Rie Suzuki - Academia.edu (original) (raw)
Papers by Rie Suzuki
American Journal of Health Behavior, 2013
C ancer is the second leading cause of death among Americans 1 and represents a major public heal... more C ancer is the second leading cause of death among Americans 1 and represents a major public health concern for all women, including women with disabilities. 2 Breast and cervical cancers are among the top 4 most frequently occurring types of cancer among women, ranking second and eighth respectively for cancer-related deaths among US women in 2008. 3 Early detection and treatment are the key actions to reducing breast and cervical cancer deaths. Accordingly, based on available evidence, the US Preventive Services Task Force has recommended both regular mammography screening 4,5 and cervical cancer screening 6,7 for women. Despite these recommendations, not all women are screened regularly, and this is particularly problematic for women with disabilities. Women with disabilities are more likely than their nondisabled peers to report being out of compliance with the recommended frequency of cancer screenings. 8 A popular state-level data system used for intervention planning is the Behavior Risk Factor Surveillance System (BRFSS). Data from the 2008 BRFSS indicated that 78.1% of women without disabilities had a mammogram in the past 2 years compared with 72.2% of women with disabilities. 9,10 BRFSS data do not specify the type of women's disability, identifying disability on the basis of self-reported functional limitations or the use of assistive devices. Information from other sources indicates that women with mobility limitations are at particular risk, possibly because of access to facilities and medical equipment. 11 Iezzoni et al 12 analyzed the National Health Interview Survey to document that women with mobility limitations have more difficulty receiving screening and treatment for breast cancer than nondisabled populations. Women with mobility limitations who have other health conditions such as cancer, depression, pain and fatigue or who have multiple limitations are even less likely to get screened. 13,14 These findings indicate the importance of identifying the barriers that prevent women with disabili
There has been an explosion of interest in the health and wellness of people with disabilities. W... more There has been an explosion of interest in the health and wellness of people with disabilities. We conducted a systematic scoping review of the literature to characterize the content of studies evaluating the effects of community-based interventions on the health and wellness of adults with mobility, cognitive, and sensory impairments. We found 77 articles reporting 79 studies published between 1986 and 2005. Just over half of the studies focused on physical fitness alone.
Social work in public health, 2014
This study explores the impact of family structure and parental education on adolescents' sub... more This study explores the impact of family structure and parental education on adolescents' substance use using a racially diverse sample of 14,268, 12th-grade high school adolescents. Findings reveal that family structure affects adolescents' substance use. In addition, racial differences are noted. African American adolescents report a relatively lower rate of substance use compared to White and Hispanic adolescents, yet they are gravely affected by substance use outcomes. The study lends further support that family structure and parental education variables may buffer adolescents from substance abuse influences. Implications for practice and policy are discussed.
Quality of life (QOL) measures are often used to assess the effectiveness of cancer screening int... more Quality of life (QOL) measures are often used to assess the effectiveness of cancer screening intervention programs in older adults. The major weakness in QOL use is that it is difficult to determine whether or not a high QOL score is associated with the improvement of the targeted cancer screening behaviors. There is evidence for the association between QOL and cancer screening behaviors. However, their interrelationships have received little investigation. The purpose of this study is to examine the associations of two latent variables (QOL and colorectal cancer screening behaviors (COLC)). Data were derived from a national representative sample of 32,841 aged 50 to 84 years from the National Health Interview Survey 2010. The QOL and the COLC were developed in the NHIS cancer file. Confirmatory factor analysis with multiple indicators multiple causes (MIMIC) model on the M-plus were used for data analysis. Most of the participants were Caucasian (68%) male (80%) who were married o...
Quality of Life Research, 2010
Purpose The objective of this study was to assess the factor structure of nine health-related qua... more Purpose The objective of this study was to assess the factor structure of nine health-related quality of life (HRQOL) survey items among people with and without disabilities or functional limitations (FL) and determine whether factor loadings were similar for the two groups. Methods Data were from US states and territories in the 2001 and 2002 Behavioral Risk Factor Surveillance System (BRFSS). Confirmatory factor analyses assessed fit of the data to a previously found factor structure.
Journal of Research on Adolescence, 2006
Researchers have suggested that good-quality school climates foster a sense of connection to the ... more Researchers have suggested that good-quality school climates foster a sense of connection to the school and in this way contribute to fewer emotional and behavioral problems. However, few studies have directly assessed the role of school connectedness as a mediator of school climate effects. Using path analysis, this brief report examined whether four aspects of student perceived school climate (cohesion, friction, competition among students, and overall satisfaction with classes) were indirectly associated with subsequent early adolescent conduct problems and depressive symptoms through school connectedness. Participants were four hundred and eighty-nine 10-to 14-year old middle school students involved in two waves of a study. The results showed that school connectedness mediated the relations between perceived cohesion, perceived friction, and overall satisfaction with classes and subsequent student conduct problems 1 year later. School connectedness was not, however, predictive of subsequent depressive symptoms and thus did not mediate the school climate effects on early adolescent emotional problems.
BMC Public Health, 2008
The critical importance of improving the well-being of people with disabilities is highlighted in... more The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status.
American Journal of Physical Medicine & Rehabilitation, 2014
The aim of this study was to determine the conceptual framework, item pool, and psychometric prop... more The aim of this study was to determine the conceptual framework, item pool, and psychometric properties of a new function-neutral measure of health-related quality-of-life (HRQOL). This is an expert panel review of existing measures of HRQOL and development of a conceptual model, core constructs, and item pool and a validation by experts in specific disabilities and in cultural competence. Items were cognitively tested, pilot tested for functional bias, field tested with a national sample of adults with various limitations, and reliability tested via repeat administration. Final item selection was based on analyses of factor structure, demographic bias, variance in likelihood of endorsement, and item-total correlation. Psychometric properties were demonstrated through differential item functioning analyses, factor analyses, correlations, and item response theory analyses. The results supported a four-domain conceptual model of HRQOL (physical health, mental health, social health, and life satisfaction and beliefs) for a 42-item HRQOL measure with an ancillary 15-item environment scale. The measure has strong internal consistency (α = 0.88-0.97), known-groups validity, and test-retest reliability (r = 0.83-0.91). Tests of convergent and divergent validity confirmed the ability of the Function-Neutral Health-Related Quality of Life to measure health while being relatively free of content assessing function. A conceptually grounded four-domain, function-neutral measure of HRQOL that is appropriate for use with persons with and without various functional limitations was developed.
American Journal of Health Promotion, 2009
American Journal of Health Behavior, 2013
Objectives: To assess the barriers and facilitators to mammogram use in middle aged women with mo... more Objectives: To assess the barriers and facilitators to mammogram use in middle aged women with mobility limitations who had completed an educational workshop, Promoting Access to Health Service (PATHS), on clinical preventive services. Methods: Women aged 40 to 64 with mobility impairments who reported not receiving a mammogram in the last 2 years were randomly assigned to a PATHS workshop and received follow-up monthly phone call interviews over 6 months. Results: Individual (eg, comorbidities, family responsibilities), interpersonal (eg, unclear provid-er communication, negative history), and environmental (eg, healthcare availability, insurance coverage, finances) factors were identified as unsolved barriers and potential facilitators (eg, reminders, physical proximity), to obtaining a mammogram. Conclusions: A multi-level intervention approach is required to promote mammogram use by women with disabilities.
Recommended screening can improve cancer detection and diagnosis, resulting in lower cancer morta... more Recommended screening can improve cancer detection and diagnosis, resulting in lower cancer mortality. The purpose of this study was to assess the efficacy of a theory-based program to promote regular mammography and Papanicolou (Pap) testing among women with mobility impairments who are overdue for screenings. Promoting Access to Health Services (PATHS) is an intervention designed to increase receipt of mammography and Pap tests among women with mobility impairments. PATHS is based on the Health Belief Model and Social Cognitive theory. It consists of a 90-minute participatory small-group workshop, followed by six months of structured telephone support. We evaluated the efficacy of PATHS through a randomized controlled trial. Women aged 35 64 with mobility impairments were recruited through a Medicaid managed care organization and a durable medical equipment vendor in Oregon during 2008 and 2009. Women who reported not receiving a Pap test in the past three years and/or a mammogram...
American Journal of Health Behavior, 2013
C ancer is the second leading cause of death among Americans 1 and represents a major public heal... more C ancer is the second leading cause of death among Americans 1 and represents a major public health concern for all women, including women with disabilities. 2 Breast and cervical cancers are among the top 4 most frequently occurring types of cancer among women, ranking second and eighth respectively for cancer-related deaths among US women in 2008. 3 Early detection and treatment are the key actions to reducing breast and cervical cancer deaths. Accordingly, based on available evidence, the US Preventive Services Task Force has recommended both regular mammography screening 4,5 and cervical cancer screening 6,7 for women. Despite these recommendations, not all women are screened regularly, and this is particularly problematic for women with disabilities. Women with disabilities are more likely than their nondisabled peers to report being out of compliance with the recommended frequency of cancer screenings. 8 A popular state-level data system used for intervention planning is the Behavior Risk Factor Surveillance System (BRFSS). Data from the 2008 BRFSS indicated that 78.1% of women without disabilities had a mammogram in the past 2 years compared with 72.2% of women with disabilities. 9,10 BRFSS data do not specify the type of women's disability, identifying disability on the basis of self-reported functional limitations or the use of assistive devices. Information from other sources indicates that women with mobility limitations are at particular risk, possibly because of access to facilities and medical equipment. 11 Iezzoni et al 12 analyzed the National Health Interview Survey to document that women with mobility limitations have more difficulty receiving screening and treatment for breast cancer than nondisabled populations. Women with mobility limitations who have other health conditions such as cancer, depression, pain and fatigue or who have multiple limitations are even less likely to get screened. 13,14 These findings indicate the importance of identifying the barriers that prevent women with disabili
There has been an explosion of interest in the health and wellness of people with disabilities. W... more There has been an explosion of interest in the health and wellness of people with disabilities. We conducted a systematic scoping review of the literature to characterize the content of studies evaluating the effects of community-based interventions on the health and wellness of adults with mobility, cognitive, and sensory impairments. We found 77 articles reporting 79 studies published between 1986 and 2005. Just over half of the studies focused on physical fitness alone.
Social work in public health, 2014
This study explores the impact of family structure and parental education on adolescents' sub... more This study explores the impact of family structure and parental education on adolescents' substance use using a racially diverse sample of 14,268, 12th-grade high school adolescents. Findings reveal that family structure affects adolescents' substance use. In addition, racial differences are noted. African American adolescents report a relatively lower rate of substance use compared to White and Hispanic adolescents, yet they are gravely affected by substance use outcomes. The study lends further support that family structure and parental education variables may buffer adolescents from substance abuse influences. Implications for practice and policy are discussed.
Quality of life (QOL) measures are often used to assess the effectiveness of cancer screening int... more Quality of life (QOL) measures are often used to assess the effectiveness of cancer screening intervention programs in older adults. The major weakness in QOL use is that it is difficult to determine whether or not a high QOL score is associated with the improvement of the targeted cancer screening behaviors. There is evidence for the association between QOL and cancer screening behaviors. However, their interrelationships have received little investigation. The purpose of this study is to examine the associations of two latent variables (QOL and colorectal cancer screening behaviors (COLC)). Data were derived from a national representative sample of 32,841 aged 50 to 84 years from the National Health Interview Survey 2010. The QOL and the COLC were developed in the NHIS cancer file. Confirmatory factor analysis with multiple indicators multiple causes (MIMIC) model on the M-plus were used for data analysis. Most of the participants were Caucasian (68%) male (80%) who were married o...
Quality of Life Research, 2010
Purpose The objective of this study was to assess the factor structure of nine health-related qua... more Purpose The objective of this study was to assess the factor structure of nine health-related quality of life (HRQOL) survey items among people with and without disabilities or functional limitations (FL) and determine whether factor loadings were similar for the two groups. Methods Data were from US states and territories in the 2001 and 2002 Behavioral Risk Factor Surveillance System (BRFSS). Confirmatory factor analyses assessed fit of the data to a previously found factor structure.
Journal of Research on Adolescence, 2006
Researchers have suggested that good-quality school climates foster a sense of connection to the ... more Researchers have suggested that good-quality school climates foster a sense of connection to the school and in this way contribute to fewer emotional and behavioral problems. However, few studies have directly assessed the role of school connectedness as a mediator of school climate effects. Using path analysis, this brief report examined whether four aspects of student perceived school climate (cohesion, friction, competition among students, and overall satisfaction with classes) were indirectly associated with subsequent early adolescent conduct problems and depressive symptoms through school connectedness. Participants were four hundred and eighty-nine 10-to 14-year old middle school students involved in two waves of a study. The results showed that school connectedness mediated the relations between perceived cohesion, perceived friction, and overall satisfaction with classes and subsequent student conduct problems 1 year later. School connectedness was not, however, predictive of subsequent depressive symptoms and thus did not mediate the school climate effects on early adolescent emotional problems.
BMC Public Health, 2008
The critical importance of improving the well-being of people with disabilities is highlighted in... more The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status.
American Journal of Physical Medicine & Rehabilitation, 2014
The aim of this study was to determine the conceptual framework, item pool, and psychometric prop... more The aim of this study was to determine the conceptual framework, item pool, and psychometric properties of a new function-neutral measure of health-related quality-of-life (HRQOL). This is an expert panel review of existing measures of HRQOL and development of a conceptual model, core constructs, and item pool and a validation by experts in specific disabilities and in cultural competence. Items were cognitively tested, pilot tested for functional bias, field tested with a national sample of adults with various limitations, and reliability tested via repeat administration. Final item selection was based on analyses of factor structure, demographic bias, variance in likelihood of endorsement, and item-total correlation. Psychometric properties were demonstrated through differential item functioning analyses, factor analyses, correlations, and item response theory analyses. The results supported a four-domain conceptual model of HRQOL (physical health, mental health, social health, and life satisfaction and beliefs) for a 42-item HRQOL measure with an ancillary 15-item environment scale. The measure has strong internal consistency (α = 0.88-0.97), known-groups validity, and test-retest reliability (r = 0.83-0.91). Tests of convergent and divergent validity confirmed the ability of the Function-Neutral Health-Related Quality of Life to measure health while being relatively free of content assessing function. A conceptually grounded four-domain, function-neutral measure of HRQOL that is appropriate for use with persons with and without various functional limitations was developed.
American Journal of Health Promotion, 2009
American Journal of Health Behavior, 2013
Objectives: To assess the barriers and facilitators to mammogram use in middle aged women with mo... more Objectives: To assess the barriers and facilitators to mammogram use in middle aged women with mobility limitations who had completed an educational workshop, Promoting Access to Health Service (PATHS), on clinical preventive services. Methods: Women aged 40 to 64 with mobility impairments who reported not receiving a mammogram in the last 2 years were randomly assigned to a PATHS workshop and received follow-up monthly phone call interviews over 6 months. Results: Individual (eg, comorbidities, family responsibilities), interpersonal (eg, unclear provid-er communication, negative history), and environmental (eg, healthcare availability, insurance coverage, finances) factors were identified as unsolved barriers and potential facilitators (eg, reminders, physical proximity), to obtaining a mammogram. Conclusions: A multi-level intervention approach is required to promote mammogram use by women with disabilities.
Recommended screening can improve cancer detection and diagnosis, resulting in lower cancer morta... more Recommended screening can improve cancer detection and diagnosis, resulting in lower cancer mortality. The purpose of this study was to assess the efficacy of a theory-based program to promote regular mammography and Papanicolou (Pap) testing among women with mobility impairments who are overdue for screenings. Promoting Access to Health Services (PATHS) is an intervention designed to increase receipt of mammography and Pap tests among women with mobility impairments. PATHS is based on the Health Belief Model and Social Cognitive theory. It consists of a 90-minute participatory small-group workshop, followed by six months of structured telephone support. We evaluated the efficacy of PATHS through a randomized controlled trial. Women aged 35 64 with mobility impairments were recruited through a Medicaid managed care organization and a durable medical equipment vendor in Oregon during 2008 and 2009. Women who reported not receiving a Pap test in the past three years and/or a mammogram...