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Native American medical research

Mikhail C S S Higgins, Wei-Ting Hwang, Chase Richard, Christina H Chapman, Angelique Laporte, Stefan Both, Charles R Thomas, Curtiland Deville
PURPOSE: To assess the United States interventional radiology (IR) academic physician workforce diversity and comparative specialties. METHODS: Public registries were used to assess demographic differences among 2012 IR faculty and fellows, diagnostic radiology (DR) faculty and residents, DR subspecialty fellows (pediatric, abdominal, neuroradiology, and musculoskeletal), vascular surgery and interventional cardiology trainees, and 2010 US medical school graduates and US Census using binomial tests with ...
August 25, 2016: Journal of Vascular and Interventional Radiology: JVIR
Ingrid Diane Johnson, Matthew L Hiller
Despite a strong empirical base linking community context and proximity to resources to individual health care access, studies examining predictors of sexual assault survivor time until presentation for medical care have not yet examined these relationships. This study addresses this gap. The data included retrospective records on a sample of 1,630 female survivors who reported their sexual assault to law enforcement and were subsequently seen by a sexual assault nurse examiner (SANE) in one of eight Alaskan communities between the years 1996 and 2006...
August 12, 2016: Journal of Interpersonal Violence
Imam M Xierali, Marc A Nivet, M Roy Wilson
IMPORTANCE: Increasing the level of diversity among ophthalmologists may help reduce disparities in eye care. OBJECTIVE: To assess the current and future status of diversity among ophthalmologists in the workforce by sex, race, and ethnicity in the context of the available number of medical students in the United States. DESIGN, SETTING, AND PARTICIPANTS: Data from the Association of American Medical Colleges, the American Medical Association, and US Census were used to evaluate the differences and trends in diversity among ophthalmologists, all full-time faculty except ophthalmology, ophthalmology faculty, ophthalmology residents, medical school students, and the US population between 2005 and 2015...
September 1, 2016: JAMA Ophthalmology
Daniel H de Vries, Stephanie Steinmetz, Kea G Tijdens
BACKGROUND: This study used the global WageIndicator web survey to answer the following research questions: (RQ1) What are the migration patterns of health workers? (RQ2) What are the personal and occupational drivers of migration? (RQ3) Are foreign-born migrant health workers discriminated against in their destination countries? METHODS: Of the unweighted data collected in 2006-2014 from health workers aged 15-64 in paid employment, 7.9 % were on migrants (N = 44,394; 36 countries)...
2016: Human Resources for Health
Vanessa Y Hiratsuka, Laurie Moore, Denise A Dillard, Jaedon P Avey, Lisa G Dirks, Barbara Beach, Douglas Novins
American Indian and Alaska Native (AI/AN) people experience high rates of acute, chronic, and intergenerational trauma. Traumatic experiences often increase the risk of both medical and behavioral health problems making primary care settings opportune places to screen for trauma exposure or symptomology. The objective of this study was to determine considerations and recommendations provided by patients, health care providers, health care administrators, and tribal leaders in the development of an adult trauma screening, brief intervention, and referral for treatment process to pilot at two large AI/AN primary care systems...
June 21, 2016: Journal of Behavioral Health Services & Research
Rebecca C Rossom, Susan Shortreed, Karen J Coleman, Arne Beck, Beth E Waitzfelder, Christine Stewart, Brian K Ahmedani, John E Zeber, Greg E Simon
BACKGROUND: Early adherence is key to successful depression treatment, but nearly 60% of patients discontinue antidepressants within 3 months. Our study aimed to determine factors associated with poor early adherence to antidepressants in a large diverse sample of patients. METHODS: Six Mental Health Research Network healthcare systems contributed data for adults with depression and a new antidepressant start, defined by a washout period of at least 270 days, between January 1, 2010 and December 31, 2012...
August 2016: Depression and Anxiety
Lisa J Scarton, Mary de Groot
American Indians and Alaska Natives (AI/ANs) bear a disproportionate burden of diabetes and associated long-term complications. Behavioral interventions play a vital role in promoting diabetes medical and psychological outcomes, yet the development of interventions for AI/AN communities has been limited. A systematic review was conducted of studies focused on the psychosocial and behavioral aspects of diagnosed diabetes among AI/ANs. Ovid and PubMed databases and published reference lists were searched for articles published between 1987 and 2014 that related to the psychosocial and behavioral aspects of type 1 or type 2 diabetes in the AI/AN population...
May 13, 2016: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Karen J Coleman, Christine Stewart, Beth E Waitzfelder, John E Zeber, Leo S Morales, Ameena T Ahmed, Brian K Ahmedani, Arne Beck, Laurel A Copeland, Janet R Cummings, Enid M Hunkeler, Nangel M Lindberg, Frances Lynch, Christine Y Lu, Ashli A Owen-Smith, Connie Mah Trinacty, Robin R Whitebird, Gregory E Simon
OBJECTIVE: The objective of this study was to characterize racial-ethnic variation in diagnoses and treatment of mental disorders in large not-for-profit health care systems. METHODS: Participating systems were 11 private, not-for-profit health care organizations constituting the Mental Health Research Network, with a combined 7,523,956 patients age 18 or older who received care during 2011. Rates of diagnoses, prescription of psychotropic medications, and total formal psychotherapy sessions received were obtained from insurance claims and electronic medical record databases across all health care settings...
July 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Jacob M Vigil, Patrick Coulombe, Joe Alcock, Eric Kruger, Sarah S Stith, Chance Strenth, Mark Parshall, Sara B Cichowski
Ethnic minority patients receive lower priority triage assignments in Veteran's Affairs (VA) emergency departments (EDs) compared to White patients, but it is currently unknown whether this disparity arises from generalized biases across the triage assessment process or from differences in how objective and/or subjective institution-level or person-level information is incorporated into the triage assessment process, thus contributing to disparate treatment.The VA database of electronic medical records of patients who presented to the VA ED from 2008 to 2012 was used to measure patient ethnicity, self-reported pain intensity (PI) levels, heart rate (HR), respiratory rate (RR), and nurse-provided triage assignment, the Emergency Severity Index (ESI) score...
April 2016: Medicine (Baltimore)
Andrea N Burnett-Hartman, Shivan J Mehta, Yingye Zheng, Nirupa R Ghai, Dale F McLerran, Jessica Chubak, Virginia P Quinn, Celette Sugg Skinner, Douglas A Corley, John M Inadomi, Chyke A Doubeni
INTRODUCTION: Racial/ethnic disparities in colorectal cancer (CRC) screening and diagnostic testing present challenges to CRC prevention programs. Thus, it is important to understand how differences in CRC screening approaches between healthcare systems are associated with racial/ethnic disparities. METHODS: This was a retrospective cohort study of patients aged 50-75 years who were members of the Population-based Research Optimizing Screening Through Personalized Regimens cohort from 2010 to 2012...
October 2016: American Journal of Preventive Medicine
Douglas K Novins, Calvin D Croy, Laurie A Moore, Traci Rieckmann
BACKGROUND: Research and health surveillance activities continue to document the substantial disparities in the impacts of substance abuse on the health of American Indian and Alaska Native (AI/AN) people. While Evidence-Based Treatments (EBTs) hold substantial promise for improving treatment for AI/ANs with substance use problems (as they do for non-AI/ANs), anecdotal reports suggest that their use is limited. In this study, we examine the awareness of, attitudes toward, and use of EBTs in substance abuse treatment programs serving AI/AN communities...
April 1, 2016: Drug and Alcohol Dependence
Garth Graham, Yang-Yu Karen Xiao, Dan Rappoport, Saima Siddiqi
Despite recent general improvements in health care, significant disparities persist in the cardiovascular care of women and racial/ethnic minorities. This is true even when income, education level, and site of care are taken into consideration. Possible explanations for these disparities include socioeconomic considerations, elements of discrimination and racism that affect socioeconomic status, and access to adequate medical care. Coronary revascularization has become the accepted and recommended treatment for myocardial infarction (MI) today and is one of the most common major medical interventions in the United States, with more than 1 million procedures each year...
January 26, 2016: World Journal of Cardiology
Landon R Mueller, John P Donnelly, Karen E Jacobson, Jestin N Carlson, N Clay Mann, Henry E Wang
Although much is known about EMS care in urban, suburban, and rural settings, only limited national data describe EMS care in isolated and sparsely populated frontier regions. We sought to describe the national characteristics and outcomes of EMS care provided in frontier and remote (FAR) areas in the continental United States (US). We performed a cross-sectional analysis of the 2012 National Emergency Medical Services Information System (NEMSIS) data set, encompassing EMS response data from 40 States. We linked the NEMSIS dataset with Economic Research Service-identified FAR areas, defined as a ZIP Code >60 minutes driving time to an urban center with >50,000 persons...
2016: Prehospital Emergency Care
Ellen-Ge D Denton, Jonathan A Shaffer, Carmela Alcantara, Esteban Cadermil
The Ethnic Density hypothesis posits that living around others from similar ethnic backgrounds reduces the risk of adverse mental health outcomes such as depression. Contrary to this hypothesis, previous work has shown that Hispanic ethnic density is cross-sectionally associated with increased depressive symptom severity among patients hospitalized with an acute coronary syndrome (ACS; myocardial infarction or unstable angina pectoris). To date, no study has examined the prospective association of Hispanic ethnic density on long-term depressive symptom severity following an acute medical event...
February 2016: Journal of Behavioral Medicine
Greta B Raglan, Sophia M Lannon, Katherine M Jones, Jay Schulkin
OBJECTIVES: Preterm birth disproportionately affects American Indian/Alaska Native (AI/AN) women. This disparity in birth outcomes may stem from higher levels of exposure to psychosocial, sociodemographic, and medical risk factors. METHODS: This paper reviews relevant research related to preterm birth in American Indian and Alaska Native women. CONCLUSIONS: This narrative review examines disparities in preterm birth rates between AI/AN and other American women, and addresses several maternal risk factors and barriers that contribute to elevated preterm birth rates among this racial minority group...
January 2016: Maternal and Child Health Journal
Claudiu Herteliu, Bogdan Vasile Ileanu, Marcel Ausloos, Giulia Rotundo
STUDY QUESTION: Does the interdiction of sexual intercourse during Nativity and Lent fasting periods have any effect on when babies are conceived in Romania, in the 20th century? SUMMARY ANSWER: Based on date of birth records from the 20th century, Lent had a greater effect than the Nativity fast on conception within the Eastern Orthodox (ORTHD) population. WHAT IS KNOWN ALREADY: Seasonality of births (and therefore of conception) is affected by geographical factors (latitude, weather, day-length)...
September 2015: Human Reproduction
Pratibha Nayak, Raheem J Paxton, Holly Holmes, Hoang Thanh Nguyen, Linda S Elting
INTRODUCTION: Previous studies of health behaviors of adult cancer survivors have not adequately examined racial and ethnic differences because of small sample sizes. A national data set was used to examine differences in health behaviors between cancer survivors and controls and between racial and ethnic groups among survivors. METHODS: The study analyzed 2009 Behavioral Risk Factor Surveillance System survey data in 2012-2014. Descriptive statistics were used to examine differences in health behaviors between cancer survivors and controls aged 20-64 years...
June 2015: American Journal of Preventive Medicine
Hyejung Grace Kong, Ock-Joo Kim
This study is about the Sisters of Charity of St. Joseph in New Orleans' Charity Hospital during the years between 1834 and 1860. The Sisters of Charity of St. Joseph was founded in 1809 by Saint Elizabeth Ann Bailey Seton (first native-born North American canonized in 1975) in Emmitsburg, Maryland. Seton's Sisters of Charity was the first community for religious women to be established in the United States and was later incorporated with the French Daughters of Charity of St. Vincent de Paul in 1850. A call to work in New Orleans' Charity Hospital in the 1830s meant a significant achievement for the Sisters of Charity, since it was the second oldest continuously operating public hospitals in the United States until 2005, bearing the same name over the decades...
April 2015: Ŭi Sahak
Elizabeth Brooks, Carol Kaufman, Herbert T Nagamoto, Nancy K Dailey, Byron D Bair, Jay Shore
Many Native veterans--including American Indian/Alaska Native (AIAN) and Native Hawaiian/Pacific Islanders (NHPI)--have served in the United States Armed Forces. Most of these veterans are eligible for medical care from the Department of Veterans Affairs (VA), but research examining the determinants of their service use is needed to inform policy and allocate appropriate resources for these unique groups. In a retrospective cohort study, we examined the impact of Native veterans' personal demographics on their outpatient utilization of VA-based primary care and mental health services...
May 2015: Psychological Services
Sandra M Radin, Stephen H Kutz, June LaMarr, Diane Vendiola, Michael Vendiola, Brian Wilbur, Lisa Rey Thomas, Dennis M Donovan
Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-structured focus groups. Qualitative data analysis revealed robust themes: prescription medications and alcohol were perceived as most prevalent and concerning; family and peer influences and emotional distress were prominent perceived risk factors; and SUAD intervention resources varied across communities...
2015: Journal of Ethnicity in Substance Abuse
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