Marcella Nunez-Smith
Dados Biográficos
| ID | 1733117 |
|---|---|
| NOME | Marcella Nunez-Smith |
| PRENOMES | Marcella |
| SOBRENOME | Nunez-Smith |
| ASSINATURA | NUNEZ-SMITH M |
| AFILIAÇÕES | Yale University |
| ORCID | 0000-0003-2797-4756 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAÇÕES | 20 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
Addressing non-communicable disease management during disasters in the US Virgin Islands
Introduction: Extreme weather events, like hurricanes Irma and Maria, have disproportionately impacted individuals with non-communicable diseases (NCDs) in the U.S. Virgin Islands (USVI), exacerbating health disparities due to healthcare disruptions. The USVI and other Caribbean islands face increased morbidity and mortality from NCDs from rising risk factors and lack of improving in quality of care. This study explores the experiences of individ…
Food insecurity and hypertension prevalence, awareness, and control in the Eastern Caribbean Health Outcomes Research Network Study
Limited evidence exists on the association between food insecurity (FI) and the hypertension care cascade in the Caribbean despite the high burden of both. The objective of this study is to examine the relationship between FI and hypertension prevalence, awareness, and control in the Eastern Caribbean. We conducted a cross-sectional analysis of baseline data (2013–2018) from the Eastern Caribbean Health Outcomes Research Network Cohort Study (n =…
Diabetes prevention in the Caribbean using lifestyle intervention and Metformin escalation (Lime)
clinicaltrials.gov NCT03258723 (23/08/2017)
Caribbean data-sharing initiatives
The dissemination of biomedical research data beyond academia remains limited. In response, funding agencies now regularly require that the projects they fund make research data openly available for reuse. This emerging open data movement aims to democratize data access, often guided by the FAIR data technical standards, requiring that data should be findable, accessible, interoperable and reusable. Recently, participant communities have advocate…
The Case for Data Visibility
Bias is ingrained within the fabric of American society, and as we strive toward healthy communities, we must strive toward equity. To do so, it is essential that we consider not only the most obvious forms of bias, but also the embedded, often unconscious, prejudices that permeate every workplace, institution, and policy. Within the fight for health equity, efforts to counter implicit bias must be ever present. The history of medicine is rife wi…
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Background: Globally, 1.3 billion people were considered food insecure as of 2022. In the Caribbean region, the prevalence of moderate or severe food insecurity was 71.3% as of 2020, the highest of all subregions in Latin America. Experienced based measurement scales, like the Latin American and Caribbean Food Security Scale, are efficient measurement tools of food insecurity used globally. The Eastern Caribbean Health Outcomes Research Network (…
The Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study
Noncommunicable diseases (NCDs) account for a higher proportion of mortality and morbidity in the Caribbean and US territories-majority-minority communities-than in the United States or Canada. Strategies to address this disparity include enhancing data collection efforts among racial/ethnic communities. The ECHORN Cohort Study (ECS), a regional adult cohort study, estimates prevalence and assesses risk factors for NCDs in two United States terri…
Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean
Objective: Sugar-sweetened beverages (SSB) are implicated in the increasing risk of diabetes in the Caribbean. Few studies have examined associations between SSB consumption and diabetes in the Caribbean. Design: SSB was measured as teaspoon/d using questions from the National Cancer Institute Dietary Screener Questionnaire about intake of soda, juice and coffee/tea during the past month. Diabetes was measured using self-report, HbA1C and use of …
Development of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study Data
Improving public health initiative requires an accurate anthropometric index that is better suited to a specific community. In this study, the anthropometric grouping index is proposed as a more efficient and discriminatory alternative to the popular BMI for the Eastern Caribbean population. A completely distribution-free cluster analysis was performed to obtain the 11 categories, leading to AGI-11. Further, we studied these groups using novel no…
Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
PURPOSE: This qualitative study examined fiscal and administrative (i.e., pre- and post-award grants process) barriers and facilitators to community-engaged research among stakeholders across 4 Clinical and Translational Science Awards (CTSA) institutions. METHOD: A purposive sample of 24 key informants from 3 stakeholder groups-community partners, academic researchers, and research administrators-from the CTSA institutions at the University of N…
Demographic Differences in Medical Students’ Perceptions of Respect for Diversity Among Faculty
Faculty role modeling is critical to medical students’ professional development to provide culturally adept, patient-centered care. The behaviors displayed by faculty can directly influence students’ attitudes and behaviors and is considered a part of the “hidden curriculum.” 1 However, little is known about students’ perceptions of faculty role modeling of respect for diversity. The purpose of our study was to examine the perceptions of faculty …
Anthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study
Findings suggest that WHR is a better indicator than BMI of obesity-related CVD risk and should be used to target adults in the Caribbean, and of Caribbean-descent, for interventions
Racial and Ethnic Disparities in Population-Level Covid-19 Mortality
A Protocol for the Study of Polymorphisms and Response to Metformin in Patients with Type 2 Diabetes in Trinidad
Background: Metformin is the drug of first choice in people newly diagnosed with type 2 diabetes. Most patients respond to metformin monotherapy, but many others remain uncontrolled even at maximal doses. Although non-adherence is a major contributor to non-response, genetic polymorphisms of organic cation transporters play an important role in clinical response. We hypothesize that genetic variants are partly responsible for non-response.Objec…
Toward Reducing Health Information Inequities in the Caribbean
Precision medicine seeks to leverage technology to improve the health for all individuals. Successful health information systems rely fundamentally on the integration and sharing of data from a range of disparate sources. In many settings, basic infrastructure inequities exist that limit the usefulness of health information systems. We discuss the work of the Yale Transdisciplinary Collaborative Center for Health Disparities focused on Precision …
Phenotypes of Hypertensive Ambulatory Blood Pressure Patterns
Assessment of ABPM, and the contextual factors influencing ABPM, can identify unique phenotypes of HTN, which can then be used to develop more precision-based approaches to the prevention, detection and treatment of HTN in high-risk populations
Quality of Care in the United States Territories, 1999–2012
BACKGROUND: Millions of Americans live in the US territories, but health outcomes and payments among Medicare beneficiaries in these territories are not well characterized. METHODS: Among Fee-for-Service Medicare beneficiaries aged 65 years and older hospitalized between 1999 and 2012 for acute myocardial infarction (AMI), heart failure (HF), and pneumonia, we compared hospitalization rates, patient outcomes, and inpatient payments in the territo…
Hospitalization Rates for Acute Myocardial Infarction Among Asian-American Subgroups
Mixed Methods in Health Sciences Research
Discrimination based on criminal record and healthcare utilization among men recently released from prison
Recently released prisoners report criminal record discrimination by healthcare workers, and this experience may impact healthcare utilization. Future studies should seek to further characterize criminal record discrimination by healthcare workers and prospectively examine its impact on health outcomes
Institutional Variation in the Promotion of Racial/Ethnic Minority Faculty at US Medical Schools
Objectives. We compared faculty promotion rates by race/ethnicity across US academic medical centers. Methods. We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associate professor to full professor. In unadjusted analyses, we compared medians for Hispanic and Black with White faculty using the W…
I'm too used to it
Racial and ethnic differences in personal cervical cancer screening amongst post-graduate physicians
Among a small group of insured, highly-educated physicians who have access to health care, we found racial and ethnic differences in adherence to cervical cancer screening recommendations, suggesting that culture may play a role in cervical cancer screening
I'm too used to it
Discrimination based on criminal record and healthcare utilization among men recently released from prison
Recently released prisoners report criminal record discrimination by healthcare workers, and this experience may impact healthcare utilization. Future studies should seek to further characterize criminal record discrimination by healthcare workers and prospectively examine its impact on health outcomes
Institutional Variation in the Promotion of Racial/Ethnic Minority Faculty at US Medical Schools
Objectives. We compared faculty promotion rates by race/ethnicity across US academic medical centers. Methods. We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associate professor to full professor. In unadjusted analyses, we compared medians for Hispanic and Black with White faculty using the W…
Racial and ethnic differences in personal cervical cancer screening amongst post-graduate physicians
Among a small group of insured, highly-educated physicians who have access to health care, we found racial and ethnic differences in adherence to cervical cancer screening recommendations, suggesting that culture may play a role in cervical cancer screening
Institutional Variation in the Promotion of Racial/Ethnic Minority Faculty at US Medical Schools
Objectives. We compared faculty promotion rates by race/ethnicity across US academic medical centers. Methods. We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associate professor to full professor. In unadjusted analyses, we compared medians for Hispanic and Black with White faculty using the W…
I'm too used to it
Discrimination based on criminal record and healthcare utilization among men recently released from prison
Recently released prisoners report criminal record discrimination by healthcare workers, and this experience may impact healthcare utilization. Future studies should seek to further characterize criminal record discrimination by healthcare workers and prospectively examine its impact on health outcomes
Mixed Methods in Health Sciences Research
Hospitalization Rates for Acute Myocardial Infarction Among Asian-American Subgroups
Quality of Care in the United States Territories, 1999–2012
BACKGROUND: Millions of Americans live in the US territories, but health outcomes and payments among Medicare beneficiaries in these territories are not well characterized. METHODS: Among Fee-for-Service Medicare beneficiaries aged 65 years and older hospitalized between 1999 and 2012 for acute myocardial infarction (AMI), heart failure (HF), and pneumonia, we compared hospitalization rates, patient outcomes, and inpatient payments in the territo…
Phenotypes of Hypertensive Ambulatory Blood Pressure Patterns
Assessment of ABPM, and the contextual factors influencing ABPM, can identify unique phenotypes of HTN, which can then be used to develop more precision-based approaches to the prevention, detection and treatment of HTN in high-risk populations
Racial and Ethnic Disparities in Population-Level Covid-19 Mortality
A Protocol for the Study of Polymorphisms and Response to Metformin in Patients with Type 2 Diabetes in Trinidad
Background: Metformin is the drug of first choice in people newly diagnosed with type 2 diabetes. Most patients respond to metformin monotherapy, but many others remain uncontrolled even at maximal doses. Although non-adherence is a major contributor to non-response, genetic polymorphisms of organic cation transporters play an important role in clinical response. We hypothesize that genetic variants are partly responsible for non-response.Objec…
Toward Reducing Health Information Inequities in the Caribbean
Precision medicine seeks to leverage technology to improve the health for all individuals. Successful health information systems rely fundamentally on the integration and sharing of data from a range of disparate sources. In many settings, basic infrastructure inequities exist that limit the usefulness of health information systems. We discuss the work of the Yale Transdisciplinary Collaborative Center for Health Disparities focused on Precision …
Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
PURPOSE: This qualitative study examined fiscal and administrative (i.e., pre- and post-award grants process) barriers and facilitators to community-engaged research among stakeholders across 4 Clinical and Translational Science Awards (CTSA) institutions. METHOD: A purposive sample of 24 key informants from 3 stakeholder groups-community partners, academic researchers, and research administrators-from the CTSA institutions at the University of N…
Demographic Differences in Medical Students’ Perceptions of Respect for Diversity Among Faculty
Faculty role modeling is critical to medical students’ professional development to provide culturally adept, patient-centered care. The behaviors displayed by faculty can directly influence students’ attitudes and behaviors and is considered a part of the “hidden curriculum.” 1 However, little is known about students’ perceptions of faculty role modeling of respect for diversity. The purpose of our study was to examine the perceptions of faculty …
Anthropometric measures of obesity and associated cardiovascular disease risk in the Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study
Findings suggest that WHR is a better indicator than BMI of obesity-related CVD risk and should be used to target adults in the Caribbean, and of Caribbean-descent, for interventions
Development of the Anthropometric Grouping Index for the Eastern Caribbean Population Using the Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study Data
Improving public health initiative requires an accurate anthropometric index that is better suited to a specific community. In this study, the anthropometric grouping index is proposed as a more efficient and discriminatory alternative to the popular BMI for the Eastern Caribbean population. A completely distribution-free cluster analysis was performed to obtain the 11 categories, leading to AGI-11. Further, we studied these groups using novel no…
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Background: Globally, 1.3 billion people were considered food insecure as of 2022. In the Caribbean region, the prevalence of moderate or severe food insecurity was 71.3% as of 2020, the highest of all subregions in Latin America. Experienced based measurement scales, like the Latin American and Caribbean Food Security Scale, are efficient measurement tools of food insecurity used globally. The Eastern Caribbean Health Outcomes Research Network (…
The Eastern Caribbean Health Outcomes Research Network (Echorn) Cohort Study
Noncommunicable diseases (NCDs) account for a higher proportion of mortality and morbidity in the Caribbean and US territories-majority-minority communities-than in the United States or Canada. Strategies to address this disparity include enhancing data collection efforts among racial/ethnic communities. The ECHORN Cohort Study (ECS), a regional adult cohort study, estimates prevalence and assesses risk factors for NCDs in two United States terri…
Consumption of sugar-sweetened beverages and T2D diabetes in the Eastern Caribbean
Objective: Sugar-sweetened beverages (SSB) are implicated in the increasing risk of diabetes in the Caribbean. Few studies have examined associations between SSB consumption and diabetes in the Caribbean. Design: SSB was measured as teaspoon/d using questions from the National Cancer Institute Dietary Screener Questionnaire about intake of soda, juice and coffee/tea during the past month. Diabetes was measured using self-report, HbA1C and use of …
Caribbean data-sharing initiatives
The dissemination of biomedical research data beyond academia remains limited. In response, funding agencies now regularly require that the projects they fund make research data openly available for reuse. This emerging open data movement aims to democratize data access, often guided by the FAIR data technical standards, requiring that data should be findable, accessible, interoperable and reusable. Recently, participant communities have advocate…
The Case for Data Visibility
Bias is ingrained within the fabric of American society, and as we strive toward healthy communities, we must strive toward equity. To do so, it is essential that we consider not only the most obvious forms of bias, but also the embedded, often unconscious, prejudices that permeate every workplace, institution, and policy. Within the fight for health equity, efforts to counter implicit bias must be ever present. The history of medicine is rife wi…
Addressing non-communicable disease management during disasters in the US Virgin Islands
Introduction: Extreme weather events, like hurricanes Irma and Maria, have disproportionately impacted individuals with non-communicable diseases (NCDs) in the U.S. Virgin Islands (USVI), exacerbating health disparities due to healthcare disruptions. The USVI and other Caribbean islands face increased morbidity and mortality from NCDs from rising risk factors and lack of improving in quality of care. This study explores the experiences of individ…
Food insecurity and hypertension prevalence, awareness, and control in the Eastern Caribbean Health Outcomes Research Network Study
Limited evidence exists on the association between food insecurity (FI) and the hypertension care cascade in the Caribbean despite the high burden of both. The objective of this study is to examine the relationship between FI and hypertension prevalence, awareness, and control in the Eastern Caribbean. We conducted a cross-sectional analysis of baseline data (2013–2018) from the Eastern Caribbean Health Outcomes Research Network Cohort Study (n =…
Diabetes prevention in the Caribbean using lifestyle intervention and Metformin escalation (Lime)
clinicaltrials.gov NCT03258723 (23/08/2017)
Medicine (16 obras) · Demography (13 obras) · Environmental health (10 obras) · Demography (8 obras) · Gerontology (8 obras) · Internal Medicine (8 obras) · Ethnic group (7 obras) · Population (7 obras) · Cohort (5 obras) · Family medicine (5 obras)