Esther O Chung
Dados Biográficos
| ID | 1737995 |
|---|---|
| NOME | Esther O Chung |
| PRENOMES | Esther |
| SOBRENOME | O Chung |
| ASSINATURA | CHUNG E O |
| AFILIAÇÕES | University of North Carolina at Chapel Hill |
| ORCID | 0000-0002-2866-949X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAÇÕES | 16 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2017 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Funding Community Health Services for People Who Use Drugs in San Francisco
Introduction The drug overdose mortality crisis persists in the United States. Evidence-based harm reduction interventions reduce overdose mortality and improve health outcomes. However, programs are challenged by social stigma against people who use drugs (PWUD) and insufficient funding, the most consequential determinant of implementation success. This study explored the determinants of funding, identified funding-related barriers and facilitat…
Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development
Maternal depression is a global public health concern with far-reaching impacts on child development, yet our understanding of mechanisms remains incomplete. This study examined whether parenting mediates the association between maternal depression and child outcomes. Participants included 841 rural Pakistani mother–child dyads (50% female). Maternal depression was measured at 12 months postpartum, parenting behaviors (warmth, stimulation, and ha…
Early life grandmother caregiving trajectories and child development
Grandmothers are influential caregivers for young children, yet their contributions to child development remains understudied. This study characterized trajectories of grandmother caregiving from infancy to 2 years and examined their associations with child development. Data came from a longitudinal birth cohort study in rural Pakistan ( n = 959). Grandmother caregiving behaviors were maternally reported at 3 months, 1 year, and 2 years postpartu…
The role of stigma in impeding implementation of harm reduction services in San Francisco
The United States continues to face an epidemic of drug overdose deaths among people who use drugs (PWUD). Harm reduction services are efficacious interventions that reduce overdose deaths and improve the health of PWUD. For decades, San Francisco has remained at the vanguard of the adoption, implementation, and sustainability of harm reduction programs. During a time of national urgency in 2023, we conducted a qualitative study interviewing lead…
Evaluating health outcomes among American Indian/Alaska Native people who use drugs in Oregon
The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties ( N = 468). We conducted logistic regression ana…
Housing assistance among people who are unstably housed and use drugs in Oregon
We found a large gap in housing assistance for people who use drugs in Oregon and identified several factors associated with obtaining housing assistance. Our findings can inform future interventions to connect people who use drugs with stable housing
The development, evolution, and maintenance of structural racism for the study of health inequities
Evaluating the relationship between structural racism and health inequity is conceptually and empirically complex. This critical review of policies and events extends a previously published framework for understanding structural racism in health research across ethnoracial groups from 1400 to present. We apply this framework for Asian, Black or African American, Hispanic/Latinx, Native Hawaiian/Pacific Islander, and White groups and reflect on, c…
Trauma exposure among young children in rural Pakistan
Findings show that childhood trauma exposure is common in this setting and associated with worse mental health problems among young boys and girls. Results suggest that trauma-informed interventions are important for supporting child mental health in South Asia
Generativity and Engagement in Grandparenting Activities Among Older Adults in Northern Sri Lanka
Generativity refers to the desire to pass on one's skills, knowledge, and wisdom to future generations; this may be a clear indicator of the likelihood of older adults investing time and effort in engagement with their grandchildren. This cross-sectional study examines the relationship between generative beliefs and an index of multiple potential grandparenting activities. The data come from a convenience sample of 79 grandparents (aged 55+) livi…
Maternal adverse childhood experiences on child growth and development in rural Pakistan
Maternal adverse childhood experiences (ACEs) have significant impacts on the next generation with links to negative birth outcomes, impaired cognitive development, and increased socioemotional problems in children. However, not all types or levels of adversity are similarly deleterious and research from diverse contexts is needed to better understand why and how intergenerational transmission of adversity occurs. We examined the role of maternal…
Mental health status of internally displaced persons in the Garmian region of Kurdistan, Iraq
There are an estimated 4 million internally displaced persons (IDPs) in Iraq, mainly settled in the Kurdistan Region of Iraq, and yet few studies have documented the mental health of IDPs in the region. The aims of this study were (1) to assess the prevalence of mental health disorders and trauma experiences amongst IDPs and (2) to explore associations between prior displacement and years living in the camp and mental health disorders. A cross-se…
A holistic approach to promoting early child development
INTRODUCTION: In low- and middle-income countries, children experience multiple risks for delayed development. We evaluated a multicomponent, group-based early child development intervention including behavioural recommendations on responsive stimulation, nutrition, water, sanitation, hygiene, mental health and lead exposure prevention. METHODS: We conducted a 9-month, parallel, multiarm, cluster-randomised controlled trial in 31 rural villages i…
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Looking Back to Leap Forward
Racism is now widely recognized as a fundamental cause of health inequalities in the United States. As such, health scholars have rightly turned their attention toward examining the role of structural racism in fostering morbidity and mortality. However, to date, much of the empirical structural racism-health disparities literature limits the operationalization of structural racism to a single domain or orients the construct around a White/Black …
The contribution of grandmother involvement to child growth and development
INTRODUCTION: Early childhood interventions primarily focus on the mother-child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 y…
Maternal depression in rural Pakistan
NCT02111915. Registered 18 September 2015. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered
Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya
Background : Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods : Our cross-sectional study included 299 pregnant or postpartum women in 2012. We used a 24-h recall to assess pica, defined as consumption of earth (geophagy), charcoal/ash, or raw starches (amylophagy) and built multiva…
The relationship between responsive caregiving and child outcomes
NCT02111915 (09/18/2015); NCT02658994 (01/22/2016). Trials were prospectively registered
Caregiver perceptions of child development in rural Madagascar
Current Controlled Trials ISRCTN14393738 . Registered June 23, 2015
Maternal Depressive Symptoms and Child Behavior among Mexican Women and Their Children
Over 50% of mothers in rural Mexico have high depressive symptoms, and their children's health and development are likely to be negatively affected. A critical question is whether children vary in their vulnerability to the effects of high maternal depressive symptoms according to their indigenous ethnicity, maternal education, or household wealth. Our sample included 4442 mothers and 5503 children from an evaluation of Mexico's social welfare pr…
Looking Back to Leap Forward
Racism is now widely recognized as a fundamental cause of health inequalities in the United States. As such, health scholars have rightly turned their attention toward examining the role of structural racism in fostering morbidity and mortality. However, to date, much of the empirical structural racism-health disparities literature limits the operationalization of structural racism to a single domain or orients the construct around a White/Black …
The development, evolution, and maintenance of structural racism for the study of health inequities
Evaluating the relationship between structural racism and health inequity is conceptually and empirically complex. This critical review of policies and events extends a previously published framework for understanding structural racism in health research across ethnoracial groups from 1400 to present. We apply this framework for Asian, Black or African American, Hispanic/Latinx, Native Hawaiian/Pacific Islander, and White groups and reflect on, c…
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Maternal Depressive Symptoms and Child Behavior among Mexican Women and Their Children
Over 50% of mothers in rural Mexico have high depressive symptoms, and their children's health and development are likely to be negatively affected. A critical question is whether children vary in their vulnerability to the effects of high maternal depressive symptoms according to their indigenous ethnicity, maternal education, or household wealth. Our sample included 4442 mothers and 5503 children from an evaluation of Mexico's social welfare pr…
Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya
Background : Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods : Our cross-sectional study included 299 pregnant or postpartum women in 2012. We used a 24-h recall to assess pica, defined as consumption of earth (geophagy), charcoal/ash, or raw starches (amylophagy) and built multiva…
The relationship between responsive caregiving and child outcomes
NCT02111915 (09/18/2015); NCT02658994 (01/22/2016). Trials were prospectively registered
Caregiver perceptions of child development in rural Madagascar
Current Controlled Trials ISRCTN14393738 . Registered June 23, 2015
The contribution of grandmother involvement to child growth and development
INTRODUCTION: Early childhood interventions primarily focus on the mother-child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 y…
Maternal depression in rural Pakistan
NCT02111915. Registered 18 September 2015. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered
A holistic approach to promoting early child development
INTRODUCTION: In low- and middle-income countries, children experience multiple risks for delayed development. We evaluated a multicomponent, group-based early child development intervention including behavioural recommendations on responsive stimulation, nutrition, water, sanitation, hygiene, mental health and lead exposure prevention. METHODS: We conducted a 9-month, parallel, multiarm, cluster-randomised controlled trial in 31 rural villages i…
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Looking Back to Leap Forward
Racism is now widely recognized as a fundamental cause of health inequalities in the United States. As such, health scholars have rightly turned their attention toward examining the role of structural racism in fostering morbidity and mortality. However, to date, much of the empirical structural racism-health disparities literature limits the operationalization of structural racism to a single domain or orients the construct around a White/Black …
Generativity and Engagement in Grandparenting Activities Among Older Adults in Northern Sri Lanka
Generativity refers to the desire to pass on one's skills, knowledge, and wisdom to future generations; this may be a clear indicator of the likelihood of older adults investing time and effort in engagement with their grandchildren. This cross-sectional study examines the relationship between generative beliefs and an index of multiple potential grandparenting activities. The data come from a convenience sample of 79 grandparents (aged 55+) livi…
Maternal adverse childhood experiences on child growth and development in rural Pakistan
Maternal adverse childhood experiences (ACEs) have significant impacts on the next generation with links to negative birth outcomes, impaired cognitive development, and increased socioemotional problems in children. However, not all types or levels of adversity are similarly deleterious and research from diverse contexts is needed to better understand why and how intergenerational transmission of adversity occurs. We examined the role of maternal…
Mental health status of internally displaced persons in the Garmian region of Kurdistan, Iraq
There are an estimated 4 million internally displaced persons (IDPs) in Iraq, mainly settled in the Kurdistan Region of Iraq, and yet few studies have documented the mental health of IDPs in the region. The aims of this study were (1) to assess the prevalence of mental health disorders and trauma experiences amongst IDPs and (2) to explore associations between prior displacement and years living in the camp and mental health disorders. A cross-se…
Trauma exposure among young children in rural Pakistan
Findings show that childhood trauma exposure is common in this setting and associated with worse mental health problems among young boys and girls. Results suggest that trauma-informed interventions are important for supporting child mental health in South Asia
Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development
Maternal depression is a global public health concern with far-reaching impacts on child development, yet our understanding of mechanisms remains incomplete. This study examined whether parenting mediates the association between maternal depression and child outcomes. Participants included 841 rural Pakistani mother–child dyads (50% female). Maternal depression was measured at 12 months postpartum, parenting behaviors (warmth, stimulation, and ha…
Early life grandmother caregiving trajectories and child development
Grandmothers are influential caregivers for young children, yet their contributions to child development remains understudied. This study characterized trajectories of grandmother caregiving from infancy to 2 years and examined their associations with child development. Data came from a longitudinal birth cohort study in rural Pakistan ( n = 959). Grandmother caregiving behaviors were maternally reported at 3 months, 1 year, and 2 years postpartu…
The role of stigma in impeding implementation of harm reduction services in San Francisco
The United States continues to face an epidemic of drug overdose deaths among people who use drugs (PWUD). Harm reduction services are efficacious interventions that reduce overdose deaths and improve the health of PWUD. For decades, San Francisco has remained at the vanguard of the adoption, implementation, and sustainability of harm reduction programs. During a time of national urgency in 2023, we conducted a qualitative study interviewing lead…
Evaluating health outcomes among American Indian/Alaska Native people who use drugs in Oregon
The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties ( N = 468). We conducted logistic regression ana…
Housing assistance among people who are unstably housed and use drugs in Oregon
We found a large gap in housing assistance for people who use drugs in Oregon and identified several factors associated with obtaining housing assistance. Our findings can inform future interventions to connect people who use drugs with stable housing
The development, evolution, and maintenance of structural racism for the study of health inequities
Evaluating the relationship between structural racism and health inequity is conceptually and empirically complex. This critical review of policies and events extends a previously published framework for understanding structural racism in health research across ethnoracial groups from 1400 to present. We apply this framework for Asian, Black or African American, Hispanic/Latinx, Native Hawaiian/Pacific Islander, and White groups and reflect on, c…
Funding Community Health Services for People Who Use Drugs in San Francisco
Introduction The drug overdose mortality crisis persists in the United States. Evidence-based harm reduction interventions reduce overdose mortality and improve health outcomes. However, programs are challenged by social stigma against people who use drugs (PWUD) and insufficient funding, the most consequential determinant of implementation success. This study explored the determinants of funding, identified funding-related barriers and facilitat…
Medicine (17 obras) · Psychology (11 obras) · Environmental health (10 obras) · Psychiatry (10 obras) · Public health (9 obras) · Maternal Mental Health During Pregnancy and Postpartum (8 obras) · Gerontology (6 obras) · Child development (5 obras) · Clinical Psychology (5 obras) · Demography (5 obras)