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https://www.readbyqxmd.com/read/27888035/racial-differences-in-food-allergy-phenotype-and-health-care-utilization-among-us-children
#1
Mahboobeh Mahdavinia, Susan R Fox, Bridget M Smith, Christine James, Erica L Palmisano, Aisha Mohamed, Zeeshan Zahid, Amal H Assa'ad, Mary C Tobin, Ruchi S Gupta
BACKGROUND: Food allergy (FA) is a prevalent condition in the United States, but little is known about its phenotypes in racial minority groups. OBJECTIVE: The objective of this study was to characterize disease phenotypes and disparities in health care utilization among African American (AA), Hispanic, and white children with FA. METHODS: We conducted a large, 2-center, retrospective cohort study of children aged 0-17 years with FA seen in allergy/immunology clinics at 2 urban tertiary care centers in the United States...
November 22, 2016: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/27763997/closing-the-gap-in-antiretroviral-initiation-and-viral-suppression-time-trends-and-racial-disparities
#2
Charles F Haines, John A Fleishman, Baligh R Yehia, Bryan Lau, Stephen A Berry, Allison L Agwu, Richard D Moore, Kelly A Gebo
BACKGROUND: In the current antiretroviral (ART) era, the evolution of HIV guidelines and emergence of new ART agents might be expected to impact the times to ART initiation and HIV virologic suppression. We sought to determine if times to AI and virologic suppression decreased and if disparities exist by age, race/ethnicity, and HIV risk. METHODS: We performed a retrospective cohort study of data from 12 sites of the HIV Research Network, a consortium of US clinics caring for HIV-infected patients...
November 1, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27760278/hazard-characteristics-and-patterns-of-environmental-injustice-household-level-determinants-of-environmental-risk-in-miami-florida
#3
Sara E Grineski, Timothy W Collins, Jayajit Chakraborty, Marilyn Montgomery
Limited systematic comparative knowledge exists about patterns of environmental injustices in exposure to varied natural and technological hazards. To address this gap, we examine how hazard characteristics (i.e., punctuated event/suddenness of onset, frequency/magnitude, and divisibility) influence relationships between race/ethnicity, nativity, socioeconomic status (SES), older age, housing tenure, and residential hazard exposure. Sociodemographic data come from a random sample survey of 602 residents of the tricounty Miami Metropolitan Statistical Area (Florida)...
October 19, 2016: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/27754449/racial-ethnic-differences-in-electronic-cigarette-use-and-reasons-for-use-among-current-and-former-smokers-findings-from-a-community-based-sample
#4
Monica Webb Hooper, Stephanie K Kolar
The prevalence of e-cigarette use is increasing, yet few studies have focused on its use in racial/ethnic minority populations. We examined associations between race/ethnicity and e-cigarette use, plans to continue using e-cigarettes, and reasons for use among current/former smokers. Participants (285 in total; 29% non-Hispanic White, 42% African American/Black, and 29% Hispanic) were recruited between June and November 2014. Telephone-administered surveys assessed demographics, cigarette smoking, e-cigarette use, plans to continue using, and reasons for use...
October 14, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27557947/medical-encounters-for-opioid-related-intoxications-in-southern-nevada-sociodemographic-and-clinical-correlates
#5
Jing Feng, Joseph P Iser, Wei Yang
BACKGROUND: Despite today's heightened concern over opioid overdose, the lack of population-based data examining clinical and contextual factors associated with opioid use represents a knowledge gap with relevance to prevention and treatment interventions. We sought to quantify rates of emergency department (ED) visits and inpatient hospitalizations for harmful opioid effects and their sociodemographic differentials as well as clinical correlates in Southern Nevada, using ED visit and hospital inpatient discharge records from 2011 to 2013...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27520100/racial-and-ethnic-disparities-in-mental-health-care-for-children-and-young-adults-a-national-study
#6
Lyndonna Marrast, David U Himmelstein, Steffie Woolhandler
Psychiatric and behavior problems are common among children and young adults, and many go without care or only receive treatment in carceral settings. We examined racial and ethnic disparities in children's and young adults' receipt of mental health and substance abuse care using nationally representative data from the 2006-2012 Medical Expenditure Panel Surveys. Blacks' and Hispanics' visit rates (and per capita expenditures) were about half those of non-Hispanic whites for all types and definitions of outpatient mental health services...
October 2016: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27501459/racial-ethnic-disparities-in-opioid-prescriptions-at-emergency-department-visits-for-conditions-commonly-associated-with-prescription-drug-abuse
#7
Astha Singhal, Yu-Yu Tien, Renee Y Hsia
Prescription drug abuse is a growing problem nationally. In an effort to curb this problem, emergency physicians might rely on subjective cues such as race-ethnicity, often unknowingly, when prescribing opioids for pain-related complaints, especially for conditions that are often associated with drug-seeking behavior. Previous studies that examined racial-ethnic disparities in opioid dispensing at emergency departments (EDs) did not differentiate between prescriptions at discharge and drug administration in the ED...
2016: PloS One
https://www.readbyqxmd.com/read/27478680/racial-disparity-in-stroke-awareness-in-the-us-an-analysis-of-the-2014-national-health-interview-survey
#8
Nwakile Ojike, Joe Ravenell, Azizi Seixas, Alina Masters-Israilov, April Rogers, Girardin Jean-Louis, Gbenga Ogedegbe, Samy I McFarlane
BACKGROUND/AIMS: Stroke is a leading cause of premature death and disability, and increasing the proportion of individuals who are aware of stroke symptoms is a target objective of the Healthy people 2020 project. METHODS: We used data from the 2014 Supplement of the National Health Interview Survey (NHIS) to assess the prevalence of stroke symptom knowledge and awareness. We also tested, using a logistic regression model, the hypothesis that individuals who have knowledge of all 5 stroke symptoms will be have a greater likelihood to activate Emergency Medical Services (EMS) if a stroke is suspected...
April 2016: Journal of Neurology & Neurophysiology
https://www.readbyqxmd.com/read/27436418/presentation-to-emergency-departments-for-acute-rhinosinusitis-disparities-in-symptoms-by-race-and-insurance-status
#9
Regan W Bergmark, Ahmad R Sedaghat
OBJECTIVE: Medicaid and self-pay insurance statuses and race are associated with emergency department (ED) presentation for uncomplicated acute rhinosinusitis (ARS). We investigated whether ARS symptomatology could explain this disproportionate ED use. STUDY DESIGN: 2006-2010 National Hospital Ambulatory Medical Care Surveys. SETTING: EDs in the United States. SUBJECTS AND METHODS: The data comprise 1,632,826 adult visits for uncomplicated ARS at hospital EDs...
July 19, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27422845/does-receiving-care-in-a-medical-home-reduce-racial-ethnic-disparities-in-ed-visits-among-children-with-asthma-in-the-united-states
#10
Susan X Lin, Richard G Younge, Lawrence C Kleinman
Evidence has shown the implementation of medical home model improves care quality and outcomes. However, it is not clear whether receiving care from a medical home has any impact on racial/ethnic disparities in emergency department (ED) use by children with asthma. This study using the US National Survey of Children with Special Health Care Needs, 2009-2010, estimated racial/ethnic disparities in ED use. Generalized liner models were used to examine factors associated with ED use. Racial/ethnic differences in ED use were attenuated after adjusting for socio-economic variables...
July 14, 2016: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/27412141/racial-ethnic-disparities-in-acute-blood-pressure-after-intracerebral-hemorrhage
#11
Sebastian Koch, Mitchell S V Elkind, Fernando D Testai, W Mark Brown, Sharyl Martini, Kevin N Sheth, Ji Y Chong, Jennifer Osborne, Charles J Moomaw, Carl D Langefeld, Ralph L Sacco, Daniel Woo
OBJECTIVE: To assess race-ethnic differences in acute blood pressure (BP) following intracerebral hemorrhage (ICH) and the contribution to disparities in ICH outcome. METHODS: BPs in the field (emergency medical services [EMS]), emergency department (ED), and at 24 hours were compared and adjusted for group differences between non-Hispanic black (black), non-Hispanic white (white), and Hispanic participants in the Ethnic Racial Variations of Intracerebral Hemorrhage case-control study...
August 23, 2016: Neurology
https://www.readbyqxmd.com/read/27383777/enhancing-student-nurse-learning-through-participation-in-a-community-based-educational-program-for-children-and-families
#12
Maria Krol, Cheryl Resha, Mary Ann Glendon
Health disparities, especially among minorities, persist; obesity is a national concern; and the combined effect can be significant for families and populations. In an effort to address obesity at an early age, the National Association of Hispanic Nurses (NAHN), developed the Muevete USA™ project. Muevete USA™ (from the Spanish verb for "to move") features five lesson plans on healthy lifestyles for children and their families. This article describes Muevete USA™, the partnership with a local school of nursing, the implementation of the program at the local level and the emerging program and student outcomes of a successful partnership...
July 2016: Journal of Community Health Nursing
https://www.readbyqxmd.com/read/27379446/racial-and-ethnic-minorities-with-inflammatory-bowel-disease-in-the-united-states-a-systematic-review-of-disease-characteristics-and-differences
#13
Anita Afzali, Raymond K Cross
BACKGROUND: Inflammatory bowel disease (IBD) has predominantly affected whites, particularly Ashkenazi Jews. Over the last 2 decades, IBD has "emerged" in minorities. Differences in natural history and disease characteristics have been suggested. The objective of this systematic review is to summarize these differences in studies from the United States. METHODS: A structured search was performed within the Medline database through PubMed, EMBASE, and Cochrane databases...
August 2016: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/27350450/understanding-the-supportive-care-needs-of-hispanic-men-cancer-survivors
#14
Dinorah Dina Martinez Tyson, Coralia Vázquez-Otero, Patricia Medina-Ramirez, Nora B Arriola, Susan C McMillan, Clement K Gwede
OBJECTIVE: To date, there is a paucity of research and information on Hispanic men cancer survivors (HMCS), who comprise part of the largest and fastest growing racial/ethnic minority group in the country. The purpose of this paper is to provide a deeper understanding of the supportive care needs of HMCS. DESIGN: Three focus groups with a community sample of HMCS (n = 18) and interviews with providers (n = 5) were conducted to explore the supportive care needs of Hispanic men who had been diagnosed with cancer within the last five years...
February 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/27343060/a-qualitative-analysis-to-optimize-a-telemonitoring-intervention-for-heart-failure-patients-from-disparity-communities
#15
R Pekmezaris, R M Schwartz, T N Taylor, P DiMarzio, C N Nouryan, L Murray, G McKenzie, D Ahern, S Castillo, K Pecinka, L Bauer, T Orona, A N Makaryus
BACKGROUND: The use of telemonitoring is a promising approach to optimizing outcomes in the treatment of heart failure (HF) for patients living in the community. HF telemonitoring interventions, however, have not been tested for use with individuals residing in disparity communities. METHODS: The current study describes the results of a community based participatory research approach to adapting a telemonitoring HF intervention so that it is acceptable and feasible for use with a lower-income, Black and Hispanic patient population...
June 24, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27327801/dietary-intake-among-us-adults-1999-2012
#16
Colin D Rehm, José L Peñalvo, Ashkan Afshin, Dariush Mozaffarian
IMPORTANCE: Most studies of US dietary trends have evaluated major macronutrients or only a few dietary factors. Understanding trends in summary measures of diet quality for multiple individual foods and nutrients, and the corresponding disparities among population subgroups, is crucial to identify challenges and opportunities to improve dietary intake for all US adults. OBJECTIVE: To characterize trends in overall diet quality and multiple dietary components related to major diseases among US adults, including by age, sex, race/ethnicity, education, and income...
June 21, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27315021/designing-a-sexual-network-study-of-men-who-have-sex-with-other-men-exploring-racial-and-ethnic-preferences-in-study-design-and-methods
#17
Katie B Biello, Jowanna Malone, Kenneth H Mayer, Angela Robertson Bazzi, Matthew J Mimiaga
Black and Latino gay, bisexual, and other men who have sex with men (MSM) have higher rates of HIV and other sexually transmitted infections (STIs) than their White counterparts. Differences in sexual networks have been hypothesized to play an important role in the observed racial/ethnic disparities in risk. However, concerns about the acceptability and feasibility of conducting sociocentric sexual network studies have left a dearth of data on the structure of sexual networks of MSM. If certain network research procedures are unacceptable among target populations, biases may be introduced...
June 17, 2016: AIDS Care
https://www.readbyqxmd.com/read/27271075/health-care-access-utilization-and-management-in-adult-chinese-koreans-and-vietnamese-with-cardiovascular-disease-and-hypertension
#18
Hoang Tran, Van Do, Lorena Baccaglini
BACKGROUND: Asians are often pooled together when evaluating disparities in health care indicators (access, utilization, and management), though substantial variation may exist across different Asian ethnicities. OBJECTIVE: The aim of this study was to compare health care indicators among Chinese, Korean, Vietnamese, and non-Hispanic white (NHW) adults with cardiovascular disease and hypertension (CVD/HTN). METHODS: We analyzed health care indicators using multivariable logistic regression in a sample of Asians and NHWs with CVD/HTN from the 2011-2012 California Health Interview Survey (CHIS)...
June 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27057847/patient-ethnicity-affects-triage-assessments-and-patient-prioritization-in-u-s-department-of-veterans-affairs-emergency-departments
#19
Jacob M Vigil, Patrick Coulombe, Joe Alcock, Eric Kruger, Sarah S Stith, Chance Strenth, Mark Parshall, Sara B Cichowski
Ethnic minority patients receive lower priority triage assignments in Veteran's Affairs (VA) emergency departments (EDs) compared to White patients, but it is currently unknown whether this disparity arises from generalized biases across the triage assessment process or from differences in how objective and/or subjective institution-level or person-level information is incorporated into the triage assessment process, thus contributing to disparate treatment.The VA database of electronic medical records of patients who presented to the VA ED from 2008 to 2012 was used to measure patient ethnicity, self-reported pain intensity (PI) levels, heart rate (HR), respiratory rate (RR), and nurse-provided triage assignment, the Emergency Severity Index (ESI) score...
April 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27031004/language-matters-race-trust-and-outcomes-in-the-pediatric-emergency-department
#20
Arielle Fields, Manjusha Abraham, John Gaughan, Christopher Haines, K Sarah Hoehn
OBJECTIVE: Trust in physicians and health care system has been positively associated with health care outcomes. The purpose of this study is to explore the relationships among race, ethnicity, language, trust, and health care outcomes. METHODS: This prospective cross-sectional study took place in the pediatric emergency department of an intercity hospital. English- and Spanish-speaking guardians were asked to complete a demographic survey, the Pediatric Trust in Physicians Scale, and the Group-Based Medical Mistrust Scale...
April 2016: Pediatric Emergency Care
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