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Health disparities

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https://www.readbyqxmd.com/read/29667705/intellectual-disability-in-cerebral-palsy-a-population-based-retrospective-study
#1
Susan M Reid, Elaine M Meehan, Sarah J Arnup, Dinah S Reddihough
AIM: A population-based observational study design was used to describe the epidemiology of intellectual disability in cerebral palsy (CP) in terms of clinical and neuroimaging associations, and to report the impact of intellectual disability on utilization of health services and length of survival. METHOD: Population CP registry data were used to retrospectively assess the frequency of intellectual disability and strength of associations between intellectual disability and mobility, epilepsy, vision, hearing, communication, and neuroimaging patterns (n=1141)...
April 18, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29666698/prevalence-of-intestinal-parasites-and-associated-factors-among-pulmonary-tuberculosis-suspected-patients-attending-university-of-gondar-hospital-gondar-northwest-ethiopia
#2
Yalewayker Tegegne, Tadelo Wondmagegn, Ligabaw Worku, Ayalew Jejaw Zeleke
Introduction: Intestinal parasitic infections are among the major public health problems in developing countries. Hence, it is significant to explore coinfection with intestinal parasites and pulmonary tuberculosis because coinfection increases the complexity of control and prevention of pulmonary tuberculosis and parasitic diseases. Objective: To assess the prevalence of intestinal parasites among pulmonary tuberculosis suspected patients. Method: Institutional based cross-sectional study was conducted at University of Gondar Hospital from March to May, 2017...
2018: Journal of Parasitology Research
https://www.readbyqxmd.com/read/29666034/contraceptive-use-effectiveness-and-pregnancy-prevention-information-preferences-among-heterosexual-and-sexual-minority-college-women
#3
Heather D Blunt-Vinti, Erika L Thompson, Stacey B Griner
BACKGROUND: Previous research shows that sexual minority women have higher rates of unintended pregnancy than heterosexual women, but has not considered the wide range of contraceptive method effectiveness when exploring this disparity. We examine contraceptive use effectiveness and desire for pregnancy prevention information among college women across sexual orientation identity as a risk factor for unintended pregnancy. METHODS: Using the National College Health Assessment Fall-2015 dataset, restricted to women who reported engaging in vaginal sex and not wanting to be pregnant (N = 6,486), logistic regression models estimated the odds of contraceptive method effectiveness and desire for pregnancy prevention information by sexual orientation...
April 14, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29666024/social-determinants-of-self-reported-health-for-canada-s-indigenous-peoples-a-public-health-approach
#4
R Bethune, N Absher, M Obiagwu, T Qarmout, M Steeves, M Yaghoubi, R Tikoo, M Szafron, C Dell, M Farag
OBJECTIVE: In Canada, indigenous peoples suffer from a multitude of health disparities. To better understand these disparities, this study aims to examine the social determinants of self-reported health for indigenous peoples in Canada. STUDY DESIGN: This study uses data from Statistics Canada's Aboriginal Peoples Survey 2012. METHODS: Multinomial logistic regression models were used to examine how selected social determinants of health are associated with self-reported health among off-reserve First Nations and Métis peoples in Canada...
April 14, 2018: Public Health
https://www.readbyqxmd.com/read/29665751/residential-mobility-and-cognitive-function-among-middle-aged-and-older-adults-in-china
#5
Hanzhang Xu, Matthew E Dupre, Truls Østbye, Allison A Vorderstrasse, Bei Wu
OBJECTIVES: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. METHOD: We used data from the World Health Organization Study on global AGEing and adult health that included adults age 50+ from China ( N = 12,410). We used multivariate linear regressions to examine how residential mobility and age at migration were associated with cognitive function. RESULTS: Urban and urban-to-urban residents had the highest level of cognitive function, whereas rural and rural-to-rural residents had the poorest cognitive function...
January 1, 2018: Research on Aging
https://www.readbyqxmd.com/read/29665703/culturally-safe-health-initiatives-for-indigenous-peoples-in-canada-a-scoping-review
#6
Lauren Brooks-Cleator, Breanna Phillipps, Audrey Giles
Background Cultural safety has the potential to improve the health disparities between Indigenous and non-Indigenous Canadians, yet practical applications of the concept are lacking in the literature. Purpose This study aims to identify the key components of culturally safe health initiatives for the Indigenous population of Canada to refine its application in health-care settings. Methods We conducted a scoping review of the literature pertaining to culturally safe health promotion programs, initiatives, services, or care for the Indigenous population in Canada...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29663981/health-behaviors-among-low-income-hispanic-and-non-hispanic-white-women
#7
Donna M Winham, Shelly M Palmer, Traci L Armstrong Florian, Mack C Shelley
OBJECTIVES: We determined relationships between food behaviors and health-risk factors by acculturation among limited-income Hispanic and non-Hispanic white women. METHODS: Women aged 18-49 years were recruited from income-based programs in metro-Phoenix, Arizona. Self-administered surveys in English or Spanish included demographics, a 10-item food behavior checklist, health-risk factors, food security, and acculturation. Differences by 4 acculturation/ethnicity categories were assessed with chi-square and analysis of variance (ANOVA)...
May 1, 2018: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29662748/national-trends-for-primary-and-revision-lumbar-disc-arthroplasty-throughout-the-united-states
#8
Comron Saifi, Alejandro Cazzulino, Caroline Park, Joseph Laratta, Philip K Louie, Jamal N Shillingford, Ronald Lehman, Howard An, Frank Phillips
Study Design: Retrospective database study. Objectives: Analysis of economic and demographic data concerning lumbar disc arthroplasty (LDA) throughout the United States to improve value-based care and health care utilization. Methods: The National Inpatient Sample database was queried for patients who underwent primary or revision LDA between 2005 and 2013. Demographic and economic data included total surgeries, costs, length of stay, and frequency of routine discharge...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29661939/sexual-orientation-and-depressive-symptoms-in-adolescents
#9
Jeremy W Luk, Stephen E Gilman, Denise L Haynie, Bruce G Simons-Morton
OBJECTIVES: Sexual orientation disparities in adolescent depressive symptoms are well established, but reasons for these disparities are less well understood. We modeled sexual orientation disparities in depressive symptoms from late adolescence into young adulthood and evaluated family satisfaction, peer support, cyberbullying victimization, and unmet medical needs as potential mediators. METHODS: Data were from waves 2 to 6 of the NEXT Generation Health Study ( n = 2396), a population-based cohort of US adolescents...
April 16, 2018: Pediatrics
https://www.readbyqxmd.com/read/29661240/access-factors-linked-to-maternal-deaths-in-lundazi-district-eastern-province-of-zambia-a-case-control-study-analysing-maternal-death-reviews
#10
Nkumbula Moyo, Mpundu Makasa, Mumbi Chola, Patrick Musonda
BACKGROUND: Access factors associated with maternal death are important to understand because they are considered to be an essential measure of women's health and indicative of the performance of health care systems in any community globally. This study aimed to analyse the access risk factors linked to maternal deaths in Lundazi district of the Eastern Province of Zambia using secondary data obtained from maternal death reviews and delivery registers. METHODS: This was a case-control study with cases being recorded maternal deaths for Lundazi district (n = 100) while controls were randomly selected Lundazi District Hospital deliveries (n = 300) for the period 2010 to 2015...
April 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29661196/the-women-s-heart-health-programme-a-pilot-trial-of-sex-specific-cardiovascular-management
#11
Ting Ting Low, Siew Pang Chan, Shin Hnin Wai, Zhou Ang, Kyu Kyu, Kim Yee Lee, Anne Ching, Sarah Comer, Naomi Qiu Pin Tan, Elizabeth Grace Hui En Thong, Tracy Nang, Mohan Dutta, Carolyn S P Lam
BACKGROUND: There is increasing knowledge of sex-specific differences in cardiovascular disease and recognition of sex disparities in management. In our study, we investigated whether a cardiovascular programme tailored to the specific needs of women could lead to improved outcomes. METHODS: We randomised 100 female patients to receive cardiology follow-up with the conventional sex-neutral cardiac programme (control), or the sex-tailored Women's Heart Health Programme (intervention)...
April 16, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29660766/disparities-in-out-of-pocket-inpatient-expenditures-in-rural-shaanxi-province-western-china-from-2011-to-2014-a-time-series-analysis
#12
Caijun Yang, Wenfang Cai, Zongjie Li, Yu Fang
OBJECTIVES: To investigate the long-term trend of disparity of monthly average out-of-pocket inpatient expenditures (OOP) between areas with different developing levels since the new health care reform. METHODS: Time series regression was used to assess the trend of disparities of OOP and monthly average inpatient expenditures (AIE) between areas with different developing levels in rural Shaanxi Province, western China. The data of OOP and AIE in primary health institutions, secondary hospitals, tertiary hospitals and also all levels of the hospital were analyzed separately covering the period 2011 through to 2014...
April 16, 2018: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29659994/resident-and-staff-satisfaction-of-pediatric-graduate-medical-education-training-on-transition-to-adult-care-of-medically-complex-patients
#13
Matthew Weeks, Brandon Cole, Eric Flake, Daniel Roy
Introduction: This study aims to describe the quantity and satisfaction current residents and experienced pediatricians have with graduate medical education on transitioning medically complex patients to adult care. There is an increasing need for transitioning medically complex adolescents to adult care. Over 90% now live into adulthood and require transition to adult healthcare providers. The 2010 National Survey of Children with Special Health Care Needs found that only 40% of youth 12-17 yr receive the necessary services to appropriately transition to adult care...
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29659820/recent-mouse-models-and-vaccine-candidates-for-preventing-chronic-latent-tuberculosis-infection-and-its-reactivation
#14
César Pedroza-Roldán, Mario Alberto Flores-Valdez
Tuberculosis (TB) remains a major challenge in public health worldwide. Until today, the only widely used and approved vaccine is the Mycobacterium bovis bacille Calmette-Guerin (BCG). This vaccine provides a highly variable level of protection against the active, pulmonary form of tuberculosis, and practically none against the latent form of TB infection. This disparity in protection has been extensively studied, and for this reason, several groups have focused their research on the quest for attenuated vaccines based on M...
August 31, 2017: Pathogens and Disease
https://www.readbyqxmd.com/read/29659586/supply-side-interventions-to-improve-health-findings-from-the-salud-mesoam%C3%A3-rica-initiative
#15
Ali H Mokdad, Erin B Palmisano, Paola Zúñiga-Brenes, Diego Ríos-Zertuche, Casey K Johanns, Alexandra Schaefer, Sima S Desai, Annie Haakenstad, Marielle C Gagnier, Claire R McNellan, Danny V Colombara, Sonia López Romero, Leolin Castillo, Benito Salvatierra, Bernardo Hernandez, Miguel Betancourt-Cravioto, Ricardo Mujica-Rosales, Ferdinando Regalia, Roberto Tapia-Conyer, Emma Iriarte
BACKGROUND: Results-based aid (RBA) is increasingly used to incentivize action in health. In Mesoamerica, the region consisting of southern Mexico and Central America, the RBA project known as the Salud Mesoamérica Initiative (SMI) was designed to target disparities in maternal and child health, focusing on the poorest 20% of the population across the region. METHODS AND FINDINGS: Data were first collected in 365 intervention health facilities to establish a baseline of indicators...
2018: PloS One
https://www.readbyqxmd.com/read/29659347/social-justice-at-the-core-of-breastfeeding-protection-promotion-and-support-a-conceptualization
#16
Paige Hall Smith
Despite widespread awareness of the health benefits for both mothers and babies we are far from achieving universal breastfeeding. Breastfeeding rates globally are lower than recommended levels and there are concerns that some global breastfeeding efforts have stalled (1, 2). In addition, we see persistent disparities in breastfeeding rates by race, ethnicity, class and status (3). A growing literature documents how a range of injustices, including gender inequality (7), racism (8), poverty (9), and violence (10, 11) shape whether, how exclusive, and for how long mothers and others will be able to breastfeed or feed their infants human milk...
May 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29658846/tobacco-free-policies-and-tobacco-cessation-systems-at-health-centers-serving-lesbian-gay-bisexual-and-transgender-clients
#17
Joseph G L Lee, Megan E DeMarco, Matthew R Beymer, Chelsea L Shover, Robert K Bolan
PURPOSE: LGBT populations have high rates of tobacco use. Health centers serving LGBT clients are an important source of care. The researchers aimed to assess the implementation of recommended systems-level tobacco cessation interventions at these health centers. METHODS: Using systematic searching, directories, and expert review, we identified health centers serving LGBT clients that provide primary care. We conducted phone-based, semi-structured interviews with administrators (n = 11) between September 2016 and March 2017 regarding implementation of the Clinical Practice Guideline, Treating Tobacco Use and Dependence: 2008 Update (the Guideline)...
April 16, 2018: LGBT Health
https://www.readbyqxmd.com/read/29658399/a-qualitative-study-to-assess-barber-perceptions-of-the-feasibility-of-the-employer-as-a-health-advisor-for-obesity-prevention
#18
Siddhartha Roy, Andrew R Hansen, Levi Ross, Rebecca Larson
Obesity has become a serious issue affecting millions of Americans, especially in the southern United States. One avenue for addressing obesity is the workplace setting. This formative research study examined the feasibility of an obesity prevention worksite intervention in the barbershop for African American barbershop owners (employers) and barbers (employees). The study proposes an intervention where the owner of the barbershop would be trained to educate his barbers about obesity prevention. Twenty in-depth interviews were conducted with the owners ( n = 5) and barbers ( n = 15) of five barbershops in Statesboro, Georgia, to determine the feasibility of the intervention...
April 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29658388/prostate-cancer-screening-perception-beliefs-and-practices-among-men-in-bamenda-cameroon
#19
Ernest Kaninjing, Ivette Lopez, Jennifer Nguyen, Folakemi Odedina, Mary Ellen Young
Prostate Cancer (CaP) is the most commonly diagnosed cancer among Cameroonian men. Due to inadequate infrastructure, record keeping, and resources, little is known about its true burden on the population. There are rural/urban disparities with regards to awareness, screening, treatment, and survivorship. Furthermore, use of traditional medicine and homeopathic remedies is widespread, and some men delay seeking conventional medical treatment until advanced stages of CaP. This study examined the perceptions, beliefs, and practices of men in Cameroon regarding late stage CaP diagnoses; identified factors that influence screening decision; and ascertained how men decided between traditional or conventional medicine for CaP diagnosis and treatment...
April 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29658371/physician-consultations-prostate-cancer-knowledge-and-psa-screening-of-african-american-men-in-the-era-of-shared-decision-making
#20
Leanne Woods-Burnham, Laura Stiel, Colwick Wilson, Susanne Montgomery, Alfonso M Durán, Herbert R Ruckle, Rupert A Thompson, Marino De León, Carlos A Casiano
African American (AA)/Black men are more likely to develop aggressive prostate cancer (PCa), yet less likely to be screened despite guidelines espousing shared decision-making regarding PCa screening and prostate-specific antigen (PSA) testing. Given the documented racial disparities in PCa incidence and mortality, engaging interactions with physicians are especially important for AA/Black men. Thus, this study evaluated occurrence of physician-patient conversations among AA/Black men, and whether such conversations were associated with PCa knowledge...
April 1, 2018: American Journal of Men's Health
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