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Article ; Online: Confronting Racism from Patients.

Bemanian, Amin

2022 Volume 11, Issue 3, Page(s) 254–256

MeSH term(s)	African Americans ; Humans ; Racism
Language	English
Publishing date	2022-03-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	2632728-4
ISSN	2157-1740 ; 2157-1732
ISSN (online)	2157-1740
ISSN	2157-1732
DOI	10.1353/nib.2021.0074
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Investigating the spatial accessibility and coverage of the pediatric COVID-19 vaccine: an ecologic study of regional health data

Bemanian, Amin / Mosser, Jonathan F

medRxiv

Abstract: Background The COVID-19 pandemic presented healthcare workers and public health agency a unique challenge of having to rapidly deliver a novel set of vaccines during a public health crisis. For pediatric patients, there was an additional layer of ... ...

Abstract	Background The COVID-19 pandemic presented healthcare workers and public health agency a unique challenge of having to rapidly deliver a novel set of vaccines during a public health crisis. For pediatric patients, there was an additional layer of complexity given the delayed timeline to deliver these vaccines and the differences in dosing and available products depending on the age of those receiving the vaccine. This paper investigates the spatial accessibility and uptake of the COVID-19 vaccine in King County, WA, USA. Methods Public data for COVID-19 vaccine sites to calculate spatial accessibility using an enhanced two step floating catchment area (E2SFCA) technique. Spatial regression analyses were done looking at the relationship between spatial accessibility and ZIP code level vaccination rates. Relationships with other socioeconomic and demographic variables were calculated as well. Findings Higher rates of vaccine accessibility and vaccine coverage were found in adolescent (12 to 17-year-old) individuals relative to school age (5 to 11-year-old) individuals. Vaccine accessibility was positively associated with coverage in both age groups in the univariable analysis. This relationship was affected by neighborhood educational attainment. Interpretation This paper successfully demonstrates how spatial accessibility measures such as E2SFCA can be used to assess the availability of the COVID-19 vaccine in a region such as a metropolitan area or county. It also provides insight into some of the ecological factors that affect COVID-19 vaccination rates. Implementation of these technique could help public health authorities and healthcare organization plan future vaccination efforts.
Keywords	covid19
Language	English
Publishing date	2023-12-29
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2023.12.27.23300589
Database	COVID19

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Article ; Online: Measures Matter: The Local Exposure/Isolation (LEx/Is) Metrics and Relationships between Local-Level Segregation and Breast Cancer Survival.

Bemanian, Amin / Beyer, Kirsten M M

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

2017 Volume 26, Issue 4, Page(s) 516–524

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adult ; Black or African American/statistics & numerical data ; Aged ; Breast Neoplasms/ethnology ; Breast Neoplasms/mortality ; Female ; Health Status Disparities ; Hispanic or Latino/statistics & numerical data ; Humans ; Middle Aged ; Population Surveillance ; Proportional Hazards Models ; Residence Characteristics/statistics & numerical data ; Social Segregation ; Socioeconomic Factors ; United States ; Urban Population/statistics & numerical data ; White People/statistics & numerical data ; Wisconsin ; Young Adult
Language	English
Publishing date	2017-03-21
Publishing country	United States
Document type	Editorial
ZDB-ID	1153420-5
ISSN	1538-7755 ; 1055-9965
ISSN (online)	1538-7755
ISSN	1055-9965
DOI	10.1158/1055-9965.EPI-16-0926
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Article ; Online: Ecological Study of Variability in the Relationship between Liver Cancer Mortality and Racial Residential Segregation.

Bemanian, Amin / Cassidy, Laura D / Fraser, Raphael / Laud, Purushottam W / Saeian, Kia / Beyer, Kirsten M M

International journal of environmental research and public health

2021 Volume 18, Issue 18

Abstract: Racial segregation has been identified as a predictor for the burden of cancer in several different metropolitan areas across the United States. This ecological study tested relationships between racial segregation and liver cancer mortality across ... ...

Abstract	Racial segregation has been identified as a predictor for the burden of cancer in several different metropolitan areas across the United States. This ecological study tested relationships between racial segregation and liver cancer mortality across several different metropolitan statistical areas in Wisconsin. Tract-level liver cancer mortality rates were calculated using cases from 2003-2012. Hotspot analysis was conducted and segregation scores in high, low, and baseline mortality tracts were compared using ANOVA. Spatial regression analysis was done, controlling for socioeconomic advantage and rurality. Black isolation scores were significantly higher in high-mortality tracts compared to baseline and low-mortality tracts, but stratification by metropolitan areas found this relationship was driven by two of the five metropolitan areas. Hispanic isolation was predictive for higher mortality in regression analysis, but this effect was not found across all metropolitan areas. This study showed associations between liver cancer mortality and racial segregation but also found that this relationship was not generalizable to all metropolitan areas in the study area.
MeSH term(s)	African Americans ; Humans ; Liver Neoplasms ; Residence Characteristics ; Social Segregation ; Socioeconomic Factors ; United States/epidemiology ; Urban Population ; Whites
Language	English
Publishing date	2021-09-15
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph18189732
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Article ; Online: Housing Discrimination, Residential Racial Segregation, and Colorectal Cancer Survival in Southeastern Wisconsin.

Zhou, Yuhong / Bemanian, Amin / Beyer, Kirsten M M

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

2017 Volume 26, Issue 4, Page(s) 561–568

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2017-04
Publishing country	United States
Document type	Editorial
ZDB-ID	1153420-5
ISSN	1538-7755 ; 1055-9965
ISSN (online)	1538-7755
ISSN	1055-9965
DOI	10.1158/1055-9965.EPI-16-0929
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Article ; Online: Isolation and survival: The impact of local and MSA isolation on survival among non-Hispanic Black women diagnosed with breast cancer in the United States using a SEER-Medicare cohort.

Canales, Bethany / Laud, Purushottam W / Tarima, Sergey / Zhou, Yuhong / Bikomeye, Jean C / McGinley, Emily L / Yen, Tina W F / Bemanian, Amin / Beyer, Kirsten M M

Health & place

2023 Volume 83, Page(s) 103090

Abstract: Background: Residential segregation is an important factor that negatively impacts cancer disparities, yet studies yield mixed results and complicate clear recommendations for policy change and public health intervention. In this study, we examined the ... ...

Abstract	Background: Residential segregation is an important factor that negatively impacts cancer disparities, yet studies yield mixed results and complicate clear recommendations for policy change and public health intervention. In this study, we examined the relationship between local and Metropolitan Statistical Area (MSA) measures of Black isolation (segregation) and survival among older non-Hispanic (NH) Black women with breast cancer (BC) in the United States. We hypothesized that the influence of local isolation on mortality varies based on MSA isolation-specifically, that high local isolation may be protective in the context of highly segregated MSAs, as ethnic density may offer opportunities for social support and buffer racialized groups from the harmful influences of racism. Methods: Local and MSA measures of isolation were linked by Census Tract (CT) with a SEER-Medicare cohort of 5,231 NH Black women aged 66-90 years with an initial diagnosis of stage I-IV BC in 2007-2013 with follow-up through 2018. Proportional and cause-specific hazards models and estimated marginal means were used to examine the relationship between local and MSA isolation and all-cause and BC-specific mortality, accounting for covariates (age, comorbidities, tumor stage, and hormone receptor status). Findings: Of 2,599 NH Black women who died, 40.0% died from BC. Women experienced increased risk for all-cause mortality when living in either high local (HR = 1.20; CI = 1.08-1.33; p < 0.001) or high MSA isolation (HR = 1.40; CI = 1.17-1.67; p < 0.001). A similar trend existed for BC-specific mortality. Pairwise comparisons for all-cause mortality models showed that high local isolation was hazardous in less isolated MSAs but was not significant in more isolated MSAs. Interpretation: Both local and MSA isolation are independently associated with poorer overall and BC-specific survival for older NH Black women. However, the impact of local isolation on survival appears to depend on the metropolitan area's level of segregation. Specifically, in highly segregated MSAs, living in an area with high local isolation is not significantly associated with poorer survival. While the reasons for this are not ascertained in this study, it is possible that the protective qualities of ethnic density (e.g., social support and buffering from experiences of racism) may have a greater role in more segregated MSAs, serving as a counterpart to the hazardous qualities of local isolation. More research is needed to fully understand these complex relationships. Funding: National Cancer Institute.
MeSH term(s)	Aged ; Female ; Humans ; Breast Neoplasms ; Ethnicity ; Health Status Disparities ; Medicare ; United States ; Black or African American
Language	English
Publishing date	2023-07-31
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1262540-1
ISSN	1873-2054 ; 1353-8292
ISSN (online)	1873-2054
ISSN	1353-8292
DOI	10.1016/j.healthplace.2023.103090
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Zs.A 4333: Show issues

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Article ; Online: Racial disparities of liver cancer mortality in Wisconsin.

Bemanian, Amin / Cassidy, Laura D / Fraser, Raphael / Laud, Purushottam W / Saeian, Kia / Beyer, Kirsten M M

Cancer causes & control : CCC

2019 Volume 30, Issue 12, Page(s) 1277–1282

Abstract: Purpose: To calculate tract-level estimates of liver cancer mortality in Wisconsin and identify relationships with racial and socioeconomic variables.: Methods: County-level standardized mortality ratios (SMRs) of liver cancer in Wisconsin were ... ...

Abstract	Purpose: To calculate tract-level estimates of liver cancer mortality in Wisconsin and identify relationships with racial and socioeconomic variables. Methods: County-level standardized mortality ratios (SMRs) of liver cancer in Wisconsin were calculated using traditional indirect adjustment methods for cases from 2003 to 2012. Tract-level SMRs were calculated using adaptive spatial filtering (ASF). The tract-level SMRs were checked for correlations to a socioeconomic advantage index (SEA) and percent racial composition. Non-spatial and spatial regression analyses with tract-level SMR as the outcome were conducted. Results: County-level SMR estimates were shown to mask much of the variance within counties across their tracts. Liver cancer mortality was strongly correlated with the percent of Black residents in a census tract and moderately associated with SEA. In the multivariate spatially-adjusted regression analysis, only Percent Black composition remained significantly associated with an increased liver cancer SMR. Conclusions: Using ASF, we developed a high-resolution map of liver cancer mortality in Wisconsin. This map provided details on the distribution of liver cancer that were inaccessible in the county-level map. These tract-level estimates were associated with several racial and socioeconomic variables.
MeSH term(s)	Black or African American/statistics & numerical data ; Health Status Disparities ; Humans ; Liver Neoplasms/epidemiology ; Racial Groups/statistics & numerical data ; Regression Analysis ; Wisconsin/epidemiology
Language	English
Publishing date	2019-09-17
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1064022-8
ISSN	1573-7225 ; 0957-5243
ISSN (online)	1573-7225
ISSN	0957-5243
DOI	10.1007/s10552-019-01232-9
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Article ; Online: Pediatric Skin Failure.

Cohen, Katie E / Scanlon, Matthew C / Bemanian, Amin / Schindler, Christine A

American journal of critical care : an official publication, American Association of Critical-Care Nurses

2017 Volume 26, Issue 4, Page(s) 320–328

Abstract: Background: The phenomenon of skin failure as distinct from pressure ulcers has been documented in the adult literature. However, in the pediatric population, skin injury continues to be grouped indiscriminately as various types of pressure ulcers.: ... ...

Abstract	Background: The phenomenon of skin failure as distinct from pressure ulcers has been documented in the adult literature. However, in the pediatric population, skin injury continues to be grouped indiscriminately as various types of pressure ulcers. Objective: To identify and describe the phenomenon of skin failure in critically ill children. Methods: Retrospective chart review of 19 patients who had serious skin injuries develop. Organ dysfunction scores, medications, pressure ulcer prevention techniques used, and laboratory values in the 7 days leading up to the development of a skin lesion were evaluated. Results: At the start of the evaluation period, all patients (N = 19) had pressure ulcer prevention measures in place before the development of a serious skin injury. All of the skin lesions were full-thickness injuries on the day they were identified (as opposed to the more gradual progression from simple to complex skin injuries typically seen in pressure ulcers). As predicted, 18 of 19 patients had multiple organ dysfunction syndrome (MODS) in the week leading up to the skin injury. All patients with MODS had at least 2 dysfunctional systems, and 12 patients had 4 or more dysfunctional systems. Of the 19 patients, 8 (42%) progressed to death, compared with 1.8% in our general pediatric intensive care unit population. Conclusion: Although the traditional paradigm is that pressure ulcers are preventable, a subset of pressure ulcers in critically ill children may actually represent acute skin failure as a consequence of MODS.
Language	English
Publishing date	2017-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1130987-8
ISSN	1937-710X ; 1062-3264
ISSN (online)	1937-710X
ISSN	1062-3264
DOI	10.4037/ajcc2017806
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Article ; Online: Investigating the Trajectory of the COVID-19 Outbreak in Milwaukee County and Projected Effects of Relaxed Distancing.

Bemanian, Amin / Ahn, Kwang Woo / O'Brien, Mallory / Rausch, Darren J / Weston, Benjamin / Beyer, Kirsten M M

WMJ : official publication of the State Medical Society of Wisconsin

2020 Volume 119, Issue 2, Page(s) 84–90

Abstract: Introduction: The coronavirus pandemic has placed enormous stresses on health care systems across the United States and internationally. Predictive modeling has been an important tool for projecting utilization rates and surge planning. As the initial ... ...

Abstract	Introduction: The coronavirus pandemic has placed enormous stresses on health care systems across the United States and internationally. Predictive modeling has been an important tool for projecting utilization rates and surge planning. As the initial outbreak begins to slow, questions are being raised regarding long-term coronavirus mitigation plans. This paper examines the current status of the coronavirus outbreak in Milwaukee County, Wisconsin, and simulates several scenarios where physical distancing measures are removed. Methods: The outbreak's doubling time, reproductive numbers at several points, and incidence curve were calculated to assess outbreak progression. Compartmental models were used to estimate the number of hospitalizations and critically ill patients in Milwaukee County if distancing policies were removed. Results: The compartmental models predict a substantial spike in cases and overwhelming medical resource utilization with an abrupt end to social distancing. Partial reduction in social distancing policies would likely result in a smaller spike, with less severe strain on available medical resources. Conclusions: Milwaukee County remains very susceptible to a resurgence of COVID-19 cases. Removing physical distancing policies poses significant risks with regard to resource management.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Communicable Disease Control ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Epidemics/prevention & control ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Public Policy ; SARS-CoV-2 ; Wisconsin/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-07-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	441051-8
ISSN	2379-3961 ; 0043-6542 ; 1098-1861
ISSN (online)	2379-3961
ISSN	0043-6542 ; 1098-1861
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Article ; Online: Ecological Study of Variability in the Relationship between Liver Cancer Mortality and Racial Residential Segregation

Amin Bemanian / Laura D. Cassidy / Raphael Fraser / Purushottam W. Laud / Kia Saeian / Kirsten M. M. Beyer

International Journal of Environmental Research and Public Health, Vol 18, Iss 9732, p

2021 Volume 9732

Abstract	Racial segregation has been identified as a predictor for the burden of cancer in several different metropolitan areas across the United States. This ecological study tested relationships between racial segregation and liver cancer mortality across several different metropolitan statistical areas in Wisconsin. Tract-level liver cancer mortality rates were calculated using cases from 2003–2012. Hotspot analysis was conducted and segregation scores in high, low, and baseline mortality tracts were compared using ANOVA. Spatial regression analysis was done, controlling for socioeconomic advantage and rurality. Black isolation scores were significantly higher in high-mortality tracts compared to baseline and low-mortality tracts, but stratification by metropolitan areas found this relationship was driven by two of the five metropolitan areas. Hispanic isolation was predictive for higher mortality in regression analysis, but this effect was not found across all metropolitan areas. This study showed associations between liver cancer mortality and racial segregation but also found that this relationship was not generalizable to all metropolitan areas in the study area.
Keywords	racial segregation ; cancer epidemiology ; structural racism ; liver cancer ; Medicine ; R
Subject code	310
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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