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Journal of Racial and Ethnic Health Disparities

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https://www.readbyqxmd.com/read/28434102/outcomes-following-surgical-management-of-cauda-equina-syndrome-does-race-matter
#1
Amit Jain, Emmanuel Menga, Addisu Mesfin
Cauda equina syndrome (CES) is a surgical emergency requiring urgent spinal decompression. Our objective is to analyze the association between race and in-hospital outcomes (complications, mortality, length of stay, and discharge disposition) in patients with CES. This is a retrospective cohort study of CES patients identified via the Nationwide Inpatient Sample (NIS) from 2000 to 2010 in inpatient hospitalizations in the USA. The patient sample includes 46,017 patients ≥18 undergoing spine surgery for CES...
April 21, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411330/a-restorative-yoga-intervention-for-african-american-breast-cancer-survivors-a-pilot-study
#2
Teletia R Taylor, Judith Barrow, Kepher Makambi, Vanessa Sheppard, Sherrie Flynt Wallington, Chloe Martin, Danyella Greene, Sri Lakshmi Hyndavi Yeruva, Sara Horton
BACKGROUND: Data show that yoga is effective for improving health-related outcomes in breast cancer survivors. While breast cancer is the most commonly diagnosed cancer among African-American women (AAW), AAW are less likely to engage in yoga compared to other ethnic groups. The goals of the current study were to assess the feasibility of an 8-week restorative yoga program among African-American breast cancer survivors (AA BCS). Specifically, study aims were to (1) measure changes in study outcomes in a restorative yoga (RY) group compared to a wait list control group, (2) assess adherence to the RY program, and (3) assess program satisfaction among study participants...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411329/racial-and-ethnic-difference-in-falls-among-older-adults-results-from-the-california-health-interview-survey
#3
Simona C Kwon, Benjamin H Han, Julie A Kranick, Laura C Wyatt, Caroline S Blaum, Stella S Yi, Chau Trinh-Shevrin
BACKGROUND: Research suggests that fall risk among older adults varies by racial/ethnic groups; however, few studies have examined fall risk among Hispanics and Asian American older adults. METHODS: Using 2011-2012 California Health Interview Survey data, this study examines falling ≥2 times in the past year by racial/ethnic groups (Asian Americans, Hispanics, and Blacks) aged ≥65, adjusting for socio-demographic characteristics, body mass index, co-morbidities, and functional limitations...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411328/dance-and-hometown-associations-are-promising-strategies-to-improve-physical-activity-participation-among-us-nigerian-transnational-immigrants
#4
Kelechi Ibe-Lamberts, Daudet Ilunga Tshiswaka, Ifeyinwa Onyenekwu, Andiara Schwingel, Juliet Iwelunmor
OBJECTIVE: Lack of physical activity participation has been identified as a determinant for negative health outcomes across various ethnicities worldwide and within the USA. We investigated the perceptions of the prospects of promoting dancing within hometown associations as a form for improving physical activity participation for Nigerian Transnational Immigrants (NTIs) in the USA: a migrant cohort subset of individuals who maintain cross-border ties with their indigenous communities of origin...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411327/racial-differences-in-mental-health-recovery-among-veterans-with-serious-mental-illness
#5
Mana K Ali, Samantha M Hack, Clayton H Brown, Deborah Medoff, Lijuan Fang, Elizabeth A Klingaman, Stephanie G Park, Lisa B Dixon, Julie A Kreyenbuhl
Black consumers with serious mental illness (SMI) face significant challenges in obtaining quality mental health care and are at risk for experiencing significant disparities in mental health care outcomes, including recovery from mental illness. Patient-provider interactions may partly contribute to this disparity. The purpose of the current study was to understand the effects of race, psychosis, and therapeutic alliance on mental health recovery orientation among Veterans with SMI. Participants were Veterans who had an SMI being treated at two Veteran Affairs outpatient mental health clinics by a psychiatrist or nurse practitioner...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28409478/reversing-racial-inequities-at-the-end-of-life-a-call-for-health-systems-to-create-culturally-competent-advance-care-planning-programs-within-african-american-communities
#6
Randi Belisomo
Racial and cultural barriers inherent in health systems have made the delivery of culturally relevant end of life care that aligns with patient preferences a particular challenge across African American patient populations. The end of life experience has been cited as a public health crisis by the Institute of Medicine (IOM), and this crisis is one felt even more acutely by patients of this minority race. Structural racism has limited access to the planning mechanisms proven to result in quality end of life care; thus, health systems must initiate remedies in the face of dire need, as African Americans face a disproportionate burden of morbidity and mortality from many serious illnesses...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28409477/ethnic-differences-in-persistence-with-copd-medications-a-register-based-study
#7
Yusun Hu, Lourdes Cantarero-Arévalo, Anne Frølich, Ramune Jacobsen
BACKGROUND: Long-acting bronchodilators (LABDs) are recommended as a first-line maintenance therapy in patients with moderate or severe chronic obstructive pulmonary disease (COPD). The aim of the study was to explore potential ethnic differences in persistence with LABD in COPD patients. METHODS: A cohort of COPD patients diagnosed in 2003-2007 in Copenhagen, Denmark, was followed for 2 years in the Danish national registers. According to the number of the LABD medications dispensed, individuals were categorized into three therapy groups: monotherapy, drug combination therapy, and multiple drug therapy...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28405962/discrimination-fully-mediates-the-effects-of-incarceration-history-on-depressive-symptoms-and-psychological-distress-among-african-american-men
#8
Shervin Assari, Reuben Jonathan Miller, Robert Joseph Taylor, Dawne Mouzon, Verna Keith, Linda M Chatters
AIM: Using a nationally representative sample of African American men, this study investigated the associations between lifetime history of incarceration, discrimination, and mental health (e.g., depressive symptoms and psychological distress). We hypothesized that discrimination would fully mediate the association between incarceration history and mental health outcomes among African American men. METHODS: Using a cross-sectional design, our analysis included 1271 African American men who participated in the National Survey of American Life (NSAL), 2001-2003...
April 12, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28389906/racial-disparities-in-concussion-knowledge-and-symptom-recognition-in-american-adolescent-athletes
#9
Jessica Wallace, Tracey Covassin, Ryan Moran
BACKGROUND: The purpose of this study was to identify if knowledge of concussion differences exists between communities that service underserved, African-American athletes compared to white athletes, and to explore differences in concussion knowledge between African-American and white athletes with and without access to an athletic trainer. METHODS: Five hundred seventy-seven adolescent athletes ranging in age from 13 to 18 from 14 schools in the USA completed a one-time pencil and paper survey instrument...
April 7, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28374335/preventive-health-behaviors-among-low-income-african-american-and-hispanic-populations-can-colonoscopy-screening-serve-as-a-teachable-moment
#10
Pathu Sriphanlop, Lina Jandorf, Hayley Thompson, Heiddis Valdimarsdottir, William Redd, Rachel C Shelton
INTRODUCTION: Teachable moments (TMs) are situations with potential for promoting health behavior change. Little is known as to whether colonoscopy screening itself may serve as a TM, particularly among low-income or minority populations. Research in this area is needed to inform efforts to address the disproportionate burden of colorectal cancer (CRC) experienced by minorities. AIMS: This study aims to describe attitudes related to physical activity (PA) and healthy eating among a low-income Hispanic and African American sample, assess whether colonoscopy completion may encourage changes in dietary behavior or PA, and determine the type of interventions minority participants would prefer to promote preventive behaviors...
April 3, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28364374/improving-urban-minority-girls-health-via-community-summer-programming
#11
Amy M Bohnert, Carolyn R Bates, Amy M Heard, Kimberly A Burdette, Amanda K Ward, Rebecca L Silton, Lara R Dugas
Summertime has emerged as a high-risk period for weight gain among low-income minority youth who often experience a lack of resources when not attending school. Structured programming may be an effective means of reducing risk for obesity by improving obesogenic behaviors among these youth. The current multi-method study examined sedentary time, physical activity, and dietary intake among low-income urban minority girls in two contexts: an unstructured summertime setting and in the context of a structured 4-week community-based summer day camp program promoting physical activity...
March 31, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28364373/longitudinal-changes-and-high-risk-subgroups-for-obesity-and-overweight-obesity-among-refugees-in-buffalo-ny-2004-2014
#12
Wudeneh Mulugeta, Myron Glick, Jungwon Min, Hong Xue, Michael F Noe, Youfa Wang
INTRODUCTION: Very few studies have been conducted on non-communicable diseases among resettled refugees. The purpose of the study was to examine longitudinal changes in obesity and overweight/obesity rates among resettled refugees and identify high-risk subgroups. METHODS: Longitudinal health assessment data of 818 children (2-18 years) and 1055 adults (≥19 years) were used from a refugee clinic in Buffalo, NY, during 2004-2014. Univariate and bivariate analyses were performed...
March 31, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28364372/the-latino-physician-shortage-how-the-affordable-care-act-increases-the-value-of-latino-spanish-speaking-physicians-and-what-efforts-can-increase-their-supply
#13
David A Daar, Miguel Alvarez-Estrada, Abigail E Alpert
The United States Latino population is growing at a rapid pace and is set to reach nearly 30% by 2050. The demand for culturally and linguistically competent health care is increasing in lockstep with this growth; however, the supply of doctors with skills and experience suited for this care is lagging. In particular, there is a major shortage of Latino Spanish-speaking physicians, and the gap between demand and supply is widening. The implementation of the Affordable Care Act (ACA) has increased the capacity of the US healthcare system to care for the growing Latino Spanish-speaking population, through health insurance exchanges, increased funding for safety net institutions, and efforts to improve efficiency and coordination of care, particularly with Accountable Care Organizations and the Hospital Readmissions Reduction Program...
March 31, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28364371/overcoming-challenges-in-recruitment-of-south-asians-for-health-disparities-research-in-the-usa
#14
Arnab Mukherjea, Susan L Ivey, Salma Shariff-Marco, Nilesh Kapoor, Laura Allen
South Asians-individuals with origins in the countries of Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, Sri Lanka, and other regions of the subcontinent-are an understudied and at-risk racial/ethnic minority population for disproportionate burden of preventable diseases in the USA. Notwithstanding lack of research disaggregating Asian American subgroups, a key factor in this paucity of data is the lack of participation and engagement of community members in studies which examine distribution and determinants of adverse health outcomes...
March 31, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28342029/self-awareness-and-cultural-identity-as-an-effort-to-reduce-bias-in-medicine
#15
Augustus A White, Heather J Logghe, Dan A Goodenough, Linda L Barnes, Anne Hallward, Irving M Allen, David W Green, Edward Krupat, Roxana Llerena-Quinn
In response to persistently documented health disparities based on race and other demographic factors, medical schools have implemented "cultural competency" coursework. While many of these courses have focused on strategies for treating patients of different cultural backgrounds, very few have addressed the impact of the physician's own cultural background and offered methods to overcome his or her own unconscious biases. In hopes of training physicians to contextualize the impact of their own cultural background on their ability to provide optimal patient care, the authors created a 14-session course on culture, self-reflection, and medicine...
March 24, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28342028/disparities-in-knee-and-hip-arthroplasty-outcomes-an-observational-analysis-of-the-acs-nsqip-clinical-registry
#16
Peter Cram, Gillian Hawker, John Matelski, Bheeshma Ravi, Andrew Pugely, Rajiv Gandhi, Timothy Jackson
BACKGROUND: Disparities in total joint arthroplasty (TJA) have largely been studied in single center studies and using administrative data. Our objective was to investigate differences in TJA outcomes in white men, black men, white women, and black women using a large international registry. METHODS: We used 2010-2013 data from the ACS-NSQIP to identify four groups of adults (white men, black men, white women, black women) who underwent primary total knee arthroplasty (TKA) or total hip arthroplasty (THA)...
March 24, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28332090/disparities-in-the-clinical-evolution-of-anal-neoplasia-in-an-hiv-infected-cohort
#17
Edward R Cachay, Wollelaw Agmas, Wm Christopher Mathews
BACKGROUND: A recent meta-analysis suggested that anal intraepithelial neoplasia and invasive anal cancer are more prevalent among black men having sex with men (MSM). METHODS: We conducted a retrospective cohort of HIV-infected adult patients under care between 2001 and 2012. Disparities in clinical evolution of anal intraepithelial neoplasia to high-grade squamous intraepithelial lesion (HSIL) and invasive anal cancer were evaluated in a three-state Markov model adjusted for cytology misclassification...
March 23, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28284019/perspectives-on-hypertension-in-the-new-england-cape-verdean-community
#18
Samantha DeAndrade, Fadya El Rayess, Roberta Goldman
This study characterizes patient understanding of hypertension and its management in a Cape Verdean immigrant community. We conducted 20 semi-structured interviews with Cape Verdean Creole-speaking adults about their beliefs and behaviors regarding hypertension. Fourteen women and six men ages 35-87 were interviewed. The majority of the participants believed hypertension is symptomatic, with headache being the most common symptom. Many reported taking anti-hypertensive medication, though some took medication only when they felt symptoms...
March 10, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28281179/dietary-patterns-among-overweight-and-obese-african-american-women-living-in-the-rural-south
#19
Samara Sterling, Suzanne Judd, Brenda Bertrand, Tiffany L Carson, Paula Chandler-Laney, Monica L Baskin
INTRODUCTION: Obesity and chronic diseases disproportionately affect African-American women in the rural South (US) and may be influenced by adherence to a typical Southern-style diet. There is a need to examine dietary patterns of this population and to determine if consumption of nutritionally rich foods like nuts is associated with consumption of other nutritious foods. The objectives of this study were to identify (1) dietary patterns of overweight/obese African-American women in the rural South; (2) the role that nuts play in the diet; (3) and adherence to federal food group recommendations across dietary patterns...
March 9, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28281178/comorbid-diabetes-and-depression-in-african-americans-implications-for-the-health-care-provider
#20
Diane Orr Chlebowy, Mary-Beth Coty, Liyan Fu, Vicki Hines-Martin
Health care providers (HCPs) face many obstacles as they undertake efforts to meet the challenges of caring for African American patients with comorbid diabetes and depression. This review article discusses the incidence of comorbid diabetes and depression in African Americans, cultural factors affecting diabetes self-management, and clinical practice implications for the HCP. The role of patient-centered care, engagement, and best-practice strategies are discussed to provide the HCP with guidelines regarding the minimal standards that support improved health care outcomes for African Americans with comorbid diabetes and depression...
March 9, 2017: Journal of Racial and Ethnic Health Disparities
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