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Research paper thumbnail of Social Support and Self-Reported Health Status of Older Adults in the United States

American Journal of Public Health, Oct 1, 2009

Objectives. We determined whether a representative national probability sample of US community-dw... more Objectives. We determined whether a representative national probability sample of US community-dwelling older adults who reported less social support also reported poorer general health status, which is a robust predictor of prospective mortality among elders.Methods. We analyzed 2 subsamples generated via random sampling with replacement from the full analytic sample of adults aged 60 years and older in the 1999–2002 National Health and Nutrition Examination Survey (n = 3476). We built multinomial logit models with the first analytic subsample (n = 1732). Then we tested the final models on the second subsample (n = 1744) to assess the differences in odds of reporting poor, fair, or good versus very good or excellent health. We fit the cross-validated final models to the full analytic sample.Results. After we controlled for age, race, gender, and educational attainment, older persons across all analytic samples who reported that they needed more support also reported having poorer health compared with better health 2 times more often than did older persons who were satisfied with the support available to them (odds ratio [OR] = 2.4; 95% confidence interval [CI] = 1.7, 3.4; P < .001).Conclusions. In the United States, older persons' satisfaction with the emotional support available to them is associated with better self-reported health status.

Research paper thumbnail of The relative efficiency of the General Clinical Research Centres - an application of data envelopment analysis to medical research infrastructure

International Journal of Healthcare Technology and Management, 2000

The Potential Energy Surface (PES) of the N + N2 atom diatom system has been reformulated using t... more The Potential Energy Surface (PES) of the N + N2 atom diatom system has been reformulated using the Largest Angle Generalisation of the Rotating Bond Order (LAGROBO) functional form for interpolating ab initio points in the short distance region and using a modified Lennard-Jones functional form to model the van der Waals interaction at long range. On the proposed surface extended quantum calculations have been performed using the Dynamics module of the Grid Empowered Molecular Simulator (GEMS) on the European Grid platform. The values of the calculated thermal rate coefficients fairly well reproduce the experimental results.

Research paper thumbnail of Prevalence of multiple chronic disease risk factors

American Journal of Preventive Medicine, Aug 1, 2004

Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physica... more Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight-contribute substantially to chronic disease prevalence. Methods: We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results: Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]ϭ1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged Ͻ65, 2.49 (95% CIϭ2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CIϭ2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CIϭ1.65-2.58). Conclusions: Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

Research Evaluation, Sep 1, 2011

ABSTRACT This paper describes the first direct application of the Payback Framework (PF) in the U... more ABSTRACT This paper describes the first direct application of the Payback Framework (PF) in the United States for an evaluation of the Mind-Body Interactions and Health Program, a trans-National Institutes of Health program funded over a ten-year period beginning in 1999. The program funded 15 research centers and 44 investigator-initiated research projects. We present results from an initial planning study and describe how we selected the PF as a conceptual framework for an outcome evaluation of the program. We outline the overall design for the outcome evaluation study and describe how we adapted the PF with reference to the initial phase of the study focusing in the 15 research centers. Copyright , Beech Tree Publishing.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

This paper describes the first direct application of the Payback Framework (PF) in the United Sta... more This paper describes the first direct application of the Payback Framework (PF) in the United States for an evaluation of the Mind-Body Interactions and Health Program, a trans-National Institutes of Health program funded over a ten-year period beginning in 1999. The program funded 15 research centers and 44 investigator-initiated research projects. We present results from an initial planning study and

Research paper thumbnail of The relative efficiency of the General Clinical Research Centres - an application of data envelopment analysis to medical research infrastructure

International Journal of Healthcare Technology and Management, 2000

... infrastructure Kingsley E. Haynes, G. Stephane Philogene and Mustafa Dinc ... values. Thompso... more ... infrastructure Kingsley E. Haynes, G. Stephane Philogene and Mustafa Dinc ... values. Thompson et al., [27] however, caution against substituting arbitrary positive numbers for zero entries in the data set to obtain all positive inputs and outputs. ...

Research paper thumbnail of Social Support and Self-Reported Health Status of Older Adults in the United States

American Journal of Public Health, 2009

We determined whether a representative national probability sample of US community-dwelling older... more We determined whether a representative national probability sample of US community-dwelling older adults who reported less social support also reported poorer general health status, which is a robust predictor of prospective mortality among elders. We analyzed 2 subsamples generated via random sampling with replacement from the full analytic sample of adults aged 60 years and older in the 1999-2002 National Health and Nutrition Examination Survey (n = 3476). We built multinomial logit models with the first analytic subsample (n = 1732). Then we tested the final models on the second subsample (n = 1744) to assess the differences in odds of reporting poor, fair, or good versus very good or excellent health. We fit the cross-validated final models to the full analytic sample. After we controlled for age, race, gender, and educational attainment, older persons across all analytic samples who reported that they needed more support also reported having poorer health compared with better health 2 times more often than did older persons who were satisfied with the support available to them (odds ratio [OR] = 2.4; 95% confidence interval [CI] = 1.7, 3.4; P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .001). In the United States, older persons&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; satisfaction with the emotional support available to them is associated with better self-reported health status.

Research paper thumbnail of Prevalence of multiple chronic disease risk factors

American Journal of Preventive Medicine, 2004

Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physica... more Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight-contribute substantially to chronic disease prevalence. Methods: We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results: Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]ϭ1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged Ͻ65, 2.49 (95% CIϭ2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CIϭ2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CIϭ1.65-2.58). Conclusions: Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

Research Evaluation, 2011

Research paper thumbnail of Social Support and Self-Reported Health Status of Older Adults in the United States

American Journal of Public Health, Oct 1, 2009

Objectives. We determined whether a representative national probability sample of US community-dw... more Objectives. We determined whether a representative national probability sample of US community-dwelling older adults who reported less social support also reported poorer general health status, which is a robust predictor of prospective mortality among elders.Methods. We analyzed 2 subsamples generated via random sampling with replacement from the full analytic sample of adults aged 60 years and older in the 1999–2002 National Health and Nutrition Examination Survey (n = 3476). We built multinomial logit models with the first analytic subsample (n = 1732). Then we tested the final models on the second subsample (n = 1744) to assess the differences in odds of reporting poor, fair, or good versus very good or excellent health. We fit the cross-validated final models to the full analytic sample.Results. After we controlled for age, race, gender, and educational attainment, older persons across all analytic samples who reported that they needed more support also reported having poorer health compared with better health 2 times more often than did older persons who were satisfied with the support available to them (odds ratio [OR] = 2.4; 95% confidence interval [CI] = 1.7, 3.4; P < .001).Conclusions. In the United States, older persons' satisfaction with the emotional support available to them is associated with better self-reported health status.

Research paper thumbnail of The relative efficiency of the General Clinical Research Centres - an application of data envelopment analysis to medical research infrastructure

International Journal of Healthcare Technology and Management, 2000

The Potential Energy Surface (PES) of the N + N2 atom diatom system has been reformulated using t... more The Potential Energy Surface (PES) of the N + N2 atom diatom system has been reformulated using the Largest Angle Generalisation of the Rotating Bond Order (LAGROBO) functional form for interpolating ab initio points in the short distance region and using a modified Lennard-Jones functional form to model the van der Waals interaction at long range. On the proposed surface extended quantum calculations have been performed using the Dynamics module of the Grid Empowered Molecular Simulator (GEMS) on the European Grid platform. The values of the calculated thermal rate coefficients fairly well reproduce the experimental results.

Research paper thumbnail of Prevalence of multiple chronic disease risk factors

American Journal of Preventive Medicine, Aug 1, 2004

Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physica... more Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight-contribute substantially to chronic disease prevalence. Methods: We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results: Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]ϭ1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged Ͻ65, 2.49 (95% CIϭ2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CIϭ2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CIϭ1.65-2.58). Conclusions: Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

Research Evaluation, Sep 1, 2011

ABSTRACT This paper describes the first direct application of the Payback Framework (PF) in the U... more ABSTRACT This paper describes the first direct application of the Payback Framework (PF) in the United States for an evaluation of the Mind-Body Interactions and Health Program, a trans-National Institutes of Health program funded over a ten-year period beginning in 1999. The program funded 15 research centers and 44 investigator-initiated research projects. We present results from an initial planning study and describe how we selected the PF as a conceptual framework for an outcome evaluation of the program. We outline the overall design for the outcome evaluation study and describe how we adapted the PF with reference to the initial phase of the study focusing in the 15 research centers. Copyright , Beech Tree Publishing.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

This paper describes the first direct application of the Payback Framework (PF) in the United Sta... more This paper describes the first direct application of the Payback Framework (PF) in the United States for an evaluation of the Mind-Body Interactions and Health Program, a trans-National Institutes of Health program funded over a ten-year period beginning in 1999. The program funded 15 research centers and 44 investigator-initiated research projects. We present results from an initial planning study and

Research paper thumbnail of The relative efficiency of the General Clinical Research Centres - an application of data envelopment analysis to medical research infrastructure

International Journal of Healthcare Technology and Management, 2000

... infrastructure Kingsley E. Haynes, G. Stephane Philogene and Mustafa Dinc ... values. Thompso... more ... infrastructure Kingsley E. Haynes, G. Stephane Philogene and Mustafa Dinc ... values. Thompson et al., [27] however, caution against substituting arbitrary positive numbers for zero entries in the data set to obtain all positive inputs and outputs. ...

Research paper thumbnail of Social Support and Self-Reported Health Status of Older Adults in the United States

American Journal of Public Health, 2009

We determined whether a representative national probability sample of US community-dwelling older... more We determined whether a representative national probability sample of US community-dwelling older adults who reported less social support also reported poorer general health status, which is a robust predictor of prospective mortality among elders. We analyzed 2 subsamples generated via random sampling with replacement from the full analytic sample of adults aged 60 years and older in the 1999-2002 National Health and Nutrition Examination Survey (n = 3476). We built multinomial logit models with the first analytic subsample (n = 1732). Then we tested the final models on the second subsample (n = 1744) to assess the differences in odds of reporting poor, fair, or good versus very good or excellent health. We fit the cross-validated final models to the full analytic sample. After we controlled for age, race, gender, and educational attainment, older persons across all analytic samples who reported that they needed more support also reported having poorer health compared with better health 2 times more often than did older persons who were satisfied with the support available to them (odds ratio [OR] = 2.4; 95% confidence interval [CI] = 1.7, 3.4; P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .001). In the United States, older persons&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; satisfaction with the emotional support available to them is associated with better self-reported health status.

Research paper thumbnail of Prevalence of multiple chronic disease risk factors

American Journal of Preventive Medicine, 2004

Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physica... more Background: Four common factors-cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight-contribute substantially to chronic disease prevalence. Methods: We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results: Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]ϭ1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged Ͻ65, 2.49 (95% CIϭ2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CIϭ2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CIϭ1.65-2.58). Conclusions: Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

Research paper thumbnail of An evaluation of the Mind-Body Interactions and Health Program: assessing the impact of an NIH program using the Payback Framework

Research Evaluation, 2011