Abstract：
PURPOSE:To explore why some African-American smokers choose not to use nicotine replacement therapy (NRT) when attempting smoking cessation. DESIGN AND SETTING:Semistructured audiotaped qualitative telephone interviews. PARTICIPANTS:Thirty-three participants who were enrolled in a five-week cessation program were offered free NRT. Participants were asked to share their experiences and perceptions about trying to quit smoking. PROCEDURES:Data related to NRT perceptions were analyzed using an interpretive approach. FINDINGS:Participant comments suggested two issues that may help explain why some African-American smokers do not use NRT when attempting cessation. First, many participants expressed concerns about the nicotine dose in NRT and worried that using it would increase nicotine dependence. Second, there was considerable discussion about NRT's ambiguous status as a "drug" (along with sometimes-unrealistic expectations for its efficacy independent of human effort) and concern about lack of control over drug delivery and absorption. For many participants, NRT contrasted unfavorably with cigarettes and was seen as unfamiliar and worrisome. CONCLUSIONS:Differences in how cigarettes and NRT products are marketed convey different (and highly inaccurate) social messages about their social value and relative risks of harming consumers. Better positioning NRT as a social object through innovative marketing, improved delineation of relative risks and facilitating strategic discussions about ways to tailor NRT use may decrease obstacles to African Americans' use of NRT.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Yerger VB,Wertz M,McGruder C,Froelicher ES,Malone REdoi
10.1016/s0027-9684(15)31211-6subject
Has Abstractpub_date
2008-02-01 00:00:00pages
230-6issue
2eissn
0027-9684issn
1943-4693pii
S0027-9684(15)31211-6journal_volume
100pub_type
杂志文章abstract：:A questionnaire was administered to 52 females with sickle disease of genotypes Hgb SS, SC, and S-thalassemia, and to 80 control subjects. They answered questions pertaining to their contraceptive habits, their reproductive habits, and their sexual activity. It was found that sexual activity differed significantly f...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1984-09-01 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：:Nosocomial sinusitis is occasionally overlooked as a source of sepsis in critically ill patients. Physical examination is usually unreliable and purulent nasal discharge is absent up to 73% of the time. Computed tomography scans of the sinuses and aspiration and culture of sinus fluid are the hallmark of diagnosis. Th...
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
abstract：:Low megavoltage electrons, because of their limited penetration, have been found very useful in the treatment of generalized superficial malignancies. However, because of the complexity of the human body contour, it is extremely difficult to achieve uniform dose distribution over the entire body surface. To achieve th...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-07-01 00:00:00
abstract：:Comprehensive health care planning can augment the educational programming for children with exceptional health and/or learning needs. The coordination of medical service and education is critically needed to reduce the traditional gulf between these two essential disciplines. Bridging this gulf will enable patients a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：PURPOSE:Prostate cancer provides the most dramatic evidence of cancer disparities based on race and ethnicity among U.S. men. African-American men still hold a commanding lead in both prostate cancer incidence and mortality, particularly among those of low socioeconomic status (SES) and the medically underserved. There...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
abstract：OBJECTIVE:To determine whether there is an association between perceived pediatric overweight and emotional/behavioral difficulties among children ages 4 to 17 years in the United States. DESIGN:A cross-sectional study SETTING:Interview of an adult knowledgeable about a child's emotional and physical health. All stat...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30447-8
更新日期：2011-09-01 00:00:00
abstract：:Patients with polycystic ovary syndrome (PCOS) have an increased prevalence of metabolic syndrome (MBS). Hypoadiponectinemia is closely associated with MBS. The aim of our study was to evaluate the association of adiponectin levels with MBS in patients with PCOS. We studied 60 patients with PCOS and 60 age-matched con...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31176-7
更新日期：2008-01-01 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：OBJECTIVE:To determine if a patient's degree of access to healthcare predicts his or her fund of knowledge about cardiovascular diseases. METHODS:Trained research associates at a public, urban emergency department in New York City administered cross-sectional surveys to selected patients from June 2005 to January 2007...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-12-01 00:00:00
abstract：:This report describes a case of tuberculosis with an atypical presentation characterized by epididymitis and Addison's disease in the absence of lung involvement. A 54-year-old male who presented with acute right scrotal pain and a whitish discharge, had been diagnosed four months earlier with acute epididymitis and p...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to characterize African-American women attending a community clinic who report frequent douching (douching > or = 2 times per week). METHODS:A consecutive sample of 115 black women attending a community clinic were interviewed face-to-face about their douching practices. Logistic...
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：:The goal of this study was to document the health needs of members in the criminal justice system and the capacity of the system to meet those needs. Using data from the National Criminal Justice Treatment Practices survey, we estimated the number of adults under correctional control who need medical care and the capa...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30214-5
更新日期：2012-11-01 00:00:00
abstract：:The purpose of this survey of 528 black men in Miami and Fort Lauderdale, FL, was to assess prostate cancer knowledge among African-American, English-speaking Caribbean, Haitian-American, and African men in America. Knowledge levels were assessed by education, ethnicity, age, income, family history of prostate cancer,...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2004-05-01 00:00:00
abstract：:Radiation therapy has been used for the management of breast cancer for many years. Traditionally, it has been an adjunct to the radical mastectomy, but in recent decades major centers have initiated studies replacing the mastectomy with a more limited surgical procedure and, at the same time, have increased the irrad...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
abstract：:Previous studies document the importance of religious involvement in African-American communities. This study examines the extent to which religious involvement is associated with health status among African-American males. The data come from a community sample of 537 males residing in a major US urban area. Three ind...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:Small bowel obstruction, one of the most common causes of acute surgical abdomen in adults, constitutes approximately 20 percent of all cases of acute surgical abdomen. With improper management, strangulation of the bowel may occur and result in an increased probability of mortality. The author reviews the literature ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1981-03-01 00:00:00
abstract：BACKGROUND:Although the prevalence of uremic pruritus has decreased compared to the past, the problem still remains as a matter of health and a major challenge of research in medical field, and has no effective treatment at present. This study aimed to investigate the effect of increasing blood flow rate on severity of...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jnma.2017.04.008
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Although studies have outlined the benefit of diversity in academic medicine, the number of underrepresented minority (URM) faculty remains low. In 1998, University of California, San Diego (UCSD) School of Medicine with the Hispanic Center of Excellence began a formalized proactive faculty development progr...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31449-8
更新日期：2008-09-01 00:00:00
abstract：:Small-bowel obstruction due to foreign bodies is unusual in adults. Intestinal obstruction is occasionally caused by pits, bezoars, endoscopy capsules, and gastrostomy tube buttons. We report a rare case of distal small-bowel obstruction due to dental impression material. Avoidance of this potentially life-threatening...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31143-3
更新日期：2009-12-01 00:00:00
abstract：:This study investigates parameters related to calcium and bone metabolism by determining the concentrations of total calcium, 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, parathyroid hormone, and phosphorous in young pregnant women. The patient population was 30 pregnant Nigerian teenage women grouped by trimester (1...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:Pneumococcal and mycoplasma infection of the lung or pleura, infarction of lung or pleura, local abscess below the diaphragm, and heart, kidney, or pancreas involvement are among the many causes of pleural effusion. Several of these have an increased likelihood of occurrence in sickle cell disease as a direct conseque...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1977-08-01 00:00:00
abstract：:We examined associations of weight concerns and weight gain with adolescent tobacco cessation treatment and whether these effects differed by gender or ethnoracial group. Participants were 115 urban adolescents recruited for a randomized clinical trial of nicotine replacement therapy. Baseline weight gain concerns wer...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,随机对照试验
doi：10.1016/s0027-9684(15)31067-1
更新日期：2009-10-01 00:00:00
abstract：:Among urban low-income and minority patients with compromised access or low adherence to primary care, exacerbations of unrecognized but symptomatic moderate to severe chronic obstructive pulmonary disease (COPD) cause avoidable emergency room visits and hospitalizations. Detection and management of COPD before a firs...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30623-4
更新日期：2010-07-01 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：:A summer preview program was designed to enhance the academic performance of minority students in medical school. In the five-week program the students met from 8:00 AM to noon, five days a week. The two components of the program were study skills and selected basic science topics deemed critical for success in the fi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1985-06-01 00:00:00
abstract：OBJECTIVE:This study focuses attention on maternal nutrition and stress as possible reasons for excess black infant mortality after exploring lower infant mortality for the infants of foreign-born black mothers compared to native-born black mothers. METHODS:All births to non-Hispanic black women in New York City from ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2002-09-01 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：:Hepatocellular carcinoma (HCC) is emerging as a major problem in the United States, primarily due to the development of liver cancer in patients with cirrhosis secondary to the hepatitis C virus. The diagnosis of HCC in patients with underlying cirrhosis can be achieved at an early stage if appropriate diagnostic meas...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2000-08-01 00:00:00
abstract：:Care and caution are required in using immunosuppressive agents to combat sight-threatening ocular disease. Informed consent of the patient and the active participation of a knowledgeable internist are mandatory in view of the known potential consequences of therapy. These consequences or side effects include specific...
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
