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Socioeconomic disparity

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https://www.readbyqxmd.com/read/28647544/racial-and-ethnic-disparities-among-state-medicaid-programs-for-breast-cancer-screening
#1
Florence K Tangka, Sujha Subramanian, Lee Rivers Mobley, Sonja Hoover, Jiantong Wang, Ingrid J Hall, Simple D Singh
Breast cancer screening by mammography has been shown to reduce breast cancer morbidity and mortality. The use of mammography screening though varies by race, ethnicity, and, sociodemographic characteristics. Medicaid is an important source of insurance in the US for low-income beneficiaries, who are disproportionately members of racial or ethnic minorities, and who are less likely to be screened than women with higher socioeconomic statuses. We used 2006-2008 data from Medicaid claims and enrollment files to assess racial or ethnic and geographic disparities in the use of breast cancer screening among Medicaid-insured women at the state level...
June 21, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28647164/liver-transplantation-in-new-orleans-parity-in-a-world-of-disparity
#2
Alison A Smith, Michael Darden, Zaid Al-Qurayshi, Anil S Paramesh, Mary Killackey, Emad Kandil, Geoffrey Parker, Luis Balart, Paul Friedlander, Joseph F Buell
BACKGROUND: Racial disparity in access to liver transplantation among African Americans (AA) compared to Caucasians (CA) has been well described. The aim of this investigation was to examine the presentation of AA liver transplant recipients in a socioeconomically challenged region. METHODS: 680 adult liver transplant candidates and 233 resultant recipients between 2007 and 2015 were analyzed using univariate and multivariate analyses to evaluate factors significant for transplantation...
June 21, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/28645647/racial-disparity-in-mycosis-fungoides-an-analysis-of-4495-cases-from-the-us-national-cancer-database
#3
Chang Su, Kevin A Nguyen, Harrison X Bai, Ya Cao, Yongguang Tao, Rong Xiao, Giorgos Karakousis, Paul J Zhang, Guiying Zhang
BACKGROUND: Studies have shown contradictory results regarding the survival outcomes among white, African American, and Asian patients with mycosis fungoides (MF). OBJECTIVE: To evaluate the survival outcomes among white, African American, and Asian patients with MF and to determine other prognostic factors of the disease. METHODS: The US National Cancer Database was used to identify patients with histologically confirmed MF from 2004 to 2014...
June 20, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28640160/vasomotor-symptoms-in-women-in-asia-appear-comparable-with-women-in-western-countries-a-systematic-review
#4
Rakibul M Islam, Robin J Bell, Farwa Rizvi, Susan R Davis
OBJECTIVE: There is a belief that menopausal symptoms, particularly vasomotor symptoms (VMS), are a Western phenomena and less likely to be experienced in women in Asian countries. This systematic review of the literature was undertaken to evaluate the prevalence of VMS in Asian countries. METHODS: MEDLINE, EMBASE, PsycINFO, CINAHL, SCOPUS, and Google scholar were searched systematically for relevant population-based prevalence studies published between 1981 and 2016...
June 19, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28638747/health-care-disparities-among-lesbian-gay-bisexual-and-transgender-youth-a-literature-review
#5
REVIEW
Hudaisa Hafeez, Muhammad Zeshan, Muhammad A Tahir, Nusrat Jahan, Sadiq Naveed
About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population. LGBT youth receive poor quality of care due to stigma, lack of healthcare providers' awareness, and insensitivity to the unique needs of this community...
April 20, 2017: Curēus
https://www.readbyqxmd.com/read/28637568/disparities-in-the-age-related-rates-of-colorectal-cancer-in-the-united-states
#6
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
#7
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/28634875/mental-health-care-disparities-now-and-in-the-future
#8
Rahn Bailey, Daphne Sharpe, Tricia Kwiatkowski, Susanne Watson, A Dexter Samuels, Jasmine Hall
In 2014, the USA spent $3 trillion dollars in health care the most per capita in the world. However, the USA lacks universal health coverage, and lags behind other highly developed and wealthy countries in life expectancy (even some "non wealthy" countries have better outcomes). The USA also has deficits in other health outcome measures. Health care costs in the USA continue to rise annually and many patients receive only mediocre care. In addition, clear disparities exist across different communities, socioeconomic groups, and race and ethnicity groups...
June 20, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28632096/racial-ethnic-differences-in-life-course-heavy-drinking-from-adolescence-to-midlife
#9
Nina Mulia, Tammy W Tam, Jason Bond, Sarah E Zemore, Libo Li
Information on heavy drinking over the life course might help to explain racial/ethnic disparities in alcohol-related problems, morbidity, and mortality. Using data from the 2009-2010 U.S. National Alcohol Survey (n = 3,026), we analyzed retrospective decades-based measures of heavy drinking during respondents' teens, 20s, 30s, and 40s. Results indicate that Latino men and African American women have greater risk for persistent-high (vs. declining) heavy-drinking trajectories than Caucasian men and women, and that socioeconomic disadvantage partly accounts for this disparity in women...
February 26, 2017: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/28626849/equal-treatment-and-outcomes-for-everyone-with-multiple-myeloma-are-we-there-yet
#10
REVIEW
Sikander Ailawadhi, Kirtipal Bhatia, Sonikpreet Aulakh, Zahara Meghji, Asher Chanan-Khan
Multiple myeloma treatment has changed tremendously over recent years leading to overall improvement in patient outcomes. With therapeutic advancements, patient care has become increasingly complex and variability is seen in healthcare delivery as well as outcomes when various patient subgroups are analyzed based on sociodemographic factors. It is imperative to understand this variability so that while overall the outcomes get better, specific focus is placed on subgroups that may remain disadvantaged and may not be able to fully access the advancements in therapeutics...
June 19, 2017: Current Hematologic Malignancy Reports
https://www.readbyqxmd.com/read/28625212/mental-health-service-use-and-need-for-care-of-australians-without-diagnoses-of-mental-disorders-findings-from-a-large-epidemiological-survey
#11
I Bobevski, A Rosen, G Meadows
AIMS: While epidemiological surveys worldwide have found a considerable proportion of people using mental health services not to have a diagnosis of a mental disorder, with possible implications of service overuse, other work has suggested that most people without a current diagnosis who used services exhibited other indicators of need. The aims of the present study were, using somewhat different categorisations than previous work, to investigate whether: (1) Australians without a diagnosis of a mental disorder who used mental health services had other indicators of need; and (2) how rate and frequency of service use in Australia related to level of need, then to discuss the findings in light of recent developments in Australian Mental Health Policy and other epidemiological and services research findings...
June 19, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28624037/trauma-care-in-a-multiethnic-population-effects-of-being-undocumented
#12
Jonathan M Wyrick, Brittany A Kalosza, George N Coritsidis, Raymond Tse, George Agriantonis
BACKGROUND: Epidemiologic studies have shown that undocumented immigrants (UIs) display characteristics of having a low socioeconomic status and are primarily of ethnic minorities. These social determinants of health are known to be associated with diminished health care access and poor clinical outcomes. We therefore investigated the impact of documentation status on the clinical outcomes of patients with traumatic injuries. MATERIALS AND METHODS: We conducted a retrospective review of the trauma registry at our safety net institution for all adult patients who were admitted from 2010 to 2014...
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
#13
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/28614177/the-affordable-care-act-reduces-hypertension-treatment-disparities-for-mexican-heritage-latinos
#14
Ryan M McKenna, Héctor E Alcalá, Félice Lê-Scherban, Dylan H Roby, Alexander N Ortega
OBJECTIVES: Mexican-heritage Latinos have lower prevalence of hypertension, but have worse patterns of treatment and control compared with non-Latino whites. This study examined the impact of the Affordable Care Act (ACA) insurance expansion on reducing disparities in treatment and medication use among Mexican-heritage Latinos with hypertension. RESEARCH DESIGN: Using the 2009-2014 waves of the California Health Interview Survey, we examine health care access, utilization, and medication use among Mexican-heritage Latinos and non-Latino whites with hypertension...
July 2017: Medical Care
https://www.readbyqxmd.com/read/28611045/rgs12-is-a-novel-tumor-suppressor-gene-in-african-american-prostate-cancer-that-represses-akt-and-mnx1-expression
#15
Yongquan Wang, Jianghua Wang, Li Zhang, Omer F Karatas, Long Jiang Shao, Yiqun Zhang, Patricia Castro, Chad J Creighton, Michael Ittmann
African American (AA) men exhibit a relatively high incidence and mortality due to prostate cancer (PCa) even after adjustment for socioeconomic factors, but the biological basis for this disparity is unclear. Here we identify a novel region on chromosome 4p16.3 that is lost selectively in AA PCa. The negative regulator of G-protein signaling RGS12 was defined as the target of 4p16.3 deletions, although it has not been implicated previously as a tumor suppressor gene. RGS12 transcript levels were relatively reduced in AA PCa and PCa cell lines showed decreased RGS12 expression relative to benign prostate epithelial cells...
June 13, 2017: Cancer Research
https://www.readbyqxmd.com/read/28610576/socioeconomic-disparities-in-prevalence-awareness-treatment-and-control-of-hypertension-over-the-life-course-in-china
#16
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/28607826/socioeconomic-and-regional-differences-in-the-treatment-of-cervical-spondylotic-myelopathy
#17
Sheri K Palejwala, Anand I Rughani, G Michael Lemole, Travis M Dumont
BACKGROUND: Cervical spondylotic myelopathy (CSM) is the leading cause of spinal cord dysfunction in the world. Surgical treatment is both medically and economically advantageous, and can be achieved through multiple approaches, with or without fusion. We used the Nationwide Inpatient Sample (NIS) database to better elucidate regional and socioeconomic variances in the treatment of CSM. METHODS: The NIS database was queried for elective admissions with a primary diagnosis of CSM (ICD-9 721...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28606118/neighborhood-educational-disparities-in-active-commuting-among-women-the-effect-of-distance-between-the-place-of-residence-and-the-place-of-work-study-an-acti-cit%C3%A3-s-study
#18
Camille Perchoux, Julie-Anne Nazare, Tarik Benmarhnia, Paul Salze, Thierry Feuillet, Serge Hercberg, Franck Hess, Mehdi Menai, Christiane Weber, Hélène Charreire, Christophe Enaux, Jean-Michel Oppert, Chantal Simon
BACKGROUND: Active transportation has been associated with favorable health outcomes. Previous research highlighted the influence of neighborhood educational level on active transportation. However, little is known regarding the effect of commuting distance on social disparities in active commuting. In this regard, women have been poorly studied. The objective of this paper was to evaluate the relationship between neighborhood educational level and active commuting, and to assess whether the commuting distance modifies this relationship in adult women...
June 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28606031/how-socioeconomic-status-affects-patient-perceptions-of-health-care-a-qualitative-study
#19
Nicholas C Arpey, Anne H Gaglioti, Marcy E Rosenbaum
INTRODUCTION: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. METHODS: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. RESULTS: Most subjects perceived that their SES affected their health care...
July 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28604921/association-of-educational-attainment-with-lifetime-risk-of-cardiovascular-disease-the-atherosclerosis-risk-in-communities-study
#20
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
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