04 May 2010 ~ Comments Off on Changes in access to care, 1977-1996: the role of health insurance

Changes in access to care, 1977-1996: the role of health insurance

OBJECTIVE: To describe changes in Americans’ access to care over the last 20 years focusing on the uninsured, Hispanic American, and young adult populations, and to analyze the factors underlying these changes with a particular focus on the role of health insurance. DATA SOURCES/STUDY SETTING: Data from the 1977 National Medical Care Expenditure Survey, the […]

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04 May 2010 ~ Comments Off on STI prevention and the male sex industry in London: evaluating a pilot peer education programme

STI prevention and the male sex industry in London: evaluating a pilot peer education programme

OBJECTIVE: To evaluate the effectiveness of a pilot peer education STI prevention programme with male sex workers. DESIGN: A process and outcome evaluation of the pilot programme undertaken in three London male escort agencies, using a quasi-experimental design. SUBJECTS: Workers in three London escort agencies, including 88 who completed a questionnaire, five peer educators, and […]

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04 May 2010 ~ Comments Off on Tinker, tailor, soldier, patient: work attributes and depression disparities among young adults

Tinker, tailor, soldier, patient: work attributes and depression disparities among young adults

Prior studies have consistently found the occurrence of depression to be higher among persons with lower socio-economic status (SES), but causal mechanisms for this relationship are often not well understood. For example, while depression has been shown to increase during spells of unemployment, little work has been done on job attributes that may be related […]

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04 May 2010 ~ Comments Off on Effect of Medicaid eligibility category on racial disparities in the use of psychotropic medications among youths

Effect of Medicaid eligibility category on racial disparities in the use of psychotropic medications among youths

OBJECTIVE: This study sought to determine the degree to which Medicaid eligibility categories modify disparities between black and white youths in the prevalence of psychotropic medication. METHODS: Computerized claims for 189,486 youths aged two to 19 years who were continuously enrolled in a mid-Atlantic state Medicaid program for the year 2000 were analyzed to determine […]

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04 May 2010 ~ Comments Off on HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample.[see comment]

HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample.[see comment]

OBJECTIVE–To determine the prevalence and risk factors for human immunodeficiency virus (HIV) and tuberculosis (TB) infection and investigate the relationship between these two infections in homeless adults. DESIGN–Cross-sectional study. SETTING–Inner-city shelters and free meal programs. PARTICIPANTS–A representative sample of 1226 adults (> or = 18 years) were enrolled from community sites. MAIN OUTCOME MEASURES–Serum HIV-1 […]

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04 May 2010 ~ Comments Off on Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter?

Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter?

This study introduces the concentration index (CI) to assess socioeconomic inequality in the distribution of obesity among American adults aged 18-60 years old. The CI provides a summary measure of socioeconomic inequality, and enabled comparisons across gender, age, and ethnicity. Data from the National Health and Nutrition Examination Survey III, 1988-1994 (NHANES III) were used. […]

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04 May 2010 ~ Comments Off on Race-ethnicity-specific waist circumference cutoffs for identifying cardiovascular disease risk factors

Race-ethnicity-specific waist circumference cutoffs for identifying cardiovascular disease risk factors

BACKGROUND: Waist circumferences (WCs) in white men and women that represent a risk of cardiovascular disease (CVD) equivalent to that of body mass indexes (BMIs; in kg/m2) of 25 and 30 have been identified. However, WC cutoffs for other race-ethnicity groups remain unknown. OBJECTIVE: The objective was to determine WC cutoffs for CVD risk in […]

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04 May 2010 ~ Comments Off on Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race

Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race

BACKGROUND: Patients experiencing an acute myocardial infarction are known to delay seeking treatment between 2 and 4 hours. This delay is problematic because individuals who receive treatment 2 or more hours after the onset of symptoms are less likely to benefit from emergent reperfusion techniques. Persons most likely to delay seeking treatment for an acute […]

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04 May 2010 ~ Comments Off on Ethnic characteristics of mental disorders in five U.S. communities

Ethnic characteristics of mental disorders in five U.S. communities

The study examined the ethnic ratio of 16 DSM-III mental disorders among White, Black, Hispanic, and Asian Americans. A total of 18,126 residents from 5 sites and 2,939 residents from the Epidemiological Catchment Area’s Los Angeles site were studied separately. Logistic regression analysis was performed. Results showed that Blacks were significantly less likely than Whites […]

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04 May 2010 ~ Comments Off on Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997

Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997

Over the past two decades, changes in the health services designed to improve access to and quality of asthma care have occurred in South Africa. The aim of this study was to investigate the incidence of fatal and near-fatal asthma (NFA) from 1980-1997 in an urban part of South Africa. A retrospective analysis of fatal […]

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