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Article ; Online: Primary Spanish speakers and sun-protective behaviors: A cross-sectional study.

Vecin, Nicole M / Caban-Martinez, Alberto J

Journal of the American Academy of Dermatology

2022 Volume 87, Issue 5, Page(s) 1212–1215

MeSH term(s)	Humans ; Cross-Sectional Studies ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Hispanic or Latino ; Protective Clothing ; Skin Neoplasms/drug therapy ; Skin Neoplasms/prevention & control ; Sunburn/prevention & control ; Sunscreening Agents/therapeutic use ; Surveys and Questionnaires ; Florida
Chemical Substances	Sunscreening Agents
Language	English
Publishing date	2022-03-26
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	603641-7
ISSN	1097-6787 ; 0190-9622
ISSN (online)	1097-6787
ISSN	0190-9622
DOI	10.1016/j.jaad.2022.03.031
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Article ; Online: Response to Kagabo et al, "Psychosocial Factors and Tobacco Use Among Commercial Truck Drivers".

Ward, Kenneth D / Caban-Martinez, Alberto J / Asfar, Taghrid

Journal of occupational and environmental medicine

2021 Volume 62, Issue 12, Page(s) e773

MeSH term(s)	Automobile Driving ; Humans ; Motor Vehicles ; Tobacco Use
Language	English
Publishing date	2021-03-11
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	1223932-x
ISSN	1536-5948 ; 1076-2752
ISSN (online)	1536-5948
ISSN	1076-2752
DOI	10.1097/JOM.0000000000002050
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Article ; Online: Acceptability, feasibility and implementation of a web-based U.S. Health Insurance Navigation Tool (HINT).

Zheng, Caiwei / Caban-Martinez, Alberto J

BMC research notes

2021 Volume 14, Issue 1, Page(s) 165

Abstract: Objective: In the U.S., health insurance is a crucial determinant of the affordability of healthcare services and access to care. Population-based studies indicate Americans do not have an adequate understanding of their insurance plans and face ... ...

Abstract	Objective: In the U.S., health insurance is a crucial determinant of the affordability of healthcare services and access to care. Population-based studies indicate Americans do not have an adequate understanding of their insurance plans and face difficulties navigating their health insurance coverage. The purpose of this pilot study is to collect qualitative data using a key informant interview format to learn about the acceptability, feasibility and implementation of a newly devised online health insurance navigation tool (HINT). Results: A total of 57 Florida residents completed the 18-item HINT web-based survey tool and provided feedback on their experience, of which 63.2% were women, 40.7% Black race, and had average sample age of 46.9 years. Participants reported the web tool to be of good length, easy readability, relevant, and overall helpful for insurance selection. All respondents reported that they would use the tool themselves should they find themselves in the process of selecting an insurance plan and 98.2% of respondents reported that they would suggest the web tool to a family or friend. The average time it took to complete the questionnaire was 4 min and 20 s.The HINT tool met study criteria on feasibility, implementation, and acceptability among study participants.
MeSH term(s)	Feasibility Studies ; Female ; Florida ; Humans ; Insurance Coverage ; Insurance, Health ; Internet ; Male ; Middle Aged ; Pilot Projects ; United States
Language	English
Publishing date	2021-05-01
Publishing country	England
Document type	Journal Article
ZDB-ID	2413336-X
ISSN	1756-0500 ; 1756-0500
ISSN (online)	1756-0500
ISSN	1756-0500
DOI	10.1186/s13104-021-05577-w
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Article ; Online: Disparities in clinical trial participation and the influence of physician specialty.

Silberlust, Jared / Suarez, Maritza M / Caban-Martinez, Alberto J

Clinical trials (London, England)

2020 Volume 18, Issue 1, Page(s) 127–129

MeSH term(s)	Clinical Trials as Topic ; Humans ; Patient Participation ; Physician-Patient Relations ; Physicians ; Specialization
Language	English
Publishing date	2020-09-14
Publishing country	England
Document type	Letter
ZDB-ID	2138796-5
ISSN	1740-7753 ; 1740-7745
ISSN (online)	1740-7753
ISSN	1740-7745
DOI	10.1177/1740774520956578
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Zs.A 5831: Show issues

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Article: Distinct Prostate Cancer Survival Outcomes in Firefighters: A Population-Based Study.

Pinheiro, Paulo S / Koru-Sengul, Tulay / Zhao, Wei / Hernandez, Diana R / Hernandez, Monique N / Kobetz, Erin N / Caban-Martinez, Alberto J / Lee, David J

Cancers

2024 Volume 16, Issue 7

Abstract: Introduction: ...

Abstract	Introduction:
Language	English
Publishing date	2024-03-27
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers16071305
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Article ; Online: Psychosocial Burdens Associated With Family Building Among Physicians and Medical Students.

Levy, Morgan S / Kelly, Amelia G / Mueller, Claudia / Brown, Alyssa D / Caban-Martinez, Alberto J / Arora, Vineet M / Salles, Arghavan

JAMA internal medicine

2023 Volume 183, Issue 9, Page(s) 1018–1021

MeSH term(s)	Humans ; Students, Medical/psychology ; Physicians/psychology ; Family Practice
Language	English
Publishing date	2023-07-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2699338-7
ISSN	2168-6114 ; 2168-6106
ISSN (online)	2168-6114
ISSN	2168-6106
DOI	10.1001/jamainternmed.2023.2570
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Article ; Online: A Total Worker Health Approach to Skin Exposure Assessment: Experiences from the Firefighter Cancer Initiative.

Caban-Martinez, Alberto J / Hughes, Jeff / Bator, Christopher

Annals of work exposures and health

2020 Volume 65, Issue 2, Page(s) 143–147

Abstract: Increasing scientific evidence suggests that addressing complex, wide-ranging concerns among worker populations should include the integration of traditional occupational safety and health with often siloed worksite wellness programs. The Total Worker ... ...

Abstract	Increasing scientific evidence suggests that addressing complex, wide-ranging concerns among worker populations should include the integration of traditional occupational safety and health with often siloed worksite wellness programs. The Total Worker Health (TWH) approach developed by the National Institute for Occupational Safety and Health can support skin cancer prevention efforts by integrating organizational-level policies, programs, and practices that strategically merge both skin protection from work-related safety and health hazards with promotion of skin illness prevention efforts. In the firefighter workforce, epidemiologic studies suggest an increased risk of skin cancer despite the use of personal protective equipment during fire incident response. Mechanisms for dermal absorption of carcinogenic compounds such as polycyclic aromatic hydrocarbons have given insight into how these hazardous chemicals can enter the skin and increase cancer risk. Mitigation of carcinogenic exposures requires a TWH approach that merges skin protection and promotion, routine surveillance, skin health assessment, worksite-based interventions, and regular evaluation of program activities. In this commentary, an example of a TWH approach is provided from the Firefighter Cancer Initiative (FCI), a transdisciplinary initiative focused at addressing excess burden of cancer in the firefighter workforce. The FCI builds on the TWH approach through the following components: (i) organizational leadership commitment; (ii) elimination of workplace hazards and promotion of worker well-being; (iii) engagement of workers in program design and delivery; (iv) ensuring confidentiality and privacy in program participation; and (v) integrating systems effectively. Occupational hygienists have strong potential to play a crucial role beyond traditional risk assessment, exposure assessment, and health protection that further includes skin health promotion and integration of related programs into a TWH framework.
MeSH term(s)	Firefighters ; Humans ; Neoplasms/epidemiology ; Neoplasms/etiology ; Occupational Exposure ; Occupational Health ; Workplace
Language	English
Publishing date	2020-07-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2885096-8
ISSN	2398-7316 ; 2398-7308
ISSN (online)	2398-7316
ISSN	2398-7308
DOI	10.1093/annweh/wxaa066
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Article ; Online: An examination of psychometric properties of study quality assessment scales in meta-analysis: Rasch measurement model applied to the firefighter cancer literature.

Ahn, Soyeon / Pinheiro, Paulo S / McClure, Laura A / Hernandez, Diana R / Caban-Martinez, Alberto J / Lee, David J

PloS one

2023 Volume 18, Issue 7, Page(s) e0284469

Abstract: Most existing quality scales have been developed with minimal attention to accepted standards of psychometric properties. Even for those that have been used widely in medical research, limited evidence exists supporting their psychometric properties. The ...

Abstract	Most existing quality scales have been developed with minimal attention to accepted standards of psychometric properties. Even for those that have been used widely in medical research, limited evidence exists supporting their psychometric properties. The focus of our current study is to address this gap by evaluating the psychometrics properties of two existing quality scales that are frequently used in cancer observational research: (1) Item Bank on Risk of Bias and Precision of Observational Studies developed by the Research Triangle Institute (RTI) International and (2) Newcastle-Ottawa Quality Assessment Scale (NOQAS). We used the Rasch measurement model to evaluate the psychometric properties of two quality scales based on the ratings of 49 studies that examine firefighters' cancer incidence and mortality. Our study found that RTI and NOQAS have an acceptable item reliability. Two raters were consistent in their assessment, demonstrating high interrater reliability. We also found that NOQAS has more items that show better fit than the RTI scale. The NOQAS produced lower study quality scores with a smaller variation, suggesting that NOQAS items are much easier to rate. Our findings accord with a previous study, which conclude that the RTI scale was harder to apply and thus produces more heterogenous quality scores than NOQAS. Although both RTI and NOQAS showed high item reliability, NOQAS items are better fit to the underlying construct, showing higher validity of internal structure and stronger psychometric properties. The current study adds to our understanding of the psychometric properties of NOQAS and RTI scales for future meta-analyses of observational studies, particularly in the firefighter cancer literature.
MeSH term(s)	Humans ; Psychometrics ; Firefighters ; Reproducibility of Results ; Surveys and Questionnaires ; Neoplasms
Language	English
Publishing date	2023-07-26
Publishing country	United States
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0284469
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Article ; Online: Weight Status and Binge Drinking Among Male and Female Florida Firefighters.

Kling, Hannah E / Koru-Sengul, Tulay / Schaefer Solle, Natasha / Louzado-Feliciano, Paola / Lee, David J / Kobetz, Erin N / Caban-Martinez, Alberto J

Journal of occupational and environmental medicine

2023 Volume 65, Issue 8, Page(s) e565–e570

Abstract: Objective: The aim of the study is to examine the association between weight status and binge drinking among Florida firefighters.: Methods: Health survey data collected between 2015 and 2019 among Florida firefighters participating in the Annual ... ...

Abstract	Objective: The aim of the study is to examine the association between weight status and binge drinking among Florida firefighters. Methods: Health survey data collected between 2015 and 2019 among Florida firefighters participating in the Annual Cancer Survey were analyzed for weight class (healthy, overweight, obese) and binge-drinking behaviors. Binary logistic regression models were fit and stratified by sex while controlling for sociodemographic and health characteristics. Results: Among 4002 firefighter participants, 45.1% binge drink, 50.9% are overweight, and 31.3% are obese. Among male firefighters, being overweight (adjusted odds ratio = 1.34; 95% confidence interval = 1.10-1.64) or obese (1.29; 1.04-1.61) was significantly associated with binge drinking compared with healthy weight counterparts. In female firefighters, being obese (2.25; 1.21-4.22) was significantly associated with binge drinking but being overweight was not. Conclusions: Being overweight or obese is selectively associated with binge drinking among male and female firefighters.
MeSH term(s)	Humans ; Male ; Female ; Florida/epidemiology ; Binge Drinking/epidemiology ; Firefighters ; Obesity/epidemiology ; Overweight/epidemiology
Language	English
Publishing date	2023-05-28
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	1223932-x
ISSN	1536-5948 ; 1076-2752
ISSN (online)	1536-5948
ISSN	1076-2752
DOI	10.1097/JOM.0000000000002894
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Article ; Online: A qualitative analysis of female patient perspectives on physician communication regarding sexual dysfunction associated with pelvic radiotherapy.

Morgan, Orly / Schnur, Julie / Caban-Martinez, Alberto J / Duenas-Lopez, Mariana / Huang, Marilyn / Portelance, Lorraine / Elkhadem, Adam / Marshall, Deborah C

The journal of sexual medicine

2023 Volume 20, Issue 6, Page(s) 813–820

Abstract: Background: Sexual dysfunction is a known side effect of pelvic radiotherapy, resulting from a complex intersection of physiologic and psychosocial factors. Maintaining sexual function is relevant to long-term quality of life and is an important aspect ... ...

Abstract	Background: Sexual dysfunction is a known side effect of pelvic radiotherapy, resulting from a complex intersection of physiologic and psychosocial factors. Maintaining sexual function is relevant to long-term quality of life and is an important aspect of survivorship. Many female patients report being insufficiently informed before treatment about the potential sexual side effects of radiation therapy. Aim: To elucidate how radiation oncologists communicate sexual function side effects with their female patients and how discussing sexual side effects of cancer treatment can positively affect patient-physician rapport. Methods: Semistructured interviews in English and Spanish were conducted with 20 female participants who received pelvic radiation as part of their cancer treatment. Patients responded to advertisements or were referred by physicians. All interviews were conducted virtually between June and October 2021. Thematic analysis was conducted with NVivo. Patients also completed an online demographics survey in REDCap. Outcomes: We found 4 primary themes addressing patient perspectives on patient-physician communication of sexual dysfunction and how it affected the cancer care experience. Results: Theme 1: This may be expected, but I didn't expect it! The participants who were not properly informed about sexual side effects felt blindsided and embarrassed about their symptoms. Theme 2: I do not feel like a woman anymore . . . The psychological impact included lower self-esteem and no longer feeling sexy nor like a woman. Theme 3: Fine, I'll deal with this myself! Patients turned to the internet rather than their doctors for answers once they began experiencing symptoms, and they found information, normalization, and community online. Theme 4: Ask me about my sex life and find out if sex is a priority for me. Participants emphasized that their radiation oncologist should take a sexual history early to monitor sexual dysfunction and to identify individual patient priorities surrounding sex posttreatment. Clinical implications: This evidence provides a guide to patient-physician communication that may help to mitigate the impacts of radiotherapy on female sexual function as well as the negative impact that the absence of communication about sexual dysfunction may have on patient-physician trust. Strengths and limitations: While this project did have a small sample size, there is considerable diversity in race, education level, and age, with interviews conducted in Spanish and English. Conclusion: Overall these findings provide physicians with important information about the unmet information needs of patients and their preferences for how to help them feel more prepared and less distressed when sexual dysfunction occurs.
MeSH term(s)	Humans ; Female ; Quality of Life ; Physicians ; Sexual Dysfunction, Physiological/psychology ; Communication ; Physician-Patient Relations
Language	English
Publishing date	2023-04-10
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2251959-2
ISSN	1743-6109 ; 1743-6095
ISSN (online)	1743-6109
ISSN	1743-6095
DOI	10.1093/jsxmed/qdad041
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