Abstract:
:The purpose of this investigation was to determine the prevalence and correlates of abnormal urinary albumin excretion and to examine the possible additive effects of cardiovascular risk factors on urinary albumin excretion in African Americans with type 2 diabetes mellitus. One hundred fifty-one African-American subjects who met WHO criteria for type 2 diabetes were included in this cross-sectional analysis. Subjects were identified through computerized medical records from a family medicine clinic and a community health center. Urinary albumin excretion ratios (UAER) were determined from overnight samples. The prevalence of abnormal urinary protein excretion was 51%. Of those with abnormal protein excretion, 36% had microalbuminuria and 15% had macroalbuminuria. Diabetes duration, waist to hip ratio, blood pressure, and total- and LDL cholesterol were significantly higher in subjects with macroalbuminuria. Regression analysis indicated that mean arterial blood pressure, diabetes duration and total cholesterol were independently associated with UAER. Mean UAER significantly increased with the addition of one or more syndrome X risk factors to pure diabetes. Our results indicate that African Americans with type 2 diabetes mellitus have a high prevalence of abnormal urinary protein excretion, which is associated with a clustering of additional cardiovascular risk factors. The fact that this increased risk was associated with hypertension indicates that screening for albuminuria in this population is essential and that a majority of African Americans with diabetes may be at risk for developing cardiovascular complications.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Konen JC,Summerson JH,Bell RAkeywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
3-9issue
1eissn
1049-510Xissn
1945-0826journal_volume
9pub_type
杂志文章abstract:OBJECTIVES:This cross-sectional study was designed to examine the association between adiponectin and cardiovascular disease (CVD) among an understudied ethnic group of Filipino American women. METHODS:We recruited 266 Filipino women aged 40-86 years from the University of California, San Diego Filipino Women's Health...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:The current study examined ethnic differences in patterns of weight loss and regain in response to an initial behavioral weight loss intervention followed by an extended-care maintenance program. METHODS:We analyzed data from 224 women (African American n = 43, Caucasian n = 181) from rural communities who p...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2011-04-01 00:00:00
abstract::Sickle cell disease is the most commonly inheritable blood disorder in man. Sickle cell anemia affects approximately one in 375 Blacks in the United States. There is yet no known cure for this disease. Families of sickle cell patients continue to be financially and emotionally devastated by sickle cell disease complic...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:The inclusion of women and minorities in health research supported by the National Institutes of Health (NIH) has received increasing attention since the adoption of related guidelines by NIH in 1990. Investigators in population-based and clinical research may need to identify and recruit research participant...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:To examine racial disparities in adverse maternal outcomes among four ethnic groups in the United States. DESIGN, SETTING, AND PARTICIPANTS:A total of 1,030,350 women aged 13 to 55 who delivered in 1998 and 1999. Data were abstracted from the National Inpatient Sample. MAIN OUTCOME MEASURES:Race was categor...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
abstract:Objective:Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider. Methods:U...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.2.253
更新日期:2019-04-18 00:00:00
abstract:OBJECTIVE:To examine the correlates of prior nicotine replacement therapy (NRT) in an urban sample of adolescent smokers seeking smoking cessation treatment. DESIGN:Adolescents were recruited via radio, TV and print advertisements for participation in treatment studies. Participants completed a structured interview us...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract::This short review was presented as part of the Morehouse School of Medicine Fifth Annual Primary Care Conference in October 2005. As child health morbidities and mortalities shift from infectious diseases, child healthcare providers must become more vigilant and aggressive at suspecting, screening for, and intervening...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00
abstract::This review article discusses disparities in immunization rates for beneficiaries of the US Medicare program. The review considers: 1) historical and statistical information on rates of immunization; 2) goals set forward by the Centers for Medicaid and Medicare Services (CMS) to eliminate racial and ethnic health disp...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:This study examined geographic variation in incidence rates for two cancers common in US Hispanic women and considered some potential explanations, by using data from several high-quality cancer registries. METHODS:Age-standardized incidence rates (ASIRs) per 100,000 Hispanic women per year were analyzed for...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::An assessment of the risk or diagnosis of diabetes in a random sample of 386 adult border residents found 46% obese, 12% at risk for diabetes, and 18% diagnosed with diabetes. While obesity was associated with greater diabetes risk, > 50% of obese adults reported not being told of their diabetes risk. Independent of o...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2009-07-01 00:00:00
abstract::In spite of all the technical advances and resources dedicated to the treatment of endstage renal disease (ESRD), it is still a growing problem all over the world. To address this issue adequately, it is crucial to detect chronic kidney disease patients early and optimize their care. However, a lack of awareness and a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:To examine the adequacy of available evidence that: 1) left ventricular hypertrophy (LVH) and its regression influence the rate of cardiovascular events in hypertension; 2) carotid artery wall thickening and discrete plaque have comparable significance to LVH; and 3) black hypertensive patients have greater ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract::Recent experiments have examined the subjective and physiological responses of African Americans to racism using video-taped vignettes or emotional imagery. These studies reported changes in mood and increases in cardiovascular (CV) and electromyographic (EMG) activity when analogs of the stressful situations were enc...
journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-01-01 00:00:00
abstract::A population-based sample of Seventh-Day Adventists was studied to determine the relationship between vegetarian status, body mass index (BMI), obesity, diabetes mellitus (DM), and hypertension, in order to gain a better understanding of factors influencing chronic diseases in Barbados. A systematic sampling from a ra...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:Objective:This article describes Mayors Mentoring Mayors (3M), an initiative of the Arkansas Coalition for Obesity Prevention (ArCOP), which expanded to five states to become the signature community initiative of the Mid-South Transdisciplinary Collaborative Center (Mid-South TCC) for Health Disparities Research. Meth...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:10.18865/ed.27.S1.347
更新日期:2017-11-09 00:00:00
abstract:INTRODUCTION:Reactive oxygen and nitrogen free radicals are produced during immune activity, and are triggered by several environmental factors such as pollution, smoke, and sunlight. Harmful effects of these reactive species include cellular damage to RNA, DNA, proteins and lipids. In humans several diseases including...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:We investigated metabolic syndrome and its association with high-sensitivity C-reactive protein (hs-CRP) levels in Cuban Americans. METHODS:The study included 161 nondiabetic Cuban Americans (55 men and 106 women) aged > or = 30 years living in South Florida. Metabolic syndrome was defined by using Adult Tre...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:This study aimed to define the ethnographic composition and assess the health-related quality of life (HRQoL) of a large population of undocumented patients with end-stage renal disease (ESRD) seeking emergent dialysis in the emergency department (ED) of a large public hospital in the United States. DESIGN:A...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.27.1.39
更新日期:2017-01-19 00:00:00
abstract:OBJECTIVE:To compare demographic and clinical characteristics among 3 ethnic groups of indigent patients exhibiting diabetic ketoacidosis (DKA), in Houston, Texas. METHODS:Over a span of 3.5 years, 321 patients were interviewed at the time of admission for DKA. Demographic, clinical, and biochemical data and measures ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract::Ethnicity and race are commonly used in biomedical research to portion human populations into groups for analysis. The view taken here is that race is a sociological construct that is poorly correlated with any measurable biological or cultural phenomenon other than the amount of melanin in an individual's skin. On th...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To identify the prevalence of hypertension among adults in Bo, Sierra Leone. DESIGN:Hypertension data were extracted from outpatient clinic records. SETTING:Mercy Hospital in urban Bo, Sierra Leone. PATIENTS:All nonpregnant outpatients aged -15 years seen at the outpatient clinic in 2009. MAIN OUTCOME MEA...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Substantial disparities in colorectal cancer (CRC) survival among racial-ethnic groups, especially between Blacks and Whites, have been extensively documented in the Northeast, California and South of the United States. The purpose of this study was to ascertain the determinants of colorectal cancer racial-e...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The objective was to investigate how data on race and ethnicity are collected by hospitals reporting to the New Hampshire State Cancer Registry (NHSCR). METHOD:NHSCR surveyed hospitals asking how information on race and ethnicity were collected. A review of relevant legal mandates and national guidelines wa...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract::The coronavirus pandemic of 2019 (COVID-19) has created unprecedented changes to everyday life for millions of Americans due to job loss, school closures, stay-at-home orders and health and mortality consequences. In turn, physicians, academics, and policymakers have turned their attention to the public mental health ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.30.4.695
更新日期:2020-09-24 00:00:00
abstract::The disease burden from noncommunicable diseases (NCDs) in Africa is rapidly increasing based on projections from a limited number of reports. In the absence of national health surveys in Zimbabwe, all data nationally generated between 1990 and 1997 were analyzed. From 1990 to 1997, prevalence rates (expressed per 100...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:An epidemiologic link between peripartum cardiomyopathy (PPCM) and customary puerperal practices have been described among Nigerians. It is not, however, known if these practices have changed and influenced the epidemiology of PPCM over the years. OBJECTIVES:To describe the current epidemiologic profile of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract::Breast cancer incidence is significantly lower in Hispanic and black women than in non-Hispanic white women. Since diet has been suggested as an important determinant of breast cancer risk, we compared the food intake of college students sampled from these three racial-ethnic groups in New York City to evaluate the po...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:To determine the effects of baseline cognitive function on incidence of disability in activities of daily living (ADL) in initially non-disabled Mexican-American elderly over a 7-year period. DESIGN:A prospective cohort study. SETTING:Southwestern United States: Texas, California, Arizona, New Mexico, and C...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract:Objective:Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:10.18865/ed.28.S2.371
更新日期:2018-09-06 00:00:00