Arash Anoshiravani

All Publications

• Immunization Coverage Among Juvenile Justice Detainees JOURNAL OF CORRECTIONAL HEALTH CARE Gaskin, G. L., Glanz, J. M., Binswanger, I. A., Anoshiravani, A. 2015; 21 (3): 265-275

  Abstract

  This study sought to (1) quantify the baseline immunization coverage of adolescents entering the juvenile justice system and (2) assess the effect of detention-based care on immunization coverage in youth. A cross-sectional retrospective chart review was performed of 279 adolescents detained at a large juvenile detention facility. Only 3% of adolescents had received all study immunizations prior to detention. Before detention, immunization coverage was significantly lower than that for the general adolescent population for all vaccines except the first doses of hepatitis A and varicella-zoster virus vaccines. Subsequent to detention, most individual immunization coverage levels increased and were significantly higher than in the general adolescent population. The routine administration of immunizations in the juvenile justice setting can help detained youth achieve levels of immunization coverage similar to their nondetained peers.

  View details for DOI 10.1177/0885066615587790

  View details for Web of Science ID 000356427400006

  View details for PubMedID 26084948

• Special Requirements for Electronic Medical Records in Adolescent Medicine JOURNAL OF ADOLESCENT HEALTH Anoshiravani, A., Gaskin, G. L., Groshek, M. R., Kuelbs, C., Longhurst, C. A. 2012; 51 (5): 409-414

  Abstract

  Adolescents are a group likely to seek and, perhaps, most likely to benefit from electronic access to health information. Despite significant advances in technical capabilities over the past decade, to date neither electronic medical record vendors nor many health care systems have adequately addressed the functionality and process design considerations needed to protect the confidentiality of adolescent patients in an electronic world. We propose a shared responsibility for creating the necessary tools and processes to maintain the adolescent confidentiality required by most states: (1) system vendors must provide key functionality in their products (adolescent privacy default settings, customizable privacy controls, proxy access, and health information exchange compatibility), and (2) health care institutions must systematically address relevant adolescent confidentiality policies and process design issues. We highlight the unique technical and process considerations relevant to this patient population, as well as the collaborative multistakeholder work required for adolescent patients to experience the potential benefits of both electronic medical records and participatory health information technology.

  View details for DOI 10.1016/j.jadohealth.2012.08.003

  View details for Web of Science ID 000310353300002

  View details for PubMedID 23084160

• Internet Access and Attitudes Toward Online Personal Health Information Among Detained Youth PEDIATRICS Gaskin, G. L., Longhurst, C. A., Anoshiravani, A. 2012; 130 (5): 914-917

  Abstract

  To assess Internet access and usage patterns among high-risk youth involved in the juvenile justice system, and to determine if health information technology tools might play a useful role in more actively engaging this population in their health care.A sample of 79 youth between the ages of 13 and 18 years old underwent a structured interview while detained in a large, Northern California juvenile detention facility. After an institutional review board-approved assent/consent process, youth discussed their typical Internet use when not detained, as well as their attitudes toward online access to their personal health information (PHI).Detained youth from predominantly underserved, minority communities, reported high levels of access to the Internet while outside of the detention setting, with 97% reporting using the Internet at least once per month and 87% at least weekly. Furthermore, 90% of these youth expressed interest in accessing their PHI online and sharing it with either parents or physicians.Detained adolescents describe unexpectedly high usage of the Internet and online resources when they are outside of the juvenile hall setting. These youth show an interest in, and may benefit from, accessing their PHI online. Further studies are needed to understand the potential health benefits that may be realized by engaging this population through online tools.

  View details for DOI 10.1542/peds.2012-1653

  View details for Web of Science ID 000310505900061

  View details for PubMedID 23090346

• Implementing an Interoperable Personal Health Record in Pediatrics: Lessons Learned at an Academic Children's Hospital. Journal of participatory medicine Anoshiravani, A., Gaskin, G., Kopetsky, E., Sandborg, C., Longhurst, C. A. 2011; 3

  Abstract

  This paper describes the development of an innovative health information technology creating a bidirectional link between the electronic medical record (EMR) of an academic children's hospital and a commercially available, interoperable personal health record (PHR). The goal of the PHR project has been to empower pediatric patients and their families to play a more active role in understanding, accessing, maintaining, and sharing their personal health information to ultimately improve health outcomes. The most notable challenges proved more operational and cultural than technological. Our experience demonstrates that an interoperable PHR is technically and culturally achievable at a pediatric academic medical center. Recognizing the complex social, cultural, and organizational contexts of these systems is important for overcoming barriers to a successful implementation.

  View details for PubMedID 21853160

  View details for PubMedCentralID PMC3156478

• The health status of youth in juvenile detention facilities JOURNAL OF ADOLESCENT HEALTH Golzari, M., Hunt, S. J., Anoshiravani, A. 2006; 38 (6): 776-782

  Abstract

  Youth exiting detention facilities have particularly high rates of co-occurring health-risk behaviors, while lacking access to the health care system. Not surprisingly, these youth suffer a disproportionate share of adolescent morbidity and mortality. Their time of incarceration often represents their only significant contact with a health care provider outside of an emergency setting. As such, it is critical that health care providers utilize the opportunity to educate and connect these youth with community resources to facilitate their access to health care upon their reemergence into the community. We review the factors affecting the health of youth in detention, and the health problems that are among the greatest sources of morbidity and mortality in this adolescent population.

  View details for DOI 10.1016/j.jadohealth.2005.06.008

  View details for Web of Science ID 000238066900025

  View details for PubMedID 16730615

• Club Drugs California Pediatrician Arash Anoshiravani, Seth Ammerman 2006; 22 (2): 23-28