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Reposted by Kao-Ping Chua

Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 12d

📄New from @ninahillmd.bsky.social and @kaopingchua.bsky.social.

From 2019–2023, U.S. children with chronic conditions were consistently more likely to experience food insecurity than peers without such conditions.

🔗 michmed.org/GQ3DW
@jamanetworkopen.com @um-ihpi.bsky.social

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Kao-Ping Chua @kaopingchua.bsky.social · Aug 11

New pub in Pediatrics: child/teen vaccination declined from 2017-2023 in Michigan. HPV vaccination increased less than expected. Declines were more pronounced in low-income and high-uninsurance counties. @um-ihpi.bsky.social @umchear.bsky.social

Link:
publications.aap.org/pediatrics/a...

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Reposted by Kao-Ping Chua

Univ. of Michigan Institute for Healthcare Policy & Innovation @um-ihpi.bsky.social · May 30

New work from our members @ninahillmd.bsky.social @kaopingchua.bsky.social

Bridge Michigan @bridgemi.com · May 30

HIV prevention treatment rising among young adults, U-M study finds

Researchers find pre-exposure prophylaxis or PrEP has seen an eightfold increase in the last decade among young adults. Meantime, a Supreme Court case could reduce access to such treatments.

bit.ly

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Reposted by Kao-Ping Chua

Univ. of Michigan Institute for Healthcare Policy & Innovation @um-ihpi.bsky.social · May 27

With #HIV prevention medications (called PrEP for short) at the center of a #SCOTUS case that will receive a ruling soon, this new research from @ninahillmd.bsky.social & @kaopingchua.bsky.social is especially timely:
ihpi.umich.edu/news-events/...

More young adults than ever take HIV-prevention medication, but gaps remain

Trends in use of pre-exposure prophylaxis, or PrEP, medication suggest more effort is needed to boost consistent use

ihpi.umich.edu

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Reposted by Kao-Ping Chua

Nina Hill, MD MS @ninahillmd.bsky.social · May 23

New @journalgim.bsky.social: using national pharmacy data, we show that PrEP use is increasing among young people aged 18-25, but these patients are using PrEP for shorter periods of time. @kaopingchua.bsky.social @um-ihpi.bsky.social
link.springer.com/article/10.1...

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Kao-Ping Chua @kaopingchua.bsky.social · May 21

New study in Pediatrics: using national data, we show that the Adderall shortage caused some children using this drug to switch to other stimulants. Other children stopped using stimulants altogether, especially Medicaid patients. @um-ihpi.bsky.social

publications.aap.org/pediatrics/a...

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Reposted by Kao-Ping Chua

Univ. of Michigan Institute for Healthcare Policy & Innovation @um-ihpi.bsky.social · May 6

People receiving emergency care for an opioid overdose have only a 1 in 16 chance of getting medication to treat substance use disorder in ER or the month after, according to this new study led by Thuy Nguyen of @umichsph.bsky.social & @kaopingchua.bsky.social: www.healthaffairs.org/doi/full/10....

Medicaid Patients With ED Visits For Overdose: Disparities In Initiation Of Medications For Opioid Use Disorder | Health Affairs Journal

Medications for opioid use disorder (MOUD) after emergency department (ED) visits for overdose can reduce subsequent overdose deaths, but disparities in receiving MOUD persist in the US. Using nationa...

www.healthaffairs.org

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Kao-Ping Chua @kaopingchua.bsky.social · May 2

New pub: using national data, we show that disruptions in chronic medication therapy were more common among Medicaid-insured kids and young adults living in states experiencing large Medicaid enrollment losses during Medicaid unwinding. @um-ihpi.bsky.social

publications.aap.org/pediatrics/a...

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Reposted by Kao-Ping Chua

Univ. of Michigan Institute for Healthcare Policy & Innovation @um-ihpi.bsky.social · May 2

🧵By total coincidence, @kaopingchua.bsky.social & @jo-constantin.bsky.social have not one but TWO papers out today looking at the impacts of #Medicaid unwinding on the prescription-filling patterns of people with serious illness.

The findings could have implications for any new changes to Medicaid.

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Reposted by Kao-Ping Chua

Univ. of Michigan Institute for Healthcare Policy & Innovation @um-ihpi.bsky.social · May 2

Children and young adults taking drugs for #ADHD, #depression, #epilepsy, #asthma and #psychosis need to take them consistently to stay on track at school and work.

But a new study led by @kaopingchua.bsky.social links #Medicaid unwinding to medicine interruptions:
ihpi.umich.edu/news-events/...

Medicaid unwinding disrupted kids’ and young adults’ access to chronic disease medicine

Prescriptions for mental and behavioral health, epilepsy and asthma affected among those living in states with largest drops in Medicaid enrollment

ihpi.umich.edu

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Kao-Ping Chua @kaopingchua.bsky.social · Apr 27

New pub in JAMA: withdrawal of brand-name Flovent, an inhaled steroid used to prevent asthma attacks, led many families of children using Flovent to stop filling inhaled steroid prescriptions altogether. @um-ihpi.bsky.social
jamanetwork.com/journals/jam...

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Kao-Ping Chua @kaopingchua.bsky.social · Apr 26

Yes, it is an important paper.

Kao-Ping Chua @kaopingchua.bsky.social · Apr 15

Today, I became the new Director of the Susan B Meister Child Health Evaluation and Research Center at the University of Michigan (chear.org). I am lucky to have the opportunity to give back to the center that has meant so much for my career. @um-ihpi.bsky.social

CHEAR | Susan B. Meister Child Health Evaluation and Research Center

The Susan B. Meister Child Health Evaluation and Research (CHEAR) Center at the University of Michigan is one of the largest health services research centers that focuses on children. Our work is mult...

chear.org

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Kao-Ping Chua @kaopingchua.bsky.social · Mar 6

4/ Congrats to first author Joanne Constantin for this study.

Kao-Ping Chua @kaopingchua.bsky.social · Mar 6

3/ This is one of the first studies to evaluate the safety of telehealth stimulant prescribing. We hope it will inform ongoing debates about whether to extend telehealth flexibilities for controlled substance prescribing.

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Kao-Ping Chua @kaopingchua.bsky.social · Mar 6

2/ In subgroup analyses, telehealth initiation was associated with higher risk of SUD in 26-34 year old even when controlling for mental health conditions. Thus, while telehealth initiation is not an independent risk factor for SUD in most people, it may be for this age group.

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Kao-Ping Chua @kaopingchua.bsky.social · Mar 6

1/ New pub: people initiating stimulants via telehealth are more likely to develop a substance use disorder (SUD). They are also more likely to have mental health conditions (SUD risk factors). When controlling for these conditions, the association goes away. www.healthaffairs.org/doi/full/10....

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Reposted by Kao-Ping Chua

Kara Gavin @karagavin.bsky.social · Feb 17

Alas @joyclee.bsky.social & @kaopingchua.bsky.social ‘s work documenting use of GLP-1 meds in teens and young adults was not mentioned so I’ll link it here: www.michiganmedicine.org/health-lab/y...

Young people are increasingly using Wegovy and Ozempic

A national study from Michigan Medicine shows that the use of these weight loss drugs is increasing rapidly in adolescents and young adults 12-25 years, especially females.

www.michiganmedicine.org

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Reposted by Kao-Ping Chua

Kara Gavin @karagavin.bsky.social · Feb 17

New @washingtonpost.com story in which @kaopingchua.bsky.social’s work is cited/linked and a #Umich health insurance researcher is quoted: wapo.st/4hW2xGI

Trump casts psychiatric and weight-loss drugs as threats to children

Trump directed a panel headed by HHS Secretary Robert F. Kennedy Jr. to assess “the prevalence of and threat” posed by SSRIs, mood stabilizers, stimulants, and weight-loss drugs.

wapo.st

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Kao-Ping Chua @kaopingchua.bsky.social · Jan 31

New pub: using commercial claims, we show that mortality in the adult family members of children rose in winter 2020 and late 2021. Some of these family members were 19-25, suggesting kids lost older siblings during the pandemic. @norabeckermd.bsky.social
link.springer.com/article/10.1...

Mortality in the families of children during the COVID-19 pandemic: evidence from a repeated cross-sectional study of children in the United States - BMC Public Health

Background Modeling studies suggest that hundreds of thousands of U.S. children have lost caregivers since the COVID-19 pandemic began. However, few studies have directly evaluated changes in mortalit...

link.springer.com

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Kao-Ping Chua @kaopingchua.bsky.social · Jan 27

8/ Thanks to my center (Susan B. Meister Child Health Evaluation and Research Center; chear.org) for supporting our work.

Kao-Ping Chua @kaopingchua.bsky.social · Jan 27

7/ Findings suggest the shortage did not cause many children to stop stimulant therapy but may have prompted some to switch to alternative stimulants. Studies should evaluate whether these switches worsened control of ADHD symptoms or increased adverse events (e.g., from dosing errors).

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Kao-Ping Chua @kaopingchua.bsky.social · Jan 27

6/ However, the announcement was associated with shifts in which stimulants were dispensed to children. Specifically, it was associated with declines in Adderall IR dispensing and increases in dispensing of other stimulants, such as lisdexamfetamine.

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Kao-Ping Chua @kaopingchua.bsky.social · Jan 27

5/ The FDA announced a shortage of immediate-release mixed amphetamine salts (Adderall IR) in October 2022 (right vertical line). This announcement was not associated with a significant immediate change in the rate of dispensing of *any stimulant* to children.

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Kao-Ping Chua @kaopingchua.bsky.social · Jan 27

4/ This is consistent with our study showing that antidepressant dispensing to male adolescents dropped abruptly in March 2020 but did not recover. Our findings raise concerns that undertreatment of mental health conditions in this group has increased.
publications.aap.org/pediatrics/a...

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