Heather B. Clayton's research while affiliated with Centers for Disease Control and Prevention and other places

Publications (39)

Article
Introduction: Adverse childhood experiences are associated with a host of negative outcomes; however, few have studied cumulative adverse childhood experiences in the context of pregnancy and infant health. This study examines state-level prevalence of adverse childhood experiences and associations with pregnancy- and infant health‒related indicat...
Article
Objectives: Understanding the health-risk behaviors of racial and ethnic groups when disaggregated is an important step in improving the health outcomes of racial and ethnic minority groups. We compared national prevalence estimates for selected health-risk behaviors and experiences of Asian American and Native Hawaiian/Pacific Islander (NHPI) stu...
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Social and educational disruptions during the COVID-19 pandemic have exacerbated concerns about adolescents' mental health and suicidal behavior. Data from the 2021 Adolescent Behaviors and Experiences Survey (ABES) indicate that 37.1% of U.S. high school students reported poor mental health during the COVID-19 pandemic, with 19.9% considering and...
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Suicide and homicide are the second and third leading causes of death, respectively, among youths aged 14-17 years (1); nearly one half (46%) of youth suicides and most (93%) youth homicides result from firearm injuries (1). Understanding youth gun carrying and associated outcomes can guide prevention initiatives (2). This study used the updated me...
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Adverse and positive childhood experiences have a profound impact on lifespan health and well-being. However, their incorporation into ongoing population-based surveillance systems has been limited. This paper outlines critical steps in building a comprehensive approach to adverse and positive childhood experiences surveillance, provides examples f...
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Background Most studies on health disparities during COVID-19 pandemic focused on reported cases and deaths, which are influenced by testing availability and access to care. This study aimed to examine SARS-CoV-2 antibody seroprevalence in the U.S. and its associations with race/ethnicity, rurality, and social vulnerability over time. Methods This...
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BACKGROUND Studies show that food insecurity is associated with adverse health behaviors for children and adults. However, published data among adolescents are limited. The objective of this study was to examine the association between food insecurity and substance use behaviors among US high school students. METHODS Data from the 2017 Youth Risk...
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Introduction Health disparities among racial and ethnic and socioeconomic groups are pervasive, and the coronavirus disease 2019 (COVID-19) pandemic has not been an exception. This study explores key demographic and socioeconomic factors related to racial and ethnic disparities in COVID-19 vaccination coverage. Methods Using recent (January–March...
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Background Multiple protective factors at the individual and environmental levels have been associated with prescription opioid misuse (POM) among adolescents. The literature may benefit by extending this research to consider the association between cumulative protective factors and current (ie, within the past 30 days) POM. Methods The 2017 Virgi...
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Background Nonmedical use of prescription opioids (NUPO) is associated with heroin use and other adverse outcomes among adolescents. To inform the timing of substance use prevention activities and which substances to target, we examined age at NUPO initiation, associations between substance use initiation and current (past 30-day) NUPO, and order o...
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Introduction: Experiencing violence, especially multiple types of violence, can have a negative impact on youths' development. These experiences increase the risk for future violence and other health problems associated with the leading causes of morbidity and mortality among adolescents and adults. Methods: Data from the 2019 national Youth Ris...
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Introduction: As policies legalizing nonmedical marijuana have increased in states, understanding the implications of marijuana use among adolescents is increasingly important. This study uses nationally representative data to assess behavioral risk factors among students with different patterns of marijuana use. Methods: Data from the 2015 and...
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Adolescence is an important period of risk for substance use initiation and substance use-related adverse outcomes. To examine youth substance use trends and patterns, CDC analyzed data from the 2009-2019 Youth Risk Behavior Survey. This report presents estimated prevalence of current (i.e., previous 30-days) marijuana use, prescription opioid misu...
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Adolescent interpersonal violence victimization is an adverse childhood experience and a serious public health problem for youths, their families, and communities. Violence victimization includes dating violence, sexual violence, and bullying. Youth Risk Behavior Survey data for 2019 were used to examine physical and sexual dating violence; sexual...
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Background: Small-quantity lipid-based nutrient supplements (SQ-LNS) are efficacious in controlled settings; data are scarce on the effectiveness utilizing health care delivery platforms. Objective: We evaluated the impact of an infant young child feeding (IYCF)-SQ-LNS intervention on anemia and growth in children aged 6-18 mo in the Democratic...
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Objective: We assessed overdose mortality by opioid types involved as well as interrelationships between nonmedical use of prescription opioids (NUPO) and heroin and injection drug use (IDU) among adolescents. Method: We examined 2010 and 2016 overdose data by drug type for decedents in the United States ages 15-19 years from the Multiple Cause...
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Background The Zika Contraception Access Network (Z-CAN) was designed to provide women in Puerto Rico who chose to delay or avoid pregnancy during the 2016–2017 Zika virus outbreak access to high-quality client-centered contraceptive counseling and the full range of reversible contractive methods on the same day and at no cost through a network of...
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Objective To evaluate the impact of an infant, young child feeding practices–small-quantity lipid nutrient supplements (SQ-LNS) intervention on child development scores in children aged 6-18 months in the Katanga Province, Democratic Republic of Congo (DRC). Study design We analyzed data of 2595 children from 2 health zones in a quasi-experimental...
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Introduction: This study assesses associations between past-12-month sexual violence victimization and recent health risk behaviors using a nationally representative sample of male and female high school students. It is hypothesized that sexual violence victimization will be associated with most of the negative health behaviors for both sexes. Me...
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Sexual minority youth (SMY) report more substance use and experience more physical and sexual dating violence victimization than heterosexual youth; however, few studies have explored the relationship between substance use and disparities in teen dating violence and victimization (TDVV) using national-level estimates, and examined if these relation...
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Introduction: With the ongoing opioid overdose epidemic in the U.S., it is important to explore how prescription opioid misuse correlates with health behaviors that increase the risk for adverse health outcomes among adolescents. The objective of this study is to determine if lifetime nonmedical use of prescription opioids is associated with healt...
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Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections are increasing among young adults, and males who have sex with males (MSM) are at high risk for both infections. Limited Hawai'i data exists on the extent to which populations, such as MSM, are engaging in behaviors that place them at increased risk for either infection. This...
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Objective: Limited information exists on whether associations between substance use behaviors (SUBs) and sexual risk behaviors (SRBs) vary by sexual identity. Methods: Data from the 2015 national Youth Risk Behavior Survey (n = 15,624), were analyzed to assess associations between SUBs (cigarette smoking, alcohol use, binge drinking, marijuana u...
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Objective Given the evolving opioid overdose epidemic, we examined the interrelationships between nonmedical use of prescription opioids and illicit opioid use in adolescents.IntroductionThe number of overdose deaths involving illicit opioids such as heroin and illicitly-manufactured fentanyl (IMF) is now higher than deaths involving prescription o...
Article
Adolescent dating violence may lead to adverse health behaviors. We examined associations between sexual teen dating violence victimization (TDVV) and sexual risk behaviors among U.S. high school students using 2013 and 2015 National Youth Risk Behavior Survey data (combined n = 29,346). Sex-stratified logistic regression models were used to estima...
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Sexual health education, including HIV prevention information, can help prevent unintended pregnancy and sexually transmitted infections. National Youth Risk Behavior Survey data from 2011 and 2013 were used to determine HIV education prevalence among 9,825 currently sexually active students in grades 9–12. Associations between HIV education and co...
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Limited information exists on heterosexual youth with sexual contact with same-sex partners in the United States (i.e., discordant heterosexual). We compared the prevalence of health risks between discordant heterosexual, heterosexual with only opposite-sex sexual contact, lesbian/gay, and bisexual students using the 2015 national Youth Risk Behavi...
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With the increasing popularity of mobile Internet devices, the exposure of adolescents to media has significantly increased. There is limited information about associations between the types and frequency of media use and experiences of violence victimization and suicide risk. The current study sought to examine the association of bullying and teen...
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Introduction: Studies among adults have documented association between sexual orientation discordance and some suicide risk factors. However, studies examining sexual orientation discordance and nonfatal suicidal behaviors in youth are rare. This study examines the association between sexual orientation discordance and suicidal ideation/suicide at...
Chapter
In recent years, exposure to marijuana and other cannabinoids has become an increasing challenge. Legalization of marijuana for both medical and recreational use has already happened in some states, and more states are considering this. What is the risk of use or secondary exposure, including accidental ingestion, to marijuana or synthetic cannabin...
Chapter
More data continues to emerge on teen use of eCigarettes that leads to smoking. Renowned AAP journal editors have created this new, first-in-series, Pediatric Collection with high-impact articles that address the public health trend among adolescents and young adults, and the unintended nicotine poisonings among younger children. https://shop.aap.o...
Article
Objectives: To determine a culturally appropriate product name and package design that would communicate important usage instructions for a lipid-based nutrient supplement (LNS) for a target population with diverse languages and low literacy. Methods: Formative work was conducted in two locations in Katanga region, DRC: Mabaya, a rural village and...

Citations

... In addition, population-based surveillance systems that collect data on the duration, frequency, and severity of ACEs are critical for devising effective data-driven prevention and intervention efforts as well as allocating resources to populations in greatest need, such as bereaved children and families [50]. Examples of population-based surveillance include the Behavioral Risk Factor Surveillance System (BFRSS) which has recently included bereavement items along with other ACEs in the US. ...
... We have shown that SARS-CoV-2 infection-induced seroprevalence between January and December 2020 was independently associated with low socio-economic rank. Similar findings were also observed in the United States [10,20], in Mexico [14], in a study performed in Colombia among children [21], and in a previous sero-epidemiological survey we conducted among children between January 2020 and March 2021 in Israel [22]. SARS-CoV-2 is transmitted from person to person by exposure to infected respiratory fluids. ...
... In Baltimore City, the prevalence of adolescent food insecurity is higher; nearly half of adolescents report insufficient access to food [8]. Adolescents who experience food insecurity have worse physical and mental health outcomes, including higher levels of stress, depression, anxiety and panic disorders, substance use/disorders, and worse sleep outcomes [9][10][11][12][13]. Previous studies have also shown that food insecure adolescents have a higher risk of maladaptive behaviors, such as stealing, selling drugs, or selling sex [7,14]. ...
... Having a high household income was also associated with higher seropositivity due to a higher vaccination uptake. This finding is consistent with other studies conducted in Switzerland [28] and elsewhere [29,30]. Regarding preventive behaviours, despite several personal and social preventive measures associated with a reduction in the incidence of COVID-19 [21,31], we did not find associations between adherence to preventive behaviours and seropositivity before the start of the vaccination campaign (period 1). ...
... 21 The social vulnerability index (SVI) 22 is a county-level measure of potential negative effects on communities caused by external stresses on human health that has been associated with higher SARS-CoV-2 seroprevalence. 23 In modeling, we included SVI as a continuous variable but, for demographic information (Supplementary Table S2), was divided into terciles at the 33.3rd and 66.7th percentiles and defined as low, medium, and high. ...
... The need for wider exploration of an integrated IYCF-SQ-LNS package within community health delivery platforms has been suggested (25), but, to our knowledge, few large-scale programs have attempted this, even though it might be an effective nutrition intervention in resource-poor settings. Based on comprehensive formative research (26), we conducted an integrated community-based enhanced IYCF-SQ-LNS program to evaluate the effectiveness on anemia, iron and vitamin A status, and child growth indicators in children 6-18 mo of age from 2 health zones (HZs) within Katanga Province of the Democratic Republic of Congo (DRC). ...
... Гепатология и гастроэнтерология № 1, 2021 Введение С каждым годом растет распространенность опиоидной зависимости (ОЗ), в том числе у лиц молодого и даже подросткового возраста. Так, в 2016 г. не менее 2,1 миллиона пациентов в возрасте 12 лет и старше страдали ОЗ, и примерно 47 000 пациентов умерли от передозировки опиоидов в 2017 году в США [1,2,3]. ...
... Although many factors contribute to adolescents' mental wellbeing, dietary behavior has been gaining attention as a key factor in the prevention and management of depression (15). In addition, depressive symptoms among adolescents may also be related to factors such as substance use and behaviors that contribute to violence (eg, feeling unsafe at school, fighting, bullying, cyberbullying), although the relationships may be bidirectional (16)(17)(18)(19)(20)(21). For example, depression is associated with substance use among males during adolescence and young adulthood (21), and exposure to acute and chronic stressful events, such as bullying by peers and maltreatment, can be associated with depression among adolescents (20). ...
... Teens driving under the influence of drugs is a grave concern, as many drugs can impair an individual's ability to focus, coordinate, and react [7]. According to the recent nationally representative (U.S.) Youth Risk Behavior Surveys (YRBS), students who reported using marijuana were more likely to engage in risky driving behaviors, including failure to obey traffic laws and distracted driving [8]. ...
... Although bullying takes place among both children and adults in a variety of settings, most of the current research focuses primarily on children and youth enrolled in school. 3,4 Basile et al. 15 found that the prevalence of experiencing any type of bullying victimization was 24.8% among U.S. high school students. This prevalence varied by sex, race/ethnicity, and sexual identity; the highest was among females (30.2% vs 19.2% for males), Whites (28.8% vs 18.0% for Blacks), and LBG (lesbian, bisexual, and gay) students (39.5% vs 22.2% for heterosexual students). ...