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https://www.readbyqxmd.com/read/29457521/relationships-between-race-ethnicity-and-health-care-utilization-among-older-post-acute-home-health-care-patients
#1
Jo-Ana D Chase, David Russell, Liming Huang, Alexandra Hanlon, Melissa O'Connor, Kathryn H Bowles
Few studies have explored racial/ethnic differences in health care outcomes among patients receiving home health care (HHC), despite known differences in other care settings. We conducted a retrospective cohort study examining racial/ethnic disparities in rehospitalization and emergency room (ER) use among post-acute patients served by a large northeastern HHC agency between 2013 and 2014 ( N = 22,722). We used multivariable binomial logistic regression to describe the relationship between race/ethnicity and health care utilization outcomes, adjusting for individual-level factors that are conceptually related to health service use...
February 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29438605/understanding-the-factors-that-influence-risk-tolerance-among-minority-women-a-qualitative-study
#2
Betty Hsiao, Sonal Balla, Kristin Mattocks, Liana Fraenkel
OBJECTIVE: The objective of our study was to explore the factors that influence risk tolerance among women from different racial/ethnic groups. METHODS: In-depth individual interviews of Non-Hispanic Black, Non-Hispanic White, and Hispanic women aged 20-45 were conducted by a trained interviewer (S.B.) using a semi-structured interview guide to elicit the factors that influence risk tolerance among minority women. The interviews were audiotaped and professionally transcribed with a final sample size of 36 determined by thematic saturation...
February 13, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29438226/racial-differences-in-presentations-and-predictors-of-acute-pain-following-motor-vehicle-collision
#3
Francesca L Beaudoin, Roee Gutman, Wanting Zhai, Roland C Merchant, Melissa A Clark, Kenneth A Bollen, Phyllis Hendry, Michael C Kurz, Christopher Lewandowski, Claire Pearson, Brian O'Neil, Elizabeth Datner, Patricia Mitchell, Robert Domeier, Samuel A McLean
African-Americans experience a greater burden of acute pain than non-Hispanic white individuals across of variety of acute medical conditions, but it is unknown if this is the case following trauma. We evaluated pain, pain-related characteristics (e.g. peri-traumatic distress), and analgesic treatment in two cohorts of individuals (African-American (n=931) and non-Hispanic white (n=948)) presenting to the emergency department after a motor-vehicle crash (MVC). We performed a propensity-matched analysis (n=796 in each group) to assess racial differences in acute pain in the ED...
February 9, 2018: Pain
https://www.readbyqxmd.com/read/29396081/girls-sleep-trajectories-across-the-pubertal-transition-emerging-racial-ethnic-differences
#4
Lindsay Till Hoyt, Julianna Deardorff, Kristine Marceau, Cecile A Laurent, Gayle C Windham, Louise C Greenspan, Susan M Pinney, Susan Teitelbaum, Kevin J Grimm, Melissa J Hagan, Frank M Biro, Mary S Wolff, Lawrence H Kushi, Robert A Hiatt
PURPOSE: This study aims to examine the longitudinal association between puberty and sleep in a diverse sample of girls and explore racial/ethnic differences in this association. METHODS: Using latent growth curve modeling, the present study measured pubertal development (timing and rate) and sleep (wake time and bedtime) in 1,239 socioeconomically and ethnically diverse girls starting when they were 6-8 years old and followed longitudinally for up to 8 years. Pubertal assessment was conducted annually in clinic by physical examination, classified by sexual maturation stage for breast and pubic hair development by trained raters...
January 25, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29324218/hours-lost-to-planned-and-unplanned-dental-visits-among-us-adults
#5
Uma Kelekar, Shillpa Naavaal
INTRODUCTION: Poor oral health is associated with lost hours at work or school, which may affect a person's productivity. The objective of our study was to estimate work or school hours lost to dental visits among adults aged 18 and older by the types of visits (emergency or unplanned; routine, planned, or orthodontic; or cosmetic) and to determine the factors associated with hours lost. METHODS: We used the most recent Oral Health Supplement data, from the 2008 National Health Interview Survey (NHIS), to estimate the total hours lost at work or school for dental visits among adults in the United States...
January 11, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29290019/trends-in-racial-and-ethnic-disparities-in-childhood-asthma-in-miami-florida-2005-2013
#6
Consuelo M Beck-Sague, Alejandro Arrieta, M Claudia Pinzon-Iregui, Benjamin Ortiz, Andrew G Dean, Andrew Cuddihy, Janvier Gasana
Nationally, racial and ethnic disparities in childhood asthma plateaued from 2005 to 2013. We assessed trends in childhood asthma in Miami, Florida using Youth Risk Behavior Surveillance System (YRBSS) data and emergency department (ED) utilization and hospitalization rates by zip code population characteristics. Asthma prevalence in Miami did not vary significantly by race/ethnicity in YRBSS respondents in 2005 (16.2-17.2%, all groups), but rose in African-Americans and Hispanics and declined in Whites by 2013 to 27...
December 30, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29248389/ethnic-differences-in-cigarette-use-trajectories-and-health-psychosocial-and-academic-outcomes
#7
Michael S Dunbar, Joan S Tucker, Brett A Ewing, Layla Parast, Eric R Pedersen, Anthony Rodriguez, Elizabeth J D'Amico
PURPOSE: Cigarette smoking among youth is associated with poorer health and psychosocial outcomes. However, few studies address how smoking may differentially relate to the emergence of disparities in functioning across races/ethnicities over adolescence. METHODS: Youth (n = 2,509) were surveyed eight times from ages 11 to 18. We measured cigarette use, academic and social functioning, mental and physical health, and delinquency. Sequelae of change models controlled for sociodemographic factors, and tested whether intercept and slope for smoking trajectories were associated with outcomes at the end of high school, and examined racial/ethnic differences in outcomes assuming similar smoking trajectories across groups...
December 13, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29124684/racial-ethnic-disparities-a-longitudinal-study-of-growth-trajectories-among-us-kindergarten-children
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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