Abstract：
:Diabetes mellitus disproportionately affects ethnic minorities and has serious economic, social, and personal implications. This study examines the effect of diabetes disease burden and social resources on health-related quality of life (HRQOL) among older rural adults with diabetes. Data come from a population-based cross-sectional survey of 701 adults (age > or =65 years) with diabetes in North Carolina from three ethnic groups: African American, Native American, and White. HRQOL was assessed using the 12-item short-form health survey (SF-12). Mean scores were 35.1 +/- 11.4 and 50.5 +/- 10.8 for the physical and mental components of the SF-12, respectively. In bivariate analyses, scores were significantly lower for Native Americans than Whites for both components. In multivariate analyses, higher physical HRQOL was associated with male sex, greater mobility ability, fewer chronic conditions, exercising vs not exercising, fewer depressive symptoms, and not receiving process assistance. Higher mental HRQOL was associated with greater mobility ability, fewer chronic conditions, and a high school education or more. Diabetes appears to have a substantial effect on physical HRQOL. Physical disability associated with diabetes may have a greater impact in the rural environment than in other areas. Aspects of rural social milieu may help to keep mental HRQOL high, even in the face of severe chronic disease. Ethnic differences in HRQOL are largely accounted for by diabetes disease burden and, to a lesser extent, social resources. Strategies to reduce diabetes-related complications (long term) and assist mobility (short term) may reduce ethnic disparities in HRQOL.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Quandt SA,Graham CN,Bell RA,Snively BM,Golden SL,Stafford JM,Arcury TAsubject
Has Abstractpub_date
2007-07-01 00:00:00pages
471-6issue
3eissn
1049-510Xissn
1945-0826journal_volume
17pub_type
杂志文章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：:The concept of acquired immune deficiency syndrome (AIDS) as a behavioral problem, and the emphasis placed by researchers on race and ethnicity as "risk factors," have led to research focused on the "risk behaviors" of historically oppressed groups and a continuing social policy thrust that "blames the victim." Dispro...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：1993-10-01 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：: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：OBJECTIVES:This study examines the prevalence of cardiovascular risk factors and chronic disease burden among African Americans compared to Caucasians in a population of higher socioeconomic status. DESIGN:The current study is a cross-sectional, secondary data analysis of the Cooper Center Longitudinal Study. SETTING...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：:For some time, biologists and anthropologists have overwhelmingly rejected the partitioning of modern humans into biological "races." An examination of recent human evolutionary history suggests that the zoological definition of race, based on significant genetic differences, cannot be legitimately applied to contempo...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1992-04-01 00:00:00
abstract：OBJECTIVES:To estimate the prevalence of disabilities among older American Indians and Alaska Natives (AIANs) and compare these estimates with those of other major racial/ ethnic groups. To estimate, within the population with disabilities, the health-risk behaviors, obesity, and chronic conditions of older AIANs and c...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:Lean mass is an important determinant of bone mineral density (BMD) accrual, yet data regarding its correlates based on multiethnic premenopausal women are lacking. We examined the influence of age, race/ethnicity, and lifestyle variables on total and regional lean mass distribution in this population. DESIG...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-10-01 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
abstract：INTRODUCTION:Health disparities research demands the inclusion of traditionally excluded peoples. Additional complex issues weigh into health disparities or multicultural research including sociopolitical context, cultural context, network or community context, and micro-level or personal dimensions. CONCEPTUAL FRAMEW...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-01-01 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：OBJECTIVE:To investigate the association between African admixture and glaucoma prevalence among African American women. DESIGN, SETTING, PARTICIPANTS:Participants included 11616 African American women from the Women's Health Initiative Study (WHI) for whom admixture information was available and included 2548 who sel...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:We investigated metabolic syndrome and its association with high-sensitivity C-reactive protein (hs-CRP) levels in Cuban Americans. METHODS:The study included 161 nondiabetic Cuban Americans (55 men and 106 women) aged > or = 30 years living in South Florida. Metabolic syndrome was defined by using Adult Tre...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To quantify cultural barriers to hepatitis B virus (HBV) vaccination and parental compliance with a specific vaccination protocol among a primarily among population of infants born at a community hospital. METHODS:This study was concurrent with an immunogenicity study of two vaccination schedules and occurre...
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：2001-10-01 00:00:00
abstract：Objective:To ascertain the association between father's lifetime socioeconomic status (SES) and rates of small for gestational age (SGA, defined as weight for gestational age <10th percentile) and infant mortality (defined as <365 days). Methods:The study sample was limited to the singleton births of African American ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：10.18865/ed.29.1.9
更新日期：2019-01-17 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：:African-American infants weigh on average 200-300 grams less at birth than do European-American infants, leading to a two-fold higher rate of low birth-weight (LBW) infants. This birth weight disparity has not changed significantly over the past 95 years. Numerous research studies have been undertaken to elucidate thi...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 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：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：OBJECTIVES:To ascertain the extent to which residence in violent communities is an independent risk factor for adverse pregnancy outcomes among impoverished (census tract median family income < $10,000/year) African-American mothers. DESIGN:A cross-sectional study was performed. METHODS:We performed multivariate anal...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVES:Biventricular pacing (BiV) is an important therapy for symptomatic heart failure (HF) patients with reduced left ventricular (LV) ejection fraction (EF). The aim of our study was to determine if ethnic disparities in use of BiV in HF patients with LV systolic dysfunction are independent of socioeconomic stat...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:In a cross-sectional study, we examined the association between hyperinsulinemia and hypertension, independent of body mass, among White non-Hispanic, Black non-Hispanic, and Mexican-American adults without diabetes. METHODS:Data are from 8,004 adults, aged > or = 20 years from the Third National Health and ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-04-01 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：CONTEXT:Treatment disparities for socioeconomically disadvantaged populations have been widely reported, but few studies have sought explanations for these disparities. OBJECTIVE:To compare the quality of care for patients insured by Medicare alone, Medicare plus Medicaid, or Medicare plus private insurance and invest...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2006-10-01 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：:Scholars have shown that promoting diversity and inclusion in precision medicine research is important for ethical and scientific reasons. The processes for classifying the populations that enroll in biomedical research, however, are often unclear, inconsistent, and poorly justified. Precision medicine research promis...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.29.S3.651
更新日期：2019-12-12 00:00:00
abstract：BACKGROUND:The safety net system remains an important part of the health care system for uninsured and minority populations, however, the closure of safety net hospitals changes the availability of care. Using community-based participatory research methods, we explored the impact of hospital closure among late middle a...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:The population of South Africa is nearly 40 million and is growing at the rate of 2.5% per year. The population is 76.2% black, 13.3% white, 8.6% "mixed," and 2.6% Asian. The life expectancy (between 1985 and 1990) for whites was 69 years for males and 77 years for females; and for blacks, life expectancy was 61 years...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：BACKGROUND:Substantial disparities in colorectal cancer (CRC) survival among racial-ethnic groups, especially between Blacks and Whites, have been extensively documented in the Northeast, California and South of the United States. The purpose of this study was to ascertain the determinants of colorectal cancer racial-e...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Lipid levels, including high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglycerides, have been reported to be associated with breast cancer risk. METHODS:We studied African American women (97 breast cancer cases and 102 controls) accrued through a population-...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-07-01 00:00:00
