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 diabetes, but less is known for those of Puerto Rican and Dominican origin. Two interventions were implemented in a large primary care practice: an ADA-recognized Diabetes Self Management Education program, and clinical information feedback loops to providers regarding adherence to the Massachusetts Guidelines for the Care of Diabetes. The study identified the prevalence of diabetes to be 13.7% among Puerto Ricans, and 9.1% among Dominicans, rates 2-to-3 times that for the general population. Latino patients (N=567) who participated in a Diabetes Self Management Education Program maintained lower Hb A1c values than did a comparison group (N=432). For a random sample of Latinos with diabetes (N=98) in this study, 6 measures of health care improved significantly from 2001 to 2003. Areas of improvement among healthcare providers were: ordering a microalbumin level measurement when appropriate, prescribing ACE inhibitors as needed, providing pneumococcal and influenza vaccines, reviewing activity status and exercise, identifying smoking status, and prescribing lipid-lowering agents, as appropriate. Body mass index (BMI) for the 98 patients remained the same for both measurement periods at 32.8. Although this initial study spanned only 2 years, improvements in health care and health indices for the population are encouraging. Further study is underway to expand on these gains.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Cleghorn GD,Nguyen M,Roberts B,Duran G,Tellez T,Alecon Mkeywords:
subject
Has Abstractpub_date
2004-07-01 00:00:00pages
S117-21issue
3 Suppl 1eissn
1049-510Xissn
1945-0826journal_volume
14pub_type
杂志文章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：: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：:This study examines the influence of ethnicity (African-American vs white) and family history of hypertension on the blood pressure and heart rate responses of healthy, unmedicated men, aged 21 to 39 years, to a variety of stressors that are hypothesized to elicit beta-adrenergic or alpha-adrenergic reactivity. Cardio...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1992-07-01 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：:For some time, biologists and anthropologists have overwhelmingly rejected the partitioning of modern humans into biological "races." An examination of recent human evolutionary history suggests that the zoological definition of race, based on significant genetic differences, cannot be legitimately applied to contempo...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1992-04-01 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：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：: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：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. METHOD...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-07-01 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：OBJECTIVES:To describe the association between renal disease and other features of the metabolic syndrome and its derivative illnesses among Australian Aborigines in remote settings. METHODS:Volunteering adults (N = 2019) in four remote communities were screened for risk factors and markers of renal disease, hypertens...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2006-04-01 00:00:00
abstract：:Many health promotion intervention studies have been conducted with the goal of encouraging people to change their lifestyles. These include interventions in the community, at worksites, in a medical setting, and on patients at high risk of disease. These interventions have had, in general, a limited impact (eg, risk ...
journal_title：Ethnicity & disease
pub_type： 社论
doi：
更新日期：2007-10-01 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：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：BACKGROUND:National surveillance for ectopic pregnancy (EP), the primary cause of maternal death in the first trimester, began in 1970. EP rates peeked during the late 1980s and have been highest for African Americans. However, limited reports on EP rates exist for other racial/ethnic groups. OBJECTIVES:To report stat...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-10-01 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:Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider. Methods:U...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.29.2.253
更新日期：2019-04-18 00:00:00
abstract：BACKGROUND:Obesity predisposes an individual to numerous risk factors for cardiovascular diseases. Inflammation, reported as a link between obesity and cardiovascular disease, contributes to the development of atherosclerosis. OBJECTIVES:The aim of our study was to assess the relationship between lipid parameters, low...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:The current study examined ethnic differences in patterns of weight loss and regain in response to an initial behavioral weight loss intervention followed by an extended-care maintenance program. METHODS:We analyzed data from 224 women (African American n = 43, Caucasian n = 181) from rural communities who p...
journal_title：Ethnicity & disease
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2011-04-01 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: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 prevalence of non insulin dependent diabetes mellitus (NIDDM) is increasing in all populations. This increment has been correlated with changes in lifestyle, particularly in eating behavior. Migration studies strongly suggest that NIDDM becomes more common when lifestyle factors interact with genetic susceptibilit...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：1999-04-01 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
abstract：:We compared the incidence of preeclampsia and neonatal outcomes in 208 white (born in Canada) and 74 black (born in Haiti) women with mild chronic hypertension. Controls included 17,677 white and 2,400 black normotensive women delivered in the same center between 1987 and 1991. Superimposed preeclampsia (32.4% vs 14.9...
journal_title：Ethnicity & disease
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVE:To assess the impact of African American race on hypertension management among a real-world hypertensive population. DESIGN:Cross-sectional study. SETTING:28 US physician practices. PATIENTS:Adult patients with a hypertension diagnosis between November 2006 and September 2008. MAIN OUTCOME MEASURES:Blood ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2010-10-01 00:00:00
abstract：:A population-based sample of Seventh-Day Adventists was studied to determine the relationship between vegetarian status, body mass index (BMI), obesity, diabetes mellitus (DM), and hypertension, in order to gain a better understanding of factors influencing chronic diseases in Barbados. A systematic sampling from a ra...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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：: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：: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：OBJECTIVE:This study examines whether socioeconomic status (SES), measured at both the individual and neighborhood levels, is associated with receipt of definitive treatment for localized prostate cancer and whether these associations mediate racial differences in treatment between non-Hispanic White and non-Hispanic B...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：10.18865/ed.27.3.201
更新日期：2017-07-20 00:00:00
