Abstract:
OBJECTIVE:This study examines the cancer prevention and control priorities of uninsured Latin Americans and their primary care providers in metropolitan Washington, D.C. Patient and provider priorities are compared to identify common ground for future interventions in resource constrained primary care settings. METHODS:Ten focus groups were conducted among 88 Latin-American patients from 5 primary care clinics. Key informant interviews and a priority setting exercise were conducted among the clinicians and medical directors at these same clinics. Prompted by semi-structured open-ended questions, the key informant interviews and focus groups elicited patient and provider concerns and priorities for cancer prevention and control. All focus group sessions and key informant interviews were audiotaped, transcribed verbatim, and coded independently by 2 reviewers. Interrater reliability for the overall coding of distinct units of text into one of 4 major content areas was excellent, (Kappa = 0.95; 95% CI 0.94, 0.98). RESULTS:All comments from the patient focus groups and provider key informant interviews fell into one of 4 content areas: cancer knowledge, attitudes and beliefs, patient socioeconomic concerns, and clinic capabilities to provide services. The most frequently mentioned theme among patients was their own lack of knowledge about cancer screening, particularly about colorectal cancer screening. Other leading patient priorities were the perceived costs of screening tests and the resource constraints of the primary care clinics serving the uninsured. Leading attitudinal concerns about screening were fatalism, embarrassment about the screening test, and non-concordant clinician gender. The leading priorities among clinicians were increasing patient knowledge about screening tests, time limitations of the clinical encounter, and primary care clinic resource constraints. The areas of greatest overlap in priorities between patients and providers were the themes of low patient knowledge about cancer screening and prevention, and recognition of the resource constraints under which these "safety net" clinics operate. CONCLUSIONS:Patient knowledge level about screening, particularly colorectal cancer screening, and the impact of clinical resource constraints on the delivery of cancer screening are common priorities of uninsured Latino patients and their primary care clinicians. Stepping up efforts to improve cancer screening and prevention for Latinos requires an initial investment in developing the basic clinical infrastructure (ie, clinic capacity) of sites serving this special population. Common priorities identified from patient and provider data should be used to design evidence-based cancer prevention and control interventions within the resource limitations of the primary care settings serving the uninsured.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
O'Malley AS,Rentería-Weitzman R,Huerta EE,Mandelblatt J,Latin American Cancer Research Coalition.keywords:
subject
Has Abstractpub_date
2002-07-01 00:00:00pages
383-91issue
3eissn
1049-510Xissn
1945-0826journal_volume
12pub_type
杂志文章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::The concept of acquired immune deficiency syndrome (AIDS) as a behavioral problem, and the emphasis placed by researchers on race and ethnicity as "risk factors," have led to research focused on the "risk behaviors" of historically oppressed groups and a continuing social policy thrust that "blames the victim." Dispro...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
abstract::The role of diet, acculturation, and physical activity on systolic and diastolic blood pressure was examined among 1,420 Mexican American, 388 Cuban American, and 542 Puerto Rican women who responded to the Hispanic Health and Nutrition Examination Survey collected in 1982-4. Dietary intake measures included sodium, p...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1997-04-01 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: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:The purpose was to gain an indepth understanding of the factors influencing hypertension medication compliance among hypertensive older African Americans. DESIGN:Qualitative descriptive. In depth semistructured interviews were conducted with 28 patients. Interviews were recorded, transcribed, and analyzed by...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract::This study investigated the effectiveness of a community-academic health center partnership, utilizing nurse-supervised indigenous community health workers, in decreasing the blood pressure in an urban African-American population. A four-year randomized clinical trial was conducted in the Sandtown-Winchester community...
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:2003-07-01 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:INTRODUCTION:The obesity epidemic has become a health crisis in the United States, particularly for minorities. This article reports on the health status and sociodemographic characteristics of morbidly obese American Indians living in rural areas of California. METHODS:A cross-sectional randomized household study of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2011-01-01 00:00:00
abstract:Objective:To characterize rates of co-morbidity among prostate cancer patients treated with radical prostatectomy and to examine the association between co-morbidity status and race, clinical factors, and health behaviors for cancer control. Design/Study Participants:Retrospective cohort study among prostate cancer pa...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.S1.185
更新日期:2020-04-02 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: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:OBJECTIVE:To determine the prevalence of cardiovascular risks and identify early opportunities for prevention among Dominican adults residing in New York City. STUDY DESIGN AND METHODS:A cross-sectional survey was conducted among a convenience sample of Dominicans recruited through extensive outreach in the community....
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::This paper focuses on understanding the perilous effects of interpersonal and institutional racism on the psychological and physiological well-being of Blacks. Interpersonal racism refers to prejudice and discriminatory behaviors directed toward individuals because of their race or ethnicity, and institutional racism ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2001-10-01 00:00:00
abstract::The population of South Africa is nearly 40 million and is growing at the rate of 2.5% per year. The population is 76.2% black, 13.3% white, 8.6% "mixed," and 2.6% Asian. The life expectancy (between 1985 and 1990) for whites was 69 years for males and 77 years for females; and for blacks, life expectancy was 61 years...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::An evaluation is made of the inverse role social integration plays in explaining variation in blood pressure among a sample of 1420 black Americans. This sample is part of a larger representative sample of 6717 adults (18 years and older) who were interviewed in the 1981-82 Maryland Statewide Hypertension Control Prog...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract::The conceptualization of perceived racism as a chronic stressor is relatively new to epidemiology. The Telephone-Administered Perceived Racism Scale (TPRS) captures the complexity of racism within five scales: Experience of Racism (by Blacks as a group and by the respondent), Emotional Responses, Behavioral Responses,...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-04-01 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
abstract::Diabetes mellitus disproportionately affects ethnic minorities and has serious economic, social, and personal implications. This study examines the effect of diabetes disease burden and social resources on health-related quality of life (HRQOL) among older rural adults with diabetes. Data come from a population-based ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract::The purpose of this literature review is to explore the potential relationship between ethnicity and obesity, and obesity-related risks, with a particular emphasis on disparities between Asian and Pacific Islander populations. We conducted a comprehensive search of available medical literature related to the rise of o...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:Objective:The urge to smoke is a predictor of smoking relapse. Little research has focused on the impact of acute urges during treatment among African Americans. This study examined the relationship between smoking urges and long-term abstinence among treatment seekers. Design:Longitudinal prospective investigation. U...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:10.18865/ed.27.4.395
更新日期:2017-12-07 00:00:00
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:Introduction:Internet-based tobacco cessation programs have increased in use and popularity in recent years. To examine evidence for racial/ethnic digital inequality in web-only tobacco cessation services offered by US tobacco quitlines, we conducted an analysis of quitline enrollees in five states. We hypothesized tha...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.3.495
更新日期:2019-07-18 00:00:00
abstract::This article was presented as part of the 2007 International Society on Hypertension in Blacks (ISHIB) lifestyle modification workshop focusing on smoking cessation. The three objectives addressed included 1) identification of the known and little-known health effects of cigarette smoking (eg, endocrine effects on the...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:Few studies have objectively quantified sedentary behavior, particularly in special population subgroups. This study quantified the volume of and breaks from sedentary behavior in a sample of overweight and obese, primarily African American, women. DESIGN:Cross-sectional. SETTING:18 census tracts in Columb...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-07-01 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:OBJECTIVES:Ethnic/racial differences in the prevalence of psychiatric disorders have been reported in hospital studies conducted in the United States, but general population studies find little or no evidence of higher rates of disorder in Black communities than White communities. Thus, ethnic/racial differences in the...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:The safety net system remains an important part of the health care system for uninsured and minority populations, however, the closure of safety net hospitals changes the availability of care. Using community-based participatory research methods, we explored the impact of hospital closure among late middle a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract::The purpose of the present study was to examine variation in heart disease death rates by the social class of decedents. The term, "social class" refers to a complex set of phenomena such as control over economic resources, social status, and power relative to others in society. The target population for this study wa...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::Though the rate of stroke mortality in the United States has been declining for all race-sex-specific groups, rates for blacks are among the highest in the world. Studies of the geographic and social variation of stroke mortality between populations have focused solely on either trends or social determinants, but not ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00