Abstract:
OBJECTIVE:This study examines the correlates of self-diagnosis of chronic medical and mental health conditions in under-served minority populations. The Behavioral Model for Vulnerable Populations was employed to compare the predisposing and enabling characteristics of two groups: the first group consisted of individuals who self-reported their medical conditions without a presumptive or definitive physician diagnosis, while the second group consisted of individuals who self-reported their medical conditions with a presumptive or definitive physician diagnosis of their condition. STUDY SETTING:The sample consisted of 287 African American and Latino heads of household. This sample was obtained from a geographically defined random sample of 418 households from three urban public housing communities in Los Angeles County, California. STUDY DESIGN:This study was a cross-sectional, face-to-face, semistructured interview survey. RESULTS:Using logistic regression techniques and controlling for demographic characteristics, the results indicate that accessibility, affordability, continuity of medical care, and financial strains were the core concepts that explain the gap between self vs physician diagnosis of medical conditions. CONCLUSION:This study identifies unique characteristics of minority persons who claimed that their medical conditions had not been presented to or diagnosed by a medical provider in comparison to those who are formally diagnosed by medical providers. The study provides an entry point for further examination of correlates and sequels of self-diagnosis and its resultant effects on professional treatment-seeking in minority populations with certain medically important chronic conditions.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Ani C,Bazargan M,Bazargan-Hejazi S,Andersen RM,Hindman DW,Baker RSsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
S2-105-11issue
2 Suppl 2eissn
1049-510Xissn
1945-0826journal_volume
18pub_type
杂志文章abstract:OBJECTIVE:To determine if 1) Afro-Caribbean women prefer large body sizes, 2) the body size preference of Afro-Caribbean men and women are associated, 3) women's preferences are associated with increased risk of obesity or with weight management behaviors. DESIGN:Population samples of 314 and 487 women, ages 20-55 yea...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract:INTRODUCTION:Although it is known that female rats have a more robust behavioral response to acute cocaine administration than male rats, the neurobiological mechanisms underlying these differences remain unclear. The purpose of the present study was to determine if there are sex differences in cocaine's regulation of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract::C-reactive protein (CRP) is a risk factor for cardiovascular disease and mortality; it is known to be positively associated with obesity but there is some evidence that this association differs by race or sex. We used nationally representative data of adults aged >50 years to investigate sex and race modifiers of the ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.2.197
更新日期:2016-04-21 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:OBJECTIVE:This study aimed to define the ethnographic composition and assess the health-related quality of life (HRQoL) of a large population of undocumented patients with end-stage renal disease (ESRD) seeking emergent dialysis in the emergency department (ED) of a large public hospital in the United States. DESIGN:A...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.27.1.39
更新日期:2017-01-19 00:00:00
abstract:OBJECTIVE:To examine ace-inhibitor (ACEI) and angiotensin receptor blockers (ARB) prescription and adherence patterns by race in diabetic public aid recipients. DESIGN, PARTICIPANTS, AND MEASURES:We analyzed prescription records of 27,529 adults aged 18-64 with diabetes who had at least one clinical indication for rec...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00
abstract::The conceptualization of perceived racism as a chronic stressor is relatively new to epidemiology. The Telephone-Administered Perceived Racism Scale (TPRS) captures the complexity of racism within five scales: Experience of Racism (by Blacks as a group and by the respondent), Emotional Responses, Behavioral Responses,...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Facing the conclusion of the twentieth century, cardiovascular disease (CVD) remains a major cause of morbidity and a leading contributor to mortality worldwide. Developing countries, including those in South America and the Caribbean, contribute substantially to the global burden of CVD. Indeed, 8 to 9 million deaths...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
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 pat...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:This study examines the cancer prevention and control priorities of uninsured Latin Americans and their primary care providers in metropolitan Washington, D.C. Patient and provider priorities are compared to identify common ground for future interventions in resource constrained primary care settings. METHOD...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::The design, implementation, and preliminary evaluation of an enhanced community-engagement program that uses poetry, film, and photography at a film festival in south Los Angeles is described. This project is one of several Talking Wellness projects designed to develop social capital and enhance community engagement i...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility, acceptability, and outcomes of 2 versions of a culturally relevant, family-based intervention to prevent excess weight gain in pre-adolescent African-American girls. DESIGN:Three-arm, 12-week parallel group randomized controlled pilot trial. SETTING:Community centers in Memphis, T...
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:2003-01-01 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::Both genetic and environmental factors have been hypothesized to explain the higher prevalence of hypertension in US African Americans compared to populations still residing in western Africa. Studies of first-generation immigrants can help to identify risk factors for increased chronic disease expression in the devel...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2000-10-01 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::Ethnicity and race are commonly used in biomedical research to portion human populations into groups for analysis. The view taken here is that race is a sociological construct that is poorly correlated with any measurable biological or cultural phenomenon other than the amount of melanin in an individual's skin. On th...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 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::This paper focuses on understanding the perilous effects of interpersonal and institutional racism on the psychological and physiological well-being of Blacks. Interpersonal racism refers to prejudice and discriminatory behaviors directed toward individuals because of their race or ethnicity, and institutional racism ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2001-10-01 00:00:00
abstract:INTRODUCTION:This article reviews the status of end-stage renal disease in the Middle East, with emphasis on its incidence, prevalence, and treatment. METHODS:Data were obtained from English-language published literature through a Medline search over the past 40 years. Supplementary information was gathered from regio...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00
abstract::This short review was presented as part of the Morehouse School of Medicine Fifth Annual Primary Care Conference in October 2005. As child health morbidities and mortalities shift from infectious diseases, child healthcare providers must become more vigilant and aggressive at suspecting, screening for, and intervening...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 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::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::Community partnered participatory research (CPPR) emphasizes community engagement, respect, and empowerment as guiding principles to promote mental health equity. This article describes the "Vision" stage of a CPPR-informed model to implement evidence-based practices for depression in two African American churches in ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.28.S2.467
更新日期:2018-09-06 00:00:00
abstract:Objective:Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:10.18865/ed.28.S2.371
更新日期:2018-09-06 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-07-01 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::In the 20th century, Africans in Sub-Saharan Africa had lower rates of cardiometabolic disease than Africans who migrated. However, in the 21st century, beyond infectious diseases, the triple epidemics of obesity, diabetes and hypertension have taken hold in Africa. Therefore, Africans are acquiring these chronic dise...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:10.18865/ed.25.3.373
更新日期:2015-08-07 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
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::The gap in educational attainment separating underrepresented minorities from Whites and Asians remains wide. Such a gap has significant impact on workforce diversity and inclusion among cross-cutting Biomedical Data Science (BDS) research, which presents great opportunities as well as major challenges for addressing ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:10.18865/ed.27.2.107
更新日期:2017-04-20 00:00:00