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Article ; Online: Physical Activity Level and Specific Type of Exercises Among US Middle-Aged and Older Adults: Findings From the Behavioral Risk Factor Surveillance Survey.

Kuzmik, Ashley / Boltz, Marie / Kim, Kyungha / Ma, Yining / Weng, Xingran / Wang, Li

Journal of physical activity & health

2023 Volume 20, Issue 6, Page(s) 500–507

Abstract: Background: This study aimed to assess physical activity level and identify specific types of exercises by sex, race/ethnicity, and age for adults 50 years and older.: Methods: Behavioral Risk Factor Surveillance System 2013, 2015, and 2017 data were ...

Abstract	Background: This study aimed to assess physical activity level and identify specific types of exercises by sex, race/ethnicity, and age for adults 50 years and older. Methods: Behavioral Risk Factor Surveillance System 2013, 2015, and 2017 data were used to study US adults 50 years and older on their specific types of exercises, stratified by sex, race/ethnicity, and age. Weighted logistic regression was used to model physical exercise level and specific types of exercises. Results: The sample included 460,780 respondents. Non-Hispanic Black and Hispanic were less likely than non-Hispanic White to meet the recommended physical activity level (Odds ratio [OR] = 0.73, P < .0001 and OR = 0.96, P = .04, respectively). Walking was the most participated type of exercise, followed by gardening, for both men and women, all racial/ethnic groups, and all age groups. Non-Hispanic Blacks were more likely to participate in walking (OR = 1.19, P = .02) and less likely to participate in gardening (OR = 0.65, P < .0001) than non-Hispanic Whites. Men were more likely to engage in strenuous exercises than women. The average number of minutes on walking was the longest among all types of specific exercises. Conclusions: The types of exercises were mostly walking and gardening for adults aged 50 and older. Non-Hispanic Black adults had less physical activity than non-Hispanic White and were less likely to engage in gardening.
MeSH term(s)	Male ; Middle Aged ; Humans ; Female ; United States ; Aged ; Exercise ; Ethnicity ; Risk Factors ; Surveys and Questionnaires ; White
Language	English
Publishing date	2023-04-06
Publishing country	United States
Document type	Journal Article
ISSN	1543-5474
ISSN (online)	1543-5474
DOI	10.1123/jpah.2022-0308
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Article ; Online: Impact of school operating scenarios on COVID-19 transmission under vaccination in the U.S.: an agent-based simulation model.

Weng, Xingran / Chen, Qiushi / Sathapathi, Tarun Kumar / Yin, Xin / Wang, Li

Scientific reports

2023 Volume 13, Issue 1, Page(s) 12836

Abstract: At the height of the COVID-19 pandemic, K-12 schools struggled to safely operate under the fast-changing pandemic situation. However, little is known about the impact of different school operating scenarios considering the ongoing efforts of vaccination. ...

Abstract	At the height of the COVID-19 pandemic, K-12 schools struggled to safely operate under the fast-changing pandemic situation. However, little is known about the impact of different school operating scenarios considering the ongoing efforts of vaccination. In this study, we deployed an agent-based simulation model to mimic disease transmission in a mid-sized community consisting of 10,000 households. A total of eight school operating scenarios were simulated, in decreasing order of restrictiveness regarding COVID-19 mitigation measures. When masks were worn at school, work, and community environments, increasing in-person education from 50% to 100% would result in only 1% increase in cumulative infections. When there were no masks nor contact tracing while schools were 100% in person, the cumulative infection increased by 86% compared to the scenario when both masking and contact tracing were in place. In the sensitivity analysis for vaccination efficacy, we found that higher vaccination efficacy was essential in reducing overall infections. Our findings showed that full in-person education was safe, especially when contact tracing, masking, and widespread vaccination were in place. If no masking nor contact tracing was practiced, the transmission would rose dramatically but eventually slow down due to herd immunity.
MeSH term(s)	Humans ; Pandemics ; COVID-19/epidemiology ; COVID-19/prevention & control ; Schools ; Educational Status ; Vaccination
Language	English
Publishing date	2023-08-08
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-37980-7
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Article ; Online: Determinants of influenza vaccine uptake among pregnant women: Demographics and medical care access.

Marin, Evelyn S / McCall-Hosenfeld, Jennifer / Weng, Xingran / Wang, Li

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2023 Volume 162, Issue 1, Page(s) 125–132

Abstract: Objective: To investigate how sociodemographic and medical care access variables are associated with influenza vaccine uptake among pregnant women in the USA.: Methods: This is an observational study using 2015-2019 data from the US Behavioral Risk ... ...

Abstract	Objective: To investigate how sociodemographic and medical care access variables are associated with influenza vaccine uptake among pregnant women in the USA. Methods: This is an observational study using 2015-2019 data from the US Behavioral Risk Factor Surveillance System. Pregnant women aged 18-49 years were included. Weighted χ Results: A total of 9149 pregnant women were included, of whom 39.9% received the influenza vaccine. Age, income, education and race/ethnicity were significantly associated with influenza vaccination. The following medical access factors were associated with a higher likelihood of receiving the influenza vaccine: having insurance (odds ratio [OR] 1.43, 95% confidence interval [CI] 1.04-1.97), having had a checkup in the past year (OR 1.69, 95% CI 1.40-2.03), and having a primary care provider (OR 1.45, 95% CI 1.18-1.78). In subgroup analysis by race/ethnicity, non-Hispanic black women had the least difference in influenza vaccine uptake between those with medical care access and those without. Conclusion: Our findings suggest that the influenza vaccine uptake level was far from optimal among pregnant women. Influenza vaccine uptake was associated with social demographics and medical care access among pregnant women.
MeSH term(s)	Female ; Pregnancy ; Humans ; Pregnant Women ; Influenza Vaccines ; Influenza, Human/prevention & control ; Pregnancy Complications, Infectious/prevention & control ; Ethnicity ; Vaccination
Chemical Substances	Influenza Vaccines
Language	English
Publishing date	2023-04-20
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.14798
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Zs.A 355: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: A comparison of end-of-life care patterns between older patients with both cancer and Alzheimer's disease and related dementias versus those with only cancer.

Weng, Xingran / Shen, Chan / Van Scoy, Lauren J / Boltz, Marie / Joshi, Monika / Wang, Li

Journal of geriatric oncology

2022 Volume 13, Issue 8, Page(s) 1111–1121

Abstract: Introduction: Aggressive end-of-life (EOL) care that is not aligned with the preferences of persons with cancer has negative impacts on their quality of life. Alzheimer's disease and related dementias (ADRD) could potentially complicate EOL care ... ...

Abstract	Introduction: Aggressive end-of-life (EOL) care that is not aligned with the preferences of persons with cancer has negative impacts on their quality of life. Alzheimer's disease and related dementias (ADRD) could potentially complicate EOL care planning among persons with cancer. Little is known about the aggressive EOL care patterns among Medicare beneficiaries with both cancer and ADRD. Materials and methods: A matched retrospective cohort was created using the 2004 to 2016 Surveillance, Epidemiology, End Results-Medicare (SEER-Medicare) data differentiated by beneficiaries' ADRD status. Beneficiaries with breast, lung, colorectal, or prostate cancer who died between January 1, 2005 and December 31, 2016, were included. Six existing domains of aggressive EOL care and one overall indicator were derived. The major predictor was having ADRD comorbidity; other covariates included sex, marital status, census tract poverty indicator, race/ethnicity, metro status, geographic location, Charlson Comorbidity Index (CCI), survival time, cancer site, and histology stage. Multivariable logistic regression models were deployed to estimate the odds of receiving aggressive EOL care. Results: The study sample was 135,380 people after the one-to-one propensity score matching. The prevalence of aggressive EOL care utilization was slightly lower in beneficiaries with both cancer and ADRD when compared to beneficiaries with cancer only (54% vs. 58%, p < 0.0001). Beneficiaries with both cancer and ADRD were less likely to receive aggressive EOL care (AOR: 0.88, 95% CI: 0.86, 0.90) versus beneficiaries with cancer only. From the multivariable logistic regression model, certain beneficiaries' characteristics were associated with higher odds of receiving aggressive EOL care, such as: beneficiaries belonging to a racial/ethnic minority, a shorter survival time, and a higher CCI score. Discussion: The combined presence of ADRD and cancer was associated with lower odds of receiving aggressive EOL care compared to the presence of only cancer; however, the prevalence difference between the cohorts was not huge. Future studies could conduct in-depth evaluations of the ADRD's influence on the EOL care utilization.
MeSH term(s)	Male ; Humans ; United States/epidemiology ; Aged ; Alzheimer Disease/epidemiology ; Alzheimer Disease/therapy ; Medicare ; Quality of Life ; Retrospective Studies ; Ethnicity ; Minority Groups ; Terminal Care ; Neoplasms/epidemiology ; Neoplasms/therapy
Language	English
Publishing date	2022-08-27
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2556813-9
ISSN	1879-4076 ; 1879-4068
ISSN (online)	1879-4076
ISSN	1879-4068
DOI	10.1016/j.jgo.2022.08.011
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Article ; Online: End-of-Life Costs of Cancer Patients With Alzheimer's Disease and Related Dementias in the U.S.

Weng, Xingran / Shen, Chan / Van Scoy, Lauren J / Boltz, Marie / Joshi, Monika / Wang, Li

Journal of pain and symptom management

2022 Volume 64, Issue 5, Page(s) 449–460

Abstract: Context: End-of-Life (EOL) care consumes a substantial amount of healthcare resources, especially among older persons with cancer. Having Alzheimer's Disease and Related Dementias (ADRD) brings additional complexities to these patients' EOL care.: ... ...

Abstract	Context: End-of-Life (EOL) care consumes a substantial amount of healthcare resources, especially among older persons with cancer. Having Alzheimer's Disease and Related Dementias (ADRD) brings additional complexities to these patients' EOL care. Objectives: To examine the Medicare expenditures at the EOL (last 12 months of life) among beneficiaries having cancer and ADRD vs. those without ADRD. Methods: A retrospective cohort study used 2004-2016 Surveillance, Epidemiology, and End Results-Medicare data. Patient populations were deceased Medicare beneficiaries with cancer (breast, lung, colorectal, and prostate) and continuously enrolled for 12 months before death. Beneficiaries with ADRD were propensity score matched with non-ADRD counterparts. Generalized Estimating Equation Model was deployed to estimate monthly Medicare expenditures. Generalized Linear Models were constructed to assess total EOL expenditures. Results: Eighty six thousand three hundred ninety-six beneficiaries were included (43,198 beneficiaries with ADRD and 43,198 beneficiaries without ADRD). Beneficiaries with ADRD utilized $64,901 at the EOL, which was roughly $407 more than those without ADRD ($64,901 vs. $64,494, P = 0.31). Compared to beneficiaries without ADRD, those with ADRD had 11% higher monthly expenditure and 7% higher in total expenditures. Greater expenditure was incurred on inpatient (5%), skilled nursing facility (SNF) (119%), home health (42%), and hospice (44%) care. Conclusion: Medicare spending at the EOL per beneficiary was not statistically different between cohorts. However, specific types of service (i.e., inpatient, SNF, home health, and hospice) were significantly higher in the ADRD group compared to their non-ADRD counterparts. This study underscored the potential financial burden and informed Medicare about allocation of resources at the EOL.
MeSH term(s)	Aged ; Aged, 80 and over ; Alzheimer Disease/therapy ; Death ; Humans ; Male ; Medicare ; Neoplasms/therapy ; Retrospective Studies ; United States
Language	English
Publishing date	2022-08-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	639142-4
ISSN	1873-6513 ; 0885-3924
ISSN (online)	1873-6513
ISSN	0885-3924
DOI	10.1016/j.jpainsymman.2022.07.014
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Article ; Online: Influence of social and behavioral determinants on health-related quality of life among cancer survivors in the USA.

Burse, Natasha Renee / Weng, Xingran / Wang, Li / Cuffee, Yendelela L / Veldheer, Susan

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2022 Volume 31, Issue 1, Page(s) 67

Abstract: Purpose: Cancer survivors experience a worse health-related quality of life (HRQoL) than non-cancer survivors. However, it is not fully understood whether social determinants of health (SDOH) and health behaviors are significantly associated with HRQoL ... ...

Abstract	Purpose: Cancer survivors experience a worse health-related quality of life (HRQoL) than non-cancer survivors. However, it is not fully understood whether social determinants of health (SDOH) and health behaviors are significantly associated with HRQoL among cancer survivors. The purpose of this study was to investigate the influence of SDOH and health behaviors on HRQoL among cancer survivors. Methods: We identified adult (18 years or older) cancer survivors (n = 5784) in the 2017 and 2019 Behavioral Risk Factor Surveillance System. The primary outcome (HRQoL) was defined as whether cancer survivors reported having poor mental or physical health (e.g., 14 or more mentally or physically unhealthy days). Unadjusted and adjusted logistic regression was used to compute the odds ratios and 95% CIs of factors associated with poor HRQoL among the cancer survivors. Results: More than half of the cancer survivors were non-Hispanic White, female, and 65 years or older. In the adjusted multivariable logistic regression models, cancer survivors who were physically active and who did not avoid care because of costs had a lower risk of poor mental and physical health. Current smokers were more likely to report poor physical health. Homeowners were less likely to report poor mental health. Daily fruit and vegetable consumption and healthcare coverage were not associated with poor HRQoL. Conclusions: Some SDOH (healthcare access, economic stability, and the neighborhood and built environment) and health behavior (physical activity) are associated with lower likelihood of experiencing poor mental and/or physical health in the cancer survivors. The study findings can be used to target survivors who experience suboptimal HRQoL and to inform research, public health policies, and/or programs.
MeSH term(s)	Adult ; Humans ; Female ; United States ; Quality of Life/psychology ; Health Status ; Cancer Survivors/psychology ; Mental Health ; Survivors/psychology ; Neoplasms/psychology
Language	English
Publishing date	2022-12-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-022-07534-0
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Zs.A 3697: Show issues

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Article: Healthy Eating Index Scores Differ by Race/Ethnicity but Not Hypertension Awareness Status among US Adults with Hypertension: Findings from the 2011-2018 National Health and Nutrition Examination Survey

Ma, Yining / Weng, Xingran / Gao, Xiang / Winkels, Renate / Cuffee, Yendelela / Gupta, Sachin / Wang, Li

Academy of Nutrition and Dietetics Journal of the Academy of Nutrition and Dietetics. 2021 Nov. 09,

2021

Abstract: Little is known about whether or not diet quality is associated with race/ethnicity as well as hypertension awareness status among adults with hypertension.The aim of this study was to examine associations between diet quality and race/ethnicity as well ... ...

Abstract	Little is known about whether or not diet quality is associated with race/ethnicity as well as hypertension awareness status among adults with hypertension.The aim of this study was to examine associations between diet quality and race/ethnicity as well as hypertension awareness.Analysis of the 2011-2018 National Health and Nutrition Examination Survey, a cross-sectional survey representative of the US population.A total of 6,483 participants with hypertension who were at least 18 years old and had dietary recall data were included.Diet quality was assessed by Healthy Eating Index 2015 (HEI-2015).Weighted χ² tests were employed to test associations between categorical variables. Weighted linear regression was used to model the HEI-2015 score by various covariates.Among the 6,483 participants with hypertension included in this study, the average HEI-2015 total score was 54.0 out of the best possible score of 100. In unadjusted analysis, the HEI-2015 total score was significantly different by race/ethnicity (P < 0.01), being 60.9 for non-Hispanic Asian participants, 54.4 for Hispanic, 53.8 for non-Hispanic White, and 52.7 for non-Hispanic Black participants. The HEI-2015 component scores were statistically different by race/ethnicity for all the 13 components (all P values < 0.01). In adjusted analysis, race/ethnicity was significantly associated with the total HEI-2015 score (P < 0.0001), but hypertension awareness status was not (P = 0.99), after controlling for age, sex, body mass index, marital status, education level, income level, and insurance status.There were significant racial/ethnic differences in HEI-2015 scores among participants with hypertension. Hypertension awareness status was not associated with HEI-2015 scores. Further study is needed to identify reasons why there was an association between HEI-2015 scores and race/ethnicity, and a lack of association with hypertension awareness.
Keywords	National Health and Nutrition Examination Survey ; body mass index ; cross-sectional studies ; diet recall ; dietetics ; educational status ; food quality ; hypertension ; income ; insurance ; marital status ; nationalities and ethnic groups ; regression analysis
Language	English
Dates of publication	2021-1109
Publishing place	Elsevier Inc.
Document type	Article
Note	Pre-press version
ZDB-ID	2646718-5
ISSN	2212-2672
ISSN	2212-2672
DOI	10.1016/j.jand.2021.11.006
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Hypertension Prevalence and Control Among People With and Without HIV - United States, 2022.

Weng, Xingran / Kompaniyets, Lyudmyla / Buchacz, Kate / Thompson-Paul, Angela M / Woodruff, Rebecca C / Hoover, Karen W / Huang, Ya-Lin A / Li, Jun / Jackson, Sandra L

American journal of hypertension

2024

Abstract: Background: People with HIV (PWH) have higher rates of cardiovascular disease than people without HIV. However, limited information exists about hypertension prevalence and associated risk factors in PWH.: Methods: This cross-sectional study included ...

Abstract	Background: People with HIV (PWH) have higher rates of cardiovascular disease than people without HIV. However, limited information exists about hypertension prevalence and associated risk factors in PWH. Methods: This cross-sectional study included adult patients in the 2022 IQVIATM Ambulatory Electronic Medical Record - US data. HIV was identified based on ≥2 HIV diagnosis codes or a positive HIV test. Hypertension was identified by diagnosis codes, ≥2 blood pressure (BP) readings ≥130/80 mmHg, or an antihypertensive medication prescription. Among those with hypertension, control was defined as most recent BP <130/80 mmHg. Logistic models using marginal standardization method were used to estimate adjusted prevalence ratios (aPR) of hypertension and hypertension control among all patients and PWH specifically, controlling for covariates. Results: Of 7,533,379 patients, 19,102 (0.3%) had HIV. PWH had higher hypertension prevalence (66% vs 54%, aPR:1.14, 95% CI: 1.13-1.15) compared with people without HIV. Among persons with hypertension, PWH were more likely to have controlled hypertension (aPR: 1.10, 95% CI: 1.07-1.13) compared with people without HIV. Among PWH, those from the South were more likely to have hypertension (aPR: 1.07, 95% CI: 1.02-1.12) than PWH from the Northeast, while Black PWH were less likely to have controlled hypertension (aPR: 0.72, 95% CI: 0.67-0.77) than White PWH. Conclusions: PWH were more likely to have hypertension than people without HIV. Geographic and racial disparities in hypertension prevalence and control were observed among PWH. Optimal care for PWH includes comprehensive strategies to screen for, prevent, and manage hypertension.
Language	English
Publishing date	2024-04-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	639383-4
ISSN	1941-7225 ; 1879-1905 ; 0895-7061
ISSN (online)	1941-7225 ; 1879-1905
ISSN	0895-7061
DOI	10.1093/ajh/hpae048
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Article ; Online: Association Between Subjective Cognitive Decline and Social and Emotional Support in US Adults.

Weng, Xingran / George, Daniel R / Jiang, Bibo / Wang, Li

American journal of Alzheimer's disease and other dementias

2020 Volume 35, Page(s) 1533317520922392

Abstract: Subjective cognitive decline (SCD) has been linked to Alzheimer's Disease in the literature. However, little is known about whether SCD is associated with social/emotional support (SES). To investigate this association, this study utilized the 2015 and ... ...

Abstract	Subjective cognitive decline (SCD) has been linked to Alzheimer's Disease in the literature. However, little is known about whether SCD is associated with social/emotional support (SES). To investigate this association, this study utilized the 2015 and 2016 Behavioral Risk Factor Surveillance System data. A study population of 17206 participants aged 45 years and older who responded to both the Emotional Support and Life Satisfaction survey module and the Cognition Decline survey module were included. Of this study population, 11.22% had SCD, and 21.83% reported insufficient SES. A much higher percentage of those with insufficient SES experienced SCD compared to those with sufficient SES (21.15% vs 8.45%,
MeSH term(s)	Aged ; Alzheimer Disease/epidemiology ; Alzheimer Disease/psychology ; Behavioral Risk Factor Surveillance System ; Cognitive Dysfunction/epidemiology ; Cognitive Dysfunction/psychology ; Emotions ; Female ; Humans ; Male ; Marital Status ; Middle Aged ; Social Interaction ; Surveys and Questionnaires ; White People
Language	English
Publishing date	2020-05-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1283069-0
ISSN	1938-2731 ; 0895-5336 ; 1082-5207 ; 1533-3175
ISSN (online)	1938-2731
ISSN	0895-5336 ; 1082-5207 ; 1533-3175
DOI	10.1177/1533317520922392
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Article: Healthy Eating Index Scores Differ by Race/Ethnicity but Not Hypertension Awareness Status among US Adults with Hypertension: Findings from the 2011-2018 National Health and Nutrition Examination Survey.

Ma, Yining / Weng, Xingran / Gao, Xiang / Winkels, Renate / Cuffee, Yendelela / Gupta, Sachin / Wang, Li

Journal of the Academy of Nutrition and Dietetics

2021 Volume 122, Issue 5, Page(s) 1000–1012

Abstract: Background: Little is known about whether or not diet quality is associated with race/ethnicity as well as hypertension awareness status among adults with hypertension.: Objective: The aim of this study was to examine associations between diet ... ...

Abstract	Background: Little is known about whether or not diet quality is associated with race/ethnicity as well as hypertension awareness status among adults with hypertension. Objective: The aim of this study was to examine associations between diet quality and race/ethnicity as well as hypertension awareness. Design: Analysis of the 2011-2018 National Health and Nutrition Examination Survey, a cross-sectional survey representative of the US population. Participants/setting: A total of 6,483 participants with hypertension who were at least 18 years old and had dietary recall data were included. Main outcome measures: Diet quality was assessed by Healthy Eating Index 2015 (HEI-2015). Statistical analysis performed: Weighted χ Results: Among the 6,483 participants with hypertension included in this study, the average HEI-2015 total score was 54.0 out of the best possible score of 100. In unadjusted analysis, the HEI-2015 total score was significantly different by race/ethnicity (P < 0.01), being 60.9 for non-Hispanic Asian participants, 54.4 for Hispanic, 53.8 for non-Hispanic White, and 52.7 for non-Hispanic Black participants. The HEI-2015 component scores were statistically different by race/ethnicity for all the 13 components (all P values < 0.01). In adjusted analysis, race/ethnicity was significantly associated with the total HEI-2015 score (P < 0.0001), but hypertension awareness status was not (P = 0.99), after controlling for age, sex, body mass index, marital status, education level, income level, and insurance status. Conclusions: There were significant racial/ethnic differences in HEI-2015 scores among participants with hypertension. Hypertension awareness status was not associated with HEI-2015 scores. Further study is needed to identify reasons why there was an association between HEI-2015 scores and race/ethnicity, and a lack of association with hypertension awareness.
MeSH term(s)	Adolescent ; Adult ; Cross-Sectional Studies ; Diet ; Diet, Healthy ; Ethnicity ; Humans ; Hypertension/epidemiology ; Nutrition Surveys ; United States
Language	English
Publishing date	2021-11-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2646718-5
ISSN	2212-2672
ISSN	2212-2672
DOI	10.1016/j.jand.2021.11.006
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