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https://www.readbyqxmd.com/read/29124684/racial-ethnic-disparities-a-longitudinal-study-of-growth-trajectories-among-us-kindergarten-children
#1
Inyang A Isong, Tracy Richmond, Mauricio Avendaño, Ichiro Kawachi
BACKGROUND/OBJECTIVES: While previous studies have documented racial/ethnic disparities in childhood obesity, less is known about when disparities emerge, how they evolve, and the most appropriate early childhood period for targeted interventions. We examined racial/ethnic differences in growth trajectories among US kindergarten-aged children followed from birth and identified sensitive periods at which disparities emerge. SUBJECTS AND METHODS: This is a longitudinal study design using Early Childhood Longitudinal Study Birth Cohort data...
November 9, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29098504/examining-hpv-and-hpv-vaccine-related-cognitions-and-acceptability-among-us-born-and-immigrant-hispanics-and-us-born-and-immigrant-non-hispanic-blacks-a-preliminary-catchment-area-study
#2
Kimlin Tam Ashing, Agatha Carrington, Camille Ragin, Veronica Roach
PURPOSE: Disparities in HPV vaccination exist. Therefore, we investigated the distinction and disparities in HPV- and HPV vaccine-related cognitions and acceptability among US-born African Americans (AA) and Black immigrants, and between US-born Latinas and Latina immigrants. METHODS: Secondary data analyses were conducted with 383 female adults divided into non-Hispanic Blacks-(1) AA born in the US (n = 129) and (2) Black immigrants (n = 53), and Hispanics-(3) Latinas born in the US (n = 57) and (4) Latina immigrants (n = 144)...
November 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/29095198/surgeons-perceptions-toward-providing-care-for-diverse-patients-the-need-for-cultural-dexterity-training
#3
Navin R Changoor, Nidhi R Udyavar, Megan A Morris, Maya Torain, John T Mullen, Tara S Kent, Douglas S Smink, Alexander Green, Adil H Haider
OBJECTIVE: We sought to understand the experiences of surgical residents and faculty with treating culturally diverse patients, and identify recommendations for establishing and implementing structured cultural competency training. SUMMARY BACKGROUND DATA: Cultural competency training for medical professionals could reduce healthcare disparities, yet is currently not a standard part of surgical residency training. Few studies have explored the perspectives of surgical residents and faculty on the skills needed to provide cross-cultural care...
October 31, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29088920/-some-men-just-don-t-want-to-get-hurt-perspectives-of-u-s-virgin-islands-men-toward-partner-violence-and-hiv-risks
#4
Kamila A Alexander, Noelle M St Vil, Marilyn A Braithwaite-Hall, Michael Sanchez, Aletha Baumann, Gloria B Callwood, Jacquelyn C Campbell, Doris W Campbell
OBJECTIVES: Global evidence suggests that individuals who experience intimate partner violence (IPV) can have accelerated risk for HIV transmission. The U.S. Virgin Islands (USVI) has high per capita rates of HIV and IPV that can have devastating effects on women's health. Catalysts for these health disparities may be shaped by cultural and social definitions of conventional masculinity. Thus, understanding USVI men's perceptions about HIV risks and IPV are a necessary component of developing strategies to improve women's health...
October 31, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/29066108/the-impact-of-hospital-volume-on-racial-differences-in-complications-readmissions-and-emergency-department-visits-following-total-joint-arthroplasty
#5
Muyibat A Adelani, Matthew R Keller, Robert L Barrack, Margaret A Olsen
BACKGROUND: Minority patients are at higher risk for complications and readmissions after total hip and knee arthroplasty. They are also more likely to undergo joint replacement in lower volume centers, which is associated with poorer outcomes. It is unknown whether these disparities simply reflect disproportionate use of lower volume centers. This study evaluates the impact of hospital volume on racial differences in outcomes following joint replacement. METHODS: Patients who underwent total hip or knee arthroplasty between 2006 and 2013 in New York and Florida were identified through the Healthcare Cost and Utilization Project State Inpatient Databases...
September 25, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29050886/disparities-in-access-to-emergency-general-surgery-care-in-the-united-states
#6
Jasmine A Khubchandani, Connie Shen, Didem Ayturk, Catarina I Kiefe, Heena P Santry
BACKGROUND: As fewer surgeons take emergency general surgery call and hospitals decrease emergency services, a crisis in access looms in the United States. We examined national emergency general surgery capacity and county-level determinants of access to emergency general surgery care with special attention to disparities. METHODS: To identify potential emergency general surgery hospitals, we queried the database of the American Hospital Association for "acute care general hospital," with "surgical services," and "emergency department," and ≥1 "operating room...
October 16, 2017: Surgery
https://www.readbyqxmd.com/read/29021713/epidemiology-of-bronchiolitis-a-description-of-emergency-department-visits-and-hospitalizations-in-puerto-rico-2010-2014
#7
Andrea Rivera-Sepulveda, Enid J Garcia-Rivera
BACKGROUND: Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its temporal trend and geographic distribution in Puerto Rico between 2010 and 2014. METHODS: We performed a retrospective descriptive analysis of a representative sample of privately insured children with bronchiolitis from January 2010 to December 2014...
2017: Tropical Medicine and Health
https://www.readbyqxmd.com/read/29017956/burden-of-pneumonia-associated-hospitalizations-united-states-2001-2014
#8
Brandon H Hayes, Dana L Haberling, Jordan Kennedy, Jay K Varma, Alicia M Fry, Neil M Vora
BACKGROUND: The epidemiology of pneumonia has likely evolved in recent years, reflecting an aging population, changes in population immunity, and socioeconomic disparities. METHODS: Using the National (Nationwide) Inpatient Sample, estimated numbers and rates of pneumonia-associated hospitalizations for 2001-2014 were calculated. A pneumonia-associated hospitalization was defined as one in which the discharge record listed a principal diagnosis of pneumonia or a secondary diagnosis of pneumonia if the principal diagnosis was respiratory failure or sepsis...
October 7, 2017: Chest
https://www.readbyqxmd.com/read/28887193/variability-in-self-rated-health-trajectories-from-adolescence-to-young-adulthood-by-demographic-factors
#9
Rebeccah Sokol, Susan Ennett, Nisha Gottfredson, Carolyn Halpern
Self-rated health (SRH) is a robust measure of general health status and an indicator of where and when to target disease prevention efforts-especially in adolescent populations when clinical endpoints are rare. This study's purpose was to model SRH trajectories from ages 13 to 31 and identify whether and when differences between demographic groups emerge. We employed a conditional latent growth model of SRH in December 2016 using a nationally representative sample of 11,512 adolescents from the National Longitudinal Study of Adolescent to Adult Health data collected in 1994-2008...
December 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28826295/-you-ve-got-to-love-yourself-photovoice-stories-from-african-americans-and-hispanic-latinos-living-with-diabetes
#10
Ninfa C Peña-Purcell, Lauren Cutchen, Traechel McCoy
INTRODUCTION: Health disparities persist among African Americans (AAs) and Latino adults with type 2 diabetes. The purpose of this research was to use PhotoVoice to examine AAs and Latinos' daily experiences of managing diabetes. METHOD: An exploratory, descriptive study using PhotoVoice and focus groups was conducted over a 3-week period: Week 1 orientation session, Week 2 photo taking and returning cameras, and Week 3 focus group to share and discuss photos. RESULTS: Ten AAs and nine Latino adults were enrolled, forming four focus groups...
March 1, 2017: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/28815375/disparities-in-emergency-department-wait-time-among-patients-with-mental-health-and-substance-related-disorders
#11
Samuel T Opoku, Bettye A Apenteng, Emmanuel A Akowuah, Soumitra Bhuyan
This study examined disparities in emergency department (ED) wait time for patients with mental health and substance-related disorders (PwMHSDs), using data from the 2009-2011 National Hospital Ambulatory Medical Care Survey (NHAMCS). Wait time was defined as the time between arrival at ED and being seen by an ED provider. Results from multivariable regression models show racial disparities, with non-Hispanic Black PwMHSDs experiencing longer ED wait time, compared to non-Hispanic White PwMHSDs. A temporal decline in ED wait time was also observed over the study period...
August 16, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/28807841/racial-disparity-in-gastrointestinal-cancer-risk
#12
REVIEW
Hassan Ashktorab, Sonia S Kupfer, Hassan Brim, John M Carethers
Cancer from the gastrointestinal tract and its associated excretory organs will occur in more than 300,000 Americans in 2017, with colorectal cancer responsible for >40% of that burden; there will be more than 150,000 deaths from this group of cancers in the same time period. Disparities among subgroups related to the incidence and mortality of these cancers exist. The epidemiology and risk factors associated with each cancer bear out differences for racial groups in the United States. Esophageal adenocarcinoma is more frequent in non-Hispanic whites, whereas esophageal squamous cell carcinoma with risk factors of tobacco and alcohol is more frequent among blacks...
October 2017: Gastroenterology
https://www.readbyqxmd.com/read/28791583/using-geospatial-analysis-and-emergency-claims-data-to-improve-minority-health-surveillance
#13
David C Lee, Stella S Yi, Jessica K Athens, Andrew J Vinson, Stephen P Wall, Joseph E Ravenell
Traditional methods of health surveillance often under-represent racial and ethnic minorities. Our objective was to use geospatial analysis and emergency claims data to estimate local chronic disease prevalence separately for specific racial and ethnic groups. We also performed a regression analysis to identify associations between median household income and local disease prevalence among Black, Hispanic, Asian, and White adults in New York City. The study population included individuals who visited an emergency department at least once from 2009 to 2013...
August 8, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28770189/racial-disparities-in-emergency-department-utilization-for-dental-oral-health-related-conditions-in-maryland
#14
Natalia I Chalmers
OBJECTIVES: Hospital emergency departments (EDs) are a place where many Americans seek treatment of dental conditions. Racial and ethnic minorities consistently have higher rates of ED utilization than whites for dental conditions. The reasons for these disparities and significant public health concerns are investigated less often. In this paper, we measure trends in racial disparities in ED discharges for dental conditions in Maryland from 2010 to 2013. To understand these disparities, we also describe differences between racial groups in age, gender, income, location, payer, comorbidities, and the availability of dental care...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28767292/us-healthcare-experiences-of-hispanic-patients-with-diabetes-and-family-members-a-qualitative-analysis
#15
Karen A Amirehsani, Jie Hu, Debra C Wallace, Zulema A Silva, Sarah Dick, Lauren N West-Livingston, Christina R Hussami
Hispanics in the United States experience significant health disparities. Using focus groups conducted in Spanish, we explored the perspectives of 172 Hispanic adults regarding their healthcare experiences. Many participants were women (64.5%) and primarily from Mexico (80%). Four major qualitative themes emerged: (a) provide us with information, (b) want attentive and respectful relationships, (c) want better care, and (d) perceived discrimination. Suboptimal patient-provider interactions were described. Research is needed to explore interventions that address these issues...
July 2017: Journal of Community Health Nursing
https://www.readbyqxmd.com/read/28742704/racial-ethnic-disparities-in-longer-term-outcomes-among-emergency-general-surgery-patients-the-unique-experience-of-universally-insured-older-adults
#16
Cheryl K Zogg, Wei Jiang, Taylor D Ottesen, Shahid Shafi, Kevin Schuster, Robert Becher, Kimberly A Davis, Adil H Haider
OBJECTIVES: To determine whether racial/ethnic disparities in 30/90/180-day mortality, major morbidity, and unplanned readmissions exist among universally insured older adult (≥65 years) emergency general surgery patients; vary by diagnostic category; and can be explained by variations in geography, teaching status, age-cohort, and a hospital's percentage of minority patients. SUMMARY OF BACKGROUND DATA: As the US population ages and discussions surrounding the optimal method of insurance provision increasingly enter into national debate, longer-term outcomes are of paramount concern...
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28680518/the-affordable-care-act-disparities-in-emergency-department-use-for-mental-health-diagnoses-in-young-adults
#17
Justin Yanuck, Bryson Hicks, Craig Anderson, John Billimek, Shahram Lotfipour, Bharath Chakravarthy
BACKGROUND: There is little consensus as to the effects of insurance expansion on emergency department (ED) utilization for mental health purposes. We aimed to study the race specific association between the dependent coverage provision of the Affordable Care Act (ACA) and changes in young adults' usage of emergency department services for psychiatric diagnoses. METHODS: We utilized a Quasi-Experimental analysis of ED use in California from 2009-2011 for behavioral health diagnoses of individuals aged 19 to 31 years...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28678200/-look-at-the-whole-me-a-mixed-methods-examination-of-black-infant-mortality-in-the-us-through-women-s-lived-experiences-and-community-context
#18
Maeve E Wallace, Carmen Green, Lisa Richardson, Katherine Theall, Joia Crear-Perry
In the US, the non-Hispanic Black infant mortality rate exceeds the rate among non-Hispanic Whites by more than two-fold. To explore factors underlying this persistent disparity, we employed a mixed methods approach with concurrent quantitative and qualitative data collection and analysis. Eighteen women participated in interviews about their experience of infant loss. Several common themes emerged across interviews, grouped by domain: individual experiences (trauma, grieving and counseling; criminalization); negative interactions with healthcare providers and the healthcare system; and broader contextual factors...
July 5, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28676192/eosinophilic-esophagitis-the-north-against-the-south-a-bio-economic-social-mechanistic-approach-and-clinical-implications
#19
D García-Compeán, J A González-González, E I González-Moreno, H J Maldonado-Garza
Eosinophilic esophagitis is a chronic antigen-mediated disease characterized by esophageal symptoms, esophageal eosinophilia, and the absence of response to proton pump inhibitors. It is the most frequent cause of dysphagia and food impaction in adults. Its incidence and prevalence is very high in the developed countries (USA, Europe, Australia), where its connotation is that of an emerging epidemic. While studies have been published with large case series in the developed countries, those published in Latin America are small or consist of isolated case reports...
July 1, 2017: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/28629146/emerging-disparities-in-dietary-sodium-intake-from-snacking-in-the-us-population
#20
Elizabeth K Dunford, Jennifer M Poti, Barry M Popkin
BACKGROUND: The US population consumes dietary sodium well in excess of recommended levels. It is unknown how the contribution of snack foods to sodium intake has changed over time, and whether disparities exist within specific subgroups of the US population. OBJECTIVE: To examine short and long term trends in the contribution of snack food sources to dietary sodium intake for US adults and children over a 37-year period from 1977 to 2014. METHODS: We used data collected from eight nationally representative surveys of food intake in 50,052 US children aged 2-18 years, and 73,179 adults aged 19+ years between 1977 and 2014...
June 17, 2017: Nutrients
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