Abstract:
:Black women are more likely to be diagnosed with later stage breast cancer and have higher mortality rates from breast cancer than white women. To determine whether cancer treatment varies for white and black women, we analyzed data from the National Cancer Institute (NCI) Black-White Cancer Survival Study (BWCSS). Data from hospital medical records, central review of histology slides, and patient interviews on 861 breast cancer cases (in situ and invasive) were examined. Minimum expected therapy was defined for each disease stage as a basic minimum course of treatment that incorporated current practice, state-of-the-art knowledge, and recommendations advanced by NIH Consensus Conferences up to and including the one held in 1985. Patients in this study were diagnosed during 1985-1986. Using logistic regression techniques, those who received at least the minimum expected therapy were compared to those who did not. Thirty-six percent of the patients with late stage disease did not receive minimum expected therapy compared to four percent of the patients with early stage disease. Older women and women with no usual source of care were significantly less likely to receive minimum expected therapy. Overall, 21% of black women did not receive minimum expected therapy compared to 15% of white women.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Breen N,Wesley MN,Merrill RM,Johnson Kkeywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
111-25issue
1eissn
1049-510Xissn
1945-0826journal_volume
9pub_type
杂志文章abstract:OBJECTIVE:To examine the association of abdominal muscle area with coronary artery calcium (CAC) presence, extent, and progression in a multi-ethnic cohort of older, community-dwelling post-menopausal women. DESIGN AND SETTING:Cross-sectional and longitudinal population-based cohort. PARTICIPANTS:The sample comprised...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.25.4.435
更新日期:2015-11-05 00:00:00
abstract:BACKGROUND:Exposure to estrogen is a risk factor for breast cancer. Since estrogen executes its effect through estrogen receptors (ERs), the relationship between menstrual factors, which are estrogen-related, and breast cancer may be different depending upon ER status of tumors. This case-control study aimed to examine...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::Both genetic and environmental factors have been hypothesized to explain the higher prevalence of hypertension in US African Americans compared to populations still residing in western Africa. Studies of first-generation immigrants can help to identify risk factors for increased chronic disease expression in the devel...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2000-10-01 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:OBJECTIVE:To use data from the longitudinal Strong Heart Study (SHS) to determine the level of awareness about risk factors for heart disease among 13 populations of American Indians in Arizona, Oklahoma, and South/ North Dakota. The aim of this study is to assess awareness of nine major risk factors for heart disease ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2006-07-01 00:00:00
abstract::The goal of this study was to assess benefits, barriers, attitude, and beliefs about nutrient content and health effects, and sensory analysis of soy meat-alternatives among 40 African Americans, mean (SD) aged 54 (10), 78% of whom were females, participating in a faith-based nutrition program. Perceived benefits rece...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To quantify cultural barriers to hepatitis B virus (HBV) vaccination and parental compliance with a specific vaccination protocol among a primarily among population of infants born at a community hospital. METHODS:This study was concurrent with an immunogenicity study of two vaccination schedules and occurre...
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:2001-10-01 00:00:00
abstract:OBJECTIVES:African Americans (AA) experience a high mortality from cardiovascular disease (CVD), even without an increase in the prevalence of the metabolic syndrome (MetS). The potential role of sleep impairment in this phenomenon has not been studied. The current study examined the relationship between self-reported ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To determine arterial elasticity in normotensives and in treated and untreated hypertensive Black and White subjects. METHODS:A prospective multicenter, controlled clinical trial evaluated large (C-) and small (C2) artery elasticity indices among 3 groups: 1) normotensive subjects with or without a family h...
journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Lipid levels, including high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglycerides, have been reported to be associated with breast cancer risk. METHODS:We studied African American women (97 breast cancer cases and 102 controls) accrued through a population-...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Although it is known that female rats have a more robust behavioral response to acute cocaine administration than male rats, the neurobiological mechanisms underlying these differences remain unclear. The purpose of the present study was to determine if there are sex differences in cocaine's regulation of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION:Health disparities research demands the inclusion of traditionally excluded peoples. Additional complex issues weigh into health disparities or multicultural research including sociopolitical context, cultural context, network or community context, and micro-level or personal dimensions. CONCEPTUAL FRAMEW...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:While high caffeine consumption has been shown to be associated with increased blood pressure in controlled experiments, the relationship between caffeine consumption and blood pressure in preadolescent (ages 6-11 years) and adolescent (ages 12-19 years) children has not been well studied. The primary object...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:The use of behavioral interventions has been shown to improve glycemic control, however, the effectiveness of different behavioral interventions in one of the most high risk populations, African Americans, remains unclear. Our systematic review identified and examined findings of published behavioral interven...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION:In the epidemiologic modeling of diseases, the epidemiologic problem oriented approach (EPOA) methodology facilitates the development of systematic and structured knowledge bases, which are crucial for development of models. A detailed understanding of the epidemiology of a given disease provides the essen...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract::C-reactive protein (CRP) is a risk factor for cardiovascular disease and mortality; it is known to be positively associated with obesity but there is some evidence that this association differs by race or sex. We used nationally representative data of adults aged >50 years to investigate sex and race modifiers of the ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.2.197
更新日期:2016-04-21 00:00:00
abstract:OBJECTIVE:To estimate and compare the prevalences of overweight, obesity, pre-diabetes and diabetes among a nationally representative sample of Mexican-American, non-Latino white and black adults, and by acculturation for Mexican-Americans. DESIGN, SETTINGS AND PARTICIPANTS:The NHANES 1999-2008 data sets were used. Bi...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract::Structural racism is a multilevel system of ideologies, institutions, and processes that have created and reified racial/ethnic inequities. As a system, it works in concert across institutions to propagate racial injustice. Thus, efforts to address structural racism and its implications for health inequity require tra...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.3.381
更新日期:2020-07-09 00:00:00
abstract:CONTEXT:Treatment disparities for socioeconomically disadvantaged populations have been widely reported, but few studies have sought explanations for these disparities. OBJECTIVE:To compare the quality of care for patients insured by Medicare alone, Medicare plus Medicaid, or Medicare plus private insurance and invest...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2006-10-01 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: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::This study examined diabetes-related health disparities in a Latino population in terms of prevalence of the disease, and the extent to which practice-based interventions improve health care and health for the Latinos who have diabetes. Previous research has shown that Latinos, overall, are at greater risk for diabete...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:Little is known about the health outcomes or the quality of care among Arab American patients with diabetes. The objective of this study is to examine the use of glucose-lowering agents and aspirin therapy in this population compared to the drug utilization patterns reported in nationally representative surve...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Bystander CPR (BCPR) has been demonstrated to improve rates of return of spontaneous circulation, survival to hospital admission, and quality of life in survivors. While previous studies have shown that African Americans are less likely to receive BCPR than Caucasians even after adjusting for variables such ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:To ascertain the extent to which residence in violent communities is an independent risk factor for adverse pregnancy outcomes among impoverished (census tract median family income < $10,000/year) African-American mothers. DESIGN:A cross-sectional study was performed. METHODS:We performed multivariate anal...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:Background:Home remedies (HRs) are described as foods, herbs, and other household products used to manage chronic conditions. The objective of this study was to examine home remedy (HR) use among Blacks with hypertension and to determine if home remedy use is correlated with blood pressure and medication adherence. Me...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.3.451
更新日期:2020-07-09 00:00:00
abstract:OBJECTIVE:Lean mass is an important determinant of bone mineral density (BMD) accrual, yet data regarding its correlates based on multiethnic premenopausal women are lacking. We examined the influence of age, race/ethnicity, and lifestyle variables on total and regional lean mass distribution in this population. DESIG...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:To compare recent temporal trends in the proportion of high-grade (less differentiated, or more "aggressive") prostate cancers for Blacks (African Americans) and Whites. Reports of Black-White differences have generated speculation that genetic factors could be involved. METHODS:The study included all 126,8...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract:Introduction:Farmers' market incentive programs, such as Link Match, provide monetary incentives to Supplemental Nutrition Assistance Program (SNAP) participants to promote their use of local farmers' markets. Information on racial/ethnic differences in the shopping behaviors and fruit and vegetable (FV) consumption of...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.1.109
更新日期:2020-01-16 00:00:00