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 categorized as White, African-American, Hispanic, and Asian/Pacific Islander. Maternal outcome measures included preterm labor, hypertensive disorders of pregnancy, gestational diabetes, antepartum hemorrhage, membrane disorders, cesarean section, and postpartum hemorrhage. RESULTS:African Americans were more likely to have preterm labor (odds ratio [OR] 1.71), preeclampsia (OR 1.59), transient hypertension of pregnancy (THP) (OR 1.13), pregnancy-induced hypertension (PIH) (OR 1.38), diabetes (OR 1.26), placenta previa (OR 1.78), placental abruption (OR 1.52), premature rupture of membranes (PRM) (OR 1.19), infection of the amniotic cavity (IAC) (OR 1.95), and cesarean section (risk ratio [RR] 1.08); Hispanics were more likely to have diabetes (OR 1.44), placenta previa (OR 1.20), IAC (OR 1.15), and cesarean section (RR 1.06); and Asian/Pacific Islanders were more likely to have diabetes (OR 2.05), placenta previa (OR 1.57), PRM (OR 1.26), IAC (1.79), and postpartum hemorrhage (OR 1.19). CONCLUSIONS:African Americans had the worst outcomes when adjusted for sociodemographic characteristics and comorbidities. Infection, gestational diabetes, and control of hypertension, especially among African Americans, are the most significant preventable risk factors contributing to disparities. By increasing access to health services, health education, and appropriate perinatal care in minority populations, improvements are likely to occur across multiple measures including frequencies of preterm labor, cesarean section, and gestational diabetes.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Shen JJ,Tymkow C,MacMullen Nkeywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
492-7issue
3eissn
1049-510Xissn
1945-0826journal_volume
15pub_type
杂志文章abstract：:An estimated 170 million persons (3% of the world's population) are infected with the hepatitis C virus (HCV), and 3 to 4 million persons are newly infected each year. Of those infected, 70%-85% develop chronic viremia with the potential for devastating long-term sequelae, including chronic liver disease, cirrhosis, h...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-04-01 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：:The design, implementation, and preliminary evaluation of an enhanced community-engagement program that uses poetry, film, and photography at a film festival in south Los Angeles is described. This project is one of several Talking Wellness projects designed to develop social capital and enhance community engagement i...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：INTRODUCTION:Reactive oxygen and nitrogen free radicals are produced during immune activity, and are triggered by several environmental factors such as pollution, smoke, and sunlight. Harmful effects of these reactive species include cellular damage to RNA, DNA, proteins and lipids. In humans several diseases including...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:During the past two decades, there has been an increased use of community-based participatory research in public health activities, especially as part of efforts to understand health disparities affecting communities of color. This article describes the history and lessons learned of a long-standing community particip...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 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：:In the United States, tobacco use is a leading contributor to inequities in cancer health among individuals for many ethnic, racial, sexual minority, and other minority groups as well as individuals in lower socioeconomic groups and other underserved populations. Despite remarkable decreases in tobacco use prevalence ...
journal_title：Ethnicity & disease
pub_type： 社论
doi：10.18865/ed.28.3.187
更新日期：2018-07-12 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：INTRODUCTION:As economic development continues in China, it is important to evaluate recent changes in dialysis status. However, China lacks a national dialysis registry. This elevates the need to use local registry systems like the Shanghai Dialysis Registry to gain an overview of dialysis status in developed cities i...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：:This report contains information from the Health Policy Summit, held in conjunction with the Fifth Annual Primary Care Conference and the Tenth Annual HeLa Women's Health Conference. During this Summit's presentation, Warren A. Jones, MD provided information on the Medicaid system and the challenges facing administrat...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-04-01 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：OBJECTIVE:To establish the baseline prevalence rates for non-communicable disease risk factors in Eritrea. STUDY DESIGN:A cross-sectional survey was conducted among all the ethnic groups in Eritrea with the WHO STEPwise approach. Hypertension was defined as blood pressure > or = 140/90 mm Hg or a person on medication ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-04-01 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
abstract：INTRODUCTION:Although it is known that female rats have a more robust behavioral response to acute cocaine administration than male rats, the neurobiological mechanisms underlying these differences remain unclear. The purpose of the present study was to determine if there are sex differences in cocaine's regulation of ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 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：:Patients from the Indian subcontinent have a distinct cardiovascular risk profile with profound health consequences. South Asians tend to develop more severe coronary artery disease at a younger age, and may also suffer from earlier myocardial infarction and heart failure. The genesis of this risk is multi-factorial. ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：:The Resource Centers for Minority Aging Research (RCMAR) initiative was established in 1997 and currently includes six centers across the United States. The model of community engagement developed by all the RCMARs is Community Based Participatory Research (CBPR). This supplement explores the diverse methods of partne...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:We assessed racial differences in lipoprotein particle size, a marker of atherosclerosis risk, among women with coronary disease. METHODS:We studied 378 women (33% non-White, predominantly African American) at the baseline visit of the Women's Angiographic Vitamin and Estrogen Trial (WAVE), a multicenter tr...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2008-04-01 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：:This review article discusses disparities in immunization rates for beneficiaries of the US Medicare program. The review considers: 1) historical and statistical information on rates of immunization; 2) goals set forward by the Centers for Medicaid and Medicare Services (CMS) to eliminate racial and ethnic health disp...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVE:To describe older African Americans' communication with pharmacists and their opinions, beliefs, perceptions, and attitudes about the role of the community pharmacist. DESIGN:We conducted six sex-specific focus groups for this qualitative study. SETTING:Community-based senior-serving agency located in a pre...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:To examine the number, type (menthol vs non-menthol), brand (Black, White, Women's, Other), and size of cigarette ads in Black, Latino, and White magazines. METHOD:Analysis of digital photographs of 274 cigarette ads appearing in Ebony (Black), People (White), and People in Spanish (Latino) for the 4.5-year ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:Develop and validate body image scales (BIS) presenting real human bodies adapted to the macroscopic phenotype of urban Cameroonian populations. DESIGN:Quantitative and qualitative analysis. SETTING:Yaoundé, capital city of Cameroon. PARTICIPANTS:Four samples with balanced sex-ratio: the first (n=16) aged ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:In a cross-sectional study, we examined the association between hyperinsulinemia and hypertension, independent of body mass, among White non-Hispanic, Black non-Hispanic, and Mexican-American adults without diabetes. METHODS:Data are from 8,004 adults, aged > or = 20 years from the Third National Health and ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-04-01 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：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：:There are well-known Black-White disparities in adverse birth outcomes, health behaviors, and chronic diseases such as asthma, diabetes, and hypertension. These disparities hold across socioeconomic status and have remained stable for the past 50 years despite efforts to reduce them. This theoretical review argues tha...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:Exposure to estrogen is a risk factor for breast cancer. Since estrogen executes its effect through estrogen receptors (ERs), the relationship between menstrual factors, which are estrogen-related, and breast cancer may be different depending upon ER status of tumors. This case-control study aimed to examine...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-10-01 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：OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-07-01 00:00:00
