04 May 2010 ~ Comments Off on Impact of race and ethnicity on ischemic stroke. The University of California at San Diego Stroke Data Bank

Impact of race and ethnicity on ischemic stroke. The University of California at San Diego Stroke Data Bank

BACKGROUND AND PURPOSE: As the US minority population continues to grow, increasing numbers of nonwhite citizens are at risk for stroke. A better understanding of how ischemic stroke differs in the minority populations may lead to more effective clinical management. METHODS: We prospectively evaluated 542 consecutive patients (416 whites, 71 Mexican Americans, 55 blacks) presenting […]

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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 Breast cancer stage at diagnosis: Caucasians versus Afro-Americans

Breast cancer stage at diagnosis: Caucasians versus Afro-Americans

In the Department of Defense health care system, all women have the same ability to access health care. Thus, there should be no racial differences in stage at diagnosis solely based on ability to seek health care. A retrospective review of breast cancer cases from 1976-1992 was conducted to determine if there were any differences […]

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04 May 2010 ~ Comments Off on Racial and socioeconomic aspects of myocardial infarction recovery: studying confounds

Racial and socioeconomic aspects of myocardial infarction recovery: studying confounds

Cardiovascular disease rates illustrate the excess morbidity and mortality associated with race and social class. However, while prevalence and deaths from heart disease are greater among black and lower socioeconomic status (SES) populations, researchers rarely consider possible confounds between race and SES. In a longitudinal study of 246 older myocardial infarction (MI) patients, differences appeared […]

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04 May 2010 ~ Comments Off on Prognostic value of plasma HER-2/neu in African American and Hispanic women with breast cancer

Prognostic value of plasma HER-2/neu in African American and Hispanic women with breast cancer

We examined the significance of plasma HER-2/neu as a clinical or biological marker for assessing the progression of breast cancer in African American and Hispanic women with similar socioeconomic status, similar health insurance, and similar access to health care delivery. Base line studies show the following: average age of our breast cancer patients was 48 […]

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04 May 2010 ~ Comments Off on Disparate outcomes in patients with colorectal cancer: effect of race on long-term survival

Disparate outcomes in patients with colorectal cancer: effect of race on long-term survival

BACKGROUND: Increasing evidence suggests significant disparity in colorectal cancer outcomes between black and white patients. Contributing factors may include advanced tumor stage at diagnosis, differences in treatment, more aggressive tumor biology, access to care, and patient comorbidity. HYPOTHESIS: Disparities in colorectal cancer outcomes exist despite similar objective measures of treatment. DESIGN AND SETTING: Ten-year retrospective […]

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04 May 2010 ~ Comments Off on Contribution of major diseases to disparities in mortality

Contribution of major diseases to disparities in mortality

BACKGROUND: Mortality from all causes is higher for persons with fewer years of education and for blacks, but it is unknown which diseases contribute most to these disparities. METHODS: We estimated cause-specific risks of death from data from the National Health Interview Survey conducted from 1986 through 1994 and from linked vital statistics. Using these […]

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04 May 2010 ~ Comments Off on Racial and ethnic differences in patients’ preferences for initial care by specialists

Racial and ethnic differences in patients’ preferences for initial care by specialists

PURPOSE: To examine racial and ethnic differences in patients’ preferences for initial care by specialists, and to determine whether trust in the physician and health beliefs account for these differences. METHODS: We conducted a cross-sectional study of 646 patients in the waiting room of three academic-based internal medicine outpatient practices. We asked subjects about their […]

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04 May 2010 ~ Comments Off on Confronting racial disparities in infant mortality: reconciling science and politics

Confronting racial disparities in infant mortality: reconciling science and politics

The public debate surrounding disparities in infant mortality has resulted from a profound failure to seek a common wisdom. Because of its essential social roots, infant mortality will always remain the province of fundamental ideological and political conflict. However, without a more integrated analytic approach, progress in reducing disparate infant mortality will remain limited by […]

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04 May 2010 ~ Comments Off on Long-term cancer patient survival in the United States.[see comment]

Long-term cancer patient survival in the United States.[see comment]

Although survival rates are useful for monitoring progress in the early detection and treatment of cancer and are of particular interest to patients with new diagnoses, there are limited population-based estimates of long-term survival rates. We used data collected by the Surveillance, Epidemiology, and End Results Program for cases diagnosed during 1974-1991 and followed through […]

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