1997–2017 Leading Causes of Death Information Due to Diabetes, Neoplasms, and Diseases of the Circulatory System, Issues Cautionary Weight-Related Lesson to the US Population at Large

D’Souza, Malcolm J.; Li, Riza C.; Gannon, Morgan L.; Wentzien, Derald E.

doi:10.1109/icesi.2019.8863033

Cited by 8 publications

(22 citation statements)

References 31 publications

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“…Reflecting on the negative consequences of previously studied chronic condition-related mortality on African-American/Blacks (AA/B) in the U.S. and Delaware (D'Souza et al, 2018;D'Souza, Kashmar et al, 2015;D'Souza, Li, Gannon et al, 2019;D'Souza, Walls et al, 2015;D'Souza, Wentzien et al, 2017; death ratios were higher for both Whites and AA/B at 3,007/10,703,061 (0.00028) and 691/2,962,447 (0.00023), respectively.…”

Section: Resultsmentioning

confidence: 98%

“…. Typically in such discovery projects, students uncover ways to cross-reference and probe the WONDER's menu-driven files to look for associations between incidences of chronic health conditions and mortality (D'Souza, Wentzien et al, 2017;D'Souza, Li, Gannon et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…For their research projects, students probe the databases' annual records for population, demographic, housing, social, and economic characteristics for all U.S. states, as well as for the State of Delaware (D'Souza et al, 2018;D'Souza, Kashmar et al, 2015;D'Souza, Wentzien, Bautista et al, 2017;D'Souza, Li, Gannon et al 2019;Neff & D'Souza, 2019). Furthermore, undergraduates completed epidemiologic methods in study design, data analysis, and statistical interpretations for the adverse human health effects observed from persistent health complications arising from obesity, diabetes, cardiovascular diseases, and cancer (D'Souza et al, 2018;D'Souza, Kashmar et al, 2015;D'Souza, Li, Gannon et al, 2019;D'Souza, Walls et al, 2015;D'Souza, Wentzien et al, 2017;. Results reveal that the listed chronic conditions do (indeed) impact all segments of the U.S. population and that the African American/Black (AA/B) population has been disproportionately affected.…”

Section: Introductionmentioning

confidence: 99%

“…Results reveal that the listed chronic conditions do (indeed) impact all segments of the U.S. population and that the African American/Black (AA/B) population has been disproportionately affected. Also, project data showed that the AA/B community invariably experienced higher age-adjusted mortality rate averages correlated to low socioeconomic status and lack of adequate healthcare (D'Souza et al, 2018;D'Souza, Kashmar et al, 2015;D'Souza, Li, Gannon et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Wesley's correlation studies between explanatory and response variables show Delaware to have a much higher mortality rate when obesity is a contributory factor on the death certificate (D'Souza et al, 2018;D'Souza, Wentzien, Bautista et al, 2017;D'Souza, Wentzien, Bautista et al, 2019). Still, its death rates for diabetes, cardiovascular disease, and cancer closely follow the declining national trends (D'Souza et al, 2018;D'Souza, Kashmar et al 2015;D'Souza, Li, Gannon et al, 2019;D'Souza, Wentzien, Bautista et al, 2019;D'Souza, Wentzien et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Twenty-Year Observational Study Shows Rising Alcohol-Attributable Death Profiles in the U.S. and Delaware

D’Souza

Wentzien

2020

RHS

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The U.S. alcohol-attributable mortality burden makes it the third-leading cause of preventable deaths. This 1999-2018 observational study used the Tenth Revision of the International Classification of Diseases codes and the alcohol-related disease impact (ARDI) causes of death records to track alcohol’s mortality burden. The Centers for Disease Control and Prevention keeps Wide-Ranging Online Data for Epidemiologic Research (WONDER) death certificates for the U.S. community. Evidence indicates that the U.S. ARDI mortality rates progressively trended upward (53.73%). Men were three times as likely as women to die, but female mortality rate changes (90.03%) advanced more rapidly than males. The study also revealed that the changes in alcohol-related death rate percentages for middle-age groups increased faster. In contrast, the African American/Black (AA/B) community’s age-adjusted mortality rate change patterns first declined and then increased. The alcohol-attributable mortality rate (1999 to 2018) difference for AA/B was -6.35%.Delaware’s population is around one million, and about 23% is African American/Black. The subgroup analysis for Delaware’s population was robust and showed alcohol-attributable mortality rates above national averages. This trend was apparent for both gender and race. In conclusion, for both the U.S. and Delaware, alcohol use disorder is a risk factor for mortality, especially for males.

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Section: Resultsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Twenty-Year Observational Study Shows Rising Alcohol-Attributable Death Profiles in the U.S. and Delaware

D’Souza

Wentzien

2020

RHS

Self Cite

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Trends in mortality related to kidney failure and diabetes mellitus in the United States: a 1999–2020 analysis

Rashid,

Jamil,

Khan

et al. 2024

J Nephrol

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Background Kidney failure ranks as the tenth leading cause of mortality in the United States (US), frequently arising as a complication associated with diabetes mellitus (DM). Methods Trends in DM and kidney failure mortality were assessed using a cross-sectional analysis of death certificates from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database. Crude and age-adjusted mortality rates (AAMR) per 100,000 people and annual percent change (APC) in age-adjusted mortality rate with 95% CI were obtained and measured across different demographic and geographic subgroups. Results Between 1999 and 2020, a total of 325,515 deaths occurred related to kidney failure and DM. The overall age-adjusted mortality rate showed no significant change between 1999 and 2012, after which it declined until 2015 − 64.8 (95% CI − 75.6 to − 44.8) and has been steadily increasing since. Men had consistently higher age-adjusted mortality rates than women throughout the study duration (overall age-adjusted mortality rate men: 8.1 vs. women: 5.9). Non-Hispanic (NH) Black or African American individuals had the highest overall age-adjusted mortality rate (13.9), followed by non-Hispanic American Indian or Alaskan Native (13.7), Hispanic or Latino (10.3), non-Hispanic Asian or Pacific Islander (6.1), and non-Hispanic White (6.0). Age-adjusted mortality rate also varied by region (overall age-adjusted mortality rate: West:7.5; Midwest: 7.1; South: 6.8; Northeast: 5.8), and non metropolitan areas had higher overall age-adjusted mortality rate (7.5) than small/medium (7.2) and large metropolitan areas (6.4). Conclusion After an initial decline, mortality rose across all the demographic groups from 2015 to 2020, revealing notable disparities in gender, race, and region. Graphical Abstract

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Using Health Navigators to Connect At-Risk Clients to Community Resources

Menendez

Barragan

Kuo

et al. 2021

Journal of Public Health Management and Practice

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Context:The coupling of health care services with complementary resources that address unmet social needs is a progressively popular approach for improving health outcomes among low-income populations. Community health workers are increasingly recognized as a helpful intermediary for clients navigating community and clinical services. Program:The Wellness Center at the Historic General Hospital in East Los Angeles employs a team of community health workers, referred to as Health Navigators, who are trained to link low-income clients to resources such as chronic disease management programs, food pantries, free or low-cost legal aid, health insurance enrollment, group fitness classes, and counseling and peer support services. Implementation: The Center's model of practice has evolved over time, continuously increasing the breadth and depth of services provided by the Health Navigator team. Its goal has been to address clients' unmet social needs while optimizing their health outcomes through the building of stronger community-clinical linkages. Evaluation: A program review showed that Health Navigators serve as a critical bridge for clients navigating a complex network of health and social services. They actively engage, recruit, and deliver services to clients. Since 2014, the Health Navigator team has connected more than 28 000 unique clients to resources for health and well-being. Discussion: By using Health Navigators to assist clients with community resource engagement, the Center has prototyped and promoted an approach that complements clinical care, strengthening the community-clinical linkages that are needed to meaningfully manage chronic disease outside of the hospital or clinic setting.

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1997–2017 Leading Causes of Death Information Due to Diabetes, Neoplasms, and Diseases of the Circulatory System, Issues Cautionary Weight-Related Lesson to the US Population at Large

Cited by 8 publications

References 31 publications

Twenty-Year Observational Study Shows Rising Alcohol-Attributable Death Profiles in the U.S. and Delaware

Twenty-Year Observational Study Shows Rising Alcohol-Attributable Death Profiles in the U.S. and Delaware

Trends in mortality related to kidney failure and diabetes mellitus in the United States: a 1999–2020 analysis

Using Health Navigators to Connect At-Risk Clients to Community Resources

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