Alexis A Merdjanoff
Alexis A Merdjanoff
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Director of the Environmental Public Health Program
Assistant Professor of Social and Behavioral Sciences
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Professional overview
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Dr. Alexis Merdjanoff is the Director of the Environmental Public Health Program and Assistant Professor in Social and Behavioral Sciences at New York University’s School of Global Public Health. She is a public health sociologist who explores how population health is affected by exposure to natural hazards, including hurricanes, floods, extreme heat and wildfires. Dr. Merdjanoff is particularly interested in how social inequalities shape the impact of hazards on health, recovery, and resilience for vulnerable populations. To do so, she collects and analyzes survey and interview data to form a holistic understanding of how individuals and communities are affected by these events. While disasters have traditionally been thought of as finite phenomena—with a majority of research focused on the immediate consequences—her research reveals how environmental stressors can lead to economic, emotional, and health burdens long after an event has passed. By focusing on the long-term effects of disasters, she has been able to determine why some survivors are able to recover quickly while others remain mired for months or years.
As Director of Research for the Population Impact, Recovery and Resilience (PiR2) research program, she is currently working on several studies, including the longitudinal Katrina@10 Program, the Sandy Child and Family Health (S-CAFH) Study, and SCALE-UP East Boston to answer questions related to improving the health and well-being of populations exposed to disasters and climate change. More recently, her work has explored the post-disaster resilience of older adults and how older adults can successfully age in high-risk coastal areas. Using in-depth interviews, she aims to identify the resources that older adults need to be resilient, including the social and physical infrastructures needed to successfully prepare for and recover from acute and chronic natural hazards. Her goal is to understand how older adults can successfully adapt to and prepare for coastal erosion, frequent flooding, heatwaves, and disasters.
Dr. Merdjanoff frequently engages in mixed-methods research, including semi-structured in-depth interviewing, focus groups, and survey analysis. Trained as a sociologist, she believes in a holistic approach to answering questions surrounding health, disaster exposure, and recovery. Dr. Merdjanoff teaches several public health courses including, “Qualitative & Field Methods in Global Public Health,” and “Global Issues in Social & Behavioral Health.”
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Education
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BS, Sociology (Magna Cum Laude), New York University, New York, NYMA, Sociology, Rutgers University, New Brunswick, NJPhD, Sociology, Rutgers University, New Brunswick, NJ
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Honors and awards
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Innovator Program Fellow, National Center for Atmospheric Research (2019)Butler-Williams Scholar, National Institute on Aging, National Institutes of Health (2019)Aging and Rural Health Research Award, American Public Health Association, Aging and Public Health Section (2017)Best Dissertation in Mental Health, American Sociological Association, Sociology of Mental Health section (2016)Anne Foner Dissertation Prize, Department of Sociology, Rutgers University (2016)Matilda White Riley Published Article Award for Outstanding Journal Article, Department of Sociology, Rutgers University (2013)Weather & Society Integrated Studies (WAS*IS) Fellow (2011)Graduate School Special Study Award, Rutgers University (2011)
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Areas of research and study
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Aging and the Life CourseDisaster Impact and RecoveryHousing StabilityMental HealthMixed-Methods ResearchSocial BehaviorsSocial Determinants of Health
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Publications
Publications
A Multi-Stage Dyadic Qualitative Analysis to Disentangle How Dietary Behaviors of Asian American Young Adults are Influenced by Family
AbstractAli, S. H., Cai, J., Kamal, F., Auer, S., Yang, K., Parikh, R. S., Parekh, N., Islam, N. S., Merdjanoff, A. A., & DiClemente, R. J. (n.d.).Publication year
2023Journal title
Behavioral MedicineAbstractThe dietary behaviors of Asian American (AA) young adults, who face a growing non-communicable disease burden, are impacted by complex socio-ecological forces. Family plays a crucial role in the lifestyle behaviors of AA young adults; however, little is known on the methods, contributors, and impact of familial dietary influence. This study aims to deconstruct the mechanisms of AA young adult familial dietary influence through a multi-perspective qualitative assessment. A five-phase method of dyadic analysis adapted from past research was employed to extract nuanced insights from dyadic interviews with AA young adults and family members, and ground findings in behavioral theory (the Social Cognitive Theory, SCT). 37 interviews were conducted: 18 young adults, comprising 10 different AA ethnic subgroups, and 19 family members (10 parents, 9 siblings). Participants described dietary influences that were both active (facilitating, shaping, and restricting) and passive (e.g., sharing foods or environment, mirroring food behaviors). Influences connected strongly with multiple SCT constructs (e.g., behavioral capacity, reinforcements for active influences, and expectations, observational learning for passive influences). Familial influence contributed to changes in the total amount, variety, and healthfulness of foods consumed. Intra-family dynamics were crucial; family members often leveraged each other’s persuasiveness or food skills to collaboratively influence diet. AA family-based interventions should consider incorporating both passive and active forms of dietary influence within a family unit, involve multiple family members, and allow for individualization to the unique dynamics and dietary behaviors within each family unit.Advancing Interdisciplinary and Convergent Science for Communities : Lessons Learned through the NCAR Early-Career Faculty Innovator Program
AbstractBukvic, A., Mandli, K., Finn, D., Mayo, T., Wong-Parodi, G., Merdjanoff, A. A., Alland, J., Davis, C., Haacker, R., Morss, R., O’Lenick, C., Wilhelmi, O., & Lombardozzi, D. (n.d.).Publication year
2022Journal title
Bulletin of the American Meteorological SocietyVolume
103Issue
11Page(s)
E2513-E2532AbstractThe authors introduce the National Center for Atmospheric Research’s Early-Career Faculty Innovator Program and present lessons learned about advancing interdisciplinary and convergent science with and for society. The Innovator Program brings together faculty and students from the social sciences with NCAR researchers to conduct interdisciplinary and convergent research on problems motivated by societal challenges in the face of climate change and environmental hazards. This article discusses aspects of program structure and the research being conducted. The article also emphasizes the challenges and successes of the research collaborations within the Innovator Program, along with lessons learned about engaging in highly interdisciplinary, potentially convergent work, particularly from the early-career perspective. Many projects involve faculty PIs from racially, ethnically, or otherwise minoritized groups, and minority serving institutions (MSIs), or those who engage with marginalized communities. Hence, the Innovator Program is contributing to the development of a growing research community pursuing science with and for society that also broadens participation in research related to the atmospheric sciences.Adverse Effects of the Deepwater Horizon oil spill Amid Cumulative Disasters: A Qualitative Analysis of the Experiences of Children and Families
AbstractMerdjanoff, A. A., Meltzer, G. Y., Merdjanoff, A. A., Gershon, R. R., Fothergill, A., Peek, L., & Abramson, D. M. (n.d.).Publication year
2024Journal title
Journal of Child and Family StudiesPage(s)
1Abstract~Adverse Effects of the Deepwater Horizon oil spill Amid Cumulative Disasters: A Qualitative Analysis of the Experiences of Children and Families
AbstractMerdjanoff, A. A., Meltzer, G. Y., Merdjanoff, A. A., Gershon, R. R., Fothergill, A., Peek, L., & Abramson, D. M. (n.d.).Publication year
2024Journal title
Journal of child and family studiesVolume
33Issue
6Page(s)
1995Abstract~Adverse Physical and Mental Health Effects of the Deepwater Horizon Oil Spill among Gulf Coast Children : An Environmental Justice Perspective
AbstractMeltzer, G. Y., Merdjanoff, A. A., & Abramson, D. M. (n.d.).Publication year
2021Journal title
Environmental JusticeVolume
14Issue
2Page(s)
124-133AbstractBackground: This study applies an environmental justice lens to examine whether racial/ethnic minority and low socioeconomic status affected children's physical and mental health after the Deepwater Horizon oil spill. It expands this lens to explore whether these risk factors affected children's health due to greater direct physical exposure to crude oil or dispersant and/or household economic exposure as a result of income or job loss. Methods: We used data from the Gulf Coast Population Impact (GCPI) study, a representative survey of 1434 households in 15 highly impacted Gulf Coast communities gathered from April to August 2012. We conducted binomial logistic regression to assess the associations between race/ethnicity and annual household income, oil spill exposure routes, and children's health. Results: Non-White children (prevalence odds ratios [POR] 1.40; 95% confidence interval [CI] 1.04-1.89) and those with direct oil/dispersant exposure (POR 3.68; 95% CI 2.78-4.87) were at greater risk of physical health problems. Children in households earning less than $20,000 annually (POR 2.90; 95% CI 1.88-4.48) and those with direct oil/dispersant exposure (POR 3.74; 95% CI 2.72-5.14) were at greater risk of mental health problems. Racial/ethnic minority children were not at greater risk of physical exposure, whereas race/ethnicity and annual household income interacted to determine risk of economic exposure. We observed an interaction effect between annual household income and oil spill-related income or job loss on children's physical health problems. Discussion: Further environmental justice research should examine the pathways through which racial/ethnic minority and low socioeconomic status influence child health outcomes after technological disasters.Anticipated mental health consequences of COVID-19 in a nationally-representative sample : Context, coverage, and economic consequences
AbstractPiltch-Loeb, R., Merdjanoff, A. A., & Meltzer, G. (n.d.).Publication year
2021Journal title
Preventive MedicineVolume
145AbstractThe COVID-19 pandemic will have long-term consequences due to social and economic disruption. This study aimed to understand the contextual, media, and economic factors associated with anticipated mental health consequences from the COVID-19 pandemic among Americans. A nationally representative survey of 1001 respondents was conducted in April 2020. Chi-square tests and logistic regressions examined anticipated emotional or psychological effects on respondents or members of their households should social distancing measures continue. Specific analyses focused on: 1) COVID-19 experience - knowing someone or being infected; living in a state with a high death rate; or state social distancing policies; 2) media exposure - source of coronavirus information and time spent on coronavirus news; and 3) economics - current economic effects; and anticipated long-term financial effects. 41% of respondents anticipated mental health consequences. Living in a state with a greater COVID-19 death rate (OR 1.73; 95% CI 1.10, 2.72) and anticipating long-term financial difficulties (OR 2.98; 95% CI 1.93, 4.60) were both associated with greater likelihood of anticipated mental health consequences. Those whose primary news source was television, as opposed to print or online, were almost 50% less likely to anticipate mental health challenges (OR 0.52 CI 0.33, 0.81), while those who reported spending two or more hours daily on COVID-19 news were 90% more likely (OR 1.90; 95% CI 1.27, 2.85). Aspects of community health, media consumption, and economic impacts influence anticipated poor mental health from the COVID-19 pandemic, suggesting each domain is relevant to interventions to address the consequences.Association of Victimization by Sex among Public Facing Bus and Subway Transit Workers, New York City
AbstractVlahov, D., Hagen, D., Cziner, M., Merdjanoff, A. A., Sherman, M. F., & Gershon, R. (n.d.).Publication year
2024Journal title
Journal of Urban HealthVolume
101Issue
5Page(s)
934-941AbstractFederal data indicate that assaults on transit workers resulting in fatalities or hospitalizations tripled between 2008 and 2022. The data indicated a peri-pandemic surge of assault-related fatalities and hospitalizations, but assaults with less dire outcomes were not recorded. In collaboration with the Transport Workers Union, Local 100, we conducted an online survey in late 2023 through early 2024 of New York City public-facing bus and subway workers that focused on their work experiences during the 2020–2023 period of the COVID-19 pandemic. Items for this analysis on victimization included measures of physical and sexual assault/harassment, verbal harassment/intimidation, theft, and demographic characteristics (e.g., sex, race, work division). We estimated separate modified Poisson models for each of the four outcomes, yielding prevalence ratios (PRs) and 95% confidence intervals (CIs). Potential interactions between variables with strong main effects in the adjusted model were further examined using product terms. Among 1297 respondents, 89.0% reported any victimization; respondents also reported physical assault (48.6%), sexual assault/harassment (6.3%), verbal harassment/intimidation (48.7%), and theft on the transit system (20.6%). Physical assault was significantly more common among women in the bus division compared to female subway workers, male bus workers, and male subway workers (adjusted PR (aPR) = 3.54; reference = male subway workers; Wald test pAssociations Between COVID-19 Vaccine Hesitancy and Socio-Spatial Factors in NYC Transit Workers 50 Years and Older
AbstractMeltzer, G. Y., Harris, J., Hefner, M., Lanternier, P., Gershon, R. R., Vlahov, D., & Merdjanoff, A. A. (n.d.).Publication year
2022Journal title
International Journal of Aging and Human DevelopmentVolume
96Issue
1Page(s)
76-90AbstractThis analysis investigates how age, race/ethnicity, and geographic location contributed to vaccine hesitancy in a sample of 645 New York City (NYC) Transport Workers Union (TWU), Local 100 members surveyed in August 2020. Union members ages 50+ were 46% less likely to be vaccine hesitant than their younger counterparts (OR 0.64; 95% CI 0.42, 0.97). Non-Whites (OR 3.95; 95% 2.44, 6.39) and those who did not report their race (OR 3.10; 95% CI 1.87, 5.12) were significantly more likely to be vaccine hesitant than Whites. Those who were not concerned about contracting COVID-19 in the community had 1.83 greater odds (95% CI 1.12, 2.98) of being vaccine hesitant than those who were concerned. Older respondents tended to reside in Queens while vaccine hesitant and non-White respondents were clustered in Brooklyn. General trends observed in COVID-19 vaccine hesitancy persist in a population of high risk, non-healthcare essential workers.Climate, Disasters, and Extreme Weather Events: Vulnerability, Resources, and Interventions for Lower-Income Older Adults
AbstractMerdjanoff, A. A., & Merdjanof, A. A. (n.d.).Publication year
2021Journal title
GenerationsVolume
45Issue
2Page(s)
1Abstract~Comparison of work-related injuries and illnesses in New York City transit workers from before and during the COVID-19 pandemic: preliminary findings
AbstractCziner, M., Hawkins, D., Rosen, J., Merdjanoff, A. A., & Gershon, R. (n.d.).AbstractComparison of work-related injuries and illnesses in New York City transit workers from before and during the COVID-19 pandemic: preliminary findings. Presented by PhD student Michael Cziner.Development of an Integrated Approach to Virtual Mind-Mapping : Methodology and Applied Experiences to Enhance Qualitative Health Research
AbstractAli, S. H., Merdjanoff, A. A., Parekh, N., & DiClemente, R. J. (n.d.).Publication year
2022Journal title
Qualitative Health ResearchVolume
32Issue
3Page(s)
571-580AbstractThere is a growing need to better capture comprehensive, nuanced, and multi-faceted qualitative data while also better engaging with participants in data collection, especially in virtual environments. This study describes the development of a novel 3-step approach to virtual mind-mapping that involves (1) ranked free-listing, (2) respondent-driven mind-mapping, and (3) interviewing to enhance both data collection and analysis of complex health behaviors. The method was employed in 32 virtual interviews as part of a study on eating behaviors among second-generation South Asian Americans. Participants noted the mind-mapping experience to be (1) helpful for visual learners, (2) helpful in elucidating new ideas and to structure thoughts, as well as (3) novel and interesting. They also noted some suggestions that included improving interpretability of visual data and avoiding repetition of certain discussion points. Data collection revealed the adaptability of the method, and the power of mind-maps to guide targeted, comprehensive discussions with participants.Disaster planning for vulnerable populations : Leveraging community human service organizations direct service delivery personnel
AbstractLevin, K. L., Berliner, M., & Merdjanoff, A. A. (n.d.).Publication year
2014Journal title
Journal of Public Health Management and PracticeVolume
20Issue
SUPPL. 5Page(s)
S79-S82AbstractIntroduction: Given the variability, complexities, and available resources for local vulnerable populations, it is clear that preparing effectively for catastrophic events cannot be accomplished with a single, simple template. Inclusion of Community Human Service Organizations' (CHSO's) direct service delivery personnel ensures that emergency disaster planning efforts for vulnerable populations are effective and responsive to unique needs and constraints. By leveraging existing local resources, it extends the preparedness system's reach to the whole community. Background: CHSO personnel already perform community-based services and directly engage with vulnerable and special needs populations; typically they are on the front lines during an emergency event. Generally, however, the CHSOs, staff, and clients are neither adequately prepared for disasters nor well integrated into emergency systems. To address preparedness gaps identified during Hurricane Sandy, regional CHSO and local health department partners requested that the Columbia Regional Learning Center provide preparedness trainings for their agencies and staff responsible for vulnerable clients. Methods: Evaluation of this initiative was begun with a mixed-methods approach consisting of collaborative learning activities, a function-based assessment tool, and a 5 Steps to Preparedness module. Results: Results from a survey were inclusive because of a low response rate but suggested satisfaction with the training format and content; increases in awareness of a client preparedness role; and steps toward improved personal, agency, and client preparedness. Discussion: Direct service delivery personnel can leverage routine client interactions for preparedness planning and thus can contribute significantly to vulnerable population and community disaster readiness. Trainings that provide preparedness tools can help support this role. Lessons Learned: CHSO personnel are knowledgeable and have the expertise to assist clients in personal preparedness planning; yet, there are challenges around their ability and willingness to take on additional responsibilities.Disasters, Displacement, and Housing Instability : Estimating Time to Stable Housing 13 Years after Hurricane Katrina
AbstractMerdjanoff, A. A., Abramson, D. M., Park, Y. S., & Piltch-Loeb, R. (n.d.).Publication year
2022Journal title
Weather, Climate, and SocietyVolume
14Issue
2Page(s)
535-550AbstractCatastrophic disasters disrupt the structural and social aspects of housing, which can lead to varying lengths of displacement and housing instability for affected residents. Stable housing is a critical aspect of postdisaster recovery, which makes it important to understand how much time passes before displaced residents are able to find stable housing. Using the Gulf Coast Child and Family Health Study, a longitudinal cohort of Mississippi and Louisiana residents exposed to Hurricane Katrina (n = 1079), we describe patterns of stable housing by identifying protective and prohibitive factors that affect time to stable housing in the 13 years following the storm. Survival analyses reveal that median time to stable housing was 1082 days-over 3 years after Katrina. Age, housing tenure, marital status, income, and social support each independently affected time to stable housing. Findings suggest that postdisaster housing instability is similar to other forms of housing instability, including eviction, frequent moves, and homelessness.Dual Epidemics of COVID-19 Infection and Workplace Violence in New York City Mass Transit Workers: Implications for Policy and Practice
AbstractGershon, R., Hawkins, D., Cziner, M., Rosen, J., Merdjanoff, A. A., & Vlahov, D. (n.d.).Abstract~Elevated serious psychological distress, economic disruption, and the COVID-19 pandemic in the nonmetropolitan American West
AbstractMueller, J. T., Merdjanoff, A. A., McConnell, K., Burow, P., & Farrell, J. (n.d.).Publication year
2022Journal title
Preventive MedicineVolume
155AbstractIn this study we examined the psychological distress, self-rated health, COVID-19 exposure, and economic disruption of a sample of the nonmetropolitan western U.S. population and labor force one year after the start of the COVID-19 pandemic. Using novel primary survey data from non-metropolitan counties in the eleven contiguous western United States collected from February 28 until April 3, 2021 (n = 1203), we descriptively analyzed variables and estimated binomial and multinomial logit models of the association between economic disruption, COVID-19 exposure, self-rated health, and psychological distress. Results showed there was widespread presence of psychological distress, COVID-19 exposure, and economic disruption among the overall sample and members of the labor force. There was extremely high incidence of serious psychological distress (14.8% CI [12.1,17.8] of the weighted sample), which was heightened among the labor force (16.6%, CI [13.0,20.9] of those in the labor force). We found economic disruption was associated with severe psychological distress, but exposure to infection was not. Comparatively, overall self-rated health was at similar levels as prior research and was not significantly associated with economic disruption or COVID-19 exposure. COVID-19, particularly its associated economic effects, had a significant relationship with serious psychological distress in this sample of adults in the nonmetropolitan western United States.Evaluating the healthfulness of Asian American young adult dietary behaviors and its association with family structure : Disaggregated results from NHIS 2015
AbstractAli, S. H., Parekh, N., Islam, N. S., Merdjanoff, A. A., & DiClemente, R. J. (n.d.).Publication year
2023Journal title
Nutrition and HealthAbstractBackground: Asian Americans (AA) young adults face a growing non-communicable disease burden linked with poor dietary behaviors. Family plays a significant role in shaping the diet of AA young adults, although little is known on the specific types of family structures most associated with different dietary behaviors. Aim: This analysis explores the changes in dietary behaviors across different AA young adult family structural characteristics. Methods: Nationwide data of 18–35-year-old self-identified Asians surveyed in the 2015 National Health Interview Survey (NHIS) was analyzed. Family structure was measured through family size, family health, and family members in one's life. The Dietary Screener Questionnaire (DSQ) measured the average intake of 10 food and nutrient groups. Published dietary guidelines were used to calculate the number of dietary recommendations met. Results: 670 AA young adults with dietary data were analyzed (26.1% Asian Indian, 26.1% Chinese, 19.3% Filipino, 28.5% other Asian). Participants had an average family size of 2.3. In weighted analyses, 19% of AA young adults met none of the examined dietary recommendations, and only 14% met 3–4 guidelines. Living with a child was associated meeting more dietary recommendations (adjusted odds ratio [AOR]: 1.22; 95%CI: 1.05, 1.42). The adjusted association between living with an older adult and lower odds of meeting dietary recommendations approached significance (AOR: 0.70; 95%CI: 0.49, 1.00). Conclusions: Findings revealed the important role of children and older adults in influencing the diet of AA young adults. Further mixed-methods research to disentangle mechanisms behind the influence of family structure on diet is warranted.Examining the Dose–Response Relationship : Applying the Disaster Exposure Matrix to Understand the Mental Health Impacts of Hurricane Sandy
AbstractMerdjanoff, A. A., Abramson, D. M., Piltch-Loeb, R., Findley, P., Peek, L., Beedasy, J., Park, Y. S., Sury, J., & Meltzer, G. Y. (n.d.).Publication year
2021Journal title
Clinical Social Work JournalVolume
50Issue
4Page(s)
400-413AbstractDisaster exposure is a strong predictor of survivor mental health following large-scale disasters. However, there is continued debate regarding how disaster exposure should be measured and quantified, as well as whether specific types of disaster exposure are more likely to influence certain mental health outcomes like psychological distress or post-traumatic stress disorder (PTSD). In this article, we propose the Disaster Exposure Matrix to explain how specific types and levels of disaster exposure are associated with particular mental health outcomes. We use data from the Sandy Child and Family Health study—an observational cohort study of 1000 randomly selected New Jersey residents who were living in the nine counties most-affected by Hurricane Sandy (2012)—to examine how direct and indirect disaster exposure at both the individual and community levels influence the likelihood of experiencing psychological distress and probable PTSD in the two years after Hurricane Sandy. Weighted logistic regression models demonstrate that particular measures of individual-level direct and indirect exposure uniquely influence probable PTSD and psychological distress, respectively. Community-level indirect exposure is significantly associated with psychological distress but not with probable PTSD. Findings highlight the importance of specificity when measuring the effects of disaster exposure on mental health, including separating exposures that occur at the individual and community level, as well as distinguishing those that are experienced directly from the event from those that are indirect and experienced after the meteorological or geophysical event has passed.Examining the effects of cumulative environmental stressors on Gulf Coast child and adolescent health
AbstractMeltzer, G. Y., Merdjanoff, A. A., Xu, V. S., Gershon, R., Emrich, C. T., & Abramson, D. (n.d.).Publication year
2023Journal title
Population and EnvironmentVolume
45Issue
3AbstractThis study examines how community-level cumulative environmental stress affects child and adolescent emotional distress and chronic health conditions both directly and indirectly through stressors at the household, family, and individual levels. Data comes from the Women and their Children’s Health (WaTCH) Study, which sought to understand the health implications of exposure to the 2010 Deepwater Horizon oil spill (DHOS) among a cohort of 596 mothers with children ages 10 to 17 in southeastern Louisiana. Community-level environmental stress was measured using a newly developed geospatial index. Household-level stressors included previous hurricane impacts, impacts of DHOS, degree of financial difficulty, and degree of housing physical decay. Family stressors included maternal depression, self-rated physical health, and degree of parenting stress. Child stress was based on perceived stress; child mental health was based on serious emotional disturbance; and child physical health was based on diagnosis of chronic illness. Structural equation modeling used weighted least squares means and variance and theta parameterization. Results showed a significant negative direct path between community-level cumulative environmental stress and child/adolescent serious emotional disturbance and chronic illness. However, the indirect relationship through household, family, and individual-level stressors was significant and positive for both child/adolescent serious emotional disturbance and chronic illness. These findings point to the centrality of the household and family in determining child and adolescent physical and mental health outcomes in communities exposed to frequent disasters and ongoing environmental stressors.Examining the effects of cumulative environmental stressors on Gulf Coast child and adolescent health
AbstractMeltzer, G., Merdjanoff, A. A., Xu, S., Gershon, R., Emrich, C., & Abramson, D. (n.d.).Publication year
2023Journal title
Population and EnvironmentVolume
45Abstract~Exploring access to critical health services for older adults in rural America from 1990 to 2020
AbstractBambury, E. A., Merdjanoff, A. A., Fergen, J. T., & Mueller, J. T. (n.d.).Publication year
2025Journal title
Journal of Rural HealthVolume
41Issue
1AbstractPurpose: Rural America has experienced a rapid loss of hospitals since the turn of the century, making access to high-quality health care the top rural health priority. Coinciding with this hospital decline is the growth of a rural population age 65 years or older. The health needs of older adults can require specialty care to support healthy aging. To date, minimal research has been conducted on trends in aging-related health care services in rural areas beyond hospital closures. Methods: This study uses a 30-year lookback of data from the Area Health Resource Files to describe the trends in local access to hospitals and critical health services important for conditions experienced by older adults in rural America. Results are presented across measures of rurality and population age. Findings: Local aging-related access to services such as chemotherapy, oncology, emergency department, geriatric, and home health agencies have been stagnant or declining over time in rural areas. Concerningly, the most remote communities with the highest percent of older adults have the lowest service access. Conclusion: These findings shed light on the growing need for policies to support healthy aging among the increasingly older rural population.Housing Transitions and Recovery of Older Adults following Hurricane Sandy
AbstractMerdjanoff, A. A., Piltch-Loeb, R., Friedman, S., & Abramson, D. M. (n.d.).Publication year
2019Journal title
Journals of Gerontology - Series B Psychological Sciences and Social SciencesVolume
74Issue
6Page(s)
1041-1052AbstractObjectives: This study explores the effects of social and environmental disruption on emergency housing transitions among older adults following Hurricane Sandy. It is based upon the Sandy Child and Family Health (S-CAFH) Study, an observational cohort of 1,000 randomly sampled New Jersey residents living in the nine counties most affected by Sandy. Methods: This analysis examines the post-Sandy housing transitions and recovery of the young-old (55-64), mid-old (65-74), and old-old (75+) compared with younger adults (19-54). We consider length of displacement, number of places stayed after Sandy, the housing host (i.e., family only, friends only, or multi-host), and self-reported recovery. Results: Among all age groups, the old-old (75+) reported the highest rates of housing damage and were more likely to stay in one place besides their home, as well as stay with family rather than by themselves after the storm. Despite this disruption, the old-old were most likely to have recovered from Hurricane Sandy. Discussion: Findings suggest that the old-old were more resilient to Hurricane Sandy than younger age groups. Understanding the unique post-disaster housing needs of older adults can help identify critical points of intervention for their post-disaster recovery.How the US Population Engaged with and Prioritized Sources of Information about the Emerging Zika Virus in 2016
AbstractPiltch-Loeb, R., Merdjanoff, A. A., & Abramson, D. M. (n.d.).Publication year
2018Journal title
Health SecurityVolume
16Issue
3Page(s)
165-177AbstractEmerging disease threats like Zika pose a risk to naïve populations. In comparison to chronic diseases, there is scientific uncertainty surrounding emerging diseases because of the lack of medical and public health information available as the threat emerges. Further complicating this are the multiple, diverse channels through which people get information. This article used bivariate and multivariate analysis to first describe the breadth of information sources individuals accessed about the Zika virus, and then describe individuals' primary sources of information for Zika using a nationally representative pooled cross-sectional data set collected at 3 time points in 2016 (N = 3,698). The analysis also highlights how 3 subgroups - high-education, high-income adults; Hispanic women of childbearing age; and retirees over the age of 65 with less than a high school education - varied in their use of information. Results suggest individuals accessed multiple sources, but TV and radio were the primary sources of Zika information for the public, followed by print news. Demographic variation in primary source of information means public health officials should consider alternative channels to reach target groups in an emerging event. Without an understanding of how information has reached people, and who individuals engaged with regarding that information, public health practitioners are missing a key piece of the puzzle to improving public health campaigns during a future event like Zika. This analysis aims to inform the public health community about the message channels the US population uses during an emerging disease event and the most prevalent channels for different demographic groups, who can be targeted with particular messaging.Hurricanes and Health: Vulnerability in an age of climate change
AbstractMerdjanoff, A. A., Merdjanoff, A. A., & Piltch-Loeb, R. (n.d.).Publication year
2021Page(s)
339Abstract~Identifying Barriers and Facilitators of Success for Female Radiology Researchers : An Analysis of In-Depth Interviews With Nationally Recognized Leaders of the Field
AbstractPiltch-Loeb, R., Rosenkrantz, A. B., & Merdjanoff, A. A. (n.d.).Publication year
2020Journal title
Journal of the American College of RadiologyVolume
17Issue
10Page(s)
1344-1351AbstractObjective: Women are highly underrepresented among leadership positions within radiology research, disproportionate to their underrepresentation in radiology overall. We sought to identify the causes and solutions of such disparity at the personal, organizational, and institutional levels among female radiology researchers who are leaders in the field. Subjects and methods: We used purposive sampling to identify nationally recognized female leaders in radiology research. We developed a semistructured interview guide and conducted in-depth one-on-one telephone interviews with participants (n = 16) that ranged from 36 to 65 min. All interviews were recorded and transcribed. Data were analyzed by two researchers trained in qualitative methods using Saldana's first- and second-cycle coding method. Themes were identified using a grounded theory approach to identify meaningful patterns that addressed the research question. Results: Participants identified barriers to their professional development and success, including personal and professional obstacles often associated with work-life balance and the nonlinear nature of women's careers because of caregiving responsibilities. Participants also identified facilitators of success that operated at the individual, organizational, and institutional level, such as purposeful networking, having an advocate, and participating in leadership events. Conclusion: This study represents the first effort to qualitatively capture the facilitators of success for nationally recognized female radiology researchers. Findings suggest that synergistic efforts can be undertaken by early-career female radiologists and their colleagues, national radiology organizations, and academic institutions to systematically enable the inclusion and participation of women. The field of radiology should consider how to work dynamically at multiple levels to implement the identified potential changes.Impact of Disasters on Older Adult Cancer Outcomes : A Scoping Review
AbstractLynch, K. A., & Merdjanoff, A. A. (n.d.).Publication year
2023Journal title
JCO Global OncologyVolume
9Page(s)
e2200374AbstractPURPOSE: There is an urgent need to address the growing global cancer burden in the context of complex disaster events, which both disrupt access to oncology care and facilitate carcinogenic exposures. Older adults (65 years and older) are a growing population with multifaceted care needs, making them especially vulnerable to disasters. The objective of this scoping review is to characterize the state of the literature concerning older adult cancer-related outcomes and oncologic care after a disaster event. METHODS: A search was conducted in PubMed and Web of Science. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews, articles were extracted and screened for inclusion. Eligible articles were summarized using descriptive and thematic analyses. RESULTS: Thirty-five studies met all criteria for full-text review. The majority focused on technological disasters (60%, n = 21), followed by climate-amplified disasters (28.6%, n = 10) and geophysical disasters (11.4%, n = 4). Thematic analysis classified the current evidence into three major categories: (1) studies concerned with carcinogenic exposure and cancer incidence related to the disaster event, (2) studies examining changes in access to cancer care and cancer treatment disruptions as a result of the disaster event, and (3) studies exploring the psychosocial experiences of patients with cancer affected by a disaster event. Few studies focused on older adults specifically, and most of the current evidence focuses on disasters in the United States or Japan. CONCLUSION: Older adult cancer outcomes after a disaster event are understudied. Current evidence suggests that disasters worsen cancer-related outcomes among older adults by disrupting continuity of care and access to timely treatment. There is a need for prospective longitudinal studies following older adult populations postdisaster and studies focused on disasters in low- and middle-income country contexts.