Abstract:
OBJECTIVE:This study investigates whether racial/ethnic disparities in childhood asthma prevalence can be explained by differences in family and neighborhood socioeconomic position (SEP). METHODS:Data were from the 2001 Rhode Island Health Interview Survey (RI HIS), a statewide representative sample of 2,600 Rhode Island households, and the 2000 U.S. Census. A series of weighted multivariate models were fitted using generalized estimating equations (GEE) for the logistic case to analyze the independent and joint effects of race/ethnicity and SEP on doctor-diagnosed asthma among 1,769 white, black and Hispanic children <18 years old. RESULTS:Compared with white children, black children were at increased odds for asthma and this effect persisted when measures of family and neighborhood SEP were included in multivariate models (AOR: 2.49; 95% Cl: 1.30-4.77). Black children living in poverty neighborhoods had substantially higher odds of asthma than Hispanic and white children in poverty areas and children in moderate- and high-income neighborhoods (AOR: 3.20: 95% Cl: 1.62-6.29). CONCLUSION:The high prevalence of asthma among black children in poor neighborhoods is consistent with previous research on higher-than-average prevalence of childhood asthma in poor urban minority communities. Changing neighborhood social structures that contribute to racial disparities in asthma prevalence remains a challenge.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Pearlman DN,Zierler S,Meersman S,Kim HK,Viner-Brown SI,Caron Csubject
Has Abstractpub_date
2006-02-01 00:00:00pages
239-47issue
2eissn
0027-9684issn
1943-4693journal_volume
98pub_type
杂志文章abstract::In April 1986, magnetic resonance imaging (MRI) of the thorax and shoulder girdle was presented to the 99th Annual Meeting of the American Association of Anatomists. These images were the authors' first attempt to correlate the magnetic resonance display of the muscles and soft tissues of the chest in the coronal plan...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract::The epidemiology of nosocomial infections was studied for 5 years in 10 Oklahoma hospitals. These were categorized into small and large hospitals. The seven small hospitals averaged 47 beds and the three large hospitals averaged 266 beds. Overall, most of the infected patients were < 5 years of > 60 years of age. Fema...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract::At the St. Francis Medical Center during the 20-year period 1960-1980, there were 1,148 primary breast cancers with a 7.1 percent incidence of synchronous and metachronous invasive primary breast cancer. Twenty-one cases (1.8 percent of the total series) illustrate noninvasive cancer of the breast. The essential appro...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The author presents a dietary program for weight reduction based not on the substitution of a low calorie meal for a high calorie meal, but on the pre-meal ingestion of low calorie bulk beverages that are pleasant to taste and space filling, thereby compromising the capacity of the stomach to accommodate much of the h...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
abstract:BACKGROUND:A study in the general population has shown a higher acute respiratory distress syndrome (ARDS) mortality among blacks. We studied whether black blunt-trauma patients experience different ARDS incidence, ARDS-associated mortality, or ARDS case fatality rates. METHODS:National Trauma Data Bank (NTDB) extract...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30700-8
更新日期:2010-10-01 00:00:00
abstract:PURPOSE:Our study aims to build on existing literature by assessing factors that may be associated with an increased risk of burnout amongst medical students, particularly students of color. METHODS:Our cross-sectional survey included the Copenhagen Burnout Inventory (CBI) and additional de novo questions. Surveys wer...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.05.019
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abstract::Total hemolytic complement (CH50) and activation of the alternate mechanism were measured in eight patients before and after splenectomy and compared to similar measurements made in a control group of patients following other abdominal surgery. In the splenectomy group, alternate-pathway-mediated activation of C3 was ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::As only 600 of the 30,000 psychiatrists in America are black, it is apparent that black psychiatrists in the United States will not be able to meet the needs of all the mentally ill blacks in this country. In view of this situation, the authors feel that psychiatric residency training programs should prepare psychiatr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract::This review provides a fresh perspective on the work of J. Marion Sims, an Antebellum era physician who invented the vaginally speculum that bears his name. His accent to become the "Father of Modern Gynecology" was his groundbreaking development of the surgical techniques for the repair for vesicovaginal fistula. Rec...
journal_title:Journal of the National Medical Association
pub_type: 传,历史文章,杂志文章,评审
doi:10.1016/j.jnma.2019.02.002
更新日期:2019-08-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.03.010
更新日期:2020-06-01 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:1997-09-01 00:00:00
abstract::The possibility that myocardial ischemia may be associated with chest pain during painful crises was evaluated prospectively in 20 patients (11 women and nine men) with sickle cell disease (19 SS, 1 S beta + thalassemia). Sixteen of 20 (80%) had abnormal ECGs, 7 (35%) had transient ST-T wave changes, and 3 (15%) had p...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::The incidence of ADHD appears to be similar in African Americans and white populations. However, fewer African-American than white children are diagnosed and treated for ADHD. Reasons for this disparity have not been fully elucidated; causes are most likely complex. Whereas certain barriers to treatment are driven by ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::Anorexia nervosa has been considered rare or nonexistent among blacks. A report of the presentation and clinical course of this disorder in two black female adolescents illustrates a serious medical psychiatric problem that may be increasingly detected among predisposed teenagers of the black middle and professional c...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1984-01-01 00:00:00
abstract::A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::Loss of integrity of the thoracic duct will produce a chylous thoracic effusion. latrogenic chylothorax occurring during an intrathoracic surgical procedure in the vicinity of the thoracic duct is an omnipresent reality. The fluid is characteristically milky in appearance, sterile, and high in fat content.There seems ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The rare association of protease inhibitor deficiency (Pi(zz) genotype) in a black American with chronic, obstructive pulmonary disease due to asthmatic bronchitis, rather than basal pan lobular emphysema, is presented. The late onset of symptoms, despite environmental exposures, is also unusual in this homozygote, as...
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
abstract::Autosomal dominant polycystic kidney disease is one of the most common hereditary diseases, and frequently has well defined extrarenal manifestations. Very few cases of aortic aneurysms associated with this disorder are described in literature. We report a 42-year-old male with autosomal dominant polycystic kidney dis...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2001-07-01 00:00:00
abstract::A case of pancreatitis that occurred as a complication of a vaso-occlusive crisis in a child with sickle cell anemia is reported. We encourage others to consider pancreatitis as a cause for abdominal pain in children with multisystem diseases, particularly those that may cause ischemic organ injury such as sickle cell...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Malaria continues to be a cause of high mortality and morbidity. Imported cases of malaria are increasing in New York City. Yet, New York physicians, when evaluating patients for fever, frequently missed the diagnosis of malaria. We evaluated the role of platelet count for predicting malarial infection. The study incl...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::In an effort to determine the impact of one aspect of the Cincinnati Comprehensive Sickle Cell Center's educational program, a study of the level of knowledge of sickle cell facts by elementary and secondary school students in the Cincinnati public school system was conducted. An underlying assumption of this study wa...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
abstract::Invasive techniques continue to be used in monitoring and treating the critically ill patient in spite of preference for, and increasing use of, non-invasive or minimally invasive techniques. With or without simultaneous determination of left ventricular filling pressure, the central venous pressure (CVP) catheter is ...
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
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-09-01 00:00:00
abstract::The author presents a four-year follow-up of a male patient with cancer of the breast. The lesion was large, fungating, and ulcerating. It was treated effectively with cobalt without mastectomy. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1987-08-01 00:00:00
abstract::A comparative study was undertaken of lipid composition of Mycobacterium tuberculosis H(37)Rv and H(37)Ra, M avium, M phlei, and M 607. Neutral lipids and phosphatides constituted about 55 and 25 percent of the total lipids, respectively. Seven different phosphatides were isolated and identified in varying proportions...
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
abstract::The purpose of this cross-sectional study was to assess the 2009 prevalence of chlamydial and gonococcal infection in 2 populations in a midwestern city in the United States: patients at a public sexually transmitted disease (STD) clinic, and individuals seeking human immunodeficiency virus (HIV) counseling and testin...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30312-6
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:The purpose of this qualitative study was to explore the causes and management of blindness and blinding eye conditions as perceived by rural dwellers of two Yoruba communities in Oyo State, Nigeria. METHODS:Four focus group discussions were conducted among residents of Iddo and Isale Oyo, two rural Yoruba com...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-06-01 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
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