Satish Kedia

• PhD
• Professor at University of Memphis

To examine patterns of mono- versus polydrug abuse, data were obtained from intake records of 69,891 admissions to publicly funded treatment programs in Tennessee between 1998 and 2004. While descriptive statistics were employed to report frequency and patterns of mono- and polydrug abuse by demographic variables and by study years, bivariate logis...

Objectives. To investigate associations between patient-centered communication (PCC) and two elements of cancer information-seeking experience (i.e., effort and frustration) among cancer survivors. Methods. We utilized secondary data from the U.S. National Cancer Institute’s Health Information National Trends Survey ([HINTS5 cycles 2 (2018) and 4...

Patient-centered communication (PCC) plays a pivotal role in improving healthcare quality and health outcomes. A plethora of cancer prevention-related information is publicly available, potentially leading to cancer information overload (CIO). However, little is known about whether experience with PCC can help prevent or reduce CIO among adults wit...

Purpose There are over 18 million cancer survivors in the U.S., with a projected increase of 24.4% over the next decade. Currently, little is known about the relationship between a cancer survivor’s caregiving responsibility and their psychological distress. This study examines whether cancer survivors who assume the role of informal caregivers (su...

Background/Objectives: Low or moderate alcohol drinking may reduce the risk of depression, but depression may induce alcohol drinking. However, the bidirectional associations between alcohol drinking and depression were inconsistent, and many prior analyses were not properly conducted. This study explored the within-individual bidirectional associa...

Objective: Mobile health applications (mHealth apps) can provide health care and health-promoting information while contributing to improving cancer survivors’ quality of life and health outcomes. However, little is known about the rural-urban distribution of mHealth app ownership and utilization. In this study, we explore the characteristics of c...

Purpose To identify predictive factors associated with US adolescents’ transition through the stages of change for potentially quitting e-cigarettes using the Trans-theoretical model of behavior change. Design Prospective cohort study. Setting United States. Subjects We utilized data from adolescents (12-17 years) in Wave 3 of the Population Ass...

Antidepressants are among the most prescribed drugs in the US, but the current treatment patterns and modalities among older adults are unclear. This study assessed the patterns of discontinuation of antidepressants and the risk of medication resumption among community-dwelling older adults with depression. Using Medicare Current Beneficiary Survey...

Background Undergraduate programs in public health are becoming increasingly popular in the United States (US). The recent pandemic, growing climate instability, and the aging baby boomers have led to higher demands for skilled public health professionals at various levels of the workforce. This study examines the nature of courses being delivered...

Child and adolescent mental health are major public health concerns in the US. Overall, 20% of US children have a reported mental health condition, while an estimated 40% will be diagnosed with one by age 18. Despite these concerns, little is known about factors associated with access to mental health services among children and adolescents. We ana...

Purpose. There are more than 18 million cancer survivors in the US, with a projected increase of 24.4% over the next decade. Currently, little is known about the relationship between a cancer survivor’s caregiving responsibility and psychological distress. This study examines whether cancer-survivor caregivers experience increased psychological dis...

This study aimed to investigate the impact of racial residential segregation on healthcare utilization and perceived quality of care among informal caregivers in the US. It further assessed potential variations in the estimated impact across caregivers' race and socioeconomic status. We used data from the Health Information National Trends Survey D...

Recently, multiple health organizations and advocacy groups have pushed for giving an R-rating for movies depicting tobacco imagery. This study examined several predictors of U.S. adults’ opinion toward an R-rating policy for movies depicting cigarette smoking. We used data from the Health Information National Trends Survey (2020 cycle), for a nati...

Background: With the growth of information technology and handheld devices, mobile health (mHealth) applications (apps) are increasingly used to improve health and quality of life for caregivers and their care recipients. However, there is limited literature on how these apps’ use impacts informal caregivers’ healthcare decision-making and health c...

Background: With an increase in the aging population and chronic medical conditions in the United States (US), the role of informal caregivers has become paramount as they engage in the care of their loved ones. Mounting evidence suggests that such responsibilities place a substantial burden on informal caregivers and can negatively impact their he...

Background: Cancer survivors represent about 18.1 million of the US population, with a projected 24.4% increase to reach 22.5 million over the next decade. Cancer survivors are usually faced with many challenges and stressors that adversely impact their mental and emotional wellbeing. However, so far little is known about the relationship between h...

Background: Cannabis use among adolescents is prevalent in the U.S. Few studies have investigated the ties between adolescents’ perceived risk of cannabis use, other substance use, and mental health. The current study fills this gap by identifying a pathway of factors associated with cannabis use among high school seniors. Methods: Data were extra...

Purpose The current study investigates associations between mHealth apps and healthcare decision-making and health communication among informal caregivers in the US. Design Cross-sectional study employing secondary data. Setting The Health Information National Trends Survey (HINTS5, Cycles 2 through 4, 2018 – 2020). Sample Self-identified inform...

Introduction Opioid overprescribing may fuel the opioid epidemic and increase the risk of complications of opioid misuse. This study examined trends and determinants of chronic and heavy opioid use among elderly community dwellers in the U.S. Methods Medicare Current Beneficiary Surveys data from 2006 to 2019 were used. Common opioid medications w...

Background: Adverse childhood experiences (ACEs) and substance use disorder (SUD) are major public health problems in the US. The goals of this study were: 1) to explore the association between ACEs and SUD; and 2) to identify the role of resilience factors for SUD among US adolescents with ACEs. Methods: We utilized four-year data (2016-2019) from...

As opioid use-related behaviors continue at epidemic proportions, identifying the root causes of these behaviors is critical. Adverse childhood experiences (ACEs) are shown to be an important predictor of opioid initiation, opioid dependence, and lifetime opioid overdose. The purpose of this systematic review is to examine the association between A...

Objectives To analyze the current public health labor market for bachelor’s-level graduates. Methods Public health-related job postings (N = 365) from across the United States were collected from an online job portal, Indeed.com, from November 7–14, 2022. Job titles, organization type, degree requirements, work experience, job location, and prefer...

While much attention has been given to methamphetamine's wake-promoting properties and the concept of using methamphetamine to increase energy, little is known about the ways people who use methamphetamine manage their use to pursue their functional goals or the challenges they encounter doing so. This qualitative study explores the experiences of...

Objective: This study examines contribution of substance use (including alcohol, cannabinoids, stimulants, narcotics, depressants, and hallucinogens) on the probability of drivers being at-fault for a crash on U.S. public roads, with specific emphasis on older adult drivers. Methods: Data from the National Highway Traffic Safety Administration's...

Background: Child and adolescent mental health is a public health concern in the US. Overall, 20% of US children have a reported mental health condition while an estimated 40% will meet the criteria for one by age 18. Rates of anxiety and depression among children 3 to 17 years increased by 29% and 27%, respectively, between 2016 and 2020. Despite...

Background: Health disparities associated with e-cigarette use are increasingly apparent among US adolescents. Perceptions of e-cigarette harm and addiction play an important role in understanding adolescents' e-cigarette use behavior. The objective of this systematic review is to examine racial/ethnic and socio-economic disparities in e-cigarette...

Women exposed to intimate partner violence (IPV) often rely on support from their informal support networks to obtain resources that may mitigate IPV. This study explored the challenges women of color encounter in seeking advice and information from their informal support networks (i.e., family, friends, neighbors, community members) regarding IPV...

Purpose To assess the impact of food insecurity on biennial breast cancer screenings (i.e., mammography or breast X-ray) among older women in the United States (US). Methods Data from the 2014 and 2016 waves of the Health and Retirement Study and the 2013 Health Care and Nutrition Study were used. The analyses were limited to a nationally represen...

Poster presented at the APHA 2022 Annual Meeting & Expo, Boston November 2022. The poster outlines the association between Adverse Childhood Experiences (ACEs) and opioid misuse.

Background: With an increase in aging population and chronic medical conditions in the United States, the role of informal caregivers has become paramount as they engage in the care of their loved ones. Mounting evidence suggests that such responsibilities place substantial burden on informal caregivers and can negatively impact their health. New w...

Poster presented at the APHA 2022 Annual Meeting & Expo, Boston November 2022. The poster explains the sleep related experiences of methamphetamine users.

Background: Waterpipe (WP) smoking has become a global public health problem in recent decades and growing evidence indicates that it can cause nicotine dependence. Most evidence on WP dependence to date has been derived from survey- or laboratory-based studies. This study employed qualitative methods to explore WP users' perceptions of dependence...

Background: Given increasing use of e-cigarettes among adolescents in the United States and its potential for nicotine addiction, encouraging adolescents to quit using these products has become a public health priority. This study examined factors at various socio-ecological levels associated with e-cigarette quit intention (pre-contemplation, cont...

Purpose This prospective observational study examined the association of socioecological factors with quitting behavior among US adolescents who exclusively use electronic cigarettes (e-cigarettes). Methods We used data from past 30-day adolescent exclusive e-cigarette users (n = 243) participating in Wave 3 of the Population Assessment of Tobacco...

Background With an increase in aging population and chronic medical conditions in the United States, the role of informal caregivers has become paramount as they engage in the care of their loved ones. Mounting evidence suggests that such responsibilities place substantial burden on informal caregivers and can negatively impact their health. New we...

Alcohol use disorder (AUD) is a serious public health problem. Over 3.3 million people worldwide die each year due to alcohol-related causes, which is almost 5.3% of all deaths. This systematic review examines the effectiveness of injectable naltrexone treatment for people with AUD based on randomized clinical trial studies conducted between Januar...

Informal caregivers provide unpaid care to their physically or mentally ill loved ones and play a critical role in the healthcare delivery. eHealth tools, including the broadband internet, can facilitate care processes and impact the caregiving burden through seeking health information and health communication. This study examines the predictors of...

Objective To examine longitudinal associations between time-varying insomnia symptoms (difficulty initiating sleep, difficulty maintaining sleep, early-morning awakenings, and nonrestorative sleep) and all-cause health care services utilization (HSU), including overnight hospital stays, nursing home stays, and home health care services among middle...

Background. Insomnia is a significant public health problem and imposes substantial burdens on the healthcare system due to its cascading physical and mental health effects. However, evidence on prospective association between experiencing insomnia symptoms and hospitalizations are scarce. Objectives. This study examines associations between time-v...

Introduction Pregnancy creates a unique window of opportunity for smoking cessation. However, pregnant women from underserved groups can face personal, social, and environmental challenges that impede quitting. This study draws upon the socioecological framework to explore perspectives on smoking cessation among pregnant and postpartum women from l...

This study examines longitudinal associations between time-varying insomnia symptoms (including difficulty initiating sleep, difficulty maintaining sleep, early-morning awakenings, and nonrestorative sleep) and all-cause healthcare services utilization (HSU; overnight hospital stays, nursing home stays, and home healthcare services) among middle-ag...

PurposeThe purpose of this study was to examine the impact of physical limitations, functional limitations and self-assessed health status on mortality and healthcare utilization among older cancer survivors.Methods National Medicare Current Beneficiary Survey (MCBS) cost and use data from 2008 to 2013 were used for analysis. Physical limitations,...

Aims There is limited research focusing on how never tobacco users respond to claims associated with modified risk tobacco products (MRTPs). The purpose of the present study is twofold: (1) to identify how never tobacco users perceive hypothetical modified risk tobacco product (MRTP) claims; and (2) to assess whether these perceptions impact their...

Objective: This study assesses the impact of food insecurity on biennial breast cancer screenings (i.e., mammography or breast x-ray) among older women in the United States. Methods: Data from the 2014 and 2016 waves of the Health and Retirement Study (HRS) and the 2013 Health Care and Nutrition Study (HCNS) were used for analysis. We used a prope...

Introduction: Nonalcoholic fatty liver disease (NAFLD) has been increasingly reported among recipients of liver transplantation (LT). We aimed to identify clinical and genetic risk factors responsible for the development of early recurrent NAFLD in nonalcoholic steatohepatitis transplant recipients. Methods: Forty-six total single nucleotide pol...

With over 52% of high school students reporting that they have tried alcohol or illicit drugs, 16% carrying a weapon, and 23% engaging in a physical fight, substance use and youth violence remain critical public health challenges in the United States. Using data from the 2017 Youth Risk Behavior Survey, study results revealed that youth who reporte...

Informal caregivers provide unpaid care to their physically or mentally ill loved ones and play a critical role in the healthcare delivery. eHealth tools, including the broadband internet, can facilitate care processes and impact the caregiving burden through seeking health information and health communication. This study examines the predictors of...

Purpose: To assesses the impact of food insecurity on biennial breast cancer screenings (i.e., mammography or breast x-ray) among older women in the United States (US). Methods: Data from the 2014 and 2016 waves of the Health and Retirement Study and the 2013 Health Care and Nutrition Study were used. The analyses were limited to a nationally repre...

Oral cancer is prone to late-stage diagnosis, and subsequent low five-year survival rates. A small number of interventions or campaigns designed to enhance knowledge of risk factors and symptoms associated with oral cancer have been attempted in the UK, US, and some other countries. The purpose of this systematic review is to assess the effectivene...

Introduction and objectives Higher rates of psychiatric disorders are reported among cirrhotic patients. This study examines the demographic and clinical outcomes post-liver transplant (LT) among cirrhotic patients with a major psychiatric diagnosis (cases) compared to those without psychiatric diagnosis (controls). Materials and methods Retrospec...

Methamphetamine (meth) use is a recurring public health challenge in the U.S. In 2016, approximately 1.6 million Americans reported using meth. Meth use is associated with a number of adverse outcomes, including those associated with users’ sexual health. In particular, meth use is linked to an increased risk for sexually transmitted infections and...

The COVID-19 pandemic created a number of rapidly emerging and unprecedented challenges for those engaged in substance use disorder (SUD) treatment, forcing service providers to improvise their treatment strategies as the crisis deepened. Drawing from five ongoing federally funded SUD projects in Appalachian Tennessee and hundreds of hours of meeti...

Influenza and pneumonia vaccines can reduce morbidities and mortality associated with infectious diseases among older adults. Food security, good nutrition, and high-quality diets are critical for the wellbeing of older adults. However, little is known about the relationship between food insecurity and use of preventive health services, such as inf...

Objective: This study examines effects of physical and functional limitations on health care utilization among older cancer survivors, compared with those without cancer and without physical and functional limitations. Method: Medicare Current Beneficiary Survey data from 2008 to 2011 were used. Physical limitations (PL), activities of daily living...

Influenza and pneumonia vaccines can reduce morbidities and mortality associated with infectious diseases among older adults. Food security, good nutrition, and high-quality diets are critical for the wellbeing of older adults. However, little is known about the relationship between food insecurity and use of preventive health services, such as inf...

Aims The aim of this study was to explore perspectives on motivations for treatment engagement from substance use disorder (SUD) clients in a long-term residential rehabilitation program. Design and Methods A convenience sample of 30 clients who were enrolled in a year-long SUD treatment program at a residential rehabilitation facility took part i...

Background Alcohol‐associated liver disease (AALD) is a rapidly growing indication for liver transplantation (LT). We aimed to examine various clinical, demographic, and behavioral factors to predict post‐LT alcohol relapse, and graft survival. Methods 241 LT patients with AALD (2006‐2015) were retrospectively analyzed. Results Patients with <6 m...

Background The utility of ex vivo Magnetic resonance imaging proton density fat fraction (MRI-PDFF) in donor liver fat quantification is unknown. Purpose To evaluate the diagnostic accuracy and utility in predicting early allograft dysfunction (EAD) of ex vivo MRI-PDFF measurement of fat in deceased donor livers using histology as the gold standar...

The recent rise in cybersecurity breaches in healthcare organizations has put patients’ privacy at a higher risk of being exposed. Despite this threat and the additional danger posed by such incidents to patients’ safety, as well as operational and financial threats to healthcare organizations, very few studies have systematically examined the cybe...

Purpose We explored the perceived strengths, barriers to implementation, and suggestions for sustainable implementation of a multidisciplinary model within a community-based hospital system from the physicians’ perspectives. Methods We conducted 9 focus groups with 37 physicians involved in the care of lung cancer patients. Grounded theory methodo...

Background: In 2017, the US Department of Health and Human Services declared the Opioid epidemic a public health emergency. In the US, emergency rooms treat more than 1,000 people each day for drug overdose, and 115 of them die. This study examines compositional and contextual factors associated with drug overdose deaths rates in the US. Methods: L...

Background: Opioid medications are frequently used to address pain among patients with cirrhosis, including those on the liver transplant (LT) waitlist and after transplantation. However, opioid use has been associated with poor allograft outcomes and reduced transplant survival. We examined the impact of opioid use across the spectrum of advanced...

Background: Delayed care in emergency departments (EDs) is a serious problem in the United States. Patient wait time is considered a critical measure of delayed care in EDs. Several strategies have been employed by EDs to reduce wait time, including implementation of self-check-in kiosks. However, the effect of kiosks on wait time in EDs is unders...

Background: Delayed care in emergency departments (EDs) is a serious problem in the United States. Patient wait time (WT) is considered a critical measure of delayed care in EDs. Several strategies have been employed by EDs to reduce WT, including implementation of self-registration kiosks. However, the effect of self-registration kiosks on WT in E...

Background: While caregivers are usually responsible for physical and mental wellbeing of their care recipients, it is evident that caregiving could negatively affect their own health and wellbeing. Mobile health (mHealth), as a tool to improve health and quality of life, provides easy-to-access and useful health information that can benefit caregi...

Background: Rapidly aging population in the United States is compounding healthcare burden due to their already complex medical needs. Mobile Health (mHealth) technologies have emerged to improve patients’ health and quality of life. This study evaluates utilization of mHealth apps and their effect on health-seeking behaviors among older adults. Me...

Objective: Caregivers of patients with lung cancer often face physical, emotional, and financial distress, which not only negatively affects the caregivers' mental health and quality of life but may also impact patients' well-being. The purpose of this systematic review is to examine the content, delivery, and efficacy of psychosocial intervention...

Background and aim: Morbid obesity is considered a relative contraindication for LT (Liver Transplant). We investigated if BMI (lean vs. obese) is a risk factor for post-LT graft and overall survival in NASH and non-NASH patients. Methods: Using the UNOS database, LT recipients from 01/2002 to 06/2013 (age ≥18 yrs.) with follow up until 2017 wer...

Background: Chronic medical conditions (CCs) are leading causes of morbidity and mortality in the United States. Strategies to control CCs include targeting unhealthy behaviors, often through the use of patient empowerment tools, such as mobile health (mHealth) technology. However, no conclusive evidence exists that mHealth applications (apps) are...

Despite its promise, pre-exposure prophylaxis (PrEP) uptake has been slow in the United States with fewer than 100,000 of the 1.1 million Americans considered at substantial risk for HIV currently taking it. Community health workers play a critical role in promoting PrEP awareness and access in their local communities. However, there is currently l...

The majority of African American women living with HIV are of child-bearing age and large numbers of these women express a desire to have children. Extant research suggests that motherhood provides HIV-positive women with a sense of hope and normalcy and, in some cases, is associated with positive HIV-related health behaviors. Guided by the tenets...

Objective This study explores factors associated with methamphetamine initiation based on the narratives from an online support group for methamphetamine users. Methods We conducted a qualitative study of 202 first‐person narratives submitted to an anonymous, online support group for methamphetamine users. The narratives were analyzed in the Dedoo...

Background: Pay for performance (P4P) reimbursements were designed and sought as an alternative to the old fee-for-service payments and they include physician compensation based on several quality measures and patient satisfaction survey results. P4P aimed at improving quality of services and patients’ health outcomes while lowering overall healthc...

Background: Nonalcoholic Steatohepatitis(NASH) is one of the top three indications for liver transplantation in western countries. It is unknown whether renal dysfunction at the time of liver transplantation has any effect on post-liver transplantation outcomes in recipients with NASH. Methods: From the United Network for Organ Sharing-Standard...

Background: Recurrent non-alcoholic fatty liver disease (NAFLD) has been increasingly reported in liver transplant recipients with NASH. We aimed to determine the prevalence of NAFL and NASH in adult LT recipients, the effects of steatosis identified on 1-year protocol liver biopsy, study its impact on patient survival, and to identify risk factors...

Objective: Under 50% of type 2 diabetic patients achieve the recommended glycemic control. One barrier to glycemic control is patients' cost-related nonadherence to medications. We hypothesize gender differences in medication nonadherence due to costs among diabetic patients. Methods: US National Health Interview Survey (2011 to 2014) data yield...

Background Child obesity is a major public health challenge, increasing the risk of chronic medical conditions such as type 2 diabetes, metabolic syndrome, and hypertension. Among U.S. states, Tennessee has one of the highest rates of child obesity. Emerging communication technologies can help to deliver highly disseminable population-level interve...

Nonalcoholic fatty liver disease (NAFLD) is an increasingly prevalent condition and its more severe progressive state, nonalcoholic steatohepatitis (NASH), is currently the second most common indication for waitlisted adults in the United States. The association of portal vein thrombosis (PVT) prior to or at transplant and poor graft and patient ou...

Objective: Composition of resident microbes of the human body is associated with different disease manifestations. The microbiome in bodily fluids and different organs is altered with diverse health outcomes including cancer. Microbiome composition is a potential source for identifying biomarkers in cancers. Studies have shown the association of sp...

Background Lung cancer is a major public health challenge in the United States with a complicated process of care delivery. In addition, it is a challenge for many lung cancer patients and their caregivers to navigate health care systems while coping with the disease. Objective To explore the organizational barriers to receiving quality health care...

Background: Responsible for 25% of all US cancer deaths, lung cancer presents complex care-delivery challenges. Adoption of the highly recommended multidisciplinary care model suffers from a dearth of good quality evidence. Leading up to a prospective comparative-effectiveness study of multidisciplinaryvs.serial care, we studied the implementation...

Introduction: There is little research at the national level on access to employee wellness programs and the use of preventive care services. This study examined the use of seven preventive care services among U.S working adults with access to employee wellness programs. Methods: The study population comprised 17,699 working adults aged ≥18 year...

Objective: The ability to independently perform daily activities is a crucial component of quality of life among older cancer survivors. However, many cancer survivors face difficulties performing their daily activities for living an independent life. The purpose of this study was to evaluate whether physical and functional status significantly dec...

Background: Nonalcoholic Steatohepatitis (NASH) has become an increasingly important indication for liver transplantation (LT), and there has been a particular concern of excessive cardiovascular-related mortality in this group METHODS: Using the United Network for Organ Sharing-Standard Transplant Analysis and Research (UNOS-STAR) dataset, we rev...

There is a higher rate of HPV infection and cervical cancer incidence and mortality in underserved US population who reside in Appalachian mountain region compared to Northern Plains. Social and behavioral factors such as smoking and alcohol consumption are for such a high incidence. However, by and large, the reasons for these discrepancies lie in...

Background. Liver transplant (LT) recipients with autoimmune liver disease (primary sclerosing cholangitis, primary biliary cholangitis, autoimmune hepatitis) are at increased risk of developing acute cellular rejection (ACR), and in many cases graft failure due to recurrent disease. We describe our experience with dual immunosuppression without st...

With a 17% prevalence rate, pediatric obesity is a public health challenge in Tennessee, increasing the risk for type 2 diabetes, metabolic syndrome, and hypertension among children. cUsing graphic design and media, a demonstration project, Memphis FitKids, was developed and implemented in the Greater Memphis Area, Tennessee, to educate parents abo...