Mary Anne Armstrong, MA

Mary Anne Armstrong, MA, is a Biostatistician and Research Scientist at the Division of Research (DOR), Kaiser Permanente, Northern California. Ms. Armstrong earned her MA in statistics from the University of California at Berkeley. She has been with DOR since 1980, where she has worked in a wide variety of research areas, including alcohol and health, perinatal substance abuse, and neonatology. Ms. Armstrong is the Chair of the Division of Research Local Research Committee, a member of the Northern California Central Research Committee, a member of the Northern California Perinatal Substance Abuse Task Force, and provides statistical consultation to members of the Northern California Permanente Medical Group.

Ms. Armstrong has authored or co-authored more than 50 peer-reviewed scientific publications on a wide-variety of topics, including the relation of alcohol use to blood pressure, coronary disease, and stroke; utilization of health services before and after alcohol abuse treatment; and neonatal assisted ventilation.

Current Positions:

	Biostatistician and Investigator, Division of Research, Kaiser Permanente, Northern California
	Co-Associate Director for Health Care Effectiveness (acting), Division of Research
	Director, Division of Research Biostatistical Consulting Unit

Primary Research Interests:

	Substance abuse and pregnancy
	Fetal Alcohol Syndrome
	Women’s health
	Perinatal health services research
	Biostatistics

Current Projects:

	How Much Does She Really Drink? An HMO Intervention
	High Risk Women Refusing Substance Abuse Intervention During Prenatal Care: An Exploratory Analysis
	Post-Partum Alcohol, Tobacco, and Other Drug Use: Impact of the Early Start Program
	Fetal Alcohol Syndrome (FAS) in Kaiser Permanente: Does Early Start treatment decrease the FAS rate?
	Study to evaluate self reporting of unintended pregnancy among Kaiser Permanante members in Northern California

Completed Research Projects (partial listing):

	Perinatal substance abuse and neonatal outcomes
	Early Start Program evaluation project
	Utilization of inpatient and outpatient health services before and after referral to an alcohol abuse treatment program

Selected Publications:

	Klatsky AL, Friedman GD, Armstrong MA. The relationships of alcoholic beverage use and other traits to blood pressure: a new Kaiser Permanente study. Circulation 1986;73:628-36.
	Armstrong MA, Klatsky AL. Alcohol use and later hospitalization experience. Med Care 1989;27:1099-108.
	Klatsky AL, Armstrong MA. Alcoholic beverage choice and risk of coronary artery diesease mortality: do red wine drinkers fare best? Am J Cardiol 1993;71:467-9.
	Goldhaber MK, Armstrong MA, Golditch I, Sheehe PR, Petitti DB, Friedman GD. The long-term risk of hysterectomy among 80,007 sterilized and nonsterilized women at Kaiser Permanente, 1971-1987. Am J Epidemiol 1993;138:508-521.
	Klatsky AL, Armstrong MA, Friedman GD. Red wine, white wine, liquor, beer, and risk for coronary artery disease hospitalization. Am J Cardiol 1997;80:416-20.
	Dyson DC, Danbe KH, Bamber JA, Crites YM, Field DR, Maier JA, Newman LA, Ray DA, Walton DL, Armstrong MA. Three levels of surveillance for pregnant women at risk for preterm labor: weekly nursing contact or daily contact with or without home uterine activity monitoring. N Engl J Med 1998;338:15-9.
	Armstrong MA, Midanik LT, Klatsky AL. Alcohol consumption and utilization of health services research in a health maintenance organization. Med Care 1998;36:1599-605.
	Escobar GJ, Joffe S, Gardner MN, Armstrong MA, Folk BF, Carpenter DM. Rehospitalization in the first two weeks after discharge from the neonatal intensive care unit. Pediatrics 1999;104:2e.
	Escobar GJ, Li Dk, Armstrong MA, Gardner MN, Folck BF, Verdi JE, Xiong B, Bergen R. Neonatal sepsis workups in infants >/=2000 grams at birth: a population-based study. Pediatrics 2000;106:256-63.
	Armstrong MA, Lieberman L, Carpenter DM, Gonzales VM, Usatin MS, Newman L, Escober GJ. Early start: an obstetric clinic-based, perinatal substance abuse intervention program. Quality Management in Health Care 2001;9:6-15.
	Klatsky A, Armstrong MA, Friedman GD, Sidney S. Alcohol and risk of hospitalization for ischemic stroke. Am J Cardiol 2001;88:703-6.
	Armstrong MA, Midanik LT, Klatsky AL, Lazere A. Utilization of health services among patients referred to an alcohol tratment program. Subst Use Misuse 2001;36:1781-93.
	Klatsky A, Armstrong MA, Friedman GD, Sidney S. Alcohol drinking and risk of hemorrhagic stroke. Neuroepidemiology 2002;21:115-22.
	Armstrong MA, Gonzales VM, Lieberman L, Carpenter DM, Pantoja PM, Escobar GJ. Perinatal Substance Abuse Intervention in Obstetric Clinics Decreases Adverse Neonatal Outcomes. J Perinatol 2003;23:3-9.
	Klatsky AL, Oehm R, Cooper RA, Udaltsova N, Armstrong MA. The early repolarization normal variant electrocardiogram: correlates and consequences. Am J Med 2003;115:171-77.
	Klatsky AL, Friedman GD, Armstrong MA, Kipp H. Wine, Liquor, Beer and Mortality. Am J Epidemiol 2003;158:585-95.
	Shlonsky AK, Klatsky AL, Armstrong MA. Traits of persons who drink decaffeinated coffee. Ann Epidemiol 2003;13:273-9.
	Klatsky AL, Armstrong MA, Landy C, Udaltsova N. The effect of coronary disease on changes in drinking in an older population. Alcohol Research 2003;8:211-13
	Midanik LT, Armstrong MA, Lieberman L, Osejo VG. Using chart reviews to assess postpartum substance abuse. A pilot study. Soc Work Health Care 2004;38:25-35.
	Shaber RE, Jacobson GF, Armstrong MA, Hung YY. Hysterectomy rates for benign indications in Kaiser Permanente Northern California, 1994-2003. Obstet Gynecol. 2006 Apr;107(4 Suppl):8S.
	Escobar GJ, McCormick MC, Zupancic JA, Coleman-Phox K, Armstrong MA, Greene JD, Eichenwald EC, Richardson Deceased DK. Unstudied Infants: Outcomes of moderately premature infants in the NICU. Arch Dis Child Fetal Neonatal Ed. 2006 Apr 12; [Epub ahead of print]
	Escobar GJ, McCormick MC, Zupancic JA, Coleman-Phox K, Armstrong MA, Greene JD, Eichenwald EC, Richardson DK [Deceased]. Unstudied infants: outcomes of moderately premature infants in the NICU. Arch Dis Child Fetal Neonatal Ed 2006; [Epub ahead of print].
	Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy rates for benign indications. Obstet Gynecol 2006;107:1278-83.