Erica Sedlander

Erica Sedlander
University of California, San Francisco | UCSF

Doctor of Public Health

About

75
Publications
6,368
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512
Citations
Citations since 2017
63 Research Items
499 Citations
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Introduction
I'm an Assistant Professor and Social Scientist at the University of California, San Francisco. I conduct research in women's behavioral health with a focus on fertility across the reproductive lifecourse, social norms, and gender norms using mixed methods.

Publications

Publications (75)
Article
Background: Digital process monitoring and evaluation tools designed to capture near-to-real-time intervention data paired with feedback loops have the potential to innovate intervention delivery. Objective: To describe how a multilevel social norms field trial (RANI) is using feedback loops to enhance intervention delivery. Methods: We use a mix...
Article
Full-text available
Gender norms are increasingly recognized as important modifiers of health. Despite growing awareness of how gender norms affect health behavior, current gender norms scales are often missing two important theoretical components: differentiating between descriptive and injunctive norms and adding a referent group. We used a mixed-methods approach to...
Article
Full-text available
Background Behaviour change interventions targeting social norms are burgeoning, but researchers have little guidance on what they look like, and which components affect behaviour change. The Reduction in Anaemia through Normative Innovations (RANI) project designed an intervention to increase iron folic acid (IFA) consumption in Odisha, India. Ob...
Article
Full-text available
Background: Ethiopia has made great progress toward reducing unmet need for family planning and increasing contraception use over the last decade. However, almost one-quarter of women still have an unmet need. The primary reason for non-use is "method-related health concerns" and, within this broad category, the belief that using contraception wil...
Article
Background: With the proliferation of the digital age, information and communication technologies paired with feedback loops have the potential to innovate process evaluations. Objective: To describe how a multilevel social norms field trial (RANI) is using feedback loops to enhance intervention delivery. Methods: We use a mixed-methods process e...
Article
Full-text available
Social norms are informal rules within a group or society. Despite the consensus that social norms affect behavior, there is an inherent tension in the cross-disciplinary norms literature between the conceptualization of norms as individual and collective phenomena. The present paper capitalizes on the potential of communication as the link between...
Article
Objective: To assess whether improvements in social norms related to iron and folic acid consumption are associated with increased iron and folic acid consumption. Methods: In a cluster randomized trial in Odisha, India, we implemented an intervention to improve descriptive norms (people's perceptions about how many other people take iron and fo...
Article
The aim of this study is to examine diet diversity, predictors associated with it, and its associations with anemia among non-pregnant women of reproductive age in rural India. Baseline data from the Reductions in Anemia through Normative Innovations (RANI) project were used and included 980 non-pregnant women aged 15-49 years from Odisha, India. T...
Article
Full-text available
Diet diversity has an important role in the prevention and treatment of anemia. Based on formative research in the community and the theory of normative social behavior, we designed an intervention to improve diet diversity among women of reproductive age. Our study, the Reduction in Anemia through Normative Innovations (RANI) Project, investigated...
Article
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The belief that contraceptive use causes infertility has been documented across sub‐Saharan Africa, but its quantitative association with actual contraceptive use has not been examined. We collected and analyzed sociocentric network data covering 74 percent of the population in two villages in rural Kenya. We asked respondents to nominate people fr...
Article
Objectives More than a third of women worldwide and more than half of women in India have iron deficiency anemia. In 2012, the World Health Assembly made a global target of a 50% reduction in anemia among all women of reproductive age by the year 2025. Based on formative research, the Reduction in Anemia through Normative Innovations (RANI) project...
Article
Full-text available
Objectives To investigate the effect of a social norms-based intervention on diet diversity among women of reproductive age. Methods Data from the Reduction in Anemia through Normative Innovations (RANI) Project were used. Up to three contiguous villages in Odisha, India were assigned to clusters, which were then randomized into treatment or contr...
Article
Full-text available
Objectives More than half of women of reproductive age in India are anemic, a condition treatable through regular iron folic acid uptake. Previous studies have shown the importance of participatory interactions and interpersonal communication in improving women's health. The Reduction in Anemia through Normative Innovations (RANI) study investigate...
Article
Full-text available
Background More than half of women of reproductive age in India have anemia. Over the last decade, India has made some progress towards reducing anemia in pregnant women, but non-pregnant women, who make up the largest sub group of people with anemia, are largely disregarded. Objectives The objective of this paper is to examine intentions to take...
Article
Objective More than half of Indian women of reproductive age are anemic. Regular iron folic acid uptake can prevent and treat anemia. This study investigated the effect of interpersonal communication on improving IFA use among women of reproductive age. Methods The Reduction in Anemia through Normative Innovations (RANI) Project is a cluster rando...
Article
Full-text available
Background: The negative impact of anemia on work capacity has been studied extensively in male and female workers; however, the simultaneous contributions of confounding variables such as physical activity, as well as other behavioral and sociodemographic characteristics have not been considered. The purpose of this study was to examine cross-sec...
Preprint
Full-text available
Background: With the proliferation of the digital age, Information and Communication Technologies paired with feedback loops have the potential to facilitate process evaluations which include continuous iteration and innovation of intervention delivery. Objective: To describe how a multilevel social norms field trial is using feedback loops to inn...
Article
Full-text available
Background : In India, half of women of reproductive age, compared to 23 percent of men, have iron deficiency anemia. Extant research focuses on biological, not social, determinants of this disparity. This article examines how gender norms may affect anemia prevalence among women in rural India. Methods : We conducted 16 focus group discussions (n...
Preprint
BACKGROUND More than half of women of reproductive age (15-49 years old) are anemic in India. Uptake of and adherence to iron folic acid supplements remain low despite sustained efforts to increase use. With India’s burgeoning digital environment, mobile phones offer a potential medium to increase uptake, especially when combined with interactive v...
Article
Background More than half of the women of reproductive age (aged 15-49 years) are anemic in India. The uptake of and adherence to iron folic acid (IFA) supplements remain low despite sustained efforts to increase their use. With India’s burgeoning digital environment, mobile phones offer a potential medium for increasing their uptake, especially wh...
Article
Full-text available
Objectives: This study aims to understand if fatigue, the main symptom of anaemia, is a health concern that cues women and their referent groups to obtain iron folic acid supplements. Design: This is a mixed methods study that consisted of a cross-sectional perceptual mapping and card sorting activity along with 16 focus group discussions with w...
Article
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Almost half of patients who meet American College of Cardiology/American Heart Association (ACC/AHA) criteria for statin therapy are untreated. We aimed to evaluate patient-reported reasons for not using guideline-recommended statin therapy in a public healthcare system. Achieving this goal is key to addressing gaps in care and reducing preventable...
Article
Background Individuals’ perceptions of their fecundity, or biological ability to bear children, have important implications for health behaviors, including infertility help-seeking and contraceptive use. Little research has examined these perceptions among U.S. women. Methods This cross-sectional study examines perceptions of one's own fecundity a...
Article
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Background Abortion is a common medical procedure, integral to women's health, and a core educational topic for medical students. Medical schools often rely on brief clinical exposure to abortion during the obstetrics and gynecology clerkship to provide this learning. Abortion is also a highly politicized and stigmatized procedure. Given this poten...
Article
Objective To understand how to potentially improve inappropriate prostate cancer imaging rates we used National Comprehensive Cancer Network's (NCCN) guidelines to design and implement a Clinical Reminder Order Check (CROC) that alerts ordering providers of potentially inappropriate imaging orders in real-time based on patient features of men diagn...
Article
Full-text available
The aim of this study is to examine the multilevel barriers to iron supplement use and to subsequently identify promising areas to intervene. Methods: We conducted a qualitative study in the state of Odisha, India. Data collection included key informant interviews, focus group discussions with women, husbands, and mothers-in-law, and direct observ...
Preprint
Full-text available
Background: To reduce the prevalence of anemia, the Indian government recommends daily iron and folic acid supplements (iron supplements) for pregnant women and weekly iron supplements for adolescents and all women of reproductive age. The government has distributed free iron supplements to adolescents and pregnant women for over four decades. Howe...
Article
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Background: More than half of women in India are anemic. Anemia can result in fatigue, poor work productivity, higher risk of pre-term delivery, and maternal mortality. The Indian government has promoted the use of iron-folic acid supplements (IFA) for the prevention and treatment of anemia for the past five decades, but uptake remains low and ane...
Preprint
Background: To reduce the prevalence of anemia, the Indian government recommends daily iron and folic acid supplements (iron supplements) for pregnant women and weekly iron supplements for adolescents and all women of reproductive age. The government has distributed free iron supplements to adolescents and pregnant women for over four decades. Howe...
Poster
Full-text available
This study seeks to answer the following research questions: 1.What are the multi-level barriers and facilitators to IFA use among all women of reproductive age in Odisha, India? 2.What are the most promising areas to intervene to increase IFA use in this population? We take a theory driven approach to examine the multilevel factors and social no...
Article
Objectives: Half of women of reproductive age in India have iron deficiency anemia compared to only 23% of men. Most research focuses on biological reasons for this discrepancy and access to iron-folic acid and iron-rich foods. However, recent research in India shows that inequitable gender norms may affect a woman's ability or desire to take iron...
Article
Full-text available
Objectives: Over half of women of reproductive age in India are anemic so the World Health Organization recommends daily iron folic acid (IFA) for all women of reproductive age. The government has distributed free IFA for over four decades but initial uptake and adherence remain inadequate. Objectives: 1) to understand the multilevel factors tha...
Poster
Full-text available
Medical schools often use brief clinical exposure to abortion to meet this competency. To our knowledge, this is the first qualitative study that explores medical student reactions to observing an abortion.The objective of this study was to examine medical student reactions to participating in abortion care to inform curricula improvements.
Article
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Purpose The role of mass media in promoting social norms surrounding contraceptive use among adolescents in developing countries has not received much attention. Hence, program planners have little guidance on how to design media messages that take advantage of existing social norms in promoting contraceptive use. Methods We analyzed data from the...
Poster
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We present findings from the Reduction in Anemia through Normative Innovations (RANI) project formative research phase in this poster. Approximately half of all women of reproductive age (WRA) in India are anemic. While programs that target anemia reduction exist, most attempt to promote iron-folic acid (IFA) supplement use and diet diversity among...
Article
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Background Over the last decade, Ethiopia has substantially increased uptake of modern contraception and experienced a decline in total fertility, coinciding with implementation of the national Health Extension Programme (HEP), involving an extensive deployment of health extension workers (HEWs), and a health development army (HDA) of volunteer fam...
Article
Introduction: According to current National Comprehensive Cancer Network guidelines, routine imagining for staging low-risk prostate cancer is not recommended. However, extensive overuse of guideline-discordant imaging continues to persist. Incidental findings are common on imaging and little is known about the optimal management. Rates of inciden...
Article
Full-text available
A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This article provides a detailed characterization of the belief that modern contraceptives cause infertility, and an examination of how this belief arises and spreads, and why it is so salient. We conducted focus group discussions and key inf...
Poster
Full-text available
Over the last 10 years, Ethiopia has rapidly increased use of family planning. This qualitative study describes how key features of local contexts, community perceptions, and messaging by health extension workers (HEWs) have contributed to the increased use of modern contraception in one community in Ethiopia.
Poster
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A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This research provides a deep examination of one common concern: the belief that modern contraceptives cause infertility.
Poster
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Research Questions: How are the TNSB moderators (injunctive norms, outcome expectations, interpersonal communication, and self-efficacy) manifest in the data? How are normative motivations (why people follow social norms) manifest in the data?
Poster
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Aim: to explore student reactions to observing an abortion as part of their medical school training. Conclusions: Students observing abortion find the experience worthwhile, but grapple with the complexity of their responses. They express a desire for curricular changes and more adequate preparation and follow up. These findings can be used to bu...
Article
Full-text available
Background: In the last decade, the proportion of Ethiopian women using contraceptive methods has increased substantially (from 14% in 2005 to 35% in 2016 among married women). Numerous factors have contributed to the increased uptake. An important one is the implementation of the Health Extension Program, a government-led health service delivery...
Article
Full-text available
Background: More than half of women of reproductive age in India are anemic. Anemia is associated with increased risk of preterm delivery, higher maternal mortality and contributes to fatigue, which affects women’s work productivity. The World Health Organization (WHO) recommends daily oral iron and folic acid (IFA) supplements during pregnancy and...
Poster
Full-text available
This study focuses on one set of ideational factors, namely attitudes and beliefs regarding the economic costs and benefits of children in a setting where fertility transition is currently underway. Our goals are: Describe current attitudes and beliefs; Characterize how those attitudes and beliefs appear to be changing; and Investigate how those c...
Article
Full-text available
Background: Alcohol and drug use are leading causes of morbidity and mortality that frequently go unidentified in medical settings. As part of a multi-phase study to implement electronic health record-integrated substance use screening in primary care clinics, we interviewed key clinical stakeholders to identify current substance use screening pra...
Poster
Full-text available
More than half of women of reproductive age in India are anemia. This protocol describes the formative research phase of a larger study, which will test, through a randomized controlled trial, the hypothesis that a social norms-based behavioral intervention in Odisha, India will improve uptake of IFA supplements and reduce anemia among reproductive...
Article
Full-text available
Background Active surveillance (AS) is the most rapidly expanding management option for favorable-risk prostate cancer (PCa). Early studies suggested substantial decrements in utility (quality of life weights) from disease-related anxiety. Our objective was to determine utilities for contemporary AS patients using different instruments. Methods We...
Article
Full-text available
Background: More than half of women of reproductive age in India are anemic. Anemia is associated with increased risk of preterm delivery, higher maternal mortality and contributes to fatigue, which affects women’s work productivity. The World Health Organization (WHO) recommends daily oral iron and folic acid (IFA) supplements during pregnancy and...
Article
Full-text available
Among US men, most new prostate cancer cases are clinically localized and do not require imaging as part of staging workup according to guidelines. Two leading specialty societies promote stewardship of health resources by encouraging guideline-concordant care, thereby limiting inappropriate and obsolete imaging. However, imaging to stage low-risk...
Article
Objective: To understand the informational needs during active surveillance (AS) for prostate cancer from the perspectives of patients and providers. Methods: We conducted seven focus groups with 37 AS patients in two urban clinical settings, and 24 semi-structured interviews with a national sample of providers. Transcripts were analyzed using a...
Article
Full-text available
Background: The Veterans Health Administration (VA) is investing considerable resources into providing remote management care to patients for disease prevention and management. Remote management includes online patient portals, e-mails between patients and providers, follow-up phone calls, and home health devices to monitor health status. However,...
Article
Full-text available
Women with a history of sexual violence may face obstacles to obtaining preventive health services. Group education models have been used in other settings to improve knowledge and uptake of care. Focus groups were conducted to solicit the concerns and input of the subject population. Interdisciplinary group education sessions (GESs) were designed...
Conference Paper
Full-text available
Women with a history of sexual violence may face obstacles to obtaining preventive health services. Group education models have been used in other settings to improve knowledge and uptake of care. Focus groups were conducted to solicit the concerns and input of the subject population. Interdisciplinary group education sessions (GESs) were designed...
Article
Full-text available
Introduction: The impact of sexual violence (SV) on mental health, self-care, and interpersonal relationships is profound and poses special challenges to health care delivery. Reproductive health care merits special attention because the care required may be linked to reminders of past abuse. We explored facilitators and barriers affecting the use...
Poster
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A study in Oromia, Ethiopia examining barriers and facilitators to family planning use.
Poster
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Between June - Sept 2015, we partnered with 27 female veterans with a history of sexual violence at one medical center. We conducted a needs analysis and then designed a group intervention similar to the shared medical appointment with 3 main characteristics: 1) group support, 2) quality medical information, and 3) sensitivity to the mental health...
Poster
Full-text available
The goal of Phase 1 interviews and focus groups with key stakeholders was to gather information about the local context and assesses potential barriers and facilitators affecting the implementation of substance use screening in the participating primary care clinics. Findings informed our implementation strategy, which includes: Universal screening...
Poster
Full-text available
The goal of Phase 1 interviews and focus groups with key stakeholders was to gather information about the local context and assesses potential barriers and facilitators affecting the implementation of substance use screening in the participating primary care clinics.
Poster
Full-text available
The objective of this study was to assess the feasibility of utilizing crowdsourcing technologies for development of multidimensional psychometric scales and to compare results between a crowdsourced and population-based administration of a multidimensional scale based on: Cost Duration of data collection Quality of data (reliability and validity)
Poster
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Our objective was to understand informational needs during AS for prostate cancer from the perspectives of both patients and providers.
Article
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Objective: To explore and identify factors that influence physicians' decisions while monitoring prostate cancer patients on active surveillance. Subjects and methods: A purposive sampling strategy was used to identify physicians treating prostate cancer from diverse clinical backgrounds and geographic areas across the US. We conducted 24 in-dep...
Article
Full-text available
Background: Approximately half of veterans with low-risk prostate cancer receive guideline-discordant imaging. Our objective was to identify and describe (1) physician knowledge, attitudes, and practices related to the use of imaging to stage prostate cancer, (2) patient attitudes and behaviors related to use of imaging, and (3) to compare respons...
Article
Full-text available
The purpose of this commentary is to highlight some of the key policy changes under the Patient Protection and Affordable Care Act (ACA) that have the potential to improve health care services for adolescents as well as to draw attention to challenges that have yet to be addressed. This commentary stems from our prior policy research, which examine...
Article
The Affordable Care Act (ACA) has expanded the enrollment of young people in insurance plans and aims to increase access to preventive health services. For adolescents and young adults to fully utilize these services, access to confidential care is critical, especially for sensitive services, like sexual and reproductive health care. With this expa...

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