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 occurred prior to the inception of universal infant vaccination with hepatitis B vaccine (HepB). In this study, parental pairs were interviewed, consent obtained, subjects were randomly assigned to each group, and first immunization was administered in the hospital. Follow-up contacts required for completion were documented. RESULTS:Of 260 eligible parental pairs interviewed, 175 (67%) declined participation, mainly because of fears of vaccine side effects (55%) or ignorance of the hepatitis B virus (HBV) (30%). Of 85 infants enrolled in the study, 28 (33%) were later withdrawn from the study; 13 (46%) of these 28 infants were withdrawn at the request of parents. Each infant who completed the study received 5 postcards, 10 phone calls, and 3 home visits. CONCLUSIONS:Families were unaware of the risk of HBV infection and feared vaccination. Aversion to subjecting an infant to pain was a principal reason for failure to complete the study, and frequent contacts were required to ensure adherence. Existence of a safe and effective hepatitis B vaccine and universal vaccination is unlikely to change deeply felt attitudes against vaccination. Current vaccination strategies must take these prejudices into account.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Froehlich H,West DJkeywords:
subject
Has Abstractpub_date
2001-10-01 00:00:00pages
548-53issue
3eissn
1049-510Xissn
1945-0826journal_volume
11pub_type
临床试验,杂志文章,随机对照试验abstract:Objective:To ascertain the association between father's lifetime socioeconomic status (SES) and rates of small for gestational age (SGA, defined as weight for gestational age <10th percentile) and infant mortality (defined as <365 days). Methods:The study sample was limited to the singleton births of African American ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:10.18865/ed.29.1.9
更新日期:2019-01-17 00:00:00
abstract:BACKGROUND:Provider-focused strategies for improving outcomes in hypertension have produced mixed results. Studies suggest that the effectiveness of a chosen strategy increases when it is tailored to the specific situation. The hypertension registry includes data on African-American hypertensives who receive care in co...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 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:OBJECTIVE:To assess the feasibility, acceptability, and outcomes of 2 versions of a culturally relevant, family-based intervention to prevent excess weight gain in pre-adolescent African-American girls. DESIGN:Three-arm, 12-week parallel group randomized controlled pilot trial. SETTING:Community centers in Memphis, T...
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:2003-01-01 00:00:00
abstract::Gloria Ladson-Billings cautiously promotes the use of Critical Race Theory (CRT) to address racism's contribution to educational disparities. Nearly a decade ago, we issued a similar call to the multidisciplinary field of public health. Public health touts its progressive roots and focus on equity, but do those effort...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.28.S1.223
更新日期:2018-08-09 00:00:00
abstract::An exploratory qualitative study was undertaken in Luton to examine the issues that may underlie the severe shortage of organ donors from the United Kingdom's (UK) Asian population. To date, this subject area had not been researched within this sub-population of the UK. Thus, focus groups were employed as the initial ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::So-called 'diseases of lifestyle' are playing a major role in epidemiological transitions in many developing countries. Stratifying, urbanizing, and ageing African populations face rising levels of non-communicable diseases (NCDs). This article examines the need for anthropological perspectives on the causes, preventi...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::Training is a crucial tool for building the capacity necessary for prevention and control of cardiovascular diseases (CVDs) in developing countries. This paper summarizes some features of a 2-week workshop aimed at enabling local health professionals to initiate a comprehensive CVD prevention and control program in a ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVES:To determine dietary intake and attitude toward weight control of normal weight, overweight, and obese Black women. DESIGN:Cross-sectional survey. SETTING:Rural village in KwaZulu province, South Africa. PARTICIPANTS:A convenience sample (N=187) of 25- to 55-year-old women, of whom 28.9% (N=54) were of no...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-04-01 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::African-American infants weigh on average 200-300 grams less at birth than do European-American infants, leading to a two-fold higher rate of low birth-weight (LBW) infants. This birth weight disparity has not changed significantly over the past 95 years. Numerous research studies have been undertaken to elucidate thi...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:While many studies have evaluated the epidemiology of tobacco use nationally and among specific populations, less is known about the epidemiology of tobacco use among elderly women. We examined the epidemiology of tobacco use among a tri-racial population of elderly women in southeastern North Carolina. DESI...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-04-01 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:Objective:To describe the rationale and design of a prospective study of ambulatory blood pressure measurement (ABPM) combined with measurement of contextual factors to identify hypertensive phenotypes in a Caribbean population with high rates of HTN and cardiovascular disease. Design:Prospective, multi-center sub-stu...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:10.18865/ed.29.4.535
更新日期:2019-10-17 00:00:00
abstract::Scholars have shown that promoting diversity and inclusion in precision medicine research is important for ethical and scientific reasons. The processes for classifying the populations that enroll in biomedical research, however, are often unclear, inconsistent, and poorly justified. Precision medicine research promis...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.S3.651
更新日期:2019-12-12 00:00:00
abstract::Secular trends in onset of menarche and obesity were examined 14 years apart in two biracial (black-white) cohorts of girls aged 8 to 17 under study for cardiovascular risk. The first cohort (N=1,190, 64% white) was examined in 1978-1979, the second (N=1,164, 57% white) in 1992-1994. The second cohort was heavier in t...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Minority girls are disproportionately affected by overweight and obesity. The independent effects of physical activity (PA), sedentary behavior (SB), and diet are not well understood. OBJECTIVE:This study examined the individual influences of PA, SB and diet on fat mass in Latina and African American (AA) g...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-10-01 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:OBJECTIVE:Post-stroke depression (PSD) is common and associated with poor stroke outcomes, but few studies have examined race/ethnic disparities in PSD. Given the paucity of work and inconsistent findings in this important area of research, our study aimed to examine race/ethnic differences in depression in a multi-eth...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.1.1
更新日期:2016-01-21 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify and compare coronary risk factors in different South African ethnic groups with angiographically documented significant coronary artery disease (CAD). DESIGN:An observational retrospective analysis. METHODS:Hospital records of 500 consecutive patients with no previo...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract:BACKGROUND:HIV+ mothers of adolescent girls can serve as agents of change, particularly when it comes to preventing patterns of behaviors that are inherently dangerous. In order to do so these women need to be able to communicate with their daughters and educate them about risk behaviors, especially those associated wi...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:Relationships among sedentary behavior, weight gain, and weight loss and regain are understudied particularly for African Americans, a high risk group for obesity. The hypotheses were: sedentary behavior is positively associated with current body mass and % of weight loss maintained after initial weight loss...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract::The successful recruitment of African-Americans for AIDS/HIV interventions is essential to reducing HIV transmission and the spread of AIDS among this population. However, many high risk groups in the African-American community are reluctant to participate in AIDS/HIV interventions due to factors such as poverty, and ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:Baseline data from the Heart Attack REACT Study provided the opportunity to explore population subgroup differences in exposure to health information in an ethnically diverse sample from 5 regions across the United States. METHODS:During the 4-month baseline period of the REACT study, some 1,200 residents fr...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::The purpose of this study is to report the findings of the 2004 National Health Interview Survey (NHIS) questions on tuberculosis (TB) knowledge and perceived risk of contracting TB. Tuberculosis (TB) continues to be a major health threat in the United States, but minimal effort is made on public education to increase...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract::Glycemic control is a predictor of diabetes-related morbidity and mortality. However, little is known about how well older adults in rural communities, with limited access to self-care resources and specialty care practitioners, control their diabetes. Even less is known about whether minority, older, rural adults are...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/D...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:Exposure to racial discrimination has been identified as an adverse biopsychosocial stressor that may be related to the prevalence of hypertension in African Americans. The overall objective of this research was to estimate aspects of the effects of self-reported exposure to stress-related racial discriminati...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To examine ace-inhibitor (ACEI) and angiotensin receptor blockers (ARB) prescription and adherence patterns by race in diabetic public aid recipients. DESIGN, PARTICIPANTS, AND MEASURES:We analyzed prescription records of 27,529 adults aged 18-64 with diabetes who had at least one clinical indication for rec...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00