Impact Evaluation & Implementation Science
Addressing social determinants of health in clinical settings
Financial incentives for clinic attendance provided via mobile technology
CA Fahey, PF Njau, E Katabaro, RS Mfaume, N Ulenga, N Mwenda, PT Bradshaw, WH Dow, NS Padian, NP Jewell, SI McCoy
The Lancet HIV, 2020
Effective treatment of HIV can enable individuals to lead healthy lives and prevent transmission to others, however socioeconomic factors often present obstacles to adherence. This randomized trial provided short-term monetary incentives for monthly visit attendance to adults starting antiretroviral therapy in Tanzania. We evaluated effects on 6-month viral suppression.
Clinic-based cash and food assistance to mitigate food insecurity
CA Fahey, PF Njau, WH Dow, NA Kapologwe, SI McCoy
AIDS, 2019
Food insecurity and HIV interact in a vicious cycle. Our randomized trial provided short-term cash and food incentives for monthly visit attendance to food insecure adults starting antiretroviral therapy in Tanzania, finding improved retention in care and medication possession. This analysis evaluated effects on food insecurity, nutrition, and employment.
Social & Environmental Epidemiology
Identifying social, economic, and environmental factors in health
Deportation worries fuel anxiety, poor sleep, among U.S.-born Latinx youth
B Eskenazi, CA Fahey, K Kogut, R Gunier, J Torres, NA Gonzales, N Holland, J Deardorff
JAMA Pediatrics, 2019
What is the association between immigration-policy concerns and the health outcomes in US-born Latino adolescents from immigrant families? In this cohort study of 397 US-born adolescents in California, fear and worry about the personal consequences of current US immigration policy were associated with higher anxiety levels, sleep problems, and blood pressure changes. Reported anxiety statistically significantly increased after the 2016 presidential election, particularly among young people in the most vulnerable families. The current immigration policy and rhetoric appear to be associated with adverse mental health outcomes among US citizen children of immigrants.
Maternal and child health amid seasonal food insecurity
CA Fahey, J Chevrier, M Crause, M Obida, R Bornman, B Eskenazi
PLoS ONE, 2019
Seasonal food insecurity and heavy rainfall in rural agricultural communities may negatively affect the health of pregnant women and inhibit timely access to prenatal care. This analysis used Fourier series regression to assess seasonality of women's nutrition, prenatal care attendance, and infant birthweight in South Africa.