Lorraine T Dean
Dados Biográficos
| ID | 77911 |
|---|---|
| NOME | Lorraine T Dean |
| PRENOMES | Lorraine T |
| SOBRENOME | Dean |
| ASSINATURA | DEAN L T |
| AFILIAÇÕES | Johns Hopkins University |
| ORCID | 0000-0002-2272-2755 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 37 |
| TOTAL DE CITAÇÕES | 54 |
| TOTAL COMO AUTOR | 37 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Willingness-to-Pay for HIV Pre-Exposure Prophylaxis Among Men Who Have Sex with Men in the United States
Pre-exposure prophylaxis (PrEP) is highly effective for preventing HIV, but out-of-pocket costs represent a critical barrier to uptake. We conducted an online survey from May 2020 to October 2021. Gay and bisexual men who have sex with men (GBMSM) in New England recruited through social networking apps were randomly assigned to view different monthly PrEP costs ($0-$105) and asked about their willingness to pay. Among 612 participants, each $10 i…
The Association of County-level Structural Racism with Risk Factors for Negative Maternal Health and Birth Outcomes among Non-Hispanic Black People of Childbearing Age
Place-based measures of structural racism have shown adverse relationships with maternal health outcomes. Pre-existing conditions like diabetes, hypertension, and depression contribute to Black-White maternal health disparities. This study investigates the association between county-level structural racism (CSR) and these conditions among non-Hispanic Black women of reproductive age. We analyzed data from women of reproductive age in the 2011–201…
Race, gender, and childhood adversity
Objective Adverse childhood experiences (ACEs) are prevalent and have profound negative health impacts across the life course. This study examined childhood adversity prevalence among US non-Hispanic Black adults, with particular attention to gender specific patterns in cumulative risk, individual ACE types and associated sociodemographic factors.Design We analyzed data from Black adults aged 18 and older who completed the 2019 Behavioral Risk Fa…
Racial and ethnic differences in HIV pre-exposure prophylaxis reversal and abandonment in the United States
Daily oral pre-exposure prophylaxis (PrEP) effectively reduces HIV infection risks. However, adherence has been suboptimal across the United States (US), particularly among African Americans and Hispanic populations. We assessed racial and ethnic differences in PrEP primary non-adherence using two pharmacy-based measures: PrEP reversal (failure to pick up the first insurance-approved prescription) and PrEP abandonment (a reversed prescription not…
Association between homelessness and PrEP uptake among men who have sex with men
Spatiotemporal Patterns of Late HIV Diagnosis in Philadelphia at a Small‐area Level, 2011–2016
Baltimore community resident and collaborator perspectives on the influence of guaranteed income on health
This formative research on the potential health impacts of guaranteed income in Baltimore highlights important health outcomes and pathways, such as social cohesion and decreased feelings of time scarcity, to prioritize for evaluation
County-Level Factors Associated with Reversal of Insurer-Approved HIV Pre-Exposure Prophylaxis Prescriptions in the United States, 2018
Racial capitalism and firearm violence
Despite the early promise of centering structural racism in explanatory models of firearm violence, there are noticeable gaps in what's been produced thus far; in particular, a deeper and more serious engagement with long-standing theories of racism is needed to further enrich our understanding of how structural inequalities produce unequal burdens of firearm-related harms. Thus, building on theories and concepts from a range of academic fields a…
Association of maternal education, neighborhood deprivation, and racial segregation with gestational age at birth by maternal race/ethnicity and United States Census region in the Echo cohorts
Background In the United States, disparities in gestational age at birth by maternal race, ethnicity, and geography are theorized to be related, in part, to differences in individual- and neighborhood-level socioeconomic status (SES). Yet, few studies have examined their combined effects or whether associations vary by maternal race and ethnicity and United States Census region. Methods We assembled data from 34 cohorts in the Environmental influ…
Health Care Expenditures for Black and White US Adults Living Under Similar Conditions
In this cross-sectional study of Black and White adults in the US, health care expenditure disparities diminished or disappeared under conditions of both racial and economic equity and equitable health care access; in areas that were mostly high income and had mostly White residents, Black adults spent substantially less. Results underscore the continuing need to recognize place as a contributor to race-based differences in health care spending
Identifying HIV PrEP Attributes to Increase PrEP Use Among Different Groups of Gay, Bisexual, and Other Men Who Have Sex with Men
Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men
Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention tool. Long-acting injectable PrEP (LAI-PrEP) offers another opportunity to reduce HIV. However, how at-risk individuals will consider LAI-PrEP over other modes of administration is unclear. We conducted a discrete choice experiment on preferences for PrEP among a sample of N = 688 gay, bisexual, and other men who have sex with men (GBMSM). We analyzed preferences for mode of adm…
Does Consumer Credit Precede or Follow Changes in Cognitive Impairment Among Older Adults? An Investigation in the Advanced Cognitive Training for Independent and Vital Elderly (Active) Trial
Credit declines may signal risk for future MCI. MCI may lead to financial challenges that warrant credit monitoring interventions for older adults
What Structural Racism Is (or Is Not) and How to Measure It
Interest in studying structural racism’s impacts on health has grown exponentially in recent years. Across these studies, there is much heterogeneity in the definition and measurement of structural racism, leading to mixed interpretations of structural racism’s impact on health. A precise definition of structural racism can offer conceptual clarity to inform what mechanisms to investigate and is imperative for conducting high-quality research on …
Financial hardship and mental health among cancer survivors during the Covid-19 pandemic
Purpose: Our objective was to (1) identify associated characteristics of financial hardship (FH), and (2) evaluate associations of FH with mental health symptoms among cancer survivors during the COVID-19 pandemic. Methods: = 854,7.6%). We defined FH using the following question: "Based on your current financial situation, how would you pay for an unexpected $400 expense?" Multivariable Poisson regression was used to estimate adjusted prevalence …
A consequence of mass incarceration
Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care
Racial and ethnic differences in the association of social cohesion and social capital with HIV testing
HIV testing rates vary by race and ethnicity. Whether social capital indicators are related to HIV testing and whether these associations differ by race or ethnicity is unknown. Multivariable analysis was used to examine whether social capital (collective engagement and civic and social participation), including social cohesion (trust in neighbors, neighbors willing to help, feelings of belongingness) were associated with testing for HIV in the p…
A database of US state policies to mitigate Covid-19 and its economic consequences
CUSP is the most comprehensive publicly available policy database of health, social, and economic policies in response to the COVID-19 pandemic in the US. CUSP documents widespread variation in state policy decisions and implementation dates across the US and serves as a freely available and valuable resource to policymakers and researchers
Same-Sex Marriage Laws, Provider-Patient Communication, and PrEP Awareness and Use Among Gay, Bisexual, and Other Men Who have Sex with Men in the United States
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
The Relationship Between Cognition and Mortality Among Older Black and White Men in Advanced Cognitive Training for Independent and Vital Elderly
Objective : To determine the association between baseline cognition and all-cause mortality among Black men and White men. Methods : Data were from 614 Black and White men aged ≥65 years at baseline in the Advanced Cognitive Training for Independent and Vital Elderly trial and their linked mortality information. Cox proportional hazards models were used to determine the association between baseline cognition (memory, reasoning, speed of processin…
Examining the Role of Family History of US Enslavement in Health Care System Distrust Today
DAEUS express greater HCS distrust than non-DAEUS, patterned by awareness of unethical treatment and passive discrimination. Understanding how long-term exposure to US institutions influences health is critical to resolving disparities for all Black/African American groups. Rectifying past injustices through reparative institutional measures may improve DAEUS' trust and engagement with the US HCS
Disparities in First Instrumental Activity of Daily Living Difficulty between Black and White Older Adults
Objectives: Few studies have examined differences in age of onset of first self-reported instrumental activities of daily living difficulty, much less differences by race. Our objective was to determine whether there are differences in the first reported difficulty with IADLs between Black and white older adults. Methods: We analyzed data from N = 1168 participants in the Advanced Cognitive Training in Independent and Vital Elderly (ACTIVE) study…
Neighborhood racial composition, social capital and black all-cause mortality in Philadelphia
The role of social capital in African-American women's use of mammography
Using Credit Scores to Understand Predictors and Consequences of Disease
Racial capitalism and firearm violence
Despite the early promise of centering structural racism in explanatory models of firearm violence, there are noticeable gaps in what's been produced thus far; in particular, a deeper and more serious engagement with long-standing theories of racism is needed to further enrich our understanding of how structural inequalities produce unequal burdens of firearm-related harms. Thus, building on theories and concepts from a range of academic fields a…
Can you party your way to better health? A propensity score analysis of block parties and health
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
Consumer credit, chronic disease and risk behaviours
BACKGROUND: Credit scores have been identified as a marker of disease burden. This study investigated credit scores' association with chronic diseases and health behaviours that are associated with chronic diseases. METHODS: This cross-sectional analysis included data on 2083 residents of Philadelphia, Pennsylvania, USA in 2015. Nine-digit ZIP code level FICO credit scores were appended to individual self-reported chronic diseases (obesity, diabe…
Differences in the Patterns of Health Care System Distrust Between Blacks and Whites
Neighborhood racial composition, social capital and black all-cause mortality in Philadelphia
The role of social capital in African-American women's use of mammography
Can you party your way to better health? A propensity score analysis of block parties and health
Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement
High neighborhood social capital could facilitate earlier diagnosis of HIV and higher rates of linkage and HIV care engagement. Multivariate analysis was used to examine whether social capital (social cohesion, social participation, and collective engagement) in 2004/2006 was associated with lower 5-year average (2007-2011) prevalence of (a) late HIV diagnosis, (b) linked to HIV care, and (c) engaged in HIV care within Philadelphia, PA, United St…
After 121 Years, It’s Time to Recognize W.E.B. Du Bois as a Founding Father of Social Epidemiology
Sharon D. Jones-Eversley, Lorraine T. Dean, After 121 Years, It’s Time to Recognize W.E.B. Du Bois as a Founding Father of Social Epidemiology, The Journal of Negro Education, Vol. 87, No. 3, Innovations in African American Educational Research: A Special Issue Commemorating the 150th Anniversary of W.E.B. Du Bois’ Birth (Summer 2018), pp. 230-245
Social capital and HIV/Aids in the United States
Our review suggests that social capital may be an important determinant of HIV/AIDS prevention, transmission, and treatment outcomes. We recommend future research assess these associations using qualitative and mixed-methods approaches, longitudinally, examine differences across subgroups and geographic region, include a wider range of social capital constructs, and examine indicators beyond HIV diagnosis, as well as how mechanisms like stigma li…
Using Credit Scores to Understand Predictors and Consequences of Disease
Racial and Ethnic Disparities in HIV Pre-exposure Prophylaxis Awareness Among Men Who have Sex with Men
Consumer credit, chronic disease and risk behaviours
BACKGROUND: Credit scores have been identified as a marker of disease burden. This study investigated credit scores' association with chronic diseases and health behaviours that are associated with chronic diseases. METHODS: This cross-sectional analysis included data on 2083 residents of Philadelphia, Pennsylvania, USA in 2015. Nine-digit ZIP code level FICO credit scores were appended to individual self-reported chronic diseases (obesity, diabe…
Social capital and utilization of immunization service
The National Health Policy (2017) of India advocates Universal Health Coverage through inclusive growth, decentralization, and rebuilding a cohesive community through a participatory process. To achieve this goal, understanding social organization, and community relationships - defined as social capital - is critical. This study aimed to explore the influence of individual and community-level social capital on a critical health system performance…
Impacts of Gentrification on Health in the US
Examining the Role of Family History of US Enslavement in Health Care System Distrust Today
DAEUS express greater HCS distrust than non-DAEUS, patterned by awareness of unethical treatment and passive discrimination. Understanding how long-term exposure to US institutions influences health is critical to resolving disparities for all Black/African American groups. Rectifying past injustices through reparative institutional measures may improve DAEUS' trust and engagement with the US HCS
Disparities in First Instrumental Activity of Daily Living Difficulty between Black and White Older Adults
Objectives: Few studies have examined differences in age of onset of first self-reported instrumental activities of daily living difficulty, much less differences by race. Our objective was to determine whether there are differences in the first reported difficulty with IADLs between Black and white older adults. Methods: We analyzed data from N = 1168 participants in the Advanced Cognitive Training in Independent and Vital Elderly (ACTIVE) study…
What Structural Racism Is (or Is Not) and How to Measure It
Interest in studying structural racism’s impacts on health has grown exponentially in recent years. Across these studies, there is much heterogeneity in the definition and measurement of structural racism, leading to mixed interpretations of structural racism’s impact on health. A precise definition of structural racism can offer conceptual clarity to inform what mechanisms to investigate and is imperative for conducting high-quality research on …
Financial hardship and mental health among cancer survivors during the Covid-19 pandemic
Purpose: Our objective was to (1) identify associated characteristics of financial hardship (FH), and (2) evaluate associations of FH with mental health symptoms among cancer survivors during the COVID-19 pandemic. Methods: = 854,7.6%). We defined FH using the following question: "Based on your current financial situation, how would you pay for an unexpected $400 expense?" Multivariable Poisson regression was used to estimate adjusted prevalence …
A consequence of mass incarceration
Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care
Racial and ethnic differences in the association of social cohesion and social capital with HIV testing
HIV testing rates vary by race and ethnicity. Whether social capital indicators are related to HIV testing and whether these associations differ by race or ethnicity is unknown. Multivariable analysis was used to examine whether social capital (collective engagement and civic and social participation), including social cohesion (trust in neighbors, neighbors willing to help, feelings of belongingness) were associated with testing for HIV in the p…
A database of US state policies to mitigate Covid-19 and its economic consequences
CUSP is the most comprehensive publicly available policy database of health, social, and economic policies in response to the COVID-19 pandemic in the US. CUSP documents widespread variation in state policy decisions and implementation dates across the US and serves as a freely available and valuable resource to policymakers and researchers
Same-Sex Marriage Laws, Provider-Patient Communication, and PrEP Awareness and Use Among Gay, Bisexual, and Other Men Who have Sex with Men in the United States
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
The Relationship Between Cognition and Mortality Among Older Black and White Men in Advanced Cognitive Training for Independent and Vital Elderly
Objective : To determine the association between baseline cognition and all-cause mortality among Black men and White men. Methods : Data were from 614 Black and White men aged ≥65 years at baseline in the Advanced Cognitive Training for Independent and Vital Elderly trial and their linked mortality information. Cox proportional hazards models were used to determine the association between baseline cognition (memory, reasoning, speed of processin…
Association of maternal education, neighborhood deprivation, and racial segregation with gestational age at birth by maternal race/ethnicity and United States Census region in the Echo cohorts
Background In the United States, disparities in gestational age at birth by maternal race, ethnicity, and geography are theorized to be related, in part, to differences in individual- and neighborhood-level socioeconomic status (SES). Yet, few studies have examined their combined effects or whether associations vary by maternal race and ethnicity and United States Census region. Methods We assembled data from 34 cohorts in the Environmental influ…
Health Care Expenditures for Black and White US Adults Living Under Similar Conditions
In this cross-sectional study of Black and White adults in the US, health care expenditure disparities diminished or disappeared under conditions of both racial and economic equity and equitable health care access; in areas that were mostly high income and had mostly White residents, Black adults spent substantially less. Results underscore the continuing need to recognize place as a contributor to race-based differences in health care spending
Medicine (31 obras) · Psychology (19 obras) · Public health (17 obras) · Demography (15 obras) · Gerontology (14 obras) · Sociology (14 obras) · Health disparities and outcomes (13 obras) · Environmental health (11 obras) · Demography (10 obras) · HIV/AIDS Research and Interventions (10 obras)