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https://www.readbyqxmd.com/read/29048959/a-community-level-sodium-reduction-intervention-boston-2013-2015
#1
Carolyn J Brooks, Jessica Barrett, James Daly, Rebekka Lee, Nineequa Blanding, Anne McHugh, David Williams, Steven Gortmaker
OBJECTIVES: To evaluate a community-level sodium-reduction intervention in Boston, Massachusetts. Reducing sodium in the food offerings of community settings may help reduce hypertension disparities. METHODS: We examined changes in the proportion of prepackaged foods with greater than 200 milligrams of sodium in 7 hospitals, 8 YMCAs, 4 community health centers, and 2 organizations serving homeless populations. Research assistants documented prepackaged items in cafeterias, kiosks, and vending machines before and after the intervention (2013-2015)...
October 19, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29048955/integrating-hiv-preexposure-prophylaxis-prep-into-routine-preventive-health-care-to-avoid-exacerbating-disparities
#2
Sarah K Calabrese, Douglas S Krakower, Kenneth H Mayer
More than 3 decades since its emergence in the United States, HIV continues to spread and disproportionately affect socially marginalized groups. Preexposure prophylaxis (PrEP), a highly effective prevention strategy federally approved since 2012, could fundamentally alter the course of the epidemic. However, PrEP's potential has not been fully realized, in part because health care providers have been slow to adopt PrEP in clinical practice and have been selective in their discussion of PrEP with patients. This nonstandardized approach has constrained PrEP access...
October 19, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29048726/trends-in-inequalities-in-child-stunting-in-south-asia
#3
Aditi Krishna, Iván Mejía-Guevara, Mark McGovern, Victor Aguayo, S V Subramanian
We analysed socio-economic inequalities in stunting in South Asia and investigated disparities associated with factors at the individual, caregiver, and household levels (poor dietary diversity, low maternal education, and household poverty). We used time-series analysis of data from 55,459 children ages 6-23 months from Demographic and Health Surveys in Bangladesh, India, Nepal, and Pakistan (1991-2014). Logistic regression models, adjusted for age, sex, birth order, and place of residency, examined associations between stunting and multiple types of socio-economic disadvantage...
October 19, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29048416/increased-frequency-of-kras-mutations-in-african-americans-compared-with-caucasians-in-sporadic-colorectal-cancer
#4
Jonas J Staudacher, Cemal Yazici, Vadim Bul, Joseph Zeidan, Ahmer Khalid, Yinglin Xia, Nancy Krett, Barbara Jung
OBJECTIVES: The basis for over-representation of colorectal cancer (CRC) in African-American (AA) populations compared with Caucasians are multifactorial and complex. Understanding the mechanisms for this racial disparity is critical for delivery of better care. Several studies have investigated sporadic CRC for differences in somatic mutations between AAs and Caucasians, but owing to small study sizes and conflicting results to date, no definitive conclusions have been reached. METHODS: Here, we present the first systematic literature review and meta-analysis investigating the mutational differences in sporadic CRC between AAs and Caucasians focused on frequent driver mutations (APC,TP53, KRAS,PI3CA, FBXW7,SMAD4, and BRAF)...
October 19, 2017: Clinical and Translational Gastroenterology
https://www.readbyqxmd.com/read/29048385/disease-and-health-inequalities-attributable-to-air-pollutant-exposure-in-detroit-michigan
#5
Sheena E Martenies, Chad W Milando, Guy O Williams, Stuart A Batterman
The environmental burden of disease is the mortality and morbidity attributable to exposures of air pollution and other stressors. The inequality metrics used in cumulative impact and environmental justice studies can be incorporated into environmental burden studies to better understand the health disparities of ambient air pollutant exposures. This study examines the diseases and health disparities attributable to air pollutants for the Detroit urban area. We apportion this burden to various groups of emission sources and pollutants, and show how the burden is distributed among demographic and socioeconomic subgroups...
October 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29047341/prevalence-of-multimorbidity-in-germany-impact-of-age-and-educational-level-in-a-cross-sectional-study-on-19-294-adults
#6
Marie-Therese Puth, Klaus Weckbecker, Matthias Schmid, Eva Münster
BACKGROUND: Multimorbidity is one of the most important and challenging aspects in public health. Multimorbid people are associated with more hospital admissions, a large number of drug prescriptions and higher risks of mortality. As there is evidence that multimorbidity varies with age and socioeconomic disparity, the main objective aimed at determining age-specific prevalence rates as well as exploring educational differences relating to multimorbidity in Germany. METHODS: This cross-sectional analysis is based on the national telephone health interview survey "German Health Update" (GEDA2012) conducted between March 2012 and March 2013 with nearly 20,000 adults...
October 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29046785/educational-inequalities-in-premature-mortality-by-region-in-the-belgian-population-in-the-2000s
#7
Françoise Renard, Brecht Devleesschauwer, Sylvie Gadeyne, Jean Tafforeau, Patrick Deboosere
BACKGROUND: In Belgium, socio-economic inequalities in mortality have long been described at country-level. As Belgium is a federal state with many responsibilities in health policies being transferred to the regional levels, regional breakdown of health indicators is becoming increasingly relevant for policy-makers, as a tool for planning and evaluation. We analyzed the educational disparities by region for all-cause and cause-specific premature mortality in the Belgian population. METHODS: Residents with Belgian nationality at birth registered in the census 2001 aged 25-64 were included, and followed up for 10 years though a linkage with the cause-of-death database...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/29045984/results-of-the-2017-national-resident-matching-program%C3%A2-and-the-american-osteopathic-association-intern-resident-registration-program
#8
Stanley M Kozakowski, Alexandra Travis, Julie P Marcinek, Ashley Bentley, Gerald T Fetter
The purpose of medicine as a profession is to meet the health needs of people and communities. Despite empirical evidence worldwide that an appropriate foundation of primary care in a health care system leads to improved health outcomes, improved experience of health care, a reduction in health disparities, and lower overall cost of care, publicly available data from National Resident Matching Program® (NRMP) and the American Osteopathic Association (AOA) Intern/Resident Registration Program show that PGY-1 family medicine and primary care positions offered in the NRMP Match continue to grow, but are losing ground in comparison to the growth of non-primary care specialties...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045650/association-between-race-and-receipt-of-counselling-or-medication-for-smoking-cessation-in-primary-care
#9
Denise R Hooks-Anderson, Joanne Salas, Scott Secrest, Sarah Skiöld-Hanlin, Jeffrey F Scherrer
Background: Previous evidence of race disparities in smoking cessation treatment has been limited to mostly survey studies which increase the potential for recall bias. We examined if African American versus white patients in primary care are less likely to receive any treatment or if race disparities are specific to the type of treatment offered using data pulled from a large electronic health record system. Methods: Medical record data from 3510 white and 2707 African American patients were available from primary care encounters between 2008 and 2015 and was used to define smoking status, cessation treatments (counselling and medication), and covariates...
October 14, 2017: Family Practice
https://www.readbyqxmd.com/read/29045352/impact-of-race-and-ethnicity-on-outcomes-for-children-waitlisted-for-pediatric-liver-transplantation
#10
Douglas B Mogul, Xun Luo, Eric K Chow, Allan B Massie, Tanjala S Purnell, Kathleen B Schwarz, Andrew M Cameron, John F P Bridges, Dorry L Segev
OBJECTIVE: African Americans and other minorities are known to face barriers to health care influencing their access to organ transplantation but it is not known whether these barriers exist among pediatric liver transplant waitlist candidates. We sought to determine whether outcomes on the waitlist (i.e., mortality, deceased donor liver transplantation (DDLT), and living-donor liver transplantation (LDLT)) varied by race/ethnicity. METHODS: National registry data were studied to estimate the race/ethnicity-specific risk of waitlist mortality, DDLT and LDLT in children (<18 years) waitlisted between March, 2002 and March, 2015...
October 17, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29044970/ethnic-disparities-in-rates-of-publicly-funded-bariatric-surgery-in-new-zealand-2009-2014
#11
Jamie-Lee Rahiri, Mel Lauti, Matire Harwood, Andrew D MacCormick, Andrew G Hill
BACKGROUND: Publicly funded bariatric surgery in New Zealand (NZ) is steadily on the rise to meet the obesity epidemic. Ethnic disparities in obesity rates exist in NZ with Māori and Pacific people having three to five times higher rates than all other ethnic groups within NZ. Ethnic disparities in rates of bariatric surgery have been reported internationally. This research sought to describe rates of publically funded bariatric surgery by self-identified ethnicity in NZ. METHODS: Using reported census and hospitalization discharge data from Statistics NZ and the NZ Ministry of Health, we calculated estimate rates of publicly funded bariatric surgery in the morbidly obese population from June 2009 to July 2014...
October 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29044846/socio-demographic-factors-drive-regional-differences-in-participation-in-the-national-bowel-cancer-screening-program-an-ecological-analysis
#12
Jiandong Sun, Sonja March, Michael J Ireland, Fiona Crawford-Williams, Belinda Goodwin, Melissa K Hyde, Suzanne K Chambers, Joanne F Aitken, Jeff Dunn
OBJECTIVE: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics. METHODS: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables...
October 18, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29041992/understanding-patterns-of-socioeconomic-and-demographic-factors-along-with-health-services-provider-availability-for-zika-outbreak-in-south-florida
#13
Linda McQuade, Mya Rao, Roger Miller, Winnie Zhou, Rinku Deol, Brian Sato
In this study, we analyzed the patterns of socioeconomic and demographic factors along with health services provider availability for the current Zika outbreak in Miami-Dade County, South Florida. We used Center for Consumer Information & Insurance Oversight (CCIIO) Machine-Readable Public Use Files (MR-PUFs) to examine provider availability in combination with socioeconomic and demographic factors that could potentially lead to healthcare disparities between any underserved population of the Wynwood neighborhood and the broader population of Miami-Dade County...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29041936/pathways-to-increased-coverage-an-analysis-of-time-trends-in-contraceptive-need-and-use-among-adolescents-and-young-women-in-kenya-rwanda-tanzania-and-uganda
#14
Mardieh L Dennis, Emma Radovich, Kerry L M Wong, Onikepe Owolabi, Francesca L Cavallaro, Michael T Mbizvo, Agnes Binagwaho, Peter Waiswa, Caroline A Lynch, Lenka Benova
BACKGROUND: Despite efforts to make contraceptive services more "youth friendly," unmet need for contraception among young women in sub-Saharan Africa remains high. For health systems to effectively respond to the reproductive health needs of a growing youth population, it is imperative to understand their contraceptive needs and service seeking practices. This paper describes changes over time in contraceptive need, use, and sources of care among young women in four East African countries...
October 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29040545/ethnicity-and-place-the-geography-of-diabetes-inequalities-under-a-strong-welfare-state
#15
Elias Nosrati, Anne Karen Jenum, Anh Thi Tran, Sir Michael Marmot, Lawrence Peter King
Background: The Nordic 'health paradox' designates the seemingly puzzling empirical reality in which, despite the presence of strong welfare policies targeting structural inequalities, distinct health disparities persist in Scandinavian societies. In Norway, previous research has shown that inequalities in diabetes prevalence are particularly salient, notably between ethnic groups. These have often been attributed to lifestyle, socioeconomic factors, or genetics. No previous research has sought to investigate the sociospatial mediation of diabetes inequities...
October 10, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29040510/genomic-fragmentation-and-extrachromosomal-telomeric-repeats-impact-assessment-of-telomere-length-in-human-spermatozoa-quantitative-experiments-and-systematic-review
#16
P Kurjanowicz, S Moskovtsev, C Librach
STUDY QUESTION: Can differences in DNA isolation alter assessment of sperm telomere length (spTL) and do they account for conflicting results in the literature on spTL and male fertility? SUMMARY ANSWER: DNA isolation methods preferentially include or exclude short, extrachromosomal (EC) telomere-specific sequences that alter spTL measurements, and are responsible for a proportion of the disparity observed between investigations. WHAT IS KNOWN ALREADY: The relationship between spTL and male fertility has become an active area of research...
September 29, 2017: Human Reproduction
https://www.readbyqxmd.com/read/29040303/continuing-professional-development-for-medical-nursing-and-midwifery-cadres-in-malawi-tanzania-and-south-africa-a-qualitative-evaluation
#17
Caryl Feldacker, Jillian Pintye, Sheena Jacob, Michael H Chung, Lyn Middleton, Jill Iliffe, H Nina Kim
BACKGROUND: As innovations in the prevention and treatment of HIV and TB advance, continuing professional development (CPD) of health care workers (HCWs) remains a high priority, particularly in sub-Saharan Africa where dual TB/HIV epidemics are compounded by severe HCW shortages. There is further need to examine CPD programs to identify challenges and effective solutions to strengthen HIV/TB-related CPD. METHODS: Qualitative evaluations in Malawi, Tanzania and South Africa (RSA) were conducted using key informant interviews (KIIs) and focus group discussions (FGDs) in each country to identify barriers and enablers of effective HIV/TB-related CPD...
2017: PloS One
https://www.readbyqxmd.com/read/29040130/volume-outcome-relationship-in-surgical-interventions-for-spinal-metastases
#18
Andrew J Schoenfeld, Marco L Ferrone, Daniel J Sturgeon, Mitchel B Harris
BACKGROUND: Surgery for spinal metastases is challenging and carries a high risk of perioperative morbidity and mortality. Procedures with such characteristics often exhibit a volume-outcome relationship. This has not been previously characterized for spinal metastasis surgery to our knowledge. METHODS: The Florida State Inpatient Database (2011 through 2014) was queried to identify patients who had undergone surgery for spinal metastases. Surgeon and hospital surgical volumes were compared with 90-day complication and readmission rates to develop procedural cut-points used to define high and low-volume providers...
October 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29038183/sociodemographic-variations-in-the-amount-duration-and-cost-of-potentially-preventable-hospitalisation-for-chronic-conditions-among-aboriginal-and-non-aboriginal-australians-a-period-prevalence-study-of-linked-public-hospital-data
#19
David Banham, Tenglong Chen, Jonathan Karnon, Alex Brown, John Lynch
OBJECTIVES: To determine disparities in rates, length of stay (LOS) and hospital costs of potentially preventable hospitalisations (PPH) for selected chronic conditions among Aboriginal and non-Aboriginal South Australians (SA), then examine associations with area-level socioeconomic disadvantage and remoteness. SETTING: Period prevalence study using linked, administrative public hospital records. PARTICIPANTS: Participants included all SA residents in 2005-2006 to 2010-2011...
October 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29037550/temporal-availability-of-obstetrics-and-gynecology-clinics-in-taiwan-a-nationwide-survey
#20
Wei-Ting Chang, Hsin-I Leu, Huang-Pin Chen, Ming-Hwai Lin, Tzeng-Ji Chen, Shinn-Jang Hwang, Li-Fang Chou, Peng-Hui Wang
OBJECTIVE: Obstetrician-gynecologists are the main providers of women's healthcare. However, workforce shortages and excessive workloads among these providers have been encountered in many countries. While most past studies on this subject have investigated the spatial distribution of obstetrics-gynecology clinics, few have focused on their temporal availability, especially on the national level. MATERIALS AND METHODS: The weekly opening time schedules (divided into morning, afternoon, and evening sessions) of all obstetrics-gynecology clinics in Taiwan were extracted from the web site of Taiwan's National Health Insurance Administration in July 2015...
October 2017: Taiwanese Journal of Obstetrics & Gynecology
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