Justin T. McDaniel's research while affiliated with University of Alabama and other places
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Publications (89)
Objective: To evaluate the relationship between high school sport participation among university students and whether previous sports participation was associated with current levels of exercise-self efficacy, resilience, and psychological need satisfaction physical activity behaviors. Participants: College freshmen (n = 152) in the United States r...
Objective:
This study aimed to identify county-level hotspots and associated risk factors for opioid use disorder (OUD) in the state of Alabama.
Methods:
Using 2015 to 2019 Alabama Medicaid administrative claims data, Medicaid recipients with OUD were identified. We performed local indicators of spatial association analysis to identify hotspots...
Although the literature on veteran differences in science, technology, engineering, and mathematics (STEM) occupational outcomes by gender is established and veteran/nonveteran differences in STEM outcomes are well studied, we fill a gap in the literature by examining the following two research questions in this study: (1) are rural veterans less l...
Purpose:
Perinatal substance use is a clinical and public health concern. The purpose of the study was to understand the perspectives and experiences of perinatal healthcare providers serving pregnant people who receive Medicaid and are living with a substance use disorder.
Design and methods:
We conducted a secondary data analysis of the respon...
We tested the null hypothesis of equal likelihood of cigarette use among parents with a military connection and parents without a military connection, and independently compared risk factors for cigarette use. We obtained National Health Interview Survey (NHIS) data from 2015 to 2019 survey waves. We delimited analysis to 2-parent households who re...
This study aims to train and validate machine learning and deep learning models to identify patients with risky alcohol and drug misuse in a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program. An observational cohort of 6978 adults was admitted in the western region of Alabama at three medical facilities between January and De...
Background
Advanced understanding of tumor biology has recently revealed the complexity of cancer genetics, intra/inter-tumor heterogeneity, and diverse mechanisms of resistance to cancer treatment. In turn, there has been a growing interest in cancer prevention and minimizing exposure to potential environmental carcinogens that surround us. In the...
Background
Even with the widespread availability of vaccines for the COVID-19 disease, there is no sign of decline in the rate of spread of the disease. Based on findings of different studies across the globe, the disease is characterized by poor outcomes in specific sociodemographic categories such as age, gender and presence of symptoms.
Methods...
The purpose of this study was to explore the association between psychological resilience and cognitive function in military veterans. We obtained public-use data from the Health and Retirement Study (HRS) for this cross-sectional study of military veterans aged 52 to 101 years ( n = 150). We estimated a multivariable linear regression model in whi...
Objectives
This study identifies specific target areas (health, healthcare, home stability, food stability, and caregiving status) for serving middle-aged and older military veterans in Alabama.
Methods
The American Association of Retired Persons (AARP) conducted a survey of Alabama military veterans (n = 556) in 2018 related to health issues, hea...
Purpose
Screening, brief intervention and referral to treatment in Alabama (SBIRT) integrates alcohol and substance use screenings in health care clinics in western Alabama. This study explores the relationships between sex and tobacco use with discontinuation of SBIRT services.
Method
Risk for alcohol and substance consumption was measured using...
Objective: In this study, our aim was to improve understanding of the role of social support – which is the subject of a Healthy People 2030 goal – in the likelihood of adverse health behaviors among persons with subjective cognitive decline (SCD). Methods: We used a multinomial logistic regression model to examine the association between social su...
The post-service impact of military experiences include post-traumatic stress disorder, depression, substance misuse and several other adverse outcomes that persist well into older adulthood. As such, older military veterans are at risk of developing alcohol dependency and those with existing stressors from other identities are at the highest risk...
Research has suggested that international students' transition to the United States is often correlated with less physical activity after arriving in the U.S). One reason might be related to reduced social support when living in a foreign environment. The purpose of this cross-sectional study was to assess the impact of social support on internatio...
E-cigarette use is more prevalent among veterans with mental distress; however, no studies have examined the impact of rurality on the relationship between mental distress and e-cigarette use among veterans. We obtained nationally-representative data on veterans from 2016 to 2018 Behavioral Risk Factor Surveillance System (BRFSS) surveys in order t...
Objectives
We aimed to better understand where the prevalence of risk factors for severe COVID-19 occur, especially among veterans and nonveterans – populations that are given the opportunity to seek healthcare from separate entities.
Methods
In this cross-sectional study, we use data from the SMART Behavioral Risk Factor Surveillance System to es...
Objective
International students in the US often adopt unhealthy dietary behaviors, perhaps due to lack of familiarity and social support. This study examined the impact of social support on international college students’ dietary behaviors.
Participants
This study surveyed international students (N = 318) from five public universities in one Midw...
Objectives
Alcohol use during pregnancy is a critical public health issue that results in several adverse outcomes for both mother and child. While the prevalence of and consequences of binge drinking among pregnant women is well-documented in the literature, little is known about the intersectional effect of racial/ethnic identity and veteran stat...
Abstract
In an effort to better understand mental health and enrichment differences between veteran women and men in a veteran service organization (VSO), a research team conducted secondary analysis of assessment data from Team Red, White, and Blue (Team RWB) veteran members who joined between 2014 and 2016. In this secondary analysis of the 2014–...
Introduction
Medication-assisted treatment (MAT) is a combination of behavioural therapy and medications to assist with recovery and has been administered to individuals with alcohol and opioid withdrawal symptoms. Military veterans seeking MAT could have barriers preventing them from receiving the care they desire. The present study sought to comp...
Purpose: The objective of this study was to examine the incidence of false-negative screening results on a tool measuring alcohol use – the United States Alcohol Use Disorder Identification Test Consumption (US-AUDIT-C).
Method: A sample of patients (n = 4,023) in Alabama completed the US-AUDIT-C prior to a medical visit as part of a screening, bri...
Opioid use and misuse are a widespread problem across the United States. Identifying and targeting social determinants of opioid use may help to identify predictive factors to influence intervention and policy. The purpose of this study was to identify social determinants of opioid use frequency among patients seeking primary care in rural Alabama...
In the United States, tobacco use, alcohol consumption and substance use disorders are more prevalent among veterans when compared to nonveterans. This is also seen in Alabama, which led the researchers to review county level data to examine possible links between substance use, mental health and suicide by veteran status. This study sought to eval...
Background
Alcohol misuse among older adults is an emerging public health issue. Older veterans are particularly at risk of developing substance use dependency due to the enduring impacts of military service. The purpose of this study was to test the theory of intersectionality on alcohol misuse by veteran status and age, veteran status and sex, an...
Introduction
Antiretroviral therapy (ART) has reduced HIV viral replication and transmission of disease. However, continuing incidence of new HIV infections has been attributed to undiagnosed HIV infections among injection drug users. This purpose of this retrospective cross-sectional study was to determine whether depression moderates the relation...
Introduction:
Few studies have examined the effects of racial segregation on colorectal cancer (CRC) outcomes, and none has determined whether rurality moderates the effect of racial segregation on CRC mortality. We examined whether the effect of segregation on CRC mortality varied by rurality in the Mississippi Delta Region, an economically distr...
Background: The coronavirus (COVID-19) pandemic has shifted life in the United States. It is reasonable to expect the challenges of cannabis use in the U.S. are amplified given the vast shutdowns and economic insecurity. The purpose of the research is to examine changes in adult cannabis use during COVID-19.
Methods: This one-group, longitudinal, c...
Background: The Coronavirus (COVID-19) pandemic has infiltrated all aspects of life in the U.S, including how consumers purchase and use alcohol. Given these changes and the use of alcohol to cope with states of distress, the primary objective of this study is to examine the association between alcohol use and the COVID-19 pandemic.
Methods: In thi...
Background: Prior studies have indicated the complex relationships of smartphone use and smartphone addiction with mental health and life satisfaction. The purpose of this study was to investigate the structural relationships among smartphone use, smartphone addiction, mental health problems (e.g., depression, anxiety, stress [DAS] and satisfaction...
LAY SUMMARY
A national survey of U.S. military service members and civilians aged 18-20 years found that military service members were less likely than their civilian peers to use alcohol if they lived in a state with a Tobacco21 (T21) policy. Given that individuals who smoke are also more likely to use alcohol, the analysis shows that tobacco poli...
Electronic nicotine products remain popular among college students. These products contain heavy metals, carcinogens and the addictive substance nicotine. By understanding where students are in their behavior change can help to determine and focus messages and campaigns. The aim of this study was to assess predictors of the Transtheoretical model i...
The objective of this study was to estimate and map the distribution of veteran psychological distress (PD) in Kentucky counties and examine the relationship between veteran PD prevalence rates and military-civilian residential segregation (MCRS) in Kentucky counties. We used data from the 2016 National Survey of Drug Use and Health to conduct smal...
Possible recurrence of large earthquakes such as the 1811–1812 New Madrid sequence presents a significant hazard in the Central United States. The efficacy of earthquake educational interventions intended to mitigate the Central United States earthquake threat has not been assessed. We describe the assessment of an intervention consisting of earth...
Although scholars have suggested that structured and unstructured leisure may impact youth’s delinquent behaviors, there have been conflicting findings. Moreover, existing research has assumed that leisure influences delinquent behaviors, not vice versa. To address these gaps, we analyzed a prospective longitudinal dataset from the Korea Children a...
Introduction
Little is known about differences in vision loss prevalence among service members or veterans (SMVs) and civilians; further, no study has compared vision loss risk factors in these two populations. As such, we seek to fill this gap in the literature.
Methods
In this cross sectional study, we obtained data on 106 SMVs and 1572 civilian...
Objective:
Opioid use is a continuing problem for the United States. Individuals who use opioids have a high risk of misuse, especially with prescription opioids. Substances that are often used in combination with opioids include methamphetamines, sedatives, and benzodiazepines, as well as tobacco, alcohol, and marijuana, but not in a medical sett...
Rationale:
Given that tetrahydrocannabinol (THC) and nicotine have similar effects on negative affect (NA), we hypothesized that a 7-mg nicotine patch (NP) would reduce NA-related cannabis (CAN) withdrawal symptoms in cannabis-dependent (CD) individuals who were not nicotine dependent.
Objective:
We sought to determine whether NP reduces NA acro...
Background
Access to screening, brief intervention and referral to treatment programmes for alcohol use have been shown to be effective; however, little is known about access to these services among service members and veterans. We examined the association of service member or veteran rural-dwelling area and the following outcomes: recent general h...
Background
Few studies have examined the effects of segregation on colorectal cancer (CRC) outcomes, and none has determined if rurality moderates the effect of segregation on CRC mortality. We examined whether the effect of segregation on CRC mortality was moderated by rurality in the Mississippi Delta Region, an economically distressed and histor...
The aim of the present study was to estimate the prevalence of mental distress at the county-level for the service member or veteran (SMV) population in Illinois. Multilevel small-area estimation methodology (SAE) was used to estimate and map the prevalence of SMV mental distress in Illinois counties using data from the 2016 Behavioral Risk Factor...
Objectives
The purpose of the present study was to examine differences in oral human papillomavirus (HPV) prevalence among adults based on HPV vaccination status and periodontitis status.
Methods
Data from 2011 to 2012 and 2013 to2014 National Health and Nutrition Examination Surveys (n = 822) were retrieved in order to predict the prevalence of o...
Objective:
The purpose of this study was to explore (a) current utilization rates of university mental health services among American Indian/Alaskan Native/Native Hawaiian (AI/AN/NH) student veterans and (b) predictors of mental health service utilization among AI/AN student veterans. Participants: Data for this cross-sectional study were obtained...
Background:
The purpose of this study was to estimate opioid use disorder prevalence rates at the county level among veterans in Alabama and to determine hotspots of said rates. Methods: By combining data from the National Survey on Drug Use and Health and the American Community Survey, we developed a mixed-effects generalized linear model of opio...
Alcohol and substance use can challenge military veterans who live in rural communities. In 2016, the screening, brief intervention, and referral to treatment in Alabama (AL-SBIRT) program was implemented in west Alabama. The primary aim of this study was to determine whether current tobacco use modified the relationship between veteran status and...
The purpose of the study was to determine whether veteran students and non-veteran students differed in their sexual behaviors and health practices and, furthermore, whether or not those differences were gender specific. Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service stat...
Background:
Evidence suggests a rise in childhood disability rates across the United States with males and those with lower socioeconomic status bearing greater burden. We investigated childhood disability rates in the Mississippi Delta (MDR) and Appalachian regions (AR) in comparison to other parts of the country.
Methods:
Using data from the U...
Please note that the middle initial of coauthor Antoinette M. Landor was given incorrectly (as "A.") in this article as originally published.
The Enriched Life Scale (ELS) is a 40-item measure developed by the military veteran service organization, Team Red, White & Blue (RWB), to systematically capture and quantify the lived experiences of military veterans transitioning to civilian life. As Team RWB’s mission is to “enrich veterans’ lives,” veterans who conceived of and co-developed th...
Objectives:
This study estimated county-level human papillomavirus (HPV) vaccination initiation rates in Alabama and determined whether disparities existed between counties in the Mississippi Delta region (MDR) and Appalachian region (AR).
Study design:
This study used an observational cross-sectional design.
Methods:
We used small area estima...
We examine service member/veteran (SMV) mental distress rates in South Carolina counties and military-civilian residential segregation (MCRS). In phase one of our analysis, we utilized small area estimation (SAE) via a generalized-linear mixed model (GLMM) to calculate the probability of mental distress rates among SMVs, using individual-level data...
Introduction
Little is known about the geographical distribution of cigarette use
among military service members and veterans. In this study, we estimated statespecific
rates of current cigarette use for service members and veterans and
compared these to the current cigarette use rates of civilians.
Methods
We used data from the 2017 Behavioral Ri...
Introduction: Mental distress frequently develops in sufferers of chronic diseases, including cancer. We examined the association between physical activity and mental distress among Veteran cancer survivors with heart disease or diabetes. Methods: Data for American military Veteran cancer survivors (n = 16,643) were retrieved from the Centers for D...
Introduction:To better understand depression in United States (US) servicewomen, needs assessment data from the Service Women’s Action Network (SWAN) were collected and analyzed, with comparison samples drawn from the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS). The purpose of the present stud...
Introduction: Little is known about rural–urban disparities in colorectal cancer (CRC) screening rates among the military service member and Veteran (SMV) population in the United States. Given that health care access is a challenge in rural areas, we sought to determine whether rural-dwelling Veterans were less likely to be screened for CRC than u...
The mental health status of veteran cancer survivors is understudied. Given that studies show that physical activity (PA) may alleviate mental distress in cancer patients, the purpose of this study was to examine the relationship between PA and mental distress in veteran lung and colorectal cancer survivors. Data for the present study were retrieve...
Veterans of recent wars are enrolling in colleges and universities at high rates. Among them are veterans who identify as transgender and gender nonconforming (TGNC). As a result of societal stigma and discrimination, TGNC student veterans may have health needs that differ from the general population. This study utilized data from a national sample...
Objective: The purpose of this study was to assess the current state of postsecondary educational settings’ outreach to military women who become students postservice. Participants: Data for the present cross-sectional study were obtained from the American College Health Association’s (ACHA) 2011–2014 National College Health Assessment II (NCHA). M...
Objective: The purpose of this study was to explore differences in oral health among students by military service status in postsecondary settings. Participants: Secondary data were obtained from the American College Health Association’s 2011–2014 National College Health Assessment II. Method: Demographic characteristics of the study sample were ex...
Objective: The purpose of this study was to assess participation rates in civic volunteering among service member and veteran students. Participants: Data for the present cross-sectional study were obtained from the American College Health Association’s (ACHA) 2011–2014 National College Health Assessment II (NCHA). Methods: Demographic characterist...
Although the health benefits of leisure-time physical activity (LTPA) are well documented, it has been known that social minority groups (e.g., women, racial/ethnic minority, people with disabilities) tend to engage in LTPA less than their majority counterparts. The literature on LTPA participation among socially diverse groups is limited in that (...
The original article has been corrected. Table 4 in the original article was incomplete and has been corrected.
Objective:
Little is known about the health status of the diverse population of student service members and veterans (SSM/V) enrolling in higher education in great numbers. The objective of this study was to explore the differences in physical health characteristics by sexual orientation among a national sample of SSM/V.
Methods:
Using secondary...
Objective:
We sought to determine variables associated with asthma among children from military and non-military families.
Methods:
We performed secondary data analysis on the 2016 Behavioral Risk Factor Surveillance System. Parents with and without military experience (n = 61,079) were asked whether a child ever had asthma and currently has ast...
The purpose of this study was to explore intimate partner violence (IPV) among student service members and veterans within postsecondary educational settings. Secondary data for the present cross-sectional study were retrieved from the 2011–2014 National College Health Assessment on a nationally representative sample of college students (n = 114,81...
The purpose of the present study was to examine regional differences in average self-reported BMI, obesity prevalence, and frequent exercise (FE) among members of Team Red, White, and Blue (Team RWB) - a military veteran service organization founded to increase physical activity in veterans. A total of 10,015 military veterans participated in a nee...
Book review of Brave, Strong, True: The Modern Warrior's battle for Balance by Dr. Kate Hendricks Thomas.
Purpose: This study examined the association of rurality with physical activity (PA) among veteran cancer survivors.
Methods: Data for this cross-sectional study were obtained from the 2016 Behavioral Risk Factor Surveillance System (BRFSS) on a national sample of veterans (n = 63,919). Data were analyzed with geographic information systems (GIS) a...
Suicide rates among military veterans exceed those found in the general population. While the exact reasons for these high rates are unknown, contributing factors may include the military’s perceived rejection of patient identities, creating barriers to mental health care within the clinical sector and a mandate for prevention programs. Spiritual f...
Objectives
This study aimed to determine the predictive capability of the Social Ecological Model for emergency room visits for acute exacerbation of chronic obstructive pulmonary disease.
Methods
County-level secondary data ( n = 102) on emergency room visits for chronic obstructive pulmonary disease were retrieved from the Illinois Department of...
Although black-white racial residential segregation in the US has continued to decline, blacks still experience greater levels of segregation than other racial groups. The present study examined whether a lack of community policing practices in 2012 mediated the relationship between racial segregation in 2010 and intraracial (i.e., "black-onblack")...
Some research has suggested that income and mental health are related in the general population. In the present study, we examined the relationship between income and mental health among military service members and veterans. Researchers examined veteran respondents from the 2011–2014 Behavioral Risk Factor Surveillance System (2011, n = 64,594; 20...
Introduction: Previous studies have shown that breast cancer incidence rates are higher among female Veterans than the general population due to factors such as increased lifetime exposure to breast cancer risk factors or more accurate detection and surveillance. The present study explored relationships between nationally representative county-leve...
This study explored tobacco use in a national sample of service member and veteran students enrolled in postsecondary institutions with the purpose of informing the development of a tobacco cessation initiative by identifying factors associated with the use of cigarettes, water pipes, cigars and smokeless tobacco. Researchers conducted secondary an...