Abstract:
:Numerous studies have documented the presence of racial disparities among Americans in health outcomes with respect to cardiovascular disease, infant mortality, cancer, and kidney disease. With regard to kidney diseases, these disparities are more dramatic. African, Hispanic, and Native Americans have the highest risks of end-stage renal disease (ESRD). The incidence of ESRD is four times higher in African Americans than in whites. Diseases causing chronic kidney failure, such as diabetes mellitus, hypertension, systemic lupus erythematosus, and human immunodeficiency virus-associated nephropathy, are particularly prevalent among African-American patients. In addition to the higher prevalence, the morbidity associated with kidney complications of these diseases appears worse in African-American patients. African Americans also have worse outcomes and a relatively reduced access to kidney transplantation--the best therapy for ESRD. It is highly likely that social and environmental factors play a very significant role in the persistence of these disparities. A detailed understanding of these socioeconomic and environmental factors will be critical in formulating rational public health strategies to redress these disparities. This paper reviews the social, economic and environmental factors that impact on the incidence of ESRD in minority groups.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Nzerue CM,Demissochew H,Tucker JKkeywords:
subject
Has Abstractpub_date
2002-08-01 00:00:00pages
28S-38Sissue
8 Suppleissn
0027-9684issn
1943-4693journal_volume
94pub_type
杂志文章,评审abstract::At the St. Francis Medical Center during the 20-year period 1960-1980, there were 1,148 primary breast cancers with a 7.1 percent incidence of synchronous and metachronous invasive primary breast cancer. Twenty-one cases (1.8 percent of the total series) illustrate noninvasive cancer of the breast. The essential appro...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The Masterson curette was used to sample the endometrial cavity of 25 women prior to scheduled hysterectomy for benign or malignant pathology. Adequate amount of tissue was obtained in 20 (87%) of 23 patients who did not have endometrial atrophy. The Masterson curettage detected all seven cases of endometrial hyperpla...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::Racial disparities in quality of health are major issues affecting healthcare delivery. While substantial studies have been done in adults with end-stage renal disease (ESRD), similar studies are lacking in pediatric patients with ESRD. We retrospectively analyzed our transplant database from 1978-2002 to identify rac...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract:UNLABELLED:Severe hyponatremia is associated with increased morbidity and mortality. Clinicians treating patients with severe hyponatremia are often torn between a desire to promptly raise serum sodium concentration to a "safe range," and at the same time, to avoid excessively rapid correction of hyponatremia. The aim ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::Sickle cell disease (SCD) is a hematological disorder that is manifested primarily by severe pain and chronic organ damage. Little normative data exists on what the usual healthcare utilization is of a population of SCD patients, especially adults. Our study analyzed the office, emergency department (ED) and hospital ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract::This article describes a required primary care curriculum for all third and fourth year medical students at the Drew/UCLA Medical Education Program. The curriculum is a supplement to the traditional medical school clinical requirements. Key features of the primary care core curriculum in the third year include a weekl...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:To determine the factors associated with inadequate follow-up for abnormal Pap smears among a cohort of Boston women from urban academic clinics. METHODS:Subjects were women > 18 years with abnormal cervical cytology between February 1999 and April 2000. Inadequate follow-up was defined as lack of subsequent c...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Clinical and pathological findings in 15 patients with carcinoma of the midthoracic esophagus were analyzed. The author concluded that preoperative radiotherapy reduces tumor size and improves resectability. Longer follow-up is required to determine whether or not preoperative radiotherapy improves survival rates in t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-02-01 00:00:00
abstract::Relaxation therapy is one of the new modalities in the area of behavioral medicine which physicians may wish to use for tense patients as adjunctive to purely medical treatment. Efficacy of the specific therapy and patient compliance may be improved by use of relaxation therapy. This paper gives details on how to prov...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract::The study aimed at finding out the clinicopathologic, ophthalmic and visual profiles, management and outcome of mucoceles of the paranasal sinuses in Nigerians. The study was a retrospective review of 20 cases of mucoceles who presented to the ENT clinic and referred to the eye clinic of the University College Hospita...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To determine if African American and European American children with asthma admitted to an intensive care unit (ICU) had different characteristics, we conducted a retrospective chart review of asthma admissions to the region's only pediatric ICU. PATIENTS AND METHODS:A chart review was performed on 125 patie...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31107-x
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To determine whether there is an association between perceived pediatric overweight and emotional/behavioral difficulties among children ages 4 to 17 years in the United States. DESIGN:A cross-sectional study SETTING:Interview of an adult knowledgeable about a child's emotional and physical health. All stat...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30447-8
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Climatic conditions may trigger subclinical disease in predisposed individuals and also exacerbate eczematous symptoms resulting in persistence or increased frequency of atopic dermatitis (AD) flares. The aim of this study is to assess the impact of tropical weather conditions on the frequency at which atopi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.06.005
更新日期:2019-02-01 00:00:00
abstract::Organizational barriers play a key role in colorectal cancer (CRC) screening disparities in low-income minorities. This is a prospective, randomized trial to determine whether a patient navigator (PN) can help overcome the organizational barriers low-income minorities face in trying to obtain screening colonoscopy. Pa...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0027-9684(15)31240-2
更新日期:2008-03-01 00:00:00
abstract::This study examines gender differences in the aerobic fitness levels of young African-American adults. Two hundred twelve African-American college freshmen (79 men, 133 women) completed the Houston Non-Exercise Test-Body Mass Index Model (HNET-BMI) questionnaire, a questionnaire designed to estimate maximum oxygen con...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::In 1994, it was estimated that about 44,500 American women would die from breast cancer and 7000 women from cervical cancer. While early detection methods (screening mammography, breast examinations, and pap smears) have proven to be effective means of decreasing these cancers, they are underused by all groups. In par...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract:INTRODUCTION:This book review analyzes the complex and profound impact active religious participation has on relationships and family outcomes among African Americans and Latinos. In Soul Mates, Wilcox and Wolfinger discuss the legacy of slavery and Jim Crow laws and the resulting devastating effects on African America...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:10.1016/j.jnma.2016.08.007
更新日期:2016-01-01 00:00:00
abstract::Lung cancer is the leading cause of cancer-related mortality. Nonsmall-cell lung cancer (NSCLC) constitutes approximately 80% of all the lung cancers observed. Despite the aggressive nature of this disease, totally adequate and fully comprehensive treatment yielding outstanding outcomes and survival has yet to be disc...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:10.1016/s0027-9684(15)31342-0
更新日期:2008-06-01 00:00:00
abstract::A Nigerian school boy with the syndrome of multiple jaw cysts, skeletal anomalies, and basal cell nevi is described and discussed. To the authors' knowledge, this is the first report of this syndrome in a black African. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract::Perineural and endoneural tumor spread is a form of metastatic disease in which the primary tumors spread along neural pathways and gain access to noncontiguous regions. Although rare, this type of skip metastasis into the cranial cavity occurs from tumors of the parotid gland and facial skin. Recognition of this proc...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::The growing incidence of diabetes mellitus in the world is a widespread concern. While there has been improvement in the epidemiology and management of the disease in the developed world, the same cannot be said in sub-Saharan Africa. The disease is getting less attention as is the funding that it merits compared to c...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30643-x
更新日期:2010-07-01 00:00:00
abstract::Polymastia is described and tumor formation in this condition is discussed. Two cases of carcinoma is aberrant breast tissue and one of fibroadenoma in a supernumerary breast are reported. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract::Smooth muscle tumors are uncommon lesions of the vulva and represent a variety of histologic types. When encountered, surgical treatment is guided by the malignant potential of the tumors. This article presents the case of a 45-year-old woman who underwent conservative excision of a 10-cm vulvar lesion consistent with...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To identify predictors of compliance with antihypertensive combination therapy in a Medicaid population. METHODS:Retrospective medical and pharmacy claims data for Maryland Medicaid patients receiving angiotensin converting enzyme inhibitors (ACEls)/hydrochlorothiazides (HCTZs) or ACEl/calcium channel blocke...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30808-7
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Compared to whites, African Americans have almost a 2-fold increased risk of first-ever stroke. Our study sought to determine awareness of stroke risk factors and management, symptoms, and risk reduction strategies in African Americans in Mississippi, which is part of the "stroke belt. METHODS:We conducted ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30495-8
更新日期:2010-02-01 00:00:00
abstract::A questionnaire was administered to 52 females with sickle disease of genotypes Hgb SS, SC, and S-thalassemia, and to 80 control subjects. They answered questions pertaining to their contraceptive habits, their reproductive habits, and their sexual activity. It was found that sexual activity differed significantly f...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::All patients presenting with ocular trauma to the emergency room of a large inner-city hospital during a 2-month period were prospectively examined and interviewed. Of 3,627 trauma visits, ocular trauma accounted for 126 (3%). There were 514 trauma admissions; 26 (5%) of these were for ocular trauma. Bilateral injurie...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to investigate the relationship between occupation and head and neck cancers. PATIENTS AND METHODS:In this case-control study, 206 Turkish patients with head and neck cancers comprised the case group. The control group consisted of 206 age- and sex-matched patients without mal...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::The latency period is an extremely important transition between the preschool years and adolescence. Normal ego functioning is described, especially cognition, socialization, motor development, and defensive functions. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract::The purpose of this cross-sectional study was to assess the 2009 prevalence of chlamydial and gonococcal infection in 2 populations in a midwestern city in the United States: patients at a public sexually transmitted disease (STD) clinic, and individuals seeking human immunodeficiency virus (HIV) counseling and testin...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30312-6
更新日期:2011-04-01 00:00:00