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Journal of the National Medical Association

Stephanie L Garrett, Richard E Kennedy, Patricia Sawyer, Courtney P Williams, Cynthia J Brown, Richard M Allman
OBJECTIVE: Examining cultural differences in assessment of cognitive/functional disability among older Americans is needed. This analysis examined associations between day-to-day function, measured by activities of daily living (ADL), and cognition, measured by CLOX scores, among older African American (AA) and non-Hispanic White (nHW) community-dwelling women and men. METHODS: Design- Cross-sectional. SETTING: Homes of community-dwelling older adults...
December 4, 2018: Journal of the National Medical Association
Alyssa L Norris, Larry K Brown, Ralph J DiClemente, Robert F Valois, Daniel Romer, Peter A Vanable, Michael P Carey
PURPOSE: To better understand sexual health disparities among African-American sexual minority adolescents. METHODS: African-American adolescents (N = 1120; mean age = 15.24 years) were recruited from 4 cities (Columbia, SC; Macon, GA; Providence, RI; Syracuse, NY) to a larger trial. The current analyses used data from the 18-month follow-up when adolescents reported on their sexual partnerships, condom use knowledge, self-efficacy and outcome expectancies for condom use, sexual risk behavior, and STI testing history...
December 1, 2018: Journal of the National Medical Association
Utibe R Essien, Rose L Molina, Karen E Lasser
Maternal morbidity and mortality, important indicators of healthcare quality both nationally and internationally, have gained increasing public attention in the United States (U.S.). The U.S. has the highest rate of maternal mortality among high-income countries; notably, this rate has more than doubled since 1990. Black women in the U.S. die at three to four times the rate of white women from pregnancy-related complications, one of the widest of all racial disparities in women's health. Medical complications, including cardiovascular disease and hypertensive disorders in pregnancy, remain leading contributors to disparities in maternal outcomes including pregnancy-related deaths...
November 29, 2018: Journal of the National Medical Association
Marvella Elizabeth Ford, Latecia Monicque Abraham-Hilaire, Deborah C Bryant, Melanie S Jefferson, Nancy R LaPelle, Tonya R Hazelton, Ida J Spruill
For nearly every category of chronic disease, blacks with African American ancestry (AAs) bear a disproportionate disease burden in comparison to their non-Hispanic white (NHW) counterparts. The purpose of this study was to evaluate perceptions of a radio-based health communication strategy, geared towards AA adults and the medically underserved. The radio broadcast, titled "Closing the Gap in Healthcare, Inc. (CGHI)," is delivered by a well-known AA male physician in South Carolina. The mission of CGHI is to decrease health disparities in a four-county area of the South Carolina coastal region, defined as the "Lowcountry," by providing evidence-based health information to a broad community audience via radio broadcast messaging...
November 22, 2018: Journal of the National Medical Association
Timethia Bonner, Jeff Guidry, Zachary Jackson
OBJECTIVES: African Americans bear a disproportionate burden of lower extremity complications associated with a type 2 diabetes diagnosis. We examined the relationship that self-reported foot care knowledge, foot self-care behaviors, and foot self-care management barriers had on a participants' intention to maintain long term foot self-care. METHODS: African Americans were recruited using a convenience and snowball sampling plan, as well as telephone, email and flyers detailing the study...
November 16, 2018: Journal of the National Medical Association
Chyongchiou Jeng Lin, Mary Patricia Nowalk, Collette N Ncube, Yassmin Al Aaraj, McKenzie Warshel, Jeannette E South-Paul
BACKGROUND: Each year in the United States (US), one million adolescents are pregnant, of which approximately 20% are repeat pregnancies. Adolescent motherhood is associated with lower educational attainment, socioeconomic status and poorer health outcomes. A mentoring program called the Maikuru Program conducted from 2011 to 2015, was designed to teach young mothers under 20 years old how to face daily life challenges, to support them by pairing them with an adult mentor, and prevent a subsequent pregnancy during their teens...
November 15, 2018: Journal of the National Medical Association
Yemisrach A Tefera, Kinfe G Bishu, Mulugeta Gebregziabher, Aprill Z Dawson, Leonard E Egede
BACKGROUND: Knowledge, self-care and access to diabetes-related resources is critical to diabetes management. However, there is paucity of data on source of education, source of care, and access to diabetes-related resources in the developing world, including Ethiopia. OBJECTIVE: To examine source of education, source of care, access to diabetes-related resources, and correlates of diabetes knowledge in a random sample of adults with diabetes in Ethiopia. METHODS: A sample of 337 subjects was selected using systematic random sampling...
November 12, 2018: Journal of the National Medical Association
Nneka L Ifejika, Minal Bhadane, Chunyan Cai, Elizabeth A Noser, Sean I Savitz
BACKGROUND AND PURPOSE: Women minorities have an overall increased lifetime incidence of cerebrovascular disease. The provision of risk factor modification in this group can prove difficult. In a population-based study, we used cluster enrollment to identify vascular risk factors in the female caregivers of stroke survivor study participants. METHODS: Obese women caregivers were identified as part of Swipe out Stroke, a Phase I PROBE study assessing the use of SmartPhone based intervention for dietary modification in minority stroke survivors...
November 12, 2018: Journal of the National Medical Association
C André Christie-Mizell, Ryan D Talbert, Ashleigh R Hope, Cleothia G Frazier, Brittany N Hearne
OBJECTIVE: This study examined gender differences in how three social roles - marriage, parenthood, and employment - impact depressive symptoms and clinically significant depression for African Americans in the first decade of midlife, from 40 to 50 years old. Specifically, we sought to understand the associations between roles configurations (e.g., married parent versus employed only) and depressed mood as well as diagnosable depression. METHOD: The data for this study were extracted from the National Longitudinal Survey of Youth 1979 cohort (NLSY79)...
November 10, 2018: Journal of the National Medical Association
Roseanne C Schuster, Elisa M Rodriguez, Melissa Blosser, Anna Mongo, Nicole Delvecchio-Hitchcock, Linda Kahn, Laurene Tumiel-Berhalter
BACKGROUND: Little is known about how pre-resettlement experiences affect refugees' uptake of cancer screenings. The objective of this study was to characterize Somali Bantu and Karen experiences with cancer and cancer screenings prior to and subsequent to resettlement in Buffalo, NY in order to inform engagement by health providers. METHODS: The study was grounded in a community-based participatory research approach, with data collection and analysis guided by the Health Belief Model and life course framework...
November 9, 2018: Journal of the National Medical Association
Bedriye Müge Sönmez, Emirhan Temel, Murat Doğan İşcanlı, Fevzi Yılmaz, Uğur Gülöksüz, Selçuk Parlak, Özhan Merzuk Uçkun
BACKGROUND: Emergency departments (EDs) are typically the first medical contact for patients with traumatic brain injury (TBI) and early diagnosis and treatment of intracranial pressure (ICP) in patients with neurotrauma primarily falls under the liability of emergency doctors. Monitoring ICP with optic nerve sheath diameter (ONSD) via tools has gained popularity among emergency service doctors. In this study, we aimed to evaluate the predictive value of ONSD for specific head injury on initial cranial tomography...
November 8, 2018: Journal of the National Medical Association
Arthi Reddy, Russell Roberts, Divya Shenoy, Satyaseelan Packianathan, Shankar Giri, Srinivasan Vijayakumar
BACKGROUND: Prostate cancer is the most common form of cancer, other than skin cancers, in American men and the second leading cause of cancer deaths. In 2012, the US Preventative Task Force recommended against the prostate specific antigen-based screening for prostate cancer, regardless of race or age, due to overtreatment of low-risk disease and lack of impact on disease outcomes. In African-American men, however, the incidence of prostate cancer is almost 60% higher and the mortality rate is two- to three-times greater than that of Caucasian men...
November 5, 2018: Journal of the National Medical Association
Lamont J Wilkins, Yaw A Nyame, Valerie Gan, Songhua Lin, Daniel J Greene, Stuart M Flechner, Charles S Modlin
OBJECTIVE: The aim of this study was to provide a contemporary analysis of longitudinal kidney transplant outcomes and to evaluate potential causes of ethnic disparities among African American (AA) and Caucasian American (CA) patients undergoing kidney transplantation at our institution. PATIENTS AND METHODS: 1400 patients were identified who underwent kidney transplantation from 2003 to 2013 from a large, academic institution in Cleveland, OH. Relevant recipient and donor demographic and clinical covariates were obtained from an institutional transplant database...
November 5, 2018: Journal of the National Medical Association
Abenaa Acheampong Jones, Travis Gerke, Nicole Ennis, Catherine W Striley, Robert Crecelius, James E Sullivan, Linda B Cottler
Drug courts, therapeutic justice programs for individuals charged with drug offenses, have sub-optimal completion rates. The Courtroom Behavior Checklist (CRBCL), an assessment that quantifies readiness for drug court and drug court behaviors, was developed to predict female offenders who may be at-risk for non-compliance and termination. Data derived from 264 mainly urban women recruited from a Municipal Drug Court System in St. Louis, MO, were used to evaluate the association between substance use, victimization, HIV/AIDS risk behaviors, and observed drug court behaviors...
November 5, 2018: Journal of the National Medical Association
Döndü Üsküdar Cansu, Hava Üsküdar Teke, Tuncer Temel, Adem Ertürk, Osman Kahraman, Cengiz Korkmaz
OBJECTIVE: The aim of this study was to determine whether there is any association with anti-tumor necrosis factor (TNF) agent administration and development of new-onset inflammatory bowel disease (IBD) in ankylosing spondylitis (AS) patients. METHODS: Records of the patients who met 1984 modified New York criteria for AS between 1998 and 2016 at Rheumatology Department were evaluated retrospectively and data about the patients, IBD properties and medication were obtained...
October 30, 2018: Journal of the National Medical Association
Ewan K Cobran, Henry N Young, Ronald C Chen, Xianyan Chen, Jaxk Reeves, Paul A Godley, Surbhi Shah
BACKGROUND: The Medicare Modernization Act (MMA) drastically reduced reimbursement for androgen deprivation therapy (ADT) in 2005. One unintended consequence of the MMA may be an increase in the racial disparities in receipt of ADT. Given these policy changes, it becomes increasingly important to assess racial disparities in timely receipt of ADT. METHODS: The purpose of this study is to evaluate the associations between race and median time to receipt of ADT among men with metastatic prostate cancer before and after the passage of the MMA...
October 30, 2018: Journal of the National Medical Association
Ahmad Alkaddour, Camille McGaw, Rama Hritani, Carlos Palacio, Juan Carlos Munoz, Kenneth J Vega
BACKGROUND AND STUDY AIMS: Barrett's Esophagus (BE) is a well-recognized pre-malignant condition. Previous data indicate histologically confirmed BE frequency varies by ethnicity in the United States. However, clinical factor assessment to explain this has only occurred in a veteran population to date. The study aim was to determine which clinical factors may be associated with the ethnic variation seen in histologically confirmed BE among a general population. PATIENTS AND METHODS: The University of Florida-Jacksonville endoscopy database was searched for all cases of endoscopic BE from September 2002 to October 2012...
October 23, 2018: Journal of the National Medical Association
Daniel Laroche, Yvonne Okaka, Chester Ng
No abstract text is available yet for this article.
October 17, 2018: Journal of the National Medical Association
Kimberly R Jacob Arriola, Nakeva Redmond, Dana H Z Williamson, Nancy J Thompson, Jennie P Perryman, Rachel E Patzer, Melissa Williams
BACKGROUND: Transplantation continues to be the therapy of choice for people experiencing end-stage organ failure. African Americans (AAs) are overrepresented among those awaiting an available organ for the purpose of a transplant, yet donate at rates lower than other races due to a list of well-studied barriers. The Giving ACTS (About Choices in Transplantation and Sharing) Intervention was developed to provide culturally appropriate messaging to AAs about organ and tissue donation and transplantation (OTDT)...
October 13, 2018: Journal of the National Medical Association
Abigail Quintos, Mario Naranjo, Colleen Kelly, Stuart F Quan, Sunil Sharma
PURPOSE: The HoSMed Database recently demonstrated a high prevalence of obstructive sleep apnea (OSA) in hospitalized obese patients. Based on a long-term follow-up, this study showed an improved survival among patients who were adherent with the therapy. In this post-hoc analysis we explore the characteristics, associations, and mortality outcome of OSA in the African American (AA) population. METHODS: These subset analyses included obese AA patients screened in the hospital as high-risk for OSA...
October 9, 2018: Journal of the National Medical Association
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