Leslie A McClure
Biographic Data
| ID | 6065430 |
|---|---|
| NAME | Leslie A McClure |
| GIVEN NAMES | Leslie A |
| FAMILY NAME | McClure |
| SIGNATURE | MCCLURE L A |
| AFFILIATIONS | Drexel University |
| ORCID | 0000-0002-2465-6739 |
| VERIFIED | Yes |
| TOTAL WORKS | 17 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 17 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
While neighborhood socioeconomic status (NSES) significantly impacts health outcomes, its measurement often assumes that the social and economic mechanisms that drive NSES operate similarly across the urban-rural continuum. This study aimed to develop a census-tract-level NSES measure that accounts for differences across community type and assesses its measurement invariance. Using data from 71,908 census tracts in the contiguous United States, w…
Area-Level Social Vulnerability and Severe Covid-19
Knowledge about neighborhood characteristics that predict disease burden can be used to guide equity-based public health interventions or targeted social services. We used a case-control design to examine the association between area-level social vulnerability and severe COVID-19 using electronic health records (EHR) from a regional health information hub in the greater Philadelphia region. Severe COVID-19 cases (n = 15,464 unique patients) were …
The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes
Diabetes mellitus is a chronic disease with significant morbidity and mortality and it is associated with poor cognitive performance in later life. This study seeks to determine the relationship between social support and cognitive function among participants with type 2 diabetes mellitus (T2DM). We used data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including participants with T2DM aged 45 and older (n = 4…
Changes in Adiposity and Cognitive Function in Older Adults
A greater decrease in %BMI (>5%) and %WC (>10%) change was associated with greater cognitive loss observed over time
My neighbourhood is fuzzy, not hard and fast’
Neighbourhoods are fluid social and spatial constructs that vary by person and place. How do residential neighbourhoods shift as people age? This mixed-methods study investigates how perceived neighbourhood boundaries and size vary by individual and contextual characteristics. Semi-structured interviews with 125 adults aged 55–92 years living in the Minneapolis (Minnesota) metropolitan area suggested that neighbourhood boundaries are ‘fuzzy’. Qua…
Categorizing community type for epidemiologic evaluation of community factors and chronic disease across the United States
Existing classifications of community type do not differentiate urban cores from surrounding non-rural areas, an important distinction for analyses of community features and their impact on health. Inappropriately classified community types can introduce serious methodologic flaws in epidemiologic studies and invalid inferences from findings. To address this, we evaluate a modification of the United States Department of Agriculture's Rural Urban …
Urban and rural differences in new onset type 2 diabetes
The likelihood of new onset T2D by community type varied by region of the US. In the South, the likelihood of new onset T2D was higher among those residing in rural communities
Comparing Global and Spatial Composite Measures of Neighborhood Socioeconomic Status Across US Counties
Assessing county-level determinants of diabetes in the United States (2003–2012)
Fine Particulate Matter Pollution and Risk of Community-Acquired Sepsis
While air pollution has been associated with health complications, its effect on sepsis risk is unknown. We examined the association between fine particulate matter (PM 2.5 ) air pollution and risk of sepsis hospitalization. We analyzed data from the 30,239 community-dwelling adults in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort linked with satellite-derived measures of PM 2.5 data. We defined sepsis as a hospital…
Assessing the spatial heterogeneity in overall health across the United States using spatial regression methods
The Role of Occupation in Explaining Cognitive Functioning in Later Life
Higher levels of education may provide opportunity for intellectually engaging environments throughout adulthood in the form of complex work, which may protect late-life cognition. However, this protective effect of occupational complexity may not occur equally across race-gender subgroups
Evaluating a Website to Teach Children Safety with Dogs
Dog bites represent a significant threat to child health. Theory-driven interventions scalable for broad dissemination are sparse. A website was developed to teach children dog safety via increased knowledge, improved cognitive skills in relevant domains, and increased perception of vulnerability to bites. A randomized controlled trial was conducted with 69 children aged 4-5 randomly assigned to use the dog safety website or a control transportat…
Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults
Objectives. We evaluated the effect of neighborhood disadvantage (ND) on older adults’ prevalence, awareness, treatment, and control of hypertension. Methods. Data were from the University of Alabama at Birmingham Study of Aging, an observational study of 1000 community-dwelling Black and White Alabamians aged 65 years and older, in 1999 to 2001. We assessed hypertension prevalence, awareness, treatment, and control with blood pressure measuremen…
Training Children in Pedestrian Safety
Heavy Drinking Is Associated with Poor Blood Pressure Control in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study
Alcohol intake has been shown to have a J-shaped association with blood pressure (BP). However, this association has not been examined in mixed race populations or in people with diabetes where tighter blood pressure control is recommended. Participants in the REGARDS study who were 45 years or older (n = 30,239) were included. Medical history (including self-reported alcohol intake) was collected by telephone while blood collection and clinical …
The Impact of Quitting Smoking on Weight Among Women Prisoners Participating in a Smoking Cessation Intervention
Objectives. We examined the impact of smoking cessation on weight change in a population of women prisoners. Methods. Women prisoners (n = 360) enrolled in a smoking cessation intervention; 250 received a 10-week group intervention plus transdermal nicotine replacement. Results. Women who quit smoking had significant weight gain at 3- and 6-month follow-ups, with a net difference of 10 pounds between smokers and abstainers at 6 months. By the 12-…
The Role of Occupation in Explaining Cognitive Functioning in Later Life
Higher levels of education may provide opportunity for intellectually engaging environments throughout adulthood in the form of complex work, which may protect late-life cognition. However, this protective effect of occupational complexity may not occur equally across race-gender subgroups
Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults
Objectives. We evaluated the effect of neighborhood disadvantage (ND) on older adults’ prevalence, awareness, treatment, and control of hypertension. Methods. Data were from the University of Alabama at Birmingham Study of Aging, an observational study of 1000 community-dwelling Black and White Alabamians aged 65 years and older, in 1999 to 2001. We assessed hypertension prevalence, awareness, treatment, and control with blood pressure measuremen…
My neighbourhood is fuzzy, not hard and fast’
Neighbourhoods are fluid social and spatial constructs that vary by person and place. How do residential neighbourhoods shift as people age? This mixed-methods study investigates how perceived neighbourhood boundaries and size vary by individual and contextual characteristics. Semi-structured interviews with 125 adults aged 55–92 years living in the Minneapolis (Minnesota) metropolitan area suggested that neighbourhood boundaries are ‘fuzzy’. Qua…
Comparing Global and Spatial Composite Measures of Neighborhood Socioeconomic Status Across US Counties
Assessing county-level determinants of diabetes in the United States (2003–2012)
Assessing the spatial heterogeneity in overall health across the United States using spatial regression methods
The Impact of Quitting Smoking on Weight Among Women Prisoners Participating in a Smoking Cessation Intervention
Objectives. We examined the impact of smoking cessation on weight change in a population of women prisoners. Methods. Women prisoners (n = 360) enrolled in a smoking cessation intervention; 250 received a 10-week group intervention plus transdermal nicotine replacement. Results. Women who quit smoking had significant weight gain at 3- and 6-month follow-ups, with a net difference of 10 pounds between smokers and abstainers at 6 months. By the 12-…
Heavy Drinking Is Associated with Poor Blood Pressure Control in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study
Alcohol intake has been shown to have a J-shaped association with blood pressure (BP). However, this association has not been examined in mixed race populations or in people with diabetes where tighter blood pressure control is recommended. Participants in the REGARDS study who were 45 years or older (n = 30,239) were included. Medical history (including self-reported alcohol intake) was collected by telephone while blood collection and clinical …
Training Children in Pedestrian Safety
Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults
Objectives. We evaluated the effect of neighborhood disadvantage (ND) on older adults’ prevalence, awareness, treatment, and control of hypertension. Methods. Data were from the University of Alabama at Birmingham Study of Aging, an observational study of 1000 community-dwelling Black and White Alabamians aged 65 years and older, in 1999 to 2001. We assessed hypertension prevalence, awareness, treatment, and control with blood pressure measuremen…
Evaluating a Website to Teach Children Safety with Dogs
Dog bites represent a significant threat to child health. Theory-driven interventions scalable for broad dissemination are sparse. A website was developed to teach children dog safety via increased knowledge, improved cognitive skills in relevant domains, and increased perception of vulnerability to bites. A randomized controlled trial was conducted with 69 children aged 4-5 randomly assigned to use the dog safety website or a control transportat…
The Role of Occupation in Explaining Cognitive Functioning in Later Life
Higher levels of education may provide opportunity for intellectually engaging environments throughout adulthood in the form of complex work, which may protect late-life cognition. However, this protective effect of occupational complexity may not occur equally across race-gender subgroups
Fine Particulate Matter Pollution and Risk of Community-Acquired Sepsis
While air pollution has been associated with health complications, its effect on sepsis risk is unknown. We examined the association between fine particulate matter (PM 2.5 ) air pollution and risk of sepsis hospitalization. We analyzed data from the 30,239 community-dwelling adults in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort linked with satellite-derived measures of PM 2.5 data. We defined sepsis as a hospital…
Assessing the spatial heterogeneity in overall health across the United States using spatial regression methods
Assessing county-level determinants of diabetes in the United States (2003–2012)
Categorizing community type for epidemiologic evaluation of community factors and chronic disease across the United States
Existing classifications of community type do not differentiate urban cores from surrounding non-rural areas, an important distinction for analyses of community features and their impact on health. Inappropriately classified community types can introduce serious methodologic flaws in epidemiologic studies and invalid inferences from findings. To address this, we evaluate a modification of the United States Department of Agriculture's Rural Urban …
Urban and rural differences in new onset type 2 diabetes
The likelihood of new onset T2D by community type varied by region of the US. In the South, the likelihood of new onset T2D was higher among those residing in rural communities
Comparing Global and Spatial Composite Measures of Neighborhood Socioeconomic Status Across US Counties
The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes
Diabetes mellitus is a chronic disease with significant morbidity and mortality and it is associated with poor cognitive performance in later life. This study seeks to determine the relationship between social support and cognitive function among participants with type 2 diabetes mellitus (T2DM). We used data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including participants with T2DM aged 45 and older (n = 4…
Changes in Adiposity and Cognitive Function in Older Adults
A greater decrease in %BMI (>5%) and %WC (>10%) change was associated with greater cognitive loss observed over time
My neighbourhood is fuzzy, not hard and fast’
Neighbourhoods are fluid social and spatial constructs that vary by person and place. How do residential neighbourhoods shift as people age? This mixed-methods study investigates how perceived neighbourhood boundaries and size vary by individual and contextual characteristics. Semi-structured interviews with 125 adults aged 55–92 years living in the Minneapolis (Minnesota) metropolitan area suggested that neighbourhood boundaries are ‘fuzzy’. Qua…
Area-Level Social Vulnerability and Severe Covid-19
Knowledge about neighborhood characteristics that predict disease burden can be used to guide equity-based public health interventions or targeted social services. We used a case-control design to examine the association between area-level social vulnerability and severe COVID-19 using electronic health records (EHR) from a regional health information hub in the greater Philadelphia region. Severe COVID-19 cases (n = 15,464 unique patients) were …
Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
While neighborhood socioeconomic status (NSES) significantly impacts health outcomes, its measurement often assumes that the social and economic mechanisms that drive NSES operate similarly across the urban-rural continuum. This study aimed to develop a census-tract-level NSES measure that accounts for differences across community type and assesses its measurement invariance. Using data from 71,908 census tracts in the contiguous United States, w…
Medicine (15 works) · Demography (10 works) · Health disparities and outcomes (10 works) · Demography (9 works) · Environmental health (8 works) · Gerontology (8 works) · Geography (6 works) · Population (6 works) · Internal Medicine (5 works) · Logistic regression (5 works)