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https://www.readbyqxmd.com/read/28341586/less-exercise-and-more-drugs-how-a-low-income-population-manages-chronic-pain
#1
Barbara J Turner, Natalia Rodriguez, Melissa A Valerio, Yuanyuan Liang, Paula Winkler, Lisa Jackson
OBJECTIVE: To evaluate chronic pain management in a multistate, low income, Hispanic population and to examine predictors of exercising and prescription pain medication (PPM) use. DESIGN: Online survey administered to a representative sample of Hispanic adults in June 2015 SETTING: Five southwestern states PARTICIPANTS: Among all 1007 online panel members who were Hispanic, aged 35-75 years from five states, representing 11,016,135 persons, the survey was completed by 516 members (51%)...
March 21, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28338521/ethnicity-lipids-and-cardiovascular-disease
#2
Katia Gazzola, Rens Reeskamp, Bert-Jan van den Born
PURPOSE OF REVIEW: The prevalence of cardiovascular disease differs among ethnic groups and along geographic boundaries. At present, most of the projected increase in mortality from cardiovascular disease occurs in sub-Saharan African, Chinese and Southeast Asian populations. Ethnic disparities in the prevalence of cardiovascular disease coincide with quantitative and qualitative differences in risk factors for cardiovascular disease. High plasma cholesterol is one of the most important preventable causes of ischemic heart disease...
March 23, 2017: Current Opinion in Lipidology
https://www.readbyqxmd.com/read/28335374/beverage-consumption-among-u-s-children-aged-0-24-months-national-health-and-nutrition-examination-survey-nhanes
#3
Carley A Grimes, Ewa A Szymlek-Gay, Theresa A Nicklas
Data on beverage consumption patterns in early life are limited. The aim of this study was to describe beverage consumption by sociodemographic characteristics, along with water intake and sources of water among U.S. children aged 0-24 months. Data from 2740 children in the 2005-2012 NHANES were analysed. Food intake was determined via one 24-h dietary recall. Beverages were categorised according to What We Eat In America groups. Poverty-Income ratio was used to define household income. During infancy (0-5...
March 13, 2017: Nutrients
https://www.readbyqxmd.com/read/28335082/reporting-of-mitotic-rate-in-cutaneous-melanoma-a-study-using-the-national-cancer-data-base
#4
Patrick D Lorimer, Emily C Benham, Kendall Walsh, Yimei Han, Meghan R Forster, Terry Sarantou, Richard L White, Joshua S Hill
BACKGROUND: The seventh edition of the American Joint Commission on Cancer staging manual (AJCC7, published 2009), updated thin cutaneous melanoma staging protocols with the incorporation of mitotic rate (MR). In these patients, higher MR is associated with decreased survival. This study utilizes the National Cancer Data Base (NCDB) to evaluate MR reporting since AJCC7. METHODS: The NCDB was queried for patients with primary cutaneous melanoma from 1998 to 2013...
March 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28335031/ethics-of-health-policy-and-systems-research-a-scoping-review-of-the-literature
#5
Bridget Pratt, Amy Paul, Adnan A Hyder, Joseph Ali
Health policy and systems research (HPSR) is increasingly funded and undertaken as part of health system strengthening efforts worldwide. HPSR ethics is also a relatively new and emerging field, with numerous normative and descriptive questions that have largely not been considered. Normative questions include what ethical principles and values should guide HPSR. Descriptive questions include what ethical concerns arise when conducting HPSR. A small but growing body of scholarly work characterizes the various ethics issues inherent in HPSR...
March 15, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28332945/unevenness-in-health-at-the-intersection-of-gender-and-sexuality-sexual-minority-disparities-in-alcohol-and-drug-use-among-transwomen-in-the-san-francisco-bay-area
#6
Sean Arayasirikul, W Andres Pomart, H Fisher Raymond, Erin C Wilson
Research on the health of transwomen is largely focused on heterosexual HIV risk. Little is known about the health of sexual minority transwomen. We conducted a secondary cross-sectional analysis of data from a HIV risk and resilience study of transwomen aged 16 to 24 years in the San Francisco Bay Area (N = 259). Prevalence and demographic characteristics of sexual minority transwomen was assessed and logistic regression models were used to examine the relationship between sexual minority status and alcohol and drug use...
March 23, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28329641/differences-in-incidence-and-persistence-of-atopic-dermatitis-by-race-ethnicity
#7
M Blomberg, S L Rifas-Shiman, Ca Jr Camargo, D R Gold, J P Thyssen, A A Litonjua, M W Gillman, M M Asgari, E Oken
BackgroundMost studies on racial disparities in childhood atopic dermatitis (AD) did not consider persistent AD or account for differences in vitamin D status.MethodsAmong 1418 children recruited from a Massachusetts HMO into the pre-birth Project Viva cohort, we examined associations of child's race/ethnicity with maternal report of child's AD diagnosis by annual questionnaires. We used multivariable logistic regression adjusted for socio- demographics (maternal education, household income, smoking exposure, parental atopy, breastfeeding duration, child sex) and cord blood 25-hydroxyvitamin D, to estimate odds ratios (OR) of incident AD by early childhood (median age 3...
September 15, 2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/28325240/cancer-care-access-and-outcomes-for-american-indian-populations-in-the-united-states-challenges-and-models-for-progress
#8
REVIEW
B Ashleigh Guadagnolo, Daniel G Petereit, C Norman Coleman
Low socioeconomic and health care access realities of being American Indian/Alaskan Native (AI/AN) in the United States combined with decades of data documenting poor cancer outcomes for this population provide a population nested within the United States that is analogous to the cancer care landscape of low- and middle-income countries internationally. We reviewed the medical literature with respect to cancer prevention, access to cancer treatment, and access to effective supportive and palliative care for AI/AN populations in the United States...
April 2017: Seminars in Radiation Oncology
https://www.readbyqxmd.com/read/28323854/the-unfinished-health-agenda-neonatal-mortality-in-cambodia
#9
Rathmony Hong, Pauline Yongeun Ahn, Frank Wieringa, Tung Rathavy, Ludovic Gauthier, Rathavuth Hong, Arnaud Laillou, Judit Van Geystelen, Jacques Berger, Etienne Poirot
BACKGROUND: Reduction of neonatal and under-five mortality rates remains a primary target in the achievement of universal health goals, as evident in renewed investments of Sustainable Development Goals. Various studies attribute declines in mortality to the combined effects of improvements in health care practices and changes in socio-economic factors. Since the early nineties, Cambodia has managed to evolve from a country devastated by war to a nation soon to enter the group of middle income countries...
2017: PloS One
https://www.readbyqxmd.com/read/28322897/the-state-of-pre-screening-discussions-about-psa-testing-following-implementation-of-the-2012-uspstf-task-force-statement
#10
George A Turini, Annie Gjelsvik, Joseph F Renzulli
OBJECTIVE: To determine if the quality of pre-screening discussions has changed following release of the USPSTF statement against prostate cancer screening. METHODS: This cross-sectional study utilized the 2012 and 2014 Behavioral Risk Factor Surveillance System (BRFSS) surveys. Respondents were categorized based on the year in which they responded to the BRFSS Survey. Quality of pre-screening discussion was operationalized as having discussed: only advantages, only disadvantages, both advantages and disadvantages, or neither...
March 16, 2017: Urology
https://www.readbyqxmd.com/read/28322769/racial-and-ethnic-disparities-in-contraceptive-knowledge-among-women-veterans-in-the-ecuun-study
#11
Elian Rosenfeld, Lisa S Callegari, Florentina E Sileanu, Xinhua Zhao, E Bimla Schwarz, Maria K Mor, Sonya Borrero
OBJECTIVE: To assess whether racial/ethnic disparities in contraceptive knowledge observed in the general US population are also seen among women Veterans served by the Veterans Affairs (VA) healthcare system. STUDY DESIGN: We analyzed data from a national telephone survey of 2302 women Veterans aged 18-44 who had received care within VA in the prior 12months. Twenty survey items assessed women's knowledge about various contraceptive methods. Multivariable logistic regression was used to examine racial/ethnic variation in contraceptive knowledge items, adjusting for age, marital status, education, income, parity, and branch of military service...
March 17, 2017: Contraception
https://www.readbyqxmd.com/read/28321849/associations-between-household-food-insecurity-in-early-childhood-and-children-s-kindergarten-skills
#12
Anna D Johnson, Anna J Markowitz
Using nationally representative data on a recent birth cohort of U.S.-born children in low-income households (n = 2,800-3,700), this study investigates associations between the timing and intensity of early childhood food insecurity and children's kindergarten reading, math, and social-emotional outcomes. Descriptive patterns reveal that approximately 20% of low-income 0- to 5-year-old children reside in food-insecure households. Food insecurity experienced during early childhood is unfavorably associated with social-emotional outcomes in kindergarten, controlling for household income and prior assessments of child social-emotional skills...
March 21, 2017: Child Development
https://www.readbyqxmd.com/read/28299155/maternal-health-service-disparities-across-incomes-and-implications-on-prevention-of-mother-to-child-transmission-service-coverage-current-context-in-sub-saharan-africa
#13
Nibretie Gobezie Workneh, Sebastian Kevany
About 69% of people living with HIV globally and over 90% of the children who acquired HIV infection are in Sub-Saharan Africa. Despite this, promising results have been observed, especially over the last decade - for example, a 25% decline in new HIV infections as compared to 2001 and a 38% decline in the number of children newly infected by HIV in 2012 as compared to 2009. However, the Global Plan and the Global Fast-Track Commitments of eliminating new HIV infections among children require addressing impediments to service expansion...
December 31, 2016: Journal of Public Health in Africa
https://www.readbyqxmd.com/read/28296574/high-initiation-of-adjuvant-hormonal-therapy-among-uninsured-stages-i-iii-breast-cancer-patients-treated-in-a-safety-net-healthcare-system
#14
Caitlin C Murphy, Jasmin A Tiro, Gary W Jean, Bijal A Balasubramian, Carlos A Alvarez
OBJECTIVE: Despite benefits of adjuvant hormonal therapy (AHT), many eligible breast cancer patients do not complete therapy as recommended. Patterns of AHT use have not been well studied among uninsured breast cancer patients who fall into coverage gaps or are ineligible for public insurance programs. METHODS: We identified 291 patients newly diagnosed with stages I-III hormone receptor-positive breast cancer from January 2008 to December 2012. All patients were treated at a safety-net healthcare system and enrolled in an income-based medical assistance program that fills AHT prescriptions at low cost...
March 15, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28296466/road-accident-fatality-risks-for-vulnerable-versus-protected-road-users-in-northern-ghana
#15
James Damsere-Derry, Gavan Palk, Mark King
Background Road traffic injuries (RTIs) are a serious epidemic which claims more than a million lives across the globe each year. The burden of RTIs is particularly pronounced in Africa and other low and middle income countries. The unfavourable disparity of the burden of road trauma in the world is largely attributable to unsafe vehicles, lack of appropriate road infrastructure and the predominance of vulnerable road users (VRUs) in developing countries. However, little research exists in Northern Ghana to highlight the scale and risk of death among road users...
March 15, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28293777/engaging-parents-in-preventive-interventions-for-young-children-working-with-cultural-diversity-within-low-income-urban-neighborhoods
#16
Spring Dawson-McClure, Esther J Calzada, Laurie M Brotman
A robust literature documents the impact of poverty on child development and lifelong health, well-being and productivity. Racial and ethnic minority children continue to bear the burden of poverty disproportionately. Evidence-based parenting interventions in early childhood have the potential to attenuate risk attributable to poverty and stress. To reduce racial, ethnic, and socioeconomic disparities in the USA, parenting interventions must be accessible, engaging, and effective for low-income families of color living in large urban centers...
March 14, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28293491/disparities-in-utilization-of-jaw-surgery-for-treatment-of-sleep-apnea-a-nationwide-analysis
#17
Ravi K Garg, Ying Shan, Jeffrey A Havlena, Ahmed M Afifi
BACKGROUND: Maxillomandibular advancement has been shown to be one of the most effective operations for management of severe obstructive sleep apnea, yet pharyngeal surgery is more commonly performed. The goal of this study was to identify socioeconomic factors associated with this phenomenon. METHODS: Patients aged 14 or older with a primary hospital diagnosis of sleep apnea were identified using the National Inpatient Sample from 2005 to 2012. ICD9 codes were used to determine whether a pharyngeal or jaw procedure was performed...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28289039/socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants-and-long-term-residents-using-linked-death-records-in-ontario-canada
#18
Anam M Khan, Marcelo Urquia, Kathy Kornas, David Henry, Stephanie Y Cheng, Catherine Bornbaum, Laura C Rosella
BACKGROUND: Immigrants have been shown to possess a health advantage, yet are also more likely to reside in arduous economic conditions. Little is known about if and how the socioeconomic gradient for all-cause, premature and avoidable mortality differs according to immigration status. METHODS: Using several linked population-based vital and demographic databases from Ontario, we examined a cohort of all deaths in the province between 2002 and 2012. We constructed count models, adjusted for relevant covariates, to attain age-adjusted mortality rates and rate ratios for all-cause, premature and avoidable mortality across income quintile in immigrants and long-term residents, stratified by sex...
March 13, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28287782/socioeconomic-health-and-psychosocial-mediators-of-racial-disparities-in-cognition-in-early-middle-and-late-adulthood
#19
Laura B Zahodne, Jennifer J Manly, Jacqui Smith, Teresa Seeman, Margie E Lachman
Racial disparities in cognitive performance exist across the life course, but it is not known whether mediators of disparities differ by age. Understanding sources of cognitive disparities at different ages can inform policies and interventions. Data were obtained for non-Hispanic Black and White respondents to The National Survey of Midlife Development in the United States from 3 age groups: 28-44 (N = 1210; 20% Black); 45-64 (N = 2693; 15% Black); and 65-85 (N = 1298; 11% Black). Moderated mediation models characterized direct and indirect effects of race on episodic memory and executive function composite scores through economic, health, and psychosocial variables as a function of age group...
March 2017: Psychology and Aging
https://www.readbyqxmd.com/read/28287308/gender-and-health-behavior-clustering-among-u-s-young-adults
#20
Julie Skalamera Olson, Robert A Hummer, Kathleen Mullan Harris
U.S. trends in population health suggest alarming disparities among young adults, who are less healthy across most measureable domains than their counterparts in other high-income countries; these international comparisons are particularly troubling for women. To deepen our understanding of gender disparities in health and underlying behavioral contributions, we document gender-specific clusters of health behavior among U.S. young adults using nationally representative data from the National Longitudinal Study of Adolescent to Adult Health...
2017: Biodemography and Social Biology
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