Natoshia M Askelson
Dados Biográficos
| ID | 5541592 |
|---|---|
| NOME | Natoshia M Askelson |
| PRENOMES | Natoshia M |
| SOBRENOME | Askelson |
| ASSINATURA | ASKELSON N M |
| AFILIAÇÕES | University of Iowa |
| ORCID | 0000-0002-3464-8214 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 3 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Examining Barriers to Cancer Care
INTRODUCTION: Non-Hispanic Black (NHB) Iowans experience significantly higher cancer incidence and mortality rates compared to their non-Hispanic White (NHW) counterparts. Yet, their unique barriers to cancer-related care remain understudied, particularly in the context of a geographically rural state with limited racial and ethnic diversity like Iowa. A deeper understanding of the nuanced challenges faced by this population is essential to the c…
Insights from the front line
Introduction: SARS-CoV-2 was declared a pandemic in March 2020. Studies have characterized some of the negative impact of the pandemic on public health workers (PHW), but few have explored the strength and coping strategies used. Our study documents the experiences of PHW in Iowa during the pandemic. Methods: to gather stories from PHW in Iowa between March and July 2022. Participants provided additional data about their story via structured foll…
Evaluating implementation by rural clinics of evidence‐based interventions to promote HPV vaccination
PURPOSE: Despite the well-established link between vaccination against human papillomavirus (HPV) and a decreased risk of cancer, HPV vaccine uptake in rural communities is low. Evidence-based interventions (EBIs) to promote HPV vaccination exist but are not universally implemented in rural settings due to various challenges. To understand the support needed by rural clinics in implementing EBIs, the University of Iowa partnered with the American…
Using intervention mapping to develop training for US dental providers to recommend the HPV vaccine
Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
Purpose: Perceived social status (PSS), a measure of social status, reflects cumulative lifetime effects of an individual's relative social status based on resources and lived experiences. PSS is hypothesized to better capture social status compared to traditional measures of socioeconomic status (SES) (i.e., education, occupation, and income). Although recognized as a predictor of health-related morbidity and mortality, limited research has expl…
Locations of Covid‐19 vaccination provision
PURPOSE: Our goal was to compare locations of COVID-19 vaccine provision in urban and rural communities over the course of the pandemic. METHODS: We used the Iowa Immunization Registry Information System (IRIS) to identify the organizations providing COVID-19 vaccines (eg, pharmacies, public health departments, and medical providers). Proportions of first-dose vaccines by organization type and patient census-based statistical area were generated.…
Experiences of Racism in Health Care and Medical Mistrust Shape Cancer Prevention and Control Behaviors Among Black Residents of Black Hawk County, Iowa
Perceptions of the Right to Food Among Adults Aged 60 Years and Older
This study explores perceptions of the right to food and issues around food assistance and access among older adults. We conducted 20 semi-structured interviews with adults aged 60+ in Iowa, half of whom were food insecure. Most respondents expressed the right to food concerns freedom of choice rather than physical and financial access. The respondents said poor food access was due to improper choices or not accessing food assistance. While respo…
Perceived social status, socioeconomic status, and preventive dental utilization among a low‐income Medicaid adult population
PSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors
Motivations and experiences among dentists in rural private practice
The importance of rural upbringing in this study underscores the need to consider rural upbringing in dental student admissions. Additional findings, such as financial benefits of a rural practice and other practice-related factors can be used to inform recruitment efforts
Engaging new partners in human papillomavirus (HPV) vaccine promotion
Knowledge was identified as a key barrier to providing a strong recommendation for HPV vaccination and convenience was the most important factor to consider for any future CE. Our team is in the process of designing a CE course based on this information to help dental professionals effectively engage in HPV vaccine promotion in their practices
Using predicted marginal effects to assess the impact of rurality and free and reduced lunch eligibility on a school-based nutrition intervention
The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Interventions to address cancer‐related financial toxicity
PURPOSE: Addressing financial toxicity among cancer patients is a complex process that requires a multifaceted approach, particularly for rural patients who may face additional cost-related barriers to care. In this study, we examined interventions being implemented by financial navigation staff at various cancer centers that help address financial toxicity experienced by oncology patients. METHODS: We conducted semistructured interviews with a c…
Understanding topical fluoride hesitancy and refusal behaviors through the extended parallel process model and health belief model
Our findings were generally consistent with the EPPM and HBM, which appear to be relevant in understanding fluoride hesitancy behaviors. Additional research is needed on ways to improve provider communications about topical fluoride with caregivers
Using concept mapping to identify opportunities for HPV vaccination efforts
Perspectives on Implementation
We recommend that community colleges work to identify EPS, use fellow EPS to recruit program participants, and implement programming that works with the students' schedules
Health Equity in Midsize Rural Communities
Purged from the Rolls
Purpose: To describe the impact of disenrollment from Medicaid because of failure to pay premiums as part of Iowa's Medicaid program's personal responsibility component. Methods: We conducted a mixed method study consisting of in-depth interviews with disenrolled members in 2016 and 2017 (n=72) and a survey of disenrolled members in 2017 (n=225). Results: Many disenrollees did not know why they were disenrolled, were unaware of the personal respo…
Building Relationships and Capacity in Rural Lunchrooms
We aimed to describe the successes and challenges of implementing a pilot program by working with students and food service staff in four rural high schools to encourage healthy eating among rural adolescents. The pilot program engaged students and school food service directors (FSDs) in identifying and making changes to the school lunchroom environment based on behavioral economics. As part of a multi-method evaluation, we conducted interviews w…
Completion of Requirements in Iowa’s Medicaid Expansion Premium Disincentive Program, 2014–2015
Objectives. To evaluate rates of member compliance with Iowa’s Medicaid expansion premium disincentive program. Methods. We used 2014 to 2015 Iowa Medicaid data to construct rolling 12-month cohorts of Wellness Plan and Marketplace Choice members (Iowa’s 2 Medicaid expansion waiver programs for individuals ≤ 100% and 101%–138% of the federal poverty level, respectively), calculated completion rates for required activities (i.e., wellness examinat…
It Isn’t All About Language
Purpose: Little is known about barriers that Latinas in the United States face in preventing unintended pregnancies beyond those of language and cost. This study examined factors inhibiting contraceptive use among 18- to 30-year-old Latinas in the Midwest. Method: Individual interviews ( N = 31) were conducted in Spanish with Latinas residing across the state. The interview protocol included questions about contraceptives and unintended pregnanci…
Periodicity of dental recall visits for young children first seen in community health centers
The experience gained from having other Medicaid-enrolled children in the household appears to be important for younger children entering into continuous and comprehensive dental care
Relationship Between Medical Well Baby Visits and First Dental Examinations for Young Children in Medicaid
Objectives. We examined the relationship between preventive well baby visits (WBVs) and the timing of first dental examinations for young Medicaid-enrolled children. Methods. The study focused on children born in 2000 and enrolled continuously in the Iowa Medicaid Program from birth to age 41 months (n = 6322). The main predictor variables were number and timing of WBVs. The outcome variable was timing of first dental examination. We used surviva…
African American Women and Weight Loss
In the United States, almost 80% of African American women are either overweight or obese. In this study, 46 low-income African American women struggling with weight issues participated in structured interviews using a social cognitive theory framework. Participants shared their social cognitive theory related weight loss thoughts and their perceived weight loss obstacles. Results suggest that although participants’ primary weight-related obstacl…
Relationship Between Medical Well Baby Visits and First Dental Examinations for Young Children in Medicaid
Objectives. We examined the relationship between preventive well baby visits (WBVs) and the timing of first dental examinations for young Medicaid-enrolled children. Methods. The study focused on children born in 2000 and enrolled continuously in the Iowa Medicaid Program from birth to age 41 months (n = 6322). The main predictor variables were number and timing of WBVs. The outcome variable was timing of first dental examination. We used surviva…
Experiences of Racism in Health Care and Medical Mistrust Shape Cancer Prevention and Control Behaviors Among Black Residents of Black Hawk County, Iowa
Time to First Dental Visit After Initially Enrolling in Medicaid and S-SCHIP
BACKGROUND: Accessing dental care is a significant problem for children in Medicaid and S-SCHIP (Separate State Children's Health Insurance Program). Previous studies have indicated that the design of the Medicaid or S-SCHIP dental program can have an impact on the ability to use services. OBJECTIVE: To evaluate the factors related to how quickly children had any dental visit and had a preventive dental visit after first enrolling in the Iowa Med…
Young Women’s Knowledge, Attitudes, and Behaviors Related to Long-Acting Reversible Contraceptives
Assessing physicians' intentions to talk about sex when they vaccinate nine-year-old to 15-year-old girls against HPV
The human papillomavirus (HPV) vaccine provides physicians with an opportunity to have conversations with girls about sex and sex-related topics. Current research suggests that these conversations are not happening. This study was designed to assess whether physicians would use the HPV vaccination as an opening to communicate with nine-year-old to 15-year-old female patients about sex using the Theory of Planned Behavior as a framework. The study…
African American Women and Weight Loss
In the United States, almost 80% of African American women are either overweight or obese. In this study, 46 low-income African American women struggling with weight issues participated in structured interviews using a social cognitive theory framework. Participants shared their social cognitive theory related weight loss thoughts and their perceived weight loss obstacles. Results suggest that although participants’ primary weight-related obstacl…
Encouraging early preventive dental visits for preschool‐aged children enrolled in Medicaid
Findings were consistent with EPPM, which suggests this model is a potential tool for understanding parents' decisions about seeking preventive dental care for their young children. Future research should utilize quantitative methods to test this model
Periodicity of dental recall visits for young children first seen in community health centers
The experience gained from having other Medicaid-enrolled children in the household appears to be important for younger children entering into continuous and comprehensive dental care
Relationship Between Medical Well Baby Visits and First Dental Examinations for Young Children in Medicaid
Objectives. We examined the relationship between preventive well baby visits (WBVs) and the timing of first dental examinations for young Medicaid-enrolled children. Methods. The study focused on children born in 2000 and enrolled continuously in the Iowa Medicaid Program from birth to age 41 months (n = 6322). The main predictor variables were number and timing of WBVs. The outcome variable was timing of first dental examination. We used surviva…
It Isn’t All About Language
Purpose: Little is known about barriers that Latinas in the United States face in preventing unintended pregnancies beyond those of language and cost. This study examined factors inhibiting contraceptive use among 18- to 30-year-old Latinas in the Midwest. Method: Individual interviews ( N = 31) were conducted in Spanish with Latinas residing across the state. The interview protocol included questions about contraceptives and unintended pregnanci…
Completion of Requirements in Iowa’s Medicaid Expansion Premium Disincentive Program, 2014–2015
Objectives. To evaluate rates of member compliance with Iowa’s Medicaid expansion premium disincentive program. Methods. We used 2014 to 2015 Iowa Medicaid data to construct rolling 12-month cohorts of Wellness Plan and Marketplace Choice members (Iowa’s 2 Medicaid expansion waiver programs for individuals ≤ 100% and 101%–138% of the federal poverty level, respectively), calculated completion rates for required activities (i.e., wellness examinat…
Purged from the Rolls
Purpose: To describe the impact of disenrollment from Medicaid because of failure to pay premiums as part of Iowa's Medicaid program's personal responsibility component. Methods: We conducted a mixed method study consisting of in-depth interviews with disenrolled members in 2016 and 2017 (n=72) and a survey of disenrolled members in 2017 (n=225). Results: Many disenrollees did not know why they were disenrolled, were unaware of the personal respo…
Building Relationships and Capacity in Rural Lunchrooms
We aimed to describe the successes and challenges of implementing a pilot program by working with students and food service staff in four rural high schools to encourage healthy eating among rural adolescents. The pilot program engaged students and school food service directors (FSDs) in identifying and making changes to the school lunchroom environment based on behavioral economics. As part of a multi-method evaluation, we conducted interviews w…
Perspectives on Implementation
We recommend that community colleges work to identify EPS, use fellow EPS to recruit program participants, and implement programming that works with the students' schedules
Health Equity in Midsize Rural Communities
Using concept mapping to identify opportunities for HPV vaccination efforts
Using predicted marginal effects to assess the impact of rurality and free and reduced lunch eligibility on a school-based nutrition intervention
The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Interventions to address cancer‐related financial toxicity
PURPOSE: Addressing financial toxicity among cancer patients is a complex process that requires a multifaceted approach, particularly for rural patients who may face additional cost-related barriers to care. In this study, we examined interventions being implemented by financial navigation staff at various cancer centers that help address financial toxicity experienced by oncology patients. METHODS: We conducted semistructured interviews with a c…
Understanding topical fluoride hesitancy and refusal behaviors through the extended parallel process model and health belief model
Our findings were generally consistent with the EPPM and HBM, which appear to be relevant in understanding fluoride hesitancy behaviors. Additional research is needed on ways to improve provider communications about topical fluoride with caregivers
Perceptions of the Right to Food Among Adults Aged 60 Years and Older
This study explores perceptions of the right to food and issues around food assistance and access among older adults. We conducted 20 semi-structured interviews with adults aged 60+ in Iowa, half of whom were food insecure. Most respondents expressed the right to food concerns freedom of choice rather than physical and financial access. The respondents said poor food access was due to improper choices or not accessing food assistance. While respo…
Perceived social status, socioeconomic status, and preventive dental utilization among a low‐income Medicaid adult population
PSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors
Motivations and experiences among dentists in rural private practice
The importance of rural upbringing in this study underscores the need to consider rural upbringing in dental student admissions. Additional findings, such as financial benefits of a rural practice and other practice-related factors can be used to inform recruitment efforts
Engaging new partners in human papillomavirus (HPV) vaccine promotion
Knowledge was identified as a key barrier to providing a strong recommendation for HPV vaccination and convenience was the most important factor to consider for any future CE. Our team is in the process of designing a CE course based on this information to help dental professionals effectively engage in HPV vaccine promotion in their practices
Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
Purpose: Perceived social status (PSS), a measure of social status, reflects cumulative lifetime effects of an individual's relative social status based on resources and lived experiences. PSS is hypothesized to better capture social status compared to traditional measures of socioeconomic status (SES) (i.e., education, occupation, and income). Although recognized as a predictor of health-related morbidity and mortality, limited research has expl…
Locations of Covid‐19 vaccination provision
PURPOSE: Our goal was to compare locations of COVID-19 vaccine provision in urban and rural communities over the course of the pandemic. METHODS: We used the Iowa Immunization Registry Information System (IRIS) to identify the organizations providing COVID-19 vaccines (eg, pharmacies, public health departments, and medical providers). Proportions of first-dose vaccines by organization type and patient census-based statistical area were generated.…
Experiences of Racism in Health Care and Medical Mistrust Shape Cancer Prevention and Control Behaviors Among Black Residents of Black Hawk County, Iowa
Medicine (25 obras) · Environmental health (13 obras) · Family medicine (13 obras) · Nursing (13 obras) · Psychology (13 obras) · Health care (12 obras) · Gerontology (10 obras) · Political science (9 obras) · Dental Health and Care Utilization (7 obras) · Medicaid (7 obras)