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  1. Article ; Online: Distance to endoscopy services amplifies racial inequities in colorectal cancer mortality in Washington state.

    Edwards, Ashley / Monroe, Rachel / Amram, Ofer / Kumar, Anjali

    American journal of surgery

    2024  

    Abstract: Background: This study evaluates relationships among race, access to endoscopy services, and colorectal cancer (CRC) mortality in Washington state (WA).: Methods: We overlayed the locations of ambulatory endoscopy services with place of residence at ... ...

    Abstract Background: This study evaluates relationships among race, access to endoscopy services, and colorectal cancer (CRC) mortality in Washington state (WA).
    Methods: We overlayed the locations of ambulatory endoscopy services with place of residence at time of death, using Department of Health data (2011-2018). We compared CRC mortality data within and outside a 10 ​km buffer from services. We used linear regression to assess the impact of distance and race on age at death while adjusting for gender and education level.
    Results: Age at death: median 72.9y vs. 68.2y for white vs. non-white (p ​< ​0.001). The adjusted model showed that non-whites residing outside the buffer died 6.9y younger on average (p ​< ​0.001). Non-whites residing inside the buffer died 5.2y younger on average (p ​< ​0.001), and whites residing outside the buffer died 1.6y younger (p ​< ​0.001). We used heatmaps to geolocate death density.
    Conclusions: Results suggest that geographic access to endoscopy services disproportionately impacts non-whites in Washington. These data help identify communities which may benefit from improved access to alternative colorectal cancer screening methods.
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2024.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Disparities in access to opioid treatment programs and buprenorphine providers by race and ethnicity in the contiguous U.S.

    Amiri, Solmaz / Panwala, Victoria / Amram, Ofer

    Journal of substance use and addiction treatment

    2023  Volume 156, Page(s) 209193

    Abstract: Background: The burden of drug overdose mortality varies by race and ethnicity, with American Indian/Alaska Native (AI/AN), Black, and White people experiencing the largest burden. We analyzed census block group data to evaluate differences in travel ... ...

    Abstract Background: The burden of drug overdose mortality varies by race and ethnicity, with American Indian/Alaska Native (AI/AN), Black, and White people experiencing the largest burden. We analyzed census block group data to evaluate differences in travel distance to opioid treatment programs (OTP) and buprenorphine providers by race and ethnicity.
    Methods: The Substance Abuse and Mental Health Services Administration provided the addresses of OTPs and buprenorphine providers. The study classified block groups as majority (≥50 %) AI/AN, Black, Asian, White, no single racial majority, or Hispanic. We classified deprivation and rurality using the Area Deprivation Index and Rural-Urban Commuting Area codes. The study applied generalized linear mixed models.
    Results: Among all block groups, the median road distance to the nearest OTPs and buprenorphine providers was 8 and 2 miles, respectively. AI/AN-majority block groups had the longest median distances to OTPs (88 miles versus 4-10 miles) and buprenorphine providers (17 miles versus 1-3 miles) compared to other racial or ethnic majority block groups. For OTPs and buprenorphine providers, travel distances were slightly greater in more deprived block groups compared to less deprived block groups. The median distance to the nearest OTPs and buprenorphine providers were larger in micropolitan and small town/rural block groups compared to metropolitan areas.
    Conclusions: Disparities exist in travel distance to OTPs and buprenorphine providers. People in block groups with AI/AN-majority, nonmetropolitan, or more deprived designation experience travel disparities accessing treatment. Future research should develop targeted interventions to reduce access to care disparities for individuals with opioid use disorder.
    MeSH term(s) Humans ; Analgesics, Opioid/therapeutic use ; Buprenorphine/therapeutic use ; Ethnicity ; Opioid-Related Disorders/drug therapy ; Opiate Substitution Treatment
    Chemical Substances Analgesics, Opioid ; Buprenorphine (40D3SCR4GZ)
    Language English
    Publishing date 2023-10-27
    Publishing country United States
    Document type Journal Article
    ISSN 2949-8759
    ISSN (online) 2949-8759
    DOI 10.1016/j.josat.2023.209193
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Travel Burden to Cancer Screening and Treatment Facilities Among Washington Women: Data From an Integrated Healthcare Delivery System.

    Amiri, Solmaz / Robison, Jeanne / Pflugeisen, Chaya / Monsivais, Pablo / Amram, Ofer

    Community health equity research & policy

    2023  , Page(s) 2752535X231215881

    Abstract: Purpose: To characterize distance traveled for breast cancer screening and to sites of service for breast cancer treatment, among rural and urban women served by a Washington State healthcare network.: Methods: Data for this study came from one of ... ...

    Abstract Purpose: To characterize distance traveled for breast cancer screening and to sites of service for breast cancer treatment, among rural and urban women served by a Washington State healthcare network.
    Methods: Data for this study came from one of the largest not-for-profit integrated healthcare delivery systems in Washington State. Generalized linear mixed models with gamma log link function were used to examine the associations between travel distance and sociodemographic and contextual characteristics of patients.
    Results: Median travel distance for breast cancer screening facilities, hematologist/oncologists, radiation oncologists, or surgeons was 11, 19, 23, or 11 miles, respectively. Travel distance to breast cancer screening or referral facilities was longer in non-core metropolitan ZIP codes compared to metropolitan ZIP codes. AI/AN and Hispanic women travelled longer distances to reach referral facilities compared to other racial and ethnic groups.
    Conclusion: Disparities exist in travel distance to breast cancer screening and treatment. Further research is needed to describe sociodemographic and system level characteristics that contribute to such disparities and to discover novel approaches to alleviate this burden.
    Language English
    Publishing date 2023-11-17
    Publishing country United States
    Document type Journal Article
    ISSN 2752-5368
    ISSN (online) 2752-5368
    DOI 10.1177/2752535X231215881
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Changes to methadone maintenance therapy in the United States, Canada, and Australia during the COVID-19 pandemic: A narrative review.

    Panwala, Victoria / Joudrey, Paul / Kowalski, Melanie / Bach, Paxton / Amram, Ofer

    Journal of substance use and addiction treatment

    2023  Volume 152, Page(s) 209086

    Abstract: Introduction: In response to the COVID-19 pandemic, countries across the world made adaptations to policies regulating the provision of methadone maintenance therapy (MMT) to facilitate social distancing for health care providers and people in treatment. ...

    Abstract Introduction: In response to the COVID-19 pandemic, countries across the world made adaptations to policies regulating the provision of methadone maintenance therapy (MMT) to facilitate social distancing for health care providers and people in treatment. Many countries issued guidance about increasing take-home methadone doses after the onset of the pandemic.
    Methods: In this review, we compare the regulation of MMT prior to the pandemic in the United States, Canada, and Australia, analyze changes to treatment policy in the context of COVID-19, and review emerging data on treatment outcomes.
    Results: The United States only permits the prescription and disbursement of methadone for MMT treatment at federally designated opioid treatment programs (OTPs). Conversely, Australia and Canada operate on a community pharmacy-based distribution model, where patients can access methadone doses either in participating pharmacies or in some methadone clinics.
    Conclusion: Given reports of similar treatment outcomes and increased patient satisfaction since the pandemic-related policy changes, some changes including increased receipt of take-home doses should be considered for incorporation into post-pandemic treatment policies and regulations.
    MeSH term(s) Humans ; United States/epidemiology ; Opioid-Related Disorders/drug therapy ; Pandemics ; COVID-19 ; Opiate Substitution Treatment ; Methadone/therapeutic use ; Canada/epidemiology ; Australia/epidemiology
    Chemical Substances Methadone (UC6VBE7V1Z)
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Review ; Journal Article
    ISSN 2949-8759
    ISSN (online) 2949-8759
    DOI 10.1016/j.josat.2023.209086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Opioid use and COVID-19: a secondary analysis of the impact of relaxation of methadone take-home dosing guidelines on use of illicit opioids.

    Panwala, Victoria / Thorn, Emily / Amiri, Solmaz / Socias, M Eugenia / Lutz, Robert / Amram, Ofer

    The American journal of drug and alcohol abuse

    2023  Volume 49, Issue 5, Page(s) 597–605

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Humans ; Analgesics, Opioid/therapeutic use ; Methadone/therapeutic use ; Hydromorphone ; Heroin ; Pandemics ; COVID-19 ; Opioid-Related Disorders/drug therapy ; Opioid-Related Disorders/rehabilitation ; Fentanyl/therapeutic use ; Codeine/therapeutic use ; Morphine ; Opiate Substitution Treatment
    Chemical Substances Analgesics, Opioid ; Methadone (UC6VBE7V1Z) ; Hydromorphone (Q812464R06) ; Heroin (70D95007SX) ; Fentanyl (UF599785JZ) ; Codeine (UX6OWY2V7J) ; Morphine (76I7G6D29C)
    Language English
    Publishing date 2023-07-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 193086-2
    ISSN 1097-9891 ; 0095-2990
    ISSN (online) 1097-9891
    ISSN 0095-2990
    DOI 10.1080/00952990.2023.2222336
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Availability of timely methadone treatment in the United States and Canada during COVID-19: A census tract-level analysis.

    Amram, Ofer / Rosenkrantz, Leah / DDes, Solmaz Amiri / Schuurman, Nadine / Panwala, Victoria J / Joudrey, Paul J

    Drug and alcohol dependence

    2023  Volume 245, Page(s) 109801

    Abstract: Objectives: We sought to compare timely access to methadone treatment in the United States (US) and Canada during the COVID-19 pandemic.: Methods: We conducted a cross-sectional study of census tracts and aggregated dissemination areas (used for ... ...

    Abstract Objectives: We sought to compare timely access to methadone treatment in the United States (US) and Canada during the COVID-19 pandemic.
    Methods: We conducted a cross-sectional study of census tracts and aggregated dissemination areas (used for rural Canada) within 14 US and 3 Canadian jurisdictions in 2020. We excluded census tracts or areas with a population density of less than one person per square km. Data from a 2020 audit of timely medication access was used to determine clinics accepting new patients within 48 h. Unadjusted and adjusted linear regressions were performed to examine the relationship between area population density and sociodemographic covariates and three outcome variables: 1) driving distance to the nearest methadone clinic accepting new patients, 2) driving distance to the nearest methadone clinic accepting new patients for medication initiation within 48 h, and 3) the difference in the driving distance between the first and second outcome.
    Results: We included 17,611 census tracts and areas with a population density greater than one person per square kilometer. After adjusting for area covariates, US jurisdictions were a median of 11.6 miles (p value <0.001) further from a methadone clinic accepting new patients and 25.1 miles (p value <0.001) further from a clinic accepting new patients within 48 h than Canadian jurisdictions.
    Conclusions: These results suggest that the more flexible Canadian regulatory approach to methadone treatment is associated with a greater availability of timely methadone treatment and reduced urban-rural disparity in availability, compared to the US.
    MeSH term(s) Humans ; United States/epidemiology ; Cross-Sectional Studies ; Pandemics ; Canada/epidemiology ; COVID-19 ; Methadone/therapeutic use
    Chemical Substances Methadone (UC6VBE7V1Z)
    Language English
    Publishing date 2023-02-09
    Publishing country Ireland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 519918-9
    ISSN 1879-0046 ; 0376-8716
    ISSN (online) 1879-0046
    ISSN 0376-8716
    DOI 10.1016/j.drugalcdep.2023.109801
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Expansion of Grocery Delivery and Access for Washington SNAP Participants During the COVID-19 Pandemic.

    Beese, Shawna / Amram, Ofer / Corylus, Acacia / Graves, Janessa M / Postma, Julie / Monsivais, Pablo

    Preventing chronic disease

    2022  Volume 19, Page(s) E36

    MeSH term(s) COVID-19 ; Food Assistance ; Food Supply ; Humans ; Pandemics ; Washington/epidemiology
    Language English
    Publishing date 2022-06-30
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2135684-1
    ISSN 1545-1151 ; 1545-1151
    ISSN (online) 1545-1151
    ISSN 1545-1151
    DOI 10.5888/pcd19.210412
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  8. Article ; Online: Correction to: Racial and socioeconomic inequities in breast cancer screening before and during the COVID-19 pandemic: analysis of two cohorts of women 50 years + .

    Monsivais, Pablo / Amiri, Solmaz / Robison, Jeanne / Pflugeisen, Chaya / Kordas, Gordon / Amram, Ofer

    Breast cancer (Tokyo, Japan)

    2022  Volume 29, Issue 4, Page(s) 747

    Language English
    Publishing date 2022-05-02
    Publishing country Japan
    Document type Published Erratum
    ZDB-ID 2052429-8
    ISSN 1880-4233 ; 1340-6868
    ISSN (online) 1880-4233
    ISSN 1340-6868
    DOI 10.1007/s12282-022-01361-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011-2015.

    Bhardwaj, Rajan / Amiri, Solmaz / Buchwald, Dedra / Amram, Ofer

    International journal of environmental research and public health

    2020  Volume 17, Issue 8

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Aged ; Aged, 80 and over ; Aging ; Environment ; Female ; Humans ; Male ; Marital Status ; Residence Characteristics ; Social Class ; Washington/epidemiology
    Language English
    Publishing date 2020-04-20
    Publishing country Switzerland
    Document type Journal Article
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17082828
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Fulminant pulmonary tuberculosis in a previously healthy young woman from the Marshall Islands: Potential risk factors.

    Rockstrom, Matthew / Lutz, Robert / Dickeson, Katie / O'Rorke, Erin V / Narita, Masahiro / Amram, Ofer / Chan, Edward D

    Journal of clinical tuberculosis and other mycobacterial diseases

    2023  Volume 31, Page(s) 100351

    Abstract: A 19-year-old woman originally from the Republic of the Marshall Islands presented with diffuse pneumonia and acute hypoxemic respiratory failure. She dies one month into her hospitalization but the diagnosis of pulmonary tuberculosis (TB) was not made ... ...

    Abstract A 19-year-old woman originally from the Republic of the Marshall Islands presented with diffuse pneumonia and acute hypoxemic respiratory failure. She dies one month into her hospitalization but the diagnosis of pulmonary tuberculosis (TB) was not made until one day before her demise. A contact investigation screened a total of 155 persons with 36 (23%) found to have latent TB infection and seven (4.5%) with active pulmonary TB. This unfortunate case provided the opportunity to analyze the epidemiology of TB in the state of Washington in the context of those who emigrated from the Marshall Islands. The development of fulminant pulmonary TB in this previously healthy young woman also provides a segue to discuss potential risk factors for TB in the index case that include:
    Language English
    Publishing date 2023-02-26
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2405-5794
    ISSN (online) 2405-5794
    DOI 10.1016/j.jctube.2023.100351
    Database MEDical Literature Analysis and Retrieval System OnLINE

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