Evelyn P Davila

University of Miami, Coral Gables, FL, United States

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Publications (65)98.67 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: The metabolic syndrome (MetS), comprised of an abnormal clustering of risk factors places an individual at high risk for coronary heart disease and type 2 diabetes mellitus. Weight loss can decrease these risks factors, but little is known about weight loss attempts among U.S. workers with MetS. Methods: We pooled data from the 1999-2004 National Health and Nutrition Examination Survey by occupational groups and MetS status (N=4,443; 22% with MetS), based on having at least three of five criteria (central obesity, high triglycerides and glucose, low HDL-cholesterol, and hypertension) from U.S. National Cholesterol Education Program Adult Treatment Panel III. All individuals were asked Did you try to lose weight in the past year? Logistic analyses were performed using weighted data appropriate for a multi-stage-complex survey sampling design. Occupational groups were classified as: White-collar, Service, Farm, Blue-collar workers, and unemployed. Analyses were adjusted for age, gender, and race/ethnicity. Results: Ninety-one percent of workers classified with MetS had attempted weight loss in the past year. Differences in weight loss attempt were found between workers with and without MetS, respectively: 49% vs. 39% (p<0.01) among White-collar, 60% vs. 22% (p=0.03) among Farm, 38% vs. 27% (p<0.01) among Blue-collar, 40% vs. 32% among Service workers (p=0.24), and 40% vs. 29% (p<0.01) in the unemployed. Discussion: A significant proportion of workers classified with MetS reported weight loss attempt in the past year. Integrated workplace health interventions should consider including weight loss educational activities for high risk worker groups with MetS identified in this study.
    140st APHA Annual Meeting and Exposition 2012; 10/2012
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    ABSTRACT: Research has suggested that adults 40 years old and over are not following eye care visit recommendations. In the United States, the proportion of older adults is expected to increase drastically in the coming years. This has important implications for population ocular disease burden, given the relationship between older age and the development of many ocular diseases and conditions. Understanding individual level determinants of vision health could support the development of tailored vision health campaigns and interventions among our growing older population. Thus, we assessed correlates of eye care visits among participants of the Behavior Risk Factor Surveillance System (BRFSS) survey. We pooled and analyzed 2006-2009 BRFSS data from 16 States (N = 118,075). We assessed for the proportion of survey respondents 40 years of age and older reporting having visited an eye care provider within the past two years, two or more years ago, or never by socio-demographic characteristics. Nearly 80% of respondents reported an eye care visit within the previous two years. Using the 'never visits' as the referent category, the groups with greater odds of having an ocular visit within the past two years included those: greater than 70 years of age (OR = 6.8 [95% confidence interval = 3.7-12.6]), with college degree (5.2[3.0-8.8]), reporting an eye disease, (4.74[1.1-21.2]), diagnosed with diabetes (3.5[1.7-7.5]), of female gender (2.9[2.1-3.9]), with general health insurance (2.7[1.8-3.9]), with eye provider insurance coverage (2.1[1.5-3.0]), with high blood pressure (1.5[1.1-2.2]), and with moderate to extreme near vision difficulties (1.42[1.11-2.08]). We found significant variation by socio-demographic characteristics and some variation in state-level estimates in this study. The present findings suggest that there remains compliance gaps of screening guidelines among select socio-demographic sub-groups, as well as provide evidence and support to the CDC's Vision Health Initiative. This data further suggests that there remains a need for ocular educational campaigns in select socio-demographic subgroups and possibly policy changes to enhance insurance coverage.
    BMC Research Notes 05/2012; 5:253.
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    ABSTRACT: To describe the health status and risk indicator trends in a representative sample of US health care workers aged 45 years and older. Using pooled data from the 1997 to 2009 National Health Interview Survey, logistic regression analyses were performed to determine whether age-group specific morbidity risks differed within occupational subgroups of the health care workforce (N = 6509). Health and morbidity trends were examined via complex survey adjusted and weighted chi-squared tests. Rates of functional limitation and hypertension increased among diagnosing/assessing health care workers. The prevalence of hearing impairment, cancer, and hypertension was two to three times greater in health-diagnosing/assessing workers aged 60 years and older than in younger workers. Health care service workers were up to 19 times more likely to be obese than workers who diagnose/assess health. Healthier workplaces and targeted interventions are needed to optimize the ability to meet health care demands of this aging workforce.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 03/2012; 54(4):497-503. · 1.88 Impact Factor
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    ABSTRACT: To assess nutrient intake according to dietary guidelines among US worker groups. Participants of 1999 to 2004 National Health and Nutrition Examination Survey completed two 24-hour recall dietary interviews to assess daily intake of protein, carbohydrate, fat, cholesterol, calcium, sodium, and fiber. Employed participants (n = 8987) were classified as (1) white collar, (2) service worker, (3) farmer, and (4) blue collar. Nutrient intake varied by occupational group, particularly for fiber, sodium, calories, and percentage of calories from protein, saturated fat, and carbohydrate. Adherence to recommendations was noted for saturated fat and cholesterol, but workers were poorly adherent to recommendations for all other nutrients, particularly fiber. Workers display differences in nutrient intake across occupational groups with poor eating behaviors evident across all groups. Fiber is particularly poorly consumed, with less than 5% of all US workers meeting the recommendations.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 12/2011; 54(1):101-5. · 1.88 Impact Factor
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    ABSTRACT: Smoking is a modifiable risk factor for age-related macular degeneration (AMD), the leading cause of irreversible vision loss in the United States. We conducted a pilot study among eye care providers and AMD patients to assess smoking cessation preferences and cessation services offered at a large academic medical center. Most patients who smoke reported never being advised to quit smoking, although most eye care providers reported that they had advised smokers to quit. Two-thirds of providers expressed a desire for additional training and resources to support patient quit attempts, indicating the need for the integration of smoking cessation opportunities in the clinic setting.
    Preventing chronic disease 11/2011; 8(6):A147. · 1.82 Impact Factor
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    ABSTRACT: OBJECTIVE: Despite high smoking rates, there has been limited development of tobacco assessment and smoking cessation outreach strategies targeting construction workers. We report the prevalence of active and passive tobacco smoke exposure from a convenience sample of construction workers visiting a lunch truck at the construction site. METHODS: A workplace tobacco smoke assessment was undertaken with a convenience sample of 54 workers (91% are of Hispanic ethnicity) employed at two large construction sites. A questionnaire preloaded onto handheld devices was used to record questionnaire data. Salivary and hair samples for cotinine and nicotine assays were collected (reflecting short- and long-term smoke exposure, respectively). A telephone callback survey was administered 2 weeks after the site visit to assess use of smoking cessation resources provided during the assessment. RESULTS: Thirty-five percent of construction workers were self-reported never smokers, 28% former smokers, 37% current smokers. Thirty-seven percent of never smokers and 40% of former smokers had biological samples suggesting passive tobacco smoke exposure (cutoff >3.0ng/mL for saliva and >0.23ng/mg for hair). Among smokers, 60% reported planning to stop smoking in 30 days, 95% reviewed the smoking cessation materials 2 weeks after the site visit, and 85% shared and discussed those materials with family members. CONCLUSION: We found evidence of passive tobacco smoke among never and former smokers, as well as interest among current smokers for cessation resources. Workplace smoke cessation strategies that reduce tobacco use and exposure via innovative engagement methods (e.g. lunch truck) are needed.
    139st APHA Annual Meeting and Exposition 2011; 10/2011
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    ABSTRACT: Background: Traditional occupational health surveillance has focused primarily on occupation rather than on industry. With the new NIOSH National Occupational Research Agenda (NORA), there is an urgent need for detailed health-related data for US Workers in the NORA Industry Sectors. The National Health Interview Survey (NHIS) provides a large and nationally representative sample of all US civilian workers. Methods: Using the currently available 1986-2008 NHIS database for >700,000 US workers >18 years (representing >120 million US workers/yr), after adjustment for sample design, several Monographs have been created on morbidity, disability, mortality, and quality of life issues by NORA subgroup and demographic variables. Results: Differences in the distribution of the demographic factors between NORA Sectors are associated with increased disability and morbidity risks. For example, NORA Sectors with less insurance and access to medical care (e.g. Construction, Agriculture/Forestry/Fishing) were more likely to report both less healthcare utilization and less diagnosis of medical conditions, but also experienced higher mortality rates. With the exception of obesity, Healthcare/Social Assistance workers were also more likely to report better health behaviors (e.g. less current smoking) compared to both Construction and Mining workers. Finally, quality-adjusted life years was lowest among workers in the Agriculture/Forestry/Fishing Sector. Conclusions: The surveillance of the NORA Industry Sector subgroups using the rich array of NHIS health indicators provides a comprehensive understanding of the working population's burden of disease, disability, and mortality, and allows for the identification of priority population sub-groups for workplace interventions designed to enhance worker health and well-being.
    139st APHA Annual Meeting and Exposition 2011; 10/2011
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    ABSTRACT: To explore cardiovascular fitness in 40 occupations using a nationally representative sample of the US population. Respondents aged 18 to 49 years (N = 3354) from the 1999 to 2004 National Health and Nutrition Examination Survey were evaluated for cardiovascular fitness and classified into low, moderate, and high levels. Comparisons were made among occupations. Of all the US workers, 16% had low, 36% moderate, and 48% high cardiovascular fitness. Administrators, health occupations, wait staff, personal services, and agricultural occupations had a lesser percentage of workers with low cardiovascular fitness compared with all others. Sales workers, administrative support, and food preparers had a higher percentage of workers with low cardiovascular fitness compared with all others. Cardiovascular fitness varies significantly across occupations, and those with limited physical activity have higher percentages of low cardiovascular fitness. Workplace strategies are needed to promote cardiovascular fitness among high-risk occupations.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 09/2011; 53(10):1115-21. · 1.88 Impact Factor
  • 2011 Health & Wellbeing Conference – the 21st Century Agenda, London, UK; 09/2011
  • 2011 Health & Wellbeing Conference – the 21st Century Agenda, London, UK; 09/2011
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    ABSTRACT: Through use of a nationally representative database, we examined the variability in both self-rated health and overall mortality risk within occupations across the National Occupational Research Agenda (NORA) Industry Sectors, as well as between the occupations within the NORA Industry sectors. Using multiple waves of the National Health Interview Survey (NHIS) representing an estimated 119,343,749 US workers per year from 1986 to 2004, age-adjusted self-rated health and overall mortality rates were examined by occupation and by NORA Industry Sector. There was considerable variability in the prevalence rate of age-adjusted self-rated poor/fair health and overall mortality rates for all US workers. The variability was greatest when examining these data by the Industry Sectors. In addition, we identified an overall pattern of increased poor/fair self-reported health and increased mortality rates concentrated among particular occupations and particular Industry Sectors. This study suggests that using occupational categories within and across Industry Sectors would improve the characterization of the health status and health disparities of many subpopulations of workers within these Industry Sectors.
    American Journal of Industrial Medicine 06/2011; 54(10):748-57. · 1.97 Impact Factor
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    ABSTRACT: To study trends of glaucoma medication expenditure from 2001 to 2006 using a nationally representative sample of US adults. We analyzed glaucoma medication expenditure trends among participants of the 2001-2006 Medical Expenditure Panel Survey, a subsample of the National Health Interview Survey, which is a continuous multipurpose, multistage area probability survey of the US civilian noninstitutionalized population. After adjusting for survey design and inflation using the 2009 inflation index, data from 1404 participants 18 years and older using glaucoma medication were analyzed. Mean annual glaucoma medication expenditure per subject increased from $445 in 2001 to $557 in 2006 (slope = 20.8; P < .001). Subgroup analysis showed expenditure increased significantly in women (P = .02), those with public-only insurance (P < .001), and those with less than a high school education (P < .008). Over the survey period, a significant decrease in expenditures on β-blockers (P = .048) and significant increases in expenditures on prostaglandin analogs (P = .01) and α-agonists (P = .01) were found. Factors associated with increasing glaucoma medication expenditure trends include the increasing use of prostaglandin analogs, changes in insurance coverage, and possibly more aggressive glaucoma treatment. The findings are pertinent to the development of cost-effective strategies that optimize treatment and reduce expenditures.
    Archives of ophthalmology 06/2011; 129(10):1345-50. · 3.86 Impact Factor
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    ABSTRACT: To assess the relationships between strict HbA1c levels and mortality risk among adults with type 2 diabetes by age, insulin therapy, and hypertension comorbidity. Data of adult participants with type 2 diabetes from the third National Health and Nutrition Examination Survey (1988-1994) and its linked mortality file (with follow-up death up to 2000) were used. Having strict glycemic control (i.e., HbA1c ≤6.5%) was associated with a lower risk of mortality (hazards ratio=0.69; 95% confidence interval=0.48-0.98). However, among those with strict glycemic control levels, statistically significant results were not found. Reaching strict glycemic control levels in the general US population with type 2 diabetes appears to be associated with lower mortality. Further research is needed as to how strict glycemic control affects certain diabetic groups.
    Journal of diabetes and its complications 06/2011; 25(5):289-91. · 2.11 Impact Factor
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    ABSTRACT: To explore the relationship between health-related quality of life (HRQOL) and nicotine dependence in a representative sample of 3560 Florida smokers. Data from the 2007 Behavioral Risk Factor Surveillance System-Florida Tobacco Callback Survey were used. Logistic regression models were conducted to identify factors independently associated with HRQOL measures. Greater nicotine dependence was associated with poor/fair self-rated health, 1-29 days of poor physical health, and poor mental health, and inactivity in the past 30 days. The consequences of long-term smoking, and thus nicotine dependence, may not be confined to traditional morbidity measures but may include poor perceived health and overall well-being.
    American journal of health behavior 05/2011; 35(3):280-9. · 1.31 Impact Factor
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    ABSTRACT: Novel low-cost approaches for conducting rapid health assessments and health promotion interventions among underserved worker groups are needed. Recruitment and participation of construction workers is particularly challenging due to their often transient periods of work at any one construction site, and their limited time during work to participate in such studies. In the present methodology report, we discuss the experience, advantages and disadvantages of using touch screen handheld devices for the collection of field data from a largely underserved worker population. In March 2010, a workplace-centered pilot study to examine the feasibility of using a handheld personal device for the rapid health assessment of construction workers in two South Florida Construction sites was undertaken. A 45-item survey instrument, including health-related questions on tobacco exposure, workplace safety practices, musculoskeletal disorders and health symptoms, was programmed onto Apple iPod Touch® devices. Language sensitive (English and Spanish) recruitment scripts, verbal consent forms, and survey questions were all preloaded onto the handheld devices. The experience (time to survey administration and capital cost) of the handheld administration method was recorded and compared to approaches available in the extant literature. Construction workers were very receptive to the recruitment, interview and assessment processes conducted through the handheld devices. Some workers even welcomed the opportunity to complete the questionnaire themselves using the touch screen handheld device. A list of advantages and disadvantages emerged from this experience that may be useful in the rapid health assessment of underserved populations working in a variety of environmental and occupational health settings. Handheld devices, which are relatively inexpensive, minimize survey response error, and allow for easy storage of data. These technological research modalities are useful in the collection and assessment of environmental and occupational research data.
    Environmental Health 04/2011; 10:27. · 2.71 Impact Factor
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    ABSTRACT: Research on the prevalence of health indicators by employment status among young US adults is limited. We analyzed data from a nationally representative sample of young adults aged 18 to 24 years to document the prevalence of five health behaviors (cigarette smoking, risky drinking, leisure-time physical activity, and fruit and French fries consumption) by employment status. Unemployed young adults reported higher levels of risky drinking and nonengagement in leisure-time physical activity, while employed young adults had higher levels of smoking, French fries consumption, and low fruit/vegetable consumption. Transportation/material-moving young adult workers reported the highest level of risky drinking (13.5%), and precision production/craft/repair workers reported the highest smoking rates (39.7%). We found an elevated prevalence of risk factors, which places young workers at increased risk for the development of chronic conditions later in life.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 02/2011; 53(2):196-203. · 1.88 Impact Factor
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    ABSTRACT: The primary aim was to examine whether increasing workplace smoking restrictions have led to an increase in smokeless tobacco use among US workers. Smokeless tobacco exposure increases the risk of oral cavity, esophageal, and pancreatic cancers, and stroke. The prevalence of smokeless tobacco use decreased from 1987-2000, except among men 25-44. While smokeless tobacco use has declined in the general population, it may be that the prevalence of smokeless tobacco use has increased among workers due to workplace smoking restrictions, which have been shown to have increased over the years. Using the most current nationally representative National Health Interview Survey (NHIS) data, we examined whether increasing workplace smoking restrictions have led to an increase in smokeless tobacco use among US workers (n = 125,838). There were no significant changes in smokeless tobacco use prevalence from 1987-2005 (pooled prevalence = 3.53%); rates also were lower in smoke free workplaces. Worker groups with high rates of smokeless tobacco use included farm workers (10.51%) and blue collar workers (7.26%). Results indicate that smokeless tobacco prevention strategies targeting particular worker groups are warranted.
    Tobacco Induced Diseases 01/2011; 9(1):6.
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    ABSTRACT: Increasing numbers of US workers are diabetic. We assessed the relationship between glycemic control and work hours and type of occupation among employed US adults with type 2 diabetes. Data were obtained from the 1999-2004 National Health and Nutrition Examination Survey (NHANES). A representative sample of employed US adults ≥20 years with self-reported type 2 diabetes (n = 369) was used. Two dichotomous glycemic control indicators, based on various HbA1c level cut-points, were used as dependent variables in weighted logistic regression analyses with adjustment for confounders. Adults working over 40 hr/week were more likely to have suboptimal glycemic control (HbA1c ≥ 7%) compared to those working 20 hr or less (odds ratio = 5.09; 95% confidence interval: [1.38-18.76]). Work-related factors, such as number of hours worked, may affect the ability of adults with type 2 diabetes to reach and maintain glycemic control goals. These factors should be considered in the development of workplace policies and accommodations for the increasing number of workers with type 2 diabetes.
    American Journal of Industrial Medicine 01/2011; 54(5):375-83. · 1.97 Impact Factor
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    ABSTRACT: To examine associations between menthol cigarette smoking and nicotine dependence, quit attempts, and physical and mental health. Data were drawn from the 2007 Florida Behavioral Risk Factor Surveillance System (BRFSS) and a follow-up survey among current smokers (N = 3396). Univariate and multivariate logistic regression analyses were conducted. In multivariate analyses, menthol cigarette smoking was associated with women, African American and Hispanic race/ethnicity, and greater mental distress. Women, racial/ethnic minorities, and individuals reporting a greater frequency of mental distress are more likely to smoke menthol versus nonmenthol cigarettes. Implications for public health policy and cessation interventions are discussed.
    American journal of health behavior 01/2011; 35(1):3-14. · 1.31 Impact Factor
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    ABSTRACT: OBJECTIVE: Evidence suggests that some groups are at a greater risk of work-related eye injuries given the increased occupational exposure to hazards leading to ocular injuries. Despite health and safety requirements, eye injuries continue to occur in the workplace. Identification of socio-demographic correlates of workplace eye injuries using a population-based sample with state level specific estimates may inform the practice of eye injury prevention in the workplace. METHODS: Using the 2005-2006 Behavioral Risk Factor Surveillance System (BRFSS), a nationwide state-based telephone survey, we analyzed data on 47,294 participants for socio-demographic correlates (age, gender, race/ethnicity, educational attainment, marital status, body mass index, health insurance status and visual impairment) of work-related eye injuries. RESULTS: The highest lifetime prevalence of workplace eye injury occurred in: males (14.1% 0.4), other non-Hispanic races (11.1% 1.4), married/living with a partner (8.5% 0.3), High school diploma (10.3% 0.5), obese (9.3% 0.5), without eye care insurance (8.4% 0.3), without health insurance (11.5% 0.9), and no visual impairment (8.0% 0.2). State-level estimates of lifetime workplace eye injury were highest in Ohio (9.4% 0.6) and Iowa (9.0% 0.7), and lowest in Louisiana (6.6% 0.8) and Tennessee (6.9%0.5). In a multivariable logistic regression model, males (6.76;[5.82-7.86]) and adults who are widowed, divorced or separated (1.21;[1.05-1.39]) were significantly more likely to report ever incurring a workplace eye injury. CONCLUSIONS: Targeted interventions in high risk worker groups (such as men) may assist in the prevention of workplace ocular injuries.
    138st APHA Annual Meeting and Exposition 2010; 11/2010

Publication Stats

266 Citations
98.67 Total Impact Points

Institutions

  • 2008–2012
    • University of Miami
      • Department of Epidemiology and Public Health
      Coral Gables, FL, United States
  • 2007–2011
    • University of Miami Miller School of Medicine
      • Department of Epidemiology and Public Health
      Miami, FL, United States
  • 2010
    • Starkey Hearing Technologies
      Eden Prairie, Minnesota, United States
  • 2009–2010
    • Florida International University
      Miami, Florida, United States