Abstract:
OBJECTIVE:To assess the impact of African American race on hypertension management among a real-world hypertensive population. DESIGN:Cross-sectional study. SETTING:28 US physician practices. PATIENTS:Adult patients with a hypertension diagnosis between November 2006 and September 2008. MAIN OUTCOME MEASURES:Blood pressure (BP) control (< 140/90 mm Hg for non-diabetic, and < 130/80 mm Hg for diabetic, patients). RESULTS:African American patients (n = 1,079) were younger than Caucasian patients (n = 3,884) (60.2 vs 66.0 years, P < .01), were more likely to be female (60.1% vs 52.5%, P < .01), were more likely to be obese (55.9% vs 48.5%, P < .01) and had a higher diabetes prevalence (29.4% vs 23.8%, P < .01). African American hypertensive patients had significantly higher BP as compared to Caucasian hypertensive patients (135.2/82.9 mm Hg vs 130.5/76.4 mm Hg, P < .01). Both diabetic and non-diabetic African Americans were prescribed more antihypertensive medications than Caucasians and were more likely to be prescribed combination regimens. African Americans were less likely to be prescribed beta blockers, and more likely to be prescribed calcium channel blockers or diuretics. Among non-diabetic and diabetic patients, African Americans had 54% and 53% lower adjusted odds, respectively, of controlled BP. The use of specific antihypertensive medication classes was not associated with BP control. CONCLUSIONS:Although African Americans were prescribed more aggressive medication regimens, they had lower probability of BP control. While African American race influenced the choice of prescribed antihypertensive medications, those regimens did not affect the probability of BP control. African American race should not deter providers from prescribing specific antihypertensive medication classes, particularly in the presence of compelling indications.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Batson B,Belletti D,Wogen Jsubject
Has Abstractpub_date
2010-10-01 00:00:00pages
409-15issue
4eissn
1049-510Xissn
1945-0826journal_volume
20pub_type
杂志文章,多中心研究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 ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:The objective was to investigate how data on race and ethnicity are collected by hospitals reporting to the New Hampshire State Cancer Registry (NHSCR). METHOD:NHSCR surveyed hospitals asking how information on race and ethnicity were collected. A review of relevant legal mandates and national guidelines wa...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-04-01 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
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::Diabetes is the seventh leading cause of death in the United States and disproportionately affects ethnic minorities. While research examining health disparities is well-established, an historical understanding of how the disparities evolved over time may be warranted. This article examined racial differences in preva...
journal_title:Ethnicity & disease
pub_type: 历史文章,杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract::This study examined diabetes-related health disparities in a Latino population in terms of prevalence of the disease, and the extent to which practice-based interventions improve health care and health for the Latinos who have diabetes. Previous research has shown that Latinos, overall, are at greater risk for diabete...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 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:INTRODUCTION:The obesity epidemic has become a health crisis in the United States, particularly for minorities. This article reports on the health status and sociodemographic characteristics of morbidly obese American Indians living in rural areas of California. METHODS:A cross-sectional randomized household study of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2011-01-01 00:00:00
abstract::The purpose of this investigation was to determine the prevalence and correlates of abnormal urinary albumin excretion and to examine the possible additive effects of cardiovascular risk factors on urinary albumin excretion in African Americans with type 2 diabetes mellitus. One hundred fifty-one African-American subj...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-01-01 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: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::We sought to determine whether lipid levels in black patients with type II diabetes with and without hypertension differ from those in white patients. Lipid levels were screened in 207 blacks and 103 whites with type II diabetes visiting a weekly diabetes clinic in a southeastern US regional community hospital. Levels...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:BACKGROUND:Obesity predisposes an individual to numerous risk factors for cardiovascular diseases. Inflammation, reported as a link between obesity and cardiovascular disease, contributes to the development of atherosclerosis. OBJECTIVES:The aim of our study was to assess the relationship between lipid parameters, low...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract::A population-based sample of Seventh-Day Adventists was studied to determine the relationship between vegetarian status, body mass index (BMI), obesity, diabetes mellitus (DM), and hypertension, in order to gain a better understanding of factors influencing chronic diseases in Barbados. A systematic sampling from a ra...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-01-01 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::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:As economic development continues in China, it is important to evaluate recent changes in dialysis status. However, China lacks a national dialysis registry. This elevates the need to use local registry systems like the Shanghai Dialysis Registry to gain an overview of dialysis status in developed cities i...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:To describe the association between renal disease and other features of the metabolic syndrome and its derivative illnesses among Australian Aborigines in remote settings. METHODS:Volunteering adults (N = 2019) in four remote communities were screened for risk factors and markers of renal disease, hypertens...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2006-04-01 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::The disease burden from noncommunicable diseases (NCDs) in Africa is rapidly increasing based on projections from a limited number of reports. In the absence of national health surveys in Zimbabwe, all data nationally generated between 1990 and 1997 were analyzed. From 1990 to 1997, prevalence rates (expressed per 100...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:This study evaluates patient inertia (PtInert) factors including hopelessness in African Americans participating in church cardiovascular screening programs in low income areas in Forsyth County, North Carolina. Patient inertia is defined as an inability to assume adequate hypertension self-management behavio...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-01-01 00:00:00
abstract::The purpose of this study was to investigate whether there are differences in the expression of the endothelin (ET) system in the peripheral vasculature of diabetic African-American (AA) and Caucasian (CA) patients. Tibial artery specimens were obtained from diabetic (MD = 8 and CAD = 5) and non-diabetic (AAND = 6 and...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:1) To describe stressful life events as experienced by a sample of young Black men with high blood pressure (HBP) living in inner-city Baltimore, Maryland; and 2) to examine the effect of cumulative stressful life events on substance use, depression, and quality of life. METHODS:Data were obtained over 48 m...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:The objective of the study was to determine whether race disparities in physical inactivity are present among urban low-income Blacks and Whites living in similar social context. DESIGN:This analysis included Black and White respondents ( > or = 18 years) from the Exploring Health Disparities in Integrated C...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-07-01 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::The purpose of this study is to report the findings of the 2004 National Health Interview Survey (NHIS) questions on tuberculosis (TB) knowledge and perceived risk of contracting TB. Tuberculosis (TB) continues to be a major health threat in the United States, but minimal effort is made on public education to increase...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-04-01 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::Translational research has tremendous potential as a tool to reduce health disparities in the United States, but a lack of common understanding about the scope of this dynamic, multidisciplinary approach to research has limited its use. The term "translational research" is often associated with the phrase "bench to be...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-04-01 00:00:00
abstract::This review article discusses disparities in immunization rates for beneficiaries of the US Medicare program. The review considers: 1) historical and statistical information on rates of immunization; 2) goals set forward by the Centers for Medicaid and Medicare Services (CMS) to eliminate racial and ethnic health disp...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-04-01 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