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Health disparity in gender

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https://www.readbyqxmd.com/read/28103923/risk-adjustment-methods-for-all-payer-comparative-performance-reporting-in-vermont
#1
Karl Finison, MaryKate Mohlman, Craig Jones, Melanie Pinette, David Jorgenson, Amy Kinner, Tim Tremblay, Daniel Gottlieb
BACKGROUND: As the emphasis in health reform shifts to value-based payments, especially through multi-payer initiatives supported by the U.S. Center for Medicare & Medicaid Innovation, and with the increasing availability of statewide all-payer claims databases, the need for an all-payer, "whole-population" approach to facilitate the reporting of utilization, cost, and quality measures has grown. However, given the disparities between the different populations served by Medicare, Medicaid, and commercial payers, risk-adjustment methods for addressing these differences in a single measure have been a challenge...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28092967/disparities-in-dental-health-of-rural-australians-hospitalisation-rates-and-utilisation-of-public-dental-services-in-three-communities-in-north-queensland
#2
Karen Carlisle, Sarah Larkins, Felicity Croker
INTRODUCTION: The oral health of rural Australians continues to lag behind that of those living in metropolitan areas. Research has shown that people living in rural areas are more likely to suffer from dental caries (decay), visit the dentist less often and have poorer access to oral health services. The purpose of the study was to examine hospitalisations for dental conditions and utilisation of public dental services in three rural communities in Queensland compared with the whole of Queensland...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28090398/life-expectancies-in-hawai-i-a-multi-ethnic-analysis-of-2010-life-tables
#3
Yanyan Wu, Kathryn Braun, Alvin T Onaka, Brian Y Horiuchi, Caryn J Tottori, Lynne Wilkens
The objective of this study is to examine longevity disparities in Hawai'i by race/ethnicity and gender based on age-specific death rates in 2010. Abridged life tables for Chinese, Japanese, Filipino, Hawaiians, and Caucasians in Hawai'i are presented for the age groups: <1, 1-4, every 5-year interval from 5-84, and 85+ years for the year of 2010. Death data were provided by the Hawai'i Department of Health Office of Health Status Monitoring, and population data were based on 2010 Census modified based on ethnicity estimates from the Hawai'i Health Survey...
January 2017: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/28087797/the-cascading-effects-of-marginalization-and-pathways-of-resilience-in-attaining-good-health-among-lgbt-older-adults
#4
Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Amanda E B Bryan, Chengshi Shiu, Charles A Emlet
PURPOSE OF THE STUDY: Lesbian, gay, bisexual, and transgender (LGBT) older adults comprise a diverse and growing health disparate population. In the present study, using the Health Equity Promotion Model, we investigated pathways by which LGBT older adults experience resilience, risk, and marginalization and their relationship to attaining positive health outcomes. DESIGN AND METHODS: Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) is the first longitudinal research project designed to examine the health, aging, and well-being of LGBT adults aged 50 and older...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28087793/race-ethnicity-and-health-related-quality-of-life-among-lgbt-older-adults
#5
Hyun-Jun Kim, Sarah Jen, Karen I Fredriksen-Goldsen
PURPOSE OF THE STUDY: Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older. DESIGN AND METHODS: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28077152/gender-bias-and-sex-based-differences-in-health-care-efficiency-in-polish-regions
#6
Błażej Łyszczarz
BACKGROUND: Health differences between sexes are relatively well recognized, though less is known about the specificity of women's and men's health responsiveness to medical care. Applying data from Polish regions, this study identifies sex-based differences in medical care efficiency and investigates the reasons for these disparities in the gender bias context. METHODS: The study estimates sex-specific health production functions for regional data from Poland (1999-2013)...
January 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28075699/outcome-and-impact-evaluation-of-a-transgender-health-course-for-health-profession-students
#7
Hannan M Braun, Ilana R Garcia-Grossman, Andrea Quiñones-Rivera, Madeline B Deutsch
PURPOSE: Being transgender is associated with numerous health disparities, and transgender individuals face mistreatment and discrimination in healthcare settings. At the same time, healthcare professionals report inadequate preparation to care for transgender people, and patients often have to teach their own medical providers about transgender care. Our study aimed to evaluate the impact of an elective course for health profession students in transgender health that was implemented to address these gaps in provider knowledge...
January 11, 2017: LGBT Health
https://www.readbyqxmd.com/read/28075643/transgender-population-size-in-the-united-states-a-meta-regression-of-population-based-probability-samples
#8
Esther L Meerwijk, Jae M Sevelius
BACKGROUND: Transgender individuals have a gender identity that differs from the sex they were assigned at birth. The population size of transgender individuals in the United States is not well-known, in part because official records, including the US Census, do not include data on gender identity. Population surveys today more often collect transgender-inclusive gender-identity data, and secular trends in culture and the media have created a somewhat more favorable environment for transgender people...
February 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28075632/transgender-population-size-in-the-united-states-a-meta-regression-of-population-based-probability-samples
#9
Esther L Meerwijk, Jae M Sevelius
BACKGROUND: Transgender individuals have a gender identity that differs from the sex they were assigned at birth. The population size of transgender individuals in the United States is not well-known, in part because official records, including the US Census, do not include data on gender identity. Population surveys today more often collect transgender-inclusive gender-identity data, and secular trends in culture and the media have created a somewhat more favorable environment for transgender people...
February 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28061807/gender-differences-in-sudden-cardiac-death-in-the-young-a-nationwide-study
#10
Bo Gregers Winkel, Bjarke Risgaard, Thea Bjune, Reza Jabbari, Thomas Hadberg Lynge, Charlotte Glinge, Henning Bundgaard, Stig Haunsø, Jacob Tfelt-Hansen
BACKGROUND: Hitherto, sudden cardiac death (SCD) in the young has been described with no distinction between genders. SCD occurs more often in men (SCDm) than women (SCDw), but this disparity is not understood and has not been investigated systematically in a nationwide setting. Our objective was to report gender differences in SCD in the young in a nationwide (Denmark) setting. METHODS: All deaths in persons aged 1-35 years nationwide in Denmark between 2000 and 2009 were included...
January 7, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28052823/social-networks-across-common-cancer-types-the-evidence-gaps-and-areas-of-potential-impact
#11
L J Rice, C H Halbert
Although the association between social context and health has been demonstrated previously, much less is known about network interactions by gender, race/ethnicity, and sociodemographic characteristics. Given the variability in cancer outcomes among groups, research on these relationships may have important implications for addressing cancer health disparities. We examined the literature on social networks and cancer across the cancer continuum among adults. Relevant studies (N=16) were identified using two common databases: PubMed and Google Scholar...
2017: Advances in Cancer Research
https://www.readbyqxmd.com/read/28052820/disparities-in-obesity-physical-activity-rates-and-breast-cancer-survival
#12
M E Ford, G Magwood, E T Brown, K Cannady, M Gregoski, K D Knight, L L Peterson, R Kramer, A Evans-Knowell, D P Turner
The significantly higher breast cancer (BCa) mortality rates of African-American (AA) women compared to non-Hispanic (NHW) white women constitute a major US health disparity. Investigations have primarily focused on biological differences in tumors to explain more aggressive forms of BCa in AA women. The biology of tumors cannot be modified, yet lifestyle changes can mitigate their progression and recurrence. AA communities have higher percentages of obesity than NHWs and exhibit inefficient access to care, low socioeconomic status, and reduced education levels...
2017: Advances in Cancer Research
https://www.readbyqxmd.com/read/28045931/effect-of-meat-price-on-race-and-gender-disparities-in-obesity-mortality-and-quality-of-life-in-the-us-a-model-based-analysis
#13
Allison Pitt, Eran Bendavid
INTRODUCTION: There are large differences in the burden and health implications of obesity by race and gender in the US. It is unclear to what extent policies modifying caloric consumption change the distribution of the burden of obesity and related health outcomes. Meat is a large component of the American diet. We investigate how changing meat prices (that may result from policies or from exogenous factors that reduce supply) might impact the burden of obesity by race and gender. METHODS: We construct a microsimulation model that evaluates the 15-year body-mass index (BMI) and mortality impact of changes in meat price (5, 10, 25, and 50% increase) in the US adult population stratified by age, gender, race, and BMI...
2017: PloS One
https://www.readbyqxmd.com/read/28040447/demographics-phenotypic-health-characteristics-and-genetic-analysis-of-centenarians-in-china
#14
REVIEW
Yi Zeng, Qiushi Feng, Danan Gu, James W Vaupel
After a brief introduction to the background, significance and unique features of the centenarian population in China, we describe the Chinese Longitudinal Healthy Longevity Study (CLHLS), which is the world's largest study of centenarians, nonagenarians, octogenarians, and compatible young-old aged 65-79. Based on the CLHLS data and other relevant studies, we summarize demographic and socioeconomic characteristics as well as self-reported and objectively-tested health indicators of centenarians in China, with an emphasis on gender differences and rural/urban disparities...
December 28, 2016: Mechanisms of Ageing and Development
https://www.readbyqxmd.com/read/28033502/a-developmentally-informed-adaptation-of-minority-stress-for-sexual-minority-adolescents
#15
Jeremy T Goldbach, Jeremy J Gibbs
Sexual minority adolescents (lesbian, gay, bisexual) experience disparities in behavioral health outcomes compared to their heterosexual peers, generally attributed to minority stress. Although evidence of the applicability of the minority stress model among adolescents exists, it is based on a primarily adult literature. Developmental and generational differences demand further examination of minority stress to confirm its applicability. Forty-eight life history interviews with sexual minority adolescents in California (age 14-19; M = 19...
December 26, 2016: Journal of Adolescence
https://www.readbyqxmd.com/read/28029539/disordered-weight-management-behaviors-nonprescription-steroid-use-and-weight-perception-in-transgender-youth
#16
Carly E Guss, David N Williams, Sari L Reisner, S Bryn Austin, Sabra L Katz-Wise
PURPOSE: Disordered weight management behaviors are prevalent among youth; recent case reports suggested that these behaviors might also be common in transgender youth. We studied associations of gender identity with disordered weight management behaviors, nonprescription steroid use, and weight perception among transgender and cisgender (nontransgender) high-school students in Massachusetts. METHODS: Data were analyzed from the 2013 Massachusetts Youth Health Survey, an anonymous survey in a random sample of Massachusetts public high schools...
October 28, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28028581/time-trends-in-first-admission-rates-for-schizophrenia-and-other-psychotic-disorders-in-taiwan-1998-2007-a-10-year-population-based-cohort-study
#17
Chih-Lin Chiang, Pei-Chun Chen, Ling-Ya Huang, Po-Hsiu Kuo, Yu-Chi Tung, Chen-Chung Liu, Wei J Chen
PURPOSE: To examine the trend in annual first admission rates for psychotic disorders as a whole as well as individual psychotic disorders in Taiwan from 1998 to 2007, and influences of age, sex, and geographic region on the trend. METHOD: Using the inpatient claims records in the National Health Insurance Research Database, we estimated the yearly first admission rates for schizophrenia and other psychotic disorders, including voluntary (1998-2007) and involuntary (2004-2007) admissions...
December 27, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28026715/correlates-of-clinical-breast-examination-among-lesbian-gay-bisexual-and-queer-women
#18
Ashley Lacombe-Duncan, Carmen H Logie
OBJECTIVES: Lesbian, gay, bisexual, and queer (LGBQ) women have increased risk of breast cancer yet lower use of early detection screening than heterosexual women. This lower use may be due in part to sexual stigma. The study purpose was to explore correlates of past two-year clinical breast examination (CBE) among LGBQ women to better understand screening disparities, particularly among gender non-conforming LGBQ women. METHODS: A cross-sectional Internet-based survey was conducted with LGBQ women in 2011-2012...
December 27, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28024679/gender-norms-as-health-harms-reclaiming-a-life-course-perspective-on-sexual-and-reproductive-health-and-rights
#19
Cailin Crockett, Bergen Cooper
Despite their demographic significance and the lifetime impact of gender disparities on their health and rights, women considered older than reproductive age are excluded from most investments in global public health. While development policies linking human rights with access to sexual and reproductive healthcare have yielded progress towards improving the status of women and girls, older women have not benefited from these initiatives. Yet as women grow older, they experience a range of health conditions rooted in their reproductive biology - from ageing with fistula, to cervical and breast cancers...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28007056/mental-health-disparities-among-canadian-transgender-youth
#20
Jaimie F Veale, Ryan J Watson, Tracey Peter, Elizabeth M Saewyc
PURPOSE: This study documented the prevalence of mental health problems among transgender youth in Canada and made comparisons with population-based studies. This study also compared gender identity subgroups and age subgroups (14-18 and 19-25). METHODS: A nonprobability sample of 923 transgender youth from Canada completed an online survey. Participants were recruited through community organizations, health care settings, social media, and researchers' networks...
January 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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