04 May 2010 ~ Comments Off on Hypersegregation in the twenty-first century

Hypersegregation in the twenty-first century

We used metropolitan-level data from the 2000 U.S. census to analyze the hypersegregation of four groups from whites: blacks, Hispanics, Asians, and Native Americans. While blacks were hypersegregated in 29 metropolitan areas and Hispanics were hypersegregated in 2, Asians and Native Americans were not hypersegregated in any. There were declines in the number of metropolitan […]

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04 May 2010 ~ Comments Off on Hispanic healthcare disparities: challenging the myth of a monolithic Hispanic population

Hispanic healthcare disparities: challenging the myth of a monolithic Hispanic population

BACKGROUND: Hispanic Americans are often treated as a monolithic ethnic group with a single pattern of healthcare utilization. However, there could be considerable differences within this population. We examine the association between use of healthcare services and Hispanic Americans’country of ancestry or origin, language of interview, and length of time lived in the United States. […]

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04 May 2010 ~ Comments Off on Race and ethnic disparities in health care access and utilization: an examination of state variation

Race and ethnic disparities in health care access and utilization: an examination of state variation

Health disparities among racial and ethnic groups have a long history and continue to exist in the United States. The U.S. government has established as a goal for the year 2010 the elimination of racial/ethnic health differences in six areas. This article examines disparities in one of those areas: access to high-quality health care. Several […]

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04 May 2010 ~ Comments Off on Racial disparities in context: a multilevel analysis of neighborhood variations in poverty and excess mortality among black populations in Massachusetts.[erratum appears in Am J Public Health. 2005 Mar;95(3):375]

Racial disparities in context: a multilevel analysis of neighborhood variations in poverty and excess mortality among black populations in Massachusetts.[erratum appears in Am J Public Health. 2005 Mar;95(3):375]

OBJECTIVES: We analyzed neighborhood heterogeneity in associations among mortality, race/ethnicity, and area poverty. METHODS: We performed a multilevel statistical analysis of Massachusetts all-cause mortality data for the period 1989 through 1991 (n=142836 deaths), modeled as 79813 cells (deaths and denominators cross-tabulated by age, gender, and race/ethnicity) at level 1 nested within 5532 block groups at […]

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04 May 2010 ~ Comments Off on Hypertension-related disease in African Americans. Factors underlying disparities in illness and its outcome

Hypertension-related disease in African Americans. Factors underlying disparities in illness and its outcome

African Americans have a higher prevalence of hypertension, diabetes, cardiovascular disease (CVD), stroke, and renal disease than white Americans. The high rates of diabetes and hypertension in children and of type 2 diabetes, stroke, and CVD in women are particularly striking. In this article, Drs Sowers, Ferdinand, Bakris, and Douglas examine the biologic, social, and […]

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04 May 2010 ~ Comments Off on Usual source of care and nonurgent emergency department use

Usual source of care and nonurgent emergency department use

OBJECTIVE: To examine whether dissatisfaction with one’s usual source of care (USC) and perceived access difficulties to one’s USC were associated with nonurgent emergency department (ED) use. METHODS: Variables that measured USC satisfaction and access were identified in the 1996 cohort of the Medical Expenditure Panel Survey (MEPS), a nationally representative sample administered by the […]

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04 May 2010 ~ Comments Off on Impact of pain on self-rated health in the community-dwelling older adults.[see comment]

Impact of pain on self-rated health in the community-dwelling older adults.[see comment]

This study examined the impact of pain on self-rated health status in the community-dwelling older adults using the 1993 public release data of the Asset and Health Dynamics Among the Oldest Old (AHEAD). AHEAD is a population-based household survey designed to examine the dynamic interactions between health, family, and economic variables among US older adults. […]

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04 May 2010 ~ Comments Off on Bone density-related predictors of blood lead level among peri- and postmenopausal women in the United States: The Third National Health and Nutrition Examination Survey, 1988-1994

Bone density-related predictors of blood lead level among peri- and postmenopausal women in the United States: The Third National Health and Nutrition Examination Survey, 1988-1994

Because of the long half-life of lead stored in bone (years), skeletal lead stores may be a source of endogenous lead exposure during periods of increased bone demineralization, such as menopause. To test the hypothesis that postmenopausal bone resorption increases blood lead levels, the authors examined cross-sectional associations of bone density-related factors with blood lead […]

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04 May 2010 ~ Comments Off on Perceptions of oral health: the South African Demographic and Health Survey of 1998

Perceptions of oral health: the South African Demographic and Health Survey of 1998

Oral diseases are widespread in South Africa and affect large numbers of people in terms of pain, tooth loss, disfigurement, loss of function and even death. The majority of South Africans have no access to private services and are dependent on the government for oral health care services, but less than 10% of the population […]

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04 May 2010 ~ Comments Off on Segregation of minorities in the metropolis: two decades of change

Segregation of minorities in the metropolis: two decades of change

Data from Census 2000 show that black-white segregation declined modestly at the national level after 1980, while Hispanic and Asian segregation rose in most metropolitan areas. Changes that may have produced greater changes for blacks proved to have insignificant effects: there was no net shift of the black population toward less-segregated areas, segregation at the […]

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