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https://www.readbyqxmd.com/read/29908484/ethnic-differences-in-the-diagnosis-of-schizophrenia-and-mood-disorders-during-admission-to-an-academic-safety-net-psychiatric-hospital
#1
Jane E Hamilton, Angela M Heads, Thomas D Meyer, Pratikkumar V Desai, Olaoluwa O Okusaga, Raymond Y Cho
U.S. Hispanics, now the single largest minority group in the country, face unique mental health disparities. The current study utilizes Andersen's Behavioral Model of Health Service Use to examine ethnic disparities in receiving a schizophrenia or mood disorder diagnosis at psychiatric hospital admission. Our retrospective cohort study examined electronic health record data at an academic safety-net psychiatric hospital for adult patients (n = 5571) admitted between 2010 and 2013. Logistic regression with block-wise entry of predisposing, enabling and need variables was used to examine ethnic disparities in receiving a schizophrenia diagnosis at admission...
May 30, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29907229/effects-of-medicaid-expansion-on-disparities-in-trauma-care-and-outcomes-in-young-adults
#2
Manzilat Akande, Peter C Minneci, Katherine J Deans, Henry Xiang, Deena J Chisolm, Jennifer N Cooper
BACKGROUND: Racial/ethnic and socioeconomic disparities in trauma care and outcomes among young adults are well documented. As the Patient Protection and Affordable Care Act Medicaid expansion has increased insurance coverage among young adults, we aimed to investigate its impact on disparities in insurance coverage and outcomes among hospitalized young adult trauma patients. MATERIALS AND METHODS: We used the healthcare cost and utilization project state inpatient databases to examine changes in insurance coverage and risk-adjusted outcomes from before (2012-2013) to after (2014) Medicaid expansion among young adults (age 19-44) hospitalized for injury across 11 Medicaid expansion states...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29907221/racial-ethnic-disparities-in-the-adjuvant-chemotherapy-of-locally-advanced-colon-cancer-patients
#3
Xi Zhong, Zhexu Guo, Peng Gao, Yongxi Song, Jingxu Sun, Xiaowan Chen, Yu Sun, Zhenning Wang
BACKGROUND: Most race/ethnicity-oriented investigations focus on Caucasian Americans (whites) and African Americans (blacks), leaving Asians, Hispanic white (Hispanics), and other minorities less well studied. Adjuvant chemotherapy (CT) after curative resection is critical to patients with locally advanced colon cancer (LACC). We studied the racial disparities in the adjuvant CT of LACC to aid in selecting optimal treatments for people from different races/ethnicities in this era of precision medicine...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29903604/racial-differences-in-the-association-between-nonexercise-estimated-cardiorespiratory-fitness-and-incident-stroke
#4
Xuemei Sui, Virginia J Howard, Michelle N McDonnell, Linda Ernstsen, Matthew L Flaherty, Steven P Hooker, Carl J Lavie
OBJECTIVE: To examine the association between estimated cardiorespiratory fitness (eCRF) and incident stroke by black and white race. PARTICIPANTS AND METHODS: A total of 24,162 participants from the REasons for Geographic And Racial Differences in Stroke study (13,232 [54.8%] women; 9543 [39.5%] blacks; mean age, 64.6±9.3 years) without stroke at enrollment between January 15, 2003, and October 30, 2007, were followed for incident stroke through March 31, 2016...
June 8, 2018: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29901485/associations-between-race-perceived-psychological-stress-and-the-gut-microbiota-in-a-sample-of-generally-healthy-black-and-white-women-a-pilot-study-on-the-role-of-race-and-perceived-psychological-stress
#5
Tiffany L Carson, Fuchenchu Wang, Xiangqin Cui, Bradford E Jackson, William J Van Der Pol, Elliot J Lefkowitz, Casey Morrow, Monica L Baskin
OBJECTIVE: Racial health disparities persist among black and white women for colorectal cancer. Understanding racial differences in the gut microbiota and related covariates (e.g., stress) may yield new insight into unexplained colorectal cancer disparities. METHODS: Healthy non-Hispanic black or white females (age ≥19 years) provided survey data, anthropometrics, and stool samples. Fecal DNA was collected and isolated from a wipe. PCR was used to amplify the V4 region of the 16SrRNA gene and 250 bases were sequenced using the MiSeq platform...
June 12, 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29900809/perceived-benefits-of-using-complementary-and-alternative-medicine-by-race-ethnicity-among-midlife-and-older-adults-in-the-united-states
#6
Pamela Jo Johnson, Judy Jou, Todd H Rockwood, Dawn M Upchurch
OBJECTIVE: To describe, for a national sample of midlife and older adults, the types of complementary and alternative medicine (CAM) used for health and wellness and the perceived benefits of CAM use by race/ethnicity. METHOD: Using data from the 2012 National Health Interview Survey, we ran multiple logistic regression models to estimate the odds of each perceived benefit among adults ages 50 and older. RESULTS: More than 38% of midlife and older adults used CAM in the past year...
June 1, 2018: Journal of Aging and Health
https://www.readbyqxmd.com/read/29899045/-apol1-nephropathy-risk-variants-and-incident-cardiovascular-disease-events-in-community-dwelling-black-adults
#7
Orlando M Gutiérrez, Marguerite R Irvin, Ninad S Chaudhary, Mary Cushman, Neil A Zakai, Victor A David, Sophie Limou, Nathalie Pamir, Alex P Reiner, Rakhi P Naik, Michele M Sale, Monika M Safford, Hyacinth I Hyacinth, Suzanne E Judd, Jeffrey B Kopp, Cheryl A Winkler
BACKGROUND: APOL1 renal risk variants are strongly associated with chronic kidney disease in Black adults, but reported associations with cardiovascular disease (CVD) have been conflicting. METHODS: We examined associations of APOL1 with incident coronary heart disease (n=323), ischemic stroke (n=331), and the composite CVD outcome (n=500) in 10 605 Black participants of the REGARDS study (Reasons for Geographic and Racial Differences in Stroke). Primary analyses compared individuals with APOL1 high-risk genotypes to APOL1 low-risk genotypes in Cox proportional hazards models adjusted for CVD risk factors and African ancestry...
June 2018: Circulation. Genomic and precision medicine
https://www.readbyqxmd.com/read/29898219/association-of-patient-perceptions-of-cardiovascular-risk-and-beliefs-on-statin-drugs-with-racial-differences-in-statin-use-insights-from-the-patient-and-provider-assessment-of-lipid-management-registry
#8
Michael G Nanna, Ann Marie Navar, Pearl Zakroysky, Qun Xiang, Anne C Goldberg, Jennifer Robinson, Veronique L Roger, Salim S Virani, Peter W F Wilson, Joseph Elassal, L Veronica Lee, Tracy Y Wang, Eric D Peterson
Importance: African American individuals face higher atherosclerotic cardiovascular disease risk than white individuals; reasons for these differences, including potential differences in patient beliefs regarding preventive care, remain unknown. Objective: To evaluate differences in statin use between white and African American patients and identify the potential causes for any observed differences. Design, Setting, and Participants: Using the 2015 Patient and Provider Assessment of Lipid Management (PALM) Registry data, we compared statin use and dosing between African American and white outpatient adults who were potentially eligible for primary or secondary prevention statins...
June 13, 2018: JAMA Cardiology
https://www.readbyqxmd.com/read/29897561/an-empirical-dietary-inflammatory-pattern-score-is-associated-with-circulating-inflammatory-biomarkers-in-a-multi-ethnic-population-of-postmenopausal-women-in-the-united-states
#9
Fred K Tabung, Edward L Giovannucci, Franco Giulianini, Liming Liang, Paulette D Chandler, Raji Balasubramanian, JoAnn E Manson, Elizabeth M Cespedes Feliciano, Kathleen M Hayden, Linda Van Horn, Kathryn M Rexrode
Background: The empirical dietary inflammatory pattern (EDIP) score has been associated with concentrations of circulating inflammatory biomarkers in European Americans. Objective: We used the EDIP score, a weighted sum of 18 food groups that characterizes dietary inflammatory potential based on circulating concentrations of inflammatory biomarkers, to test the hypothesis that a pro-inflammatory dietary pattern is associated with inflammatory biomarker concentrations in a US multi-ethnic population...
April 20, 2018: Journal of Nutrition
https://www.readbyqxmd.com/read/29896103/characterization-of-the-differential-adverse-event-rates-by-race-ethnicity-groups-for-hpv-vaccine-by-integrating-data-from-different-sources
#10
Jing Huang, Jingcheng Du, Rui Duan, Xinyuan Zhang, Cui Tao, Yong Chen
Data from the Vaccine Adverse Event Reporting System (VAERS) contain spontaneously reported adverse events (AEs) from the public. It has been a major data source for detecting AEs and monitoring vaccine safety. As one major limitation of spontaneous surveillance systems, the VAERS reports by themselves sometimes do not provide enough information to answer certain research questions. For example, patient level demographics are very limited in VAERS due to the protection of patient privacy, such that investigation of differential AE rates across race/ethnicity groups cannot be conducted using VAERS data only...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29895850/longitudinal-measures-of-maternal-vitamin-d-and-neonatal-body-composition
#11
Nansi S Boghossian, Winston Koo, Aiyi Liu, Sunni L Mumford, Michael Y Tsai, Edwina H Yeung
BACKGROUND/OBJECTIVES: Vitamin D status has been associated with fetal growth and offspring's bone mass in some observational studies. We characterize the trajectory of total maternal serum 25-hydroxyvitamin D [25(OH)D] concentration by race and examine whether vitamin D status is associated with neonatal anthropometry and body composition as assessed by dual energy X-ray absorptiometry (DXA). SUBJECTS/METHODS: Three longitudinal pregnancy samples from the Memphis site of the Calcium for Preeclampsia Prevention trial (1992-1995) were used...
June 12, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29895767/poverty-status-and-childhood-asthma-in-white-and-black-families-national-survey-of-children-s-health
#12
Shervin Assari, Maryam Moghani Lankarani
Background: Living above the poverty line reduces the risk of physical illnesses, including childhood asthma (CA). Minorities’ Diminished Return theory, however, suggests that the protective effects of socioeconomic status (SES) on health are weaker for racial minorities than White families. It is unknown whether the association between SES and CA differs for White and Black families. Aims: Using a national sample, the current study compared Black and White families for the association between living above the poverty line and CA...
June 12, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29894716/racial-and-ethnic-differences-in-perceived-safety-barriers-to-walking-united-states-national-health-interview-survey-2015
#13
Geoffrey P Whitfield, Susan A Carlson, Emily N Ussery, Kathleen B Watson, David R Brown, David Berrigan, Janet E Fulton
Barriers to safe walking may prevent people from being physically active, and previous reports have identified differences in barriers to safe walking across racial and ethnic groups. The purpose of this research was to determine the role demographic characteristics play on racial/ethnic differences in perceived barriers to safe walking and determine if racial/ethnic differences vary by urban/rural residence and Census region. Participants in the 2015 National Health Interview Survey Cancer Control Supplement (n = 31,433 adults ≥18 years) reported perceived barriers to safe walking (traffic, crime, and animals) and demographic characteristics...
June 9, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29894697/menu-labels-for-better-and-worse-exploring-socio-economic-and-racial-ethnic-differences-in-menu-label-use-in-a-national-sample
#14
Wenhui Feng, Ashley Fox
Menu calorie labeling aims to empower customers to make healthier food choices, but researchers have questioned whether labels will empower those with greater health literacy, literacy or numeracy more, possibly reinforcing racial/ethnic or socioeconomic disparities in obesity. The goal of this study was to investigate differences in seeing and using restaurant menu calorie labels and whether differences have compounded over time. Using data from three rounds of the National Health and Nutrition Examination Survey covering the period 2007-2014, we investigate race-ethnic and socio-economic differences in menu label usage over time adjusting for sex, age and body weight...
June 9, 2018: Appetite
https://www.readbyqxmd.com/read/29893009/estimating-mental-health-impacts-of-alcohol-s-harms-from-other-drinkers-using-propensity-scoring-methods-with-national-cross-sectional-data-from-the-u-s
#15
Katherine J Karriker-Jaffe, Libo Li, Thomas K Greenfield
BACKGROUND & AIMS: Alcohol's harms to others (AHTO) may cause substantial distress, particularly when harms are perpetrated by close others. One challenge to identifying causal impacts is that people harmed by drinkers differ in many ways from those not so harmed, so our aim was to assess mental health in relation to two serious types of AHTO, financial harm and assault by someone who had been drinking, using propensity score (PS) weighting to adjust for potentially confounding differences...
June 12, 2018: Addiction
https://www.readbyqxmd.com/read/29891335/controversies-in-cerebrovascular-disease-high-or-low-doses-of-recombinant-tissue-plasminogen-activator-to-treat-acute-stroke-a-literature-review
#16
V Montalván Ayala, Z Rojas Cheje, R Aldave Salazar
INTRODUCTION: The use of low doses of recombinant tissue plasminogen activator (rt-PA) was initially proposed in Asian countries in response to racial peculiarities related to the functionality of fibrinogen and coagulation factors that potentially increased the risk of intracerebral haemorrhage, and with a view to saving costs. In view of the controversy over the use of rt-PA below the standard dose, we conducted a literature review of studies promoting the use of low doses or comparing different doses of rt-PA...
June 8, 2018: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29890851/race-ethnicity-is-an-independent-risk-factor-for-autoimmune-hepatitis-among-the-san-francisco-underserved
#17
Briton Lee, Edward W Holt, Robert J Wong, Justin L Sewell, Ma Somsouk, Mandana Khalili, Jacquelyn J Maher, Michele M Tana
Although autoimmune hepatitis (AIH) is more common in women and affects people of all races/ethnicities, there is currently limited information regarding the relationship between race/ethnicity and AIH, especially in the context of underserved populations. We aim to evaluate the relationship between race/ethnicity and AIH and better characterize its clinical features among different racial groups. We conducted a 15-year retrospective analysis, from January 2002 to June 2017, of patients seen at Zuckerberg San Francisco General Hospital (ZSFG)...
June 11, 2018: Autoimmunity
https://www.readbyqxmd.com/read/29890778/family-income-reduces-risk-of-obesity-for-white-but-not-black-children
#18
Shervin Assari
Background: Although the protective effects of socioeconomic status (SES) on obesity and cardiovascular disease are well established, these effects may differ across racial and ethnic groups. Aims: Using a national sample, this study investigated racial variation in the association between family income and childhood obesity in White and Black families. Methods: This cross-sectional study used data from the National Survey of Children’s Health (NSCH), 2003⁻2004, a nationally representative survey in the United States...
June 10, 2018: Children
https://www.readbyqxmd.com/read/29890521/factor-viii-protein-c-and-cardiovascular-disease-risk-the-reasons-for-geographic-and-racial-differences-in-stroke-study-regards
#19
Neil A Zakai, Suzanne E Judd, Brett Kissela, George Howard, Monika M Safford, Mary Cushman
BACKGROUND:  Haemostatic balance represented by low protein C (PC) and elevated factor VIII (FVIII) has been inconsistently associated with stroke and coronary heart disease (CHD) risk. OBJECTIVE:  This article assesses whether an elevated FVIII and a low PC would increase cardiovascular risk more than either individually. PATIENTS AND METHODS:  REGARDS recruited 30,239 black and white U.S. participants aged ≥ 45 years between 2003 and 2007...
June 11, 2018: Thrombosis and Haemostasis
https://www.readbyqxmd.com/read/29887995/racial-ethnic-nativity-and-sociodemographic-disparities-in-maternal-hypertension-in-the-united-states-2014-2015
#20
Gopal K Singh, Mohammad Siahpush, Lihua Liu, Michelle Allender
This study examines racial/ethnic, nativity, and sociodemographic variations in the prevalence of maternal hypertension in the United States. The 2014-2015 national birth cohort data ( N = 7,966,573) were modeled by logistic regression to derive unadjusted and adjusted differentials in maternal hypertension consisting of both pregnancy-related hypertension and chronic hypertension. Substantial racial/ethnic differences existed, with prevalence of maternal hypertension ranging from 2.2% for Chinese and 2.9% for Vietnamese women to 8...
2018: International Journal of Hypertension
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