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Ladines-Lim J, Secrest K, Pu A, Sifuentes A, Spranger E, Stojan J, Meddings J. Firearm Screening and Counseling in General Medicine Primary Care Clinics at an Academic Medical Center. J Gen Intern Med 2024; 39:147-149. [PMID: 37653204 PMCID: PMC10817861 DOI: 10.1007/s11606-023-08379-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Accepted: 08/11/2023] [Indexed: 09/02/2023]
Affiliation(s)
- Joseph Ladines-Lim
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
- Department of Pediatrics, University of Michigan, Michigan Medicine, 3116 Taubman Center, SPC5368, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
| | - Kayla Secrest
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
| | - Autumn Pu
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
| | - Aaron Sifuentes
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
| | - Elizabeth Spranger
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
| | - Jennifer Stojan
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
- Department of Pediatrics, University of Michigan, Michigan Medicine, 3116 Taubman Center, SPC5368, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA
| | - Jennifer Meddings
- Department of Internal Medicine, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA
- Department of Pediatrics, University of Michigan, Michigan Medicine, 3116 Taubman Center, SPC5368, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA
- Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, MI, USA
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Gondi KT, Larson J, Sifuentes A, Alexander NB, Konerman MC, Thomas KS, Hummel SL. Health of the Food Environment Is Associated With Heart Failure Mortality in the United States. Circ Heart Fail 2022; 15:e009651. [PMID: 36281754 DOI: 10.1161/circheartfailure.122.009651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Food environment factors contribute to cardiovascular disease, but their effect on population-level heart failure (HF) mortality is unclear. METHODS We utilized the National Vital Statistics System and USDA Food Environment Atlas to collect HF mortality rates (MR) and 2 county food environment indices: (1) food insecurity percentage (FI%) and (2) food environment index (FEI), a scaled index (0-10, 10 best) incorporating FI% and access to healthy food. We used linear regression to estimate the association between food environment and HF MR Results: Mean county FI% and FEI were 13% and 7.8 in 2956 included counties. Counties with FI% above the national median had significantly higher HF MR (30.7 versus 26.7 per 100 000; P<0.001) compared with FI% below the national median. Counties with HF MR above the national median had higher FI%, lower FEI, lower density of grocery stores, poorer access to stores among older adults, and lower Supplemental Nutrition Assistance Program participation rate (P<0.001 for all). Lower county FI% (β=-1.3% per 1% decrease) and higher county FEI (β=-3.6% per 1-unit increase in FEI) were significantly associated with lower HF MR after adjustment for county demographic, socioeconomic, and health factors. This association was stronger for HF MR compared with non-HF cardiovascular disease MR and all-cause MR The relationship between food environment and HF MR was stronger in counties with the highest income inequity and poverty rate. CONCLUSIONS Healthier food environment is significantly associated with lower HF mortality at the county level. This reinforces the role of food security on cardiovascular outcomes.
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Affiliation(s)
- Keerthi T Gondi
- Department of Internal Medicine (K.T.G., J.L., A.S.), University of Michigan, Ann Arbor
| | - John Larson
- Department of Internal Medicine (K.T.G., J.L., A.S.), University of Michigan, Ann Arbor
| | - Aaron Sifuentes
- Department of Internal Medicine (K.T.G., J.L., A.S.), University of Michigan, Ann Arbor
| | - Neil B Alexander
- Division of Geriatric and Palliative Medicine (N.B.A.), University of Michigan, Ann Arbor.,Geriatric Research Education Clinical Center (N.B.A.), Veterans Affairs Ann Arbor Health System, MI
| | - Matthew C Konerman
- Division of Cardiovascular Medicine (M.C.K., S.L.H.), University of Michigan, Ann Arbor
| | - Kali S Thomas
- Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI (K.S.T.)
| | - Scott L Hummel
- Division of Cardiovascular Medicine (M.C.K., S.L.H.), University of Michigan, Ann Arbor.,Section of Cardiology (S.L.H.), Veterans Affairs Ann Arbor Health System, MI
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Gondi K, Sifuentes A, Hummel SL. Food Insecurity Is Independently Associated With Heart Failure Mortality In The United States. J Card Fail 2022. [DOI: 10.1016/j.cardfail.2022.03.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ghrenassia E, Avouac J, Derk CT, Airo P, Khanna D, Ingegnoli F, Rosato E, Caramaschi P, Riccieri V, Bae S, Steen VD, Allanore Y, Irene A, De la Pena P, Sifuentes A, Marie I, Gourcerol G, Leroi AM, Menard JF, Ducrotte P. S.3.1 Watermelon stomach in SSc: a EUSTAR case-control study. Rheumatology (Oxford) 2012. [DOI: 10.1093/rheumatology/ker463] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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