Abstract:
OBJECTIVES:Biventricular pacing (BiV) is an important therapy for symptomatic heart failure (HF) patients with reduced left ventricular (LV) ejection fraction (EF). The aim of our study was to determine if ethnic disparities in use of BiV in HF patients with LV systolic dysfunction are independent of socioeconomic status. DESIGN, SETTING, PARTICIPANTS:Data collected on 32,911 hospitalized HF patients with EF < or = 35% from Pennsylvania hospitals that implanted BiVs in 2004 and 2005 were submitted to the Pennsylvania Health Care Cost Containment Council. Multivariate analysis used patient clinical, insurance and hospital characteristics to identify independent predictors of BiV in symptomatic HF patitents with EF < or = 35%. MAIN OUTCOME MEASURES:Use of BiV in symptomatic HF patients with LV systolic dysfunction. RESULTS:BiV was implanted in 2,065/ 15,861 (13%) Whites, 182/3107 (5.9%) African Americans and 175/1301 (13.5%) others. Older age, male sex, intraventricular conduction delay and prior myocardial infarction or bypass surgery (all P < .001) were positively associated with BiV while diabetes (P < .01), higher EF or higher Mediqual Atlas severity score (both P < .0001) were negatively associated with BiV. Adjusting for these variables, African American ethnicity (odds ratio [OR] .56, 95% CI,.46-68, P < .0001) and poverty, comparing the poorest quintile to other quintiles (OR .86, 95% CI, .76-98, P < .02), were associated with less BiV, independent of fixed effects of hospitals (P < .0001) and a positive association of BiV with Medicare vs Medicaid (P < .01). CONCLUSIONS:In a large statewide sample, BiV was implanted less frequently in African Americans and in lower-income patients, independent of clinical, hospital and insurance characteristics, identifying persisting disparities in use of advanced cardiac technology.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Casale JC,Wolf F,Pei Y,Devereux RBsubject
Has Abstractpub_date
2013-07-01 00:00:00pages
275-80issue
3eissn
1049-510Xissn
1945-0826journal_volume
23pub_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::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: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:OBJECTIVE:To examine racial disparities in adverse maternal outcomes among four ethnic groups in the United States. DESIGN, SETTING, AND PARTICIPANTS:A total of 1,030,350 women aged 13 to 55 who delivered in 1998 and 1999. Data were abstracted from the National Inpatient Sample. MAIN OUTCOME MEASURES:Race was categor...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-07-01 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:BACKGROUND:Approximately 20 million adults suffer from depressive illnesses each year and women are at least twice as likely as men to experience depressive disorders and symptoms. Empirical results have been mixed regarding racial differences in depression prevalence. Given that depression has negative effects on mate...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:Introduction:Farmers' market incentive programs, such as Link Match, provide monetary incentives to Supplemental Nutrition Assistance Program (SNAP) participants to promote their use of local farmers' markets. Information on racial/ethnic differences in the shopping behaviors and fruit and vegetable (FV) consumption of...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.1.109
更新日期:2020-01-16 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::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::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:OBJECTIVE:The current study examined ethnic differences in patterns of weight loss and regain in response to an initial behavioral weight loss intervention followed by an extended-care maintenance program. METHODS:We analyzed data from 224 women (African American n = 43, Caucasian n = 181) from rural communities who p...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:Few studies have objectively quantified sedentary behavior, particularly in special population subgroups. This study quantified the volume of and breaks from sedentary behavior in a sample of overweight and obese, primarily African American, women. DESIGN:Cross-sectional. SETTING:18 census tracts in Columb...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2013-07-01 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::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: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: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:OBJECTIVE:Develop and validate body image scales (BIS) presenting real human bodies adapted to the macroscopic phenotype of urban Cameroonian populations. DESIGN:Quantitative and qualitative analysis. SETTING:Yaoundé, capital city of Cameroon. PARTICIPANTS:Four samples with balanced sex-ratio: the first (n=16) aged ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:To ascertain the extent to which residence in violent communities is an independent risk factor for adverse pregnancy outcomes among impoverished (census tract median family income < $10,000/year) African-American mothers. DESIGN:A cross-sectional study was performed. METHODS:We performed multivariate anal...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:Data from cohort studies, predominantly in Caucasians, have identified obesity as a major risk factor for coronary artery disease (CAD), irrespective of sex. In contrast, reports examining the effects of obesity on mortality in African Americans suggest a weak relationship between body mass index (BMI) and m...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:Objective:Only 16% of people aged >65 years engage in recommended levels of physical activity, putting a vast majority at risk for multiple chronic conditions including heart disease. Physical activity is even lower among older adults with fewer economic resources. Research is needed to develop context-specific approac...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.S1.201
更新日期:2019-02-21 00:00:00
abstract:OBJECTIVE:To estimate and compare the prevalences of overweight, obesity, pre-diabetes and diabetes among a nationally representative sample of Mexican-American, non-Latino white and black adults, and by acculturation for Mexican-Americans. DESIGN, SETTINGS AND PARTICIPANTS:The NHANES 1999-2008 data sets were used. Bi...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-01-01 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::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::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: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:OBJECTIVE:The inclusion of women and minorities in health research supported by the National Institutes of Health (NIH) has received increasing attention since the adoption of related guidelines by NIH in 1990. Investigators in population-based and clinical research may need to identify and recruit research participant...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1996-10-01 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 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:BACKGROUND:Preterm delivery is the leading cause of infant mortality in the United States. The risk of preterm delivery and the prevalence of factors associated with preterm delivery differ by racial and ethnic groups. OBJECTIVE:To examine racial and ethnic differences in preterm delivery among women without the commo...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:An epidemiologic link between peripartum cardiomyopathy (PPCM) and customary puerperal practices have been described among Nigerians. It is not, however, known if these practices have changed and influenced the epidemiology of PPCM over the years. OBJECTIVES:To describe the current epidemiologic profile of ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00