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Health disparity in gender

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https://www.readbyqxmd.com/read/28641046/exploring-the-health-needs-of-aging-lgbt-adults-in-the-cape-fear-region-of-north-carolina
#1
Noell L Rowan, Kelsey Beyer
This study explored issues of culturally sensitive health care practice and needs among lesbian, gay, bisexual and transgender aging adults in coastal North Carolina. Survey data from 2013 to 2015 were analyzed using frequencies and logistic regression on concerns with culturally sensitive health needs for the LGBT aging adult population. Results indicated that the largest problem was a history of being verbally harassed (n = 115; 51.57%) and a need for more culturally sensitive health care provisions. A large majority of participants requested an improvement in offering of LGBT specific social activities (n = 149), recreational activities (n = 116), and art and cultural activities (n = 112)...
June 22, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28634877/socioeconomic-status-financial-strain-and-leukocyte-telomere-length-in-a-sample-of-african-american-midlife-men
#2
Joshua M Schrock, Nancy E Adler, Elissa S Epel, Amani M Nuru-Jeter, Jue Lin, Elizabeth H Blackburn, Robert Joseph Taylor, David H Chae
BACKGROUND: African American men in the USA experience poorer aging-related health outcomes compared to their White counterparts, partially due to socioeconomic disparities along racial lines. Greater exposure to socioeconomic strains among African American men may adversely impact health and aging at the cellular level, as indexed by shorter leukocyte telomere length (LTL). This study examined associations between socioeconomic factors and LTL among African American men in midlife, a life course stage when heterogeneity in both health and socioeconomic status are particularly pronounced...
June 20, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28633484/disparities-in-cigarette-smoking-and-use-of-other-tobacco-products-in-minnesota-2003-14
#3
Raymond G Boyle, Joanne D'silva, Cassandra A Stanton, Charles Carusi, Zhiqun Tang
Background: Despite efforts to reduce disadvantages across society, widening health disparities have been observed in Minnesota. This research examined whether observed declines in state-wide smoking prevalence were experienced equally by all adults with varying educational attainment. Methods: Serial cross-sectional data from the 2003, 2007, 2010 and 2014 Minnesota Adult Tobacco Survey (MATS) were analyzed. Weighted regression analyses for smoking status, time to first cigarette, cigarettes per day and non-cigarette other tobacco products (OTP) were conducted across education levels...
June 17, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28622883/health-related-quality-of-life-of-palestinian-refugees-inside-and-outside-camps-in-jordan
#4
Hamza Alduraidi, Catherine M Waters
BACKGROUND: Jordan hosts more Palestinian refugees than any country in the world. Conditions under which people in a community live influence their health-related quality of life (HRQOL). PURPOSE: The purpose of this descriptive comparative cross-sectional study was to compare HRQOL of Palestinian refugees in Jordan who live inside camps with those who live outside camps. METHODS: Participants, recruited from inside the Baqa'a camp (n = 86) and the surrounding Abu Nsair community (n = 91), completed the World Health Organization Quality of Life Brief questionnaire...
May 26, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28619069/social-determinants-of-depression-and-suicidal-behaviour-in-the-caribbean-a-systematic-review
#5
Catherine R Brown, Ian R Hambleton, Natasha Sobers-Grannum, Shawn M Hercules, Nigel Unwin, E Nigel Harris, Rainford Wilks, Marlene MacLeish, Louis Sullivan, Madhuvanti M Murphy
BACKGROUND: Depressive disorder is the largest contributor to years lived with disability in the Caribbean, adding 948 per 100,000 in 2013. Depression is also a major risk factor for suicidal behaviour. Social inequalities influence the occurrence of depression, yet little is known about the social inequalities of this condition in the Caribbean. In support of the 2011 Rio Political Declaration on addressing health inequities, this article presents a systematic review of the role of social determinants on depression and its suicidal behaviours in the Caribbean...
June 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28610435/access-and-engagement-in-hiv-care-among-a-national-cohort-of-women-living-with-hiv-in-canada
#6
Nadine Kronfli, Ashley Lacombe-Duncan, Ying Wang, Alexandra de Pokomandy, Angela Kaida, Carmen Logie, Tracey Conway, V Logan Kennedy, Ann Burchell, Wangari Tharao, Neora Pick, Mary Kestler, Paul Sereda, Mona Loutfy, On Behalf Of The Chiwos Research Team
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) who had never accessed HIV medical care, who reported delayed linkage into HIV care (>3 months between diagnosis and initial care linkage), and who were not engaged in HIV care at interview (<1 visit in prior year)...
June 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28607233/universal-health-coverage-and-the-health-sustainable-development-goal-achievements-and-challenges-for-sri-lanka
#7
Amala de Silva, Thushara Ranasinghe, Palitha Abeykoon
With state-funded health care that is free at the point of delivery, a sound primary health-care policy and widespread health-care services, Sri Lanka seems a good example of universal health coverage. Yet, health transition and disparities in provision and financing threaten this situation. Sri Lanka did well on the Millennium Development Goal health indicators, but the Sustainable Development Goal (SDG) for health has a wider purview, which is to "ensure healthy lives and promote well-being for all at all ages"...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28595736/age-gender-and-socioeconomic-gradients-in-metabolic-syndrome-biomarker-evidence-from-a-large-sample-in-taiwan-2005-2013
#8
Hania F Wu, Tony Tam, Lei Jin, Xiang Q Lao, Roger Yat-Nork Chung, Xue F Su, Benny Zee
PURPOSE: To examine the age and gender heterogeneities in the association between socioeconomic status (SES) and the risk of metabolic syndrome (MetS) with biomarker data from Taiwan. METHODS: Subjects included 102,201 men and 112,015 women aged 25 and above, from the 2005-2013 MJ Health Survey in Taiwan. SES was measured by education and family income. MetS was defined by the Adult Treatment Panel III criteria for Asian population. Logistic regression analyses were performed by age and gender groups...
May 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/28595454/predictors-of-adults-knowledge-and-awareness-of-hpv-hpv-associated-cancers-and-the-hpv-vaccine-implications-for-health-education
#9
Kimberly R McBride, Shipra Singh
High human papillomavirus (HPV) prevalence and low HPV vaccine uptake are significant public health concerns. Disparities in HPV-associated cancers and HPV vaccine uptake rates suggest the need for additional research examining factors associated with vaccine acceptance. This study assessed HPV awareness and knowledge and identified sociodemographic characteristics associated with HPV knowledge at the population level. Data from adult men ( n = 1,197) and women ( n = 1,906) who participated in the National Cancer Institute's 2014 Health Information National Trends Survey were analyzed...
June 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28588958/women-s-health-a-new-global-agenda
#10
Sanne A E Peters, Mark Woodward, Vivekanand Jha, Stephen Kennedy, Robyn Norton
Global efforts to improve the health of women largely focus on improving sexual and reproductive health. However, the global burden of disease has changed significantly over the past decades. Currently, the greatest burden of death and disability among women is attributable to non-communicable diseases (NCDs), most notably cardiovascular diseases, cancers, respiratory diseases, diabetes, dementia, depression and musculoskeletal disorders. Hence, to improve the health of women most efficiently, adequate resources need to be allocated to the prevention, management and treatment of NCDs in women...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28587891/the-accessibility-readability-and-quality-of-online-resources-for-gender-affirming-surgery
#11
Christina R Vargas, Joseph A Ricci, Michelle Lee, Adam M Tobias, Daniel A Medalie, Bernard T Lee
BACKGROUND: The transgender population is disproportionally affected by health disparities related to access to care. In many communities, transgender specialists are geographically distant and locally available medical professionals may be unfamiliar with unique needs of transgender patients. As a result, use of Internet resources for information about gender affirming surgery is particularly important. This study simulates a patient search for online educational material about gender affirming surgery and evaluates the accessibility, readability, and quality of the information...
May 11, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28585163/engaging-multilevel-stakeholders-in-an-implementation-trial-of-evidence-based-quality-improvement-in-va-women-s-health-primary-care
#12
Alison B Hamilton, Julian Brunner, Cindy Cain, Emmeline Chuang, Tana M Luger, Ismelda Canelo, Lisa Rubenstein, Elizabeth M Yano
The Veterans Health Administration (VHA) has undertaken primary care transformation based on patient-centered medical home (PCMH) tenets. VHA PCMH models are designed for the predominantly male Veteran population, and require tailoring to meet women Veterans' needs. We used evidence-based quality improvement (EBQI), a stakeholder-driven implementation strategy, in a cluster randomized controlled trial across 12 sites (eight EBQI, four control) that are members of a Practice-Based Research Network. EBQI involves engaging multilevel, inter-professional leaders and staff as stakeholders in reviewing evidence and setting QI priorities...
June 5, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28583125/considerations-and-guidance-in-designing-equity-relevant-clinical-trials
#13
EDITORIAL
Lawrence Mbuagbaw, Theresa Aves, Beverley Shea, Janet Jull, Vivian Welch, Monica Taljaard, Manosila Yoganathan, Regina Greer-Smith, George Wells, Peter Tugwell
Health research has documented disparities in health and health outcomes within and between populations. When these disparities are unfair and avoidable they may be referred to as health inequities. Few trials attend to factors related to health inequities, and there is limited understanding about how to build consideration of health inequities into trials. Due consideration of health inequities is important to inform the design, conduct and reporting of trials so that research can build evidence to more effectively address health inequities and importantly, ensure that inequities are not aggravated...
June 5, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28578689/race-and-nativity-are-major-determinants-of-tuberculosis-in-the-u-s-evidence-of-health-disparities-in-tuberculosis-incidence-in-michigan-2004-2012
#14
Grace A Noppert, Mark L Wilson, Philippa Clarke, Wen Ye, Peter Davidson, Zhenhua Yang
BACKGROUND: The incidence of TB in Michigan was 1.5 per 100,000 people in 2012, roughly half the U.S. incidence. Despite successes in TB control, disparities in TB still exist in Michigan, particularly by race, age, and nativity. A major challenge in understanding disparities in TB burden is distinguishing between TB cases resulting from recent transmission and those resulting from reactivation of latent TB infection, information critical to tailoring control strategies. We examined nine-year trends in tuberculosis (TB) incidence patterns for the entire population of Michigan, and within demographic subgroups...
June 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28577728/socioeconomic-and-gender-disparities-in-anal-cancer-diagnosis-and-treatment
#15
Karel-Bart Celie, Christopher Jackson, Surbhi Agrawal, Chetan Dodhia, Carlos Guzman, Theodor Kaufman, Nicholas Hellenthal, Daphne Monie, Jose Monzon, Luis Oceguera
BACKGROUND AND OBJECTIVES: We investigated whether receipt of radiation in patients with anal carcinoma is related to income level and other demographic factors. METHODS: The SEER database (1988-2011) was queried and linked to the Area Health Resources File (AHRF). We used logistic regression and Kaplan-Meier analyses to correlate receipt of radiation and overall and cancer-specific survival with tumor stage, age, gender, and income. RESULTS: Of 28,028 patients with anal cancer, 14,783 (53%) received radiation...
June 2017: Surgical Oncology
https://www.readbyqxmd.com/read/28571172/disparities-in-oral-health-behaviour-among-young-adults-in-mangalore-india-a-psychosocial-perspective
#16
G Rajesh, Simi Seemanthini, Dilip Naik, Keshava Pai, Ashwini Rao
INTRODUCTION: Oral health inequalities imply unequal distribution of health and disease across socioeconomic gradients. Oral health related behaviour and its psychosocial antecedents can have a major impact on oral disease pathways in communities. AIM: To ascertain disparities in oral health behaviour and its psychosocial antecedents among young adults in Mangalore, Karnataka, India. MATERIALS AND METHODS: Present study was carried out among 341 degree students at three randomly chosen institutions belonging to government, aided and private colleges in Mangalore...
April 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28561636/choosing-something-else-as-a-sexual-identity-evaluating-response-options-on-the-national-health-interview-survey
#17
Michele J Eliason, Carl G Streed
PURPOSE: Researchers struggle to find effective ways to measure sexual and gender identities to determine whether there are health differences among subsets of the LGBTQ+ population. METHOD: This study examines responses on the National Health Interview Survey (NHIS) sexual identity questions among 277 LGBTQ+ healthcare providers. RESULTS: Eighteen percent indicated that their sexual identity was "something else" on the first question, and 57% of those also selected "something else" on the second question...
May 31, 2017: LGBT Health
https://www.readbyqxmd.com/read/28558774/gender-based-disparities-in-the-impact-of-adverse-childhood-experiences-on-adult-health-findings-from-a-national-study-in-the-kingdom-of-saudi-arabia
#18
Maha Almuneef, Nathalie ElChoueiry, Hassan N Saleheen, Majid Al-Eissa
BACKGROUND: Adverse Childhood Experiences (ACEs) have been linked to an increased risk of health and social problems throughout life. Studies on gender differences from developing countries are scarce. In this paper, we will examine gender variations in the types of reported ACEs and gender-specific relationships between cumulative ACEs and physical and mental health, and Risky Health Behaviors (RHB) in adulthood in the Kingdom of Saudi Arabia (KSA). METHODS: A cross sectional national study was conducted in all of the 13 regions in KSA in 2013 using the ACE- International Questionnaire (ACE-IQ)...
May 30, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28558740/experiences-with-vha-care-a-qualitative-study-of-u-s-women-veterans-with-self-reported-trauma-histories
#19
Shannon M Kehle-Forbes, Eileen M Harwood, Michele R Spoont, Nina A Sayer, Heather Gerould, Maureen Murdoch
BACKGROUND: Women veterans in the United States, particularly those with posttraumatic stress disorder (PTSD) or a history of military sexual assault, have unique health care needs, but their minority status in the US Veterans Health Administration (VHA) has led to documented healthcare disparities when compared to men. This study's objective was to obtain a richer understanding of the challenges and successes encountered by women veterans with self-reported service-related trauma histories (particularly those with a history of military sexual assault and/or posttraumatic stress symptomology) receiving VHA care...
May 30, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28558693/scrambling-for-access-availability-accessibility-acceptability-and-quality-of-healthcare-for-lesbian-gay-bisexual-and-transgender-people-in-south-africa
#20
Alex Müller
BACKGROUND: Sexual orientation and gender identity are social determinants of health for people identifying as lesbian, gay, bisexual and transgender (LGBT), and health disparities among sexual and gender minority populations are increasingly well understood. Although the South African constitution guarantees sexual and gender minority people the right to non-discrimination and the right to access to healthcare, homo- and transphobia in society abound. Little is known about LGBT people's healthcare experiences in South Africa, but anecdotal evidence suggests significant barriers to accessing care...
May 30, 2017: BMC International Health and Human Rights
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