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https://www.readbyqxmd.com/read/28437319/quality-of-antiepileptic-treatment-among-older-medicare-beneficiaries-with-epilepsy-a-retrospective-claims-data-analysis
#1
Maria Pisu, Joshua Richman, Kendra Piper, Roy Martin, Ellen Funkhouser, Chen Dai, Lucia Juarez, Jerzy P Szaflarski, Edward Faught
BACKGROUND: Enzyme-inducing antiepileptic drugs (EI-AEDs) are not recommended for older adults with epilepsy. Quality Indicator for Epilepsy Treatment 9 (QUIET-9) states that new patients should not receive EI-AEDs as first line of treatment. In light of reported racial/ethnic disparities in epilepsy care, we investigated EI-AED use and QUIET-9 concordance across major racial/ethnic groups of Medicare beneficiaries. RESEARCH DESIGN: Retrospective analyses of 2008-2010 Medicare claims for a 5% random sample of beneficiaries 67 years old and above in 2009 augmented for minority representation...
July 2017: Medical Care
https://www.readbyqxmd.com/read/28399044/red-meat-consumption-and-cardiovascular-target-organ-damage-from-the-strong-heart-study
#2
Bernhard Haring, Wenyu Wang, Amanda Fretts, Daichi Shimbo, Elisa T Lee, Barbara V Howard, Mary J Roman, Richard B Devereux
OBJECTIVE: The aim of this study was to investigate whether red meat consumption is related to changes in left ventricular mass (LVM), left atrial diameter and carotid atherosclerosis in American Indians. METHODS: We prospectively analyzed echocardiographic and carotid ultrasound data of 1090 adults aged 40 years and older enrolled in the Strong Heart Family Study who were free of cardiovascular disease at baseline - 535 (49%) were hypertensive and 555 (51%) participants were nonhypertensive...
April 10, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28395075/a-comparison-of-risk-and-protective-factors-related-to-depressive-symptoms-among-american-indian-and-caucasian-older-adults
#3
Catherine Elizabeth Burnette, Soonhee Roh, Kyoung Hag Lee, Yeon-Shim Lee, Lisa A Newland, Jung Sim Jun
Despite efforts to reduce health disparities, many American Indian and Alaska Native (AI/AN) populations, including older adults, experience elevated levels of depression and associated suicide. Although adverse childhood experiences (ACEs) and social support are well-documented risk and protective factors for depression in the general population, little is known about AI/AN populations, especially older adults. The purpose of this study was to examine factors related to depression among a sample of AI older adults in the Midwest...
February 1, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28388828/barriers-to-and-facilitators-of-south-asian-indian-americans-engagement-in-advanced-care-planning-behaviors
#4
Kavita Radhakrishnan, Shubhada Saxena, Regina Jillapalli, Yuri Jang, Miyong Kim
PURPOSE: To identify barriers to and facilitators of older South Asian Indian-Americans' (SAIAs') engagement in behaviors associated with advance care planning (ACP). METHODS: Using a descriptive qualitative design guided by the transcultural nursing assessment model, data were collected in focus groups of community-dwelling older SAIA participants, SAIA family caregivers, and SAIA physicians. A directed approach using predetermined coding categories derived from the Transcultural Nursing Assessment model and aided by NVivo 10 software (Melbourne, Australia) facilitated the qualitative data analysis...
May 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28176298/what-does-the-u-s-medicare-administrative-claims-database-tell-us-about-initial-antiepileptic-drug-treatment-for-older-adults-with-new-onset-epilepsy
#5
Roy C Martin, Edward Faught, Jerzy P Szaflarski, Joshua Richman, Ellen Funkhouser, Kendra Piper, Lucia Juarez, Chen Dai, Maria Pisu
OBJECTIVE: Disparities in epilepsy treatment are not uncommon; therefore, we examined population-based estimates of initial antiepileptic drugs (AEDs) in new-onset epilepsy among racial/ethnic minority groups of older US Medicare beneficiaries. METHODS: We conducted retrospective analyses of 2008-2010 Medicare administrative claims for a 5% random sample of beneficiaries augmented for minority representation. New-onset epilepsy cases in 2009 had ≥1 International Classification of Diseases, Ninth Revision (ICD-9) 345...
April 2017: Epilepsia
https://www.readbyqxmd.com/read/28038389/adherence-to-antiepileptic-drugs-among-diverse-older-americans-on-part-d-medicare
#6
Kendra Piper, Joshua Richman, Edward Faught, Roy Martin, Ellen Funkhouser, Jerzy P Szaflarski, Chen Dai, Lucia Juarez, Maria Pisu
INTRODUCTION: Older minority groups are more likely to have poor AED adherence. We describe adherence to antiepileptic drugs (AEDs) among older Americans with epilepsy. METHODS: In retrospective analyses of 2008-2010 Medicare claims for a 5% random sample of beneficiaries augmented by minority representation, epilepsy cases in 2009 were those with ≥1 claim with ICD-9345.x or ≥2 with 780.3x, and ≥1 AED. New-onset cases had no such claims or AEDs in the year before the 2009 index event...
January 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27998373/sleep-quality-in-an-adult-american-indian-community-sample
#7
Cindy L Ehlers, Derek N Wills, Philip Lau, David A Gilder
STUDY OBJECTIVES: Epidemiological studies have found that insufficient sleep (< 7 h/night) is more common among American Indians/Alaska Natives (AI/AN). In this study we sought to identify specific demographic, clinical, and cultural factors that may be associated with reduced sleep quality in an American Indian community sample. METHODS: Information on demography along with personal medical, psychiatric, and drinking history was obtained using the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA)...
March 15, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/27763460/barriers-to-cancer-care-among-american-indians-and-alaska-natives
#8
Craig N Sawchuk, Emily Van Dyke, Adam Omidpanah, Joan E Russo, Ursula Tsosie, Jack Goldberg, Dedra Buchwald
INTRODUCTION: Cancer is among the leading causes of death in American Indians and Alaska Natives (AI/ANs), with rates increasing over the last two decades. Barriers in accessing cancer screening and treatment likely contribute to this situation. METHODS: We administered structured clinical interviews and conducted descriptive and multiple linear regression analyses of demographic, health, spiritual, and treatment factors associated with self-reported barriers to cancer care among 143 adult AI/AN oncology patients...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27729045/perceived-discrimination-and-health-outcomes-among-asian-indians-in-the-united-states
#9
Ranjita Misra, Haslyn Hunte
BACKGROUND: Perceived interpersonal discrimination while seeking healthcare services is associated with poor physical and mental health. Yet, there is a paucity of research among Asian Americans or its subgroups. This study examined the correlates of reported interpersonal discrimination when seeking health care among a large sample of Asian Indians, the 3rd largest Asian American subgroup in the US, and identify predictors of adverse self-rated physical health, a well-accepted measure of overall health status...
October 12, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27553053/no-disparity-for-american-indians-in-surgery-for-pelvis-lower-extremity-fractures-a-cohort-study-of-the-national-trauma-data-bank-ntdb
#10
Alan Cook, Kristina Chapple, Neil Motzkin, Jeanette Ward, Forrest Moore
BACKGROUND: Racial/ethnic disparities in trauma care have been reported. The American Indian/Alaska Native (AI/AN) population faces a twofold to fourfold increase of risk for traumatic injury. We hypothesized that surgical intervention and time to surgery were associated with race/ethnicity, specifically AI/AN compared to other race/ethnicity groups with open pelvic and lower extremity fractures (OPLEFx). METHODS: Non-AI/AN racial/ethnic groups were compared to AI/ANs among adults aged 15 years and older using the National Trauma Data Bank for 2008-2012...
August 23, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27429593/preventing-alcohol-exposed-pregnancy-among-american-indian-youth
#11
Jamie Jensen, Den Yelle Baete Kenyon, Jessica D Hanson
Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur pre-conceptually with women, either by reducing alcohol intake in women planning pregnancy or at-risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American Indian women is the Oglala Sioux Tribe (OST) CHOICES (Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study) Programme, which shows promise in reducing AEP risk in American Indian women aged 18 or older...
2016: Sex Education
https://www.readbyqxmd.com/read/27338763/mortality-outcomes-associated-with-intake-of-fast-food-items-and-sugar-sweetened-drinks-among-older-adults-in-the-vitamins-and-lifestyle-vital-study
#12
Wendy E Barrington, Emily White
OBJECTIVE: To evaluate associations of fast-food items (FFI) and sugar-sweetened drinks (SSD) with mortality outcomes including deaths due to any cause, CVD and total cancers among a large sample of adults. DESIGN: Using a prospective design, risk of death was compared across baseline dietary exposures. Intakes of FFI and SSD were quantified using a semi-quantitative FFQ (baseline data collected 2000-2002). Deaths (n 4187) were obtained via the Washington State death file through 2008, excluding deaths in the first year of follow-up...
December 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27280620/unique-inflammatory-mediators-and-specific-ige-levels-distinguish-local-from-systemic-reactions-after-anthrax-vaccine-adsorbed-vaccination
#13
Lori Garman, Kenneth Smith, Emily E Muns, Cathy A Velte, Christina E Spooner, Melissa E Munroe, A Darise Farris, Michael R Nelson, Renata J M Engler, Judith A James
Although the U.S. National Academy of Sciences concluded that anthrax vaccine adsorbed (AVA) has an adverse event (AE) profile similar to those of other adult vaccines, 30 to 70% of queried AVA vaccinees report AEs. AEs appear to be correlated with certain demographic factors, but the underlying immunologic pathways are poorly understood. We evaluated a cohort of 2,421 AVA vaccinees and found 153 (6.3%) reported an AE. Females were more likely to experience AEs (odds ratio [OR] = 6.0 [95% confidence interval {CI} = 4...
August 2016: Clinical and Vaccine Immunology: CVI
https://www.readbyqxmd.com/read/27271071/disparities-in-health-health-care-access-and-life-experience-between-american-indian-and-white-adults-in-south-dakota
#14
Heehyul Moon, Soonhee Roh, Yeon-Shim Lee, R Turner Goins
OBJECTIVES: The objective of this study is to investigate the factors associated with depressive symptoms and chronic illnesses in American Indians compared with White adults born in the post-World War II period, 1946 to 1964, and living in South Dakota. DESIGN: A cross-sectional design of American Indian and White adults aged 50 and older in South Dakota (Brookings, Vermillion, Sioux Falls, and all others areas of South Dakota) between January 2013 and May 2013 was used...
June 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27256410/awareness-and-use-of-south-asian-tobacco-products-among-south-asians-in-new-jersey
#15
Mary Hrywna, M Jane Lewis, Arnab Mukherjea, Smita C Banerjee, Michael B Steinberg, Cristine D Delnevo
South Asians are the third largest Asian group in the US and among the fastest growing racial groups in New Jersey. Tobacco consumption among South Asians is characterized by several smoked and smokeless tobacco products indigenous to the Indian subcontinent. However, there is a paucity of research on tobacco use behaviors among South Asians in the US. The goal of this study was to examine the awareness and use of South Asian tobacco products such as bidis, gutkha, paan, paan masala, and zarda as well as other potentially carcinogenic products such as supari, their context of use, and their cultural significance among South Asians living in the US...
December 2016: Journal of Community Health
https://www.readbyqxmd.com/read/26980870/why-we-must-continue-to-investigate-menthol-s-role-in-the-african-american-smoking-paradox
#16
REVIEW
Linda A Alexander, Dennis R Trinidad, Kari-Lyn K Sakuma, Pallav Pokhrel, Thaddeus A Herzog, Mark S Clanton, Eric T Moolchan, Pebbles Fagan
BACKGROUND: The disproportionate burden of tobacco use among African Americans is largely unexplained. The unexplained disparities, referred to as the African American smoking paradox, includes several phenomena. Despite their social disadvantage, African American youth have lower smoking prevalence rates, initiate smoking at older ages, and during adulthood, smoking rates are comparable to whites. Smoking frequency and intensity among African American youth and adults are lower compared to whites and American Indian and Alaska Natives, but tobacco-caused morbidity and mortality rates are disproportionately higher...
April 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/26974675/the-role-of-bias-by-emergency-department-providers-in-care-for-american-indian-children
#17
Susan E Puumala, Katherine M Burgess, Anupam B Kharbanda, Heather G Zook, Dorothy M Castille, Wyatt J Pickner, Nathaniel R Payne
BACKGROUND: American Indian children have high rates of emergency department (ED) use and face potential discrimination in health care settings. OBJECTIVE: Our goal was to assess both implicit and explicit racial bias and examine their relationship with clinical care. RESEARCH DESIGN: We performed a cross-sectional survey of care providers at 5 hospitals in the Upper Midwest. Questions included American Indian stereotypes (explicit attitudes), clinical vignettes, and the Implicit Association Test...
June 2016: Medical Care
https://www.readbyqxmd.com/read/26388971/differences-in-substance-use-and-substance-use-risk-factors-by-asian-subgroups
#18
Regina A Shih, Joan S Tucker, Jeremy N V Miles, Brett A Ewing, Eric R Pedersen, Elizabeth J D'Amico
The present study examined differences in lifetime use and initiation of substance use and associated risk factors for alcohol, cigarettes, and marijuana among seven subgroups of Asian American (AA) adolescents: Chinese, Filipino, Indian, Japanese, Korean, Vietnamese, and Mixed heritage Asian. Sixth and 7th grade AA adolescents in Southern California were surveyed five times over three academic years. We examined subgroup differences in (1) lifetime alcohol, cigarette, and marijuana use assessed at baseline, (2) initiation of each substance over three years, and (3) baseline individual (positive and negative expectancies about substances, resistance self-efficacy, and intentions to use), family (closest adult and older sibling substance use), and school factors (perceived peer use)...
March 2015: Asian American Journal of Psychology
https://www.readbyqxmd.com/read/26340375/analysis-of-racial-and-ethnic-disparities-as-possible-risk-factors-for-development-of-incontinence-by-nursing-home-residents
#19
Donna Z Bliss, Olga V Gurvich, Kay Savik, Lynn E Eberly, Susan Harms, Jean F Wyman, Christine Mueller, Judith Garrard, Beth Virnig
Incontinence is a common health problem among nursing home (NH) residents. Differences between black and white NH residents in incontinence prevalence have been reported. Although reducing health disparities is a principal objective of the national health care agenda, little is known about disparities in incidence of new incontinence in NHs. The purpose of this study was to assess whether there were racial/ethnic disparities in the time to development of incontinence in adults over age 65 who had been continent on NH admission...
December 2015: Research in Nursing & Health
https://www.readbyqxmd.com/read/26319931/patient-and-provider-factors-associated-with-american-indian-and-alaska-native-adolescent-tobacco-use-screening
#20
Vanessa Y Hiratsuka, Astrid M Suchy-Dicey, Eva M Garroutte, Cathryn Booth-LaForce
INTRODUCTION: Tobacco use is the leading behavioral cause of death among adults 25 years or older. American Indian (AI) and Alaska Native (AN) communities confront some of the highest rates of tobacco use and of its sequelae. Primary care-based screening of adolescents is an integral step in the reduction of tobacco use, yet remains virtually unstudied. We examined whether delivery of tobacco screening in primary care visits is associated with patient and provider characteristics among AI/AN adolescents...
January 2016: Journal of Primary Care & Community Health
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