Lois McCloskey
Boston University
Reproductive healthRural areaObstetricsPublic healthNursingHealth careQualitative researchMedical recordYoung adultCommunity healthType 2 diabetesPregnancyGestational diabetesPopulationType 2 Diabetes MellitusPostpartum periodHealth policyFamily medicineDiabetes mellitusMedicineGerontology
39Publications
15H-index
895Citations
Publications 39
Newest
#1Lois McCloskeyH-Index: 15
Last. Chloe E. BirdH-Index: 37
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#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Judith Bernstein (BU: Boston University)H-Index: 28
Last. Christina LachanceH-Index: 1
view all 72 authors...
Abstract Background Many pregnant people find no bridge to ongoing specialty or primary care after delivery, even when clinical and social complications of pregnancy signal need. Black, indigenous and all other women of color are especially harmed by fragmented care and access disparities, coupled with impacts of racism over the life course and in health care. Methods We launched the initiative “Bridging the Chasm between Pregnancy and Health across the Life Course” in 2018, bringing together pa...
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#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Judith Bernstein (BU: Boston University)H-Index: 28
Last. Chloe E. BirdH-Index: 37
view all 7 authors...
Source
#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Ndidiamaka N. Amutah-Onukagha (Tufts University)H-Index: 4
Last. Arden Handler (UIUC: University of Illinois at Urbana–Champaign)H-Index: 31
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Background COVID-19 exposes major gaps in the MCH safety net and illuminates the disproportionate consequences borne by people living in low resource communities where systemic racism, community disinvestment, and social marginalization creates a perfect storm of vulnerability. Methods We draw eight lessons from the first 8 months of the pandemic, describing how COVID-19 has intensified pre-existing gaps in the MCH support network and created new problems. For each lesson identified, we present ...
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#1Christine M. Gunn (BU: Boston University)H-Index: 2
#2Judith Bernstein (BU: Boston University)H-Index: 28
Last. Lois McCloskey (BU: Boston University)H-Index: 15
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INTRODUCTION Women with gestational diabetes mellitus (GDM) have a marked increased risk of early onset type 2 diabetes, but less than half initiate postpartum glucose testing or connect with a primary care provider for continued follow-up after giving birth. This study analyzed women's narratives about their GDM-affected pregnancies to (1) identify different patterns (narrative archetypes) that capture the GDM experience; (2) explore how these patterns relate to awareness of ongoing risk after ...
Source
#1Jordana Frost (March of Dimes)
#2Eugene Declercq (BU: Boston University)H-Index: 40
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#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Emily Quinn (BU: Boston University)H-Index: 20
Last. Judith Bernstein (BU: Boston University)H-Index: 6
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Abstract Objective Our objective was to describe patient-, provider-, and health systems-level factors associated with likelihood of obtaining guideline-recommended follow-up to prevent or mitigate early-onset type 2 diabetes after a birth complicated by gestational diabetes (GDM). Methods This study presents a retrospective cohort analysis of de-identified demographic and health care system characteristics, and clinical claims data for 12,622 women with GDM who were continuously enrolled in a l...
4 CitationsSource
#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Marlena L. Sherman (BU: Boston University)H-Index: 1
Last. Judith Bernstein (BU: Boston University)H-Index: 6
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Objectives Complications of pregnancy such as gestational diabetes mellitus (GDM) forewarn future chronic illness and disability, and demonstrate the need for a life course approach to prevention. Our study had two aims: (1) to elucidate how experiences reported by patients and providers converge to facilitate or impede follow-up care after GDM, and (2) to elicit recommendations for system-level changes to enhance prevention across key care transitions. Methods We conducted in-depth interviews w...
9 CitationsSource
#1Judith Bernstein (BU: Boston University)H-Index: 6
#2Aviva Lee-Parritz (BU: Boston University)H-Index: 15
Last. Lois McCloskey (BU: Boston University)H-Index: 15
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Abstract The contribution of pregnancy interval after gestational diabetes (GDM) to type 2 diabetes (T2DM) onset is a poorly understood but potentially modifiable factor for T2DM prevention. The pu...
3 CitationsSource
#1Judith Bernstein (BU: Boston University)H-Index: 6
#2Emily Quinn (BU: Boston University)H-Index: 20
Last. Lois McCloskey (BU: Boston University)H-Index: 15
view all 9 authors...
Abstract This study investigates the effect of severity of gestational diabetes (GDM) on likelihood of post-delivery glucose testing and early onset Type 2 diabetes (T2DM). We asked if clinical focus on relative risk (RR), i.e. greater probability of T2DM onset in a higher-severity group, contributes to missed opportunities for prevention among women with lower-severity GDM. A sample of 12,622 continuously-insured women with GDM (2006–2015) was drawn from a large national dataset (OptumLabs® Dat...
5 CitationsSource