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 aged and elderly racial/ethnic minorities in South Los Angeles. METHODS:Telephone survey of participants in both 2008, after hospital closure, and 2003, before hospital closure, who self-identified as African American or Latino, were over the age of 50 and lived in zip codes of South Los Angeles. We developed multiple logistic regression models on imputed data sets weighted for non-response and adjusted for self-reported measures of demographic and clinical characteristics to examine the odds of reporting delays in care. RESULTS:After adjusting for covariates known to influence access to care and distributed differently in the two survey samples, we found significantly greater delays in care. Following the closure of the Martin Luther King, Jr. safety net hospital, the adjusted odds ratios were 1.70 (95% CI 1.01, 2.87) for delays in care, 1.88 (95% Cl 1.06, 3.13) for problems receiving needed medical care, and 2.62 (95% CI 1.46, 4.67) for seeing a specialist. CONCLUSIONS:Our survey of older minority adults in South Los Angeles found increased delays in access to care for needed medical services after the closure of Martin Luther King, Jr. Hospital. As health care reform unfolds, monitoring for changes in access to care that may result from new policies will be important to address future disparities, particularly for vulnerable populations.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Walker KO,Leng M,Liang LJ,Forge N,Morales L,Jones L,Brown Asubject
Has Abstractpub_date
2011-07-01 00:00:00pages
356-60issue
3eissn
1049-510Xissn
1945-0826journal_volume
21pub_type
杂志文章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：OBJECTIVE:The use of behavioral interventions has been shown to improve glycemic control, however, the effectiveness of different behavioral interventions in one of the most high risk populations, African Americans, remains unclear. Our systematic review identified and examined findings of published behavioral interven...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2013-10-01 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：OBJECTIVE:To examine acculturation as a correlate of cardiovascular disease screening practices among Mexican Americans. METHODS:A modified Behavioral Risk Factor Surveillance System (BRFSS) survey was administered to adults age 18 and older in four Chicago neighborhoods during the winter of 2000 (N=435). RESULTS:Reg...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:We wished to estimate the incidence of preeclampsia among a group of Hispanic women in the greater Detroit metropolitan area. PARTICIPANTS:We reviewed delivery records of 559 Hispanic women from a Detroit hospital and prenatal records of 134 Hispanic women who received care from an affiliated federally quali...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：:Hispanics are the fastest growing minority group in the United States. The incidence of end-stage renal disease (ESRD) in Hispanics is higher than non-Hispanic Whites and Hispanics with chronic kidney disease (CKD) are at increased risk for kidney failure. Likely contributing factors to this burden of disease include ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2009-10-01 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：:In 1999, Tougaloo College (TC), located in Jackson, Mississippi, was charged, as a part of its role in the Jackson Heart Study (JHS), with creating a pool of well-trained high school students who, upon entering college, could successfully complete undergraduate and graduate or professional degrees in the health profes...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.1.25
更新日期：2020-01-16 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：PURPOSE:Unique challenges exist in the provision of culturally and linguistically appropriate health care to ethnically diverse populations. The purpose of this study was to improve the metabolic control of Russian patients with diabetes through increased attention to language and cultural concordance between the provi...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2004-10-01 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：:This study examined actual and perceived weight status and body satisfaction of college-age African-American males. We predicted that, in general, males would be accurate about their weight status and satisfied with their body sizes and shapes. The study population was 123 male from a cross-sectional survey of 406 sen...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：:Eliminating disparities in health can benefit from the inclusion of diverse populations pursuing health disparity research careers. A goal of the Texas Center for Health Disparities (TCHD) is to provide opportunities for underrepresented minority faculty to become successful health disparity researchers. The TCHD crea...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.28.1.3
更新日期：2018-02-01 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：:For more than 20 years the tobacco industry has considered secondhand smoke to be a threat to its viability. In this article, we describe why secondhand smoke is important to tobacco control and how the tobacco industry's "Latin Project" sought to prevent the creation of smoke-free workplaces and public places in Cent...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：Objective:Global recommendations on physical activity for noncommunicable disease prevention can be promoted using partner support strategies among women of Mexican descent and other ethnicities. Design/Methods:This systematic review utilized a multifaceted ecological approach by focusing comprehensively on community,...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.28.4.555
更新日期：2018-10-18 00:00:00
abstract：OBJECTIVE:To examine the correlates of prior nicotine replacement therapy (NRT) in an urban sample of adolescent smokers seeking smoking cessation treatment. DESIGN:Adolescents were recruited via radio, TV and print advertisements for participation in treatment studies. Participants completed a structured interview us...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-04-01 00:00:00
abstract：:This paper presents evidence-based strategies for assisting patients in quitting smoking. Summaries of the effectiveness of advice alone, varying levels of behavioral counseling, nicotine replacement therapies, and bupropion either alone or in combinations are presented. We describe two web-based resources, one that o...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2005-04-01 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:The purpose was to gain an indepth understanding of the factors influencing hypertension medication compliance among hypertensive older African Americans. DESIGN:Qualitative descriptive. In depth semistructured interviews were conducted with 28 patients. Interviews were recorded, transcribed, and analyzed by...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2013-10-01 00:00:00
abstract：:Structural racism is a multilevel system of ideologies, institutions, and processes that have created and reified racial/ethnic inequities. As a system, it works in concert across institutions to propagate racial injustice. Thus, efforts to address structural racism and its implications for health inequity require tra...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.3.381
更新日期：2020-07-09 00:00:00
abstract：OBJECTIVES:To compare the percentage of diabetics admitted to the hospital due to hypoglycemia in 1990-1993 (period 1) to that in 1997-2000 (period 2). METHODS:We analyzed data from the California Hospital Discharge Data Program. Eligibility included diabetic (ICD code 250) subjects aged > or =25 years old who were ho...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-07-01 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：OBJECTIVE:To ascertain the association of -3826 A/G polymorphism with blood pressure and different obesity markers. DESIGN AND SUBJECTS:A total of 96 adult participants (49 males, 47 females) were studied. Anthropometric measurements and blood pressure were taken using standardized techniques. Obesity indices of body ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2012-04-01 00:00:00
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：:This study examines the influence of ethnicity (African-American vs white) and family history of hypertension on the blood pressure and heart rate responses of healthy, unmedicated men, aged 21 to 39 years, to a variety of stressors that are hypothesized to elicit beta-adrenergic or alpha-adrenergic reactivity. Cardio...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1992-07-01 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：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：: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：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
