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 The Patterns of Care Survey of radiation therapy in localized prostate cancer: similarities between the practice nationally and in minority-rich areas

The Patterns of Care Survey of radiation therapy in localized prostate cancer: similarities between the practice nationally and in minority-rich areas

PURPOSE: Over the last two decades, the chance for the cure of localized prostate cancer by radiation has been improved by the widespread use of PSA for early detection and by a number of technical advances in treatment delivery. This study was designed to determine whether the stage of presentation and the quality of radiation […]

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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 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 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 Responses to a drug and alcohol problem assessment for primary care by ethnicity

Responses to a drug and alcohol problem assessment for primary care by ethnicity

Differences in responses by ethnic group to The Drug Abuse Problem Assessment for Primary Care (DAPA-PC) were examined. The DAPA-PC is a self-administered (via computer), internet-based screening instrument with automatic scoring, patient profile for medical reference, and unique motivational messages. Results indicate differences between blacks and whites on responses to several items in these instruments. […]

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04 May 2010 ~ Comments Off on Racial differences in diabetic nephropathy, cardiovascular disease, and mortality in a national population of veterans

Racial differences in diabetic nephropathy, cardiovascular disease, and mortality in a national population of veterans

OBJECTIVE: To determine racial differences in the prevalence of diabetic nephropathy, cardiovascular disease (CVD), and risk of mortality in a national health care system. RESEARCH DESIGN AND METHODS: A longitudinal cohort study was conducted in 429,918 veterans with diabetes. Racial minority groups were analyzed for baseline differences in prevalence of early diabetic nephropathy, diabetic end-stage […]

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04 May 2010 ~ Comments Off on Race and differences in breast cancer survival in a managed care population.[see comment]

Race and differences in breast cancer survival in a managed care population.[see comment]

BACKGROUND: African-American women with breast cancer have poorer survival than European-American women. After adjustment for socioeconomic variables, survival differences diminish but do not disappear, possibly because of residual differences in health care access, biology, or behavior. This study compared breast cancer survival in African-American and European-American women with similar health care access. METHODS: We measured […]

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04 May 2010 ~ Comments Off on Referral sources, diagnoses, and service types of youth in public outpatient mental health care: a focus on ethnic minorities

Referral sources, diagnoses, and service types of youth in public outpatient mental health care: a focus on ethnic minorities

Racial/ethnic variations in clinical and service delivery characteristics among youth in public outpatient mental health services were examined using data from San Diego County mental health service programs for fiscal year 1996 to 1997 (N = 3,962). Differences in referral sources, primary diagnoses, and service types were investigated for three racial/ethnic groups (African Americans, Asian/Pacific […]

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