults in the U.S
Differences in substance use and substance use risk factors by Asian subgroups
The present study examined differences in lifetime use and initiation of substance use and associated risk factors for alcohol, cigarettes, and marijuana among seven subgroups of Asian American (AA) adolescents: Chinese, Filipino, Indian, Japanese, Korean, Vietnamese, and Mixed heritage Asian. Sixth and 7th grade AA adolescents in Southern California were surveyed five times over three academic years. We examined subgroup differences in (1) lifet…
Constructing a Time-Invariant Measure of the Socio-economic Status of U.S. Census Tracts
Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults
Although some health conditions precipitate moves among middle-aged and older adults, others do not. This work has important implications for understanding the role of different aspects of health and functioning in the likelihood of migration among older adults
Evaluating Linearly Interpolated Intercensal Estimates of Demographic and Socioeconomic Characteristics of U.S. Counties and Census Tracts 2001–2009
Neighbourhood racial/ethnic composition and segregation and trajectories of cognitive decline among US older adults
BACKGROUND: The influence of the sociodemographic context of one's environment on cognitive ageing is not well understood. METHODS: We examined differences in cognitive trajectories according to the racial/ethnic characteristics of the residential environment. On the basis of 63 996 person-years of data from a nationally representative cohort of 6150 adults over the age of 50 years from the Health and Retirement Study, we used multivariate linear…
The Role of Early-Life Educational Quality and Literacy in Explaining Racial Disparities in Cognition in Late Life
Early-life educational quality and literacy in late life explain a substantial portion of race-related disparities in late-life cognitive function
Association of Vascular Risk Factors With Cognition in a Multiethnic Sample
CVRFs are associated with poorer cognitive functioning, but not cognitive decline, among minority older adults. These relationships vary by gender and medication use. Consideration of unique racial, ethnic, and cultural factors is needed when examining relationships between CVRFs and cognition
Gender Disparity in Late-life Cognitive Functioning in India: Findings From the Longitudinal Aging Study in India
We report significant gender disparities in cognitive functioning among older Indian adults, which differ from gender disparities in cognition encountered in developed countries. Our models controlling for education, health status, and social and economic activity explain the disparity in southern India but not the region-specific disparity in the northern India. North Indian women may face additional sources of stress associated with discriminat…
The Role of Early-Life Educational Quality and Literacy in Explaining Racial Disparities in Cognition in Late Life
Early-life educational quality and literacy in late life explain a substantial portion of race-related disparities in late-life cognitive function
Evaluating Linearly Interpolated Intercensal Estimates of Demographic and Socioeconomic Characteristics of U.S. Counties and Census Tracts 2001–2009
Gender Disparity in Late-life Cognitive Functioning in India: Findings From the Longitudinal Aging Study in India
We report significant gender disparities in cognitive functioning among older Indian adults, which differ from gender disparities in cognition encountered in developed countries. Our models controlling for education, health status, and social and economic activity explain the disparity in southern India but not the region-specific disparity in the northern India. North Indian women may face additional sources of stress associated with discriminat…
The relationship between urban sprawl and coronary heart disease in women
Neighborhood age structure and cognitive function in a nationally-representative sample of older adults in the U.S
Neighborhood Socioeconomic Status and Cognitive Function in Women
Objectives. We examined whether neighborhood socioeconomic status (NSES) is associated with cognitive functioning in older US women and whether this relationship is explained by associations between NSES and vascular, health behavior, and psychosocial factors. Methods. We assessed women aged 65 to 81 years (n = 7479) who were free of dementia and took part in the Women's Health Initiative Memory Study. Linear mixed models examined the cross-secti…
Ambient air pollution and children’s cognitive outcomes
Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents
Constructing a Time-Invariant Measure of the Socio-economic Status of U.S. Census Tracts
Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults
Although some health conditions precipitate moves among middle-aged and older adults, others do not. This work has important implications for understanding the role of different aspects of health and functioning in the likelihood of migration among older adults
The Foreclosure Crisis, Community Change, and the Cognitive Health of Older Adults
This study shows that the adverse consequences of home foreclosures spill over to the local community, with implications for the cognitive health of older adults
Long-term Associations Between Substance Use-Related Media Exposure, Descriptive Norms, and Alcohol Use from Adolescence to Young Adulthood
Voluntary After‐School Alcohol and Drug Programs for Middle School Youth: If You Build it Right , They Will Come
Few after-school programs target alcohol and other drug (AOD) use because it is difficult to encourage a diverse group of youth to voluntarily attend. The current study describes attendance at a voluntary after-school program called CHOICE, which targeted AOD use among middle school students. Over 4,000 students across eight schools completed surveys and 15% participated in CHOICE. Analyses indicated that there were some differences between CHOIC…
Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers
System refinements, such as incentivizing cognitive screening, can improve detection and increase access to HCBS. Disparities in HCBS access experienced by minoritized persons with dementia may be addressed through culturally competent awareness campaigns and policies that recognize the necessity of familial caregivers in supporting persons with dementia. These findings can inform efforts to ensure more equitable access to HCBS, improve dementia …
How Do College Students Use Their Free Time? A Latent Profile Analysis of Leisure Activities and Substance Use
College is a critical period of transition to independence and the substantial amount of time that students have to participate in leisure activities may be conducive to substance use. However, little is known about the associations between leisure activities and substance use over time, or whether these associations differ by residential status (i.e., living with parents vs. on their own). Using latent profile analysis, this study found six dist…
Perceived loss of support to community caregivers during the Covid‐19 pandemic in the United States
Coronavirus disease (COVID-19) had a negative impact on the health and well-being of community caregivers. Few studies examine the pandemic's negative impact on the availability of social networks of caregivers. This article uses data collected during COVID-19 before vaccination to examine caregivers' reports of perceived lost and reduced network support. We assessed the personal networks of a nationally representative sample of 2214 community ca…
Associations of Alcohol and Marijuana Use With Condom Use Among Young Adults: The Moderating Role of Partner Type
This study used multiple levels of analysis to examine associations of alcohol and marijuana (AM) use with condom use, including the moderating role of partner type, in a general sample of 754 sexually active young adults (mean age = 18.6, SD = 0.63; 77% non-White). Multivariable models examined associations over the past 30 days (global) and at the most recent sexual event (event specific). Over the past 30 days, participants who had a recent ca…
Neighbourhood racial/ethnic composition and segregation and trajectories of cognitive decline among US older adults
BACKGROUND: The influence of the sociodemographic context of one's environment on cognitive ageing is not well understood. METHODS: We examined differences in cognitive trajectories according to the racial/ethnic characteristics of the residential environment. On the basis of 63 996 person-years of data from a nationally representative cohort of 6150 adults over the age of 50 years from the Health and Retirement Study, we used multivariate linear…
Association of Vascular Risk Factors With Cognition in a Multiethnic Sample
CVRFs are associated with poorer cognitive functioning, but not cognitive decline, among minority older adults. These relationships vary by gender and medication use. Consideration of unique racial, ethnic, and cultural factors is needed when examining relationships between CVRFs and cognition
Neighborhood Socioeconomic Status and Cognitive Function in Women
Objectives. We examined whether neighborhood socioeconomic status (NSES) is associated with cognitive functioning in older US women and whether this relationship is explained by associations between NSES and vascular, health behavior, and psychosocial factors. Methods. We assessed women aged 65 to 81 years (n = 7479) who were free of dementia and took part in the Women's Health Initiative Memory Study. Linear mixed models examined the cross-secti…
The Women's Health Initiative: The Food Environment, Neighborhood Socioeconomic Status, BMI, and Blood Pressure
Using data ( n = 60,775 women) from the Women's Health Initiative Clinical Trial (WHI CT)—a national study of postmenopausal women aged 50–79 years—we analyzed cross‐sectional associations between the availability of different types of food outlets in the 1.5 miles surrounding a woman's residence, census tract neighborhood socioeconomic status (NSES), BMI, and blood pressure (BP). We simultaneously modeled NSES and food outlets using linear and l…
The relationship between urban sprawl and coronary heart disease in women
Voluntary After‐School Alcohol and Drug Programs for Middle School Youth: If You Build it Right , They Will Come
Few after-school programs target alcohol and other drug (AOD) use because it is difficult to encourage a diverse group of youth to voluntarily attend. The current study describes attendance at a voluntary after-school program called CHOICE, which targeted AOD use among middle school students. Over 4,000 students across eight schools completed surveys and 15% participated in CHOICE. Analyses indicated that there were some differences between CHOIC…
The Role of Early-Life Educational Quality and Literacy in Explaining Racial Disparities in Cognition in Late Life
Early-life educational quality and literacy in late life explain a substantial portion of race-related disparities in late-life cognitive function
Association of Vascular Risk Factors With Cognition in a Multiethnic Sample
CVRFs are associated with poorer cognitive functioning, but not cognitive decline, among minority older adults. These relationships vary by gender and medication use. Consideration of unique racial, ethnic, and cultural factors is needed when examining relationships between CVRFs and cognition
Gender Disparity in Late-life Cognitive Functioning in India: Findings From the Longitudinal Aging Study in India
We report significant gender disparities in cognitive functioning among older Indian adults, which differ from gender disparities in cognition encountered in developed countries. Our models controlling for education, health status, and social and economic activity explain the disparity in southern India but not the region-specific disparity in the northern India. North Indian women may face additional sources of stress associated with discriminat…
Differences in substance use and substance use risk factors by Asian subgroups
The present study examined differences in lifetime use and initiation of substance use and associated risk factors for alcohol, cigarettes, and marijuana among seven subgroups of Asian American (AA) adolescents: Chinese, Filipino, Indian, Japanese, Korean, Vietnamese, and Mixed heritage Asian. Sixth and 7th grade AA adolescents in Southern California were surveyed five times over three academic years. We examined subgroup differences in (1) lifet…
Constructing a Time-Invariant Measure of the Socio-economic Status of U.S. Census Tracts
Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults
Although some health conditions precipitate moves among middle-aged and older adults, others do not. This work has important implications for understanding the role of different aspects of health and functioning in the likelihood of migration among older adults
Evaluating Linearly Interpolated Intercensal Estimates of Demographic and Socioeconomic Characteristics of U.S. Counties and Census Tracts 2001–2009
Neighbourhood racial/ethnic composition and segregation and trajectories of cognitive decline among US older adults
BACKGROUND: The influence of the sociodemographic context of one's environment on cognitive ageing is not well understood. METHODS: We examined differences in cognitive trajectories according to the racial/ethnic characteristics of the residential environment. On the basis of 63 996 person-years of data from a nationally representative cohort of 6150 adults over the age of 50 years from the Health and Retirement Study, we used multivariate linear…
Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents
Neighborhood age structure and cognitive function in a nationally-representative sample of older adults in the U.S
Fugitive Chemicals and Environmental Justice: A Model for Environmental Monitoring Following Climate-Related Disasters
The combination of population growth in areas of mixed (residential, commercial, and industrial) land use along U.S. waterfronts and the increasing frequency of devastating hurricanes and storm surges has led to community fears of widespread toxic chemical contamination resulting from accidental industrial or small business releases, particularly in the aftermath of an extreme weather event, such as a hurricane. Industrial waterfront communities,…
Associations of Alcohol and Marijuana Use With Condom Use Among Young Adults: The Moderating Role of Partner Type
This study used multiple levels of analysis to examine associations of alcohol and marijuana (AM) use with condom use, including the moderating role of partner type, in a general sample of 754 sexually active young adults (mean age = 18.6, SD = 0.63; 77% non-White). Multivariable models examined associations over the past 30 days (global) and at the most recent sexual event (event specific). Over the past 30 days, participants who had a recent ca…
Ambient air pollution and children’s cognitive outcomes
Long-term Associations Between Substance Use-Related Media Exposure, Descriptive Norms, and Alcohol Use from Adolescence to Young Adulthood
The Foreclosure Crisis, Community Change, and the Cognitive Health of Older Adults
This study shows that the adverse consequences of home foreclosures spill over to the local community, with implications for the cognitive health of older adults
Science Policy to Advance a Climate Change and Health Research Agenda in the United States
Climate change is thought to be one of the greatest public health threats of the 21st century and there has been a tremendous growth in the published literature describing the health implications of climate change over the last decade. Yet, there remain several critical knowledge gaps in this field. Closing these gaps is crucial to developing effective interventions to minimize the health risks from climate change. In this commentary, we discuss …
Big Data Needs and Challenges to Advance Research on Racial and Ethnic Inequities in Maternal and Child Health
Neighborhood social environment change in late adolescence predicts substance use in emerging adulthood
Differential item functioning of the Acculturation, Habits, and Interests Multicultural Scale for Adolescents (Ahimsa) by race/ethnicity
Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers
System refinements, such as incentivizing cognitive screening, can improve detection and increase access to HCBS. Disparities in HCBS access experienced by minoritized persons with dementia may be addressed through culturally competent awareness campaigns and policies that recognize the necessity of familial caregivers in supporting persons with dementia. These findings can inform efforts to ensure more equitable access to HCBS, improve dementia …
How Do College Students Use Their Free Time? A Latent Profile Analysis of Leisure Activities and Substance Use
College is a critical period of transition to independence and the substantial amount of time that students have to participate in leisure activities may be conducive to substance use. However, little is known about the associations between leisure activities and substance use over time, or whether these associations differ by residential status (i.e., living with parents vs. on their own). Using latent profile analysis, this study found six dist…
Medicine (21 works) · Psychology (21 works) · Health disparities and outcomes (13 works) · Demography (12 works) · Gerontology (12 works) · Political science (11 works) · Demography (10 works) · Sociology (10 works) · Psychiatry (9 works) · Cognition (8 works)