Susanne Montgomery

Susanne Montgomery
Loma Linda University · School of Public Health

About

281
Publications
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4,943
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Publications

Publications (281)
Article
Full-text available
There is ample evidence that exposure to Immigration and Customs Enforcement (ICE) activities could widen Latinas’ health disparities. Whether or not residing near an ICE detention center (IDC) further impacts their health is unknown. During nationwide increased ICE activities Latinas (N=45) attended an intervention at two separate sites: one near...
Article
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This study tested the usability of a non-stigmatizing community-based trauma intervention delivered by trained community members. The Community Resiliency Model (CRM) was taught to a high-crime, low-income community designated as a Mental Health Provider Shortage Area (19 MPSA score). Five groups of Latino, African-American, LGBTQ, Asian Pacific Is...
Article
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Black men have the highest rate of prostate cancer (PCa) morbidity and mortality in the US, and often receive delayed and/or poorer-quality treatment. This inequity has led many to turn to complementary and alternative medicine/therapies (CAM). However, little is known about the use of these therapies within the Black community. The purpose of this...
Article
This study examined the prevalence and social-ecological correlates of male-to-female intimate partner violence (IPV) in Afghanistan. Using data from the 2015 Afghanistan Demographic and Health Survey, which included 20,793 currently married women, we found that the past-year prevalence of physical IPV was highest (46%), followed by emotional (34%)...
Article
Full-text available
This study examined the prevalence and social-ecological correlates of male-to-female intimate partner violence (IPV) in Afghanistan. Using data from the 2015 Afghanistan Demographic and Health Survey, which included 20,793 currently married women, we found that the past-year prevalence of physical IPV was highest (46%), followed by emotional (34%)...
Article
Full-text available
In this study, we evaluated the status of and attitudes toward COVID-19 vaccination of healthcare workers in two major hospital systems (academic and private) in Southern California. Responses were collected via an anonymous and voluntary survey from a total of 2491 participants, including nurses, physicians, other allied health professionals, and...
Article
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Background: This study explored how low-income women already distressed by reproductive challenges were affected during the initial lockdown conditions of the COVID-19 pandemic in Mumbai, India. Methods: Women with reproductive challenges and living in established slums participated in a longitudinal mixed-methods study comparing their mental healt...
Article
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Background Despite nationwide efforts to address the diabetes epidemic and reduce prevalence disparities, higher rates persist among the poor, especially those with limited literacy. Currently, individuals with abnormal glycemia who have pre-diabetes and diabetes qualify for different programs. However, evidence suggests that, for low-income Hispan...
Article
Background: Low-income and racial/ethnic minority students often face distinct challenges in attending school eading to lower academic performance, low graduation rates, and overall, an indicator of diminished long-term social and financial stability. Chronic absenteeism is a national problem and to address this, a better understanding of risks an...
Article
Background Building upon our earlier findings of significant associations between hair dye and relaxer use with increased breast cancer risk, we evaluated associations of select characteristics of use with breast tumor clinicopathology. Methods Using multivariable-adjusted models we examined the associations of interest in a case-only study of 299...
Article
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Background: Mental health among survivors of the 1994 Tutsi genocide in Rwanda remains poor, even after multiple efforts to assist those recovering from this trauma. The Community Resilience Model (CRM) is a biologically based set of skills that can be delivered in community settings by trained lay persons and has shown to significantly improve me...
Article
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Despite the high prevalence of mental distress in the Korean American (KA) community, KAs continue to have significantly lower rates of professional mental health utilization than the general U.S. population, making it increasingly critical to study factors related to such utilization. A total of 243 surveys were collected at Korean churches of var...
Article
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Objectives: The purpose of this study was to explore the social factors that contribute to the mental health challenges that Somali young adults endure. Design: In a two-phase qualitative approach carried-out in the San Diego area, in phase-I, we conducted exploratory interviews with key-informants including clinicians and local Somali leaders (n...
Article
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Background India has the highest number of stillbirths and the highest neonatal death rate in the world. In the context of its pronatalist society, women who experience perinatal loss often encounter significant social repercussions on top of grief. Furthermore, even when pregnancy outcomes were favorable, adverse life circumstances put some women...
Article
Black men are disproportionately affected by prostate cancer (PCa) incidence and mortality. Limited research has been reported on the ethnic differences among Black men in regard to family history, knowledge, and screening habits. Thus, this study was conducted to understand and compare knowledge levels and family history of the three main Black su...
Article
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Purpose: Given the pressures surrounding women's reproductive role in India, and persistent high rates of perinatal death, the purpose of this study is to describe and compare poor rural and urban Indian women's experiences of perinatal grief. Participants and methods: Two cross-sectional studies were compared on shared quantitative variables. P...
Conference Paper
Introduction: In our previous findings from the Women’s Circle of Health Study (WCHS), we observed statistically significant associations between use of hair dye and relaxer, which contain potentially mutagenic and endocrine-disrupting chemicals, and increased breast cancer risk. In the current analysis, we sought to expand upon our earlier finding...
Article
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Background: Infertility is a global problem, with high prevalence in India. As a pronatalist society, infertility is particularly problematic in India, causing stigma, shame, and blame especially for women. Infertility consequences for women include discrimination, social exclusion, and abandonment, putting them at high risk for mental health dist...
Article
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Racial disparities in breast cancer are well-documented, and Black women assume a disproportionate burden of breast cancer mortality. Black women also commonly use hair products containing endocrine disrupting chemicals (EDCs) more often at an increased rate, as compared to other racial/ethnic groups. Emerging findings have reported the use of hair...
Article
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In this study, we explored who is most likely to use electronic means to seek health information and why; our research was guided by the Health Belief Model (HBM). We used the National Cancer Institute’s Health Information Trends Survey (HINTS) dataset for 2017 and 2018 (n=6,697). We found that 67.5% of US adults used electronic means to seek healt...
Article
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Background While the link between frequent cannabis use and alcohol use disorders is well documented, it is not clear whether alcohol drinkers who use cannabis less frequently are also vulnerable to alcohol use disorders. We estimate the association of frequency of past 12-months cannabis use with alcohol-associated adverse effects variables in the...
Article
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Background: In the wake of the rising rate of prescription opioid misuse, there has been increased public health interest in the possibility that cannabis might help to curb or prevent opioid use disorder. Previous studies were limited to young adult marijuana use population. Little is known about whether in older adult population, marijuana use i...
Article
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Introduction: Latinas are among the groups most affected by diabetes health disparities, yet they often benefit less from diabetes interventions even when these are culturally adapted. The purpose of this qualitative study was to explore readiness of Latinas enrolled in a diabetes prevention program to adopt recommended preventive behaviors, and to...
Preprint
This study examined the prevalence and social-ecological correlates of male-to-female intimate partner violence (IPV) in Afghanistan. Using data from the 2015 Afghanistan Demographic and Health Survey, which included 20,793 currently married women, we found that the past-year prevalence of physical IPV was highest (46%), followed by emotional (34%)...
Article
Full-text available
Prostate cancer (PCa) is the second leading cause of cancer-related death among Black men who present with higher incidence, mortality, and survival compared to other racial groups. African immigrant men, however, are underrepresented in PCa research and thus this research sought to address that gap. This study applied a social determinants of heal...
Poster
Introduction: The parent study investigated the potential role of hair products for breast cancer etiology in a community sample of Black women. Black women are diagnosed and die from breast cancer more than White women. Hair across the African diaspora is synonymous with identity. Black women use more hair products containing endocrine-disrupting...
Poster
In the US Black women (BW) are more likely to die from breast cancer (BC) than White women. Research increasingly supports the association between ingredients found in hair and personal care products and BC risk, linked to endocrine disrupting chemicals (EDCs). BW spend more money on hair products (HPs) containing EDCs than other racial groups. Som...
Poster
In the US Black women have higher incidence and mortality rates of breast cancer than White women. Patients diagnosed with breast cancer (BC) are known to experience a decline in mental health (MH). Patient’s reactions after diagnosis can involve denial, depression, anxiety, and anger. Close relatives and friends of patients are often also psycholo...
Article
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Background: Limited evidence exists on the prevalence and social determinants of tobacco use in Afghanistan—a fragile post-war context where the tobacco epidemic is on the rise. This study aimed to estimate the prevalence and social determinants of tobacco use in Afghan men and women. Methods: Data from the 2015 Afghanistan Demographic and Health...
Article
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This study examined the relationships of perceived discrimination and religious coping with hypertension in a sample of Black and White Seventh-day Adventists. Data come from a community-based sample of 6128 White American, 2253 African American and 927 Caribbean American adults (67% women; mean age = 62.9 years). Results indicate lifetime unfair t...
Article
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Recent advances in our understanding of racial disparities in prostate cancer (PCa) incidence and mortality that disproportionately affect African American (AA) men have provided important insights into the psychosocial, socioeconomic, environmental, and molecular contributors. There is, however, limited mechanistic knowledge of how the interplay b...
Article
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Introduction Across the African Diaspora, hair is synonymous with identity. As such, Black women use a variety of hair products, which often contain more endocrine-disrupting chemicals than products used by women of other races. An emerging body of research is linking chemicals in hair products to breast cancer, but there is no validated instrument...
Article
Clinic-based community health workers (cCHWs) are a growing workforce who can facilitate medical and social support services, particularly for patients with complex, chronic conditions. We assessed CHWs', employers', and patients' perceptions and readiness for CHW integration into clinical settings. We found varying levels of readiness between the...
Conference Paper
Background: The Asian-Indian (AI) community is one of the fastest growing groups in the United States (US). AI’s are considered a model minority and literature indicates this may have mental health (MH) implications. Research points to gender-role (GR) related stressors as possibly influencing AI MH, yet little is known about this from an Punjabi S...
Article
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Changes in the adolescent brain underlie the development of executive functions (EFs) after the onset of puberty; however, adolescents that engage in deliberate self-harm (DSH) have impaired EFs in the areas of inhibition, emotion regulation, shifting, and interpersonal functioning. On the other hand, dialectical behavior therapy (DBT) has been sho...
Article
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The objective of this study was to evaluate psychosocial and behavioral predictors of weight loss success in patients that are obese enrolled in a weight loss program. It was a quasi-experimental design, with a convenience sample (n=127) of men and women aged 21-75 years with BMI >30 kg/m 2 enrolled in a medically supervised comprehensive clinic-ba...
Article
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Background: The purpose of this study was to investigate whether an intensive and sponsored weight management program was associated with clinically significant weight loss in obese and morbidly obese patients. Methods: We compared weight loss among patients that participated in a 26-week intervention program. The intervention group was offered fin...
Preprint
Purpose: This study aimed to examine the prevalence and social determinants of tobacco use in Afghanistan to include cigarette smoking as well as the use of smokeless tobacco products such as chew and snuff. Methods: We conducted a secondary analysis of cross-sectional data from the 2015 Afghanistan addition to generating weighted prevalence esti...
Article
Purpose The purpose of this paper is to assess perceptions of organizational readiness to integrate clinic-based community health workers (cCHWs) between traditional CHWs and potential cCHW employers and their staff in order to inform training and implementation models. Design/methodology/approach A cross-sectional mixed-methods approach evaluat...
Article
Full-text available
We examined characteristics of Afghan youth who intend to stay in Afghanistan, a generation of young people critical to rebuilding the country. A survey of 232 young adults residing in Kabul assessed various demographic, health and psychological factors. The majority of participants reported that they had no intent to seek asylum, and our analyses...
Conference Paper
The ever-increasing diversification of the U.S. population highlights the importance of better understanding different cultures in the context of their integration experiences. Asian- Indians (AI) are particularly vulnerable to the consequences of the model minority myth as they seek to balance adjustment expectations to the majority culture while...
Article
Full-text available
Significant evidence demonstrates the powerful effects social determinants have on health-related perceptions, behaviors, and health outcomes. However, these factors are often studied out of context, despite the acknowledgement that social determinants of health are place based. This research aimed to demonstrate that health-related perceptions are...
Article
In pediatric chronic illness, little is known about the relational interactions between adolescent patients, parents, and illnesses and how they influence self‐management of illness. We conducted interviews with 32 individuals (16 dyads) representing adolescents diagnosed with a chronic illness and their primary parent who had been referred to a ps...
Article
Full-text available
Traditional community health workers (CHWs) are expanding their role into clinical settings (cCHW) to support patients with care coordination and advocacy services. We investigated the potential to integrate cCHWs, via evaluation of patients’ and CHWs’ key demographics, needs, and abilities. This mixed-methods study, including adult patients and CH...
Article
There is a rising demand to expand the successful roles community health workers (CHWs) offer into clinical settings (clinic-based community health worker [cCHW]) to support patient services. Using survey data, we evaluated patient and CHW readiness and intent to adopt cCHW clinical care integration. We found CHW and patient readiness to become or...
Article
Increased acculturation among Latinos has been associated with a decrease in the quality of dietary habits and an increase in the prevalence of obesity. The aim of this pilot study was to compare the consumption of fast/processed foods and sugary beverages in Spanish speaking vs. non-Spanish speaking Hispanics and those born in the United States wi...
Article
Full-text available
The potential health risks for communities that surround railyards have largely been understudied. Mastery and quality of life (QoL) have been associated with self-reported health status in the general population, but few studies have explored this variable among highly vulnerable low-income groups exposed to harmful air pollutants. This study inve...
Article
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Little is known about who and what Afghans turn to cope with mental distress precipitated by ongoing socio-political and economic problems. In a cross-sectional survey, the authors examined help-seeking behaviour for mental distress in 306 Afghans residing in Kabul, Afghanistan, and how their choice of what to access for help is influenced by vario...
Conference Paper
Punjabi’s are a growing subgroup of Asian Indian (AI) immigrants in the US and are often seen as a model minority. Recent data suggests that family-related stress including intergenerational vs. traditional communications between parents and youth is a critical issue, however little is known about the Punjabi youth perspective. Purpose: To explore...
Conference Paper
Background: Older adults and minorities are the fastest growing groups in the United States, yet little is known about their mental health needs, experiences, and care preferences. Mental health challenges are known to significantly impact quality of life and existing chronic health conditions among aging adults but remain under-diagnosed and untre...
Article
Full-text available
Asthma is a major health threat and leading cause of chronic morbidity among children. Air pollutants have been linked to exacerbations and promotion of initial development of asthma. Extensive research already conducted assessing adverse health impacts associated with exposure to pollutants from vehicular traffic. However, little research conducte...
Article
Full-text available
Abstract Glucocorticoid receptor (GR) is emerging as a key driver of prostate cancer (PCa) progression and therapy resistance in the absence of androgen receptor (AR) signaling. Acting as a bypass mechanism, GR activates AR-regulated genes, although GR-target genes contributing to PCa therapy resistance remain to be identified. Emerging evidence al...
Article
We explored potential barriers and facilitators for prostate cancer screening choices among high-risk black men. In our sample of 264 black men over 45 years of age living in the United States who met the American Cancer Society criteria for screening, we found that only 49.6% had ever been screened. We investigated potential barriers, including sc...
Article
Full-text available
Background: Growing evidence suggests social disadvantage magnifies the harmful health effects of environmental hazards; however, there is limited research related to perceptions of risk among individuals who live near such environmental hazard sites. We explored the association between individual-level perception of community safety and respirato...
Poster
Introduction/Purpose: Black women now have higher breast cancer (BC) incidence and mortality than White women. They also use more hair products containing hormonally-active chemicals. Studies are beginning to link chemical ingredients in these products to BC risk. Little is known about community knowledge of BC and the potential association with ha...
Article
Full-text available
1) Background: Refugees and asylum-seekers from Afghanistan have been shown to be highly distressed as a result of pre-and post-resettlement traumas. However, little is known about the challenges that Afghan migrants endure while residing in Turkey, a population that has grown at unprecedented rates in recent years, and largely deemed illegal by Tu...
Article
Full-text available
African American (AA)/Black men are more likely to develop aggressive prostate cancer (PCa), yet less likely to be screened despite guidelines espousing shared decision-making regarding PCa screening and prostate-specific antigen (PSA) testing. Given the documented racial disparities in PCa incidence and mortality, engaging interactions with physic...
Article
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Background: We examined the mental health status and severity of psychological distress symptoms among young adults residing in Kabul, Afghanistan and determined how such outcomes might be influenced by an array of risk and protective factors. Methods: A cross-sectional study design was adopted using convenience, snowball, and street-intercept r...
Article
Full-text available
While it is well established that Afghan refugees are disproportionately affected by mental health problems, limited evidence exists concerning the psychosocial needs of their children who are transitioning to adulthood in the United States; that is, of 1st- and 2nd-generation Afghan-Americans. The purpose of this study was to examine the effect of...
Presentation
Prostate cancer (PCa) is the most commonly diagnosed cancer and second leading cause of cancer-related deaths in American men. African American (AA) men are more likely to be diagnosed with aggressive PCa at a younger age and twice as likely to die from the disease as European American (EA) men. In order to reduce PCa mortality and its associated r...
Article
Prostate cancer (PCa) presents the greatest US cancer health disparity in terms of incidence and mortality, disproportionately affecting African American (AA) men. The biological characteristics of prostate tumors are exaggerated in AA men compared to European American (EA) men at time of diagnosis. The mechanisms underlying increased PCa aggressiv...
Article
Full-text available
Background: Self-reported diagnosis of high blood pressure is frequently used to study representative samples of a population. Objective: Using a cross-sectional design, we examined the relationship between self-reported high blood pressure and clinical evidence for the disease, such as use of antihypertensive medications. Methods: A community-base...
Article
Full-text available
Breast cancer (BC) incidence rates for Black and non-Hispanic White women have recently converged; however, Black women continue to die at higher rates from the disease. Black women also use hair products containing hormonally active chemicals at higher rates than other races and ethnic groups. Studies now link chemical components in hair and perso...