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Article ; Online: COVID-19 Vaccination Coverage Among People Experiencing Homelessness in a Highly Vaccinated Midwest County-Dane County, Wisconsin, 2021.

Gibson, Crystal / Schumann, Casey / Neuschel, Kimberly / McBride, Joseph A

2022 Volume 226, Issue Suppl 3, Page(s) S335–S339

Abstract: People experiencing homelessness (PEH) are at increased risk for coronavirus disease 2019 (COVID-19) infection. This study assessed COVID-19 vaccination coverage among vaccine-eligible PEH (5 years and older) stratified by demographic characteristics. ... ...

Abstract	People experiencing homelessness (PEH) are at increased risk for coronavirus disease 2019 (COVID-19) infection. This study assessed COVID-19 vaccination coverage among vaccine-eligible PEH (5 years and older) stratified by demographic characteristics. PEH were less likely to complete a primary vaccination series than the Dane County population (32.0%; 95% confidence interval [CI], 30.3%-33.8% vs 82.4%; 95% CI, 82.3%-82.5%) and were less likely to have received a booster when eligible (30.8%; 95% CI, 27.8%-33.9% vs 67.2%; 95% CI, 67.1%-67.4%). Vaccination rates were lowest among young PEH and PEH of color.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; Homeless Persons ; Humans ; Vaccination ; Vaccination Coverage ; Vaccines ; Wisconsin/epidemiology
Chemical Substances	COVID-19 Vaccines ; Vaccines
Language	English
Publishing date	2022-10-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiac303
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Article: Severe Maternal Morbidity During Delivery Hospitalizations.

Gibson, Crystal / Rohan, Angela M / Gillespie, Kate H

WMJ : official publication of the State Medical Society of Wisconsin

2018 Volume 116, Issue 5, Page(s) 215–220

Abstract: Introduction: Severe maternal morbidities include 25 complications resulting from, or exacerbated by, pregnancy. Nationally, in the last decade, these rates have doubled.: Objective: This study describes trends in the rates of severe maternal ... ...

Abstract	Introduction: Severe maternal morbidities include 25 complications resulting from, or exacerbated by, pregnancy. Nationally, in the last decade, these rates have doubled. Objective: This study describes trends in the rates of severe maternal morbidities at the time of hospitalization for delivery among different groups of Wisconsin women. Methods: Hospital discharge data and ICD-9-CM diagnosis and procedure codes were used to identify delivery hospitalizations and rates of severe maternal morbidity among Wisconsin women from 2000 to 2014. Subsequent analyses focused on recent years (2010-2014). Rates of severe maternal morbidity were calculated per 10,000 delivery hospitalizations for all 25 severe maternal morbidity conditions as well as 24 conditions (excluding blood transfusions). Rates and rate ratios were calculated overall and for racial/ethnic groups, age groups, public health region of residence, and hospital payer. Median hospital length of stay and median hospital charges were compared for delivery hospitalizations with increasing severe maternal morbidities. Results: Severe maternal morbidity rates increased 104% from 2000 to 2014 (P for trend <0.01). After excluding blood transfusions, rates increased 15% (P for trend <0.05). From 2010 to 2014, overall rates were stable over time, but varied by maternal age, race/ethnicity, payer, and public health region of residence. Median hospital charges and length of stay increased as the number of morbidities increased. Conclusions: Monitoring severe maternal morbidities adds valuable information to understanding perinatal health and obstetric complications in order to identify opportunities for prevention of severe morbidities and improvements in the quality of maternity care.
MeSH term(s)	Delivery, Obstetric ; Female ; Hospitalization/statistics & numerical data ; Humans ; Morbidity ; Obstetrics ; Pregnancy ; Pregnancy Complications/epidemiology ; Wisconsin/epidemiology
Language	English
Publishing date	2018-01-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	441051-8
ISSN	1098-1861 ; 0043-6542
ISSN	1098-1861 ; 0043-6542
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Article ; Online: Census Tract Poverty and Racial Disparities in HIV Rates in Milwaukee County, Wisconsin, 2009-2014.

Gibson, Crystal / Grande, Katarina / Schumann, Casey / Gasiorowicz, Mari

AIDS and behavior

2018 Volume 22, Issue 9, Page(s) 2994–3002

Abstract: Previous work has documented associations between poverty and HIV. Understanding of these relationships at local levels could help target prevention efforts; however, HIV surveillance systems do not capture individual-level poverty measures. We utilized ... ...

Abstract	Previous work has documented associations between poverty and HIV. Understanding of these relationships at local levels could help target prevention efforts; however, HIV surveillance systems do not capture individual-level poverty measures. We utilized the Public Health Disparities Geocoding Project methods to examine HIV rates by census tract poverty. HIV rates and rate ratios were computed by census tract poverty (< 5.0, 5.0-9.9, 10.0-19.9, > 20.0% of individual below the federal poverty level) for all races and stratified by Black and White race using Poisson regression. We observed higher HIV rates in the highest poverty gradient compared to the lowest poverty gradient for all races combined and among White cases. After adjustment, HIV rates were similar across poverty gradients for all comparisons. Our findings suggest that the association between poverty and HIV may differ by subpopulation, while demonstrating the potential for HIV prevention targeting residents of high poverty areas.
MeSH term(s)	Adolescent ; Adult ; African Americans ; Censuses ; Continental Population Groups ; Ethnic Groups/statistics & numerical data ; European Continental Ancestry Group ; Female ; Geographic Mapping ; HIV Infections/epidemiology ; HIV Infections/ethnology ; Hispanic Americans ; Humans ; Male ; Middle Aged ; Poverty/statistics & numerical data ; Poverty Areas ; Regression Analysis ; Social Determinants of Health/ethnology ; Wisconsin/epidemiology ; Young Adult
Language	English
Publishing date	2018-02-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-018-2064-y
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Article: Exposures to Opioids Among Wisconsin Children and Adolescents, 2002-2016.

Creswell, Paul D / Gibson, Crystal / Theobald, Jillian / Meiman, Jon G

WMJ : official publication of the State Medical Society of Wisconsin

2019 Volume 118, Issue 1, Page(s) 9–15

Abstract: Background: Opioid overdoses and opioid-related fatalities have increased dramatically in Wisconsin over the past decade. The observed rise in morbidity and mortality parallels increased opioid prescribing and greater use of illicit drugs such as heroin. ...

Abstract	Background: Opioid overdoses and opioid-related fatalities have increased dramatically in Wisconsin over the past decade. The observed rise in morbidity and mortality parallels increased opioid prescribing and greater use of illicit drugs such as heroin. Increased availability of both prescription and illicit opioids may increase the risk of exposure and overdose among the pediatric population. Methods: We examined demographics and temporal trends in opioid exposures among children aged 0-19 years using hospital encounter and Wisconsin Poison Control Center (WPC) data. Exposures were categorized by type of opioid. Results: We identified 3,320 WPC calls and 2,725 hospital encounters involving opioids during 2002-2016. Within the hospital encounter data, the rate of opioid-involved exposures increased significantly in children aged 0-5 years and adolescents aged 13-19 years. The majority of opioid-related hospital encounters involved prescription opioids. However, the proportion of hospital encounters involving heroin increased significantly among 13-19 year olds from 2002-2016. Within WPC data, the proportion of calls involving tramadol increased among 0-5 year olds and 13-19 year olds. However, calls about opioid/acetaminophen combinations decreased significantly as a proportion of opioid exposures. Discussion: These findings suggest the need for caregiver education regarding safe storage and disposal of prescription opioids to prevent unintentional or intentional exposure to these substances among young children and adolescents. Overdose rates among teens continue to rise and an increasing proportion are due to heroin; comprehensive treatment and prevention strategies targeting this demographic are needed.
MeSH term(s)	Adolescent ; Analgesics, Opioid/poisoning ; Child ; Child, Preschool ; Drug Overdose/epidemiology ; Drug Overdose/mortality ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Wisconsin/epidemiology
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2019-05-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	441051-8
ISSN	1098-1861 ; 0043-6542
ISSN	1098-1861 ; 0043-6542
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Article ; Online: Correction: Identifying COVID-19 Outbreaks From Contact-Tracing Interview Forms for Public Health Departments: Development of a Natural Language Processing Pipeline.

Caskey, John / McConnell, Iain L / Oguss, Madeline / Dligach, Dmitriy / Kulikoff, Rachel / Grogan, Brittany / Gibson, Crystal / Wimmer, Elizabeth / DeSalvo, Traci E / Nyakoe-Nyasani, Edwin E / Churpek, Matthew M / Afshar, Majid

JMIR public health and surveillance

2022 Volume 8, Issue 3, Page(s) e37893

Abstract: This corrects the article DOI: 10.2196/36119.]. ...

Abstract	[This corrects the article DOI: 10.2196/36119.].
Language	English
Publishing date	2022-03-24
Publishing country	Canada
Document type	Published Erratum
ISSN	2369-2960
ISSN (online)	2369-2960
DOI	10.2196/37893
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Article ; Online: Identifying COVID-19 Outbreaks From Contact-Tracing Interview Forms for Public Health Departments: Development of a Natural Language Processing Pipeline.

JMIR public health and surveillance

2022 Volume 8, Issue 3, Page(s) e36119

Abstract: Background: In Wisconsin, COVID-19 case interview forms contain free-text fields that need to be mined to identify potential outbreaks for targeted policy making. We developed an automated pipeline to ingest the free text into a pretrained neural ... ...

Abstract	Background: In Wisconsin, COVID-19 case interview forms contain free-text fields that need to be mined to identify potential outbreaks for targeted policy making. We developed an automated pipeline to ingest the free text into a pretrained neural language model to identify businesses and facilities as outbreaks. Objective: We aimed to examine the precision and recall of our natural language processing pipeline against existing outbreaks and potentially new clusters. Methods: Data on cases of COVID-19 were extracted from the Wisconsin Electronic Disease Surveillance System (WEDSS) for Dane County between July 1, 2020, and June 30, 2021. Features from the case interview forms were fed into a Bidirectional Encoder Representations from Transformers (BERT) model that was fine-tuned for named entity recognition (NER). We also developed a novel location-mapping tool to provide addresses for relevant NER. Precision and recall were measured against manually verified outbreaks and valid addresses in WEDSS. Results: There were 46,798 cases of COVID-19, with 4,183,273 total BERT tokens and 15,051 unique tokens. The recall and precision of the NER tool were 0.67 (95% CI 0.66-0.68) and 0.55 (95% CI 0.54-0.57), respectively. For the location-mapping tool, the recall and precision were 0.93 (95% CI 0.92-0.95) and 0.93 (95% CI 0.92-0.95), respectively. Across monthly intervals, the NER tool identified more potential clusters than were verified in WEDSS. Conclusions: We developed a novel pipeline of tools that identified existing outbreaks and novel clusters with associated addresses. Our pipeline ingests data from a statewide database and may be deployed to assist local health departments for targeted interventions.
MeSH term(s)	COVID-19/epidemiology ; Contact Tracing ; Disease Outbreaks ; Humans ; Natural Language Processing ; Public Health ; SARS-CoV-2
Language	English
Publishing date	2022-03-08
Publishing country	Canada
Document type	Journal Article ; Research Support, N.I.H., Extramural
ISSN	2369-2960
ISSN (online)	2369-2960
DOI	10.2196/36119
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Article ; Online: Mental Health and Substance Use-Related Hospitalizations Among Women of Reproductive Age in Illinois and Wisconsin.

Bennett, Amanda C / Gibson, Crystal / Rohan, Angela M / Howland, Julia F / Rankin, Kristin M

Public health reports (Washington, D.C. : 1974)

2018 Volume 134, Issue 1, Page(s) 17–26

Abstract: Introduction: Mental health and substance use are growing public health concerns, but established surveillance methods do not measure the burden of these conditions among women of reproductive age. We developed a standardized indicator from ... ...

Abstract	Introduction: Mental health and substance use are growing public health concerns, but established surveillance methods do not measure the burden of these conditions among women of reproductive age. We developed a standardized indicator from administrative data to identify inpatient hospitalizations related to mental health or substance use (MHSU) among women of reproductive age, as well as co-occurrence of mental health and substance use conditions among those hospitalizations. Materials and methods: We used inpatient hospital discharge data from 2012-2014 for women aged 15-44 residing in Illinois and Wisconsin. We identified MHSU-related hospitalizations through the principal International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis and first-listed ICD-9-CM external cause of injury code (E code). We classified hospitalizations as related to 1 of 3 mutually exclusive categories: a mental disorder, a substance use disorder, or an acute MHSU-related event. We defined co-occurrence as the presence of both mental health and substance use codes in any available diagnosis or E-code field. Results: Of 1 173 758 hospitalizations of women of reproductive age, 150 318 (12.8%) were related to a mental disorder, a substance use disorder, or an acute MHSU-related event, for a rate of 135.6 hospitalizations per 10 000 women. Of MHSU-related hospitalizations, 115 163 (76.6%) were for a principal mental disorder, 22 466 (14.9%) were for a principal substance use disorder, and 12 709 (8.5%) were for an acute MHSU-related event; 42.4% had co-occurring mental health codes and substance use codes on the discharge record. Practice implications: MHSU-related disorders and events are common causes of hospitalization for women of reproductive age, and nearly half of these hospitalizations involved co-occurring mental health and substance use diagnoses or events. This new indicator may improve public health surveillance by establishing a systematic and comprehensive method to measure the burden of MHSU-related hospitalizations among women of reproductive age.
MeSH term(s)	Adolescent ; Adult ; Clinical Coding ; Female ; Hospitalization/statistics & numerical data ; Humans ; Illinois/epidemiology ; Inpatients ; Mental Disorders/epidemiology ; Patient Discharge/statistics & numerical data ; Public Health ; Substance-Related Disorders/epidemiology ; Wisconsin ; Young Adult
Language	English
Publishing date	2018-12-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/0033354918812807
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Article ; Online: Social network and census tract-level influences on substance use among emerging adult males: An activity spaces approach.

Gibson, Crystal / Perley, Lauren / Bailey, Jonathan / Barbour, Russell / Kershaw, Trace

Health & place

2015 Volume 35, Page(s) 28–36

Abstract: Social network and area level characteristics have been linked to substance use. We used snowball sampling to recruit 90 predominantly African American emerging adult men who provided typical locations visited (n=510). We used generalized estimating ... ...

Abstract	Social network and area level characteristics have been linked to substance use. We used snowball sampling to recruit 90 predominantly African American emerging adult men who provided typical locations visited (n=510). We used generalized estimating equations to examine social network and area level predictors of substance use. Lower social network quality was associated with days of marijuana use (B=-0.0037, p<0.0001) and problem alcohol use (B=-0.0050, p=0.0181). The influence of area characteristics on substance use differed between risky and non-risky spaces. Peer and area influences are important for substance use among men, and may differ for high and low risk places.
MeSH term(s)	Adolescent ; Adult ; African Americans ; Censuses ; Humans ; Male ; Peer Group ; Risk Factors ; Risk-Taking ; Social Support ; Substance-Related Disorders ; Young Adult
Language	English
Publishing date	2015-09
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1262540-1
ISSN	1873-2054 ; 1353-8292
ISSN (online)	1873-2054
ISSN	1353-8292
DOI	10.1016/j.healthplace.2015.06.004
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Article ; Online: What about Us? Economic and Policy Changes Affecting Rural HIV/AIDS Services and Care.

Albritton, Tashuna / Martinez, Isabel / Gibson, Crystal / Angley, Meghan / Grandelski, Valen R

Social work in public health

2017 Volume 32, Issue 4, Page(s) 273–289

Abstract: Health care budgets and policies are chief drivers in the delivery and access to health services. Place is also a factor that affects patient and provider experiences within the health care system. We examine the impact of policy changes and subsequent ... ...

Abstract	Health care budgets and policies are chief drivers in the delivery and access to health services. Place is also a factor that affects patient and provider experiences within the health care system. We examine the impact of policy changes and subsequent budget cuts on rural HIV/AIDS care, support services, and prevention. We interviewed 11 social workers, case managers, and outreach workers who serve rural people living with HIV/AIDS. We conducted telephone interviews inquiring about the effect of economics and policies on direct practice with rural clients. We analyzed data using a content analysis approach. We found several themes from the data. Ryan White funding and policy changes shifted direct practice to a medical case management model. Changes in federal and state poverty levels affected client eligibility for the AIDS Drugs Assistance Program. Policy banning financial support for syringe service programs hindered prevention efforts to reduce HIV/AIDS transmission. Ancillary services were reduced, such as housing assistance, transportation, and emergency financial assistance. In conclusion, we highlight the importance of place-based policies to improve access to healthcare and services. We also provide recommendations for greater inclusion in HIV/AIDS-related policy development, care, and service planning for rural workers.
Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article
ZDB-ID	2414992-5
ISSN	1937-190X ; 1937-1918
ISSN (online)	1937-190X
ISSN	1937-1918
DOI	10.1080/19371918.2017.1282388
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Article ; Online: Mental Health Utilization Among Diverse Parenting Young Couples.

Albritton, Tashuna / Angley, Meghan / Gibson, Crystal / Sipsma, Heather / Kershaw, Trace

American journal of community psychology

2015 Volume 56, Issue 1-2, Page(s) 89–100

Abstract: Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health ... ...

Abstract	Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health utilization among diverse young parenting couples. The sample consisted of 296 couples. We used the social-personal framework to examine personal, family, partner relationship, and environmental predictors for using mental health services. We used the Actor-Partner Interdependence Model to assess actor and partner effects on mental health utilization. We also examined moderator effects for gender and internalizing and externalizing behaviors. We found that being female, being White, higher income, more conduct problems, and less anxious romantic attachment predicted mental health utilization. Significant moderator effects included depression × gender, depression × medical insurance, and stress × Latino. Implications for community mental health practice include conducting mental health assessments during medical visits and systematic mental health follow-up for individuals and couples with identified mental health and support needs. Future research should include married couples and the spouse's influence on mental health use and examine relevant parenting factors that may also predict mental health utilization among couples.
MeSH term(s)	Adolescent ; Adult ; Anxiety/epidemiology ; Anxiety/psychology ; Conduct Disorder/epidemiology ; Conduct Disorder/psychology ; Depression/epidemiology ; Depression/psychology ; Female ; Hispanic or Latino/psychology ; Hispanic or Latino/statistics & numerical data ; Humans ; Income/statistics & numerical data ; Insurance, Health/statistics & numerical data ; Male ; Mental Health Services/statistics & numerical data ; Object Attachment ; Parenting/psychology ; Parents/psychology ; Sex Factors ; Stress, Psychological/epidemiology ; Stress, Psychological/psychology ; White People/psychology ; White People/statistics & numerical data ; Young Adult
Language	English
Publishing date	2015-07-09
Publishing country	England
Document type	Journal Article
ZDB-ID	222658-3
ISSN	1573-2770 ; 0091-0562
ISSN (online)	1573-2770
ISSN	0091-0562
DOI	10.1007/s10464-015-9738-7
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