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 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 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 One step back in understanding racial differences in birth weight.[comment]

One step back in understanding racial differences in birth weight.[comment]

In recognition of the biological and social connections in demographic processes, demographers have integrated biological factors into their models of population variation. This new effort has tended to focus on the analysis of fertility and mortality. Edwin J.C.G. van den Oord and David C. Rowe’s article, “Racial Differences in Birth Health Risk: A Quantitative Genetic […]

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04 May 2010 ~ Comments Off on Prevalence and correlates of high-quality basic pediatric preventive care

Prevalence and correlates of high-quality basic pediatric preventive care

BACKGROUND: The list of recommended pediatric preventive services has grown considerably in the past decade, and clinician variability, clinician distribution, and other correlates of provision of these basic preventive services (BPS) are not known. OBJECTIVE: To describe the proportion of high-quality basic pediatric preventive services, exclusive of immunizations, reported by parents and to identify sociodemographic […]

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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 Identifying underserved ethnic populations within a community: the first step in eliminating health care disparities among racial and ethnic minorities

Identifying underserved ethnic populations within a community: the first step in eliminating health care disparities among racial and ethnic minorities

As set forth by the United States Department of Health and Human Services in Healthy People 2010, the primary goal of the national health promotion and disease prevention plan is to eliminate the health care disparities among racial and ethnic groups. This disparity is due, in part, to unequal health access. However, equal access to […]

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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 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 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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