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Journal of Racial and Ethnic Health Disparities

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https://www.readbyqxmd.com/read/28078660/racial-ethnic-disparities-in-diabetes-quality-of-care-the-role-of-healthcare-access-and-socioeconomic-status
#1
Juan R Canedo, Stephania T Miller, David Schlundt, Mary K Fadden, Maureen Sanderson
INTRODUCTION: Blacks, Hispanics, and Asians are disproportionately affected by diabetes. We assessed the state of racial/ethnic disparities in diabetes quality of care in the USA. METHODS: We analyzed cross-sectional data of adults diagnosed with Type 2 diabetes in the nationally representative 2013 Medical Expenditure Panel Survey. Differences in adherence to five diabetes quality of care recommendations (HbA1c twice yearly, yearly foot exam, dilated eye exam, blood cholesterol test, and flu vaccination) were examined by race/ethnicity while controlling for three social determinants of health (health insurance status, poverty, and education) and other demographic variables...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28078659/summer-research-training-provides-effective-tools-for-underrepresented-minorities-to-obtain-doctoral-level-degrees
#2
Oluwatoyin A Asojo, Ashish Damania, Teri L Turner, Gayle Slaughter, Kendal D Hirschi
The ethnic, racial, and cultural diversity of the USA is not reflected in its healthcare and biomedical workforce. Undergraduate research programs are used to encourage underrepresented minorities to pursue training for biomedical careers, but there is limited published data on doctoral degree completion rates by participants in these programs. This study evaluates the attainment of doctoral degrees by a NIH-funded cohort of undergraduates from the 1998-2002 Baylor College of Medicine's Summer Medical Research Training (SMART) program...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28078658/the-past-does-matter-a-nursing-perspective-on-post-traumatic-slave-syndrome-ptss
#3
Ejim Sule, Ryan M Sutton, Debbie Jones, Ramel Moore, Imaculata Igbo, Lovell A Jones
Few have reviewed the impact of post traumatic slave syndrome (PTSS) on the issues of inequities, especially as it pertains to mental and physical health. Furthermore, the impact of PTSS on the social determinants of health is an area that has been researched by few investigators. The possibilities that the impact of slavery and/or major stress events in the life of a population can become trans-generational are lost to history. Think about what is taking place in cities around the country and then think about racist socialization (internalized racism) and its impact on our society...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28078657/racial-and-ethnic-differences-in-dietary-intake-physical-activity-and-body-mass-index-bmi-among-cancer-survivors-2005-and-2010-national-health-interview-surveys-nhis
#4
Doratha A Byrd, Tanya Agurs-Collins, David Berrigan, Richard Lee, Frances E Thompson
INTRODUCTION: This paper reports racial/ethnic differences in mean dietary and alcohol intake, physical activity, and body mass index (BMI) among cancer survivors and examines adherence to the American Cancer Society and the US Dietary Guidelines for Americans. METHODS: Data are from the cross-sectional 2005 and 2010 National Health Interview Surveys (NHIS). The total sample of cancer survivors (N = 3367) included non-Hispanic Whites (NHW; N = 2698), non-Hispanic Blacks (NHBs; N = 379), and Hispanics (N = 290)...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28039604/socioeconomic-and-racial-disparities-a-case-control-study-of-patients-receiving-transcatheter-aortic-valve-replacement-for-severe-aortic-stenosis
#5
Anna Sleder, Shiloh Tackett, Matthew Cerasale, Chetan Mittal, Iyad Isseh, Ryhm Radjef, Andrew Taylor, Rashad Farha, Oleksandra Lupak, Dana Larkin, Lois Lamerato, George Divine, Kimberlydawn Wisdom, Kimberly Baker-Genaw, William O'Neill
BACKGROUND: We sought to quantify socioeconomic disparities in patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) at an urban, tertiary referral center. METHODS: This retrospective case-control study identified 67 patients with severe AS (aortic valve [AV] area ≤1 cm(2) or AV area index ≤0.60 cm(2)/m(2) or AV velocity ≥40 mmHg) who underwent TAVR from November 5, 2013 to June 10, 2014. Study subjects were matched to controls with severe AS without TAVR in a 4:1 age-frequency match...
December 30, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28039603/place-matters-in-non-traditional-migration-areas-exploring-barriers-to-healthcare-for-latino-immigrants-by-region-neighborhood-and-community-health-center
#6
Michael Topmiller, Jenny Zhen-Duan, Farrah J Jacquez, Lisa M Vaughn
This paper identifies differences in adult Latino immigrant barriers to healthcare in the Cincinnati area in Hamilton County, OH, on three levels: by region, by neighborhood, and by community health center. Secondary data analysis was performed on 439 surveys. Respondents were aggregated by the geographic regions and neighborhoods where they live and by two community health centers where they receive care. Outcome measures included pragmatic and skill barrier indices adapted from the Barriers to Care Questionnaire (BCQ); the pragmatics index consists logistical barriers, including transportation and cost; the skills index is made up of items related to navigating the healthcare system, including communicating with physicians and completing paperwork...
December 30, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28039602/residential-segregation-and-racial-cancer-disparities-a-systematic-review
#7
Hope Landrine, Irma Corral, Joseph G L Lee, Jimmy T Efird, Marla B Hall, Jukelia J Bess
BACKGROUND: This paper provides the first review of empirical studies of segregation and black-white cancer disparities. METHODS: We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second terms) cancer incidence, mortality, survival, stage at diagnosis, screening. The 17 (of 668) articles that measured both segregation and a cancer outcome were retained...
December 30, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28004356/risk-of-recurrence-and-mortality-in-a-multi-ethnic-breast-cancer-population
#8
Geoffrey C Kabat, Mindy Ginsberg, Joseph A Sparano, Thomas E Rohan
BACKGROUND: Compared to non-Hispanic whites, African-American women tend to be diagnosed with breast cancer at an earlier age, to have less favorable tumor characteristics, and to have poorer outcomes from breast cancer. The extent to which differences in clinical characteristics account for the black/white disparity in breast cancer mortality is unclear. The purpose of this investigation was to examine the association of clinical, demographic, and treatment variables with total mortality and breast cancer recurrence by race/ethnicity in a cohort of women diagnosed with invasive breast cancer...
December 21, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28004355/research-professionals-perspectives-barriers-and-recommendations-regarding-minority-participation-in-clinical-trials
#9
Anita Kurt, Lauren Semler, Matthew Meyers, Bernadette G Porter, Jeanne L Jacoby, Brian Stello
OBJECTIVE: This study aims to investigate research professionals' perspectives regarding minority participation in clinical trials. METHODS: A web-based survey of research professionals at US institutions receiving NIH and/or AHRQ funding to conduct clinical research in 2013. Descriptive statistics, mean, standard deviation (SD), and the Wilcoxon rank-sum test were utilized for analysis. RESULTS: Distributed were 13,041 surveys with 967 (7...
December 21, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27981501/theoretical-implications-of-gender-power-and-sexual-scripts-for-hiv-prevention-programs-aimed-at-young-substance-using-african-american-women
#10
Mandy Hill, Misha Granado, Angela Stotts
HIV continues to be a major public health problem for African-American (AA) women, and the burden of new cases to our society is significant because each case is at risk of infecting others. Substance use worsens the risk of HIV transmission to AA women. We provide specific recommendations to move the concept of tailoring HIV prevention interventions for substance users forward by focusing on young, sexually active, substance-using AA women and applying a culturally relevant revision to existing theoretical frameworks to include the Sexual Script Theory and the Theory of Gender and Power...
December 15, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27981500/ethnic-inequalities-in-copd-outcomes-a-register-based-study-in-copenhagen-denmark
#11
Yusun Hu, Lourdes Cantarero-Arévalo, Anne Frølich, Ramune Jacobsen
The aim of this study was to investigate the differences in age at diagnosis and survival time after diagnosis between Chronic Obstructive Pulmonary Disease (COPD) patients with native Danish and other ethnic backgrounds. Individuals diagnosed with COPD in a hospital setting in Copenhagen in the period 2003-2007 were identified from annual hospital contact records. The cohort was restricted to COPD patients older than 35 years old at diagnosis. Follow-up was available until the end of 2010. ANOVA was conducted to test if mean age at diagnosis differed between the patient groups with different ethnicity...
December 15, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27928772/barriers-and-facilitators-to-healthy-lifestyle-changes-in-minority-ethnic-populations-in-the-uk-a-narrative-review
#12
Naina Patel, Harriet Batista Ferrer, Freya Tyrer, Paula Wray, Azhar Farooqi, Melanie J Davies, Kamlesh Khunti
Minority ethnic populations experience a disproportionate burden of health inequalities compared with the rest of the population, including an increased risk of type 2 diabetes (T2DM). The purpose of this narrative review was to explore knowledge and attitudes around diabetes, physical activity and diet and identify barriers and facilitators to healthy lifestyle changes in minority ethnic populations in the UK. The narrative review focused on three key research topics in relation to barriers and facilitators to healthy lifestyle changes in minority adult ethnic populations: (i) knowledge and attitudes about diabetes risk; (ii) current behaviours and knowledge about physical activity and diet; and (iii) barriers and facilitators to living a healthier lifestyle...
December 7, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27928771/healthcare-providers-formative-experiences-with-race-and-black-male-patients-in-urban-hospital-environments
#13
Marie V Plaisime, David J Malebranche, Andrea L Davis, Jennifer A Taylor
OBJECTIVE: We explored health providers' formative personal and professional experiences with race and Black men as a way to assess their potential influence on interactions with Black male patients. METHODS: Utilizing convenience sampling with snowballing techniques, we identified healthcare providers in two urban university hospitals. We compared Black and White providers' experiences based on race and level of training. We used the Gardener's Tale to conceptualize how racism may lead to racial health disparities...
December 7, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27928770/an-examination-of-the-sociodemographic-and-health-determinants-of-major-depressive-disorder-among-black-women
#14
Ndidiamaka N Amutah-Onukagha, Lauren A Doamekpor, Michelle Gardner
OBJECTIVES: Black women disproportionately share the distribution of risk factors for physical and mental illnesses. The goal of this study was to examine the sociodemographic and health correlates of major depressive disorder (MDD) symptoms among black women. METHODS: Pooled data from the 2005-2010 National Health and Nutrition Examination Survey (NHANES) were used to assess the sociodemographic and health correlates of MDD symptoms among black women (n = 227)...
December 7, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27928769/racial-ethnic-disparities-in-uptake-of-new-hepatitis-c-drugs-in-medicare
#15
Jeah Jung, Roger Feldman
BACKGROUND: Chronic hepatitis C is an important public health concern. Recently launched drugs to treat hepatitis C virus (HCV) infection are effective but costly. Uptake of innovative and expensive prescription drugs may not be even across patient groups. We examined racial-ethnic disparities in uptake of new HCV drugs in the first year of their use (year 2014) in Medicare. METHODS: The study population was Medicare beneficiaries who had chronic hepatitis C in 2013 or 2014 and who were continuously enrolled in Part D stand-alone Prescription Drug Plans in 2014...
December 7, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27924623/does-inflammation-mediate-relationships-between-racial-identity-and-onset-of-menopause-among-us-adults
#16
Alexandra C H Nowakowski, Katelyn Y Graves
We assess how well differences in ethnoracial background may predict timing of menopause among females in the USA and whether or not inflammatory biomarker levels appear to mediate these overall associations. We use data from the National Social Life, Health, and Aging Project (NSHAP) to model apparent net effects from race on menopausal onset, as well as possible mediating influences from the inflammatory biomarker C-reactive protein (CRP). Using continuous time event history analysis, we assess and frame overall relationships between race and menopausal age...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27924622/racial-and-ethnic-disparities-in-preventable-hospitalizations-for-chronic-disease-prevalence-and-risk-factors
#17
Riddhi P Doshi, Robert H Aseltine, Alyse B Sabina, Garth N Graham
BACKGROUND: Hospitalizations due to ambulatory care sensitive conditions (ACSCs) result in high morbidity and economic burden on the American healthcare system. Admissions due to chronic ACSCs, in particular, cost the American healthcare system over 30 billion dollars annually. OBJECTIVES AND METHODS: This paper presents the current research on racial and ethnic disparities in the burden of hospitalizations due to chronic ACSCs. For this narrative review, we evaluated over 800 abstracts from MEDLINE and Google Scholar and cited 62 articles...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27924621/change-in-risk-perceptions-and-marijuana-and-cigarette-use-among-african-american-young-adult-females-in-an-hiv-prevention-intervention
#18
Sarah J Javier, Jasmine A Abrams, Melanie P Moore, Faye Z Belgrave
Cigarette smoking and marijuana use have been tied to increased risky sexual behaviors, which may exacerbate risk of HIV transmission and other STIs (sexually transmitted infections). Research suggests that change in general perceptions of risk is associated with change in non-domain-targeted behaviors. The goal of the current study was to determine whether change in general risk perceptions among African American college females enrolled in a culturally-tailored HIV prevention intervention would be associated with decreased cigarette and marijuana use over time...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27924620/the-frequency-of-ptsd-and-subthreshold-ptsd-among-african-american-women-with-depressive-symptoms-in-a-disadvantaged-urban-neighborhood-pilot-study
#19
Sunghyun Hong, Inger Burnett-Zeigler
Racial/ethnic minority women in a disadvantaged urban neighborhood may experience a high rate of post-traumatic stress disorder (PTSD) and depression. This brief report examined the frequency of a PTSD diagnosis and subthreshold PTSD among 72 female participants with depressive symptoms in a mindfulness-based intervention for depression at an urban federally qualified health center (FQHC). The MINI International Neuropsychiatric Interview was used to assess PTSD diagnosis or subthreshold PTSD, and the Inventory of Depressive Symptomatology-Self-Report (IDS-SR) was used to assess depressive symptoms...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27924619/racial-disparities-in-heart-disease-mortality-in-the-50-largest-u-s-cities
#20
Maureen R Benjamins, Jana L Hirschtick, Bijou R Hunt, Michelle M Hughes, Brittany Hunter
Heart disease is not only the leading cause of death in the U.S. but also the main contributor to racial disparities in life expectancy. Despite this, heart disease mortality rates and racial disparities in these rates are not readily available at the city level where they can be the most quickly and effectively addressed. We calculated age-adjusted heart disease mortality rates and corresponding racial rate ratios (RRs) and rate differences (RDs) for the non-Hispanic Black (Black) and non-Hispanic White (White) populations for the years 1990-1994 and 2005-2009 for the U...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
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