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https://www.readbyqxmd.com/read/29352421/predictors-of-insulin-initiation-in-patients-with-type-2-diabetes-an-analysis-of-the-look-ahead-randomized-trial
#1
Scott J Pilla, Hsin-Chieh Yeh, Stephen P Juraschek, Jeanne M Clark, Nisa M Maruthur
BACKGROUND: The decision to initiate insulin in patients with type 2 diabetes is a challenging escalation of care that requires an individualized approach. However, the sociodemographic and clinical factors affecting insulin initiation are not well understood. OBJECTIVE: We sought to identify patient factors that were independent predictors of insulin initiation among participants in the Look AHEAD (Action for Health in Diabetes) clinical trial. DESIGN: Retrospective analysis of a randomized clinical trial...
January 19, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29352358/daily-fantasy-sports-players-gambling-addiction-and-mental-health-problems
#2
Lia Nower, Kyle R Caler, Dylan Pickering, Alex Blaszczynski
Studies point to a relationship between fantasy sports/daily fantasy sports (DFS) play and gambling behavior. However, little is known about the nature of those relationships, particularly regarding the development of gambling problems. This study investigates the nature, frequency, and preferences of gambling behavior as well as problem gambling severity and comorbid conditions among DFS players. Data were collected from an epidemiologic survey of 3634 New Jersey residents on gambling and leisure activities...
January 19, 2018: Journal of Gambling Studies
https://www.readbyqxmd.com/read/29351855/the-relationship-of-circulating-fibroblast-growth-factor-21-levels-with-incident-atrial-fibrillation-the-multi-ethnic-study-of-atherosclerosis
#3
Tsz Him Hui, Robyn L McClelland, Matthew A Allison, Carlos J Rodriguez, Richard A Kronmal, Susan R Heckbert, Erin D Michos, Philip J Barter, Kerry-Anne Rye, Kwok Leung Ong
BACKGROUND AND AIMS: Elevated circulating levels of fibroblast growth factor 21 (FGF21) are associated with multiple cardiovascular disease (CVD) risk factors and incident events. Previous small cross-sectional studies, mainly in Chinese populations, have suggested FGF21 may play a role in the development of atrial fibrillation (AF). We therefore investigated the relationship of FGF21 levels with incident AF in participants free of clinically apparent CVD at baseline in a large, multi-ethnic cohort...
December 25, 2017: Atherosclerosis
https://www.readbyqxmd.com/read/29350573/feasibility-and-acceptability-of-screening-for-adverse-childhood-experiences-in-prenatal-care
#4
Tracy Flanagan, Amy Alabaster, Brigid McCaw, Nicole Stoller, Carey Watson, Kelly C Young-Wolff
INTRODUCTION: Adverse childhood experiences (ACEs) are common among pregnant women and contribute to increased risk for negative perinatal outcomes, yet few clinicians screen prenatal patients for ACEs. The purpose of this study was to evaluate the feasibility and acceptability of screening for ACEs in standard prenatal care. METHODS: We evaluated a 4-month pilot (March 2016-June 2016) to screen pregnant women (at ∼14-23 weeks of gestation) for ACEs and resiliency in two Kaiser Permanente Northern California medical centers (N = 480)...
January 19, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29350513/racial-ethnic-variation-in-devices-used-to-access-patient-portals
#5
Eva Chang, Katherine Blondon, Courtney R Lyles, Luesa Jordan, James D Ralston
OBJECTIVES: We examined racial/ethnic variation in the devices used by patients to access medical records through an online patient portal. STUDY DESIGN: Retrospective, cross-sectional analysis. METHODS: Using data from 318,700 adults enrolled in an integrated delivery system between December 2012 and November 2013, we examined: 1) online patient portal use that directly engages the electronic health record and 2) portal use over desktops/laptops only, mobile devices only, or both device types...
January 1, 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350505/bridging-the-digital-divide-mobile-access-to-personal-health-records-among-patients-with-diabetes
#6
Ilana Graetz, Jie Huang, Richard J Brand, John Hsu, Cyrus K Yamin, Mary E Reed
OBJECTIVES: Some patients lack regular computer access and experience a digital divide that causes them to miss internet-based health innovations. The diffusion of smartphones has increased internet access across the socioeconomic spectrum, and increasing the channels through which patients can access their personal health records (PHRs) could help bridge the divide in PHR use. We examined PHR use through a computer-based Web browser or mobile device. STUDY DESIGN: Cross-sectional historical cohort analysis...
January 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350312/genesurance-counseling-patient-perspectives
#7
Chelsea Wagner, Lauren Murphy, Jacqueline Harkenrider, Sandra Darilek, Eleazar Soto-Torres, Quinn Stein, Jennifer Hoskovec
Genetic counselors (GCs) have reported an increase in discussion of insurance-related, or "genesurance," topics during genetic counseling sessions. Despite increasing frequency, there have been no studies examining patient expectations of GCs in these discussions. This study aimed to explore patient expectations of GCs in these discussions, as well as examine factors that may impact expectations. A 38-item survey was administered prior to patients receiving prenatal or cancer genetic counseling at 11 clinic sites across UTHealth, Baylor College of Medicine, and Sanford Health, with 360 responses analyzed...
January 19, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29350270/genetic-data-for-26-autosomal-str-markers-from-brazilian-population
#8
Tamiris Fátima Correia Pereira, Marcelo Malaghini, João Carlos Maciel Magalhães, Rodrigo Moura-Neto, Vanessa Santos Sotomaior
The allelic frequency distributions and statistical forensic parameters of 26 mini short tandem repeat (mini-STR) loci in a sample of 1575 unrelated individuals from five different Brazilian regions were obtained. All the analyzed loci showed great diversity and were highly informative. The results were compared with those of the US Caucasian, African American, and Hispanic population studies. This study aimed to contribute to forensic analysis for human identification and inference of the evidential value in familial bond tests...
January 19, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29350050/marital-status-and-trajectories-of-depressive-symptoms-among-older-adults-of-mexican-descent
#9
Maria A Monserud
Little is known about the implications of marital status for the age patterning of depressive symptoms in later life. Drawing on seven waves of data from the Hispanic Established Population for the Epidemiologic Study of the Elderly, this research uses growth curve models to examine age trajectories of depressive symptoms among continuously married and recently and continuously widowed older adults of Mexican descent (aged 65 years and older; N = 1,452). The findings demonstrate that despite having a higher mean level of depressive symptoms, the recently widowed experienced a similar rate of increase in distress with age to that of their married counterparts...
January 1, 2018: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/29349281/work-disability-in-the-united-states-1968-2015-prevalence-duration-recovery-and-trends
#10
James N Laditka, Sarah B Laditka
The United States workforce is aging. At the same time more people have chronic conditions, for longer periods. Given these trends the importance of work disability, physical or nervous problems that limit a person's type or amount of work, is increasing. No research has examined transitions among multiple levels of work disability, recovery from work disability, or trends. Limited research has focused on work disability among African Americans and Hispanics, or separately for women and men. We examined these areas using data from 30,563 adults in the 1968-2015 Panel Study of Income Dynamics...
April 2018: SSM—Population Health
https://www.readbyqxmd.com/read/29349273/the-contribution-of-three-dimensions-of-allostatic-load-to-racial-ethnic-disparities-in-poor-fair-self-rated-health
#11
Alexis R Santos-Lozada, Jonathan Daw
Objective: This study evaluates whether different dimensions of physiological dysregulation, modeled individually rather than additively mediate racial/ethnic disparities in self-reported health. Methods: Using data from the National Health and Nutrition Examination Survey (2005-2010) and the Karlson, Hold, and Breen (KHB) mediation model, this paper explores what operationalization of biomarker data most strongly mediate racial/ethnic disparities in poor/fair self-rated health (SRH) among adults in the United States, net of demographic, socioeconomic, behavioral, and medication controls...
April 2018: SSM—Population Health
https://www.readbyqxmd.com/read/29349263/worldviews-and-trust-of-sources-for-health-information-on-electronic-nicotine-delivery-systems-effects-on-risk-perceptions-and-use
#12
Scott R Weaver, Amelia Jazwa, Lucy Popova, Paul Slovic, Richard B Rothenberg, Michael P Eriksen
Public health agencies, the news media, and the tobacco/vapor industry have issued contradictory statements about the health effects of electronic nicotine delivery systems (ENDS). We investigated the levels of trust that consumers place in different information sources and how trust is associated with cultural worldviews, risk perceptions, ENDS use, and sociodemographic characteristics using a nationally representative sample of 6051 U.S. adults in 2015. Seventeen percent of adults were uncertain about their trust for one or more potential sources...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349258/neighborhood-context-and-birth-outcomes-going-beyond-neighborhood-disadvantage-incorporating-affluence
#13
Jennifer B Kane, Gandarvaka Miles, Jennifer Yourkavitch, Katherine King
•Neighborhood affluence protects against the risk of poor birth outcome. •The protective effect of affluence holds for Whites, Blacks, Hispanics and Asians. •Mediation of these pathways by prenatal smoking varies by racial group. •The discourse on neighborhoods and birth outcomes should include affluence.
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349253/recreational-marijuana-legalization-and-college-student-use-early-evidence
#14
Austin M Miller, Robert Rosenman, Benjamin W Cowan
We analyze marijuana use by college undergraduates before and after legalization of recreational marijuana. Using survey data from the National College Health Assessment, we show that students at Washington State University experienced a significant increase in marijuana use after legalization. This increase is larger than would be predicted by national trends. The change is strongest among females, Black students, and Hispanic students. The increase for underage students is as much as for legal-age students...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349240/explaining-racial-ethnic-differences-in-all-cause-mortality-in-the-multi-ethnic-study-of-atherosclerosis-mesa-substantive-complexity-and-hazardous-working-conditions-as-mediating-factors
#15
Kaori Fujishiro, Anjum Hajat, Paul A Landsbergis, John D Meyer, Pamela J Schreiner, Joel D Kaufman
Research on racial/ethnic health disparities and socioeconomic position has not fully considered occupation. However, because occupations are racially patterned, certain occupational characteristics may explain racial/ethnic difference in health. This study examines the role of occupational characteristics in racial/ethnic disparities in all-cause mortality. Data are from a U.S. community-based cohort study (n=6342, median follow-up: 12.2 years), in which 893 deaths (14.1%) occurred. We estimated mortality hazard ratios (HRs) for African Americans, Hispanics, and Chinese Americans compared with whites...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349230/education-race-ethnicity-and-multimorbidity-among-adults-aged-30-64-in-the-national-health-interview-survey
#16
Vicki Johnson-Lawrence, Anna Zajacova, Rodlescia Sneed
Background: Demographic risk factors for multimorbidity have been identified in numerous population-based studies of older adults; however, there is less data on younger populations, despite the fact that approximately 24% of US adults age 18+ have multimorbidity. Understanding multimorbidity earlier in the life course is critical because of the increased likelihood of long-term disability and loss of productivity associated with chronic disease progression. Objective: To examine the associations of education and race/ethnicity with mutimorbidity among adults aged 30-64 using cross-sectional data from the 2002-2014 National Health Interview Surveys...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349222/a-comprehensive-analysis-of-the-mortality-experience-of-hispanic-subgroups-in-the-united-states-variation-by-age-country-of-origin-and-nativity
#17
Andrew Fenelon, Juanita J Chinn, Robert N Anderson
Although those identifying as "Hispanic or Latino" experience lower adult mortality than the more socioeconomically advantaged non-Hispanic white population, the ethnic category Hispanic conceals variation by country of origin, nativity, age, and immigration experience. The current analysis examines adult mortality differentials among 12 Hispanic subgroups by region of origin and nativity, and non-Hispanic whites, adjusting for socioeconomic and demographic characteristics. We use the National Health Interview Survey Linked Mortality Files pooled 1990-2009 to obtain sufficient sample of each subgroup to calculate mortality estimates by sex and age group (25-64, 65+)...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29349209/immigration-concern-and-the-white-non-white-difference-in-smoking-group-position-theory-and-health
#18
Frank L Samson
National data indicate that U.S. whites have a higher prevalence of smoking compared to non-whites. Group position theory and public opinion data suggest racial differences in immigration concern. This study examines whether immigration concern mediates the racial difference in smoking. Drawing on the 2012 General Social Survey, the 2012 American National Election Study, and the 2006 Portraits of American Life Study, immigration concern was associated with smoking, controlling for covariates across all three nationally representative surveys...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29348844/trends-and-variations-in-mantle-cell-lymphoma-incidence-from-1995-to-2013-a-comparative-study-between-texas-and-national-seer-areas
#19
Shuangshuang Fu, Michael Wang, David R Lairson, Ruosha Li, Bo Zhao, Xianglin L Du
Background: Few studies have assessed mantle cell lymphoma (MCL) incidence trends in the U.S. National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) areas. Previous studies were 5 to 9 years old and MCL incidence in Texas remains unknown. This study updated the temporal trends and variations of MCL incidence in the SEER areas and compared them with counterpart data in Texas. Results: From 1995 to 2013, there were 2, 435 and 5, 193 newly diagnosed MCL patients in Texas and SEER areas...
December 22, 2017: Oncotarget
https://www.readbyqxmd.com/read/29348264/employment-among-patients-starting-dialysis-in-the-united-states
#20
Kevin F Erickson, Bo Zhao, Vivian Ho, Wolfgang C Winkelmayer
BACKGROUND AND OBJECTIVES: Patients with ESRD face significant challenges to remaining employed. It is unknown when in the course of kidney disease patients stop working. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We examined employment trends over time among patients ages 18-54 years old who initiated dialysis in the United States between 1996 and 2013 from a national ESRD registry. We compared unadjusted trends in employment at the start of dialysis and 6 months before ESRD and used linear probability models to estimate changes in employment over time after adjusting for patient characteristics and local unemployment rates in the general population...
January 18, 2018: Clinical Journal of the American Society of Nephrology: CJASN
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