Subject: Epidemiology HEC Newsletter
From: Department of Epidemiology <[email-masked]>
Date: Wed, 21 Aug 2024 18:30:54 +0000

Health Equity Council Newsletter

CSPH Epidemiology Department

August 21st, 2024

Dear Epidemiology Department:

Welcome back! As we begin to settle back into a routine for Fall semester 2024, the Epidemiology Health Equity Council (HEC) would like to highlight recent events and acknowledge their impact, feature recent CSPH health equity research, and share support resources for faculty, students, and staff.

In This Newsletter

Global & National Updates

Local Updates

DEI Research Corner!

Get to Know your HEC! Member Spotlight

Resources

Global & National Updates

  *   Obtaining accurate death counts in Gaza: a difficult but critically important public health task. A recent correspondence published in the Lancet<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.thelancet.com%2Fjournals%2Flancet%2Farticle%2FPIIS0140-6736%2824%2901169-3%2Ffulltext&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=bd0f7cfba0a9d8e936043a10c382a7892fce60419e05421c6508ffaa23060863> estimated that at least 186,000 deaths, or 7-9% of the total population in the Gaza Strip, is attributable to the current war in the Middle East. Collecting these data from hospitals is becoming increasingly difficult for the Gaza Health Ministry due to loss of healthcare infrastructure<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>. Consequently, the Ministry has resorted to supplementing death count reports from hospitals with information from media sources and first responders. Obtaining an accurate death count is crucial not only for obtaining aid but also to quantifying the indirect consequences of the armed conflict. Indirect consequences are those that extend beyond direct harm from violence. For example, indirect deaths include those caused by communicable and non-communicable diseases resulting from  demolished healthcare and physical infrastructures; and severe shortages of food, water, and shelter. The number of indirect deaths related to the war is estimated to be three to 15 times that of direct deaths. Even if the war ends immediately, the number of indirect deaths will continue to increase in the coming months and years. There will also be myriad long-term consequences on health and wellbeing of families in the Middle East, for which latent effects will manifest over decades, as has been observed for other historical armed conflicts like the Dutch Hunger Winter of 1944-1945<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>. Knowledge and advanced anticipation of these long-term consequences call for research to inform biomedical and public health efforts to address and mitigate unfavorable health outcomes with potential to span generations.

  *   The US grapples with gender-affirming care. Gender-affirming care is age-appropriate medical, surgical, mental health, and non-medical services for transgender, non-binary, and gender-expansive people who experience symptoms of gender dysphoria or distress due to their gender identity not matching their sex assigned at birth. Despite a wealth of research demonstrating that timely receipt of gender-affirming medical care<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fopa.hhs.gov%2Fsites%2Fdefault%2Ffiles%2F2023-08%2Fgender-affirming-care-young-people.pdf&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=b214e996b03fc99b65aa4505d2187ecfae4f33e12b82b6849faef15a19694dde> is crucial to mental health and overall well-being of gender diverse children and adolescents, legislators in over 20 states have recently introduced bills that limit transgender, non-binary, and gender-expansive youth’s access to gender-affirming care under the premise of the unknown the long-term consequences of such therapies. At present, nearly 40% (n=117,600) of trans youth between the ages of 13 and 17 years <https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.hrc.org%2Fresources%2Fattacks-on-gender-affirming-care-by-state-map&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=a6cfefaeaf53fa7ce9d6c1f1162c8a1623a30184d76129a63d2c1d898d3a372a> live in a state that has banned gender-affirming care. Banning gender-affirming care raises ethical concerns. These bans perpetuate discrimination and marginalization of diverse youth, disregard medical consensus, and fail to uphold the principles of patient-centered care. In 2023, Colorado became the first state to include gender-affirming care services in its benchmark health insurance plan for essential health benefits (EHBs)<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fdoi.colorado.gov%2Ffor-consumers%2Fconsumer-resources%2Fspecial-insurance-topics%2Flgbtq-health-care-rights%2Fgender-affirming%23%3A~%3Atext%3DIn%25202023%252C%2520Colorado%2520became%2520the%2Cessential%2520health%2520benefits%2520%28EHBs%29.&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=78bb0ae1330e1df8a844f4dadcc18af203931389ac9237751eff63ec6adfcc44>, which lays out gender-affirming care services that insurance companies must cover for individual and small group plans. At present, it remains crucial to advocate for inclusive policies<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.thehrcfoundation.org%2Fprofessional-resources%2Ftransgender-inclusion-in-the-workplace-recommended-policies-and-practices&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=58133b3238c821abf42568842015b276ca645d4ba3e9c655e40a0b4488ed4415> and raise public awareness to foster a more equitable and inclusive nation that respects the rights of these populations.

  *   Continued firearm violence amidst a divisive presidential election. In addition to shootings that occurred over the last several months, including one at the University of Colorado, Colorado Springs campus<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.usatoday.com%2Fstory%2Fnews%2Fnation%2F2024%2F02%2F19%2Funiversity-colorado-springs-shooting%2F72656408007%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=dbe379314602db708a95dcbea8a2c1a1b4097c9b086445f1722d5ed1ee710623> that resulted in the loss of two students and the fatal shooting of 13-year-old Nyah Mway<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.npr.org%2F2024%2F06%2F30%2Fnx-s1-5024161%2Futica-police-shooting-nyah-mway&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=3f86ddad5defac00d3715d59c3950421ecafaa66390a14ba4afd1583fd4567a7> in Utica, NY, much recent attention has turned to the attempted assassination of former president Donald Trump at a rally on July 13th<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.cnn.com%2Fpolitics%2Flive-news%2Felection-biden-trump-07-13-24%2Findex.html&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=b742144718820b60bd695003527bbe23af1c0c5e09b733f4c7260f3119ffec09> in Butler, PA that killed one spectator, wounded two spectators plus Trump, and resulted in the death of the gunman. This event highlights not only the issue of firearm access/use but, also, reminds us of the US’s history of political violence<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.cnn.com%2F2024%2F07%2F13%2Fpolitics%2Fpresidents-who-have-been-shot-or-shot-at%2Findex.html&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=3efed62f57568628b79d178bdf250853dae90dffadf603757b412f310807b722>, with some evidence that an increasing number of Americans feel that such violence is necessary<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.pbs.org%2Fnewshour%2Fpolitics%2F1-in-5-americans-think-violence-may-solve-u-s-divisions-poll-finds&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=fa9a5540bc0eed922ffa2764eedc06e64d7f02ef2ce40b2c421733d605b3a399>. Regardless of political affiliation, the fact that a former political leader and presidential candidate was the target of a firearm attack is unilaterally concerning. Further, it is a sharp indication of the need to recognize gun violence as a critical and preventable public health problem, for which effective and sustainable prevention stems from rigorous research (see CDPHE’s website for grant opportunities from the Office of Gun Violence Prevention<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcdphe.colorado.gov%2Foffice-of-gun-violence-prevention%2Fgrant-program&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=1fc17291b705edf433936610f7be512cb641dc7af1ca911c4c2a5896795853ba>) in conjunction with comprehensive health systems training on violence prevention (e.g., medical school training<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.statnews.com%2F2022%2F06%2F17%2Fmedical-schools-engage-preventing-gun-violence%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=ccda756b0fed8329877385ca3f2f3689dfda1f59e2e57f526cef8be6f3b8ca2d> and nursing advocacy programs<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fojin.nursingworld.org%2Ftable-of-contents%2Fvolume-28-2023%2Fnumber-3-september-2023%2Ffirearm-violence-prevention%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=4c70cbd6f97d16935692ab19966898e213fb9fd046e0c2fdf479717d77244224>).

  *   July was Disability Pride Month, a celebration of the history, experiences, and achievements of people with disabilities, and an acknowledgment of seen and unseen barriers that may limit people with disabilities from participating in societal activities. While Disability Pride Month is not yet federally recognized, interested persons can learn more about its history and significance in this toolkit from the National Council on Independent Living<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fncil.org%2Fresources%2Fdisability-pride-toolkit-and-resource-guide%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=c6e117e6cc64db46f25cbaedddb0fe21a47d54d973d7981c1b17b810363173fc>.

Local Updates

  *   Protection of women’s reproductive rights in Colorado. The fall of Roe in 2022 opened the doors for individual states in the US to determine the legality of abortion. At present, 14 states have banned abortion. Fortunately, Colorado is among the 11 states where abortion rights are protected<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Freproductiverights.org%2Fmaps%2Fabortion-laws-by-state%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=6547fb2ca189cbb278fd74f8078f725787a07be39dbc617469ef7f719f59d132>. On April 14th, 2023, Colorado enacted an interstate shield law<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Freproductiverights.org%2Fmaps%2Fstate%2Fcolorado%2F%23%3A~%3Atext%3DProtected%2Cenacted%2520a%2520comprehensive%2520shield%2520law.&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=276b9789ed53f553c4e3c71e300dc0d80b34b108e24e43e03802973c7b7b013a> to protect providers from criminal, civil, licensure, and insurance consequences if they provide medication or abortion care to out-of-state residents. The shield law also protects people who travel to Colorado for abortion or gender-affirming care<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradonewsline.com%2F2023%2F04%2F14%2Fcolorado-polis-abortion-related-protections%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=2bbf9bcc0837fc9afac99727b6346396a7df2b6ea545eed4ba0324d501720808> from out-of-state lawsuits and prosecution. As part of the upcoming election, voters will have the opportunity to decide whether to amend the Colorado Constitution to protect these rights. University of Colorado Anschutz Advocates<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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> are striving to do just this: in spring 2024, the student-led Planned Parenthood chapter on campus petitioned for Colorado to protect reproductive rights on the November ballot<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fnews.cuanschutz.edu%2Fcoloradosph%2Fanschutz-students-mobilize-to-protect-reproductive-rights-in-colorado&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=2d9d133347623cb2fd525c91308a781d17ae1832705e355debc38e56987bb37b>.

  *   Provisioning of separate housing for transgender women in Colorado correctional facilities. Traditionally, people have been housed in correctional facilities based on sex assigned at birth. Consequently, many transgender women have lived in men’s prisons. This arrangement makes transgender women among the most vulnerable in incarcerated systems due to mis-gendering, sexual assault, unnecessary and invasive searches by (frequently male) staff, and lack of access to necessary and appropriate medical care. In April 2024, Colorado became the first state in the US<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.npr.org%2F2024%2F04%2F01%2F1242104061%2Fcolorado-plans-to-create-special-housing-units-for-transgender-women-in-prisons&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=2b42fc85a0cb4d3433eca3fb418419e9c06cec19323e388c2ac21fa8de1258eb> to create voluntary housing options for transgender women in correctional facilities. The state will create two designated units for transgender women, one in the Sterling Correctional Facility, which houses men, and the other in the Denver Women’s Correctional Facility. This move occurred as part of a legal settlement in a case brought by 400 trans women<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fcolorado-lawsuit-settlement-trans-women-inmates%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=2ad434ee8bd14ab11b038e8a9d965edb3fee4a65434e9af52cfaaea616299b87> currently or previously in the state’s prisons. In addition to the new housing units, the state will offer specialized gender-affirming health care and take other steps to address concerns voiced by this population. Researchers are in the early stages of understanding the outcomes of policies that aim to support incarcerated transgender people, since there are currently very few examples of such inclusive policies to learn from.

  *   The Front Range’s unshakeable ozone problem. Over the last 20 years, major metro areas like Washington, D.C., and Kansas City have experienced a decrease in ozone, a lung irritant known to worsen respiratory health and shorten human lifespan. The downward trend is attributable to cleaner cars and power plants, but such improvements have not had the same beneficial effect on air quality in Colorado. In fact, in 2022, the US Environmental Protection Agency classified the Front Range as being a severe air quality violator due to summertime ozone levels<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.cpr.org%2F2022%2F04%2F12%2Ffront-range-air-quality-ozone-violations-epa%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=b6e0c7484b5012e49fa8d3045c27839be23a88d09dc6a7ac6bb04d20d4b6b22b>. It remains unclear why the Front Range has not been able to shake persistently high ozone levels, motivating state and federal researchers to obtain air quality measurements from aircraft, ground stations and vehicles to identify the source behind the region’s summertime ozone woes<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fresearch.noaa.gov%2F2024%2F07%2F05%2Fsummer-airborne-research-targets-rocky-mountain-ozone-pollution%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=e27d1bd60f885e6c812ea367506c8813efcd7691a969b9436d54f7294707f093>. The goal of this study is to link underlying pollutants to specific locations, providing information to guide air quality regulators trying to bring the region back into compliance with federal health standards. Such research is especially important for the well-being of low income and non-White populations who tend to reside in regions of the Front Range where ozone levels are the highest<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>.

  *   H5N1 found among Colorado poultry workers and a word of caution against consuming raw cows milk. The Center for Disease Control and Prevention (CDC) continues to confirm new cases of H5N1 (10 cases as of July 26th<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.cpr.org%2F2024%2F07%2F26%2Fcolorado-bird-flu-outbreak-faq%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=2bd40ab661b8b31f228ae444e0151ed8d3c2aa65071971bc59176d9a98ff7329>), also known as the bird flu, among Colorado Poultry workers. At present, there are no unexpected increases in H5N1 activity otherwise in Colorado, or in other states affected by H5N1 outbreaks in cows and poultry. The CDC believes that the risk to the public from this outbreak is low, but reminds the public that any cases of H5N1 in humans underscore risks associated with exposure to infected animals as well as potential risks<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.nih.gov%2Fnews-events%2Fnews-releases%2Fhigh-h5n1-influenza-levels-found-mice-given-raw-milk-infected-dairy-cows&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=6337baded2f806aef684bc0d46740f32986a5667aa2e6b990557ad4cd1510662> associated with the growing fad of consuming raw cows milk<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.washingtonpost.com%2Fwellness%2F2024%2F05%2F24%2Fraw-milk-safe-benefits-risks%2F&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=af1b7f254049a7d2c683a7790f00fc48c8fbd26e8a8a272b5fc7a83cbfc827a5>. Further, as infectious disease outbreaks disproportionately affect communities of color and under-resourced settings (e.g., see 2012 Office of Minority Health Report on the H1N1 pandemic<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Ftexashealthinstitute.org%2Fwp-content%2Fuploads%2F2020%2F12%2F2012-09-H1N1-Influenza-Pandemic-and-Racially-and-Ethnically-Diverse-Communities-in-the-United-States.pdf&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=483481f287fec4b5a0c1ea8d5cdd97c0b7e8527402203f8ab23f047963db1337> and a 2021 update on the COVID pandemic<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>), early planning to closely monitor sources of infection and patterns/modes of transmission is crucial to prevention.

  *   Governor Jared Polis declares August 22nd as Colorado Day of Total Worker Health<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fnews.cuanschutz.edu%2Fcoloradosph%2Fgovernor-jared-polis-declares-august-22-2024-as-colorado-day-of-total-worker-health&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=97dd11455bad193e8a662277b069c4bad2283e184aaba3a0b9121467948734b2>! This proclamation highlights the importance of investing in the health, safety, and well-being of Colorado’s workforce. As part of a National Center of Excellence for Total Worker Health, Health Links<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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> - a program based Center for Health, Work & Environment (CHWE) at the Colorado School of Public Health<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradosph.cuanschutz.edu%2Fresearch-and-practice%2Fcenters-programs%2Fchwe&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=3d05771945940fe8d6ecb4484ae29b1d278ec8404042bd080210e0ac3c09b28d> that offers evidence-based Healthy Workplace™ and advising to help organizations and their team members achieve Total Worker Health® - will celebrate Colorado’s commitment to the health and wellness of workers at local businesses on August 22, 2024, on Anschutz Medical Campus in coordination with the proclamation.

DEI Research Corner!

[Epidemiology PhD student Daniel Shaughnessy]

Social determinants of dry eye in the United States: A systematic review<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>, in the American Journal of Ophthalmology 2024, co-first-authored by Epidemiology PhD student Daniel Shaughnessy (Epi faculty co-authors: Alison Abraham<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradosph.cuanschutz.edu%2Fresources%2Fdirectory%2Fdirectory-profile%2FAbraham-Alison-UCD6003602142&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=6019b2f383836061d320b0023c9b3c3ca4accedcbe2a5f1a3e7e830c16811875>, Riaz Qureshi<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fsom.cuanschutz.edu%2FProfiles%2FFaculty%2FProfile%2F36507&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=14a9d8ff4530ad02a0d9d72a3d26a489e7a31c8a41d83c35a97a981fad6cc872>, and Tianjing Li<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fmedschool.cuanschutz.edu%2Fophthalmology%2Fresearch%2Fcochrane-eyes-and-vision-us-satellite%2Ftianjing-li-phd&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=bbb02163b86133cdb47566cc432f697ad2d29b75a57c1d6c6ae10170da7e3fd0>). The investigators found that most social determinants of health (SDOH) indicators studied were associated with unfavorable dry eye measures (e.g., higher disease burden, worse symptoms, delayed referral) in the US. Such results highlight a need for future investigations into SDOH of dry eye to standardized instruments and address SDOH domains for which there is an evidence gap, such as health care and educational access, and economic stability.

[former Epidemiology MPH student Samantha Nall]

Identifying structural risk factors for overdose following incarceration: a concept mapping study<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>, in Health Justice 2024, first-authored by former Epidemiology MPH student Samantha Nall (Epi faculty co-author: Kate LeMasters<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fsom.cuanschutz.edu%2FProfiles%2FFaculty%2FProfile%2F38263&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=25183b8bda13367a8c49f9e7fac52070d486ac44ae483597828a1cd1b37fed2d>). The concept mapping process resulted in five clusters: Community-Based Prevention, Drug Use and Incarceration, Resources for Treatment for Substance Use, Carceral Factors, and Stigma and Structural Barriers. These concepts capture important aspects of overdose risk among formerly incarcerated persons that may otherwise be overlooked and can be used to inform resource allocation and decision making related to prevention of substance abuse in this vulnerable population.

[formeEpidemiology MS student Julia VanDyke]

Child age at time of first maternal concern and time to services among children with autism spectrum disorder<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>, in J Dev Behav Pediatr 2023, led by former Epidemiology MS student Julia Van Dyke (Epi faculty co-authors: Tessa Crume<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradosph.cuanschutz.edu%2Fresources%2Fdirectory%2Fdirectory-profile%2FCrume-Tessa-UCD2237&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=fac0c36d4a9fe2323604dc13ff709cdc080727f25bb317e72cd6efbb56ebe3db>, Kristina Hightshoe<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradosph.cuanschutz.edu%2Fresources%2Fdirectory%2Fdirectory-profile%2FHightshoe-Kristina-UCD7545&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=521d186f39fbbc9ab2bde0274e310f0893b72965b8119dbe956e62dacdf8295d>, and Carolyn DiGuiseppi<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fcoloradosph.cuanschutz.edu%2Fresources%2Fdirectory%2Fdirectory-profile%2FDiguiseppi-Carolyn-UCD1450&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=91dc1c6fbe067962b5ebffad4123a52ef9af19cdc6de4e1a12173c73e5529fe7>). In this study, parity, gestational age, and child health and behavior were associated with child age at first maternal concern regarding autism spectrum disorder (ASD). Knowledge of early ASD correlates may enable the child’s mother or other caretakers to recognize concerns in a timely fashion and benefit from enhanced education about the child’s development.

[Epidemiology faculty Kate Lemasters]

Epidemiology faculty Kate Lemasters<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fsom.cuanschutz.edu%2FProfiles%2FFaculty%2FProfile%2F38263&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=25183b8bda13367a8c49f9e7fac52070d486ac44ae483597828a1cd1b37fed2d> received funds from the Colorado Clinical and Translational Sciences Institute (CCTSI) Community-Engaged Pilot and the General Internal Medicine (GIM) Small Grant program to better understand needs for mental health and substance use prevention/support among persons involved in the local criminal legal system (e.g., jail, probation). These projects involve organizing a Community Advisory Board (CAB) for which Photovoice<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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> technology will be used to  gather participant-taken photographs and narratives to translate lived experiences into actionable knowledge (CCTSI Pilot), and conducting one-on-one interviews with individuals in jail and on probation (GIM Small Grant). Both projects will feature a community member with lived experience in incarceration and substance use as a lead investigator. The public health impact of these joint efforts lie in an improved understanding of firsthand experiences and perceptions of the criminal legal system which, in turn, will inform interventions for improving behavioral health for incarcerated individuals and those on probation.

If you have published a manuscript or are working on a dissertation/capstone around health equity, please respond to this email with your abstract and paper if you’d like your work to be featured in a future newsletter. All CSPH students, professors, instructors, and alumni are encouraged to reach out.

Get to Know your HEC! Member Spotlight

[Former Epidemiology MPH student Celeste Connell]

Former Epidemiology MPH student Celeste Connell is a Project Manager at the Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, where she manages the Healthy Start Moms Study<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>. Celeste serves as a Staff representative on the Epidemiology Health Equity Council. Her research interests include systemic racism, maternal health, and environmental exposures. Driven by deep-rooted social justice values, she pursued public health to study and fight health inequities. In her free time, Celeste loves being outside (whether it’s playing tennis, skiing, hiking, swimming in a creek, or relaxing in a big grassy park). She also loves meditating, reading, cooking, discovering new music, and exploring Denver’s vibrant art, comedy, and food scenes.

Resources

CU Campus

  *   Campus Mental Health Resources<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>
  *   Faculty and Staff Mental Health Clinic<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fmedschool.cuanschutz.edu%2Fpsychiatry%2FPatientCare%2Ffaculty-and-staff-mental-health&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=e5e66d7d547db61e5ad9faf33411e2341d36f94cd3c0d782c9cb982b0926ea19>
  *   Student and Resident Mental Health<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fmedschool.cuanschutz.edu%2Fpsychiatry%2Fprograms%2Fstudent-resident-mental-health&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=63b039901211b10ee67df239366736b97a1a3f42d246110135d1c9365d798018>
  *   FindHelpNow<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>
  *   HEC Reporting Resources Cheat Sheet<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fmcusercontent.com%2F6c141b9da2a46bdf8afc65036%2Ffiles%2Fe06798b3-8f5a-bc57-3966-e9821ab219e1%2FDEI_and_Incident_Reporting_Resources.01.docx&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=034d2e06b8ebf9824202eac3832a63f3a795d81ddd561abc3439353e4cc10746>

Aurora/Denver Community

  *   The Center on Colfax<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>
  *   Colorado Crisis Services<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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>
  *   One Colorado<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=eyJzIjoidS1UU2NGYnZLNk9RR2xSOE9WTTlfT2tkYlRzIiwidiI6MSwicCI6IntcInVcIjozMDAxMDg0MixcInZcIjoxLFwidXJsXCI6XCJodHRwczpcXFwvXFxcL3VzOS5tYWlsY2hpbXAuY29tXFxcL21jdHhcXFwvY2xpY2tzP3VybD1odHRwcyUzQSUyRiUyRnd3dy5vbmUtY29sb3JhZG8ub3JnJTJGJnhpZD1jY2I0ZWIxZDgxJnVpZD0yMDI2NTgyNzQmaWlkPTEwMTE5MzkxJnBvb2w9dGVtcGxhdGVfdGVzdCZ2PTImYz0xNzI0MjU5ODg2Jmg9ODU2ODUwYzExNjg0YTkxNjViOGNlYTM5NTVhNmI1MjY1YWIzMTk2NWVlMmM2OTM0OTc3ZjE2OGNlMmJjMjExZFwiLFwiaWRcIjpcIjA1YmZkNzIxZjc2ZDQyODRiOTA4ZjY5M2NiNzM5YmFmXCIsXCJ1cmxfaWRzXCI6W1wiZGUzYzVlYjFhN2UxNDkxZjczODRkNjg2Y2VhZGY4MDg5MTY4N2MwNlwiXX0ifQ>
  *   LGBTQ Health Care Rights and Resources (CO Dept of Regulatory Agencies)<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fdoi.colorado.gov%2Finsurance-products%2Fhealth-insurance%2Fconsumer-resources%2Flgbtq-health-care-rights-and-resources&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=7fe1fdd7d350472040d133f3b9aae30fcaa00c931ca9cca34d8774b3ee941e6c>

Firearm Violence Resources

  *   Talking to Kids About Violence<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.nasponline.org%2Fresources-and-publications%2Fresources-and-podcasts%2Fschool-safety-and-crisis%2Fschool-violence-resources%2Ftalking-to-children-about-violence-tips-for-parents-and-teachers&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=32c981d795903652933fb398e9b9282c44ecae5f1ff66f618ba60f343c558ece>
  *   Helping Your Children Manage Distress in the Aftermath of a Shooting (American Psychologists Association)<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.apa.org%2Ftopics%2Fgun-violence-crime%2Fshooting-aftermath&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=4d373e6d1eeae12117ed2b915bfd30c0c8ee4bb378058e55c7b6a22a61c2073b>
  *   Coping with Violence<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.naeyc.org%2Four-work%2Ffamilies%2Fcoping-with-violence&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=6f9dcc6c9dac24fb8dcb34540492361d41ac159e9f3ee44791fafaa36b8bdb50>

Firearm Violence and Public Health

  *   American Public Health Association (APHA) information<https://click.mailchimp.com/track/click/30010842/us9.mailchimp.com?p=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> about gun violence
  *   APHA’s Advocacy Fact Sheet<https://us9.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fwww.apha.org%2F-%2Fmedia%2Ffiles%2Fpdf%2Ffactsheets%2F200221_gun_violence_fact_sheet.ashx&xid=ccb4eb1d81&uid=202658274&iid=10119391&pool=template_test&v=2&c=1724259886&h=a02884c89fc4e4046c92abacb061357c2afd496bcdbbb9907668e9f15698724b> for Gun Violence Prevention

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