04 May 2010 ~ Comments Off on Variation of fetal humeral length in second-trimester fetuses according to race and ethnicity

Variation of fetal humeral length in second-trimester fetuses according to race and ethnicity

OBJECTIVE: To determine the influence of race and ethnicity on the expected humeral length based on biparietal diameter measured in second-trimester fetuses. METHODS: We searched our ultrasound, obstetric, and cytogenetic databases from 1995 through 2001 for all fetuses who underwent an anatomic survey between 15 and 22 weeks’ gestation. Fetuses with Down syndrome were identified […]

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04 May 2010 ~ Comments Off on Assessment of bone mineral density in adults with a history of juvenile chronic arthritis: a cross-sectional long-term followup study.[see comment]

Assessment of bone mineral density in adults with a history of juvenile chronic arthritis: a cross-sectional long-term followup study.[see comment]

OBJECTIVE: To assess bone mineral density (BMD) and bone turnover in adults with a history of juvenile chronic arthritis (JCA) or persistent JCA, and to identify predictors of reduced BMD. METHODS: Sixty-five white patients (mean age 32.2 years) with a history of JCA and 65 age-, sex-, height-, and weight-matched healthy control subjects participated in […]

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04 May 2010 ~ Comments Off on Workplace discrimination and alcohol consumption: findings from the San Francisco Muni Health and Safety Study

Workplace discrimination and alcohol consumption: findings from the San Francisco Muni Health and Safety Study

OBJECTIVE: There is evidence of an association between occupational stress and alcohol consumption. This study investigates the association between workplace racial discrimination and alcohol consumption in a sample of urban transit operators. METHODS: During 1993-1995, after undergoing a medical exam, 1,542 transit operators completed an interview. Depending on the outcome, we used logistic or linear […]

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04 May 2010 ~ Comments Off on Ethnic differences in parents’ perception of participatory decision-making style of their children’s physicians

Ethnic differences in parents’ perception of participatory decision-making style of their children’s physicians

OBJECTIVES: The objectives of this study were to test whether there are ethnic differences in parents’ perceptions of the participatory styles of their children’s physicians, and to determine how Hispanic ethnicity influences the factors that are correlated with the perceptions of participatory styles. STUDY DESIGN: We conducted a population-based cross-sectional telephone survey in 111 counties […]

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04 May 2010 ~ Comments Off on Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care

Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care

OBJECTIVE: Consumer assessments of health care provide important information about how well health plans and clinicians meet the needs of the people they serve. The purpose of this study was to examine whether consumer reports and ratings of care in Medicaid managed care vary by race/ethnicity and language. DATA SOURCES: Data were derived from the […]

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04 May 2010 ~ Comments Off on Couch potatoes or french fries: are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents?

Couch potatoes or french fries: are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents?

OBJECTIVE: To describe the demographic characteristics of adolescent boys and girls who engage in three sedentary behaviors (television/video use, computer use, and reading/homework), and to explore how each sedentary activity is associated with body mass index (BMI), dietary behaviors, and leisure time physical activity. DESIGN: This study draws on data collected from Project EAT (Eating […]

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04 May 2010 ~ Comments Off on Racial and ethnic disparities in the quality of primary care for children

Racial and ethnic disparities in the quality of primary care for children

OBJECTIVES: Healthy People 2010 calls for greater access to high-quality primary care as a means to reduce racial and ethnic disparities in children’ health. Disparities in primary care quality have rarely been studied for children, and the few studies that have been conducted among adults are not readily applicable to children because of the different […]

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04 May 2010 ~ Comments Off on US childhood mortality, 1950 through 1993: Trends and socioeconomic diffferentials.[see comment]

US childhood mortality, 1950 through 1993: Trends and socioeconomic diffferentials.[see comment]

OBJECTIVES: This study examined trends and differentials in US childhood mortality from 1950 through 1993 according to sex, race/ethnicity, education, family income, and cause of death. METHODS: Log-linear, multiple regression, and Cox proportional hazards regression models were applied to the data from the National Vital Statistics System, the National Longitudinal Mortality Study, and the Area […]

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04 May 2010 ~ Comments Off on Black and Hispanic veterans in intensive VA treatment programs for Posttraumatic Stress Disorder

Black and Hispanic veterans in intensive VA treatment programs for Posttraumatic Stress Disorder

OBJECTIVES: This study examines differences in treatment process and outcomes among minority veterans treated in specialized intensive VA programs for war-related Posttraumatic Stress Disorder (PTSD). DESIGN: A concurrent panel study assessing four different types of intensive PTSD treatment program. SUBJECTS: Black (n = 2,906; 23.4%), Hispanic (n = 661, 5.3%), and white veterans. METHODS: Hierarchical […]

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04 May 2010 ~ Comments Off on Do well-publicized risk-adjusted outcomes reports affect hospital volume?

Do well-publicized risk-adjusted outcomes reports affect hospital volume?

BACKGROUND: Report cards on hospital performance are common but have uncertain impact. OBJECTIVES: The objective of this study was to determine whether hospitals recognized as performance outliers experience volume changes after publication of a report card. Secondary objectives were to test whether favorable outliers attract more patients with related conditions, or from outside their catchment […]

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