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 at increased risk for poor glycemic control. We analyzed data from a cross-sectional survey of randomly selected older (> or =65 years) adults with type 2 diabetes in rural North Carolina. Participants (N=693) were men and women from three ethnic groups: African American, Native American, and White. Capillary blood samples were collected for HbA1C analysis. HbA1C levels (<7%, 7%-<8%, and > or =8%) were compared across ethnic and gender groups. Two multiple logistic regression models (model 1: personal characteristics; model 2: personal and health characteristics) were used to evaluate potential predictors of HbA1C > or =7%. Overall, 36.4% had HbA1C > or =7%. Native Americans and African-American men had the highest proportion at levels of poor glycemic control (> or =7%), and African-American women and White men had the lowest. In bivariate analysis, ethnicity, living arrangements, use of medications for diabetes, having a diabetes-related healthcare visit in the past year, and duration of diabetes were significantly associated with glycemic control. In multivariate analysis (model 1), being Native American, having low income without Medicaid, and being married were associated with poor glycemic control. Adding health characteristics (model 2), longer diabetes duration and diabetes medication therapy were significant predictors. These data indicate that older ethnic minorities in rural communities are at increased risk for diabetes complications and need diabetes management strategies to improve glycemic control.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Quandt SA,Bell RA,Snively BM,Smith SL,Stafford JM,Wetmore LK,Arcury TAkeywords:
subject
Has Abstractpub_date
2005-10-01 00:00:00pages
656-63issue
4eissn
1049-510Xissn
1945-0826journal_volume
15pub_type
杂志文章abstract：OBJECTIVES:The REACH NOLA Mental Health Infrastructure and Training Project (MHIT) aimed to reduce disparities in access to and quality of services for depression and posttraumatic stress disorder (PTSD) in post-Katrina New Orleans by developing a mental health outreach role for community health workers (CHWs) and case...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-07-01 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：:Sickle cell disease is the most commonly inheritable blood disorder in man. Sickle cell anemia affects approximately one in 375 Blacks in the United States. There is yet no known cure for this disease. Families of sickle cell patients continue to be financially and emotionally devastated by sickle cell disease complic...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：:The National Heart, Lung, and Blood Institute (NHLBI) provides global leadership for a research, training, and education program to promote the prevention and treatment of heart, lung, and blood diseases and enhance the health of all individuals so that they can live longer and more fulfilling lives. Inherent in this ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.29.S1.57
更新日期：2019-02-21 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：:An estimated 1.2 billion citizens of the world are smokers. In developing countries, half the males smoke. WHO projects a global smoking population of 1.6 billion by the end of the next two decades. Collectively, today the world's smokers annually consume nearly 1,000 cigarettes for every man, woman and child on the p...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:To determine the effects of baseline cognitive function on incidence of disability in activities of daily living (ADL) in initially non-disabled Mexican-American elderly over a 7-year period. DESIGN:A prospective cohort study. SETTING:Southwestern United States: Texas, California, Arizona, New Mexico, and C...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:To identify the prevalence of hypertension among adults in Bo, Sierra Leone. DESIGN:Hypertension data were extracted from outpatient clinic records. SETTING:Mercy Hospital in urban Bo, Sierra Leone. PATIENTS:All nonpregnant outpatients aged -15 years seen at the outpatient clinic in 2009. MAIN OUTCOME MEA...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-04-01 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：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：OBJECTIVE:To ascertain the association of -3826 A/G polymorphism with blood pressure and different obesity markers. DESIGN AND SUBJECTS:A total of 96 adult participants (49 males, 47 females) were studied. Anthropometric measurements and blood pressure were taken using standardized techniques. Obesity indices of body ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-04-01 00:00:00
abstract：:This study examined actual and perceived weight status and body satisfaction of college-age African-American males. We predicted that, in general, males would be accurate about their weight status and satisfied with their body sizes and shapes. The study population was 123 male from a cross-sectional survey of 406 sen...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVES:Moderate to severe CKD, may be symptomless and therefore may be undetected if effort is not made to assess kidney function. The aim of this study was to determine the eGFR of asymptomatic newly diagnosed hypertensives and diabetics with a view to creating awareness for early screening, evaluation and interve...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2014-04-01 00:00:00
abstract：Objective:To build upon research that investigates the health significance of familial and former incarceration with special emphasis on obesity risk among native-born Black (ie, African American) men. Methods:We analyzed data from the 2001-2003 National Survey of American Life (NSAL), focusing on native-born Black me...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.28.2.69
更新日期：2018-04-26 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：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: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：:This paper presents evidence-based strategies for assisting patients in quitting smoking. Summaries of the effectiveness of advice alone, varying levels of behavioral counseling, nicotine replacement therapies, and bupropion either alone or in combinations are presented. We describe two web-based resources, one that o...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2005-04-01 00:00:00
abstract：:Hypertension, a major risk factor for cardiovascular disease, imposes a significant public health burden and challenge to address it worldwide. Scaling up delivery of proven, effective interventions for hypertension could significantly advance the goal of reducing the global burden. Although significant progress has b...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.26.3.395
更新日期：2016-07-21 00:00:00
abstract：INTRODUCTION:In the epidemiologic modeling of diseases, the epidemiologic problem oriented approach (EPOA) methodology facilitates the development of systematic and structured knowledge bases, which are crucial for development of models. A detailed understanding of the epidemiology of a given disease provides the essen...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:The objective was to investigate how data on race and ethnicity are collected by hospitals reporting to the New Hampshire State Cancer Registry (NHSCR). METHOD:NHSCR surveyed hospitals asking how information on race and ethnicity were collected. A review of relevant legal mandates and national guidelines wa...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-04-01 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：: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：: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：:Physical inactivity, a primary risk factor for cardiovascular disease, is more prevalent within the African-American population. Unfortunately, only a few investigators have documented the effects of exercise training studies on cardiovascular fitness in this cohort. Therefore, the purpose of this study was to examine...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1998-10-01 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：:Recent experiments have examined the subjective and physiological responses of African Americans to racism using video-taped vignettes or emotional imagery. These studies reported changes in mood and increases in cardiovascular (CV) and electromyographic (EMG) activity when analogs of the stressful situations were enc...
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：1996-01-01 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：:In 1999, Tougaloo College (TC), located in Jackson, Mississippi, was charged, as a part of its role in the Jackson Heart Study (JHS), with creating a pool of well-trained high school students who, upon entering college, could successfully complete undergraduate and graduate or professional degrees in the health profes...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.1.25
更新日期：2020-01-16 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
