Bio


Valerie Meausoone is currently a Research Data Architect and Consultant at the Stanford Research Computing Center. Mrs. Meausoone has been one of the early users and testers of a computing environment for the distribution and use of high-risk and population-health related datasets at Stanford. She has also participated in efforts to expand the current Observational Medical Outcomes Partnership (OMOP) Common Data Model to administrative non-health related datasets, allowing researchers to share code on datasets. Mrs. Meausoone has recently completed various analyses aimed at leveraging existing data to better study the relationship between social constructs, such as gender norms and women's economic empowerment, and health.

Current Role at Stanford


Research Data Architect and Consultant, Stanford Research Computing Center (SRCC)

Education & Certifications


  • Bachelor, University of Pennsylvania, Biomedical Engineering (2008)

All Publications


  • Parent-Related Normative Perceptions of Adolescents and Later Weight Control Behavior: Longitudinal Analysis of Cohort Data From Brazil. The Journal of adolescent health : official publication of the Society for Adolescent Medicine Abdalla, S., Buffarini, R., Weber, A. M., Cislaghi, B., Costa, J. C., Menezes, A. M., Goncalves, H., Wehrmeister, F. C., Meausoone, V., Victora, C. G., Darmstadt, G. L. 2020; 66 (1S): S9–S16

    Abstract

    PURPOSE: Body image-related norms can be imposed by parents and can shape adolescents' body satisfaction in consequential ways, yet evidence on long-term effects is scarce. Longitudinal data from a country with strong body image focus provided a unique opportunity to investigate long-term influences of normative parent-related perceptions.METHODS: Multinomial logistic regression was used on data from a 1993 birth cohort in Brazil to investigate the association of normal-body mass index (BMI) adolescents' perception of their parent's opinion of their weight at age 11years with their weight control attempts at 18years, testing a mediating role for body dissatisfaction at age 15years. All models controlled for body dissatisfaction at age 11years and BMI change between ages 11 and 15years.RESULTS: A total of 1150 boys and 1336 girls were included. Girls were more likely than boys to diet without nutritionist advice to lose weight (51.5% vs. 34.3% among boys) and use medication to gain weight (12.7% vs. 4.2%). Normal-BMI adolescents who reported at age 11years that their parents thought they were thin had higher odds of feeling thinner than ideal at age 15years (odds ratio 2.8, 95% confidence interval 1.8-3.2; and odds ratio 2.0, 95% confidence interval 1.5-2.7) among boys and girls, respectively). Feeling thinner than ideal at age 15years was associated among girls with higher odds of weight gain attempts at age 18years. Similar patterns appeared among girls reporting that their parents thought they were fat at age 11years, feeling fatter than ideal at age 15years and having higher odds of weight loss attempts at age 18years. Body dissatisfaction was a statistically significant mediator among girls but not boys.CONCLUSIONS: A long-term influence of parent-related perceptions via a likely trajectory of body dissatisfaction is evident among girls.

    View details for DOI 10.1016/j.jadohealth.2019.09.007

    View details for PubMedID 31866039

  • The Intersectionality of Gender and Wealth in Adolescent Health and Behavioral Outcomes in Brazil: The 1993 Pelotas Birth Cohort. The Journal of adolescent health : official publication of the Society for Adolescent Medicine Buffarini, R., Abdalla, S., Weber, A. M., Costa, J. C., Menezes, A. M., Goncalves, H., Wehrmeister, F. C., Meausoone, V., Darmstadt, G. L., Victora, C. G. 2020; 66 (1S): S51–S57

    Abstract

    PURPOSE: Brazilian society is characterized by deep socioeconomic inequalities. Using data from a population-based birth cohort, we explored how the intersectionality of family income and gender may affect adolescent health and behavioral outcomes.METHODS: Children born in 1993 in the Brazilian city of Pelotas have been followed up prospectively at the age of 15years when the follow-up rate was 85.7% of the original cohort. Participants answered standardized questionnaires, and anthropometric measures were obtained. Outcomes in five domains were studied: overweight (body mass index above+1 SD of the World Health Organization standard for age and sex), cigarette smoking (in the previous month), violence (fight in which someone was injured, in the past year), self-reported unhappiness (based on a face scale), and psychological symptoms (Strengths and Difficulties Questionnaire). Monthly family income was recoded in quintiles.RESULTS: Results were available for more than 4,101-4,334 adolescents, depending on the outcome. Overweight was more common among boys than girls (29.7% and 25.6%; p= .004) and was directly related to family income among boys (p < .001), but not among girls (p= .681). Smoking was less common among boys than girls (12.3% and 21.0%, p < .001) and showed strong inverse association with income among girls (p < .001), but not among boys (p= .099). Reported violence was twice as common among boys than girls (16.4% vs. 8.0%; p < .001); an inverse association with income was present among girls (p < .001), but not for boys (p= .925). Boys and girls were similarly likely to report being unhappy (18.4% and 20.1%; p= .176), with an inverse association with family income in girls. Psychological symptoms were slightly less common among boys than girls (25.3% and 28.3%; p= .014), with strong inverse associations with income in both sexes (p < .001). Adolescent girls from poor families were the group with the highest prevalence for three of the five outcomes: smoking, unhappiness, and psychological problems.CONCLUSIONS: Gender norms influence adolescent health and behavioral outcomes, but the direction and strength of the associations are modified by socioeconomic position. Preventive strategies must take into account the intersectionality of gender and wealth.

    View details for DOI 10.1016/j.jadohealth.2019.08.029

    View details for PubMedID 31866038

  • Gender Norms and Weight Control Behaviors in U.S. Adolescents: A Prospective Cohort Study (1994-2002). The Journal of adolescent health : official publication of the Society for Adolescent Medicine Nagata, J. M., Domingue, B. W., Darmstadt, G. L., Weber, A. M., Meausoone, V., Cislaghi, B., Shakya, H. B. 2020; 66 (1S): S34–S41

    Abstract

    PURPOSE: The aim of this article was to determine the relationship between gender norms and weight control behaviors in U.S. adolescents.METHODS: We analyzed prospective cohort data from the National Longitudinal Study of Adolescent to Adult Health (N= 9,861), at baseline in 1994-1995 (ages 11-18years, Wave I), 1-year follow-up (ages 12-19years, Wave II), and 7-year follow-up (ages 18-26years, Wave III). The primary exposure variable was a measure of one's gender normativity based on the degree to which males and females behave in ways that are similar to the behaviors of their same-gender peers. The outcome variable was an individual's weight control attempts (trying to lose or gain weight) and behaviors (dieting, fasting/skipping meals, vomiting, or weight-loss pills/laxatives/diuretics to lose weight or ate different/more foods than usual or taking supplements to gain weight).RESULTS: In logistic regression analyses controlling for potential confounders, a higher baseline individual gender normativity score (higher femininity in females and higher masculinity in males) was associated with weight loss attempts (beta= .10; p= .01) and weight loss behaviors (beta= .18; p<.001) in girls but was associated with weight gain attempts (beta= .18; p < .001) and behaviors (beta= .16; p < .001) in boys at 1-year follow-up. Higher individual gender normativity score was protective of weight loss attempts (beta=-.15; p < .001) and weight loss behaviors (beta=-.17; p<.001) in males but not females at 7-year follow-up. Loess plots provided visualizations of significant relationships.CONCLUSIONS: Gender norms may reinforce a thinner body ideal for girls but a larger ideal for boys.

    View details for DOI 10.1016/j.jadohealth.2019.08.020

    View details for PubMedID 31866036

  • Association of collective attitudes and contraceptive practice in nine sub-Saharan African countries Journal of Global Health Mejía-Guevara, I., Cislaghi, ., Weber, A., Hallgren, E., Meausoone, V., Cullen, M. R., Darmstadt, G. L. 2020; 10 (1)

    View details for DOI 10.7189/jogh.10.010705

  • Gender, Depression, and Blue-collar Work A Retrospective Cohort Study of US Aluminum Manufacturers EPIDEMIOLOGY Elser, H., Rehkopf, D. H., Meausoone, V., Jewell, N. R., Eisen, E. A., Cullen, M. R. 2019; 30 (3): 435–44
  • Gender norms and health: insights from global survey data. Lancet (London, England) Weber, A. M., Cislaghi, B., Meausoone, V., Abdalla, S., Mejía-Guevara, I., Loftus, P., Hallgren, E., Seff, I., Stark, L., Victora, C. G., Buffarini, R., Barros, A. J., Domingue, B. W., Bhushan, D., Gupta, R., Nagata, J. M., Shakya, H. B., Richter, L. M., Norris, S. A., Ngo, T. D., Chae, S., Haberland, N., McCarthy, K., Cullen, M. R., Darmstadt, G. L. 2019

    Abstract

    Despite global commitments to achieving gender equality and improving health and wellbeing for all, quantitative data and methods to precisely estimate the effect of gender norms on health inequities are underdeveloped. Nonetheless, existing global, national, and subnational data provide some key opportunities for testing associations between gender norms and health. Using innovative approaches to analysing proxies for gender norms, we generated evidence that gender norms impact the health of women and men across life stages, health sectors, and world regions. Six case studies showed that: (1) gender norms are complex and can intersect with other social factors to impact health over the life course; (2) early gender-normative influences by parents and peers can have multiple and differing health consequences for girls and boys; (3) non-conformity with, and transgression of, gender norms can be harmful to health, particularly when they trigger negative sanctions; and (4) the impact of gender norms on health can be context-specific, demanding care when designing effective gender-transformative health policies and programmes. Limitations of survey-based data are described that resulted in missed opportunities for investigating certain populations and domains. Recommendations for optimising and advancing research on the health impacts of gender norms are made.

    View details for DOI 10.1016/S0140-6736(19)30765-2

    View details for PubMedID 31155273

  • Characterizing Long-Term Trajectories of Work and Disability Leave: The Role of Occupational Exposures, Health, and Personal Demographics. Journal of occupational and environmental medicine Harrati, A., Hepburn, P., Meausonne, V., Cullen, M. R. 2019

    Abstract

    This paper characterizes trajectories of work and disability leave across the tenure of a cohort of 49,595 employees in a large American manufacturing firm.We employ sequence and cluster analysis to group workers who share similar trajectories of work and disability leave. We then use multinomial logistic regression models to describe the demographic, health, and job-specific correlates of these trajectories.All workers were clustered into one of eight trajectories. Female workers (RR 1.3 - 2.1), those experiencing musculoskeletal disease (RR 1.3 - 1.5), and those whose jobs entailed exposure to high levels of air pollution (Total Particulate Matter; RR 1.9 - 2.4) were more likely to experience at least one disability episode.These trajectories and their correlates provide insight into disability processes and their relationship to demographic characteristics, health, and working conditions of employees.

    View details for DOI 10.1097/JOM.0000000000001705

    View details for PubMedID 31490897

  • Cohort Profile: The American Manufacturing Cohort (AMC) study. International journal of epidemiology Elser, H., Neophytou, A. M., Tribett, E., Galusha, D., Modrek, S., Noth, E. M., Meausoone, V., Eisen, E. A., Cantley, L. F., Cullen, M. R. 2019

    View details for DOI 10.1093/ije/dyz059

    View details for PubMedID 31220278

  • Neighborhood contributions to psychological distress among Latino New York City adults Ethnicity & Health Lim, S., Meausoone, V., Norman, C., Quinlan, C., Driver, C. R. 2016: 575–84

    Abstract

    Neighborhood-level factors such as ethnic densities and social cohesion have been negatively associated with psychological distress among Latino Americans. Yet, existing evidence is based on either specific neighborhood factors or particular Latino subgroups. The objective of the study was to assess difference in psychological distress between each of four Latino subgroups (Puerto Ricans, Dominicans, Mexicans, other Latinos) and non-Latino white adults in New York City, and quantify total neighborhood-level influence on these differences.We used the combined Community Health Survey data from 2009, 2010, and 2012 surveys. We estimated the odds ratios (ORs) for self-reported non-specific psychological distress (Kessler-6 questions scale ≥ 13) by race/ethnicity using logistic regression models. We further adjusted these estimates for both observed and unobserved neighborhood-level confounding using the conditional pseudolikelihood method for complex survey data.Puerto Ricans were more likely to be psychologically distressed (OR = 1.58, 95% CI = 1.18, 2.12) compared with non-Latino whites, whereas the opposite was seen in other Latino subgroups. Accounting for full neighborhood-level confounding increased the disparity for Puerto Ricans (OR = 1.79, 95% CI = 1.26-2.54). For the other subgroups, lower odds of psychological distress were no longer observed or attenuated after accounting for neighborhood-level confounding. Overall neighborhood-level factors were associated with lower psychological distress at greater extent among all Latinos subgroups versus non-Latino whites in New York City.Despite substantial variations of psychological distress across Latino subgroups, the study shows evidence that neighborhood-level factors might play a protective role in all Latino subgroups.

    View details for DOI 10.1080/13557858.2016.1244743