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https://www.readbyqxmd.com/read/28527104/low-income-as-a-multiplicative-risk-factor-for-oral-pain-and-dental-problems-among-u-s-veteran-smokers
#1
Terrell A Hicks, Sarah M Wilson, Shaun P Thomas, Paul A Dennis, Julia M Neal, Patrick S Calhoun
PURPOSE: Compared to the United States (U.S.) general population, military veterans are at an increased risk of experiencing dental problems. This study documented associations between cigarette use and measures of dental/oral concern in a population of U.S. veterans who served in Iraq and Afghanistan. METHOD: A cross-sectional analysis of survey data from the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans Health and Needs Study, a study of U...
May 19, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28521177/how-community-level-social-and-economic-developments-have-changed-the-patterns-of-substance-use-in-a-transition-economy
#2
Xiaozhao Y Yang
Most social changes take place at the community level before indirectly affecting individuals. Although the contextual effect is far-reaching, few studies have investigated the important questions of: how do community-level developments affect drinking and smoking, and how do they change the existing gender and income patterns of drinking and smoking, particularly in transition economies? In this study, I used a Chinese panel dataset between 1991 and 2011 to reveal the moderating effects of community developments...
May 15, 2017: Health & Place
https://www.readbyqxmd.com/read/28517042/the-impact-of-the-aca-medicaid-expansions-on-health-insurance-coverage-through-2015-and-coverage-disparities-by-age-race-ethnicity-and-gender
#3
George L Wehby, Wei Lyu
OBJECTIVE: Examine the ACA Medicaid expansion effects on Medicaid take-up and private coverage through 2015 and coverage disparities by age, race/ethnicity, and gender. DATA SOURCES: 2011-2015 American Community Survey for 3,137,989 low-educated adults aged 19-64 years. STUDY DESIGN: Difference-in-differences regressions accounting for national coverage trends and state fixed effects. PRINCIPAL FINDINGS: Expansion effects doubled in 2015 among low-educated adults, with a nearly 8 percentage-point increase in Medicaid take-up and 6 percentage-point decline in uninsured rate...
May 18, 2017: Health Services Research
https://www.readbyqxmd.com/read/28513567/mental-health-service-utilization-among-black-youth-psychosocial-determinants-in-a-national-sample
#4
Shervin Assari, Cleopatra Howard Caldwell
Racial disparity in mental health service utilization (MHSU) persists, and youths are not an exception to the underutilization of services. Very limited research has been conducted on the determinants of MHSU among Black youth. Using a national sample of American Black youth, the current study investigated the association between demographic factors, socioeconomic status, psychiatric disorders, and self-rated health (SRH) on MHSU. We also tested the heterogeneity of the effects of SRH and psychiatric disorders based on ethnicity, gender, and their intersection...
May 17, 2017: Children
https://www.readbyqxmd.com/read/28501223/health-care-barriers-racism-and-intersectionality-in-australia
#5
João L Bastos, Catherine E Harnois, Yin C Paradies
While racism has been shown to negatively affect health care quality, little is known about the extent to which racial discrimination works with and through gender, class, and sexuality to predict barriers to health care (e.g., perceived difficulty accessing health services). Additionally, most existing studies focus on racial disparities in the U.S. context, with few examining marginalized groups in other countries. To address these knowledge gaps, we analyze data from the 2014 Australian General Social Survey, a nationally representative survey of individuals aged 15 and older living in 12,932 private dwellings...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28495106/israel-health-and-beyond
#6
REVIEW
Karl Skorecki, Richard Horton
The principle that global human identity and dignity supersede other values is a broadly accepted conviction that guides practice and policies in the realm of human health in most of the world. An assessment of the level of success that Israel has achieved in health, in the face of formidable challenges, including rapid population growth, diverse and often divided ethnic affiliations, and existential security threats, leads us to propose that extension of this principle of global human identity and dignity, together with the objective of a decent society, as overriding values beyond health to other domains of human endeavour within Israel and in its relations with neighbouring peoples, represents an entirely achievable imperative...
May 5, 2017: Lancet
https://www.readbyqxmd.com/read/28492709/differential-reporting-of-discriminatory-experiences-in-brazil-and-the-united-states
#7
Sarah Burgard, Debora de Pina Castiglione, Katherine Y Lin, Aline A Nobre, Estela M L Aquino, Alexandre C Pereira, Isabela J Martins Bensenor, Sandhi M Barreto, Dora Chor
There has been little cross-national comparison of perceived discrimination, and few studies have considered how intersectional identities shape perception of discriminatory treatment in different societies. Using data from the ELSA-Brasil, a study of Brazilian civil servants, and the Americans' Changing Lives Study, a nationally-representative sample of U.S. adults, we compare reports of lifetime discrimination among race-by-gender groups in each society. We also consider whether educational attainment explains any group differences, or if differences across groups vary by level of education...
May 8, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28486983/social-disparities-in-the-prevalence-of-multimorbidity-a-register-based-population-study
#8
Michaela L Schiøtz, Anders Stockmarr, Dorte Høst, Charlotte Glümer, Anne Frølich
BACKGROUND: Prevalences of multimorbidity vary between European studies and several methods and definitions are used. In this study we examine the prevalence of multimorbidity in relation to age, gender and educational attainment and the association between physical and mental health conditions and educational attainment in a Danish population. METHODS: A cross-sectional design was used to study the prevalence of multimorbidity, defined as two or more chronic conditions, and of comorbid physical and mental health conditions across age groups and educational attainment levels among 1,397,173 individuals aged 16 years and older who lived in the Capital Region of Denmark on January 1st, 2012...
May 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28486206/ethnic-group-socioeconomic-status-as-an-indicator-of-community-level-disadvantage-a-study-of-overweight-obesity-in-asian-american-adolescents
#9
Won Kim Cook, Winston Tseng, Christina Tam, Iyanrick John, Camillia Lui
Asian American children and adolescents are an under-investigated subpopulation in obesity research. Informed by a wide socioeconomic diversity among Asian American ethnic groups, this study explored ethnic-group socioeconomic status (SES) as an indicator of community-level disadvantage that may influence overweight/obesity in Asian American adolescents. We hypothesized that ethnic-group SES was inversely associated with overweight/obesity in Asian American adolescents. Multiple logistic regression models were fitted using a sample of 1525 Asian American adolescents ages 12-17 from pooled 2007-2012 California Health Interview Survey (CHIS) data...
April 21, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28480588/racial-ethnic-and-gender-disparities-in-health-care-use-and-access
#10
Jennifer I Manuel
OBJECTIVE: To document racial/ethnic and gender differences in health service use and access after the Affordable Care Act went into effect. DATA SOURCE: Secondary data from the 2006-2014 National Health Interview Survey. STUDY DESIGN: Linear probability models were used to estimate changes in health service use and access (i.e., unmet medical need) in two separate analyses using data from 2006 to 2014 and 2012 to 2014. DATA EXTRACTION: Adult respondents aged 18 years and older (N = 257,560)...
May 8, 2017: Health Services Research
https://www.readbyqxmd.com/read/28479461/superior-lower-extremity-vein-graft-bypass-patency-among-married-patients-with-peripheral-arterial-disease
#11
Emily Lagergren, Kelly Kempe, Timothy E Craven, Susan T Kornegay, Justin B Hurie, Nitin Garg, Gabriela Velazquez Ramirez, Matthew S Edwards, Matthew A Corriere
INTRODUCTION: Outcomes disparities associated with lower extremity bypass (LEB) for peripheral arterial disease (PAD) have been identified but are poorly understood. Marital status may affect outcomes through factors related to health risk behaviors, adherence, and access to care but has not been characterized as a predictor of surgical outcomes and is often omitted from administrative datasets. We evaluated associations between marital status and vein graft patency following LEB using multivariable models adjusting for established risk factors...
May 4, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28476283/variable-school-start-times-and-middle-school-student-s-sleep-health-and-academic-performance
#12
Daniel S Lewin, Guanghai Wang, Yao I Chen, Elizabeth Skora, Jessica Hoehn, Allison Baylor, Jichuan Wang
PURPOSE: Improving sleep health among adolescents is a national health priority and implementing healthy school start times (SSTs) is an important strategy to achieve these goals. This study leveraged the differences in middle school SST in a large district to evaluate associations between SST, sleep health, and academic performance. METHODS: This cross-sectional study draws data from a county-wide surveillance survey. Participants were three cohorts of eighth graders (n = 26,440)...
May 2, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28474359/the-hcup-sid-imputation-project-improving-statistical-inferences-for-health-disparities-research-by-imputing-missing-race-data
#13
Yan Ma, Wei Zhang, Stephen Lyman, Yihe Huang
OBJECTIVE: To identify the most appropriate imputation method for missing data in the HCUP State Inpatient Databases (SID) and assess the impact of different missing data methods on racial disparities research. DATA SOURCES/STUDY SETTING: HCUP SID. STUDY DESIGN: A novel simulation study compared four imputation methods (random draw, hot deck, joint multiple imputation [MI], conditional MI) for missing values for multiple variables, including race, gender, admission source, median household income, and total charges...
May 4, 2017: Health Services Research
https://www.readbyqxmd.com/read/28472411/sexual-and-gender-minority-college-students-and-tobacco-use-in-texas
#14
Josephine T Hinds, Alexandra Loukas, Cheryl L Perry
Introduction.: Most research regarding sexual and gender minority (SGM) populations is limited to examination of cigarette or general tobacco use, or does not examine heterogeneity across SGM groups other than lesbian or gay and bisexual individuals. This study examined differences in the odds of current use and age of initiation of five tobacco/nicotine products among three groups of SGM young adults who self-identified as: 1) gay or lesbian, 2) bisexual, and 3) queer, transgender, "other," compared to their heterosexual peers...
May 3, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28471331/study-on-the-pharmacokinetics-of-deoxyschizandrin-and-schizandrin-in-combination-with-epigallocatechin-gallate-a-component-of-green-tea-in-rats
#15
Yan Liu, Dong Zhang, Yingli Wang, Wenjuan Zhang, Xiaohong Liu
1. Green tea is commonly used worldwide due to its potential positive health benefits. We have examined the effects of epigallocatechin gallate (EGCG), the most abundant catechin in green tea, on the pharmacokinetics of deoxyschizandrin (DSD) and schizandrin (SD), which are the representative lignans in popular traditional Chinese medicines Fructus schisandrae, in rats. 2. The effects on the transport in Caco-2 cells and metabolism in human liver microsomes of DSD and SD by EGCG were determined to analyze their interactions thoroughly...
May 4, 2017: Xenobiotica; the Fate of Foreign Compounds in Biological Systems
https://www.readbyqxmd.com/read/28466199/health-disparities-by-sexual-orientation-results-and-implications-from-the-behavioral-risk-factor-surveillance-system
#16
Gilbert Gonzales, Carrie Henning-Smith
Until recently, population-based data for monitoring sexual minority health have been limited, making it difficult to document and address disparities by sexual orientation. The primary objective of this study was to examine differences by sexual orientation in an array of health outcomes and health risk factors using one of the nation's largest health surveys. Data for this study came from 8290 adults who identified as lesbian, gay, or bisexual (LGB) and 300,256 adults who identified as heterosexual in the 2014-2015 Behavioral Risk Factor Surveillance System (BRFSS)...
May 2, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28463093/an-interdisciplinary-approach-to-lesbian-gay-bisexual-and-transgender-clinical-competence-professional-training-and-ethical-care-introduction-to-the-special-issue
#17
Markus P Bidell, Lara M Stepleman
There are exigent reasons to foster lesbian, gay, bisexual, and transgender (LGBT) competence, training, and ethical care for health professionals within an interdisciplinary paradigm. LGBT individuals experience serious health and psychosocial disparities; moreover, these inequalities can be amplified when other aspects of diversity such as race, ethnicity, age, gender, religion, disability, and socioeconomic status intersect with sexual orientation and gender identity (Institute of Medicine [IOM], 2011). While the origins of LGBT health and psychosocial disparities are manifold, deficiencies in professional training, ethical care, and clinical competence are underlying contributors (IOM, 2011)...
May 2, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459380/advancing-lgbt-healthcare-policies-and-clinical-care-within-a-large-academic-healthcare-system-a-case-study
#18
Mollie A Ruben, Jillian C Shipherd, David Topor, Christopher G Ahnallen, Colleen A Sloan, Heather M Walton, Alexis R Matza, Glenn R Trezza
Culturally competent healthcare is especially important among sexual and gender minority patients as poor cultural competence contributes to health disparities. There is a need to understand how to improve healthcare quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) Veterans in particular, because they bring unique physical and mental health needs as both LGBT individuals and Veterans. The following paper is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for Veteran patients in the VA Boston Healthcare System...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459307/sexual-and-gender-minority-health-curricula-and-institutional-support-services-at-us-schools-of-public-health
#19
Ali J Talan, Carolyn B Drake, Jennifer L Glick, Camilla Scott Claiborn, David Seal
Limited research has examined the ways in which public health training programs equip students to address health disparities affecting the lesbian, gay, bisexual, and transgender (LGBT) community and other sexual and gender minority (SGM) populations. This study outlines the availability of public health curricula on SGM health topics, and the prevalence of LGBT and SGM-inclusive institutional support services across CEPH-accredited US schools of public health. Content analysis of all course offerings related to gender and sexuality revealed a limited focus on sexual and gender minority health: just 4...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28449014/ethnic-disparities-in-the-use-of-seclusion-for-adult-psychiatric-inpatients-in-new-zealand
#20
COMPARATIVE STUDY
Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham
AIM: This study aims to investigate disparities in seclusion between Māori and non-Māori non-Pacific (nMnP) adults in mental health inpatient units in New Zealand. METHOD: This study uses data on 7,239 inpatient psychiatric admissions and 782 seclusion events for nine district health boards (servicing 39% of the New Zealand population) for the period 1 July 2008 to 30 June 2010, from a New Zealand Ministry of Health dataset (PRIMHD). We calculate the age-standardised rates of seclusion per monthly inpatient admissions...
April 28, 2017: New Zealand Medical Journal
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