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Rosenbaum, Janet

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Biography
Janet Rosenbaum uses causal inference methods to study adolescent and young adult reproductive and sexual health, especially relationship power imbalances and biomarkers of semen exposure. She also studies education as a social determinant of health, including school discipline policy and community college completion. She completed her Ph.D., A.M., and A.B. at Harvard University and postdoctoral fellowship at the Johns Hopkins Bloomberg School of Public Health, and has held a research-track faculty position at the University of Maryland at College Park. She is currently an Assistant Professor in the Department of Epidemiology and Biostatistics (tenure-track) at the SUNY Downstate School of Public Health in Brooklyn, and serves on the American Public Health Association Governing Council representing the statistics section. 
Institutional profile
Academic Qualifications: Postdoctoral Fellowship: Johns Hopkins Bloomberg School of Public Health PhD: Harvard University MA: Harvard University Background and Expertise: Janet Rosenbaum studies educational and economic factors in adolescent health. Her methodological expertise is in causal inference methods such as matched sampling. Her current projects include high school suspension (funded by the Spencer Foundation), community colleges (funded by the American Educational Research Association), and coerced unsafe sex and pregnancy. Dr. Rosenbaum completed a postdoctoral fellowship at the Johns Hopkins Bloomberg School of Public Health under a Centers for Disease Control sexually transmitted diseases training grant. She also earned a Ph.D. in health policy and statistics, an M.A. in statistics, and a B.A. in physics, all from Harvard University. Her dissertation studied virginity pledges and adolescents' inconsistent reporting of their sexual histories, and was covered by media including the New York Times, National Public Radio, and Saturday Night Live's Weekend Update. Areas of Study Health behaviors of community college students Community college students are a large and growing portion of the young adult population in the United States. Little public health research has focused on this group. This project --- currently funded by the American Educational Research Association, and funded in the past by the American Institutes for Research from a Gates Foundation grant --- characterizes the community college student population. Studies include quantification of educational health disparities between community college graduates versus other young adults (Health Services and Outcomes Research Methodology, in press), a longitudinal case-control study to identify factors that predict community college graduation, and identification of health risk behaviors of community college students. Out-of-school suspension and expulsion and adolescent risk behavior In 2003, the American Academy of Pediatrics issued a policy statement that out-of-school suspension and expulsion "jeopardize children's health and safety." Schools make more liberal use of out-of-school expulsion and suspension than in the past, but little or no public health research has tested the outcomes for students who were suspended or expelled. This project, funded by the Spencer Foundation, quantifies long-term educational and risk behavior outcomes of students who were suspended/expelled from school, and identifies groups that are more strongly affected. Economic factors in adolescents' sexual behavior Some youths obtain spending money from their romantic partners. Past research has found that non-romantic relationships in which money is exchanged directly for sex are risky, but we know little about risks associated with romantic relationships that include economic exchanges. Dr. Rosenbaum found that condom non-use is twice as common among adolescent girls whose boyfriends are their primary source of spending money, compared with girls who have other sources. Employment may help adolescents stay independent but may pose other problems. Selected Honors Population Association of America, poster prize, 2012 Society for Adolescent Health and Medicine Early Investigators' Award finalist (one of 4), 2011 Association for Public Policy Analysis and Management (APPAM), poster prize, 2008

Publication Search Results

Now showing 1 - 10 of 27
  • PublicationOpen Access
    Hip Fracture and the Weekend Effect: Does Weekend Admission Affect Patient Outcomes?
    Boylan, Matthew R; Rosenbaum, Janet; Adler, Adam; Naziri, Qais; Paulino, Carl B
    Reduced hospital staffing on weekends is a hypothesized risk factor for adverse health outcomes--commonly referred to as the weekend effect. We conducted a study on the effect of weekend admission on short-term outcomes among US hip fracture patients. We selected Nationwide Inpatient Sample (1998-2010) patients with a principal diagnosis of femoral neck fracture and grouped them by day of admission (weekend or weekday). We used multivariate logistic and linear regression analyses, controlling for age, race, sex, number of comorbidities, and other risk factors, to calculate odds ratios (ORs) of mortality and perioperative complications as well as mean difference in length of hospital stay. Our study population included 96,892 weekend and 248,097 weekday admissions. Compared with patients admitted on weekdays, patients admitted on weekends had lower mortality (OR, 0.94; 95% confidence interval [CI], 0.89-0.99) and shorter mean hospital stay (estimate, 3.74%; 95% CI, 3.40-4.08) but did not differ in risk of perioperative complications (OR, 1.00; 95% CI, 0.98-1.02). Weekend admission did not predict death, perioperative complications, longer hospital stay, or other adverse short-term outcomes. Our study data do not support a weekend effect among hip fracture admissions in the United States.
  • PublicationOpen Access
    Patient teenagers? A comparison of the sexual behavior of virginity pledgers and matched nonpledgers.
    Rosenbaum, Janet Elise
    The US government spends more than $200 million annually on abstinence-promotion programs, including virginity pledges. This study compares the sexual activity of adolescent virginity pledgers with matched nonpledgers by using more robust methods than past research.
  • PublicationOpen Access
    Educational and criminal justice outcomes 12 years after school suspension.
    (2018-01-17) Rosenbaum, Janet E
    A third of US students are suspended over a K-12 school career. Suspended youth have worse adult outcomes than non-suspended students, but these outcomes could be due to selection bias: that is, suspended youth may have had worse outcomes even without suspension. This study compares the educational and criminal justice outcomes of 480 youth suspended for the first time with those of 1193 matched non-suspended youth from a nationally representative sample. Prior to suspension, the suspended and non-suspended youth did not differ on 60 pre-suspension variables including students' self-reported delinquency and risk behaviors, parents' reports of socioeconomic status, and administrators' reports of school disciplinary policies. Twelve years after suspension (ages 25-32), suspended youth were less likely than matched non-suspended youth to have earned bachelors degrees or high school diplomas, and were more likely to have been arrested and on probation, suggesting that suspension rather than selection bias explains negative outcomes.
  • PublicationOpen Access
    Cash, cars, and condoms: economic factors in disadvantaged adolescent women's condom use.
    (2012-02-27) Rosenbaum, Janet; Zenilman, Jonathan; Rose, Eve; Wingood, Gina; DiClemente, Ralph
    Evaluate whether adolescent women who received economic benefits from their boyfriends were more likely never to use condoms.
  • PublicationOpen Access
    Disabilities and Degrees: Identifying Health Impairments that Predict Lower Chances of College Enrollment and Graduation in a Nationally Representative Sample.
    (2018-03-22) Rosenbaum, Janet E
    Community colleges have increased post-secondary educational access for youth, including individuals with disabilities, but completion rates remain low. This study tests the hypothesis that health conditions that reduce social integration predict lower educational attainment among community college students.
  • PublicationOpen Access
    Blood pressure in children with sickle cell disease is higher than in the general pediatric population.
    (2022-09-15) Kupferman, Juan C; Rosenbaum, Janet E; Lande, Marc B; Stabouli, Stella; Wang, Yongsheng; Forman, Daniella; Zafeiriou, Dimitrios I; Pavlakis, Steven G
    Sickle cell disease (SCD) is associated with an increased risk of cardiovascular disease that may be due to a variety of possible risk factors, including abnormal blood pressure. Blood pressure (BP) of children and adolescents with SCD has been reported to be lower compared to the BP of the general pediatric population.
  • PublicationOpen Access
    Predicting Unprotected Sex and Unplanned Pregnancy among Urban African-American Adolescent Girls Using the Theory of Gender and Power.
    Rosenbaum, Janet E; Zenilman, Jonathan; Rose, Eve; Wingood, Gina; DiClemente, Ralph
    Reproductive coercion has been hypothesized as a cause of unprotected sex and unplanned pregnancies, but research has focused on a narrow set of potential sources of reproductive coercion. We identified and evaluated eight potential sources of reproductive coercion from the Theory of Gender and Power including economic inequality between adolescent girls and their boyfriends, cohabitation, and age differences. The sample comprised sexually active African-American female adolescents, ages 15-21. At baseline (n = 715), 6 months (n = 607), and 12 months (n = 605), participants completed a 40-min interview and were tested for semen Y-chromosome with polymerase chain reaction from a self-administered vaginal swab. We predicted unprotected sex and pregnancy using multivariate regression controlling for demographics, economic factors, relationship attributes, and intervention status using a Poisson working model. Factors associated with unprotected sex included cohabitation (incidence risk ratio (IRR) 1.48, 95 % confidence interval (1.22, 1.81)), physical abuse (IRR 1.55 (1.21, 2.00)), emotional abuse (IRR 1.31 (1.06, 1.63)), and having a boyfriend as a primary source of spending money (IRR 1.18 (1.00, 1.39)). Factors associated with unplanned pregnancy 6 months later included being at least 4 years younger than the boyfriend (IRR 1.68 (1.14, 2.49)) and cohabitation (2.19 (1.35, 3.56)). Among minors, cohabitation predicted even larger risks of unprotected sex (IRR 1.93 (1.23, 3.03)) and unplanned pregnancy (3.84 (1.47, 10.0)). Adolescent cohabitation is a marker for unprotected sex and unplanned pregnancy, especially among minors. Cohabitation may have stemmed from greater commitment, but the shortage of affordable housing in urban areas could induce women to stay in relationships for housing. Pregnancy prevention interventions should attempt to delay cohabitation until adulthood and help cohabiting adolescents to find affordable housing.
  • PublicationOpen Access
    Timeliness of provisional United States mortality data releases during the COVID-19 pandemic: delays associated with electronic death registration system and weekly mortality.
    (2021-11-03) Rosenbaum, Janet E; Stillo, Marco; Graves, Nathaniel; Rivera, Roberto
    All-cause mortality counts allow public health authorities to identify populations experiencing excess deaths from pandemics, natural disasters, and other emergencies. Delays in the completeness of mortality counts may contribute to misinformation because death counts take weeks to become accurate. We estimate the timeliness of all-cause mortality releases during the COVID-19 pandemic for the dates 3 April to 5 September 2020 by estimating the number of weekly data releases of the NCHS Fluview Mortality Surveillance System until mortality comes within 99% of the counts in the 19 March 19 2021 provisional mortality data release. States' mortality counts take 5 weeks at median (interquartile range 4-7 weeks) to completion. The fastest states were Maine, New Hampshire, Vermont, New York, Utah, Idaho, and Hawaii. States that had not adopted the electronic death registration system (EDRS) were 4.8 weeks slower to achieve complete mortality counts, and each weekly death per 10^8 was associated with a 0.8 week delay. Emergency planning should improve the timeliness of mortality data by improving state vital statistics digital infrastructure.
  • PublicationOpen Access
    Giving syphilis and gonorrhea to friends: using in-person friendship networks to find additional cases of gonorrhea and syphilis.
    (2020-10-21) Rosenbaum, Janet E; Jennings, Jacky; Ellen, Jonathan M; Borkovic, Laurel M; Scott, Jo-Ann; Wylie, Charleen; Rompalo, Anne
    Syphilis and gonorrhea reached an all-time high in 2018. The resurgence of syphilis and gonorrhea requires innovative methods of sexual contact tracing that encourage disclosure of same-sex sexual contacts that might otherwise be suppressed. Over 75% of Grindr mobile phone application users report seeking "friendship," so this study asked people diagnosed with syphilis and gonorrhea to identify their friends.
  • PublicationOpen Access
    Epidemiologic Assessment of Pediatric Inflammatory Bowel Disease Presentation in NYC During COVID-19.
    (2023-02-21) Rosenbaum, Janet E; Ochoa, Kenny Castro; Hasan, Faria; Goldfarb, Alexa; Tang, Vivian; Tomer, Gitit; Wallach, Thomas
    Inflammatory Bowel Disease (IBD) pathogenesis is thought to be induced by a mix of genetic susceptibility, microbial populations, and immune triggers such as infections. SARS-nCoV2 may have increased capacity to generate autoimmune disease as evidenced by known spikes in diseases such as Type 1 Diabetes Mellitus. Public health interventions like masking and closures additionally created remarkable drops in typical viral infections, with remarkable shifts in ILI reporting in 2020. This study aims to evaluate the impact of SARS-nCoV2 and associated interventions on pediatric IBD presentation in NYC using records of new diagnoses at a consortium of four institutions between 2016 and June 2022. We fit time series model (ARIMA) to monthly and quarterly number of cases of each disease for January 2016-March 2020 and forecast the period between April 2020 and June 2022. We note no decrease in Ulcerative Colitis or Crohn's Disease in the aftermath of historic low levels of overall viral illness, and statistically significant increases in Crohn's Disease diagnoses and elevation in UC diagnoses creating a trend suggesting overall increase in IBD diagnoses exceeding the baseline rate of increase. These data suggest a possible linkage between SARS-nCoV2 infection rates and subsequent pediatric IBD presentation.