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https://www.readbyqxmd.com/read/28637568/disparities-in-the-age-related-rates-of-colorectal-cancer-in-the-united-states
#1
Emmanuel Gabriel, Katherine Ostapoff, Kristopher Attwood, Eisar Al-Sukhni, Patrick Boland, Steven Nurkin
The incidence of colorectal cancer (CRC) among Americans under the age of 50 years is increasing. The purpose of this study was to identify racial and socioeconomic disparities associated with this trend. The National Cancer Data Base was used to identify patients with CRC from 1998 to 2011. Patients were stratified by age (<50 versus >60 years), with ages 50 to 60 years omitted from the analysis to minimize overlapping trends between the two age groups. Relative frequencies (RFs) by year were plotted against demographic variables...
June 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28634877/socioeconomic-status-financial-strain-and-leukocyte-telomere-length-in-a-sample-of-african-american-midlife-men
#2
Joshua M Schrock, Nancy E Adler, Elissa S Epel, Amani M Nuru-Jeter, Jue Lin, Elizabeth H Blackburn, Robert Joseph Taylor, David H Chae
BACKGROUND: African American men in the USA experience poorer aging-related health outcomes compared to their White counterparts, partially due to socioeconomic disparities along racial lines. Greater exposure to socioeconomic strains among African American men may adversely impact health and aging at the cellular level, as indexed by shorter leukocyte telomere length (LTL). This study examined associations between socioeconomic factors and LTL among African American men in midlife, a life course stage when heterogeneity in both health and socioeconomic status are particularly pronounced...
June 20, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28629146/emerging-disparities-in-dietary-sodium-intake-from-snacking-in-the-us-population
#3
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
https://www.readbyqxmd.com/read/28627138/predictors-of-brca1-2-genetic-testing-among-black-women-with-breast-cancer-a-population-based-study
#4
Tarsha Jones, Anne Marie McCarthy, Younji Kim, Katrina Armstrong
Evidence shows that Black women diagnosed with breast cancer are substantially less likely to undergo BRCA testing and other multipanel genetic testing compared to White women, despite having a higher incidence of early-age onset breast cancer and triple-negative breast cancer (TNBC). Our study identifies predictors of BRCA testing among Black women treated for breast cancer and examines differences between BRCA testers and nontesters. We conducted an analysis of 945 Black women ages 18-64 diagnosed with localized or regional-stage invasive breast cancer in Pennsylvania and Florida between 2007 and 2009...
June 19, 2017: Cancer Medicine
https://www.readbyqxmd.com/read/28626067/the-impact-of-a-population-based-screening-program-on-income-and-immigration-related-disparities-in-colorectal-cancer-screening
#5
Tara Kiran, Richard H Glazier, Rahim Moineddin, Sumei Gu, Andrew S Wilton, Lawrence Paszat
A population-based program promoting the Fecal Occult Blood Test (FOBT) for colorectal cancer screening was introduced in 2008 in Ontario, Canada, where opportunistic screening with colonoscopy had been increasing in frequency. We evaluated the impact of the program on income and immigration-related disparities in screening. We used linked administrative data to calculate colorectal cancer screening rates for eligible Ontarians in each year between 2001/02 (n=2,852,619) and 2013/14 (n=4,139,304). We quantified disparities using an "inequality ratio" of screening rates in the most disadvantaged group relative to the most advantaged group...
June 16, 2017: Cancer Epidemiology, Biomarkers & Prevention
https://www.readbyqxmd.com/read/28624049/failure-to-operate-on-resectable-gastric-cancer-implications-for-policy-changes-and-regionalization
#6
Heather A Frohman, Jeremiah T Martin, Anh-Thu Le, Sean P Dineen, Ching-Wei D Tzeng
BACKGROUND: A significant proportion of patients never receive curative-intent surgery for resectable gastric cancer (GC). The primary aims of this study were to identify disparities and targetable risk factors associated with failure to operate in the context of national trends in surgical rates for resectable GC. METHODS: The National Cancer Database was used to identify patients with resectable GC (adenocarcinoma, clinical stage IA-IIIC, 2004-2013). Multivariate modeling was used to identify predictors of resection and to analyze the impact of surgery on overall survival (OS)...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28622883/health-related-quality-of-life-of-palestinian-refugees-inside-and-outside-camps-in-jordan
#7
Hamza Alduraidi, Catherine M Waters
BACKGROUND: Jordan hosts more Palestinian refugees than any country in the world. Conditions under which people in a community live influence their health-related quality of life (HRQOL). PURPOSE: The purpose of this descriptive comparative cross-sectional study was to compare HRQOL of Palestinian refugees in Jordan who live inside camps with those who live outside camps. METHODS: Participants, recruited from inside the Baqa'a camp (n = 86) and the surrounding Abu Nsair community (n = 91), completed the World Health Organization Quality of Life Brief questionnaire...
May 26, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28618980/evaluating-the-care-cascade-after-antiretroviral-therapy-initiation-in-latin-america
#8
Marcelo J Wolff, Claudia P Cortes, Fernando A Mejìa, Denis Padgett, Pablo Belaunzarán-Zamudio, Beatriz Grinsztejn, Mark J Giganti, Catherine C McGowan, Peter F Rebeiro
Accelerating antiretroviral therapy (ART) administration, improving retention, and achieving viral suppression in low- and middle-income countries must be prioritized. We evaluated trends and disparities in these milestones in a large Latin American cohort. Adults starting ART (ARTstart) from 2003 to 2014 at Caribbean, Central, and South America network for HIV epidemiology sites were assessed for care cascade outcomes: CD4 cell count >200 cells/mm(3) at ARTstart; retention (≥1 visit at one year after ARTstart); viral suppression (≥1 HIV-1 RNA <200 copies/ml at one year after ARTstart)...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28616807/skin-deep-enhanced-variable-may-help-explain-racial-disparities-in-type-2-diabetes-and-prediabetes
#9
Celia C Lo, Joanna Lara, Tyrone C Cheng
INTRODUCTION: The study refined definitions of type 2 diabetes and prediabetes (Pre-/T2D) via its four-category outcome variable. Respondents were identified as Pre-/T2D on the basis of (a) doctor's diagnosis only (i.e., managed Pre-/T2D); (b) biomarker only (i.e., undiagnosed Pre-/T2D); or (c) both diagnosis and biomarker (i.e., unmanaged Pre-/T2D). The reference was Pre-/T2D not indicated. We linked the outcome to social structural and social support factors, health care-related factors, mental disorder, and lifestyle variables, for each racial/ethnic group...
June 14, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28614148/race-and-ethnicity-has-a-mixed-effect-on-the-treatment-of-tibial-plateau-fractures
#10
Adam Driesman, Siddharth A Mahure, Albit Paoli, Christian A Pean, Sanjit R Konda, Kenneth A Egol
OBJECTIVES: To determine if racial or economic disparities are associated with short term complications and outcomes in tibial plateau fracture care. DESIGN: Retrospective cohort study SETTING:: All New York State hospital admissions from 2000 to 2014, as recorded by the New York Statewide Planning and Research Cooperative System database PATIENTS/PARTICIPANTS:: Thirteen thousand five hundred eighteen inpatients with isolated tibial plateau fractures (AO/OTA 44), stratified in four groups: Caucasian, African-American, Hispanic, and Other...
May 23, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28610576/socioeconomic-disparities-in-prevalence-awareness-treatment-and-control-of-hypertension-over-the-life-course-in-china
#11
Fan Yang, Dongfu Qian, Xueyi Liu
BACKGROUND: The socioeconomically disadvantaged populations are more likely to suffer from hypertension, and few have effectively treated and controlled their hypertension. Research on socioeconomic disparities in prevalence, awareness, treatment, and control of hypertension is warranted to inform the development of new strategies for reducing such health inequities. METHODS: The China Health and Nutrition Survey (CHNS) followed up 20,174 individuals over a 20-year period...
June 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28610540/services-for-children-with-autism-in-the-kingdom-of-saudi-arabia
#12
Fahad M Alnemary, Hesham M Aldhalaan, Gabriela Simon-Cereijido, Faisal M Alnemary
Little information is available about autism spectrum disorder services in the Kingdom of Saudi Arabia. A sample of 205 parents completed an online survey about the use of autism spectrum disorder services for their children. The results revealed that on average, children began services by 3.3 years. Most parents reported utilizing non-medical treatments followed by biomedical treatments and cultural and religious treatment. The age at the initiation of services and the type of treatments used differed by parent's income, educational attainment, the extent of knowledge about autism spectrum disorders, and geographic location...
July 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28607233/universal-health-coverage-and-the-health-sustainable-development-goal-achievements-and-challenges-for-sri-lanka
#13
Amala de Silva, Thushara Ranasinghe, Palitha Abeykoon
With state-funded health care that is free at the point of delivery, a sound primary health-care policy and widespread health-care services, Sri Lanka seems a good example of universal health coverage. Yet, health transition and disparities in provision and financing threaten this situation. Sri Lanka did well on the Millennium Development Goal health indicators, but the Sustainable Development Goal (SDG) for health has a wider purview, which is to "ensure healthy lives and promote well-being for all at all ages"...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28606707/disparities-in-compliance-with-the-oncotype-dx-breast-cancer-test-in-the-united-states-a-national-cancer-data-base-assessment
#14
Zachary Kozick, Ammar Hashmi, James Dove, Marie Hunsinger, Tania Arora, Jeffrey Wild, Mohsen Shabahang, Joseph Blansfield
BACKGROUND: Oncotype DX (ODX) is a multi-gene tumor assay for breast cancer patients. Our objective is to assess whether eligible ODX patients received the test and whether recommendations were followed based on respective risk. METHODS: We retrospectively analyzed testing in patients deemed eligible for ODX using the National Cancer Data Base. RESULTS: A total of 158,235 patients met ODX eligibility criteria. Sixty-four percent of eligible patients did not receive the test...
June 9, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28605644/gender-differences-in-positive-life-orientation-among-the-nursing-home-elders-in-china-a-cross-sectional-study
#15
Cheng Jin, Zhibo Zheng, Wei Xian, Ming Bai, Liying Jin, Yuting Li, Xiufei Yang, Yang Sheng, Wensi Ai, Hongbo Liu
INTRODUCTION: Life orientation among the nursing home elders would differ from those of community-dwelling elders due to the different living environment, but may have greater differences in gender. OBJECTIVES: This study was designed to investigate the positive life orientation and explore the potential risk factors including gender disparities among nursing home elders in China. METHODS: This cross-sectional study was conducted in Northeast China...
June 9, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28604921/association-of-educational-attainment-with-lifetime-risk-of-cardiovascular-disease-the-atherosclerosis-risk-in-communities-study
#16
Yasuhiko Kubota, Gerardo Heiss, Richard F MacLehose, Nicholas S Roetker, Aaron R Folsom
Importance: Estimates of lifetime risk may help raise awareness of the extent to which educational inequalities are associated with risk of cardiovascular disease (CVD). Objective: To estimate lifetime risks of CVD according to categories of educational attainment. Design, Setting, and Participants: Participants were followed from 1987 through December 31, 2013. All CVD events (coronary heart disease, heart failure, and stroke) were confirmed by physician review and International Classification of Diseases codes...
June 12, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28604427/health-care-use-and-hiv-related-behaviors-of-black-and-latina-transgender-women-in-3-us-metropolitan-areas-results-from-the-transgender-hiv-behavioral-survey
#17
Damian J Denson, Paige M Padgett, Nicole Pitts, Gabriela Paz-Bailey, Trista Bingham, Juli-Ann Carlos, Pamela McCann, Nikhil Prachand, Jan Risser, Teresa Finlayson
PURPOSE: HIV prevalence estimates among transgender women in the United States are high, particularly among racial/ethnic minorities. Despite increased HIV risk and evidence of racial disparities in HIV prevalence among transgender women, few data are available to inform HIV prevention efforts. METHODS: A transgender HIV-related behavioral survey conducted in 2009 in 3 US metropolitan areas (Chicago, Houston, and Los Angeles County), used respondent-driven sampling to recruit 227 black (n = 139) and Latina (n = 88) transgender women...
July 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28604178/determinants-of-inequality-in-the-up-to-date-fully-immunization-coverage-among-children-aged-24-35-months-evidence-from-zhejiang-province-east-china
#18
Yu Hu, Ying Wang, Yaping Chen, Qian Li
OBJECTIVE: This study aimed to determine the degree and determinants of inequality in up-to-date fully immunization (UTDFI) coverage among children of Zhejiang province, east China. METHOD: We used data from the Zhejiang provincial vaccination coverage survey of 2014 and the health outcome was the UTDFI status among children aged 24-35 months. The household income per month was used as an index of socio-economic status for the inequality analysis. The concentration index (CI) was used to quantify the degree of inequality and the decomposition approach was applied to quantify the contributions from demographic factors to inequality in UTDFI coverage...
June 12, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28602495/effects-of-socioeconomic-status-on-children-with-well-differentiated-thyroid-cancer
#19
Evan F Garner, Ilan I Maizlin, Matthew B Dellinger, Kenneth W Gow, Melanie Goldfarb, Adam B Goldin, John J Doski, Monica Langer, Jed G Nuchtern, Sanjeev A Vasudevan, Mehul V Raval, Elizabeth A Beierle
BACKGROUND: Well-differentiated thyroid cancer is the most common endocrine malignancy in children. Adult literature has demonstrated socioeconomic disparities in patients undergoing thyroidectomy, but the effects of socioeconomic status on the management of pediatric well-differentiated thyroid cancer remains poorly understood. METHODS: Patients ≤21 years of age with well-differentiated thyroid cancer remains were reviewed from the National Cancer Data Base...
June 8, 2017: Surgery
https://www.readbyqxmd.com/read/28599062/pediatric-cochlear-implantation-variation-in-income-race-payer-and-charges-across-five-states
#20
Zhen Huang, Heather Gordish-Dressman, Diego Preciado, Brian K Reilly
OBJECTIVES/HYPOTHESIS: Our objectives were to investigate pediatric cochlear implantation (PCI) across representative states within the United States and analyze any geographical differences in age, median household income, race, insurance, and total medical charges. STUDY DESIGN: Cross-sectional. METHODS: Data from children (aged 0.5-18 years) who received cochlear implantation surgery were collected from the 2011 State Ambulatory Surgery and Services Databases from California (CA), Florida (FL), Maryland (MD), New York (NY), and Kentucky (KY) as a part of the Healthcare Cost and Utilization Project...
June 9, 2017: Laryngoscope
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