In Press
Iyer HS, James P, Valeri L, Bajunirwe F, Nankya-Mutyoba J, Njelekela M, Chiwanga F, Sewram V, Ajayi IO, Adebamowo C, et al. Neighborhood Greenness and Burden of Non-communicable Diseases in Sub-Saharan Africa: A Multi-country Cross-sectional Study. Environmental Research [Internet]. In Press :110397. Publisher's VersionAbstract
Population growth, demographic transitions and urbanization in sub-Saharan Africa (SSA) will increase non-communicable disease (NCD) burden. We studied the association between neighborhood greenness and NCDs in a multi-country cross-sectional study. Among 1178 participants, in adjusted models, a 0.11 unit NDVI increase was associated with lower BMI (β: -1.01, 95% CI: -1.35, -0.67), and lower odds of overweight/obesity (aOR: 0.73, 95% CI: 0.62, 0.85), diabetes (aOR: 0.77, 95% CI: 0.62, 0.96), and having ≥3 allostatic load components compared to none (aOR: 0.66, 95% CI: 0.52, 0.85). Except for diabetes, these remained statistically significant after Bonferroni correction. We observed no association between NDVI and hypertension or cholesterol. Our findings are consistent with health benefits of neighborhood greenness reported in other countries, suggesting greening strategies could be considered as part of broader public health interventions for NCDs.
Iyer HS, Flanigan J, Wolf NG, Schroeder LF, Horton S, Castro MC, Rebbeck TR. Geospatial evaluation of trade-offs between equity in physical access to healthcare and health systems efficiency. BMJ Global Health [Internet]. 2020;5 :e003493. Publisher's Version
Magge H, Nahimana E, Mugunga JC, Nkikabahizi F, Tadiri E, Sayinzoga F, Manzi A, Nyishime M, Biziyaremye F, Iyer H, et al. The All Babies Count Initiative: Impact of a Health System Improvement Approach on Neonatal Care and Outcomes in Rwanda. Global Health: Science and Practice [Internet]. 2020;8 (3) :506-517. Publisher's Version
Iyer HS, James P, Valeri L, Hart JE, Pernar CH, Mucci LA, Holmes MD, Laden F, Rebbeck TR. The association between neighborhood greenness and incidence of lethal prostate cancer: A prospective cohort study. Environmental Epidemiology [Internet]. 2020;4 (2) :1. Publisher's Version
Iyer HS, Valeri L, James P, Chen JT, Hart JE, Laden F, Holmes MD, Rebbeck TR. The contribution of residential greenness to mortality among men with prostate cancer: a registry-based cohort study of Black and White men. . Environmental Epidemiology [Internet]. 2020;4 :e087. Publisher's Version
Iyer HS, Kohler RE, Ramogola-Masire D, Brown C, Molebatsi K, Grover S, Kablay I, Bvochora-Nsingo M, Efstathiou JA, Lockman S, et al. Explaining disparities in oncology health systems delays and stage at diagnosis between men and women in Botswana: A cohort study. PLoS One [Internet]. 2019;14 (6) :e0218094. Publisher's Version
Katz IT, Bogart LM, Dietrich JJ, Leslie HH, Iyer HS, Leone D, Magidson JF, Earnshaw VA, Courtney I, Tshabalala G, et al. Understanding the role of resilience resources, antiretroviral therapy initiation, and HIV-1 RNA suppression among people living with HIV in South Africa . AIDS [Internet]. 2019;33 (Supp) :S71-S79. Publisher's Version
Magidson JF, Iyer HS, Regenauer KS, Grelotti DJ, Dietrich JJ, Courtney I, Tshabalala G, Orell C, Gray GE, Bangsberg DR, et al. Recreational ART use among individuals living with HIV/AIDS in South Africa: Examining longitudinal ART initiation and viral suppression. Drug and Alcohol Dependence [Internet]. 2019;198 (2019) :192-198. Publisher's Version
Mutaganzwa C, Wibecan L, Iyer HS, Nahimana E, Manzi A, Biziyaremye F, Nyishime M, Nkikabahizi F, Hirschhorn LR, Magge H. Advancing the health of women and newborns: predictors of patient satisfaction among women attending antenatal and maternity care in rural Rwanda . International Journal for Quality in Health Care [Internet]. 2018;2018. Publisher's Version
Manzi A, Mugunga JC, Iyer HS, Magge H, Nkikabahizi F, Hirschhorn LR. Economic evaluation of a mentorship and enhanced supervision program to improve quality of integrated management of childhood illness care in rural Rwanda. PLoS One [Internet]. 2018;13 (3). Publisher's Version
Abimpaye M, Kirk CM, Iyer HS, Gupta N, Remera E, Mugwaneza P, Law MR. The impact of "Option B" on HIV transmission from mother to child in Rwanda: An interrupted time series analysis. PLoS One [Internet]. 2018;13 (2). Publisher's Version
Manzi A, Mugunga JC, Nyirazinyoye L, Iyer HS, Hedt-Gauthier B, Hirschhorn LR, Ntaganira J. Cost-effectiveness of a mentorship and quality improvement intervention to enhance the quality of antenatal care at rural health centers in Rwanda. International Journal for Quality in Health Care [Internet]. 2018;2018. Publisher's Version
Iyer HS, Chukwuma A, Mugunga JC, Manzi A, Ndayizigiye M, Anand S. A Comparison of Health Achievements in Rwanda and Burundi. Health and Human Rights [Internet]. 2018;20 (1) :199-211. Publisher's Version
Iyer HS, Hirschhorn LR, Nisingizwe MP, Kamanzi E, Drobac PC, Rwabukwisi FC, Law MR, Muhire A, Rusanganwa V, Basinga P. Impact of a district-wide health center strengthening intervention on healthcare utilization in rural Rwanda: Use of interrupted time series analysis. PLoS One [Internet]. 2017;12 (8). Publisher's Version
Nahimana E, McBain R, Manzi A, Iyer H, Uwingabiye A, Gupta N, Gerald Muzungu, Drobac P, Hirschhorn LR. Race to the Top: evaluation of a novel performance-based financing initiative to promote healthcare delivery in rural Rwanda. Global Health Action [Internet]. 2016;9. Publisher's Version
Iyer HS, Kamanzi E, Mugunga JC, Finnegan K, Uwingabiye A, Shyaka E, Niyonzima S, Hirschhorn LR, Drobac PC. Improving district facility readiness: a 12-month evaluation of a data-driven health systems strengthening intervention in rural Rwanda. Global Health Action [Internet]. 2015;8 :28365. Publisher's Version
Iyer HS, Scott CA, Bwalya DL, Meyer-Rath G, Moyo C, Moore CB, Larson BA, Rosen S. Resource Utilization and Costs of Care prior to ART initiation for Pediatric Patients in Zambia. AIDS Research and Treatment [Internet]. 2014;2014 (1). Publisher's Version
Scott CA, Iyer HS, Bwalya DL, Meyer-Rath G, Moyo C, Bolton-Moore C, Larson BA, Rosen S. Retention in Care, Resource Utilization, and Costs for Adults Receiving Antiretroviral Therapy in Zambia: a Retrospective Cohort Study. BMC public health [Internet]. 2014;14 (296). Publisher's Version
Nisingizwe MP, Iyer HS, Gashayija M, Hirschhorn LR, Amoroso C, Wilson R, Rubyutsa E, Gaju E, Basinga P, Muhire A, et al. Towards utilization of data for program management and evaluation: quality assessment of five years of Health Management Information (HMIS) data in Rwanda. Global Health Action [Internet]. 2014;7 :25829. Publisher's Version
Hochberg NS, Barnett ED, Chen LH, Wilson ME, Iyer H, MacLeod WB, Yanni E, Jentes ES, Karchmer AW, Ooi W, et al. International Travel by Persons With Medical Comorbidities: Understanding Risks and Providing Advice. Mayo Clinic Proceedings [Internet]. 2013;88 (11) :1231-1240. Publisher's Version