Michele K Evans
Dados Biográficos
| ID | 81265 |
|---|---|
| NOME | Michele K Evans |
| PRENOMES | Michele K |
| SOBRENOME | Evans |
| ASSINATURA | EVANS M K |
| AFILIAÇÕES | National Institute on Aging |
| ORCID | 0000-0002-8546-2831 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAÇÕES | 47 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1970 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Mapping food access
Limited access to affordable, nutritious food is a key structural determinant of health inequality. In the United Kingdom, food desert risk is often assumed to mirror socioeconomic deprivation, yet their alignment across small-area geographies remains unclear. To characterize the spatial distribution of food desert risk across England, Wales, and Scotland; quantify its association and concordance with area-level deprivation; and identify deprivat…
Does time heal all wounds? Examining the lasting impact of historic redlining on contemporary racial disparities in allostatic load in Baltimore, Maryland
Contemporary residents of historically yellowlined, but not redlined, neighborhoods experienced heightened physiological deterioration. The strength of this association differed by race, and was substantially explained by the contemporary neighborhood deprivation index only for African Americans in yellowlined areas. Addressing health disparities requires attention to the long-lasting impacts of historical practices of institutional racism on con…
How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time
Mistrust of the health care system is associated with underutilization of medical services and poor self-reported health, which itself is an important indicator for future morbidity and mortality. This study examines how several factors influence the association between medical mistrust and self-rated health in a middle-aged socioeconomically diverse cohort over 16 years. Participants ( n = 1673) from the Health Aging in Neighborhoods of Diversit…
Socioeconomic area deprivation and its relationship with dementia, Parkinson's Disease and all-cause mortality among UK older adults
Comparative Analysis of White and African American Groups Reveals Unique Lipid and Inflammatory Features of Diabetes
Diabetes is a metabolic and inflammatory disease that disproportionately affects African American populations, yet clinical diagnostics often rely on biomarkers discovered and validated predominantly in White cohorts. This study investigates race-specific lipid and inflammatory features of diabetes to uncover biologically distinct disease signatures that may contribute to disparities in diagnosis and management. We analyzed clinical parameters fr…
Examining the Impact of Race and Poverty on the Relationship Between Purpose in Life and Functional Health
Pathways explaining racial/ethnic and socio-economic disparities in brain white matter integrity outcomes in the UK Biobank study
Pathways explaining racial/ethnic and socio-economic status (SES) disparities in white matter integrity (WMI) reflecting brain health, remain underexplored, particularly in the UK population. We examined racial/ethnic and SES disparities in diffusion tensor brain magnetic resonance imaging (dMRI) markers, namely global and tract-specific mean fractional anisotropy (FA), and tested total, direct and indirect effects through lifestyle, health-relat…
Personality and cognitive errors in the Healthy Aging in Neighborhoods of Diversity across the Life Span study
Racial Discrimination, Religious Coping, and Cardiovascular Disease Risk Among African American Women and Men
Objective This cross-sectional study examined whether religious coping buffered the associations between racial discrimination and several modifiable cardiovascular disease (CVD) risk factors-systolic and diastolic blood pressure (BP), glycated hemoglobin (HbA1c), body mass index (BMI), and cholesterol-in a sample of African American women and men. Methods Participant data were taken from the Healthy Aging in Neighborhoods of Diversity Across the…
Health Literacy, Numeracy, and Dietary Approaches to Stop Hypertension Accordance Among Hypertensive Adults
BACKGROUND: Health literacy (HL) and health numeracy (HN), the ability to interpret and act on quantitative health information, are important for hypertension self-management such as limiting sodium intake. We examined associations of HL, HN, and Dietary Approaches to Stop Hypertension (DASH) diet accordance. PARTICIPANTS: Among 1,073 hypertensive adults enrolled in a Baltimore, Maryland-based cohort study, we performed a cross-sectional analysis…
Synergistic Associations of Depressive Symptoms and Executive Functions With Longitudinal Trajectories of Diabetes Biomarkers Among Urban-Dwelling Adults Without Diabetes
Objective Depressive symptoms and executive functions (EFs) have recently emerged as novel risk factors for type 2 diabetes, but it is unknown if these factors interact to influence diabetes pathophysiology across the life span. We examined the synergistic associations of depressive symptoms and EFs with longitudinal trajectories of diabetes diagnostic criteria among middle-aged and older adults without diabetes. Methods Participants were 1257 Af…
The Association Between Perceived Discrimination and BMI Trajectory
Evidence suggests that socioenvironmental stressors, such as discrimination, may serve as determinants of the ongoing obesity epidemic and persisting disparities in obesity prevalence. The objectives of these analyses were to examine whether perceived discrimination was associated with body mass index (BMI) trajectory and whether this relationship differed by race or sex. Data for these analyses came from the Healthy Aging in Neighborhoods of Div…
Prevalence of Guideline-Directed Medical Therapy for Cardiovascular Disease Among Baltimore City Adults in the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study
Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort
Community engagement and neighborhood social cohesion may be important targets for promotion of healthy behaviors and cardiovascular disease prevention. More research is needed to understand the different associations of NSC and healthy behaviors by race
Exploring Neighborhood Social Environment and Social Support in Baltimore
Intervention efforts include social support as a mechanism to promote well-being in diverse communities. Cultivating support can be complex, particularly in disadvantaged urban communities. This complexity is compounded by a lack of studies that attempt to map associations between urban neighborhood environments and social support exchanges. Authors address this gap by analyzing data from the Healthy Aging in Neighborhoods of Diversity across the…
Interactive Relations Across Dimensions of Interpersonal-Level Discrimination and Depressive Symptoms to Carotid Intimal-Medial Thickening in African Americans
OBJECTIVE: This study aimed to examine within-race interactions of multiple dimensions of self-reported discrimination with depressive symptoms in relation to carotid intimal-medial thickness (IMT), a subclinical marker of atherosclerosis prospectively implicated in stroke incidence, in middle-aged to older African American and white adults. METHODS: Participants were a socioeconomically diverse group of 1941 African Americans (56.5%) and whites …
Relations of Executive Function and Physical Performance in Middle Adulthood
Findings did not reveal prospective associations between EF and physical performance decline in middle adulthood. However, they identified robust cross-sectional associations between EF and physical performance, and unexpectedly greater decline in lower extremity strength in men than women. Ultimately, these findings may inform prevention and intervention strategies targeting groups at risk for poorer physical function status and decline
Multiple Influences on Cognitive Function Among Urban-Dwelling African Americans
Differential Associations of Socioeconomic Status With Global Brain Volumes and White Matter Lesions in African American and White Adults
OBJECTIVE: The aim of the study was to examine interactive relations of race and socioeconomic status (SES) to magnetic resonance imaging (MRI)-assessed global brain outcomes with previously demonstrated prognostic significance for stroke, dementia, and mortality. METHODS: Participants were 147 African Americans (AAs) and whites (ages 33-71 years; 43% AA; 56% female; 26% below poverty) in the Healthy Aging in Neighborhoods of Diversity across the…
Perceived Discrimination and Longitudinal Change in Kidney Function Among Urban Adults
OBJECTIVE: Perceived discrimination has been associated with psychosocial distress and adverse health outcomes. We examined associations of perceived discrimination measures with changes in kidney function in a prospective cohort study, the Healthy Aging in Neighborhoods of Diversity across the Life Span. METHODS: Our study included 1620 participants with preserved baseline kidney function (estimated glomerular filtration rate [eGFR] ≥ 60 mL/min/…
Diet quality and cognitive function in an urban sample
Objective Poor diet quality contributes to morbidity, including poor brain health outcomes such as cognitive decline and dementia. African Americans and individuals living in poverty may be at greater risk for cognitive decrements from poor diet quality. Design Cross-sectional. Setting Baltimore, MD, USA. Subjects Participants were 2090 African Americans and Whites (57 % female, mean age=47·9 years) who completed two 24 h dietary recalls. We exam…
Indicators of subjective social status
Subjective social status (SSS), or perception of rank on the social hierarchy, is an important indicator of various health outcomes. However, the psychosocial influences on this construct are unclear, and how these influences vary across different sociodemographic groups is poorly understood. Participants were 2077 African-American and Whites (M age=47.85; 57% female; 58% African American, and 58% above poverty) from the Healthy Aging in Neighbor…
Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study
Poverty status moderated race differences for BMI, WC, and HDL-C, conveying increased risk among Whites living in poverty, but reduced risk in their AA counterparts. Race differences for six additional risk factors withstood extensive statistical adjustments including SES indicators
Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults
The relationship between grip strength, race and SES as assessed by household income varied in this cohort. Efforts to develop grip strength norms and cut points that indicate frailty and sarcopenia may need to be race- and income-specific
Race Differences in Diet Quality of Urban Food-Insecure Blacks and Whites Reveals Resiliency in Blacks
Neighborhood Racial Composition, Racial Discrimination, and Depressive Symptoms in African Americans
While evidence indicates that experienced racial discrimination is associated with increased depressive symptoms for African Americans, there is little research investigating predictors of experienced racial discrimination. This paper examines neighborhood racial composition and sociodemographic factors as antecedents to experienced racial discrimination and resultant levels of depressive symptoms among African American adults. The sample include…
Racial Differences in Self-Reports of Short Sleep Duration in an Urban-Dwelling Environment
Although racial disparities in sleep duration are minimized when the environment is equivalent between blacks and whites, the underlying demographic and health explanations for short sleep durations may vary between whites and blacks
Racial Discrimination, Religious Coping, and Cardiovascular Disease Risk Among African American Women and Men
Objective This cross-sectional study examined whether religious coping buffered the associations between racial discrimination and several modifiable cardiovascular disease (CVD) risk factors-systolic and diastolic blood pressure (BP), glycated hemoglobin (HbA1c), body mass index (BMI), and cholesterol-in a sample of African American women and men. Methods Participant data were taken from the Healthy Aging in Neighborhoods of Diversity Across the…
Association of Walkability With Obesity in Baltimore City, Maryland
Objectives. To investigate the association between walkability and obesity, we studied adults residing in Baltimore City, Maryland, in neighborhoods of varying racial and socioeconomic composition. Methods. We conducted a cross-sectional study of 3493 participants from the study Healthy Aging in Neighborhoods of Diversity across the Life Span. We used the Pedestrian Environment Data Scan to measure neighborhood walkability in 34 neighborhoods of …
Relations of Executive Function and Physical Performance in Middle Adulthood
Findings did not reveal prospective associations between EF and physical performance decline in middle adulthood. However, they identified robust cross-sectional associations between EF and physical performance, and unexpectedly greater decline in lower extremity strength in men than women. Ultimately, these findings may inform prevention and intervention strategies targeting groups at risk for poorer physical function status and decline
Race Differences in Diet Quality of Urban Food-Insecure Blacks and Whites Reveals Resiliency in Blacks
Macroeconomic Activity
Macroeconomic Activity
Cardiovascular-Emotional Dampening
Objective: Persons with elevated blood pressure (BP) show dampened emotional responses to affect-laden stimuli. We sought to further examine cardiovascular-emotional dampening by examination of the relationship between resting hemodynamic measures and recognition of emotion in an African American community-based sample. Methods: Participants were 106 African American men and women (55 women; mean age = 52.8 years), mainly low in socioeconomic sta…
Healthy food availability and the association with BMI in Baltimore, Maryland
Objective To study the association between the availability of healthy foods and BMI by neighbourhood race and socio-economic status (SES). Design Trained staff collected demographic information, height, weight and 24 h dietary recalls between 2004 and 2008. Healthy food availability was determined in thirty-four census tracts of varying racial and SES composition using the Nutrition Environment Measures Survey–Stores in 2007. Multilevel linear r…
Receiver-operating characteristics of adiposity for metabolic syndrome
Objective To assess the predictive values of various adiposity indices for metabolic syndrome (MetS) among adults using baseline data from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) cohort. Design In a cross-sectional study, BMI, waist circumference (WC), body composition by dual-energy X-ray absorptiometry (DEXA) and metabolic risk factors such as TAG, HDL cholesterol, blood pressure, fasting glucose and insuli…
Association of Walkability With Obesity in Baltimore City, Maryland
Objectives. To investigate the association between walkability and obesity, we studied adults residing in Baltimore City, Maryland, in neighborhoods of varying racial and socioeconomic composition. Methods. We conducted a cross-sectional study of 3493 participants from the study Healthy Aging in Neighborhoods of Diversity across the Life Span. We used the Pedestrian Environment Data Scan to measure neighborhood walkability in 34 neighborhoods of …
Serum ferritin levels associated with increased risk for developing CHD in a low-income urban population
Objective The present study examined the association of serum ferritin with CHD risk using the Framingham Heart Study's 10-year risk algorithm. Design Ordinal logistic regression modelling was used to interpret risk. Proportional odds modelling assessed four divisions of ranked CHD risk (4, high; 3, increased; 2, slight; 1, minimal), separately by sex. Setting Baltimore, MD, USA. Subjects African-American and white participants ( n 1823) from bas…
Racial Differences in Self-Reports of Short Sleep Duration in an Urban-Dwelling Environment
Although racial disparities in sleep duration are minimized when the environment is equivalent between blacks and whites, the underlying demographic and health explanations for short sleep durations may vary between whites and blacks
Neighborhood Racial Composition, Racial Discrimination, and Depressive Symptoms in African Americans
While evidence indicates that experienced racial discrimination is associated with increased depressive symptoms for African Americans, there is little research investigating predictors of experienced racial discrimination. This paper examines neighborhood racial composition and sociodemographic factors as antecedents to experienced racial discrimination and resultant levels of depressive symptoms among African American adults. The sample include…
Dietary Antioxidant Intake and Its Association With Cognitive Function in an Ethnically Diverse Sample of US Adults
BACKGROUND: Dietary antioxidants can inhibit reactions accompanying neurodegeneration and thus prevent cognitive impairment. We describe associations of dietary antioxidants with cognitive function in a large biracial population, while testing moderation by sex, race, and age and mediation by depressive symptoms. METHODS: This was a cross-sectional analysis of 1274 adults (541 men and 733 women) aged 30 to 64 years at baseline (mean [standard dev…
Associations Between Diabetes and Cognitive Function in Socioeconomically Diverse African American and White Men and Women
OBJECTIVES: To examine whether race and poverty (income <125% of the federal poverty limit), modifies associations between diabetes and cognition in a biracial, urban-dwelling sample. METHODS: Cross-sectional data for 2066 participants (mean age = 47.6 years, 56.8% women, 56.2% African American, 38.6% below poverty) from the first wave of the Healthy Aging in Neighborhoods of Diversity across the Life Span study were used for analyses. Eleven tes…
The impact of conventional dietary intake data coding methods on foods typically consumed by low-income African-American and White urban populations
Objective Analysing dietary data to capture how individuals typically consume foods is dependent on the coding variables used. Individual foods consumed simultaneously, like coffee with milk, are given codes to identify these combinations. Our literature review revealed a lack of discussion about using combination codes in analysis. The present study identified foods consumed at mealtimes and by race when combination codes were or were not utiliz…
Indicators of subjective social status
Subjective social status (SSS), or perception of rank on the social hierarchy, is an important indicator of various health outcomes. However, the psychosocial influences on this construct are unclear, and how these influences vary across different sociodemographic groups is poorly understood. Participants were 2077 African-American and Whites (M age=47.85; 57% female; 58% African American, and 58% above poverty) from the Healthy Aging in Neighbor…
Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study
Poverty status moderated race differences for BMI, WC, and HDL-C, conveying increased risk among Whites living in poverty, but reduced risk in their AA counterparts. Race differences for six additional risk factors withstood extensive statistical adjustments including SES indicators
Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults
The relationship between grip strength, race and SES as assessed by household income varied in this cohort. Efforts to develop grip strength norms and cut points that indicate frailty and sarcopenia may need to be race- and income-specific
Race Differences in Diet Quality of Urban Food-Insecure Blacks and Whites Reveals Resiliency in Blacks
Differential Associations of Socioeconomic Status With Global Brain Volumes and White Matter Lesions in African American and White Adults
OBJECTIVE: The aim of the study was to examine interactive relations of race and socioeconomic status (SES) to magnetic resonance imaging (MRI)-assessed global brain outcomes with previously demonstrated prognostic significance for stroke, dementia, and mortality. METHODS: Participants were 147 African Americans (AAs) and whites (ages 33-71 years; 43% AA; 56% female; 26% below poverty) in the Healthy Aging in Neighborhoods of Diversity across the…
Perceived Discrimination and Longitudinal Change in Kidney Function Among Urban Adults
OBJECTIVE: Perceived discrimination has been associated with psychosocial distress and adverse health outcomes. We examined associations of perceived discrimination measures with changes in kidney function in a prospective cohort study, the Healthy Aging in Neighborhoods of Diversity across the Life Span. METHODS: Our study included 1620 participants with preserved baseline kidney function (estimated glomerular filtration rate [eGFR] ≥ 60 mL/min/…
Diet quality and cognitive function in an urban sample
Objective Poor diet quality contributes to morbidity, including poor brain health outcomes such as cognitive decline and dementia. African Americans and individuals living in poverty may be at greater risk for cognitive decrements from poor diet quality. Design Cross-sectional. Setting Baltimore, MD, USA. Subjects Participants were 2090 African Americans and Whites (57 % female, mean age=47·9 years) who completed two 24 h dietary recalls. We exam…
Multiple Influences on Cognitive Function Among Urban-Dwelling African Americans
Interactive Relations Across Dimensions of Interpersonal-Level Discrimination and Depressive Symptoms to Carotid Intimal-Medial Thickening in African Americans
OBJECTIVE: This study aimed to examine within-race interactions of multiple dimensions of self-reported discrimination with depressive symptoms in relation to carotid intimal-medial thickness (IMT), a subclinical marker of atherosclerosis prospectively implicated in stroke incidence, in middle-aged to older African American and white adults. METHODS: Participants were a socioeconomically diverse group of 1941 African Americans (56.5%) and whites …
Relations of Executive Function and Physical Performance in Middle Adulthood
Findings did not reveal prospective associations between EF and physical performance decline in middle adulthood. However, they identified robust cross-sectional associations between EF and physical performance, and unexpectedly greater decline in lower extremity strength in men than women. Ultimately, these findings may inform prevention and intervention strategies targeting groups at risk for poorer physical function status and decline
Prevalence of Guideline-Directed Medical Therapy for Cardiovascular Disease Among Baltimore City Adults in the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study
Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort
Community engagement and neighborhood social cohesion may be important targets for promotion of healthy behaviors and cardiovascular disease prevention. More research is needed to understand the different associations of NSC and healthy behaviors by race
Exploring Neighborhood Social Environment and Social Support in Baltimore
Intervention efforts include social support as a mechanism to promote well-being in diverse communities. Cultivating support can be complex, particularly in disadvantaged urban communities. This complexity is compounded by a lack of studies that attempt to map associations between urban neighborhood environments and social support exchanges. Authors address this gap by analyzing data from the Healthy Aging in Neighborhoods of Diversity across the…
Synergistic Associations of Depressive Symptoms and Executive Functions With Longitudinal Trajectories of Diabetes Biomarkers Among Urban-Dwelling Adults Without Diabetes
Objective Depressive symptoms and executive functions (EFs) have recently emerged as novel risk factors for type 2 diabetes, but it is unknown if these factors interact to influence diabetes pathophysiology across the life span. We examined the synergistic associations of depressive symptoms and EFs with longitudinal trajectories of diabetes diagnostic criteria among middle-aged and older adults without diabetes. Methods Participants were 1257 Af…
Medicine (31 obras) · Gerontology (28 obras) · Psychology (21 obras) · Health disparities and outcomes (19 obras) · Demography (17 obras) · Environmental health (16 obras) · Demography (13 obras) · Internal Medicine (13 obras) · Population (11 obras) · Sociology (9 obras)