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  1. Article: Community Testing in High-priority And Marginalized Populations (CHAMP).

    Dowler, Shannon / Thompson, Sam / Phillips, Brin / Schwartz, Michael

    North Carolina medical journal

    2021  Volume 82, Issue 4, Page(s) 282–283

    Language English
    Publishing date 2021-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 422795-5
    ISSN 0029-2559
    ISSN 0029-2559
    DOI 10.18043/ncm.82.4.282
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Telemedicine Utilization Trends During the COVID-19 Public Health Emergency.

    Dowler, Shannon / Crosbie, Kelly / Thompson, Sam / Drucker, Erin / Jackson, Carlos

    North Carolina medical journal

    2021  Volume 82, Issue 4, Page(s) 255–258

    Language English
    Publishing date 2021-07-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 422795-5
    ISSN 0029-2559
    ISSN 0029-2559
    DOI 10.18043/ncm.82.4.255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID-19 Vaccine Administration, by Race and Ethnicity - North Carolina, December 14, 2020-April 6, 2021.

    Wong, Charlene A / Dowler, Shannon / Moore, Amanda Fuller / Sosne, Erin Fry / Young, Hayley / Tenenbaum, Jessica D / Burns, Cardra E / Jones, Sydney / Smelyanskaya, Marina / Kinsley, Kody H

    MMWR. Morbidity and mortality weekly report

    2021  Volume 70, Issue 28, Page(s) 991–996

    Abstract: COVID-19 has disproportionately affected non-Hispanic Black or African American (Black) and Hispanic persons in the United States (1,2). In North Carolina during January-September 2020, deaths from COVID-19 were 1.6 times higher among Black persons than ... ...

    Abstract COVID-19 has disproportionately affected non-Hispanic Black or African American (Black) and Hispanic persons in the United States (1,2). In North Carolina during January-September 2020, deaths from COVID-19 were 1.6 times higher among Black persons than among non-Hispanic White persons (3), and the rate of COVID-19 cases among Hispanic persons was 2.3 times higher than that among non-Hispanic persons (4). During December 14, 2020-April 6, 2021, the North Carolina Department of Health and Human Services (NCDHHS) monitored the proportion of Black and Hispanic persons* aged ≥16 years who received COVID-19 vaccinations, relative to the population proportions of these groups. On January 14, 2021, NCDHHS implemented a multipronged strategy to prioritize COVID-19 vaccinations among Black and Hispanic persons. This included mapping communities with larger population proportions of persons aged ≥65 years among these groups, increasing vaccine allocations to providers serving these communities, setting expectations that the share of vaccines administered to Black and Hispanic persons matched or exceeded population proportions, and facilitating community partnerships. From December 14, 2020-January 3, 2021 to March 29-April 6, 2021, the proportion of vaccines administered to Black persons increased from 9.2% to 18.7%, and the proportion administered to Hispanic persons increased from 3.9% to 9.9%, approaching the population proportion aged ≥16 years of these groups (22.3% and 8.0%, respectively). Vaccinating communities most affected by COVID-19 is a national priority (5). Public health officials could use U.S. Census tract-level mapping to guide vaccine allocation, promote shared accountability for equitable distribution of COVID-19 vaccines with vaccine providers through data sharing, and facilitate community partnerships to support vaccine access and promote equity in vaccine uptake.
    MeSH term(s) Adolescent ; Adult ; Aged ; COVID-19/epidemiology ; COVID-19/ethnology ; COVID-19/prevention & control ; COVID-19 Vaccines/administration & dosage ; Continental Population Groups/statistics & numerical data ; Ethnic Groups/statistics & numerical data ; Health Care Rationing/methods ; Health Status Disparities ; Humans ; Middle Aged ; North Carolina/epidemiology ; Vaccination Coverage/statistics & numerical data ; Young Adult
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-07-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm7028a2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prenatal Syphilis Screening Among Medicaid Enrollees in 6 Southern States.

    Lanier, Paul / Kennedy, Susan / Snyder, Angela / Smith, Jessica / Napierala, Eric / Talbert, Jeffrey / Hammerslag, Lindsey / Humble, Larry / Myers, Eddy / Austin, Anna / Blount, Thomas / Dowler, Shannon / Mobley, Victoria / Fede, Ana Lòpez-De / Nguyen, Hoa / Bruce, Jean / Grijalva, Carlos G / Krishnan, Sunita / Otter, Caitlin /
    Horton, Katie / Seiler, Naomi / Majors, John / Pearson, William S

    American journal of preventive medicine

    2022  Volume 62, Issue 5, Page(s) 770–776

    Abstract: Introduction: The rates of syphilis among pregnant women and infants have increased in recent years, particularly in the U.S. South. Although state policies require prenatal syphilis testing, recent screening rates comparable across Southern states are ... ...

    Abstract Introduction: The rates of syphilis among pregnant women and infants have increased in recent years, particularly in the U.S. South. Although state policies require prenatal syphilis testing, recent screening rates comparable across Southern states are not known. The purpose of this study is to measure syphilis screening among Medicaid enrollees with delivery in states in the U.S. South.
    Methods: A total of 6 state-university research partnerships in the U.S. South developed a distributed research network to analyze Medicaid claims data using a common analytic approach for enrollees with delivery in fiscal years 2017-2018 and 2018-2019 (combined N=504,943). In 2020-2021, each state calculated the percentage of enrollees with delivery with a syphilis screen test during the first trimester, third trimester, and at any point during pregnancy. Percentages for those with first-trimester enrollment were compared with the percentages of those who enrolled in Medicaid later in pregnancy.
    Results: Prenatal syphilis screening during pregnancy ranged from 56% to 91%. Screening was higher among those enrolled in Medicaid during the first trimester than in those enrolled later in pregnancy.
    Conclusions: Despite state laws requiring syphilis screening during pregnancy, screening was much lower than 100%, and states varied in syphilis screening rates among Medicaid enrollees. Findings indicate that access to Medicaid in the first trimester is associated with higher rates of syphilis screening and that efforts to improve access to screening in practice settings are needed.
    MeSH term(s) Female ; Humans ; Mass Screening ; Medicaid ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/prevention & control ; Prenatal Diagnosis ; Syphilis/diagnosis ; Syphilis/prevention & control ; United States
    Language English
    Publishing date 2022-01-06
    Publishing country Netherlands
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2021.11.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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