Abstract:
:This study explores the effects of abuse on the risk-taking behaviors of 2973 black and white adolescent males, 412 of whom were sexually or physically abused. Surveys on mental and physical health, risk-taking behaviors and attitudes, and family living were administered to 9th and 12th graders in an urban midwestern state. The surveys included questions on past history of sexual and physical abuse. More black than white males reported experiencing incest, extrafamilial sexual abuse, and physical abuse. As for outcome risk-taking behaviors, blacks were more likely to use illegal substances, run away, skip school, attempt suicide, force partners into sex, and commit violent acts; however, the racial effects decreased when abuse histories were taken into consideration. Whites were more likely to drink and drive, and to drink before having sex; abuse history did not decrease this racial effect. Abuse but not race was predictive of drinking and of having serious drinking problems. The results point to the importance of pediatricians, psychologists, and other healthcare workers, as well as those in the legal and criminal justice system screening for a history of abuse among adolescents who demonstrate these or other risk-taking behaviors.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Hernandez JT,Lodico M,DiClemente RJsubject
Has Abstractpub_date
1993-08-01 00:00:00pages
593-7issue
8eissn
0027-9684issn
1943-4693journal_volume
85pub_type
杂志文章abstract:OBJECTIVES:To assess the level and determinants of African-American physicians' employment in health maintenance organizations (HMOs), particularly early in their careers. METHODS:We analyzed data from the 1991 and 1996 Young Physicians Surveys to assess racial differences in the likelihood of HMO employment (n = 3,70...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
abstract::Particularly for children of color, one's productivity and prosperity as an adult depend to a significant degree on one's education as a child. Education is both the attainment of skills and the development of character. In the National Academy of Science's 1993 publication, Losing Generations: Adolescents in High Ris...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Although the prevalence of uremic pruritus has decreased compared to the past, the problem still remains as a matter of health and a major challenge of research in medical field, and has no effective treatment at present. This study aimed to investigate the effect of increasing blood flow rate on severity of...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jnma.2017.04.008
更新日期:2018-06-01 00:00:00
abstract::Clinical and pathological findings in 15 patients with carcinoma of the midthoracic esophagus were analyzed. The author concluded that preoperative radiotherapy reduces tumor size and improves resectability. Longer follow-up is required to determine whether or not preoperative radiotherapy improves survival rates in t...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-02-01 00:00:00
abstract:BACKGROUND:Diversity and inclusion are terms that have been used widely in a variety of contexts, but these concepts have only been intertwined into the discussion in healthcare in the recent past. It is important to have a healthcare workforce which represents the tapestry of our communities as it relates to race/ethn...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2020.03.014
更新日期:2020-06-01 00:00:00
abstract::A comparative clinical trial of short-course and long-course ampicillin prophylaxis in cesarean section was completed at Ife University Teaching Hospitals Complex. The results demonstrate a decided advantage in using the short-course regimen in the various parameters measured. The study constitutes a significant advan...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract::The Keller resection arthroplasty was first described in 1904. Ninety years later, this operation continues to be useful to orthopaedic surgeons and their patients. This article presents the results of Keller bunionectomies in a private practice setting. Indications, surgical techniques, postoperative management, and ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Baclofen is widely used in the treatment of spasticity of spinal origin. It is relatively free of side effects or toxic actions on the nervous system or other organs. Agitation, personality change, and auditory and visual hallucinations have been described following its abrupt withdrawal. One patient with generalized ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-05-01 00:00:00
abstract::This article describes a patient with a large, main pulmonary artery thromboembolus with normal arterial blood gas results, including normal alveolar-arterial oxygen gradient. The diagnosis was established using transesophageal echocardiography and confirmed with pulmonary angiography. The patient subsequently underwe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:INTRODUCTION:Black individuals continue to be underrepresented in clinical trials despite efforts by the National Institutes of Health and the Federal Drug Administration to increase their enrollment. Health care providers play a critical role in the recruitment of patients into clinical trials, as they have establishe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.07.004
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Accidental traumatic injury is the number 1 cause of morbidity and mortality in the pediatric population. In this study, we aim to prove that certain pediatric patients can be treated with good outcomes at an adult level 1 trauma center. METHODS:Retrospective analysis using the Howard University Hospital tr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30654-4
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:To assess the prevalence of depressive symptoms and examine the contribution of demographics, disease severity, and health care use variables to depressive symptoms in sickle cell patients who had been in stable health for at least one month. PATIENTS AND METHODS:Subjects were a convenience sample of 27 men an...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::Very low birthweight and preterm delivery explain two thirds of the excess deaths experienced by African-American infants. Although comprehensive, good quality services for all African-American women will help to reduce the twofold higher rate of infant mortality experienced by African-American infants compared with w...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::There are few reports in the medical literature of treatment of compression of the spinal cord by the use of radiation therapy alone. Laminectomy has been the standard procedure to relieve compression of the spinal cord and should be performed within 48 hours of initial symptoms. In this patient, radiation therapy was...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::Congenital pleuroperitoneal diaphragmatic hernia usually presents in neonates. Children manifesting symptoms and signs after the neonatal period constitute a distinct, uncommon, and infrequently recognized group of patients. Occurrence in adults is also uncommon, with fewer than a hundred patients reported in the lite...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1977-02-01 00:00:00
abstract:OBJECTIVE:To determine if a patient's degree of access to healthcare predicts his or her fund of knowledge about cardiovascular diseases. METHODS:Trained research associates at a public, urban emergency department in New York City administered cross-sectional surveys to selected patients from June 2005 to January 2007...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract::This preliminary study explored the roles of knowledge, attitudes, and significant others on decisions of older African-American women to enroll in a clinical trial involving estrogen and osteoporosis. Sixteen older African-American women (average age 75 years) participated in three focus groups. Twelve of the women h...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Malnutrition, associated with poor outcome in the elderly, may be exacerbated by weight loss during hospitalization. Accurate estimation of energy requirements is important, particularly if predictions are applied to caloric supply. Because data on energy requirements for the elderly are limited, particularl...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2004-02-01 00:00:00
abstract::Based on information from suggesting effects of positive and negative polarity on cancer cells, surveys were performed on magnetic resonance imaging devices, as well as other types of equipment capable of producing appreciable magnetic fields. These surveys were performed in areas where there was a potential for both ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::The health and well-being of all individuals, independent of race, ethnicity, or gender, is a significant public health concern. Despite many improvements in the status of minority health, African American males continue to have the highest age-adjusted mortality rate of any race-sex group in the United States. Such d...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30361-8
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE AND AIM:Most studies have detected impairment of gallbladder motility among obese compared with nonobese people. However, the relationship between gallbladder motility and weight loss is not well defined. The aim of this study was to evaluate the relationship between percent of weight loss and gallbladder mot...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract::As only 600 of the 30,000 psychiatrists in America are black, it is apparent that black psychiatrists in the United States will not be able to meet the needs of all the mentally ill blacks in this country. In view of this situation, the authors feel that psychiatric residency training programs should prepare psychiatr...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract::A large majority of psychiatric outpatients (70 percent) could be diagnosed by nonprofessionals, and an even larger proportion, 80 percent, of 36 patients evaluated could be treated by nonprofessionals. Where the nonprofessional needed professional assistance to diagnose and treat the patient, it was a medical doctor ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract:OBJECTIVE:This study examined gender differences in how three social roles - marriage, parenthood, and employment - impact depressive symptoms and clinically significant depression for African Americans in the first decade of midlife, from 40 to 50 years old. Specifically, we sought to understand the associations betwe...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.10.012
更新日期:2019-06-01 00:00:00
abstract::Educating a physician workforce that reflects the increasing racial and ethnic diversity of our nation is an ongoing challenge of urgent concern. Many medical school kindergarten through 1 2th grade (K-12) pipeline programs focus on "enriching" underrepresented minority (URM) students using strategies to change or "im...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::This paper describes the use of a mobile health unit as a part of a community education, screening, and counseling program. By virtue of its mobility and more flexible hours, this model extends services into the basic urban, suburban, and rural community. Quality control of the diagnostic and counseling activities on ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::Loss of integrity of the thoracic duct will produce a chylous thoracic effusion. latrogenic chylothorax occurring during an intrathoracic surgical procedure in the vicinity of the thoracic duct is an omnipresent reality. The fluid is characteristically milky in appearance, sterile, and high in fat content.There seems ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::A day-long seminar was held at Wake Forest University School of Medicine to address barriers among ethnic minorities in cancer clinical trials and explore ways that individuals who design and conduct clinical trials could increase minority representation. Speakers addressed implications of under-representation of mino...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Climatic conditions may trigger subclinical disease in predisposed individuals and also exacerbate eczematous symptoms resulting in persistence or increased frequency of atopic dermatitis (AD) flares. The aim of this study is to assess the impact of tropical weather conditions on the frequency at which atopi...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/j.jnma.2018.06.005
更新日期:2019-02-01 00:00:00
abstract::Music is a convenient way of bypassing barriers of communication and eliciting responses that may be helpful in the diagnoses and treatment of illness. The use of background music in elevators, in doctors' offices, and in stores are good examples of how music can be used to affect the subconscious mind. In this pilot ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00