Abstract:
PURPOSE:Prostate cancer provides the most dramatic evidence of cancer disparities based on race and ethnicity among U.S. men. African-American men still hold a commanding lead in both prostate cancer incidence and mortality, particularly among those of low socioeconomic status (SES) and the medically underserved. Therefore, the need for early intervention persists. The purpose of this exploratory pilot study was to: a) assess the knowledge of a cohort of low-SES African-American men regarding prostate health/prostate cancer, and b) uncover myths/misinformation as barriers to prostate health decisions and behaviors. PROCEDURES:Asymptomatic African-American men participated in focus groups to candidly discuss: a) health concerns, b) prostate health, c) prostate cancer screening, diagnosis and treatment, and d) factors influencing prostate health decisions/behaviors. FINDINGS:Participants revealed sociocultural and psychological barriers: myths and lack of accurate/adequate knowledge about prostate health and cancer, fear, denial and apathy. CONCLUSIONS:These findings suggest factors that may explain the reluctance and limited participation in prostate health and prostate cancer services among medically underserved, socioeconomically disadvantaged, African-American men. Lack of knowledge, which affects all barriers to care, is amenable to change. Therefore, improvements in prostate cancer outcomes are achievable through culturally and linguistically appropriate health education tailored to their specific needs.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Richardson JT,Webster JD,Fields NJkeywords:
subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1295-302issue
10eissn
0027-9684issn
1943-4693journal_volume
96pub_type
杂志文章abstract::Posterior reversible encephalopathy syndrome (PRES) in sickle cell patients has been rarely reported previously in the setting of severe crisis or uncontrolled hypertension. Here, we report a rare and unusual case of recurrent PRES in a young adult sickle cell patient without any obvious precipitating factors. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30267-4
更新日期:2011-02-01 00:00:00
abstract::As socioeconomic status (SES) increases, the incidence of low birthweight and preterm birth decreases irrespective of social class. However, low birthweight remains twice as high for African-American women as for white women even when SES is controlled. This study examines to what extent second generation high SES Afr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::It is believed that perioperative hemorrhage, in the hepatoportal area, results from a coagulopathy. This study determined if this could be quantitated by a modified recalcification time (MRT) test developed in our laboratory. Unlike prothrombin (PT) and activated partial thromboplastin times (APTT), the MRT is perfor...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1996-05-01 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::The association among race, neighborhood socioeconomic status (SES), and chronic pain has not been well examined in older people. Clinical data was obtained from older adults (>50 years old) presenting to a tertiary care pain center. The relative roles of race and neighborhood SES on the chronic pain experienced in ol...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::Major trauma is a preventable entity. Illustrations are used to discuss the differences between major trauma centers. Requirements for a trauma center are enumerated and the impact of residency training programs is discussed relative to trauma care. The development of trauma centers is examined and reference is made t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-01-01 00:00:00
abstract::A patient with thymoma metastatic to bone is presented. The case differs radiographically and pathologically from one previously reported case in which the diagnosis was made during life. The diagnosis was obtained by percutaneous needle biopsy under fluoroscopic control. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-08-01 00:00:00
abstract:OBJECTIVE:This study examined gender differences in how three social roles - marriage, parenthood, and employment - impact depressive symptoms and clinically significant depression for African Americans in the first decade of midlife, from 40 to 50 years old. Specifically, we sought to understand the associations betwe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.10.012
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:We conducted a cross-sectional study examining potentially modifiable factors associated with cognitive impairments (mild or severe) in older whites, African Americans and Hispanics attending an outpatient eye clinic. METHODS:In-clinic interviews and physical examinations assessed social, demographic and healt...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract::In an effort to determine the impact of one aspect of the Cincinnati Comprehensive Sickle Cell Center's educational program, a study of the level of knowledge of sickle cell facts by elementary and secondary school students in the Cincinnati public school system was conducted. An underlying assumption of this study wa...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
abstract::Surgery is the modality of choice in curative treatment for cancer of the colon and rectum. Since a majority of the patients present advanced disease where the surgical outlook is poor, adjuvant therapy may be warranted. Clinical and experimental data demonstrate the benefits from preoperative radiation therapy and so...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::Primary lymphoma of the central nervous system (CNS) is difficult to diagnose because of the difficulty in differentiating it from multiple sclerosis, sarcoidosis, metastatic disease, chronic granulomatous disease, and cerebral cysticercosis. With the patient presented in this report, no abnormalities were found after...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Strangulated right Richter's inguinal hernia of the cecum is relatively rare. A case of this unusual hernia was successfully managed with a wedge resection and closure of the infarcted bowel wall in conjunction with complementary tube cecostomy. The procedure is easy to perform and relatively safe and is therefore rec...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract::Within 50 years, if current trends continue, 50 million elderly Americans will suffer visual impairment from macular degeneration or cataract. However, available evidence indicates that this impending crisis of visual health can be minimized by a simple, safe, inexpensive, and practical means of prevention. Cataract a...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Endomyocardial fibrosis (EMF), an idiopathic cardiac disorder, occurs predominantly in the tropical and subtropical regions of the world. We present herein a report of EMF in a young man from the savannah belt of Nigeria. He was a 19-year-old young man who presented with recent onset of palpitation and dyspnea and was...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30756-2
更新日期:2010-12-01 00:00:00
abstract::A survey of the nursing staff in an emergency service was completed by anonymous questionnaire. The results of the survey indicate satisfaction and confidence in the triaging group, a wish for more staff and specific inservice course content, good perception of emergency situations, misperception about restraint polic...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract::Leukoedema, a grayish-white lesion of the oral mucosa in humans, was once thought to be a probable precursor to leukoplakia. Clinical examination differentiates leukoedema from leukoplakia, lichen planus, white sponge nevus, and pathomimia morsicatio buccarum. Prevalence rates vary greatly in different countries and i...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:A retrospective observational study was done to describe the clinical and pathological profile of gastrointestinal stromal tumors (GISTs) in Afro-Caribbean patients at a tertiary care referral center over a 5-year period. RESULTS:Eighteen cases of GIST were identified over the period under review. Male to fe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30122-x
更新日期:2012-01-01 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::From 1969 to 1984, 58 patients with a diagnosis of testicular seminoma were seen and treated at the University of Kansas Medical Center. The median age was 34 years (range of 20 to 62 years). The American Joint Committee on Cancer Staging System was followed: stage I (34 patients); stage II (6); stage III (8); and sta...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:PURPOSE:To report a case of a patient with mixed mechanism glaucoma and a clear lens who was successfully surgically treated with combination cataract extraction, goniosynechiolysis and the Hydrus stent. OBSERVATION:A 59-year-old Afro-Latino woman with a history of mixed mechanism glaucoma. She was taking latanoprost ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.04.003
更新日期:2020-08-01 00:00:00
abstract::Carcinoma of the colorectum should be suspected and diagnosed early and treated adequately. Principles of surgical therapy are discussed. Meticulous follow-up is essential and re-exploration to remove recurrent disease is necessary. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-08-01 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::Magnetic resonance spectroscopy (MRS) provides a means to assess functional (metabolic activity) of the brain. It is now possible to perform MRS in a clinical setting with the use of an inexpensive software package called Proton Brain Exam/Single Voxel (PROBE/SV) developed by General Electric Medical System for use on...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
abstract::A case of sickle cell disease with 63 documented episodes of priapism that were managed medically is presented. The case is very unusual because of the fact that despite so many episodes of priapism, he did not lose sexual potency. On the contrary, over a period of time, his penis hypertrophied. To the best of our kno...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Among urban low-income and minority patients with compromised access or low adherence to primary care, exacerbations of unrecognized but symptomatic moderate to severe chronic obstructive pulmonary disease (COPD) cause avoidable emergency room visits and hospitalizations. Detection and management of COPD before a firs...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30623-4
更新日期:2010-07-01 00:00:00
abstract::Three open-label studies were conducted in which natural human interferon-alpha (nHuIFN-alpha) was given orally to human immunodeficiency virus (HIV)-infected patients at a daily dosage of 150 IU for 12 months in an attempt to assess the effects of this treatment on their CD4+ cell counts. In the first study, 110 pati...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::Small-bowel obstruction due to foreign bodies is unusual in adults. Intestinal obstruction is occasionally caused by pits, bezoars, endoscopy capsules, and gastrostomy tube buttons. We report a rare case of distal small-bowel obstruction due to dental impression material. Avoidance of this potentially life-threatening...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)31143-3
更新日期:2009-12-01 00:00:00
abstract::Renal medullary carcinoma (RMC) is a rare but highly aggressive neoplasm that primarily affects young African Americans with sickle cell trait. Most patients present with macroscopic hematuria and have metastases at diagnosis. Chemotherapy, biologics directed against the more common renal cell carcinomas and radiation...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2016.08.006
更新日期:2017-04-01 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