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 457 American Indian adults was implemented at 13 rural reservation sites throughout California. Data collected included sociodemographics, body mass index (BMI), health status, and health problems. Chi-square tests were used to assess statistical differences among categorical data and ANOVA methods were used for normally distributed continuous variables. RESULTS:Nearly a majority of females were morbidly obese (11.6%) or obese (37.3%), while males were significantly represented in the overweight (38%) group (P = .0007). The prevalence of morbid obesity was twice the general population (13% vs. 5.9% respectively); average age was 47 years; 35% spoke their tribal language; 87% were enrolled in a tribe; 46% had 50% or more Indian blood; 42% were married; 29% had less than 12th grade education; and the average monthly household income was $2,126. The average weight of participants was 266 pounds (P < .0001). Morbidly obese adults reported more health problems and physical limitations (P = .003) than adults in other BMI categories. Obesity status and health conditions were significant for those with type 2 diabetes (P = .003), arthritis (P = .04) and hypertension (P = .03). DISCUSSION:The obesity epidemic in the American Indian population is a severe and a multifactorial problem. The high rate of poor health status among this population should be addressed, possibly by programs designed to increase physical activity.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Hodge FS,Cantrell BG,Kim Ssubject
Has Abstractpub_date
2011-01-01 00:00:00pages
52-7issue
1eissn
1049-510Xissn
1945-0826journal_volume
21pub_type
杂志文章,多中心研究abstract::The objective of this study was to quantify familial resemblance for coronary heart disease risk in 260 Black and 427 White participants in the HERITAGE Family Study. Coronary heart disease risk was estimated using a coronary heart disease risk index (CHDRI) computed from the revised Framingham Heart Study algorithm, ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2000-04-01 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: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::Recent experiments have examined the subjective and physiological responses of African Americans to racism using video-taped vignettes or emotional imagery. These studies reported changes in mood and increases in cardiovascular (CV) and electromyographic (EMG) activity when analogs of the stressful situations were enc...
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:1996-01-01 00:00:00
abstract:Introduction:Almost 40% of the 63 million Americans who speak a language other than English have limited English proficiency (LEP). This communication barrier can result in poor quality care and potentially adverse health outcomes. Of particular interest is that the greatest proportion of LEP adults are aged >65 years ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.4.603
更新日期:2020-09-24 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::According to the third National Health and Nutrition Examination Survey, African Americans have a lower prevalence of metabolic syndrome than do Whites. Recent reports in Blacks in other regions have confirmed these observations, but the rates vary. This lower rate of metabolic syndrome in Blacks can be partly ascribe...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2009-04-01 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::Stroke continues to kill disproportionately more Blacks and Hispanics than Whites in the United States. Racial/ethnic variations in the incidence of stroke and prevalence of stroke risk factors are probably explained by both genetic and environmental influences. Family studies can help identify genetic predisposition ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-04-01 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::Many health promotion intervention studies have been conducted with the goal of encouraging people to change their lifestyles. These include interventions in the community, at worksites, in a medical setting, and on patients at high risk of disease. These interventions have had, in general, a limited impact (eg, risk ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:
更新日期:2007-10-01 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:OBJECTIVE:To examine the utilization of health services and prescription patterns among patients with systemic lupus erythematosus (SLE) followed by primary care physicians and rheumatologists in Puerto Rico. METHODS:The insurance claims submitted by physicians to a health insurance company of Puerto Rico in 2003 were...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-04-01 00:00:00
abstract::In the United States, tobacco use is a leading contributor to inequities in cancer health among individuals for many ethnic, racial, sexual minority, and other minority groups as well as individuals in lower socioeconomic groups and other underserved populations. Despite remarkable decreases in tobacco use prevalence ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.28.3.187
更新日期:2018-07-12 00:00:00
abstract::Sickle cell disease is the most commonly inheritable blood disorder in man. Sickle cell anemia affects approximately one in 375 Blacks in the United States. There is yet no known cure for this disease. Families of sickle cell patients continue to be financially and emotionally devastated by sickle cell disease complic...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2000-04-01 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: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:BACKGROUND:Hypertension is the leading global risk for mortality. Poor treatment and control of hypertension in low- and middle-income countries is due to several reasons, including insufficient human resources. Nurse management of hypertension is a novel approach to address the human resource challenge. However, speci...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.3.315
更新日期:2016-07-21 00:00:00
abstract:OBJECTIVE:We previously developed an 8-item self-assessment tool to identify individuals with a high probability of having albuminuria. This tool was developed and externally validated among non-Hispanic Whites and non-Hispanic Blacks. We sought to validate it in a multi-ethnic cohort that also included Hispanics and C...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.25.4.427
更新日期:2015-11-05 00:00:00
abstract:OBJECTIVES:Ethnic/racial differences in the prevalence of psychiatric disorders have been reported in hospital studies conducted in the United States, but general population studies find little or no evidence of higher rates of disorder in Black communities than White communities. Thus, ethnic/racial differences in the...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::An exploratory qualitative study was undertaken in Luton to examine the issues that may underlie the severe shortage of organ donors from the United Kingdom's (UK) Asian population. To date, this subject area had not been researched within this sub-population of the UK. Thus, focus groups were employed as the initial ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-10-01 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
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
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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
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::Patients from the Indian subcontinent have a distinct cardiovascular risk profile with profound health consequences. South Asians tend to develop more severe coronary artery disease at a younger age, and may also suffer from earlier myocardial infarction and heart failure. The genesis of this risk is multi-factorial. ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:We assessed racial differences in lipoprotein particle size, a marker of atherosclerosis risk, among women with coronary disease. METHODS:We studied 378 women (33% non-White, predominantly African American) at the baseline visit of the Women's Angiographic Vitamin and Estrogen Trial (WAVE), a multicenter tr...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Coronary heart disease (CHD) was uncommon in Black people living in Africa before 1970. Since then CHD risk factor levels have increased, while CHD rates have remained low. OBJECTIVE:This case-control study aims to assess the relationship between CHD and known risk factors in urban Black South Africans. ME...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract:INTRODUCTION:Although the concept of stress is hard to define or measure, it is a phenomenon associated with a number of health conditions, including hypertension, heart disease, and decreased immunocompetency. Events such as migration are known to create stress; researchers refer to this as acculturative stress. Given...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2001-01-01 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