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https://www.readbyqxmd.com/read/29221625/population-health-for-ckd-and-diabetes-lessons-from%C3%A2-the-indian-health-service
#1
Andrew Narva
Despite extensive clinical guidelines, innovative efforts to improve care, and well-funded efforts to raise awareness, limited progress has been made in reducing the burden of kidney disease in the United States, and the prevalence continues to increase worldwide. The Indian Health Service and the Centers for Disease Control and Prevention recently reported a 54% decrease in the incidence of kidney failure among American Indian and Alaska Native people with diabetes. This decrease in end-stage renal disease incidence was associated with a population health approach to diabetes care based in the community and the primary clinical setting...
December 5, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29218919/the-diversity-and-disparity-in-biomedical-informatics-ddbi-workshop
#2
William M Southerland, S Joshua Swamidass, Philip R O Payne, Laura Wiley, ClarLynda Williams-DeVane
The Diversity and Disparity in Biomedical Informatics (DDBI) workshop will be focused on complementary and critical issues concerned with enhancing diversity in the informatics workforce as well as diversity in patient cohorts. According to the National Institute of Minority Health and Health Disparities (NIMHD) at the NIH, diversity refers to the inclusion of the following traditionally underrepresented groups: African Americans/Blacks, Asians (>30 countries), American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, Latino or Hispanic (20 countries)...
2018: Pacific Symposium on Biocomputing
https://www.readbyqxmd.com/read/29187399/disparities-in-prostate-lung-breast-and-colorectal-cancer-survival-and-comorbidity-status-among-urban-american-indians-and-alaskan-natives
#3
Marc A Emerson, Matthew P Banegas, Neetu Chawla, Ninah Achacoso, Stacey E Alexeeff, Alyce S Adams, Laurel A Habel
Cancer is the second leading cause of death among American Indians and Alaskan Natives (AIAN), although cancer survival information in this population is limited, particularly among urban AIAN. In this retrospective cohort study, we compared all-cause and prostate, breast, lung, and colorectal cancer-specific mortality among AIAN (n = 582) and non-Hispanic white (NHW; n = 82,696) enrollees of Kaiser Permanente Northern California (KPNC) diagnosed with primary invasive breast, prostate, lung, or colorectal cancer from 1997 to 2015...
December 1, 2017: Cancer Research
https://www.readbyqxmd.com/read/29176101/indian-health-service-coverage-among-american-indians-and-alaska-natives-in-federal-tribal-areas
#4
Renuka Bhaskar, Brett J O'Hara
Compared with other racial/ethnic groups, American Indians and Alaska Natives (AIANs) have higher uninsured rates and worse health outcomes. Using data from the 2010-2014 American Community Survey, we employ logistic regression techniques to assess the characteristics associated with Indian Health Service (IHS) coverage among working-age AIANs who have health insurance or are uninsured. Across all insurance categories, geographic residence is a factor in IHS coverage. Among the uninsured, those with and without IHS coverage are more dissimilar than similar across socioeconomic characteristics...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29161456/integrated-care-with-indigenous-populations-a-systematic-review-of-the-literature
#5
Melissa E Lewis, Laurelle L Myhra
INTRODUCTION: The integration of behavioral health into medical care is related to positive results including improved patient health outcomes, provider satisfaction, and cost-offset. Indigenous people suffer from the highest health disparities in the nation and disproportionately experience barriers to health care; yet it is unknown if integrated care is effective for this population. METHODS: A systematic literature review was completed on the state of integrated care at Indigenous-serving health care sites in 2014 and was updated in 2016...
2017: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29161452/psychometric-examination-of-the-center-for-epidemiologic-studies-depression-scale-with-older-american-indians-the-native-elder-care-study
#6
Marc Schure, R Turner Goins
Measuring mental health accurately is an important endeavor for screening purposes. Depression scales, such as the Center for Epidemiologic Studies Depression (CES-D) scale, have been well-established among different populations. Yet, little work has been done to examine the reliability and validity of the CES-D among older American Indians and Alaska Natives. The purpose of our study was to examine the factor structure, reliability, and concurrent validity of the full 20-item and abbreviated 12-item CES-D scale with a sample of older American Indians...
2017: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29159495/lifetime-trauma-and-depressive-symptomatology-among-older-american-indians-the-native-elder-care-study
#7
Ebru Çayır, Michael P Burke, Mindi Spencer, Mark B Schure, R Turner Goins
We examined the association between lifetime traumatic events with or without trauma response symptoms and depressive symptomatology in American Indians aged ≥ 55 years from a tribe in the Southeastern US (N = 362). Twenty-three percent of the sample experienced a traumatic event without trauma-response symptoms, whereas 14% experienced a traumatic event with at least one trauma-response symptom. After adjustment for sociodemographic characteristics and social support, participants who experienced a traumatic event with one or more trauma-response symptoms had higher odds of clinically relevant depressive symptomatology compared to (1) those who never experienced a traumatic event [odds ratio (OR) 3...
November 20, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/29143223/accelerating-and-strengthening-native-american-health-research-through-a-collaborative-nih-initiative
#8
Aria Davis Crump, Kathy Etz, Judith A Arroyo, Nanci Hemberger, Shobha Srinivasan
This paper is intended to provide an overview of the considerations that informed the development of a National Institutes of Health funding opportunity to promote health and prevent disease in Native Americans, including American Indian, Alaska Native, and Native Hawaiian communities. NIH Institute staff thoughtfully considered epidemiologic research findings and feedback from constituents regarding the need for more published research overall and stronger prevention efforts to address persistent health concerns affecting many Native communities...
November 16, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29121347/race-ethnic-variations-in-quitline-use-among-us-adult-tobacco-users-in-45-states-2011-2013
#9
LaTisha L Marshall, Lei Zhang, Ann M Malarcher, Nathan H Mann, Brian A King, Robert L Alexander
Introduction: State quitlines provide free telephone-based cessation services and are available in all states. However, quitlines presently reach 1% of US cigarette smokers. We assessed variations in quitline reach by race/ethnicity across 45 US states included in the National Quitline Data Warehouse, a repository on non-identifiable data reported by state quitlines. Methods: During 2011 to 2013, we analyzed 1 220 171 records from the National Quitline Data Warehouse...
November 7, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29121001/tobacco-product-use-among-adults-united-states-2015
#10
Elyse Phillips, Teresa W Wang, Corinne G Husten, Catherine G Corey, Benjamin J Apelberg, Ahmed Jamal, David M Homa, Brian A King
Tobacco use remains the leading cause of preventable disease and death in the United States (1). Despite declining cigarette smoking prevalence among U.S. adults, shifts in the tobacco product landscape have occurred in recent years (2,3). Previous estimates of tobacco product use among U.S. adults were obtained from the National Adult Tobacco Survey, which ended after the 2013-2014 cycle. This year, CDC and the Food and Drug Administration (FDA) assessed the most recent national estimates of tobacco product use among adults aged ≥18 years using, for the first time, data from the 2015 National Health Interview Survey (NHIS), an annual, nationally representative, in-person survey of the noninstitutionalized U...
November 10, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29116568/microaggressions-diabetes-distress-and-self-care-behaviors-in-a-sample-of-american-indian-adults-with-type-2-diabetes
#11
Kelley J Sittner, Brenna L Greenfield, Melissa L Walls
American Indian/Alaska Native people experience the highest age-adjusted prevalence of type 2 diabetes of any racial group in the United States, as well as high rates of related health problems. Chronic stressors such as perceived discrimination are important contributors to these persistent health disparities. The current study used structural equation modeling to examine the relationships between racial microaggressions, diabetes distress, and self-care behaviors (diet and exercise) in a sample of 192 American Indians with type 2 diabetes from the northern United States...
November 7, 2017: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29105101/ethical-challenges-inherent-in-the-evaluation-of-an-american-indian-alaskan-native-circles-of-care-project
#12
David A Julian, Tyrone Smith, R Andrew Hunt
This article provides first-person accounts of ethical issues inherent in an evaluation of the Native American Indian Center of Central Ohio (NAICCO) Circles of Care project. Circles of Care is a three-year, infrastructure development program funded through the Substance Abuse and Mental Health Services Administration (SAMHSA) which is part of the federal Department of Health and Human Services (DHHS). The grant program is for American Indian and Alaskan Native (AI/AN) tribes and urban Indian communities and includes a strong emphasis on community engagement and community ownership...
November 3, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29094858/neonatal-abstinence-syndrome-and-maternal-substance-use-in-wisconsin-2009-2014
#13
Karina A Atwell, Harold B Weiss, Crystal Gibson, Richard Miller, Timothy E Corden
INTRODUCTION: Increasing rates of neonatal abstinence syndrome (NAS), most commonly linked to maternal opioid use, are a growing concern within clinical and public health domains. OBJECTIVES: The study aims to describe the statewide burden of NAS and maternal substance use, focusing on opioids in Wisconsin from 2009 to 2014. METHODS: Trends in NAS and maternal substance use diagnosis rates were calculated using Wisconsin’s Hospital Discharge Data...
December 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29071803/obesity-and-associated-health-disparities-among-understudied-multiracial-pacific-islander-and-american-indian-adults
#14
Andrew M Subica, Neha Agarwal, J Greer Sullivan, Bruce G Link
OBJECTIVE: This study examined the state of obesity, diabetes, and associated health disparities among understudied multiracial, Native Hawaiian and Other Pacific Islander (NHOPI), and American Indian and Alaskan Native (AIAN) adults. METHODS: Aggregated data for 184,617 adults from the California Health Interview Survey (2005 to 2011) were analyzed to determine obesity, diabetes, poor/fair health, and physical disability prevalence by racial group. Logistic regressions controlling for age, gender, and key social determinants (education, marital status, poverty, health insurance) generated multiracial, NHOPI, and AIAN adults' odds ratios (ORs) for our targeted health conditions versus non-Hispanic white adults...
October 25, 2017: Obesity
https://www.readbyqxmd.com/read/29066177/barriers-and-strategies-for-healthy-food-choices-among-american-indian-tribal-college-students-a-qualitative-analysis
#15
Jill F Keith, Sherri Stastny, Ardith Brunt, Wanda Agnew
BACKGROUND: American Indian and Alaskan Native individuals experience disproportionate levels of chronic health conditions such as type 2 diabetes and overweight and obesity that are influenced by dietary patterns and food choices. Understanding factors that influence healthy food choices among tribal college students can enrich education and programs that target dietary intake. OBJECTIVE: To build an understanding of factors that influence healthy food choices among tribal college students at increased risk for college attrition...
October 20, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29023818/commentary-on-montag-et%C3%A2-al-2017-the-importance-of-cbpr-in-fasd-prevention-with-american-indian-communities
#16
Jessica D Hanson, Tess L Weber
Prenatal alcohol consumption is a public health concern due to potential lifelong physical and cognitive effects in offspring, often presenting in the form of fetal alcohol syndrome (FAS) or other fetal alcohol spectrum disorders (FASD). FASD is the continuum of lifelong outcomes in those born prenatally exposed to alcohol and includes a diagnosis of fetal alcohol syndrome (FAS), which is diagnosed through facial abnormalities, growth retardation, and delayed brain growth (Hoyme et al., 2016), as well as secondary disabilities such as conduct disorders, mental illness, and psychosocial functioning...
October 10, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29021119/a-pilot-randomized-trial-of-motivational-interviewing-compared-to-psycho-education-for-reducing-and-preventing-underage-drinking-in-american-indian-adolescents
#17
David A Gilder, Jennifer R Geisler, Juan A Luna, Daniel Calac, Peter M Monti, Nichea S Spillane, Juliet P Lee, Roland S Moore, Cindy L Ehlers
Underage drinking is an important public health issue for American Indian and Alaska Native (AI/AN) adolescents, as it is for U. S. teens of all ethnicities. One of the demonstrated risk factors for the development of alcohol use disorders in AI/AN is early age of initiation of drinking. To address this issue a randomized trial to assess the efficacy of Motivational Interviewing (MI) compared to Psycho-Education (PE) to reduce and prevent underage drinking in AI/AN youth was developed and implemented. Sixty-nine youth received MI or PE and 87% were assessed at follow-up...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28981481/suicide-trends-among-and-within-urbanization-levels-by-sex-race-ethnicity-age-group-and-mechanism-of-death-united-states-2001-2015
#18
Asha Z Ivey-Stephenson, Alex E Crosby, Shane P D Jack, Tadesse Haileyesus, Marcie-Jo Kresnow-Sedacca
PROBLEM/CONDITION: Suicide is a public health problem and one of the top 10 leading causes of death in the United States. Substantial geographic variations in suicide rates exist, with suicides in rural areas occurring at much higher rates than those occurring in more urban areas. Understanding demographic trends and mechanisms of death among and within urbanization levels is important to developing and targeting future prevention efforts. REPORTING PERIOD: 2001-2015...
October 6, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/28934183/trends-in-cervical-cancer-screening-in-title-x-funded-health-centers-united-states-2005-2015
#19
Christina I Fowler, Mona Saraiya, Susan B Moskosky, Jacqueline W Miller, Julia Gable, Nancy Mautone-Smith
Cervical cancer screening is critical to early detection and treatment of precancerous cells and cervical cancer. In 2015, 83% of U.S. women reported being screened per current recommendations, which is below the Healthy People 2020 target of 93% (1,2). Disparities in screening persist for women who are younger (aged 21-30 years), have lower income, are less educated, are uninsured, lack a source of health care, or who self-identify as Asian or American Indian/Alaska Native (2). Women who are never screened or rarely screened are more likely to develop cancer and receive a cancer diagnosis at later stages than women who are screened regularly (3)...
September 22, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28865474/barriers-and-facilitators-to-implementation-of-va-home-based-primary-care-on-american-indian-reservations-a-qualitative-multi-case-study
#20
B Josea Kramer, Sarah D Cote, Diane I Lee, Beth Creekmur, Debra Saliba
BACKGROUND: Veterans Health Affairs (VA) home-based primary care (HBPC) is an evidence-based interdisciplinary approach to non-institutional long-term care that was developed in urban settings to provide longitudinal care for vulnerable older patients. Under the authority of a Memorandum of Understanding between VA and Indian Health Service (IHS) to improve access to healthcare, 14 VA medical centers (VAMC) independently initiated plans to expand HBPC programs to rural American Indian reservations and 12 VAMC successfully implemented programs...
September 2, 2017: Implementation Science: IS
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