Abstract：
OBJECTIVE:To examine patient and provider barriers and facilitators of colorectal cancer (CRC) screening among mid-Atlantic Latinos seeking care at urban primary care clinics and describe implications for the design of interventions in primary care. DESIGN AND METHOD:Nine focus groups were conducted with 70 Latino patients and 27 primary care providers. Content analysis of focus group transcripts was performed using established qualitative techniques. RESULTS:Comments on CRC screening fell into 10 content areas: primary care site or provider characteristics (25% patient/21% provider comments); knowledge (18% patient/12% provider comments); cost/insurance coverage (10%/25%); attitudes (14%/7%); ordering of priorities (10%/11%); language (12%/7%); procedural issues regarding screenings (8%/10%); discrimination (2%/1%); and issues related to being a new immigrant (.2%/6%). Patient lack of understanding of the screening test procedures, inadequate knowledge about colorectal cancer, inadequate numbers of Spanish-speaking providers, and the cost of screening were most often cited as barriers by patients. Both providers and patients repeatedly mentioned the lack of funding and referral sources for colonoscopy as a key barrier to performing screening, even with lower-cost fecal occult blood tests, as colonoscopy follow-up would not be available. Patients favored receiving CRC screening recommendations from their usual continuity physician, but were open to receiving information on test procedures and indications from a Spanish-speaking health educator. CONCLUSIONS:Efforts to improve funding and availability of colonoscopy for low-income persons could proceed in tandem with linguistically and culturally appropriate clinic-based efforts to improve CRC screening among Latinos.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Goodman MJ,Ogdie A,Kanamori MJ,Cañar J,O'Malley ASsubject
Has Abstractpub_date
2006-01-01 00:00:00pages
255-61issue
1eissn
1049-510Xissn
1945-0826journal_volume
16pub_type
杂志文章abstract：OBJECTIVE:This study examined geographic variation in incidence rates for two cancers common in US Hispanic women and considered some potential explanations, by using data from several high-quality cancer registries. METHODS:Age-standardized incidence rates (ASIRs) per 100,000 Hispanic women per year were analyzed for...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：:Black women are more likely to be diagnosed with later stage breast cancer and have higher mortality rates from breast cancer than white women. To determine whether cancer treatment varies for white and black women, we analyzed data from the National Cancer Institute (NCI) Black-White Cancer Survival Study (BWCSS). Da...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVE:To outline the lessons learned about the use of focus groups for the multisite, multi-ethnic longitudinal Study of Women Across the Nation (SWAN). Focus groups were designed to identify potential cultural differences in the incidence of symptoms and the meaning of transmenopause among women of diverse culture...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:In a sub-population of Nigerian children in the southern rain forest of Edo State, we recently observed widespread relative insensitivity to the taste of sodium chloride (NaCl-salt). This prompted the present study, in which we measured taste recognition threshold to NaCl (30, 60, 120, 180 mM) and sucrose (15, 50, 100...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2000-01-01 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：: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: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：Background and Purpose:Blacks have a higher burden of post-stroke disability. Factors associated with racial differences in long-term post-stroke disability are not well-understood. Our aim was to assess the long-term racial differences in risk factors associated with stroke recovery. Methods:We examined Health and Re...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.2.339
更新日期：2020-04-23 00:00:00
abstract：INTRODUCTION:Although the concept of stress is hard to define or measure, it is a phenomenon associated with a number of health conditions, including hypertension, heart disease, and decreased immunocompetency. Events such as migration are known to create stress; researchers refer to this as acculturative stress. Given...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：:Secular trends in onset of menarche and obesity were examined 14 years apart in two biracial (black-white) cohorts of girls aged 8 to 17 under study for cardiovascular risk. The first cohort (N=1,190, 64% white) was examined in 1978-1979, the second (N=1,164, 57% white) in 1992-1994. The second cohort was heavier in t...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：OBJECTIVES:To determine dietary intake and attitude toward weight control of normal weight, overweight, and obese Black women. DESIGN:Cross-sectional survey. SETTING:Rural village in KwaZulu province, South Africa. PARTICIPANTS:A convenience sample (N=187) of 25- to 55-year-old women, of whom 28.9% (N=54) were of no...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVES:Few studies have objectively quantified sedentary behavior, particularly in special population subgroups. This study quantified the volume of and breaks from sedentary behavior in a sample of overweight and obese, primarily African American, women. DESIGN:Cross-sectional. SETTING:18 census tracts in Columb...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：Objective:Global recommendations on physical activity for noncommunicable disease prevention can be promoted using partner support strategies among women of Mexican descent and other ethnicities. Design/Methods:This systematic review utilized a multifaceted ecological approach by focusing comprehensively on community,...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.28.4.555
更新日期：2018-10-18 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：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：OBJECTIVES:To determine arterial elasticity in normotensives and in treated and untreated hypertensive Black and White subjects. METHODS:A prospective multicenter, controlled clinical trial evaluated large (C-) and small (C2) artery elasticity indices among 3 groups: 1) normotensive subjects with or without a family h...
journal_title：Ethnicity & disease
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:To identify any differences in hospitalization rates of diabetes patients by age, sex, or race/ethnicity. DESIGN:A cross-sectional study of Georgia hospital discharge data between 1998 and 2001. PATIENTS/PARTICIPANTS:Patients with a principal discharge diagnosis of diabetes. MAIN OUTCOME MEASURES:Adjusted ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To determine the effectiveness of a 10-week aerobic exercise training intervention on blood pressure, cardiorespiratory fitness, and workload in African American women with prehypertension. DESIGN:After we obtained informed consent and medical clearance, each participant underwent baseline measurements, an a...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：:The purpose of this study was to investigate whether there are differences in the expression of the endothelin (ET) system in the peripheral vasculature of diabetic African-American (AA) and Caucasian (CA) patients. Tibial artery specimens were obtained from diabetic (MD = 8 and CAD = 5) and non-diabetic (AAND = 6 and...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Patients with chronic kidney disease (CKD) suffer from an increased prevalence of cardiovascular disease (CVD) risk factors, and a high rate of premature CV morbidity and mortality. The confluence of CV risk factors, in the context of cardio-metabolic perturbations that vary as renal function declines, complicates str...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：10.18865/ed.25.4.515
更新日期：2015-11-05 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：BACKGROUND:HIV+ mothers of adolescent girls can serve as agents of change, particularly when it comes to preventing patterns of behaviors that are inherently dangerous. In order to do so these women need to be able to communicate with their daughters and educate them about risk behaviors, especially those associated wi...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 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：:In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/D...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2004-07-01 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：: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：BACKGROUND:While high caffeine consumption has been shown to be associated with increased blood pressure in controlled experiments, the relationship between caffeine consumption and blood pressure in preadolescent (ages 6-11 years) and adolescent (ages 12-19 years) children has not been well studied. The primary object...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2008-07-01 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：: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：BACKGROUND:Bystander CPR (BCPR) has been demonstrated to improve rates of return of spontaneous circulation, survival to hospital admission, and quality of life in survivors. While previous studies have shown that African Americans are less likely to receive BCPR than Caucasians even after adjusting for variables such ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2009-10-01 00:00:00
