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https://www.readbyqxmd.com/read/28213893/disparity-in-dental-out-of-pocket-payments-among-older-adult-populations-a-comparative-analysis-across-selected-european-countries-and-the-usa
#1
Richard Manski, John Moeller, Haiyan Chen, Eeva Widström, Stefan Listl
BACKGROUND: The current study addresses the extent to which diversity exists in dental out-of-pocket (OOP) payments across population subgroups within and between the USA and selected European countries. This represents the final paper in a series in which the previous two papers addressed diversity in dental coverage and dental utilisation, respectively, using similar data and methods. METHOD: We used data from the 2006/2007 Health and Retirement Study (HRS) and from the 2004-2006 Survey of Health, Ageing and Retirement in Europe (SHARE) for respondents ≥51 years of age...
February 17, 2017: International Dental Journal
https://www.readbyqxmd.com/read/28209417/influence-of-hospital-level-practice-patterns-on-variation-in-the-application-of-minimally-invasive-surgery-in-united-states-pediatric-patients
#2
Arianne T Train, Carroll M Harmon, David H Rothstein
BACKGROUND: Although disparities in access to minimally invasive surgery are thought to exist in pediatric surgical patients in the United States, hospital-level practice patterns have not been evaluated as a possible contributing factor. METHODS: Retrospective cohort study using the Kids' Inpatient Database, 2012. Odds ratios of undergoing a minimally invasive compared to open operation were calculated for six typical pediatric surgical operations after adjustment for multiple patient demographic and hospital-level variables...
February 2, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28209289/depression-among-current-former-and-never-smokers-from-2005-to-2013-the-hidden-role-of-disparities-in-depression-in-the-ongoing-tobacco-epidemic
#3
Renee D Goodwin, Melanie M Wall, Lorra Garey, Michael J Zvolensky, Lisa Dierker, Sandro Galea, Misato Gbedemah, Andrea H Weinberger, Jill M Williams, Mei-Chen Hu, Deborah S Hasin
BACKGROUND: After declining sharply for many years, the prevalence of smoking has remained fairly stable over the past decade. One possible explanation is that there has been an increase in the prevalence of barriers to cessation, like depression, among remaining smokers. OBJECTIVES: To estimate changes in the prevalence of depression among current, former and never smokers in the United States (U.S.) population from 2005 to 2013 overall and by age, gender, and income...
January 11, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28207328/socioeconomic-determinants-of-sodium-intake-in-adult-populations-of-high-income-countries-a-systematic-review-and-meta-analysis
#4
Carlos de Mestral, Ana-Lucia Mayén, Dusan Petrovic, Pedro Marques-Vidal, Murielle Bochud, Silvia Stringhini
BACKGROUND: A poorer quality diet among individuals with low socioeconomic status (SES) may partly explain the higher burden of noncommunicable disease among disadvantaged populations. Because there is a link between sodium intake and noncommunicable diseases, we systematically reviewed the current evidence on the social patterning of sodium intake. OBJECTIVES: To conduct a systematic review and a meta-analysis of the evidence on the association between SES and sodium intake in healthy adult populations of high-income countries...
February 16, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28207291/small-numbers-big-challenges-adolescent-and-young-adult-cancer-incidence-and-survival-in-new-zealand
#5
Kirsten R Ballantine, Heidi Watson, Scott Macfarlane, Mark Winstanley, Robin P Corbett, Ruth Spearing, Vladimir Stevanovic, Ma Yi, Michael J Sullivan
PURPOSE: This study was undertaken to determine cancer survival and describe the unique spectrum of cancers diagnosed among New Zealand's adolescents and young adult (AYA) population. METHODS: Registrations for 1606 15-24 year olds diagnosed with a new primary malignant tumor between 2000 and 2009 were obtained from the New Zealand Cancer Registry and classified according to AYA diagnostic group and subgroup, age, sex, and prioritized ethnicity. Age-standardized incidence rates (IRs) per million person years and 5-year relative survival ratios were calculated...
February 16, 2017: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/28199857/socioeconomic-status-hair-cortisol-and-internalizing-symptoms-in-parents-and-children
#6
Alexandra Ursache, Emily C Merz, Samantha Melvin, Jerrold Meyer, Kimberly G Noble
Socioeconomic disadvantage is consistently linked with higher risk for internalizing problems, and stress is likely one important mechanism explaining this increased risk. Few studies have examined socioeconomic differences in hair cortisol, a novel biomarker of long-term adrenocortical activity and chronic stress. Moreover, no studies have examined whether differences in hair cortisol might explain socioeconomic disparities in internalizing problems. To address these gaps, we first examined relations of socioeconomic status (SES; family income and parental education) to variation in both parents' and children's hair cortisol concentrations (HCC) and then tested whether HCC and perceptions of stress mediated relations of SES to parents' and children's internalizing symptoms...
January 28, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28199506/socioeconomic-determinants-and-health-disparities-in-relation-to-hypertension-in-middle-income-countries
#7
Armando Arredondo, Ana Lucia Recaman, Alejandra Azar
No abstract text is available yet for this article.
February 11, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28195644/impact-of-the-elimination-of-cost-sharing-for-mammographic-breast-cancer-screening-among-rural-us-women-a-natural-experiment
#8
Jeffrey Peppercorn, Nora Horick, Kevin Houck, Julia Rabin, Victor Villagra, Gary H Lyman, Stephanie B Wheeler
BACKGROUND: Rural US women experience disparities in breast cancer screening and outcomes. In 2006, a national rural health insurance provider, the National Rural Electric Cooperative Association (NRECA), eliminated out-of-pocket costs for screening mammography. METHODS: This study evaluated the elimination of cost sharing as a natural experiment: it compared trends in screening before and after the policy change. NRECA insurance claims data were used to identify all women aged 40 to 64 years who were eligible for breast cancer screening, and mammography utilization from 1998 through 2011 was evaluated...
February 14, 2017: Cancer
https://www.readbyqxmd.com/read/28193322/geographic-distribution-of-trauma-burden-mortality-and-services-in-the-united-states-does-availability-correspond-to-patient-need
#9
Arturo J Rios-Diaz, David Metcalfe, Olubode A Olufajo, Cheryl K Zogg, Brian Yorkgitis, Mansher Singh, Adil H Haider, Ali Salim
BACKGROUND: The association between the need for trauma care and trauma services has not been characterized previously. We compared the distribution of trauma admissions with state-level availability of trauma centers (TCs), surgical critical care (SCC) providers, and SCC fellowships, and assessed the association between trauma care provision and state-level trauma mortality. STUDY DESIGN: We obtained 2013 state-level data on trauma admissions, TCs, SCC providers, SCC fellowship positions, per-capita income, population size, and age-adjusted mortality rates...
December 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28192044/an-early-look-at-the-association-between-state-medicaid-expansion-and-disparities-in-cardiovascular-diseases-a-comprehensive-population-health-management-approach
#10
Christopher K Rogers, Ning Jackie Zhang
Cardiovascular disease (CVD) is one of the most prevalent chronic diseases nationally and disproportionately affects low-income individuals. There are substantial disparities on CVD outcomes that stem from the lack of health insurance among low-income populations. The Affordable Care Act expands Medicaid health insurance to low-income populations, and aims to increase the utilization of health, social, and economic preventive services to reduce health disparities and prevent chronic diseases. The authors analyzed data from the 2014 Behavioral Risk Factor Surveillance System to understand the potential impact of Medicaid expansion on disparities in CVD among low-income populations...
February 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28191505/correlates-of-health-communication-preferences-in-a-multiethnic-population-of-pregnant-women-and-mothers-of-young-children
#11
Katrina Daoud, Audra Gollenberg, Kim Fendley
BACKGROUND: As posited in multiple health communication theories, it is vital to understand modern health communication preferences among communities in order to develop tailored interventions to reduce Infant Mortality (IM). Literature suggests that health communication inequalities play an important role in infant health knowledge gaps, thus contributing to the disparate IM rates. We sought to understand preferred methods of communication among expectant or mothers of young children of varying sociodemographics...
March 2016: J Health Educ Res Dev
https://www.readbyqxmd.com/read/28190691/lack-of-lipid-screening-disparities-in-obese-latino-adults-at-health-centers
#12
John D Heintzman, Steffani R Bailey, John Muench, Marie Killerby, Stuart Cowburn, Miguel Marino
INTRODUCTION: In cross-sectional survey studies, obese Latinos are less likely to be screened for elevated serum cholesterol, despite their higher risk for hyperlipidemia and coronary artery disease. This study evaluated insurance and racial/ethnic disparities in lipid screening receipt between obese Latino and non-Hispanic white patients in Oregon community health centers (CHCs) over 5 years, using electronic health record data. METHODS: This retrospective cohort study evaluated obese (BMI ≥30), low-income, adult patients (aged 21-79 years) with at least one visit at an Oregon CHC during 2009-2013 (n=11,095)...
February 9, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28187864/relation-of-household-income-to-incidence-of-sudden-unexpected-death-in-wake-county-north-carolina
#13
Louisa A Mounsey, Feng-Chang Lin, Irion Pursell, Golsa Joodi, Mary Elizabeth Lewis, Anthony Nwosu, Chani Hodonsky, Ross J Simpson, J Paul Mounsey
The incidence of out-of-hospital sudden unexpected death (OHSUD) in a racially and socioeconomically diverse population has been inadequately studied. We collated all OHSUDs over a 24-month period among 18- to 64-year olds in Wake County, North Carolina, to investigate geographic and socioeconomic disparity in incidence of OHSUD. An electronic query of Wake County Emergency Medical Services (EMS) identified all EMS attended out-of-hospital deaths. After excluding trauma, expected deaths, and deaths occurring in non-free-living subjects, medical records and medical examiner's reports were reviewed by a committee of cardiologists to make the determination of OHSUD...
January 5, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28185590/how-can-health-systems-research-reach-the-worst-off-a-conceptual-exploration
#14
REVIEW
Bridget Pratt, Adnan A Hyder
BACKGROUND: Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of social justice proposes it ought to (amongst other things) focus on worst-off countries and research populations. Yet who constitutes the worst-off is not well-defined. METHODS AND RESULTS: By applying existing work on disadvantage from political philosophy, the paper demonstrates that (at least) two options exist for how to define the worst-off upon whom equity-oriented health systems research should focus: those who are worst-off in terms of health or those who are systematically disadvantaged...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28182803/patient-level-exclusions-from-mhealth-in-a-safety-net-health-system
#15
Keiki Hinami, Bhrandon A Harris, Ricardo Uriostegui, Wilnise Jasmin, Mario Lopez, William E Trick
Excitement about mobile health (mHealth) for improving care transitions is fueled by widespread adoption of smartphones across all social segments, but new disparities can emerge around nonadopters of technology-based communications. We conducted a cross-sectional survey of urban low-income adults to assess inadequate reading health literacy and limited English proficiency as factors affecting access to and engagement with mHealth. Although the proportion owning smartphones were comparable to national figures, adjusted analysis showed fewer patients with inadequate reading health literacy having Internet access (odds ratio [95% confidence interval]: 0...
February 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28176298/what-does-the-u-s-medicare-administrative-claims-database-tell-us-about-initial-antiepileptic-drug-treatment-for-older-adults-with-new-onset-epilepsy
#16
Roy C Martin, Edward Faught, Jerzy P Szaflarski, Joshua Richman, Ellen Funkhouser, Kendra Piper, Lucia Juarez, Chen Dai, Maria Pisu
OBJECTIVE: Disparities in epilepsy treatment are not uncommon; therefore, we examined population-based estimates of initial antiepileptic drugs (AEDs) in new-onset epilepsy among racial/ethnic minority groups of older US Medicare beneficiaries. METHODS: We conducted retrospective analyses of 2008-2010 Medicare administrative claims for a 5% random sample of beneficiaries augmented for minority representation. New-onset epilepsy cases in 2009 had ≥1 International Classification of Diseases, Ninth Revision (ICD-9) 345...
February 7, 2017: Epilepsia
https://www.readbyqxmd.com/read/28176020/family-economic-security-policies-and-child-and-family-health
#17
REVIEW
Rachael A Spencer, Kelli A Komro
In this review, we examine the effects of family economic security policies (i.e., minimum wage, earned income tax credit, unemployment insurance, Temporary Assistance to Needy Families) on child and family health outcomes, summarize policy generosity across states in the USA, and discuss directions and possibilities for future research. This manuscript is an update to a review article that was published in 2014. Millions of Americans are affected by family economic security policies each year, many of whom are the most vulnerable in society...
February 7, 2017: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/28170302/disparities-in-the-initial-local-treatment-of-older-women-with-early-stage-breast-cancer-a-population-based-study
#18
Traci J LeMasters, Suresh S Madhavan, Usha Sambamoorthi, Ami M Vyas
BACKGROUND: Although breast cancer is most prevalent among older women, the majority are diagnosed at an early stage. When diagnosed at an early stage, women have the option of breast-conserving surgery (BCS) plus radiation therapy (RT) or mastectomy for the treatment of early-stage breast cancer (ESBC). Omission of RT when receiving BCS increases the risk for recurrence and poor survival. Yet, a small subset of older women may omit RT after BCS. This study examines the current patterns of local treatment for ESBC among older women...
February 7, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28167716/women-with-breast-cancer-who-work-for-accommodating-employers-more-likely-to-retain-jobs-after-treatment
#19
Victoria Blinder, Carolyn Eberle, Sujata Patil, Francesca M Gany, Cathy J Bradley
Breast cancer affects one in eight women across the United States, and low-income minority survivors of breast cancer are at increased risk of job loss, compared to higher-income white survivors. Employer accommodations, such as schedule flexibility, have been associated with job retention in higher-income whites, but the role of such accommodations in job retention among low-income minorities is not well understood. We conducted a longitudinal study of 267 employed women ages 18-64 who were undergoing treatment for early-stage breast cancer and spoke English, Chinese, Korean, or Spanish...
February 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28167497/cardiovascular-diseases-and-risk-factor-burden-in-urban-and-rural-communities-in-high-middle-and-low-income-regions-of-china-a%C3%A2-large-community-based-epidemiological-study
#20
Ruohua Yan, Wei Li, Lu Yin, Yang Wang, Jian Bo
BACKGROUND: Most cardiovascular diseases occur in low- and middle-income regions of the world, but the socioeconomic distribution within China remains unclear. Our study aims to investigate whether the prevalence of cardiovascular diseases differs among high-, middle-, and low-income regions of China and to explore the reasons for the disparities. METHODS AND RESULTS: We enrolled 46 285 individuals from 115 urban and rural communities in 12 provinces across China between 2005 and 2009...
February 6, 2017: Journal of the American Heart Association
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