Enbal Shacham

The Association Between School Physical Education Practices and School Level Socioeconomic Status

Samuel F. Biver, Ben D. Kern, Hans van der Mars, Enbal Shacham

BACKGROUND: Youth physical activity in the United States remains low, with disparities by socioeconomic status (SES). Physical education (PE) is an effective structural intervention, yet implementation is below recommendations. This study examines whether elementary school SES is associated with the implementation of …

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Seasonal variation in the bacterial microbiome of questing nymphal ticks in Missouri, United States

Aidan J. DeSalle, Victor I. Agbajelola, Aaron C. Ericsson, Chi-Ren Shyu et autres

Background Seasonal environmental variation may influence the composition of tick-associated bacterial communities. This study assessed seasonal differences in the microbiome of questing nymphal ticks collected from Missouri, United States. Methods Questing ticks were collected during early and late seasonal periods at a …

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Navigating the digital health landscape in U.S. adults with diabetes

Thomas E. Burroughs, Benjamin Varghese, Irl Hirsch, Travis M. Loux et autres

AIMS: Digital health technologies including mobile apps, web portals, and connected devices can enhance diabetes care, but population-level data on their use and attitudes toward data sharing among U.S. adults with diabetes are limited. This study examined patterns of digital health use, …

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Apolipoprotein L1 genetic testing, family history of hypertension, and kidney disease in a Midwestern U.S. cohort

Krista L. Lentine, Rengin Elsürer Afşar, Bryan Clair, Aliza Anwar Memon et autres

Background Understanding how family history and genetic factors—particularly apolipoprotein L1 ( APOL1 ) renal risk variants (RRVs)—contribute to kidney disease risk among Black individuals continues to evolve. Methods In a cohort of prospectively enrolled Black adults who underwent APOL1 genotyping and completed …

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Driving the neural exposome: Latent mobility states from naturalistic GPS data in older adults

Kenan Li, Enbal Shacham, Yiqi Zhu, Jean‐Francois Trani et autres

INTRODUCTION: Naturalistic driving provides real-world behavioral indicators of early cognitive and functional changes. This study integrated naturalistic driving GPS trajectories collected from in-vehicle sensors with points of interest (POIs) to quantify daily environmental engagement among older adults who were cognitively normal at …

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Examining the Joint Influence of Food Insecurity and Physical Inactivity on Diabetes Risk Among US Adults

Shafeel Umam, Enbal Shacham

Background Food insecurity and insufficient physical activity (PA) are known diabetes risk factors, but their combined impact and food security’s moderating role remain understudied.Purpose To estimate the combined effect of food security and PA on diabetes diagnosis and test whether household food …

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Likelihood of Quarantine Compliance During the COVID-19 Pandemic in the Midwest U.S.: Implications for Future Interventions

Shafeel Umam, Stephen E. Scroggins, Germysha Little, Enbal Shacham

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Psychological Distress Severity and Behaviors Among Missouri Residents Who Experienced COVID-19-related Death of a Loved One

Shafeel Umam, Germysha Little, Sydney Grellner, Jacob Tan et autres

OBJECTIVE: Explore the relationship between the severity of psychological distress symptoms and COVID-19-related bereavement, along with various sociodemographic factors and smoking/substance use behaviors during the COVID-19 pandemic. METHODS: This study used 962 Missouri residents' (age: mean 44.8, SD 16.7, range 18-86 years; …

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Association between high school physical education and physical activity in Missouri students

Sam Biver, Travis M. Loux, Enbal Shacham

Background The United States Centers for Disease Control and Prevention (CDC) recommends that adolescents engage in 60 min of physical activity (PA) daily. However, the average PA levels of adolescents are far below those recommendations. Physical education (PE) develops the knowledge, skills, …

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Availability, accessibility, and functionality of public restrooms in the City of St. Louis, Missouri

Anne Sebert Kuhlmann, Kenan Li, Maire MacMaster, Sydney Gellner et autres

BACKGROUND: Individuals experiencing homelessness face daily challenges of sanitation and hygiene. These challenges are exacerbated during menstruation. AIM: We sought to assess the location, accessibility, and functionality of public restrooms in the City of St. Louis. METHODS: We compiled and mapped a …

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Missing Shade, Missing Health: Tree Canopy Disparities and Neonatal Sepsis in a Midwestern U.S. City

Germysha Little, Enbal Shacham, Kenan Li, Kimberly R. Enard et autres

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Advancing sustainability in low-resource settings: development and validation of a sustainability tool for evidence-based interventions and programs

Chisom Obiezu‐Umeh, Divya S. Subramaniam, Ucheoma Nwaozuru, Titilola Abike Gbaja-Biamila et autres

Introduction: Despite substantial research and growing evidence on effectiveness, the longer-term benefits of proven healthcare interventions and programs have not been fully explored due to challenges sustaining such efforts. Existing sustainability measures developed in high-income countries may not reflect determinants unique to …

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