04 May 2010 ~ Comments Off on Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999

Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999

We examine the roles that insurance coverage, the delivery system, and external factors play in explaining persistent disparities in access among racial and ethnic groups of all ages. Using data from the 1996-1999 Medical Expenditure Panel Surveys and regression-based decomposition methods, we find that our measures of health care system capacity explain little and that […]

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04 May 2010 ~ Comments Off on Elderly health disparities on the U.S.-Mexico border

Elderly health disparities on the U.S.-Mexico border

The Ageless Health Needs Assessment is a multi-phase project designed to assess the health and quality of life of the 60 and older population along the U.S.-Mexico border. The present study used a health survey, which was administered to 1,450 participants by telephone and through face-to-face interviews in Western Texas and Southern New Mexico. Several […]

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04 May 2010 ~ Comments Off on Ethnic matching of clients and clinicians and use of mental health services by ethnic minority clients

Ethnic matching of clients and clinicians and use of mental health services by ethnic minority clients

OBJECTIVES: Research in the United States has indicated that matching clients from a minority group with clinicians from the same ethnic background increases use of community mental health services and reduces use of emergency services. This study assessed the effects of matching clients from a non-English-speaking background with bilingual, bicultural clinicians in a mental health […]

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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 Use of herbal medicine by elderly Hispanic and non-Hispanic white patients

Use of herbal medicine by elderly Hispanic and non-Hispanic white patients

STUDY OBJECTIVES: To determine the types and prevalence of herbal medicines used by Hispanic and non-Hispanic white individuals aged 65 years and older. Secondary objectives were to compare herbal medicine use according to ethnicity, sex, age, socioeconomic status, and education level, and to determine patients’ beliefs about herbal medicines. Use of nonphysician health care providers […]

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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 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 Impact of health insurance status on vaccination coverage in children 19-35 months old, United States, 1993-1996

Impact of health insurance status on vaccination coverage in children 19-35 months old, United States, 1993-1996

OBJECTIVES: To show how health insurance (privately and publicly insured, insured and uninsured) relates to vaccination coverage in children 19-35 months old, and how this can be used to better target public health interventions. METHODS: The National Health Interview Survey (NHIS) gathers information on the health and health care of the U.S. non-institutionalized population through […]

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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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