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https://www.readbyqxmd.com/read/29457521/relationships-between-race-ethnicity-and-health-care-utilization-among-older-post-acute-home-health-care-patients
#1
Jo-Ana D Chase, David Russell, Liming Huang, Alexandra Hanlon, Melissa O'Connor, Kathryn H Bowles
Few studies have explored racial/ethnic differences in health care outcomes among patients receiving home health care (HHC), despite known differences in other care settings. We conducted a retrospective cohort study examining racial/ethnic disparities in rehospitalization and emergency room (ER) use among post-acute patients served by a large northeastern HHC agency between 2013 and 2014 ( N = 22,722). We used multivariable binomial logistic regression to describe the relationship between race/ethnicity and health care utilization outcomes, adjusting for individual-level factors that are conceptually related to health service use...
February 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29457481/selection-and-use-of-health-services-for-infants-needs-by-indigenous-mothers-in-canada-integrative-literature-review
#2
A Wright, O Wahoush, M Ballantyne, C Gabel, S M Jack
In Canada, Indigenous infants experience significant health disparities when compared to non-Indigenous infants, including significantly higher rates of birth complications and infant mortality rates. The use of primary health care is one way to improve health outcomes; however, Indigenous children may use health services less often than non-Indigenous children. To improve health outcomes within this growing population, it is essential to understand how caregivers, defined here as mothers, select and use health services in Canada...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29457138/leveraging-the-learning-health-care-model-to-improve-equity-in-the-age-of-genomic-medicine
#3
Katherine D Blizinsky, Vence L Bonham
To fully achieve the goals of a genomics-enabled learning health care system, purposeful efforts to understand and reduce health disparities and improve equity of care are essential. This paper highlights three major challenges facing genomics-enabled learning health care systems, as they pertain to ancestrally diverse populations: inequality in the utility of genomic medicine; lack of access to pharmacogenomics in clinical care; and inadequate incorporation of social and environmental data into the electronic health care record (EHR)...
January 2018: Learning Health Systems
https://www.readbyqxmd.com/read/29455723/addressing-a-critical-gap-in-u-s-national-teen-pregnancy-prevention-programs-the-acceptability-and-feasibility-of-father-based-sexual-and-reproductive-health-interventions-for-latino-adolescent-males
#4
Vincent Guilamo-Ramos, Alex S Bowman, Diane Santa Maria, Francesca Kabemba, Yoyce Geronimo
PURPOSE: The purpose of the research was to examine the feasibility and acceptability of a father-based sexual and reproductive health intervention designed to reduce sexual and reproductive (SRH) disparities and increase correct and consistent condom use among Latino adolescent males. METHODS: The current study conducted in-depth semi-structured interviews with Latino father-son dyads (N=30) designed to elicit perspectives on communication regarding sex and condom use...
March 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29455566/-he-supported-me-100-mexican-immigrant-fathers-daughters-and-adolescent-sexual-health
#5
Kate Coleman-Minahan, Goleen Samari
OBJECTIVE: First and second generation Mexican-origin adolescents in the U.S. face social and economic disadvantage and sexual health disparities. Although fathers can support child and adolescent development, the literature has portrayed Mexican-origin immigrant fathers as emotionally distant and sexist. This study aims to treat migration as a social determinant of health to examine father-daughter relationships and adolescent sexual health in Mexican-origin immigrant families. METHODS: Integrating qualitative data from life history interviews with 21 Mexican-origin young women in immigrant families with quantitative data on first and second generation Mexican-origin young women in the National Longitudinal Study of Adolescent to Adult Health, this study describes father-daughter relationships, examines the association between father-daughter relationships and daughters' early sexual initiation, and considers the impact of migration on the father-daughter relationship and sexual health among Mexican-origin young women...
February 19, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29454851/declines-in-adult-blood-lead-levels-in-new-york-city-compared-with-the-united-states-2004-2014
#6
Alexis Feinberg, Wendy McKelvey, Paromita Hore, Rania Kanchi, Patrick J Parsons, Christopher D Palmer, Lorna E Thorpe
OBJECTIVES: To assess changes in lead exposure in the New York City (NYC) adult population over a 10-year period and to contrast changes with national estimates, overall, and by socio-demographics and smoking status. METHODS: We used measurements of blood lead levels (BLLs) from NYC resident adults who participated in the NYC Health and Nutrition Examination Surveys (HANES) in 2004 and 2013-2014. We compared estimates of geometric means (GM), 95th percentiles, and prevalence of BLL ≥ 5 µg/dL overall and by subgroups over time, with adults who participated in the National HANES (NHANES) 2001-2004 and 2011-2014...
February 14, 2018: Environmental Research
https://www.readbyqxmd.com/read/29453528/longitudinal-analysis-of-racial-ethnic-trends-in-quality-outcomes-in-community-health-centers-2009-2014
#7
Megan B Cole, Brad Wright, Ira B Wilson, Omar Galárraga, Amal N Trivedi
BACKGROUND: To monitor progress towards eliminating health disparities, community health centers have reported on hypertension control, diabetes control, and birthweight by race and ethnicity since 2008. OBJECTIVE: To evaluate racial/ethnic time trends in quality outcomes in health centers and to assess both within- and between-center disparities in outcomes. DESIGN AND SAMPLE: Using 2009-2014 data from all US health centers (n = 1047 centers, serving 19...
February 16, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29453031/spaces-of-hope-youth-perspectives-on-health-and-wellness-in-indigenous-communities
#8
Lydia Wood, David Kamper, Kate Swanson
This article addresses an apparent paradox between academic and policy depictions of American Indian reservations as "broken" and "unhealthy" places, and Indigenous youth perceptions of reservations as spaces of "health" and "wellness." Public health literature often frames reservations as damaged, health-denying places, chronicling the extraordinarily high rates of suicide, substance abuse, as well as vast health disparities. Despite these dire statistics, our research with Native youth in San Diego County found that young people chose to primarily emphasize their positive experiences with, and attachments to, their reservations...
February 13, 2018: Health & Place
https://www.readbyqxmd.com/read/29452986/the-psychological-consequences-of-violence-against-people-with-disabilities
#9
Robert S Dembo, Monika Mitra, Michael McKee
BACKGROUND: People with disabilities experience mental health disparities and higher rates of violence compared to people without disabilities. Few studies have examined the psychological consequences of violence against people with disabilities, and whether they differ from those experienced by people without disabilities. OBJECTIVE: This study compared psychological consequences of violence among men and women with and without disabilities. METHODS: We analyzed data from the 2008-2014 waves of the National Crime Victimization Survey...
February 1, 2018: Disability and Health Journal
https://www.readbyqxmd.com/read/29452980/association-between-smoking-cessation-and-weight-gain-in-treatment-seeking-african-americans
#10
Marcia M Tan, Kolawole S Okuyemi, Ken Resnicow, Noella A Dietz, Michael H Antoni, Monica Webb Hooper
INTRODUCTION: Research has shown that African Americans gain more than average weight after smoking cessation. However, African Americans have been underrepresented in post-cessation weight gain research. The current study examined 1) the pattern of weight gain and 2) the association between smoking status and weight gain in a sample of African Americans seeking smoking cessation treatment. METHODS: Data were drawn from a randomized controlled trial testing the efficacy of a 4-week culturally specific smoking cessation cognitive behavioral therapy (CBT) intervention among African American smokers (N = 342)...
February 3, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29452975/associations-between-food-security-status-and-dietary-inflammatory-potential-within-lower-income-adults-from-the-united-states-national-health-and-nutrition-examination-survey-cycles-2007-to-2014
#11
Rachel S Bergmans, Mari Palta, Stephanie A Robert, Lawrence M Berger, Deborah B Ehrenthal, Kristen M Malecki
BACKGROUND: Evidence suggests both that chronic inflammation mediates the association of food insecurity with adverse health outcomes and that diet may be a significant source of inflammation among food insecure individuals. OBJECTIVE: To examine whether food security status is associated with dietary inflammatory potential. DESIGN AND PARTICIPANTS: Cross-sectional data came from the National Health and Nutrition Examination Survey (NHANES), cycles 2007 to 2014 (n=10,630)...
February 13, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29452592/considering-mean-and-inequality-health-outcomes-together-the-population-health-performance-index
#12
David Kindig, Nicholas Lardinois, Yukiko Asada, John Mullahy
BACKGROUND: The purpose was to develop and test a population health measure that combines mean health outcomes and inequalities into a single GDP-like metric to help policymakers measure population health performance on both dimensions in one metric. METHODS: The Population Health Performance Index is a weighted average of a mean index and an inequality index according to the user's inequality aversion. We deploy this methodology for two combinations of health outcome and disparity domain: infant mortality by race and unhealthy days by education...
February 17, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29452560/health-care-efficiencies-consolidation-and-alternative-models-vs-health-care-and-antitrust-regulation-irreconcilable-differences
#13
Michael W King
Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29452067/alcohol-and-drug-use-among-deaf-and-hard-of-hearing-individuals-a-secondary-analysis-of-nhanes-2013-2014
#14
Melissa L Anderson, Bei-Hung Chang, Nisha Kini
BACKGROUND: Within the field of behavioral health research, one of the most understudied populations is the U.S. Deaf and hard-of-hearing (D/HH) population - a diverse group of individuals with hearing loss that have varied language and communication preferences, community affiliations, and sociocultural norms. Recent research identified concerning behavioral health disparities experienced by the D/HH population; yet, little research has been conducted to extend these findings to the topic of substance use disorder...
February 16, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29451924/late-effects-awareness-website-for-pediatric-survivors-of-acute-lymphocytic-leukemia
#15
Hillary Klonoff-Cohen, Ana Navarro, Elizabeth A Klonoff
OBJECTIVES: Every day 43 children are newly diagnosed with cancer. Fortunately, almost 90% of these childhood cancer patients will survive. However, 60-90% of these survivors will experience late effects, health problems that occur months or years after treatment has ended. Late effects could occur as a result of the disease, its treatment, and patient-related factors. The two main objectives of this research are to: 1) Examine the existence of all web-based resources for childhood cancer survivors with acute lymphocytic leukemia which focus on medical and psychological aspects of late effects, and 2) Create an innovative website specifically designed to fill this void...
2018: PloS One
https://www.readbyqxmd.com/read/29451916/awareness-and-attitude-of-the-public-toward-personalized-medicine-in-korea
#16
Iyn-Hyang Lee, Hye-Young Kang, Hae Sun Suh, Sukhyang Lee, Eun Sil Oh, Hotcherl Jeong
OBJECTIVES: As personalized medicine (PM) is expected to greatly improve health outcomes, efforts have recently been made for its clinical implementation in Korea. We aimed to evaluate public awareness and attitude regarding PM. METHODS: We performed a self-administered questionnaire survey to 703 adults, who participated in the survey on a voluntary basis. The primary outcome measures included public knowledge, attitude, and acceptance of PM. We conducted multinomial multivariate logistic analysis for outcome variables with three response categories and performed multivariate logistic regression analyses for dichotomous outcome variables...
2018: PloS One
https://www.readbyqxmd.com/read/29451839/correlates-of-postpartum-visits-among-medicaid-recipients-an-analysis-using-claims-data-from-a-managed-care-organization
#17
Saba W Masho, Susan Cha, Nicole Karjane, Elizabeth McGee, Rashel Charles, Linda Hines, Susan G Kornstein
BACKGROUND: The postpartum care visit (PPCV) plays an important role in ensuring the well-being of mother and infant. This study sought to assess correlates of PPCV attendance among women who are at high risk of nonattendance. MATERIALS AND METHODS: This study used deidentified medical claims data from Virginia Premier-a nonprofit Managed Care Organization that provides health insurance for Medicaid beneficiaries. The association between various correlates and PPCV attendance was examined using multiple logistic regression analyses...
February 16, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29451821/protection-from-vascular-dysfunction-in-female-rats-with-chronic-stress-and-depressive-symptoms
#18
Steven D Brooks, Stan Hileman, Paul D Chantler, Samantha Milde, Kent C Lemaster, Stephanie Frisbee, J Kevin Shoemaker, Dwayne N Jackson, Jefferson C Frisbee
The increasing prevalence and severity of clinical depression is strongly correlated with vascular disease risk, creating a comorbid condition with poor outcomes, although demonstrating a sexual disparity where females are at lower risk than males for subsequent cardiovascular events. To determine potential mechanisms responsible for this protection against stress/depression-induced vasculopathy in females, we exposed male and female ({plus minus}ovariectomy) rats to the unpredictable chronic mild stress (UCMS) model for 8 weeks and determined depressive symptom severity, vascular reactivity in aortic rings (AR) and ex vivo middle cerebral arteries (MCA), and determined the profile of major metabolites regulating vascular tone...
February 16, 2018: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/29451299/low-childhood-subjective-social-status-and-telomere-length-in-adulthood-the-role-of-attachment-orientations
#19
Kyle W Murdock, Annina Seiler, Diana A Chirinos, Luz M Garcini, Sally L Acebo, Sheldon Cohen, Christopher P Fagundes
Low subjective social status (SSS) in childhood places one at greater risk of a number of health problems in adulthood. Theoretical and empirical evidence indicates that exposure to supportive parenting may buffer the negative effects of low childhood SSS on adult health. Given the importance of supportive caregivers and close others for the development of attachment orientations throughout the lifespan, attachment theory may be important for understanding why some individuals are resilient to the negative effects of low childhood SSS on adult health while others are not...
February 16, 2018: Developmental Psychobiology
https://www.readbyqxmd.com/read/29450839/characterizing-health-disparities-in-the-age-of-autism-diagnosis-in-a-study-of-8-year-old-children
#20
Chandni Parikh, Margaret Kurzius-Spencer, Ann M Mastergeorge, Sydney Pettygrove
The diagnosis of autism spectrum disorder (ASD) is often delayed from the time of noted concerns to the actual diagnosis. The current study used child- and family-level factors to identify homogeneous classes in a surveillance-based sample (n = 2303) of 8-year-old children with ASD. Using latent class analysis, a 5-class model emerged and the class memberships were examined in relation to the child's median age at ASD diagnosis. Class 3, with known language delays and a high advantage socioeconomically had the lowest age of ASD diagnosis (46...
February 15, 2018: Journal of Autism and Developmental Disorders
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