Monika Safford
Biographic Data
| ID | 5540336 |
|---|---|
| NAME | Monika Safford |
| GIVEN NAMES | Monika |
| FAMILY NAME | Safford |
| SIGNATURE | SAFFORD M |
| AFFILIATIONS | Arleen F. Brown, Rebecca Brusuelas, and Carol M. Mangione are with the David Geffen School of Medicine at the University of California, Los Angeles. Robert B. Gerzoff, Edward Gregg, and Gloria L. Beckles are with the Centers for Disease Control and Prevention, Atlanta, Ga. Andrew J. Karter is with the Division of Research, Kaiser Permanente, Oakland, Calif. Monika Safford is with the University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, NJ. Beth Waitzfelder is with the... |
| VERIFIED | No |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Home health aides’ perspectives towards achieving cardiovascular health and life’s essential 8: A qualitative study
Despite frequently providing care to adults with cardiovascular (CV) disease in the home, home health aides and attendants (HHAs) have poor CV health (CVH) themselves, which is problematic for their own health and potentially their patients. We elicited the perspectives of HHAs towards achieving optimal CVH, including the American Heart Association’s (AHA’s) Life’s Essential 8 (LE8). We conducted focus groups and interviews with HHAs from January…
Long-term impacts of hurricanes on mortality among Medicare beneficiaries: Evidence from Hurricane Sandy
Objectives Hurricane-related flooding has long-term socioeconomic effects on impacted areas; however, little is known about the long-term health effects on vulnerable, older residents who remain in impacted neighborhoods. We examined mortality rates among older adults who continued living in ZIP Code Tabulation Areas (ZCTAs) impacted by flooding from Hurricane Sandy for up to 5 years after landfall. Methods We conducted a propensity-score matched…
Clusters of long Covid among patients hospitalized for Covid-19 in New York City
The cluster analysis identified social isolation and loneliness as important features associated with long-COVID symptoms and recovery after hospitalization. It also confirms that social isolation and loneliness, though connected, are not necessarily the same. Physicians need to be aware of how social characteristics relate to long-COVID and patient's ability to cope with the resulting symptoms
The Haiti cardiovascular disease cohort: Study protocol for a population-based longitudinal cohort
The Haiti CVD Cohort is the largest population-based cohort study evaluating CVD risk factors and CVD among adults in urban Haiti with the goal of understanding the drivers of the CVD epidemic in Haiti. Study outcomes are comparable with existing international cohorts, and the biobank will provide important data for future research. Our goal is to translate findings from this study into pragmatic prevention and treatment interventions to fight th…
The Association of Neighborhood Medical Facilities with Aging in Place and Risk of Incident Myocardial Infarction
Objectives: Aging in place (residential stability) is a desirable means of aging where adults remain in their homes, even when facing challenges that impair their capacity for self-care. Residential stability, especially following acute health challenges, depends on individual and community factors, possibly including proximity to medical facilities. Methods: We explored the association between the density of medical facilities around homes with …
Addressing Stroke Risk Factors in Black and White Americans: Findings from the National Health and Nutrition Examination Survey, 2009-2010
We found that addressed hypertension and hyperlipidemia in stroke naïve participants were significantly lower in Blacks than Whites. Our observations call attention to areas that require further investigation, such as why Black Americans may not be receiving evidence-based pharmacologic therapy for hypertension and hyperlipidemia or why Black Americans are not at goal blood pressure or goal LDL. A better understanding of this information is criti…
Placebo Adherence, Clinical Outcomes, and Mortality in the Women's Health Initiative Randomized Hormone Therapy Trials
BACKGROUND: Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between adherence to placebo and the risk of fracture, coronary heart disease, cancer, and all-cause mortality in the 2 Women's Health I…
Characteristics of Insured Patients With Persistent Gaps in Diabetes Care Services: The Translating Research into Action for Diabetes (TRIAD) Study
BACKGROUND: Although preventing diabetes complications requires long-term management, little is known about which patients persistently fail to get recommended care. OBJECTIVE: To determine the frequency and correlates of persistent, long-term gaps in diabetes care. METHOD: : The study population included 8392 patients with diabetes. Patient surveys and medical records from 10 health plans over 3 years provided data on socioeconomic characteristi…
Short-Term Statin Exposure Is Associated With Reduced All-Cause Mortality in Persons With Diabetes
BACKGROUND: The survival benefit of statins in nontrial populations of persons with diabetes is unknown. OBJECTIVE: : We sought to determine all-cause mortality in fiscal year 2001 (FY01) after statin initiation in FY 99 and/or FY00 in individuals with diabetes in the Veterans Healthcare Administration (VHA). METHODS: Using a retrospective longitudinal cohort analysis, we analyzed 201,102 veterans with diabetes from 104 VHA facilities with medica…
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Short-Term Statin Exposure Is Associated With Reduced All-Cause Mortality in Persons With Diabetes
BACKGROUND: The survival benefit of statins in nontrial populations of persons with diabetes is unknown. OBJECTIVE: : We sought to determine all-cause mortality in fiscal year 2001 (FY01) after statin initiation in FY 99 and/or FY00 in individuals with diabetes in the Veterans Healthcare Administration (VHA). METHODS: Using a retrospective longitudinal cohort analysis, we analyzed 201,102 veterans with diabetes from 104 VHA facilities with medica…
Characteristics of Insured Patients With Persistent Gaps in Diabetes Care Services: The Translating Research into Action for Diabetes (TRIAD) Study
BACKGROUND: Although preventing diabetes complications requires long-term management, little is known about which patients persistently fail to get recommended care. OBJECTIVE: To determine the frequency and correlates of persistent, long-term gaps in diabetes care. METHOD: : The study population included 8392 patients with diabetes. Patient surveys and medical records from 10 health plans over 3 years provided data on socioeconomic characteristi…
Placebo Adherence, Clinical Outcomes, and Mortality in the Women's Health Initiative Randomized Hormone Therapy Trials
BACKGROUND: Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between adherence to placebo and the risk of fracture, coronary heart disease, cancer, and all-cause mortality in the 2 Women's Health I…
Addressing Stroke Risk Factors in Black and White Americans: Findings from the National Health and Nutrition Examination Survey, 2009-2010
We found that addressed hypertension and hyperlipidemia in stroke naïve participants were significantly lower in Blacks than Whites. Our observations call attention to areas that require further investigation, such as why Black Americans may not be receiving evidence-based pharmacologic therapy for hypertension and hyperlipidemia or why Black Americans are not at goal blood pressure or goal LDL. A better understanding of this information is criti…
The Haiti cardiovascular disease cohort: Study protocol for a population-based longitudinal cohort
The Haiti CVD Cohort is the largest population-based cohort study evaluating CVD risk factors and CVD among adults in urban Haiti with the goal of understanding the drivers of the CVD epidemic in Haiti. Study outcomes are comparable with existing international cohorts, and the biobank will provide important data for future research. Our goal is to translate findings from this study into pragmatic prevention and treatment interventions to fight th…
The Association of Neighborhood Medical Facilities with Aging in Place and Risk of Incident Myocardial Infarction
Objectives: Aging in place (residential stability) is a desirable means of aging where adults remain in their homes, even when facing challenges that impair their capacity for self-care. Residential stability, especially following acute health challenges, depends on individual and community factors, possibly including proximity to medical facilities. Methods: We explored the association between the density of medical facilities around homes with …
Clusters of long Covid among patients hospitalized for Covid-19 in New York City
The cluster analysis identified social isolation and loneliness as important features associated with long-COVID symptoms and recovery after hospitalization. It also confirms that social isolation and loneliness, though connected, are not necessarily the same. Physicians need to be aware of how social characteristics relate to long-COVID and patient's ability to cope with the resulting symptoms
Long-term impacts of hurricanes on mortality among Medicare beneficiaries: Evidence from Hurricane Sandy
Objectives Hurricane-related flooding has long-term socioeconomic effects on impacted areas; however, little is known about the long-term health effects on vulnerable, older residents who remain in impacted neighborhoods. We examined mortality rates among older adults who continued living in ZIP Code Tabulation Areas (ZCTAs) impacted by flooding from Hurricane Sandy for up to 5 years after landfall. Methods We conducted a propensity-score matched…
Home health aides’ perspectives towards achieving cardiovascular health and life’s essential 8: A qualitative study
Despite frequently providing care to adults with cardiovascular (CV) disease in the home, home health aides and attendants (HHAs) have poor CV health (CVH) themselves, which is problematic for their own health and potentially their patients. We elicited the perspectives of HHAs towards achieving optimal CVH, including the American Heart Association’s (AHA’s) Life’s Essential 8 (LE8). We conducted focus groups and interviews with HHAs from January…
Medicine (9 works) · Internal Medicine (7 works) · Environmental health (5 works) · Diabetes mellitus (4 works) · Gerontology (4 works) · Internal Medicine (4 works) · Population (4 works) · Family medicine (3 works) · Health care (3 works) · Medical record (3 works)