Social Determinants of Health
My research primarily centers on understanding the social determinants of health (SDOH) - the conditions in the environments where individuals are born, live, learn, work, play, worship, and age. These factors significantly influence a wide array of health outcomes, functioning, and overall quality of life. Social determinants of health play a pivotal role in shaping people's health, well-being, and overall quality of life. Examples of these determinants include secure housing and neighborhoods, access to nutritious foods and opportunities for physical activity, experiences of racism, discrimination, and violence, educational attainment, job opportunities, income levels, environmental factors like air and water quality, as well as language and literacy skills. Studying these elements helps us comprehend their profound impact on individuals' health and guides efforts to create healthier and more equitable communities.
Parekh T, Desai A. Demographic and Socioeconomic Disparities Among Cancer Survivors in Clinical Trials Participation, USA, 2016-2018. J Cancer Educ. 2020 Jun 11;1–3.
Chronic Diseases and Health Disparities
Chronic diseases encompass a wide range of conditions persisting for a year or more, necessitating ongoing medical attention or restricting daily activities. Notably, ailments like heart disease, cancer, and diabetes stand as the primary causes of mortality and disability in the United States, concurrently driving the nation's annual healthcare expenditure of $3.8 trillion. Although public health initiatives have made strides in identifying and addressing chronic disease risk factors, a pressing need exists to delve deeper into their impact on existing disparities. Beyond conventional risk factors, the field of public health must extend its reach further upstream by tackling social and institutional factors contributing to inequities. Factors such as race, sexual orientation, education, income, residential segregation, and healthcare access disparities offer a clear pathway for public health to explore. By scrutinizing these aspects, public health can assess and enhance health policies, programs, and infrastructures, thereby fostering a more comprehensive and equitable approach to chronic disease management.
Desai A, Sachdeva S, Parekh T, Desai R. COVID-19 and Cancer: Lessons From a Pooled Meta-Analysis. JCO Global Oncology. 2020;(6):557–559.
Desai R, Singh S, Parekh T, Sachdeva S, Sachdeva R, Kumar G. COVID-19 and diabetes mellitus: A need for prudence in elderly patients from a pooled analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(4):683–685.
Fong HK, Desai R, Faisaluddin M, Parekh T, Mahmood A, Shah V, et al. Sex disparities in cardiovascular disease outcomes among geriatric patients with prediabetes. Prim Care Diabetes. 2021 Feb 1;15(1):95–100.
Hanna B, Desai R, Parekh T, Guirguis E, Kumar G, Sachdeva R. Psychiatric disorders in the U.S. transgender population. Annals of Epidemiology. 2019;39:1-7.e1.
Substance Use and Addiction
Substance abuse and misuse encompass a range of interlinked conditions arising from the consumption of substances that alter mind and behavior, resulting in adverse health and behavioral consequences. The complexity of this issue is exacerbated by societal attitudes as well as political and legal responses toward alcohol and illicit drug use, making it a multifaceted challenge in public health. Debates persist regarding whether abuse and misuse stem from biological or genetic factors or are merely personal choices shaped by social values.
In contrast, addiction shares similarities with other diseases, such as heart disease. Both conditions disrupt the normal, healthy functioning of bodily organs, leading to severe and detrimental effects. Importantly, both can often be prevented and treated. If left unaddressed, they can persist throughout a person's lifetime and, in the worst cases, result in fatal outcomes. Recognizing addiction as a disease highlights the urgency of intervention, emphasizing the significance of prevention, treatment, and support mechanisms in mitigating its long-term impact.
Parekh T, Cuellar AE, Farina-Morse M, Spencer N, Sutter RE. Where It Really Counts: Feasibility and Potential of the Peer Engaged Empowered Recovery Program for Substance-Dependent Jail Inmates. J Addict Nurs. United States; 2022 Sep 1;33(3):137–143. PMID: 36041157
Parekh T, Fahim F. Building Risk Prediction Models for Daily Use of Marijuana Using Machine Learning Techniques. Drug Alcohol Depend. 2021 May 28;108789.
Parekh T, Desai R. A Comparative Analysis of E-cigarette Users in The United States Between 2017 and 2018. Cureus. 2021; 12(12): e12079.
Parekh T, Pemmasani S, Desai R. Marijuana Use Among Young Adults (18–44 Years of Age) and Risk of Stroke. Stroke. 2020;51(1):308–310.
Parekh T, Pemmasani S, Desai R. Risk of Stroke With E-Cigarette and Combustible Cigarette Use in Young Adults. American Journal of Preventive Medicine. 2020;58(3):446–452.
Parekh T, Owens C, Fay K, Phillips J, Kitsantas P. Use of e-Cigarettes and Development of Respiratory Conditions in Women of Childbearing Age. Southern Medical Journal. 2020;113(10):488–494.
Disability and Healthcare Disparities
I firmly believe that within every extended family, there exists at least one individual coping with a disability, a reality mirrored in my own family experience. This personal connection serves as my driving force, inspiring my ongoing dedication to researching this underserved population. While traditional health policies acknowledge racial and ethnic disparities in healthcare and outcomes, a parallel recognition is sorely lacking in the realm of disability-related research and policies. Individuals with disabilities consistently face significant challenges in various health metrics, enduring higher rates of chronic diseases from an early age. Despite recent attempts to shed light on their plight, our society has yet to elevate their health and quality of life to a paramount position in public health priorities. This gap underscores the pressing need for a paradigm shift, where we prioritize the well-being of people with disabilities and integrate their concerns into the heart of public health initiatives.
Orji A F, Gimm G, Desai A, Parekh T. (2023). The Association of Cervical Cancer Screening with Disability Type among U.S. Women (25-64 years). American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2023.08.010
Gimm G, Parekh T, Kitsantas P. Assessing the Prevalence and Risk Factors of Marijuana Use in Adults with Disabilities. Addict Behav. 2023 Mar 1;138:107559.
Gimm G, Parekh T, Kitsantas P. Assessing the Prevalence and Risk Factors of Marijuana Use in Adults with Disabilities. Addict Behav. 2022 Nov 25;107559.
Gimm G, Parekh T, Rossheim M. Prevalence of E-cigarette Use among Adults with Disabilities. Disability and Health. Disabil Health J. 2021; 14(2):101048