Tiffany L Gary‐webb
Datos Biográficos
| ID | 3580757 |
|---|---|
| NOMBRE | Tiffany L Gary‐webb |
| NOMBRES | Tiffany L |
| APELLIDO | Gary‐webb |
| FIRMA | WEBB T L G |
| AFILIACIONES | University of Pittsburgh |
| ORCID | 0000-0001-9843-1084 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAS | 114 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Perceived Barriers to Accessing Clinical Resources for Chronic Illnesses in Residents of Black Communities in Allegheny County, Pennsylvania
From Childhood to Adulthood
Neighborhood environments may significantly impact psychological well‐being, particularly in Black American communities where historical inequities and resilience factors intersect. This mixed‐methods study investigates retrospective perceptions of childhood and current neighborhood social environments and their associations with loneliness and psychological distress in adulthood. Data were drawn from the Think PHRESH study, an ancillary project …
Applying the RE-AIM framework to evaluate a diabetes prevention intervention delivered through a food bank
BACKGROUND: Food insecurity correlates with poorer general health and health outcomes, increased risk for chronic diseases, including diabetes, and increased healthcare expenditures. OBJECTIVE: To describe the application of the RE-AIM framework to evaluate the feasibility and effectiveness of an intervention aimed at improving diet, physical activity, and food security of food bank clients who were at risk for prediabetes. METHODS: Food bank cli…
Gentrification, Racial Demographics, and Indicators of Community Conditions in Allegheny County
Perceptions About Housing and Neighborhood Characteristics Among Aging Adult Black Americans in Two Predominantly Black, Low-Income Neighborhoods in Pittsburgh
Churn in Supplemental Nutrition Assistance Program
BACKGROUND: The Supplemental Nutrition Assistance Program (SNAP) provides financial assistance to low-income individuals and families to help them purchase food. However, when participants experience short-term disenrollment from the program, known as churn, it can disrupt their health care usage patterns or result in acute health care needs due to the loss of financial benefits and time burden required to reapply for SNAP. OBJECTIVE: The objecti…
Community stressors (violence, victimization, and neighborhood disorder) with cardiometabolic outcomes in urban Jamaica
Background Despite limited data on neighborhood factors and health risk in Caribbean populations, previous analyses from Jamaica have shown that neighborhood and home disorder were associated with lower physical activity and higher cumulative biological risk among women, while poorer neighborhood infrastructure was associated with higher overweight/obesity among men. Design Cross-sectional survey design. Objectives In this study, we explored whet…
Correlates of Covid-19 Vaccine Uptake in Black Adults Residing in Allegheny County, PA
Introduction: Efforts to address vaccine uptake and access among black adults will be relevant for continued coronavirus disease 2019 (COVID-19) eradication efforts and can be transferable to other prevention efforts in future pandemics. This study investigated factors related to COVID-19 vaccine uptake and access among black residents in Allegheny County, PA. Methods: Surveys were administered electronically from October 2021 to January 2022 to …
Examining the Cross-sectional Association Between Neighborhood Conditions, Discrimination, and Telomere Length in a Predominantly African American Sample
Design of the Think PHRESH longitudinal cohort study
Understanding how structural racism has influenced the lived experience of Black Americans, including dynamic changes in neighborhood conditions over time, is critical to inform multi-level intervention and policy efforts to reduce pervasive racial and socioeconomic disparities in ADRD
A Comprehensive, Community-Based Coalition to Address Racial Disparities in Chronic Disease
This comprehensive evaluation approach supports formative processes, evaluation metrics, and prolonged sustainability plans of this community-based coalition
Social Determinants of Health and Diabetes
Decades of research have demonstrated that diabetes affects racial and ethnic minority and low-income adult populations in the U.S. disproportionately, with relatively intractable patterns seen in these populations’ higher risk of diabetes and rates of diabetes complications and mortality (1). With a health care shift toward greater emphasis on population health outcomes and value-based care, social determinants of health (SDOH) have risen to the…
A Decade of Drinking
Beer remains the greatest source of per capita alcohol consumption in the United States, and increasing market availability and consumer demand for higher alcohol has meaningful public health consequences. Objectives: To determine whether apparent alcohol intake from beer changed among households over time, we used nationally-representative US Nielsen Consumer Panel purchasing data from 2004 to 2014, and incorporated information on percent alcoho…
Neighborhood Food Environment Associated with Cardiometabolic Health among Predominately Low-income, Urban, Black Women
These results suggest that both perceived accessibility and affordability of healthy foods are associated with reduced cardiometabolic risk factors in this urban, low-income predominantly Black population. Additionally, discount grocery stores may be particularly valuable by providing access and affordability of healthy foods in this population
Changes in perceptions of neighborhood environment and Cardiometabolic outcomes in two predominantly African American neighborhoods
These findings suggest that perceived neighborhood characteristics may impact cardiometabolic outcomes (BMI, SBP), but through differing pathways. This highlights the complexity of the associations between neighborhood characteristics and underscores the need for more longitudinal studies to confirm the associations with cardiometabolic health in African American populations
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Broken Windows, Broken Zzs
Changes Over Time in Disparities in Health Behaviors and Outcomes by Race in Allegheny County
Experiences of Community Doulas Working with Low-Income, African American Mothers
Purpose: The aim of this study was to learn from doulas the components of their services that might best serve low-income, African American (AA) women and to show the significance of doulas in helping these women have healthy, positive, birth experiences. Methods: Ten doulas were recruited from a local community doula program and through word-of-mouth referrals from participants and completed in-depth interviews. Interviews were transcribed verba…
Evaluation of a Mobile Farmer's Market Aimed at Increasing Fruit and Vegetable Consumption in Food Deserts
Purpose: In November 2015, Greater Pittsburgh Community Food Bank implemented a pilot phase of the Green Grocer mobile market, a program aimed at improving access to locally sourced fresh foods in low-resource neighborhoods. We conducted an evaluation of this pilot phase. Methods: We conducted baseline surveys of residents in six neighborhoods that received Green Grocer in the pilot phase to understand the food environment, including perceptions …
Reducing Sugar-Sweetened Beverage Consumption by Providing Caloric Information
Objectives. We examined the ways in which adolescents altered the type and size of their purchases of sugar-sweetened beverages (SSBs), together with whether the effects persisted after removing caloric information signs in stores. Methods. We used a case-crossover design with 6 stores located in low-income Black neighborhoods in Baltimore, Maryland, from 2012 to 2013. The intervention used 1 of 4 randomly posted signs with caloric information: a…
Reduction in Purchases of Sugar-Sweetened Beverages Among Low-Income Black Adolescents After Exposure to Caloric Information
Objectives. We examined the effect of an intervention to provide caloric information about sugar-sweetened beverages (SSBs) on the number of SSB purchases. Methods. We used a case-crossover design with 4 corner stores located in low-income, predominately Black neighborhoods in Baltimore, Maryland. The intervention randomly posted 1 of 3 signs with the following caloric information: (1) absolute caloric count, (2) percentage of total recommended d…
Bleich et al. Respond
We appreciate Sainani’s careful review of our research. She highlights two interesting issues regarding the interpretation of our results but does not uncover limitations in our article not already noted.1 Because we cannot be responsible for the media’s interpretation of our results, characterizing our article as “misleading” is unfair. She correctly notes, however, that our analysis did not account for the potential correlation of customers wit…
Neighborhood Socioeconomic Status, Depression, and Health Status in the Look Ahead (Action for Health in Diabetes) Study
In this selected group of weight loss trial participants, lower neighborhood SES was significantly associated with poorer health status. Whether these associations might influence response to the Look AHEAD weight loss intervention requires further investigation
Healthy food availability and the association with BMI in Baltimore, Maryland
Objective To study the association between the availability of healthy foods and BMI by neighbourhood race and socio-economic status (SES). Design Trained staff collected demographic information, height, weight and 24 h dietary recalls between 2004 and 2008. Healthy food availability was determined in thirty-four census tracts of varying racial and SES composition using the Nutrition Environment Measures Survey–Stores in 2007. Multilevel linear r…
Neighborhood characteristics and mental health among African Americans and whites living in a racially integrated urban community
Exploring Health Disparities in Integrated Communities
Reduction in Purchases of Sugar-Sweetened Beverages Among Low-Income Black Adolescents After Exposure to Caloric Information
Objectives. We examined the effect of an intervention to provide caloric information about sugar-sweetened beverages (SSBs) on the number of SSB purchases. Methods. We used a case-crossover design with 4 corner stores located in low-income, predominately Black neighborhoods in Baltimore, Maryland. The intervention randomly posted 1 of 3 signs with the following caloric information: (1) absolute caloric count, (2) percentage of total recommended d…
A Vision for Progress in Community Health Partnerships
Community-based participatory research (CBPR) is an increasingly used approach for conducting research to improve community health. Using Rogers' diffusion of innovations theory as a framework, it follows that future adoption of CBPR will occur if academic and community partners perceive CBPR to have greater relative advantage, compatibility, trialability, and observability, and less complexity than other research approaches. We propose that arti…
Reducing Sugar-Sweetened Beverage Consumption by Providing Caloric Information
Objectives. We examined the ways in which adolescents altered the type and size of their purchases of sugar-sweetened beverages (SSBs), together with whether the effects persisted after removing caloric information signs in stores. Methods. We used a case-crossover design with 6 stores located in low-income Black neighborhoods in Baltimore, Maryland, from 2012 to 2013. The intervention used 1 of 4 randomly posted signs with caloric information: a…
The College Health and Wellness Study
Training Community Health Workers as Diabetes Educators for Urban African Americans
Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs
Racial and Socioeconomic Differences in the Weight-Loss Experiences of Obese Women
Focus groups stratified by race and socioeconomic status were used to examine obese women’s experiences with weight-loss methods. Six themes emerged: failure of weight maintenance, use of psychological and spiritual approaches, role of family influences and societal expectations, role of African American subculture, method affordability, and racial differences in weight-loss methods. Tailored weight-management interventions for women, particularl…
Family History of Diabetes, Awareness of Risk Factors, and Health Behaviors Among African Americans
Objectives. We examined the role of family history of diabetes in awareness of diabetes risk factors and engaging in health behaviors. Methods. We conducted a cross-sectional analysis of 1122 African American adults without diabetes who were participants in Project DIRECT (Diabetes Interventions Reaching and Educating Communities Together). Results. After adjustment for age, gender, income, education, body mass index, and perceived health status,…
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Association of Walkability With Obesity in Baltimore City, Maryland
Objectives. To investigate the association between walkability and obesity, we studied adults residing in Baltimore City, Maryland, in neighborhoods of varying racial and socioeconomic composition. Methods. We conducted a cross-sectional study of 3493 participants from the study Healthy Aging in Neighborhoods of Diversity across the Life Span. We used the Pedestrian Environment Data Scan to measure neighborhood walkability in 34 neighborhoods of …
Broken Windows, Broken Zzs
Racial and Socioeconomic Differences in the Weight-Loss Experiences of Obese Women
Focus groups stratified by race and socioeconomic status were used to examine obese women’s experiences with weight-loss methods. Six themes emerged: failure of weight maintenance, use of psychological and spiritual approaches, role of family influences and societal expectations, role of African American subculture, method affordability, and racial differences in weight-loss methods. Tailored weight-management interventions for women, particularl…
Cultural Competence
OBJECTIVE: We sought to synthesize the findings of studies evaluating interventions to improve the cultural competence of health professionals. DESIGN: This was a systematic literature review and analysis. METHODS: We performed electronic and hand searches from 1980 through June 2003 to identify studies that evaluated interventions designed to improve the cultural competence of health professionals. We abstracted and synthesized data from studies…
Neighborhood characteristics and mental health among African Americans and whites living in a racially integrated urban community
The College Health and Wellness Study
The Built Environment and Obesity
Obesity results from a complex interaction between diet, physical activity, and the environment. The built environment encompasses a range of physical and social elements that make up the structure of a community and may influence obesity. This review summarizes existing empirical research relating the built environment to obesity. The Medline, PsychInfo, and Web of Science databases were searched using the keywords "obesity" or "overweight" and …
Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community
Mandatory Reporting of Noncommunicable Diseases
To combat the rising incidence of type 2 diabetes, New York City requires laboratories with electronic reporting capacity to upload data on hemoglobin A1c measurements to a city department of health registry
Educational disparities in health behaviors among patients with diabetes
The relationship between educational attainment and health behaviors was modest in strength for most behaviors. Over the life course, the cumulative effect of reduced practice of multiple self-care behaviors among less educated patients may play an important part in shaping the social health gradient
Training Community Health Workers as Diabetes Educators for Urban African Americans
Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs
A Vision for Progress in Community Health Partnerships
Community-based participatory research (CBPR) is an increasingly used approach for conducting research to improve community health. Using Rogers' diffusion of innovations theory as a framework, it follows that future adoption of CBPR will occur if academic and community partners perceive CBPR to have greater relative advantage, compatibility, trialability, and observability, and less complexity than other research approaches. We propose that arti…
Exploring Health Disparities in Integrated Communities
Family History of Diabetes, Awareness of Risk Factors, and Health Behaviors Among African Americans
Objectives. We examined the role of family history of diabetes in awareness of diabetes risk factors and engaging in health behaviors. Methods. We conducted a cross-sectional analysis of 1122 African American adults without diabetes who were participants in Project DIRECT (Diabetes Interventions Reaching and Educating Communities Together). Results. After adjustment for age, gender, income, education, body mass index, and perceived health status,…
Educational Disparities in Rates of Smoking Among Diabetic Adults
Objectives. We assessed educational disparities in smoking rates among adults with diabetes in managed care settings. Methods. We used a cross-sectional, survey-based (2002–2003) observational study among 6538 diabetic patients older than 25 years across multiple managed care health plans and states. For smoking at each level of self-reported educational attainment, predicted probabilities were estimated by means of hierarchical logistic regressi…
Neighborhood and weight-related health behaviors in the Look Ahead (Action for Health in Diabetes) Study
In this selected group of weight loss trial participants, restaurant availability was associated with some weight control practices, but neighborhood SES was not. Future studies should give attention to other populations and to evaluating various aspects of the physical and social environment with weight control practices
Trends and correlates in meat consumption patterns in the US adult population
Objective Few studies have examined recent shifts in meat consumption (MC), differences among US population groups, and the influence of psychosocial–behavioural factors. Design Nationally representative data collected for US adults aged ≥18 years in the 1988–1994 and 1999–2004 National Health and Nutrition Examination Survey (NHANES) and the 1994–1996 Continuing Survey of Food Intakes by Individuals (CSFII) and Diet and Health Knowledge Survey (…
Neighborhood Socioeconomic Status, Depression, and Health Status in the Look Ahead (Action for Health in Diabetes) Study
In this selected group of weight loss trial participants, lower neighborhood SES was significantly associated with poorer health status. Whether these associations might influence response to the Look AHEAD weight loss intervention requires further investigation
Healthy food availability and the association with BMI in Baltimore, Maryland
Objective To study the association between the availability of healthy foods and BMI by neighbourhood race and socio-economic status (SES). Design Trained staff collected demographic information, height, weight and 24 h dietary recalls between 2004 and 2008. Healthy food availability was determined in thirty-four census tracts of varying racial and SES composition using the Nutrition Environment Measures Survey–Stores in 2007. Multilevel linear r…
Association of Walkability With Obesity in Baltimore City, Maryland
Objectives. To investigate the association between walkability and obesity, we studied adults residing in Baltimore City, Maryland, in neighborhoods of varying racial and socioeconomic composition. Methods. We conducted a cross-sectional study of 3493 participants from the study Healthy Aging in Neighborhoods of Diversity across the Life Span. We used the Pedestrian Environment Data Scan to measure neighborhood walkability in 34 neighborhoods of …
Reduction in Purchases of Sugar-Sweetened Beverages Among Low-Income Black Adolescents After Exposure to Caloric Information
Objectives. We examined the effect of an intervention to provide caloric information about sugar-sweetened beverages (SSBs) on the number of SSB purchases. Methods. We used a case-crossover design with 4 corner stores located in low-income, predominately Black neighborhoods in Baltimore, Maryland. The intervention randomly posted 1 of 3 signs with the following caloric information: (1) absolute caloric count, (2) percentage of total recommended d…
Bleich et al. Respond
We appreciate Sainani’s careful review of our research. She highlights two interesting issues regarding the interpretation of our results but does not uncover limitations in our article not already noted.1 Because we cannot be responsible for the media’s interpretation of our results, characterizing our article as “misleading” is unfair. She correctly notes, however, that our analysis did not account for the potential correlation of customers wit…
Reducing Sugar-Sweetened Beverage Consumption by Providing Caloric Information
Objectives. We examined the ways in which adolescents altered the type and size of their purchases of sugar-sweetened beverages (SSBs), together with whether the effects persisted after removing caloric information signs in stores. Methods. We used a case-crossover design with 6 stores located in low-income Black neighborhoods in Baltimore, Maryland, from 2012 to 2013. The intervention used 1 of 4 randomly posted signs with caloric information: a…
Evaluation of a Mobile Farmer's Market Aimed at Increasing Fruit and Vegetable Consumption in Food Deserts
Purpose: In November 2015, Greater Pittsburgh Community Food Bank implemented a pilot phase of the Green Grocer mobile market, a program aimed at improving access to locally sourced fresh foods in low-resource neighborhoods. We conducted an evaluation of this pilot phase. Methods: We conducted baseline surveys of residents in six neighborhoods that received Green Grocer in the pilot phase to understand the food environment, including perceptions …
Experiences of Community Doulas Working with Low-Income, African American Mothers
Purpose: The aim of this study was to learn from doulas the components of their services that might best serve low-income, African American (AA) women and to show the significance of doulas in helping these women have healthy, positive, birth experiences. Methods: Ten doulas were recruited from a local community doula program and through word-of-mouth referrals from participants and completed in-depth interviews. Interviews were transcribed verba…
Changes in perceptions of neighborhood environment and Cardiometabolic outcomes in two predominantly African American neighborhoods
These findings suggest that perceived neighborhood characteristics may impact cardiometabolic outcomes (BMI, SBP), but through differing pathways. This highlights the complexity of the associations between neighborhood characteristics and underscores the need for more longitudinal studies to confirm the associations with cardiometabolic health in African American populations
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Medicine (36 obras) · Environmental health (28 obras) · Gerontology (24 obras) · Demography (21 obras) · Population (18 obras) · Public health (16 obras) · Health disparities and outcomes (14 obras) · Psychology (13 obras) · Demography (12 obras) · Obesity, Physical Activity, Diet (12 obras)