Abstract：
OBJECTIVE:To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN:A case-control study conducted in August 2004 in North Carolina. METHODS:Cases were 18-40-year-old women with HIV infections diagnosed from 2003-2004. Controls were 18-40-yearold, HIV-negative heterosexually active women recruited from HIV testing sites. Five focus group discussions were also conducted with women not participating in the case-control study. RESULTS:Multivariate analyses of 31 cases and 101 controls showed that HIV-positive women were more likely to receive public assistance [adjusted odds ratio (aOR) 7.3; 95% confidence interval (CI) 2.1, 26.0], to report a history of genital herpes infection (aOR 10.6; 95% CI 2.4, 47.2), and were less likely to have discussed a variety of sexual and behavioral issues relevant to risk of HIV infection with their male partners (aOR 0.6; 95% CI 0.4, 0.8). Focus group participants indicated that financial and social demands created competing challenges for making HIV prevention a priority. CONCLUSIONS:Inadequate communication between black women and their sexual partners may create barriers to sexual and behavioral risk reduction. A multidimensional approach that addresses both biological factors such as herpes infection and socioeconomic factors may be needed to reduce HIV transmission in this population.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Forna FM,Fitzpatrick L,Adimora AA,McLellan-Lemal E,Leone P,Brooks JT,Marks G,Greenberg Asubject
Has Abstractpub_date
2006-11-01 00:00:00pages
1798-804issue
11eissn
0027-9684issn
1943-4693journal_volume
98pub_type
杂志文章abstract：:Most radiologists agree that micronized barium is superior to regular USP barium in demonstrating ulcers of the stomach and duodenum. The authors present the results of a study which shows the differences in reliability of the two substances in demonstrating duodenal ulcers. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-09-01 00:00:00
abstract：:There have been increasing rates of uninsured patients in the United States over the past few decades. Despite this growing problem, little progress has been made to decrease the rate of growth of uninsured patients or to provide affordable insurance coverage to those who are unable to maintain insurance coverage thro...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
abstract：:The growing incidence of diabetes mellitus in the world is a widespread concern. While there has been improvement in the epidemiology and management of the disease in the developed world, the same cannot be said in sub-Saharan Africa. The disease is getting less attention as is the funding that it merits compared to c...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30643-x
更新日期：2010-07-01 00:00:00
abstract：:Liposuction (suction-assisted lipectomy) is today an accepted, closed surgical technique utilized by physicians practicing in a number of different specialties. It is a procedure that can be learned and used as an adjunct to a number of open procedures, including rhytidectomy and abdominoplasty.THE TWO PRINCIPAL KEYS ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1987-12-01 00:00:00
abstract：:Newly diagnosed insulin-dependent diabetic Nigerian Africans were studied prospectively over a 6-year period and were analyzed for sex, age at diagnosis, and month of onset of symptoms. Insulin-dependent diabetes mellitus (IDDM) rarely occurred in patients younger than the age of 10. A female preponderance occurred in...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：BACKGROUND:Self-monitoring of blood glucose (SMBG) is considered to be 1 of the cornerstones of diabetes self-management. It is unclear whether inadequate health literacy affects SMBG. OBJECTIVE:The objective of this study was to examine the relationship between health literacy and SMBG. METHODS:This was a cross-sect...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30469-7
更新日期：2010-01-01 00:00:00
abstract：:Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). Using a community-based participatory research (CBPR) approach to problem identification and exploration, a total of 74 Latino men (mean age 22.3, range 18-37) residing in a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Presented here is an unusual case of extrinsic biliary obstruction due to a mass caused by xanthogranulomatous pyelonephritis, in itself a rare disease, of the right kidney. This phenomenon has not been described previously in the literature, and it should be brought to the attention of practitioners as another possib...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-06-01 00:00:00
abstract：:A large majority of psychiatric outpatients (70 percent) could be diagnosed by nonprofessionals, and an even larger proportion, 80 percent, of 36 patients evaluated could be treated by nonprofessionals. Where the nonprofessional needed professional assistance to diagnose and treat the patient, it was a medical doctor ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-11-01 00:00:00
abstract：:Perhaps the most significant link in achieving the nation's immunization objectives is the extent of parental knowledge. Admittedly, this is a weak link. The 1990 federal objectives calling for an official format using common guidelines for completion of immunizations, though well-conceived, has not been used exclusiv...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：:Medical mycology involves the study of pathogenic fungi and their identification in the laboratory. Mycology has developed into a field that demands the attention of all clinicians treating patients in hospitals. Interest in medical mycology has grown in recent years due to a dramatic rise in the rates of fungal infec...
journal_title：Journal of the National Medical Association
pub_type： 社论
doi：
更新日期：2003-12-01 00:00:00
abstract：:Crohn's disease is less prevalent in blacks than in whites. However, when it does occur, it is associated with a high degree of morbidity and is frequently unrecognized at initial presentation. Forty-three patients with Crohn's disease presented to Howard University Hospital between 1965 and 1987. There were 156 hospi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-10-01 00:00:00
abstract：:Acute transmural myocardial infarction is usually caused by a coronary thrombus along with fixed coronary artery stenosis. Myocardial necrosis can be interrupted by the prompt use of pharmacologic and mechanical thrombolysis. Intravenous streptokinase and urokinase have been associated with approximately a 45 percent ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1988-09-01 00:00:00
abstract：:The tendency for selected cardiovascular disease (CVD) risk factors to occur in clusters has led to the description of metabolic syndrome (MetS). The relative impact of the individual risk factor on the overall relative risk (RR) for cardiovascular death from metabolic syndrome is not well established and may differ a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31304-3
更新日期：2008-05-01 00:00:00
abstract：:Growth data were analyzed on 406 infants (211 black, 195 white) during their first two years of life. Only term children weighing more than 2500 g were included in the study. Prenatal and postnatal care were provided at the same university affiliated health maintenance organization. Mean birth weight of black female n...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1986-12-01 00:00:00
abstract：:The 1993 NCEP recommended phase 2 diets and < or = 100 mg/dL LDL goals for all atherosclerotic patients. We reviewed Washington, DC physician 1994-2000 use of these recommendations for coronary care unit (CCU) patients. Questionnaires, chart reviews and interviews of cardiologists, residents and dietitians showed > 80...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：:The provision of quality out-patient psychiatric care to a predominately black inner-city population, in a University setting such as ours, is a complex and challenging task. This paper addresses service and teaching issues related to the provision of that care in the Adult Unit of the Howard University Hospital Menta...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-04-01 00:00:00
abstract：PURPOSE:This study aimed to evaluate whether comprehensive multidisciplinary care (cMDC) for breast cancer patients affected time from diagnosis to treatment, compliance with appointments and to assess for racial disparities. METHODS:This institutional review board approved retrospective study included adult patients ...
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
abstract：:The psychosocial adjustment of patients who are experiencing physical disabilities is examined within the context of a family ecological approach. Historical and sociocultural characteristics of African-American families are delineated and explored in terms of their potentially positive impact on the adjustment proces...
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
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：:Strongyloides stercoralis affects 30 to 100 million people worldwide and is a common cause of abdominal pain and diarrhea. Strongyloidiasis is a chronic and limited disease; however, in immunocompromised patients, hyperinfection syndrome can occur. Diagnosing strongyloidiasis early is important, as almost all deaths d...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：10.1016/s0027-9684(15)30246-7
更新日期：2011-01-01 00:00:00
abstract：PURPOSE:Respondent-driven sampling (RDS) was used to recruit four samples of Black and Latino men who have sex with men (MSM) in three metropolitan areas to measure HIV prevalence and sexual and drug use behaviors. We compared demographic and behavioral risk characteristics of participants across sites, assessed the ex...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2015.12.009
更新日期：2016-02-01 00:00:00
abstract：:This study explores the effects of abuse on the risk-taking behaviors of 2973 black and white adolescent males, 412 of whom were sexually or physically abused. Surveys on mental and physical health, risk-taking behaviors and attitudes, and family living were administered to 9th and 12th graders in an urban midwestern ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：:A retrospective review was conducted to determine if there were identifiable racial markers in patients who were explored and misdiagnosed as having appendicitis. Between May 1983 and May 1987, 100 patients were explored for appendicitis. There were 65 whites and 35 blacks with a male predominance in each group. The a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
abstract：:An association between the factors of low birth weight and fetal growth retardation and subsequent risk of cardiovascular disease has been proposed; this is the basis of the "thrifty phenotype" hypothesis described in relation to type 2 diabetes mellitus. The relationship between height, presumably an indicator of ear...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:Psychiatry is in ferment. In the present sluggish economy nonphysician psychotherapists, often charging lower fees, are competing with psychiatrists for patients. At the same time theories and therapies that can be characterized as psychodynamic appear to be on the defensive, increasingly challenged by those with beha...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：OBJECTIVE:To assess differences in self-reported health status and satisfaction between African-American and caucasian veterans with ischemic heart disease (IHD). DATA SOURCES/STUDY SETTING:African-American and caucasian patients enrolled in General Internal Medicine clinics at six Veteran Affairs Medical Centers. ST...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVES:Recurrent abdominal pain (RAP) is a common presenting symptom in children with sickle cell disease (SCD). This may be as a result of complications of the disease, surgical problems, or Helicobacter pylori gastritis. The prevalence of H pylori infection in SCD children is not known. This study aimed to determ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30738-0
更新日期：2010-11-01 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：: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
