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https://www.readbyqxmd.com/read/28806370/will-veterans-answer-sexual-orientation-and-gender-identity-questions
#1
Mollie A Ruben, John R Blosnich, Melissa E Dichter, Lorry Luscri, Jillian C Shipherd
BACKGROUND: The Veterans Health Administration does not routinely collect and document sexual orientation and gender identity (SOGI) data, despite existing health disparities among sexual and gender minority Veterans. Because of the legacy of previous Department of Defense (DoD) policies that prohibited disclosure of sexual or gender minority identities among active duty personnel, Veterans may be reluctant to respond to SOGI questions. OBJECTIVES: This population-based study assesses item nonresponse to SOGI questions by Veteran status...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28789776/autism-spectrum-disorders-and-their-treatment-with-psychotropic-medications-in-a-nationally-representative-outpatient-sample-1994-2009
#2
Kelly Kamimura-Nishimura, Tanya Froehlich, Vilawan Chirdkiatgumchai, Ryan Adams, Bridget Fredstrom, Patty Manning
PURPOSE: No prior studies have assessed change in health care provider-coded rates of Autism spectrum disorder (ASD) diagnoses over time, and few have investigated sociodemographic factors associated with having an ASD diagnosis, having behavioral conditions comorbid with ASD, or using psychotropic medications for this group. METHODS: We used data from the 1994-2009 National (Hospital) Ambulatory Medical Care Surveys for children aged 2-18 years (n = 158,488)...
July 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/28789649/intentional-injury-among-the-indigenous-and-total-populations-in-british-columbia-canada-trends-over-time-and-ecological-analyses-of-risk
#3
M Anne George, Andrew Jin, Mariana Brussoni, Christopher E Lalonde, Rod McCormick
BACKGROUND: Our objective was to explore intentional injury disparity between Indigenous populations and the total population in the province of British Columbia (BC), Canada. We focus on hospitalizations, including both self-inflicted injuries and injuries inflicted by others. METHODS: We used data from BC's universal health care insurance plan, 1991 to 2010, linked to Vital Statistics databases. Indigenous people were identified through the insurance premium group, and birth and death records...
August 8, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28789583/disparities-in-patient-record-completeness-with-respect-to-the-health-care-utilization-project
#4
Ayan Nasir, Xinliang Liu, Varadraj Gurupur, Zaeem Qureshi
Patient data completeness is an important characteristic in maintaining accurate health records and providing the highest standard of care. Furthermore, finding discrepancies in care based on different subpopulation parameters is important to identify areas of underlying systemic issues in order to address concerns and alleviate those discrepancies. In this project, the investigators use the Data Completeness Analysis Package to find trends in patient record completeness using Healthcare Cost and Utilization Project's State Inpatient Database for the state of Florida, specifically focusing on finding discrepancies among subpopulations along the variables of age, race, and gender...
July 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28776462/demographic-and-spatial-disparity-in-hiv-prevalence-among-incarcerated-population-in-the-us-a-state-level-analysis
#5
Srimoyee Bose
The purpose of this study was to explore empirically the presence of any spatial and demographic disparity in the Human Immunodeficiency Virus (HIV) infection rate among the prison inmates across 48 states in the US and compare the results for 2000 and 2010. HIV infection is a severe health issue for incarcerated populations in the US. In 2010, the rate of diagnosed HIV infection among inmates in state and federal prisons was five times more than the nonincarcerated population. The National Prisoner Statistics database was used to find the demographic disparities in HIV prevalence rate based on incarceration rate, gender, race/ethnicity, the proportion of non-US citizens, and proportion of population below 18 years...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28776334/trends-of-social-inequalities-in-the-specific-causes-of-infant-mortality-in-a-nationwide-birth-cohort-in-korea-1995-2009
#6
Mia Son, Soo Jeong An, Young Ju Kim
The relationship between social disparity and specific causes of infant mortality has rarely been studied. The present study analyzed infant mortality trends according to the causes of death and the inequalities in specific causes of infant mortality between different parental social classes. We analyzed 8,209,836 births from the Statistics Korea between 1995 and 2009. The trends of disparity for cause-specific infant mortality according to parental education and employment were examined using the Cox proportional hazard model for the birth-year intervals of 1995-1999, 2000-2004, and 2005-2009...
September 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28770189/racial-disparities-in-emergency-department-utilization-for-dental-oral-health-related-conditions-in-maryland
#7
Natalia I Chalmers
OBJECTIVES: Hospital emergency departments (EDs) are a place where many Americans seek treatment of dental conditions. Racial and ethnic minorities consistently have higher rates of ED utilization than whites for dental conditions. The reasons for these disparities and significant public health concerns are investigated less often. In this paper, we measure trends in racial disparities in ED discharges for dental conditions in Maryland from 2010 to 2013. To understand these disparities, we also describe differences between racial groups in age, gender, income, location, payer, comorbidities, and the availability of dental care...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28759601/prevalence-of-toxocara-species-infection-in-the-u-s-results-from-the-national-health-and-nutrition-examination-survey-2011-2014
#8
Aaron Farmer, Thomas Beltran, Young Sammy Choi
Toxocariasis is one of the most common neglected infections of poverty in the U.S. with a reported National Health and Nutrition Examination Survey (NHANES) III (1988-1994) seroprevalence of 13.9% based on enzyme immunoassay testing. We reviewed NHANES data from 2011-2014 to assess current levels. Sera collected from NHANES 2011-2014 participants six years and older were tested for exposure using rTc-CTL-1 antigen, a more sensitive and specific recombinant antigen for IgG antibodies for Toxocara spp. These results were subdivided into children (age 6-17) and adults (age ≥ 18) and then compared between various sociodemographic characteristics...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28757904/the-relationships-among-socio-demographics-perceived-health-and-happiness
#9
Robert Weech-Maldonado, Michael J Miller, Justin C Lord
This article explores explore the relationships among socio-demographics, perceived health, and happiness in a patient population of 221 adults recruited from 39 primary care practices in Alabama. We also explored whether the relationship between socio-demographics and happiness is mediated by perceived health. The dependent variable, happiness, was dichotomized as happy versus unhappy. Independent variables or correlates of happiness included race (Black or White), age (< 65 vs. 65 and older), gender (male vs...
June 2017: Applied Research in Quality of Life
https://www.readbyqxmd.com/read/28756895/stigma-and-health-related-quality-of-life-in-sexual-minorities
#10
S Bryn Austin, Allegra R Gordon, Najat J Ziyadeh, Brittany M Charlton, Sabra L Katz-Wise, Mihail Samnaliev
INTRODUCTION: Stigma against sexual minorities is well documented, but its long-term consequences for health-related quality of life (HRQL) are unknown. This study examined stigma-related predictors of sexual orientation disparities in HRQL and their contribution to young adult HRQL disparities. METHODS: In 2013, participants (N=7,304, aged 18-31 years) reported sexual orientation (completely heterosexual [CH], mostly heterosexual, bisexual, and lesbian/gay). The EQ5D-5L, preference weighted for the U...
July 28, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28756695/cardiometabolic-risks-lifestyle-health-behaviors-and-heart-disease-in-filipino-americans
#11
Maria Lg Bayog, Catherine M Waters
BACKGROUND: Cardiovascular disease is the leading cause of death among all racial and ethnic populations in the USA. Cardiovascular risks and cardioprotective factors have been disparately estimated among Asian American subpopulations. AIMS: The study's purpose was to describe the cardiometabolic risks and lifestyle health behaviors associated with cardiovascular disease, considering age and gender, in Filipinos, the second largest Asian American population. METHODS: Secondary analysis was conducted of behavioral (smoking, walking, body mass index and soda, fast food and fruit/vegetable consumption), cardiometabolic (hypertension and diabetes) and heart disease variables in the 2011-2012 California Health Interview Survey...
August 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28754106/retesting-and-repeat-positivity-following-diagnosis-of-chlamydia-trachomatis-and-neisseria-gonorrhoea-in-new-zealand-a-retrospective-cohort-study
#12
Sally B Rose, Susan M Garrett, James Stanley, Susan R H Pullon
BACKGROUND: Testing for reinfection at 3 to 6 months following treatment for Chlamydia Trachomatis or Neisseria gonorrhoea is recommended in best practice sexual health management guidelines. This study aimed to describe rates of retesting and repeat positivity following diagnosis of chlamydia or gonorrhoea in a defined geographic region of New Zealand. METHODS: Retrospective cohort study in Wellington, New Zealand involving analysis of laboratory data for chlamydia and gonorrhoea tests performed in primary care and sexual health clinics (July 2012-July 2015)...
July 28, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28744665/perceived-discrimination-and-health-related-quality-of-life-gender-differences-among-older-african-americans
#13
Sheryl L Coley, Carlos F Mendes de Leon, Earlise C Ward, Lisa L Barnes, Kimberly A Skarupski, Elizabeth A Jacobs
PURPOSE: Emerging data suggest that African-American women may fare worse than African-American men in health-related quality-of-life (HRQOL). Perceived discrimination is an important contributor to poor health overall among African Americans, but few studies examined the intersecting effects of perceived discrimination and gender in explaining HRQOL disparities. We investigated gender differences in HRQOL and tested whether perceived discrimination accounted for these differences. METHODS: We examined data from the Chicago Health and Aging Project in which 5652 African-American adults aged 65 and older completed structured questionnaires about demographic and socioeconomic characteristics, HRQOL, perceived discrimination, and health-related variables...
July 25, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28743671/impact-of-gender-disparities-on-short-and-long-term-patient-reported-outcomes-and-satisfaction-measures-after-elective-lumbar-spine-surgery-a-single-institutional-study-of-384-patients
#14
Aladine A Elsamadicy, Gireesh B Reddy, Gautum Nayer, Amanda Sergesketter, Rasheedat Zakare-Fagbamila, Isaac O Karikari, Oren N Gottfried
BACKGROUND: There is a paucity of data determining the impact that gender disparities have on spine outcomes, particularly perception of health and satisfaction. The aim of this study was to determine whether there is a difference in three-month and one-year PROs and satisfaction after elective lumbar-spine surgery. METHODS: This was a retrospectively analyzed study from a maintained prospective database of 384 patients who underwent elective lumbar-spine surgery...
July 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28739148/food-insecurity-and-adult-overweight-obesity-gender-and-race-ethnic-disparities
#15
Daphne C Hernandez, Layton M Reesor, Rosenda Murillo
The majority of the food insecurity-obesity research has indicated a positive association among women, especially minority women. Less research has been conducted on men, and the findings are inconsistent. The aim was to assess whether gender and race/ethnic disparities exists between the food insecurity and overweight/obesity relationship among adults ages 18-59. We used the cross-sectional 2011 and 2012 National Health Interview Survey data (N = 19,990). Three or more affirmative responses on the 10-item USDA Food Security Scale indicated food insecure experiences...
October 1, 2017: Appetite
https://www.readbyqxmd.com/read/28738421/cardiovascular-disease-among-transgender-adults-receiving-hormone-therapy-a-narrative-review
#16
Carl G Streed, Omar Harfouch, Francoise Marvel, Roger S Blumenthal, Seth S Martin, Monica Mukherjee
Recent reports estimate that 0.6% of adults in the United States, or approximately 1.4 million persons, identify as transgender. Despite gains in rights and media attention, the reality is that transgender persons experience health disparities, and a dearth of research and evidence-based guidelines remains regarding their specific health needs. The lack of research to characterize cardiovascular disease (CVD) and CVD risk factors in transgender populations receiving cross-sex hormone therapy (CSHT) limits appropriate primary and specialty care...
August 15, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28737054/age-trajectories-of-physical-health-among-older-adults-of-mexican-descent-implications-of-immigrant-status-age-at-immigration-and-gender
#17
Maria A Monserud
OBJECTIVE: This study examines consequences of immigrant status, age at immigration, and gender on age trajectories of activities of daily living (ADL) limitations and chronic conditions among older adults of Mexican descent. METHOD: This research draws on 7 waves of the Hispanic Established Populations for the Epidemiologic Study of the Elderly and employs growth curve models. RESULTS: All men had similar age trajectories of ADL limitations, regardless of immigrant status and age at immigration...
July 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28736148/risk-and-protective-factors-in-the-lives-of-transgender-gender-nonconforming-adolescents
#18
Marla E Eisenberg, Amy L Gower, Barbara J McMorris, G Nicole Rider, Glynis Shea, Eli Coleman
PURPOSE: Research suggests that transgender and gender nonconforming (TGNC) youth may be at greatly increased risk of high-risk health behaviors compared with cisgender youth, but existing studies are limited by convenience samples and small numbers. This study uses a large school-based sample of adolescents to describe the prevalence of TGNC identity, associations with health risk behaviors and protective factors, and differences across birth-assigned sex. METHODS: This study analyzes existing surveillance data provided by 9th and 11th grade students in Minnesota in 2016 (N = 81,885)...
July 20, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28731291/critical-questions-advancing-the-health-of-female-veterans
#19
Lisa Muirhead, Priscilla Hall, Cedrella Jones-Taylor, Gari D Clifford, Tasha Felton-Williams, Kathy Williams
PURPOSE: Women are the fastest growing Veteran population in the United States and many receive all or part of their health care outside of the Department of Veterans Affairs (VA). The purpose of this article is to review the healthcare issues of women Veterans and discuss implications for care. DATA SOURCES: Review of selected literature, VA resources and guidelines, and expert opinion. CONCLUSIONS: Few providers are aware of the impact military service has on the health of women and fail to ask the all-important question, "Have you served in the military?" Recognizing women's military service can reveal important information that can answer perplexing clinical questions, aid in designing comprehensive plans of care, and enable women to receive the assistance needed to address complex physical and psychosocial issues to improve the quality of their lives...
July 21, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28719246/disparities-in-exposure-to-intimate-partner-violence-among-transgender-gender-nonconforming-and-sexual-minority-primary-care-patients
#20
Sarah E Valentine, Sarah M Peitzmeier, Dana S King, Conall O'Cleirigh, Samantha M Marquez, Cara Presley, Jennifer Potter
PURPOSE: We investigated the odds of intimate partner violence (IPV) among primary care patients across subgroups of transgender and gender nonconforming (TGNC) individuals relative to cisgender women, and cisgender sexual minority men and women relative to cisgender heterosexual men and women. METHODS: Participants completed an IPV screener as part of routine primary care visits at an urban community health center (N = 7572). Electronic medical record data were pooled for all patients who received the IPV screener January 1 to December 31, 2014...
August 2017: LGBT Health
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