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"North Carolina" disparities

Karen McElrath, Angela Taylor, Kimberly K Tran
Slightly more than half of admissions to U.S. publicly-funded treatment for marijuana use are referred by the criminal justice system; this pattern has remained for at least 20 years. Nationally, Blacks comprise nearly a third of treatment admissions for marijuana use. This article explores the interplay between race and criminal justice referrals to treatment for marijuana use. Using data from the (U.S.) 2011 Treatment Episode Data Set, we examine the relationship between race and diagnosis of cannabis use disorder (dependence versus abuse) among referrals to community-based treatment in North Carolina...
October 2, 2016: Behavioral Sciences
Sara A Quandt, Mark R Schulz, Haiying Chen, Thomas A Arcury
PURPOSE: Visual impairment presents significant risks for occupational injuries among farmworkers, a vulnerable population with limited access to vision care. Although previous research has noted farmworkers' low lifetime experience with vision screening and high rates of complaints of eye ailments and poor vision, there have been few screening data collected to evaluate these self-reports. The objectives of this analysis are to (1) describe farmworker visual health using standardized visual acuity screening data and self-reported visual function, and (2) to compare the screening and self-report data...
October 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
Jordan A Holmes, Jeannette T Bensen, James L Mohler, Lixin Song, Merle H Mishel, Ronald C Chen
BACKGROUND: Meeting quality of care standards in oncology is recognized as important by physicians, professional organizations, and payers. Data from a population-based cohort of patients with prostate cancer were used to examine whether receipt of care was consistent with published consensus metrics and whether receiving high-quality care was associated with less patient-reported treatment decisional regret. METHODS: Patients with incident prostate cancer were enrolled in collaboration with the North Carolina Central Cancer Registry, with an oversampling of minority patients...
September 13, 2016: Cancer
Andrea N Polonijo, Richard M Carpiano, Paul L Reiter, Noel T Brewer
Research on prosocial attitudes, social networks, social capital, and social stratification suggest that lower-socioeconomic status (SES), Hispanic, and nonwhite individuals will be more likely than their higher-SES and non-Hispanic white counterparts to engage in health behaviors that serve a social good. Analyzing data from the University of North Carolina Human Papillomavirus (HPV) Immunization in Sons Study, we test whether SES and race-ethnicity are associated with willingness to vaccinate via prosocial attitudes toward HPV vaccination among adolescent males (n = 401) and parents (n = 518)...
September 2016: Journal of Health and Social Behavior
Laura C Pinheiro, Cleo A Samuel, Katherine E Reeder-Hayes, Stephanie B Wheeler, Andrew F Olshan, Bryce B Reeve
PURPOSE: Although racial disparities in health-related quality of life (HRQOL) among women with breast cancer (BC) are well documented, less is known about HRQOL changes over time among women of different races. Our objective was to assess racial differences in HRQOL during active treatment and survivorship phases of BC care. METHODS: We used data from the third phase of the Carolina Breast Cancer Study (CBCS-III). CBCS-III enrolled 3000 women in North Carolina aged 20-74 years diagnosed with BC between 2008 and 2013...
October 2016: Breast Cancer Research and Treatment
Leah A Schrubbe, Scott G Ravyts, Bernadette C Benas, Lisa C Campbell, Crystal W Cené, Cynthia J Coffman, Alexander H Gunn, Francis J Keefe, Caroline T Nagle, Eugene Z Oddone, Tamara J Somers, Catherine L Stanwyck, Shannon S Taylor, Kelli D Allen
BACKGROUND: African Americans bear a disproportionate burden of osteoarthritis (OA), with higher prevalence rates, more severe pain, and more functional limitations. One key barrier to addressing these disparities has been limited engagement of African Americans in the development and evaluation of behavioral interventions for management of OA. Pain Coping Skills Training (CST) is a cognitive-behavioral intervention with shown efficacy to improve OA-related pain and other outcomes. Emerging data indicate pain CST may be a promising intervention for reducing racial disparities in OA symptom severity...
2016: BMC Musculoskeletal Disorders
Thomas A Arcury, Joseph A Skelton, Edward H Ip, Cynthia K Suerken, Grisel Trejo, Sara A Quandt
BACKGROUND: This analysis describes farmworker child health care utilization, anticipatory guidance for child weight, and the association of anticipatory guidance with personal characteristics, practice characteristics, and child's health care utilization. METHODS: Data are from interviews conducted with 221 North Carolina Latino farmworker mothers with a child aged 4-5 years. RESULTS: Half of the children were healthy weight, 19.0% were overweight, and 28...
2016: Journal of Health Care for the Poor and Underserved
Eric V Lonsdorf, Wayne E Thogmartin, Sarah Jacobi, Kevin Aagaard, Jorge Coppen, Amélie Davis, Timothy Fox, Patricia Heglund, Rex Johnson, Malcolm T Jones, Kevin Kenow, James E Lyons, Kirsten Luke, Shannon Still, Brian Tavernia
Conserving migratory birds is made especially difficult because of movement among spatially disparate locations across the annual cycle. In light of challenges presented by the scale and ecology of migratory birds, successful conservation requires integrating objectives, management, and monitoring across scales, from local management units to ecoregional and flyway administrative boundaries. We present an integrated approach using a spatially explicit energetic-based mechanistic bird migration model useful to conservation decision-making across disparate scales and locations...
June 2016: Ecological Applications: a Publication of the Ecological Society of America
Teri Browne, Ahinee Amamoo, Rachel E Patzer, Jenna Krisher, Henry Well, Jennifer Gander, Stephen O Pastan
BACKGROUND: Kidney transplantation (KTx) disparity is a significant problem in the United States, particularly in the Southeastern region. In response to this phenomenon, the Southeastern Kidney Transplant Coalition was created in 2011 to increase the KTx rate, and to reduce disparities in access to transplantation in the Southeast, by identifying and reducing barriers in the transplant process. METHODS: To determine perceived barriers and facilitators to KTx that dialysis patients in this region experience, we conducted three focus groups with 40 total patients in Georgia, North Carolina, and South Carolina...
2016: BMC Nephrology
Michelle C Roughton, Paul DiEgidio, Lei Zhou, Karyn Stitzenberg, Anne Marie Meyer
BACKGROUND: The psychosocial benefits of postmastectomy breast reconstruction are well established; however, health care barriers persist. The authors evaluated statewide patient population to further identify obstacles to reconstruction. METHODS: A linked data set combining the North Carolina Central Cancer Registry with administrative claims from Medicare, Medicaid, and private insurance plans identified women diagnosed with breast cancer from 2003 to 2006. For inclusion in the study, women must have had a mastectomy within 6 months of diagnosis and had continuous insurance enrollment at least 2 years postoperatively (n = 5381)...
August 2016: Plastic and Reconstructive Surgery
Ashley T Freeman, Anne-Marie Meyer, Andrew B Smitherman, Lei Zhou, Ethan M Basch, Thomas C Shea, William A Wood
BACKGROUND: Population-based studies have demonstrated survival disparities related to socioeconomic factors for patients with acute myeloid leukemia (AML). The objective of the current study was to determine whether the local health care infrastructure, represented by Area Health Education Centers (AHEC) region, or treating center experience, represented by National Cancer Institute Comprehensive Cancer Center (NCICCC) designation, were associated with outcomes among patients with AML in North Carolina...
October 2016: Cancer
Julius M Wilder, Joanne A P Wilson
No abstract text is available yet for this article.
May 2016: North Carolina Medical Journal
Teresa Cutts, Sarah Langdon, Francis Rivers Meza, Bridget Hochwalt, Rita Pichardo-Geisinger, Brandon Sowell, Jessica Chapman, Linda Batiz Dorton, Beth Kennett, Maria Teresa Jones
BACKGROUND: The Hispanic/Latino population in Forsyth County, North Carolina, is growing quickly and experiencing significant disparities in access to care and health outcomes. Assessing community perceptions and utilization of health care resources in order to improve health equity among Hispanics/Latinos at both the county and state levels is critical. METHODS: Our community engagement process was guided by the Community Health Assets Mapping Partnerships (CHAMP) approach, which helps identify gaps in health care availability and areas for immediate action to improve access to and quality of health care...
May 2016: North Carolina Medical Journal
Cari M Lewis, W Asher Wolf, Pengcheng Xun, Robert S Sandler, Ka He
BACKGROUND: Substantial racial disparities exist in colorectal cancer (CRC) survival. OBJECTIVE: This was an exploratory study to assess the racial differences in dietary changes in relation to quality of life (QoL), recurrence, and survival after a CRC diagnosis. DESIGN: Four hundred fifty-three stage II CRC patients were enrolled in the cohort study through the North Carolina Central Cancer Registry. Self-reported diet, physical activity, treatment, comorbidities, demographic characteristics, and QoL were collected at diagnosis and 12 and 24 mo after diagnosis...
June 2016: American Journal of Clinical Nutrition
Lilli Mann, Amanda E Tanner, Christina J Sun, Jennifer Toller Erausquin, Florence M Simán, Mario Downs, Scott D Rhodes
Latina women in the United States (US) are disproportionately affected by negative sexual and reproductive health outcomes. Our community-based participatory research partnership conducted in-depth interviews exploring sexual and reproductive health needs and priorities with 25 Latinas in North Carolina and identified themes through constant comparison, a grounded theory development approach. Participants described individual-, interpersonal-, and clinic-level factors affecting their sexual and reproductive health as well as potentially successful intervention characteristics...
April 6, 2016: Health Care for Women International
Deborah L Christensen, Jon Baio, Kim Van Naarden Braun, Deborah Bilder, Jane Charles, John N Constantino, Julie Daniels, Maureen S Durkin, Robert T Fitzgerald, Margaret Kurzius-Spencer, Li-Ching Lee, Sydney Pettygrove, Cordelia Robinson, Eldon Schulz, Chris Wells, Martha S Wingate, Walter Zahorodny, Marshalyn Yeargin-Allsopp
PROBLEM/CONDITION: Autism spectrum disorder (ASD). PERIOD COVERED: 2012. DESCRIPTION OF SYSTEM: The Autism and Developmental Disabilities Monitoring (ADDM) Network is an active surveillance system that provides estimates of the prevalence and characteristics of ASD among children aged 8 years whose parents or guardians reside in 11 ADDM Network sites in the United States (Arkansas, Arizona, Colorado, Georgia, Maryland, Missouri, New Jersey, North Carolina, South Carolina, Utah, and Wisconsin)...
April 1, 2016: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
Ballington L Kinlock, Roland J Thorpe, Daniel L Howard, Janice V Bowie, Louie E Ross, David O Fakunle, Thomas A LaVeist
BACKGROUND: Disparities among patients with prostate cancer exist across the continuum of care. The interval of time that lapses between first diagnosis and treatment is another disparity that may exist but has not been fully explored. METHODS: Our study looked at the data of 749 men (353 black and 396 white) who were 40 to 81 years of age when they entered the North Carolina Central Cancer Registry during the years 2007 and 2008. Our dependent variable was the amount of months that had passed between first diagnosis and treatment...
January 2016: Cancer Control: Journal of the Moffitt Cancer Center
Lauren Sastre, Lauren Haldeman
INTRODUCTION In 2012, North Carolina ranked in the top ten states in refugee resettlement, with central Guilford County one of the most diverse in the southeast. OBJECTIVE Examine the local resettlement environmental, nutrition and health barriers and needs of refugees in Guilford County, as perceived by individuals providing services to them. METHODS Participants (n = 40) included: medical and social service providers, educators, faith-based volunteers, resettlement agency caseworkers and liaisons to a variety of refugee communities...
October 2015: MEDICC Review
Scott D Rhodes, Jami S Leichliter, Christina J Sun, Fred R Bloom
Hispanics/Latinos in the United States are affected disproportionately by human immunodeficiency virus (HIV) infection, acquired immunodeficiency syndrome (AIDS), and other sexually transmitted diseases (STDs); however, few effective evidence-based prevention interventions for this population exist. This report describes the Hombres Manteniendo Bienestar y Relaciones Saludables (Men Maintaining Wellbeing and Healthy Relationships) (HoMBReS) intervention, which was developed by a community-based, participatory research partnership in North Carolina and initially implemented during 2005-2009...
February 12, 2016: MMWR Supplements
David H Jolly, Monique P Mueller, Mario Chen, Le'Marus Alston, Marcus Hawley, Eunice Okumu, Natalie T Eley, Tonya Stancil, Kathleen M MacQueen
Black Americans continue to have higher rates of HIV disease than other races/ethnicities. Conventional individual-level risk behaviors do not fully account for these racial/ethnic disparities. Sexual concurrency may help explain them. Respondent-driven sampling (RDS) was used to enroll 508 sexually active 18- to 30-year-old Black men and women in Durham, North Carolina in a cross-sectional survey on HIV-related topics. Consistent condom use was low for all participants, especially with steady partners. Concurrent partnerships in the past 6 months were relatively common for both men (38%) and women (25%)...
February 2016: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
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