Schedule

Please read the specified sections after the class posted, but before the next class.

Part 1: Introduction to & Determinants of Population Health

Mon, Jan 29

• Introduction to the Course
• Introduction to Population Health
• Homework:
  • Sign up for 5 minute chat (see Moodle)
  • Join Course Slack (see Moodle)
  • Reading for Wednesday:
    • Required: Read Ch 4
    • Strongly Recommended: Read Ch 1
    • Recommended:
      • Classics
        • “Sick Individuals and Sick Populations”, Geoffrey Rose, International Journal of Epidemiology, 1985
        • “What is Population Health?” Kindig & Stoddard, AJPH, 2003
      • Where we are today
        • “Setting the Agenda for a New Discipline” Katherine Keyes & Sandro Galea. AJPH 2016
        • “Incorporating intersectionality theory into population health research methodology” Greta Bauer Social Science & Medicine 2014
    • Referenced in Class:
      • “Evaluating the impact of population and high-risk strategies for the primary prevention of cardiovascular disease” Jonathan Emberson et al, European Heart Journal 2004
      • “The World Health Organization Study on global AGEing and adult health (SAGE)” Paul Kowal et al International Journal of Epidemiology 2012

Wed, Jan 31

• ICA: Determinants of Health
• Homework (due Monday 2/5):
  • Application (APP): Response Paper 1 on either Yoav Ben-Shlomo & Diana Kuh, International Journal of Epidemiology 2002 or Diana Kuh, et al, Journal of Epidemiology & Community Health 2003 AND one of the following:
    • Biopsychosocial - Racism as a Stressor, Clark et al, American Psychologist, 1999
    • Built Environment - Ana Diez-Roux & Christina Mair, Annals of the New York Academy of Medicine, 2010
    • Social Determinants of Health - Paula Braverman et al, Annual Review of Public Health 2011
    • Genetics and Population Health - Daniel Belsky et al, American Journal of Public Health, 2013
  • Computational/Statistical Development (CSD):
    • Response paper 1 of your choice above.
    • Online Courses in R from DataCamp. [Note: each of these courses will take you 2-4 hours to complete, so plan accordingly]
      • Reporting with R Markdown and
      • Exploratory Data Analysis
      • Recommended: Introduction to R
    • Everyone (ALL): Read Ch2, p.25-31,

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Part 2: Measuring Population Health

Mon, Feb 5

• Group Formation & Determinants of Health for Projects
• Measures of Disease Occurrence (Prevalence & Incidence)
• Reading:
  • p.67-80, 90-96, 230-232
  • Mai-Han Trinh, et al. BMC Public Health 2017./
    • This paper uses Poisson regression modeling to estimate prevalence ratios of sexual minority health and health disparities using National Health Interview Survey data. This is an excellent model for a project for this course - and was authored by an undergraduate student!
    • Although not required, you may want to use this template for an article review to help organize your thoughts about the paper.
    • We will be discussing this paper at length on Wednesday – please read it, even twice!
• Homework:
  • Reading and Article Review

Wed, Feb 7

• Snow Day!
• Homework:
  • All: p.67-80, 90-96, 230-232, and Mai-Han Trinh, et al. BMC Public Health 2017.
  • APP: Response paper 2 on Sensitivity/Specificity
    • NHANES - Catherine Buell, et. al. Diabetes Care, 2007 or
    • BRFSS - Carol Pierannunzi, et al. BMC Medical Research Methodology, 2013
  • CSD: Online Course in R from DataCamp: Correlation and Regression
  • DUE FRI Feb 9: Preliminary topics for Group Project

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Mon, Feb 12

• Trinh et al Paper discussion
• ICA: Literature Review
• Homework:
  • Response paper 3 on Tom Glass, et. al. Annual Review of Public Health, 2013 and Katherine Keyes & Sandro Galea, Annals of Epidemiology, 2015

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Part 3: Estimating Population Health - Causality; Calculating & Modeling Risk/Associations; Confounding and Interactions/Effect Modification

Wed, Feb 14

• ICA: Causation
• Ethics / IRB
• Homework:
  • APP: Response paper 4 on Maya Peterson & Mark van der Laan, Epidemiology, 2014
  • CSD: Online Course in R from DataCamp: Multiple and Logistic Regression
  • ALL:
    • Young, p.177-194 and
    • Edna Schectman, “Odds Ratio, Relative Risk, Absolute Risk Reduction, and the Number Needed to Treat” Value in Health 2002;5(5):431-436 (via Smith Library)

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Mon, Feb 19

• DUE: Final Project Proposal Topic
• ICA: Associations & Effects - Risk, Rates and Odds; Absolute and Relative Measures
• Homework (Due Mon 2/27): Response paper 5 on
  • “A Link Between Alcohol and Cancer? It’s Not Nearly as Scary as It Seems”, Aaron Carrol, New York Times AND
  • Nicholas King, Sam Harper, & Meredith Young. “Use of relative and absolute effect measures in reporting health inequalities: structured review” BMJ 2012;345:e5774 AND
  • Barrios AJD, & Hirakata V. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21
  • Recommended (to skim):
    • Gerd Gigerenzer et al, Helping Doctors and Patients Make Sense of Statistics. Psychological Science in the Public Interest 2008;8(2):53-96

Wed, Feb 21

• RALLY DAY
• Homework:
  • ALL: Human Subjects Research Training

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Mon, Feb 26

• DUE: Response Paper 5
• LAB: Crude/Unadjusted risk estimation in R & Modeling Risk in R

Wed, Feb 28

• DUE: Draft IRB Proposal/Project Proposal & Group Tasks
• LAB: Modeling Risk in R

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Mon, Mar 5

• LAB: Confounding, Interaction - Multiple Regression Modeling

Wed, Mar 7

• DUE: Modeling Risk in R Lab Report
• ICA: Study Designs & Methods Section
• DUE FRI 3/9: Final IRB/Project Proposal Application and Draft Literature Review

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Spring Break

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Part 4: Sampling

Mon, Mar 19

• Lecture: Sampling

Wed, Mar 21

• ICA: Complex Sampling

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Mon, Mar 26

• DUE: Draft Methods Section and Project Data Appendix
• Lab: Sampling Weights

Wed, Mar 28

• Lab: Standard Errors

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Part 5: Population Health Topics / Case Studies

Mon, Apr 2

• Lecture: Non-Communicable Diseases (esp. Cardiovascular Disease) & Global Health
• Homework (Due Wed 4/4): Response paper 6 on
  • Nichole Austin, Sam Harper, Jay Kaufman, & Ghassan B Hamra. “Challenges in reproducing results from publicly available data: an example of sexual orientation and cardiovascular disease risk” JECH 2016;70:807-812. click on “View Full Text” or see copy on Moodle AND
  • Farmer GW, Bucholz KK, Flick LH, Burroughs TE, Bowen DJ. “CVD risk among men participating in the National Health and Nutrition Examination Survey (NHANES) from 2001 to 2010: differences by sexual minority status.” JECH 2013;67:772-778.
  • Recommended (to skim):
    • D’Agostino RB et al, “General Cardiovascular Risk Profile for Use in Primary Care: The Framingham Heart Study”. Circulation 2008;117:743-753
    • Daniels ME, et al. “The Emerging Global Health Crisis: Noncommunicable Diseases in Low- and Middle-Income Countries” 2014. New York, NY: Council on Foreign Relations.
    • Beaglehole R, et al. “Priority actions for the non-communicable disease crisis”. The Lancet 2011;377(9775):1428-1447
    • Appiah D & Capistrant BD. “Cardiovascular Disease Risk Assessment in the United States and Low- and Middle-Income Countries Using Predicted Heart/Vascular Age” Scientific Reports. 2017;7: 16673

Wed, Apr 4

• DUE: Revised Methods Section and Draft Results
• Lecture: LGBT Health & Aging / Dementia
• Homework: Response Paper 7 Due Mon 4/9 on:
  • Karen Fredriksen-Goldsen, et al. “Health Disparities Among Lesbian, Gay, and Bisexual Older Adults: Results From a Population-Based Study” Am J Public Health 2013;103(10):1802-1809 AND
  • Norton S, et al. “Potential for primary prevention of Alzheimer’s disease: an analysis of population-based data” The Lancet Neurology 2014;13(8):788-794 AND
  • Paola Gilsanz, et al. “Association Between Birth in a High Stroke Mortality State, Race, and Risk of Dementia” JAMA Neurol. 2017;74(9):1056-1062
  • Recommended (to skim):
    • Dementia
      • Hurd MD, et al. “Monetary Costs of Dementia in the United States” NEJM 2013;368(14):1326-1334.
      • Claudia L Satizabal, et al. “Incidence of Dementia over Three Decades in the Framingham Heart Study” N Engl J Med 2016;374:523-532
      • Elizabeth Rose Mayeda et al. “Survival after dementia diagnosis in five racial/ethnic groups” Alzheimer’s & Dementia 2017;13(7):761–769 (We haven’t talked about this statistical method, but for the purposes of reading the article you can think about the HR (loosely) like an OR)
    • LGBT Health
      • Institute of Medicine. “The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding”. 2011. Washington, DC: National Academies of Science, Engineering & Medicine.
      • Wender R, et al. “The American Cancer Society’s Approach to Addressing the Cancer Burden in the LGBT Community” LGBT Health 2016;3(1):15-18 via Moodle
      • Hatzenbuehler ML, et al. “State-Level Policies and Psychiatric Morbidity in Lesbian, Gay, and Bisexual Populations” Am J Pub Health 2009;99:2275–2281

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Mon, Apr 9

• Lecture/ICA: Reproductive, Maternal and Child Health
• Homework: Response Paper 8 Due Wed 4/11 on:
  • Shirley A. Russ, et al. “A Lifecourse Approach to Health Development: Implications for the Maternal and Child Health Research Agenda” Maternal and Child Health Journal 2014;18(2):497-510 OR
  • Arlene Geronimus. “Black/white differences in the relationship of maternal age to birthweight: A population-based test of the weathering hypothesis” Social Science & Medicine 1996;42(4):589-597 this paper is a great classic AND
• Madina Agenor, et al. “At the intersection of sexual orientation, race/ethnicity, and cervical cancer screening: Assessing Pap test use disparities by sex of sexual partners among black, Latina, and white U.S. women” Social Science & Medicine 2014;116:110-118
  • Recommended (to skim):
    • Maternal Mortality
      • Margaret C Hogan, et al. “Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5” Lancet 2010;375:1609-23
      • Andreea A. Creanga, et al. “Maternal Mortality and Morbidity in the United States: Where Are We Now?” Journal of Women’s Health 2014;23(1):3-9
      • Marian F. MacDorman, et al. “Is the United States Maternal Mortality Rate Increasing? Disentangling trends from measurement issues” Obstet Gynecol 2016;128(3):447-455
      • Nicole L. Davis, et al. “Contribution of maternal age and pregnancy checkbox on maternal mortality ratios in the United States, 1978–2012” American Journal of Obstetrics and Gynecology 2017;217(3):352.e1-352.e7
      • Press, Blogs
        • Renee Montagne & Nina Martin. “Black Mothers Keep Dying After Giving Birth. Shalon Irving’s Story Explains Why”
        • ProPublica - Lost Mothers
        • Renee Montagne & Nina Martin. “Last person you’d expect to die from childbirth”
        • Jamila Taylor. “Maternal Mortality and the Devaluation of Black Motherhood”. Center for American Progress, April 11, 2018
    • Contraception & Abortion
      • Danielle N. Atkins & W. David Bradford. “Changes in State Prescription Contraceptive Mandates For Insurers: The Effect on Women’s Contraceptive Use” 2014;46(1):23-29
      • Diana Greene Foster, et al. “Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States” Am J Public Health 2018;108:407–413
    • Developmental Origins of Adult Health
      • De Boo, Hendrina A., and Jane E. Harding. “The developmental origins of adult disease (Barker) hypothesis”. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2006;46(1):4-14
      • Hall, SS. “Small and Thin: The controversy over the fetal origins of adult health.” The New Yorker 2007 Nov 19.

Wed, Apr 11

• DUE: Revised Results and Draft Discussion
• Lecture/ICA: Maternal Mortaltiy, Gun violence & Opioids
• Homework: Response paper due Monday, April 16 on
  • Linda Villarosa “Why America’s Black Mothers and Babies Are in a Life-or-Death Crisis” New York Times April 11, 2018 and any one of the following:
  • Gun Violence
    • Peer Reviewed Evidence:
      • Emma McGinty et al, “News Media Framing of Serious Mental Illness and Gun Violence in the United States, 1997-2012” Am J Public Health 2014 March; 104(3): 406–413.
      • Butts JA, et al. “Cure Violence: A Public Health Model to Reduce Gun Violence” Annual Review of Public Health 2015 36:1, 39-53
      • Swanson et al. “Mental illness and reduction of gun violence and suicide: bringing epidemiologic research to policy” Annals of Epidemiology 2015; 25(5): 366–376
    • Media, Blogs, Opinion Pieces:
      • David Hemenway, BMJ Blog, October 2017
      • Mozzaffarian et al, “Curbing Gun Violence” JAMA 2013
      • “Why Can’t the U.S. Treat Gun Violence as a Public-Health Problem?” The Atlantic. Feb 15, 2018
  • Opioids
    • Peer Reviewed Evidence:
      • Kolodny A et al, “The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction” Annual Review of Public Health 2015;36:pp 559-574.
      • Beth Han, et al. “Nonmedical Prescription Opioid Use and Use Disorders Among Adults Aged 18 Through 64 Years in the United States, 2003-2013” JAMA 2015;314(14):1468–1478.
      • Compton et al. “Relationship between Nonmedical Prescription-Opioid Use and Heroin Use” N Engl J Med 2016; 374:154-163
      • Lainie Rutkow et al. “Effect of Florida’s Prescription Drug Monitoring Program and Pill Mill Laws on Opioid Prescribing and Use” JAMA Intern Med. 2015;175(10):1642–1649.
      • Dart et al. “Trends in Opioid Analgesic Abuse and Mortality in the United States” N Engl J Med 2015; 372:241-248
    • Media, Blogs, Opinion Pieces, Policies:
      • U.S. Surgeon General. “Surgeon General’s Advisory on Naloxone and Opioid Overdose” April 5, 2018 Also see press release of the advisory here
      • Washington Post “”

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Part 6: Population Health Interventions & Non-Survey Data

Mon, Apr 16

• Lecture:

Wed, Apr 18

• DUE Fri 4/20: Revised Discussion and Draft Introduction
• Lecture: Moving to Opportunity Study & Oregon Health Experiment

Mon, Apr 23

• Lecture: Health Behavior Interventions

Wed, Apr 25

• DUE Friday 4/27: Revised Introduction and Draft Abstract
• Review / Project work

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Part 8: Project Presentations & Wrap Up

Mon, Apr 30

• DUE Monday 4/30 at Noon: Slides for presentation
• Project Presentations

Wed, May 2

• ICA: Wrapping Up

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Final Report Due 5/10