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Journal of Racial and Ethnic Health Disparities

Armando De Alba, Denise H Britigan, Elizabeth Lyden, Patrik Johansson
BACKGROUND: Predictions from the US census indicate that by 2060 one of every three individuals living in the nation will be of Hispanic origin. Hispanics experience health disparities manifested with higher rates of chronic conditions such as hypertension and diabetes in contrast with other US population groups. Health literacy and acculturation have been well identified as key contributors for this issue. However, very few studies have examined the association between health literacy and levels of acculturation in Spanish-speaking Hispanics living in rural and urban areas of the USA...
February 12, 2019: Journal of Racial and Ethnic Health Disparities
Nicole C Wright, Mary E Melton, Maira Sohail, Ivan Herbey, Susan Davies, Emily B Levitan, Kenneth G Saag, Natalia V Ivankova
Using a concurrent mixed methods design, we investigated how knowledge, attitudes, values, and beliefs among women with osteoporosis can explain racial disparities in bone health. We recruited African American and White women ≥ 65 years of age with osteoporosis to participate in focus groups. We quantitatively compared scores of the "Osteoporosis & You" knowledge scale and each domain (internal, powerful others, and chance) of the Multidimensional Health Locus of Control scale by race using t tests...
February 11, 2019: Journal of Racial and Ethnic Health Disparities
Michelle L Balli, Tiffany A Dickey, Rachel S Purvis, T Scott Warmack, Sheldon Riklon, Pearl A McElfish
BACKGROUND: The Marshallese experience high rates of chronic diseases including hypertension and diabetes. Medication adherence is crucial to successful disease management, and healthcare providers play a crucial role in assisting their patients with medication adherence. METHODS: A qualitative study design was used with individual interviews and focus groups with pharmacists and community health workers (CHWs) serving the Marshallese community in Northwest Arkansas...
February 8, 2019: Journal of Racial and Ethnic Health Disparities
Giselle K Perez, Ilana F Gareen, JoRean Sicks, Christopher Lathan, Alaina Carr, Pallavi Kumar, Colin Ponzani, Kelly Hyland, Elyse R Park
Previous work suggests that, compared to white adults, black adults have lower perceived risk for smoking-related diseases (SRDs), which may influence cessation behavior and health outcomes; however, racial differences in SRD risk perceptions among high-risk patients (i.e., a group that exhibits elevated risk for SRDs) following lung screening remain unknown. This paper thus examined differences in risk perceptions for lung cancer and other SRDs among black and white National Lung Screening Trial (NLST) participants...
February 8, 2019: Journal of Racial and Ethnic Health Disparities
Claritsa Santos Malavé, Dominique Diggs, Esther M Sampayo
Most pediatric emergency departments' (ED) quality improvement (QI) initiatives for asthma aim to standardize care based on the priorities of healthcare providers. Perceptions and priorities of the caregiver rarely are addressed, especially in families with limited English-language proficiency. We explored Spanish-speaking caregivers' perceptions, understandings, and barriers with the care they received for asthma, after exposure to an ED asthma-care bundle. This qualitative study was part of a larger QI initiative on Spanish-speaking caregivers of patients presenting to a children's hospital ED with an asthma exacerbation...
February 6, 2019: Journal of Racial and Ethnic Health Disparities
Margrethe F Horlyck-Romanovsky, Melissa Fuster, Sandra E Echeverria, Katarzyna Wyka, May May Leung, Anne E Sumner, Terry T-K Huang
OBJECTIVE: This study was designed to determine (a) whether the prevalence and odds of either obesity or diabetes differed in foreign-born black Africans and Caribbeans living in New York City (NYC) and (b) whether time in the United States (US) affected odds of either outcome. METHODS: Data were obtained from NYC Community Health Survey 2009-13 for 380 African-born blacks and 2689 Caribbean-born blacks. Weighted logistic regression estimated odds of obesity and diabetes, adjusting for age, sex, education, income, marital status, children < 18, BMI (diabetes models only), and time in the US...
February 6, 2019: Journal of Racial and Ethnic Health Disparities
Carol L Galletly, Julia Lechuga, Laura R Glasman, Wayne DiFranceisco, Michelle R Broaddus, Julia B Dickson-Gomez, Timothy L McAuliffe, Miriam Vega, Sara LeGrand, Carla A Mena, Morgan L Barlow, Judith I Montenegro
Evidence suggests that migrants may underutilize USA health care because of misconceptions about immigration-related consequences of health care use. This study aimed to explore whether common misconceptions about the immigration consequences of seeking health care, receiving an HIV test, and being diagnosed with HIV were associated with participant self-report of never having received an HIV test. The study sample comprised 297 adult, sexually active, documented and undocumented Spanish-speaking Latino migrants...
February 6, 2019: Journal of Racial and Ethnic Health Disparities
Lydia Lissanu, Fanny Lopez, Akilah King, Eric Robinson, Erik Almazan, Gabrielle Metoyer, Michael Quinn, Monica E Peek, Milda R Saunders
CONTEXT: African-Americans with chronic kidney disease (CKD) are more likely to progress to end-stage renal disease (ESRD). However, African-Americans are less likely to receive care to delay progression of their CKD and to prepare for ESRD treatment. OBJECTIVE: The objectives of the study are to understand knowledge among urban, African-American patients diagnosed with CKD and to discover ways they managed their illness and prepared for kidney disease progression...
January 17, 2019: Journal of Racial and Ethnic Health Disparities
Samantha M McDonald, Andrew Ortaglia, Christina Supino, Matteo Bottai
BACKGROUND: Energy intake (EI) is suggested to be associated with adiposity and may explain previously observed fitness-adjusted racial disparities in waist circumference (WC). OBJECTIVE: The purpose of this study was to comprehensively evaluate the role of EI on the fitness-adjusted racial/ethnic disparities in WC in a nationally representative sample of females using quantile regression. METHODS: Our sample consisted of 3874 female participants (aged 12 to 49 years) from the 1999-2004 National Health and Nutrition Examination Survey...
January 17, 2019: Journal of Racial and Ethnic Health Disparities
Amber W Kinsey, Michelle L Segar, Daheia J Barr-Anderson, Melicia C Whitt-Glover, Olivia Affuso
Studying positive outliers, individuals who have achieved success with long-term (> 6-month) physical activity (PA) engagement, may be an important approach for understanding strategies for improving leisure-time PA maintenance among African American (AA) women. This cross-sectional, mixed-methods study (1) examined the personal characteristics, PA patterns, and behavioral practices of positive outliers among AA women and (2) compared characteristics of those who maintain PA at recommended levels (HIGH, ≥ 150 min/week > 6 months) with those who maintain low PA volumes (LOW, < 150 min/week > 6 months)...
January 14, 2019: Journal of Racial and Ethnic Health Disparities
Sarahn Wheeler, Anna DeNoble, Clara Wynn, Kristin Weaver, Geeta Swamy, Mark Janko, Paul Lantos
INTRODUCTION: To reduce the risk of recurrence, women with a history of spontaneous preterm birth (PTB) are recommended to receive 17-hydroxyprogesterone caproate (17-P) injections starting by the 20th week of pregnancy. In women eligible for 17-P, we aimed to identify patient factors and geospatial locations associated with increased risk of presentation beyond 20 weeks gestation. METHODS: We conducted a secondary analysis of a retrospective cohort study including all women meeting criteria for 17-P within a single academic medical center over a 2-year period...
January 10, 2019: Journal of Racial and Ethnic Health Disparities
Manka Nkimbeng, Joycelyn Cudjoe, Ruth-Alma Turkson-Ocran, Yvonne Commodore-Mensah, Roland J Thorpe, Sarah L Szanton
BACKGROUND: Disability in older adults leads to poor quality of life, is costly for the health system, and is a risk for mortality. Little is known about disability in older immigrants to the USA. OBJECTIVE: To synthesize the evidence on the prevalence and factors associated with disability in older adult immigrants. METHODS: We conducted searches in PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus...
January 7, 2019: Journal of Racial and Ethnic Health Disparities
Mary Y Jung, Sunmin Lee, Stephen B Thomas, Hee-Soon Juon
BACKGROUND: Data on hypertension among Asian Americans is lacking and often aggregated, which can mask important ethnic differences. This study aims to provide a comprehensive view of hypertension and hypertension-related behaviors, including hypertension treatment, management, and information seeking, among Chinese, Korean, and Vietnamese Americans. METHODS: Data were collected from 600 foreign-born Asian Americans (201 Chinese, 198 Korean, and 201 Vietnamese participants) in the Washington-Baltimore metropolitan area, aged 18 years and over, from 2013 to 2014...
January 7, 2019: Journal of Racial and Ethnic Health Disparities
Daniel F López-Cevallos, S Marie Harvey
OBJECTIVES: A growing body of research has found that healthcare discrimination is a significant barrier in accessing healthcare among Latino patients. Despite evidence of the effects of perceived discrimination among Latinos, psychometric testing of scales used in previous research is limited. The present study explored the psychometric properties of a healthcare discrimination scale (HDS) among young-adult Latinos. METHODS: We used data from a cross-sectional study of young-adult Latinos, primarily of Mexican heritage, living in rural Oregon...
January 7, 2019: Journal of Racial and Ethnic Health Disparities
Anh B Nguyen
INTRODUCTION: Tobacco studies often combine data for Asian American and Native Hawaiian and Other Pacific Islander (AANHOPI) subgroups, masking subgroup differences. This study describes tobacco use (ever use and past 30-day use) among some disaggregated AANHOPI subgroups. METHODS: Data are from Wave 1 of the 2013-2014 Population Assessment of Tobacco and Health (PATH) Study, a nationally representative, longitudinal cohort study of civilian non-institutionalized adults and youth in the USA...
January 4, 2019: Journal of Racial and Ethnic Health Disparities
Mónica Siañez, Linda Highfield, Timothy Collins, Sara Grineski
OBJECTIVE: Among high-risk, underserved populations, such as children living along the US-México border, suffering from asthma-like symptoms without an asthma diagnosis can result in a high burden of illness. We estimated the prevalence of physician-diagnosed and possible undiagnosed asthma among students with histories of wheezing in the US-México border community of El Paso, Texas, and evaluated their burden of illness, primary care use, and medication utilization. METHODS: We analyzed cross-sectional survey data collected in May 2012...
January 4, 2019: Journal of Racial and Ethnic Health Disparities
Funmilola Ogundipe, Vijay Kodadhala, Temitayo Ogundipe, Alem Mehari, Richard Gillum
PURPOSE: To assess gender, race/ethnicity, and geographic disparities in sepsis-associated mortality. MATERIALS AND METHODS: The US data for multiple causes of death (MCOD) for years 2013-2016 were used to determine numbers of deaths and age-adjusted rates for sepsis as underlying or contributing cause of death using the International Classification of Diseases-10 (ICD-10) codes for non-Hispanic blacks (NHB) and whites (NHW) aged 15 years and older. RESULTS: There were a total of 746,725 sepsis-associated deaths...
January 3, 2019: Journal of Racial and Ethnic Health Disparities
Maichou Lor, Theresa A Koleck, Suzanne Bakken, Sunmoo Yoon, Ann-Margaret Dunn Navarra
BACKGROUND: Poor adherence to prescribed antihypertensive medication is a major contributor to disparities in effective blood pressure control among Hispanics. The purpose of this study was to investigate the association between health literacy level and adherence to antihypertensive medications among Hispanic adults, who self-reported hypertension, controlling for potential covariates of adherence and/or health literacy. METHODS: We conducted a cross-sectional survey of 1355 Hispanic adults, primarily Dominicans, who self-reported hypertension...
January 3, 2019: Journal of Racial and Ethnic Health Disparities
Penny H Feldman, Margaret V McDonald, Joseph Eimicke, Jeanne Teresi
Significant racial and ethnic disparities in stroke risk factors, occurrence, and outcomes persist in the USA. This article examines socio-economic and health disparities in a diverse, hypertensive sample of 495 post-stroke Black, non-Hispanic and Hispanic home health patients at risk of a recurrent stroke due to elevated systolic blood pressure (SBP), defined as SBP > 140 mmHg. The article, which analyzes cross-sectional data, focuses on correlates of patients' SBP-the leading modifiable cause of stroke-and physical function-a key stroke sequela and indicator of post-stroke quality of life...
December 17, 2018: Journal of Racial and Ethnic Health Disparities
Lauren Lewis, Beth Dolph, Meriem Said, Thomas H Feeley, Liise K Kayler
BACKGROUND: Racial disparities in access to kidney transplantation (KTX) among African Americans (AAs) have been attributed in part to insufficient patient education. Interventions are needed to provide AAs with culturally sensitive, understandable information that increases their capacity to pursue KTX. Research about the factors that activated patients to pursue KTX is necessary to inform such interventions; however, few studies have yielded this type of information. METHODS: We conducted focus groups and one-on-one interviews with 26 AA referred, listed, or transplanted patients and 3 nephrologists to explore decisional factors that foster pursuit of KTX...
December 13, 2018: Journal of Racial and Ethnic Health Disparities
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