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Race and health

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https://www.readbyqxmd.com/read/28350836/perceived-psychosocial-stress-and-gestational-weight-gain-among-women-with-gestational-diabetes
#1
Ai Kubo, Assiamira Ferrara, Susan D Brown, Samantha F Ehrlich, Ai-Lin Tsai, Charles P Quesenberry, Yvonne Crites, Monique M Hedderson
Growing evidence links perceived stress-a potentially modifiable psychosocial risk factor-with health behaviors and obesity. Yet little is known about the relationship between stress during pregnancy and gestational weight gain, particularly among women with pregnancy complications. We conducted a cross-sectional analysis to examine associations between psychosocial stress during pregnancy and gestational weight gain among women with gestational diabetes. We used baseline data from the Gestational Diabetes's Effects on Moms (GEM) study: 1,353 women with gestational diabetes who delivered a term singleton within Kaiser Permanente Northern California were included...
2017: PloS One
https://www.readbyqxmd.com/read/28350714/multiple-transportable-carbohydrate-impact-on-long-distance-triathlon-performance
#2
David S Rowlands, Stuart D Houltham
The ingestion of multiple (2:1 glucose:fructose) transportable carbohydrate in beverages at high rates (>78 g·h) during endurance exercise enhances exogenous carbohydrate oxidation, fluid absorption, gut comfort, and performance, relative to glucose alone. But during long-distance endurance competition, athletes prefer a solid-gel-drink format, and the effect size of multiple-transportable carbohydrate is unknown. PURPOSE: To determine the effect of multiple-transportable carbohydrate on triathlon competition performance when ingested within bars, gels, and drinks...
March 27, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28350648/differences-in-the-reporting-of-racial-and-socioeconomic-disparities-among-three-large-national-databases-for-breast-reconstruction
#3
Parisa Kamali, Sara L Zettervall, Winona Wu, Ahmed M S Ibrahim, Caroline Medin, Hinne A Rakhorst, Marc L Schermerhorn, Bernard T Lee, Samuel J Lin
BACKGROUND: Research derived from large-volume databases plays an increasing role in the development of clinical guidelines and health policy. In breast cancer research, the Surveillance, Epidemiology and End Results, National Surgical Quality Improvement Program, and Nationwide Inpatient Sample databases are widely used. This study aims to compare the trends in immediate breast reconstruction and identify the drawbacks and benefits of each database. METHODS: Patients with invasive breast cancer and ductal carcinoma in situ were identified from each database (2005-2012)...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28350633/patient-and-physician-race-and-the-allocation-of-time-and-patient-engagement-efforts-to-mental-health-discussions-in-primary-care-an-observational-study-of-audiorecorded-periodic-health-examinations
#4
Patricia K Foo, Richard M Frankel, Thomas G McGuire, Alan M Zaslavsky, Jennifer Elston Lafata, Ming Tai-Seale
This study investigated racial differences in patient-physician communication around mental health versus biomedical issues. Data were collected from audiorecorded periodic health examinations of adults with mental health needs in the Detroit area (2007-2009). Patients and their primary care physicians conversed for twice as long, and physicians demonstrated greater empathy during mental health topics than during biomedical topics. This increase varied by patient and physician race. Patient race predicted physician empathy, but physician race predicted talk time...
March 27, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28350510/a-qualitative-study-of-a-maintenance-support-program-for-women-at-risk-of-homelessness-part-3-societal-factors
#5
Rose McMaster, Violeta Lopez, Rachel Kornhaber, Michelle Cleary
Homelessness is a collective societal problem, and people who are homeless are often treated as society's underclass, stigmatised and excluded. These issues are often exacerbated among homeless people from countries other than the one in which they are currently living. In this paper we report findings from a qualitative study of homeless women, case managers and health professionals from a Maintenance Support Program and their personal accounts and insights into their experiences of the program. This paper presents the third and last sub-theme "societal factors" of the study where the overarching theme was "A life-changing event: I have the power to change...
March 28, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28346150/factors-contributing-to-poor-satisfaction-with-sleep-and-healthcare-seeking-behavior-in-older-adults
#6
Olufunmilola Abraham, Jia Pu, Loren J Schleiden, Steven M Albert
OBJECTIVE: To identify factors influencing older adults' poor satisfaction with sleep and their current healthcare seeking behaviors. DESIGN: Cross-sectional study. SETTING: Pittsburgh Claude D. Pepper Older Americans Independence Center Community Registry. PARTICIPANTS: Individuals aged 60 or older enrolled in the registry that completed a cross-sectional mailed survey (N = 1026). MEASUREMENTS: Participant demographics (age, gender, marital status, race, education), overall health (self-rated health, pain, and comorbidities), and health behaviors (physical activity, smoking, drinking behaviors) were collected from the registry database...
February 2017: Sleep Health
https://www.readbyqxmd.com/read/28346147/differences-in-short-and-long-sleep-durations-between-blacks-and-whites-attributed-to-emotional-distress-analysis-of-the-national-health-interview-survey-in-the-united-states
#7
Azizi A Seixas, Emmanuella Auguste, Mark Butler, Caryl James, Valerie Newsome, Evan Auguste, Vilma Aparecida da Silva Fonseca, Andres Schneeberger, Ferdinand Zizi, Girardin Jean-Louis
OBJECTIVES: The current study examined the role of emotional distress in explaining racial/ethnic differences in unhealthy sleep duration. DESIGN: Data from the 2004-2013 National Health Interview Survey were analyzed using SPSS 20. SETTING: Data were collected through personal household interviews in the United States. PARTICIPANTS: Of the total 261,686 participants (age≥18 years), 17.0% were black, 83.0% were white, and the mean age was 48 years (SE=0...
February 2017: Sleep Health
https://www.readbyqxmd.com/read/28345439/primary-nonadherence-to-overactive-bladder-medications-in-an-integrated-managed-care-health-care-system
#8
Nazia Rashid, Maria Vassilakis, Kathy J Lin, Rita Kristy, Daniel B Ng
BACKGROUND: Treatment for overactive bladder (OAB) remains suboptimal, in part because of patient nonadherence to medications. Primary nonadherence is when patients fail to pick up their initial prescriptions. OBJECTIVE: To measure primary nonadherence to OAB medications within 30 days of a first OAB prescription order using electronic medical records from a U.S. managed care health care system METHODS: A retrospective cohort study was conducted using electronic medical records from the Kaiser Permanente Southern California (KPSC) database to identify patients with new OAB prescriptions between January 1, 2007, and December 31, 2013...
April 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28345435/predicting-adherence-and-persistence-with-oral-bisphosphonate-therapy-in-an-integrated-health-care-delivery-system
#9
Rita L Hui, Annette L Adams, Fang Niu, Bruce Ettinger, David K Yi, Malini Chandra, Joan C Lo
BACKGROUND: Examining drug exposure is essential to pharmacovigilance, especially for bisphosphonate (BP) therapy. OBJECTIVE: To examine differences in 4 measures of oral BP exposure: treatment discontinuation, adherence, persistence, and nonpersistence. METHODS: Among women aged ≥ 50 years who initiated oral BP therapy during 2002-2007 with at least 3 years of health plan membership follow-up, discontinuation was defined by evidence of no further treatment during the study observation period...
April 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28343285/the-prevalence-and-antecedents-of-religious-beliefs-about-health-control-in-the-us-population-variations-by-race-and-religious-background
#10
R David Hayward, Neal Krause, Kenneth Pargament
The ways in which religious beliefs influence beliefs about health have important implications for motivation to engage in positive health behaviors and comply with medical treatment. This study examines the prevalence of two health-related religious beliefs: belief in healing miracles and deferral of responsibility for health outcomes to God. Data came from a representative nationwide US survey of religion and health (N = 3010). Full-factorial ANOVA indicated that there were significant differences in both dimensions of belief by race, by religious background, and by the interaction between the two...
March 25, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28342349/evaluation-of-individual-and-area-level-factors-as-modifiers-of-the-association-between-warm-season-temperature-and-pediatric-asthma-morbidity-in-atlanta-ga
#11
Cassandra R O'Lenick, Andrea Winquist, Howard H Chang, Michael R Kramer, James A Mulholland, Andrew Grundstein, Stefanie Ebelt Sarnat
INTRODUCTION: Previous studies have found associations between respiratory morbidity and high temperatures; however, few studies have explored associations in potentially sensitive sub-populations. METHODS: We evaluated individual and area-level factors as modifiers of the association between warm-season (May-Sept.) temperature and pediatric respiratory morbidity in Atlanta. Emergency department (ED) visit data were obtained for children, 5-18 years old, with primary diagnoses of asthma or respiratory disease (diagnoses of upper respiratory infections, bronchiolitis, pneumonia, chronic obstructive pulmonary disease, asthma, or wheeze) in 20-county Atlanta during 1993-2012...
March 22, 2017: Environmental Research
https://www.readbyqxmd.com/read/28342029/self-awareness-and-cultural-identity-as-an-effort-to-reduce-bias-in-medicine
#12
Augustus A White, Heather J Logghe, Dan A Goodenough, Linda L Barnes, Anne Hallward, Irving M Allen, David W Green, Edward Krupat, Roxana Llerena-Quinn
In response to persistently documented health disparities based on race and other demographic factors, medical schools have implemented "cultural competency" coursework. While many of these courses have focused on strategies for treating patients of different cultural backgrounds, very few have addressed the impact of the physician's own cultural background and offered methods to overcome his or her own unconscious biases. In hopes of training physicians to contextualize the impact of their own cultural background on their ability to provide optimal patient care, the authors created a 14-session course on culture, self-reflection, and medicine...
March 24, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28341458/not-just-a-woman-s-business-understanding-men-and-women-s-knowledge-of-hpv-the-hpv-vaccine-and-hpv-associated-cancers
#13
Nosayaba Osazuwa-Peters, Eric Adjei Boakye, Kahee A Mohammed, Betelihem B Tobo, Christian J Geneus, Mario Schootman
Few studies have included men when assessing differences in knowledge about HPV, and HPV-associated cancers. We examined gender differences in knowledge about HPV, HPV vaccine, and HPV-associated cancers. Multivariable logistic regression models were used to analyze data of 3,677 survey respondents aged 18 years and older from the 2014 Health Information National Trends Survey. Covariates included age, race/ethnicity, marital status, education, income level, regular provider, general health, internet use, and family structure aged 9 to 27 years...
March 21, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28340589/critical-race-theory-as-a-tool-for-understanding-poor-engagement-along-the-hiv-care-continuum-among-african-american-black-and-hispanic-persons-living-with-hiv-in-the-united-states-a-qualitative-exploration
#14
Robert Freeman, Marya Viorst Gwadz, Elizabeth Silverman, Alexandra Kutnick, Noelle R Leonard, Amanda S Ritchie, Jennifer Reed, Belkis Y Martinez
BACKGROUND: African American/Black and Hispanic persons living with HIV (AABH-PLWH) in the U.S. evidence insufficient engagement in HIV care and low uptake of HIV antiretroviral therapy, leading to suboptimal clinical outcomes. The present qualitative study used critical race theory, and incorporated intersectionality theory, to understand AABH-PLWH's perspectives on the mechanisms by which structural racism; that is, the macro-level systems that reinforce inequities among racial/ethnic groups, influence health decisions and behaviors...
March 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28340545/a-comparison-of-the-use-of-antidepressant-treatment-between-non-hispanic-black-and-white-and-mexican-american-adults-with-type-2-diabetes-in-the-united-states
#15
Alexandra Perez, Pierina Cabrera, Carolina Gutierrez, Jose Valdes
Purpose The purpose of this study was to determine antidepressant use among Mexican Americans (MA) and non-Hispanic (NH) blacks and whites with type 2 diabetes and depressive symptoms. Methods A secondary data analysis based on National Health and Nutrition Examination Survey (NHANES) 2005-2012 cohort data included 560 noninstitutionalized civilian MA, NH black, and NH white adults with type 2 diabetes and depressive symptoms. Unadjusted and adjusted 2-way ANOVA models evaluated whether there was a difference in the use of antidepressants by depressive symptom level across race/ethnic group...
April 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28340367/insulin-resistance-is-associated-with-carotid-intima-media-thickness-in-non-diabetic-subjects-a-cross-sectional-analysis-of-the-elsa-brasil-cohort-baseline
#16
Itamar S Santos, Márcio S Bittencourt, Alessandra C Goulart, Maria Inês Schmidt, Maria de Fátima H S Diniz, Paulo A Lotufo, Isabela M Benseñor
BACKGROUND AND AIMS: Epidemiological studies have analyzed the association between carotid intima-media thickness (CIMT) and insulin resistance, glucose levels or glycated hemoglobin with mixed results. We aimed to evaluate the association between CIMT and homeostasis model assessment - insulin resistance (HOMA-IR), fasting and post-load plasma glucose and glycated hemoglobin in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. METHODS: We included 8028 participants (aged 35-74 years) without diabetes or overt cardiovascular disease who had complete CIMT data at baseline...
March 10, 2017: Atherosclerosis
https://www.readbyqxmd.com/read/28340130/falling-down-on-the-job-evaluation-and-treatment-of-fall-risk-among-older-adults-with-upper-extremity-fragility-fractures
#17
Christine M McDonough, Carrie H Colla, Donald Carmichael, Anna N A Tosteson, Tor D Tosteson, John-Erik Bell, Robert V Cantu, Jonathan D Lurie, Julie P W Bynum
Background: Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. Objective: To describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and treatment for fall risk. Design: Observational cohort. Methods Subjects: Fee-for-service beneficiaries age 66 to 99 treated as outpatients for proximal humerus or distal radius/ulna ("wrist") fragility fractures were studied using Carrier and Outpatient Hospital files...
March 2, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28340108/cigarette-smoking-and-musculoskeletal-pain-severity-among-male-and-female-afghanistan-iraq-era-veterans
#18
Kimberly T Green, Sarah M Wilson, Paul A Dennis, Jennifer J Runnals, Rebecca A Williams, Lori A Bastian, Jean C Beckham, Eric A Dedert, Harold S Kudler, Kristy Straits-Tröster, Jennifer M Gierisch, Patrick S Calhoun
Objective.:  Cigarette smoking and musculoskeletal pain are prevalent among Department of Veterans Affairs (VA) health care system users. These conditions frequently co-occur; however, there is limited empirical information specific to Afghanistan/Iraq era veterans. The present study sought to examine gender differences in the association between cigarette smoking and moderate to severe musculoskeletal pain in US veterans with Afghanistan/Iraq era service. Methods.:  A random sample of 5,000 veterans with service after November 11, 2001, participated in a survey assessing health care needs and barriers to care...
March 14, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28340070/material-hardship-and-self-rated-mental-health-among-older-black-americans-in-the-national-survey-of-american-life
#19
Gillian L Marshall, Roland J Thorpe, Sarah L Szanton
This article examines the association between material hardships and self-rated mental health (SRMH) among older black Americans and determines whether the effect varies by race and ethnicity. Using data from the National Survey of American Life, multiple logistic regression models were specified on a sample of older white Americans (n = 289), African Americans (n = 1,135), and black Caribbean Americans (n = 377). Material hardship was measured as an index of seven items that occurred within the past year...
March 4, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28340012/assessment-of-muscle-mass-relative-to-fat-mass-and-associations-with-physical-functioning-in-rheumatoid-arthritis
#20
Joshua F Baker, Jon T Giles, David Weber, Mary B Leonard, Babette S Zemel, Jin Long, Said Ibrahim, Patricia P Katz
Objectives.: To determine whether a novel measure of appendicular lean mass relative to fat mass is associated with physical functioning in RA. Methods.: In a cross-sectional design, three independent RA cohorts were retrospectively analysed. Whole-body DXA measures of appendicular lean mass index (ALMI, kg/m 2 ) and fat mass index (FMI, kg/m 2 ) were converted to age, sex and race-specific Z-scores using published National Health and Nutrition Examination Survey reference ranges...
February 28, 2017: Rheumatology
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