Abstract：
OBJECTIVE:The purpose of this cross-sectional study was to examine the association between elevated depressive symptoms and the clinical severity of sickle cell disease (SCD) using African-American adults with and without SCD. STUDY DESIGN:The population consisted of 102 African-American adults with SCD, diagnosed using hemoglobin electrophoresis, individually matched on age (+/-5 years), gender and recruitment location to 103 African-American adults without SCD (mean age of all subjects was 35.4 years, 55.6% female). Logistic regression was used to examine the association between SCD clinical severity and elevated depressive symptoms in bivariate and multivariable analyses. RESULTS:The prevalence of elevated depressive symptoms as measured using the 10-item Center for Epidemiological Studies Depression Scale (CES-D) was 38.6% in those with SCD, compared to 27.5% in those without SCD; however, this difference was not statistically significant (p>0.05). Compared to African Americans without SCD, African Americans with SCD were less educated, had lower incomes, and were more likely to be unemployed or disabled (p<0.01). The odds of having elevated depressive symptoms were 1.78 (CI: 0.94, 3.38) for those with high clinical SCD severity compared to those without SCD in bivariate analysis and 1.37 (CI: 0.62, 3.02) in multivariable analysis after adjusting for socioeconomic factors. CONCLUSIONS:The reported relationship between elevated depressive symptoms and SCD may be a result of the adverse economic conditions associated with SCD.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Laurence B,George D,Woods Dkeywords:
subject
Has Abstractpub_date
2006-03-01 00:00:00pages
365-9issue
3eissn
0027-9684issn
1943-4693journal_volume
98pub_type
杂志文章abstract：:African Americans are less likely than European Americans to participate in biomedical research. Researchers often attribute nonparticipation to the "Tuskegee effect." Using critical qualitative analysis of focus group data, we examined the public's use of the Tuskegee Study of Untreated Syphilis (TSUS) to discuss bio...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：2004-08-01 00:00:00
abstract：:The achievements of 19th century medical education, practice, literature, and science and their affect on 20th century medicine are reviewed. The contributions made by 19th century physicians to change medical education are described, as well as the social processes that influenced medicine and science in both centuri...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：1988-02-01 00:00:00
abstract：:Even with major advancements in medical knowledge and significant improvements in health sciences technology, evidence still exists that blacks do not enjoy as full a measure of health as do other racial and ethnic groups. To attempt a better understanding of this situation, literature was reviewed to consider relatio...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:We report a case of a Hispanic male presenting with acute onset of bilateral lower extremity weakness, without any antecedent viral or bacterial illness, dietary changes, infiltrative orbitopathy, diffuse goiter, infiltrative dermopathy, and family history of periodic paralysis, who was later found to have Graves' dis...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：:Decreased revenue from clinical services has required academic hospitals and physicians to improve productivity. Medical student education may be a significant hindrance to increased productivity and income. This study quantifies the amount of time spent by faculty members teaching medical students in an ambulatory ne...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-09-01 00:00:00
abstract：PURPOSE:The purpose of this study was to develop and test the efficacy of a prostate health curriculum designed to train African American and Afro Caribbean barbers to deliver prostate cancer control messages to their customers. PROCEDURES:The curriculum was drafted from information obtained from needs assessment surv...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30978-0
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abstract：:Periodically, for the past two years, the editorial staff of the Journal of the National Association has attempted to-for history's sake--highlight physicians of color. In this vein, and in light of the current hostile activities in the Persian Gulf, we felt it important we our bring readers, in this issue, the backgr...
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pub_type： 传,历史文章,面试
doi：
更新日期：2005-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Cholelithiasis and cholecystitis were thought to be rare in Africans. It is now seen more frequently than previously thought. The essence of this study is to determine the prevalence of cholelithiasis and cholecystitis in a Nigerian population, changing pattern and outcome. DESIGN:Descriptive...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：PURPOSE:To assess the prevalence of depressive symptoms and examine the contribution of demographics, disease severity, and health care use variables to depressive symptoms in sickle cell patients who had been in stable health for at least one month. PATIENTS AND METHODS:Subjects were a convenience sample of 27 men an...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30298-4
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-03-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1994-12-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
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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
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2002-10-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1983-01-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 社论
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更新日期：2005-05-01 00:00:00
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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
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-04-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-03-01 00:00:00
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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
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pub_type： 杂志文章
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更新日期：2020-11-03 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1992-12-01 00:00:00
