Abstract:
OBJECTIVES:To examine the adequacy of available evidence that: 1) left ventricular hypertrophy (LVH) and its regression influence the rate of cardiovascular events in hypertension; 2) carotid artery wall thickening and discrete plaque have comparable significance to LVH; and 3) black hypertensive patients have greater target organ damage than white hypertensives, independent of blood pressure and other relevant covariates. DESIGN AND METHODS:Statistical, epidemiologic, and treatment trial literature concerning ECG and echocardiographic LVH and carotid ultrasound findings was reviewed to address the above three questions. RESULTS:Results of seven electrocardiographic and ten echocardiographic studies (total of 20,000 subjects) show consistently higher risks of morbid events in individuals with LVH as compared to those without (odds ratios 1.4 to 5.4). Available data (five studies, 1544 subjects) suggest that morbid events occur in a greater proportion of individuals in whom LVH progresses (13% to 59%) than in whom it regresses (7% to 12%). Results of four studies using carotid ultrasound (n = 9570) show consistently higher rates of subsequent cardiovascular events in individuals with carotid wall thickening, discrete atherosclerotic plaque or arterial stenosis than those without; however, data are only available from one study regarding the relation between longitudinal change in carotid ultrasound findings and subsequent events. Of the available echocardiographic studies comparing black and white hypertensive patients, most (7 out of 9) show higher LV wall thickness in blacks, with no consistent difference with regard to LV mass. CONCLUSIONS:LVH satisfies strict criteria to establish a fully adequate surrogate endpoint for morbid events in hypertension more fully than do carotid arterial findings. It has not yet been fully established whether black-white differences in hypertensive target organ damage are independent of blood pressure or other factors.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Devereux RB,Okin PM,Roman MJsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
138-48issue
2eissn
1049-510Xissn
1945-0826journal_volume
8pub_type
杂志文章,评审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: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:CONTEXT:The prevalence of the cardiovascular disease risk factors, dyslipidemia, hypertension, and diabetes mellitus, is increased in the setting of obesity. OBJECTIVE:To determine whether the prevalence of these risk factors increases with increasing body mass index in an obese cohort, or whether there is a threshold...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 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: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 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:This article describes Mayors Mentoring Mayors (3M), an initiative of the Arkansas Coalition for Obesity Prevention (ArCOP), which expanded to five states to become the signature community initiative of the Mid-South Transdisciplinary Collaborative Center (Mid-South TCC) for Health Disparities Research. Meth...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:10.18865/ed.27.S1.347
更新日期:2017-11-09 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: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:OBJECTIVE:Self Identity through Ho'oponopono is a step-by-step problem-solving approach to identify and relieve stress. The objective of this study was to determine if Self Identity through Ho'oponopono along with standard medical therapy might better control hypertension than standard therapy alone. DESIGN, SETTING, ...
journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章
doi:
更新日期:2007-10-01 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:To describe the strategies and costs associated with recruiting both African American and White postmenopausal women into a randomized controlled trial. DESIGN:The Beneficial Effects of Soy Trial (BEST) was a randomized, controlled trial designed to determine the effects of a dietary soy supplement on lipopr...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2006-10-01 00:00:00
abstract::African Americans are disproportionately afflicted with end-stage kidney failure (ESRD). Whereas they constitute approximately 12 percent of the US population, they comprise 32 percent of the prevalent ESRD population. Diabetes mellitus is the predominant cause of ESRD in the U.S. population. However, hypertension is ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:Objective:To characterize rates of co-morbidity among prostate cancer patients treated with radical prostatectomy and to examine the association between co-morbidity status and race, clinical factors, and health behaviors for cancer control. Design/Study Participants:Retrospective cohort study among prostate cancer pa...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.S1.185
更新日期:2020-04-02 00:00:00
abstract::The concept of acquired immune deficiency syndrome (AIDS) as a behavioral problem, and the emphasis placed by researchers on race and ethnicity as "risk factors," have led to research focused on the "risk behaviors" of historically oppressed groups and a continuing social policy thrust that "blames the victim." Dispro...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
abstract:Objective:This study investigated whether HIV testing attitudes, HIV conspiracy beliefs, and reported sexual partner disclosure of HIV/STI status related to one-month self-report HIV testing outcomes following a brief intervention among Black women aged 18-25 years residing in rural Mississippi. Participants:Black wom...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.2.251
更新日期:2020-04-23 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: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:OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract::This study investigated the effectiveness of a community-academic health center partnership, utilizing nurse-supervised indigenous community health workers, in decreasing the blood pressure in an urban African-American population. A four-year randomized clinical trial was conducted in the Sandtown-Winchester community...
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:2003-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine (1) how African-American and white men and women from similar low income communities perceive their body mass relative to others in the population; and (2) whether ethnic and gender differences exist in the selection of ideal body image sizes for the same and opposit...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-10-01 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: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:Objective:The National Research Mentoring Network (NRMN) is a strategic partnership whose goals include remedying documented disparities by race and ethnicity in the awarding of National Institutes of Health research grants. Our objectives were to offer a profile of early-career investigators who applied to NRMN's Gran...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.S1.123
更新日期:2019-02-21 00:00:00
abstract:BACKGROUND:Although minority populations suffer a disproportionately higher burden of tobacco-attributable morbidity and mortality, the church appears to be a promising avenue through which to pursue tobacco-cessation interventions in these communities. This report describes church-related correlates of tobacco use amo...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1998-01-01 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:OBJECTIVE:Post-stroke depression (PSD) is common and associated with poor stroke outcomes, but few studies have examined race/ethnic disparities in PSD. Given the paucity of work and inconsistent findings in this important area of research, our study aimed to examine race/ethnic differences in depression in a multi-eth...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.26.1.1
更新日期:2016-01-21 00:00:00
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::Much of the work for a community-partnered participatory research (CPPR) initiative is done in committees that operate under the principles of CPPR and the vision of the partnership, while implementing the action plans of the initiative. Action plans are developed in work group meetings and sponsored events that engag...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:Little is known about the health outcomes or the quality of care among Arab American patients with diabetes. The objective of this study is to examine the use of glucose-lowering agents and aspirin therapy in this population compared to the drug utilization patterns reported in nationally representative surve...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00