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https://www.readbyqxmd.com/read/28092650/sociodemographic-disparities-in-chronic-pain-based-on-12-year-longitudinal-data
#1
Hanna Grol-Prokopczyk
Existing estimates of sociodemographic disparities in chronic pain in the United States are based on cross-sectional data, often treat pain as a binary construct, and rarely test for nonresponse or other types of bias. This study uses 7 biennial waves of national data from the Health and Retirement Study (1998-2010; n = 19,776) to describe long-term pain disparities among older (age 51+) American adults. It also investigates whether pain severity, reporting heterogeneity, survey nonresponse, and/or mortality selection might bias estimates of social disparities in pain...
February 2017: Pain
https://www.readbyqxmd.com/read/28092072/public-sector-employment-inequality-in-the-united-states-and-the-great-recession
#2
Jennifer Laird
Historically in the United States, the public sector has served as an equalizing institution through the expansion of job opportunities for minority workers. This study examines whether the public sector continues to serve as an equalizing institution in the aftermath of the Great Recession. Using data from the Current Population Survey, I investigate changes in public sector employment between 2003 and 2013. My results point to a post-recession double disadvantage for black public sector workers: they are concentrated in a shrinking sector of the economy, and they are more likely than white and Hispanic public sector workers to experience job loss...
January 13, 2017: Demography
https://www.readbyqxmd.com/read/28092059/the-effects-of-race-and-ethnicity-on-the-risk-of-large-for-gestational-age-newborns-in-women-without-gestational-diabetes-by-prepregnancy-body-mass-index-categories
#3
Nhial T Tutlam, Yun Liu, Erik J Nelson, Louise H Flick, Jen Jen Chang
Objectives Children born large for gestational age (LGA) are at risk of numerous adverse outcomes. While the racial/ethnic disparity in LGA risk has been studied among women with Gestational Diabetes Mellitus (GDM), the independent effect of race on LGA risk by maternal prepregnancy BMI is still unclear among women without GDM. Therefore, the objective of this study was to assess the association between maternal race/ethnicity and LGA among women without GDM. Methods This was a population-based cohort study of 2,842,278 singleton births using 2012 U...
January 13, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28091977/a-cross-sectional-snapshot-of-sleep-quality-and-quantity-among-us-medical-students
#4
Erin E Ayala, Rani Berry, Jeffrey S Winseman, Hyacinth Rc Mason
OBJECTIVE: Fatigue is a well-known risk factor for mood disturbances, decreased cognitive acuity, and impaired judgment. Sleep research in medical students typically focuses on sleep quantity, but less is known about the quality of a student's sleep. The purpose of this investigation was to examine the subjective sleep quality and quantity of US medical students and to identify differences in sleep characteristics across demographic groups. METHODS: Medical students (N = 860) representing 49 medical colleges completed the Medical Outcomes Study Sleep Scale and a demographic questionnaire between December 2015 and March 2016...
January 13, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28091725/genetic-polymorphism-investigation-of-the-chinese-yi-minority-using-powerplex%C3%A2-y23-str-amplification-system
#5
GuangLin He, PengYu Chen, Xing Zou, Xu Chen, Feng Song, Jing Yan, YiPing Hou
Twenty-three Y-STR loci (DYS576, DYS389I, DYS389 II, DYS448, DYS19, DYS391, DYS481, DYS549, DYS533, DYS438, DYS437, DYS570, DYS635, DYS390, DYS439, DYS392, DYS393, DYS458 DYS456, DYS643, Y-GATA-H4, and DYS385a/b) included in the next-generation PowerPlex® Y23 System were first investigated in 311 unrelated, healthy male individuals from the Yi minority population residing in the Liangshan Yi Autonomous Prefecture, Sichuan, China. A total of 179 alleles and 297 haplotypes were discovered in the Yi group. In total, 285 haplotypes among them were unique, and the remaining 12 haplotypes were observed in two or three individuals...
January 16, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28086983/mailed-hpv-self-sampling-for-cervical-cancer-screening-among-underserved-minority-women-study-protocol-for-a-randomized-controlled-trial
#6
Erin Kobetz, Julia Seay, Anthony Amofah, Larry Pierre, Jordan Baeker Bispo, Dinah Trevil, Martha Gonzalez, Martine Poitevien, Tulay Koru-Sengul, Olveen Carrasquillo
BACKGROUND: Underserved ethnic minority women experience significant disparities in cervical cancer incidence and mortality, mainly due to lack of cervical cancer screening. Barriers to Pap smear screening include lack of knowledge, lack of health insurance and access, and cultural beliefs regarding disease prevention. In our previous SUCCESS trial, we demonstrated that HPV self-sampling delivered by a community health worker (CHW) is efficacious in circumventing these barriers. This approach increased screening uptake relative to navigation to Pap smear screening...
January 13, 2017: Trials
https://www.readbyqxmd.com/read/28086827/mothers-accounts-of-the-impact-on-emotional-wellbeing-of-organised-peer-support-in-pregnancy-and-early-parenthood-a-qualitative-study
#7
Jenny McLeish, Maggie Redshaw
BACKGROUND: The transition to parenthood is a potentially vulnerable time for mothers' mental health and approximately 9-21% of women experience depression and/or anxiety at this time. Many more experience sub-clinical symptoms of depression and anxiety, as well as stress, low self-esteem and a loss of confidence. Women's emotional wellbeing is more at risk if they have little social support, a low income, are single parents or have a poor relationship with their partner. Peer support can comprise emotional, affirmational, informational and practical support; evidence of its impact on emotional wellbeing during pregnancy and afterwards is mixed...
January 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28081234/racial-and-ethnic-disparities-in-influenza-vaccination-among-adults-with-chronic-medical-conditions-vary-by-age-in-the-united-states
#8
Degan Lu, Yanru Qiao, Natalie E Brown, Junling Wang
BACKGROUND: People living with chronic health conditions exhibit higher risk for developing severe complications from influenza according to the Centers for Diseases Control and Prevention. Although racial and ethnic disparities in influenza vaccination have been documented, it has not been comprehensively determined whether similar disparities are present among the adult population with at least one such condition. OBJECTIVE: To study if racial and ethnic disparities in relation to influenza vaccination are present in adults suffering from at least one chronic condition and if such inequalities differ between age groups...
2017: PloS One
https://www.readbyqxmd.com/read/28081032/a-systematic-review-of-the-factors-influencing-ethnic-minority-women-s-cervical-cancer-screening-behavior-from-intrapersonal-to-policy-level
#9
Dorothy N S Chan, Winnie K W So
BACKGROUND: Cervical cancer can be prevented by effective screening using Papanicolaou tests, but the utilization rate is lower among ethnic minorities than in the general population. Understanding the factors influencing minorities' use of such screening can aid the design of an appropriate intervention to increase their uptake rate. OBJECTIVE: The aims of this study were to examine the factors that influence ethnic minority women in using cervical cancer screening and the similarities and differences in associated factors across different groups and to explore the interrelationships between the factors identified...
January 9, 2017: Cancer Nursing
https://www.readbyqxmd.com/read/28080107/feasibility-and-adherence-paradigm-to-ecological-momentary-assessments-in-urban-minority-youth
#10
Mariya P Shiyko, Seth Perkins, Linda Caldwell
All adolescents in general, including ethnic and racial minorities, report high levels of cell phone use, making mobile technology a useful tool for assessment and intervention. Known health and education disparities based on minority status motivated us to conduct an in-depth investigation regarding feasibility of and adherence to the ecological momentary assessment (EMA) research protocol, studying daily life of urban minority youth. In addition, this paper presents a methodological approach to conceptualizing and reporting adherence in EMA studies...
January 12, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28079417/the-experiences-of-black-and-minority-ethnic-nurses-working-in-the-uk
#11
John Pendleton
Evidence suggests that black and minority ethnic (BME) midwives are more likely to face fitness to practise hearings than white registrants and BME NHS staff are less likely to be in senior positions. This literature review critically evaluates the literature published since a systematic review on the topic was conducted in 2005. It found that BME nurses and midwives, especially those who registered abroad and subsequently came to live and work in the UK are 'underemployed' and consequently expressed feelings of loss of self-confidence...
January 12, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28078659/summer-research-training-provides-effective-tools-for-underrepresented-minorities-to-obtain-doctoral-level-degrees
#12
Oluwatoyin A Asojo, Ashish Damania, Teri L Turner, Gayle Slaughter, Kendal D Hirschi
The ethnic, racial, and cultural diversity of the USA is not reflected in its healthcare and biomedical workforce. Undergraduate research programs are used to encourage underrepresented minorities to pursue training for biomedical careers, but there is limited published data on doctoral degree completion rates by participants in these programs. This study evaluates the attainment of doctoral degrees by a NIH-funded cohort of undergraduates from the 1998-2002 Baylor College of Medicine's Summer Medical Research Training (SMART) program...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28076583/-social-factors-associated-with-use-of-prenatal-care-in-ecuador
#13
Amaya Sánchez-Gómez, William Cevallos, Mario J Grijalva, Luis C Silva-Ayçaguer, Susana Tamayo, Jerry O Jacobson, Jaime A Costales, Rodrigo Jiménez-Garcia, Valentín Hernández-Barrera, Suzanne Serruya, Celia Riera
Objectives: Prenatal care is a pillar of public health, enabling access to interventions including prevention of mother-to-child transmission of HIV and congenital syphilis. This paper describes social factors related to use of prenatal care in Ecuador. Methods: In 2011 and 2012, participant clinical history and interview information was analyzed from a national probability sample of 5 998 women presenting for delivery or miscarriage services in 15 healthcare facilities in Ecuador, to estimate prevalence of HIV, syphilis, and Chagas disease, and prenatal care coverage...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28075151/multilevel-correlates-of-healthy-bmi-maintenance-and-return-to-a-healthy-bmi-among-children-in-massachusetts
#14
Lauren Fiechtner, Erika R Cheng, Gabriel Lopez, Mona Sharifi, Elsie M Taveras
OBJECTIVES: To examine predictors of healthy BMI maintenance (HBM) or return to a healthy BMI (RHB) among children. METHODS: We studied 33,272 children in Massachusetts between 2008 and 2012. We used multinomial logistic regression to examine associations of individual- and neighborhood-level factors with the odds of: (1) HBM: maintenance of a healthy BMI ≥5th to <85th percentile and (2) RHB: transition to a healthy BMI range from an initial BMI ≥85th percentile between two clinic visits spanning an average of 3...
January 11, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28074982/-healthcare-mistreatment-attributed-to-discrimination-among-mapuche-patients-and-discontinuation-of-diabetes-care
#15
Manuel S Ortiz, María José Baeza-Rivera, Natalia Salinas-Oñate, Patricia Flynn, Héctor Betancourt
BACKGROUND: The negative impact of perceived discrimination on health outcomes is well established. However, less attention has been directed towards understanding the effect of perceived discrimination on health behaviors relevant for the treatment of diabetes in ethnic minorities. AIM: To examine the effects of healthcare mistreatment attributed to discrimination on the continuity of Type 2 Diabetes (DM2) care among mapuche patients in a southern region of Chile...
October 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28069847/acos-serving-high-proportions-of-racial-and-ethnic-minorities-lag-in-quality-performance
#16
Valerie A Lewis, Taressa Fraze, Elliott S Fisher, Stephen M Shortell, Carrie H Colla
Accountable care organizations (ACOs) are intended, in part, to improve health care quality. However, little is known about how ACOs may affect disparities or how providers serving disadvantaged patients perform under Medicare ACO contracts. We analyzed racial and ethnic disparities in health care outcomes among ACOs to investigate the association between the share of an ACO's patients who are members of racial or ethnic minority groups and the ACO's performance on quality measures. Using data from Medicare and a national survey of ACOs, we found that having a higher proportion of minority patients was associated with worse scores on twenty-five of thirty-three Medicare quality performance measures, two disease composite measures, and an overall quality composite measure...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28068132/east-asian-adolescents-ethnic-identity-development-and-cultural-integration-a-qualitative-investigation
#17
Eunju Yoon, Kristen Adams, Angela Clawson, Hanna Chang, Shruti Surya, Gihane Jérémie-Brink
Drawing on the current conceptualization of acculturation/enculturation as bilinear, multidimensional processes proceeding in interaction with surrounding contexts, this study examined ethnic identity development and cultural integration of 13 adolescents from East Asian immigrant families. Five domains emerged via the Consensual Qualitative Research method: ethnic/cultural identity and socialization; bicultural living; racial context-racism and stereotypes; family context-parental expectation; and peer context-friendship/dating...
January 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28067780/a-mental-health-survey-of-different-ethnic-and-occupational-groups-in-xinjiang-china
#18
Ailing Fu, Bo Liu, Yu Jiang, Junling Zhao, Guanghui Zhang, Jiwen Liu
Poor mental health has become a serious social and public health-care burden. This cross-sectional study used multistage stratified cluster random sampling to gather mental health information from 11,891 adults (18-60 years) employed in various occupations categorized according to the Chinese Standard Occupational Classification. Mental health was measured by the General Health Questionnaire, and participants exceeding the cut-off score were defined as having poor mental health. The overall prevalence of poor mental health was 23...
January 5, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28064028/resilient-empowered-active-living-with-diabetes-real-diabetes-study-methodology-and-baseline-characteristics-of-a-randomized-controlled-trial-evaluating-an-occupation-based-diabetes-management-intervention-for-young-adults
#19
Elizabeth A Pyatak, Kristine Carandang, Cheryl Vigen, Jeanine Blanchard, Paola A Sequeira, Jamie R Wood, Donna Spruijt-Metz, Robin Whittemore, Anne L Peters
OVERVIEW: This paper describes the study protocol used to evaluate the Resilient, Empowered, Active Living with Diabetes (REAL Diabetes) intervention and reports on baseline characteristics of recruited participants. REAL Diabetes is an activity-based intervention designed to address the needs of young adults diagnosed with type 1 (T1D) or type 2 diabetes (T2D) from low socioeconomic status or racial/ethnic minority backgrounds. The REAL intervention incorporates tailored delivery of seven content modules addressing various dimensions of health and well-being as they relate to diabetes, delivered by a licensed occupational therapist...
January 5, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28063910/racial-ethnic-differences-in-contraceptive-preferences-beliefs-and-self-efficacy-among-women-veterans
#20
Lisa S Callegari, Xinhua Zhao, Eleanor Bimla Schwarz, Elian Rosenfeld, Maria K Mor, Sonya Borrero
BACKGROUND: Significant racial/ethnic disparities in unintended pregnancy persist in the US, with the highest rates observed among low-income black and Hispanic women. Differences in contraceptive preferences, beliefs, and self-efficacy may be instrumental in understanding contraceptive behaviors that underlie higher rates of unintended pregnancy among racial/ethnic minorities. OBJECTIVES: Our objective was to understand how contraceptive preferences, beliefs and self-efficacy vary by race and ethnicity among women veterans...
January 4, 2017: American Journal of Obstetrics and Gynecology
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