Aryana S. Jacobs

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INTRODUCTION Childhood adversity is an under-addressed dimension of primary prevention of disease in children and adults. Evidence shows racial/ethnic and socioeconomic patterning of childhood adversity in the U.S., yet data on the interaction of race/ethnicity and SES for exposure risk is limited, particularly with consideration of immigration history.(More)
BACKGROUND Insured adults receive invasive cardiovascular procedures more frequently than uninsured adults. We examined the impact of healthcare reform in Massachusetts on use of coronary revascularization procedures and in-hospital and 1-year mortality by race/ethnicity, education, and sex. METHODS AND RESULTS Using hospital claims data, we compared(More)
Telephone genetic counseling (TC) for high-risk women interested in BRCA1/2 testing has been shown to yield positive outcomes comparable to usual care (UC; in-person) genetic counseling. However, little is known about how genetic counselors perceive the delivery of these alternate forms of genetic counseling. As part of a randomized trial of TC versus UC,(More)
Blacks are disproportionately affected by cardiovascular disease and have worse cardiovascular health outcomes than other racial and ethnic groups in the United States. Potential reasons for these differences include differences in cardiovascular disease risk factors, socioeconomic status, chronic stress, suboptimal interactions with healthcare providers,(More)
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