Christine M. Gunn
Boston University
Intraclass correlationNarrative inquiryPsychiatryCancerProfessional associationSomatic cellEthnic groupGenomeCross-sectional studyDemographyLogistic regressionOdds ratioPsychologyHealth carePrecision medicineSet (psychology)Randomized controlled trialQualitative researchNarrativeObservational studyPerceptionPsychological interventionDrug overdoseCancer screeningResponse rate (survey)Breast cancer screeningHealth literacyReceiptDiseasePregnancyOpioid use disorderGestational diabetesMEDLINEModalitiesProstate cancerMammographyGenetic testingOpioidFentanylPopulationCare ContinuumPrimary careLimited health literacyRisk communicationProcess knowledgeLow health literacyCommunity health workersStructural barriersBreast densityCancer treatmentPersonalized medicineRisk managementAffect (psychology)Formative assessmentDiagnosis codeMedical educationFamily medicineHarm reductionBreast cancerLiteracyContent validityValidityMedicineThematic analysisGerontologyGenetic counseling
11Publications
2H-index
6Citations
Publications 11
Newest
#1Miriam Harris (BU: Boston University)H-Index: 3
#2Emily G. McDonald (McGill University)H-Index: 16
Last. Natalie Dayan (MUHC: McGill University Health Centre)H-Index: 13
view all 10 authors...
Abstract Objective We aimed to describe opioid prescribing practices after obstetric delivery and to evaluate how these practices compare with national opioid prescribing guidelines. Methods A closed survey was developed, evaluated for validity and reliability, and distributed by email to obstetrician members of the Society of Obstetricians and Gynaecologists of Canada (SOGC) in December 2018. Descriptive statistics were used to summarize respondent demographics, pharmaceutical pain management s...
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#1Christine M. Gunn (BU: Boston University)H-Index: 2
#2Ariel Maschke (BU: Boston University)H-Index: 3
Last. Sarah M. Bagley (BU: Boston University)H-Index: 17
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Aims To explore how people who use fentanyl and health-care providers engaged in and responded to overdose risk communication interactions, and how these engagements and responses might vary by age. Design A single-site qualitative in-depth interview study. Setting Boston, MA, United States. Participants The sample included 21 people (10 women, 11 men) who were either 18-25 or 35+, English-speaking, and reported illicit fentanyl use in the last year and 10 health-care providers who worked direct...
1 CitationsSource
#1Nancy R. Kressin (BU: Boston University)H-Index: 48
#2Tracy A. Battaglia (BU: Boston University)H-Index: 22
Last. Christine M. Gunn (BU: Boston University)H-Index: 9
view all 5 authors...
Abstract Objective Understanding whether states’ breast density notifications are associated with desired effects, or disparities, can inform federal policy. We examined self-reported receipt of personal breast density information, breast density discussions with providers, knowledge about density’s masking effect, and association with increased breast cancer risk by state legislation status and women’s sociodemographic characteristics. Methods Cross-sectional observational population-based tele...
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#1Hala T. Borno (UCSF: University of California, San Francisco)H-Index: 9
#2Anobel Y. Odisho (UCSF: University of California, San Francisco)H-Index: 16
Last. Jennifer R. Rider (BU: Boston University)H-Index: 28
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Abstract Introduction This study sought to examine whether germline genetic counseling and testing were employed differentially among men with prostate cancer by race and/or ethnicity and other social factors. Methods In this retrospective analysis, all patients with prostate cancer listed as a visit diagnosis during the study period (April 2011 to August 2020) were identified from electronic health records. Patient characteristics were collected along with genetic counselor visits and germline ...
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#1Ashley J. Housten (WashU: Washington University in St. Louis)H-Index: 8
#2Christine M. Gunn (BU: Boston University)H-Index: 2
Last. Karen Basen-Engquist (University of Texas MD Anderson Cancer Center)H-Index: 55
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Approximately one-third of adults in the United States (U.S.) have limited health literacy. Those with limited health literacy often have difficultly navigating the health care environment, including navigating care across the cancer continuum (e.g., prevention, screening, diagnosis, treatment). Evidence-based interventions to assist adults with limited health literacy improve health outcomes; however, little is known about health literacy interventions in the context of cancer and their impact ...
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#1Christine M. Gunn (BU: Boston University)H-Index: 2
#2Ariel Maschke (BU: Boston University)H-Index: 3
Last. Tracy A. Battaglia (BU: Boston University)H-Index: 22
view all 6 authors...
Limited health literacy is a driver of cancer disparities and associated with less participation in medical decisions. Mammography screening decisions are an exemplar of where health literacy may impact decision-making and outcomes. To describe informational needs and shared decision-making (SDM) experiences among women ages 40–54 who have limited health literacy and primary care providers (PCPs). Qualitative, in-depth interviews explored experiences with mammography counseling and SDM. Women ag...
2 CitationsSource
#1Ariel Maschke (BU: Boston University)H-Index: 3
#2Michael K. Paasche-Orlow (BU: Boston University)H-Index: 60
Last. Christine M. Gunn (BU: Boston University)H-Index: 9
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Starting breast cancer screening at age 40 versus 50 may increase potential harms frequency with a small mortality benefit. Younger women's screening decisions, therefore, may be complex. Shared decision-making (SDM) is recommended for women under 50 and may support women under 55 for whom guidelines vary. How women with limited health literacy (LHL) approach breast cancer screening decision-making is less understood, and most SDM tools are not designed with their input. This phenomenological st...
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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 ...
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#1Hala T. Borno (UCSF: University of California, San Francisco)H-Index: 9
#2Jennifer R. Rider (BU: Boston University)H-Index: 28
Last. Christine M. Gunn (BU: Boston University)H-Index: 2
view all 3 authors...
2 CitationsSource
#1Nancy R. Kressin (BU: Boston University)H-Index: 48
#1Nancy R. Kressin (BU: Boston University)H-Index: 3
Last. Christine M. Gunn (BU: Boston University)H-Index: 2
view all 4 authors...
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