Abstract：
OBJECTIVE:To compare the prevalence of hot flashes and health education regarding menopause in African-American and white American women in the late reproductive years. DESIGN:Cross-sectional study. SETTING:Population-based sample recruited through random digit dialing. PARTICIPANTS:The sample was 436 women between the ages of 35 and 48 years with regular menses. Half the sample was African American and half was white American. MAIN RESULTS:African-American women (53%) were more likely than white American women (29%) to have experienced hot flashes (p < .001). The difference remained after adjustment for body-mass index, education, menstrual cycle characteristics, and gynecologic and medical history. Despite the high prevalence of symptoms, few women had discussed menopausal management with their physicians. For white women the media were the primary source of menopause-related information, whereas African-American women reported that their family was the primary source of information. CONCLUSIONS:These results indicate that hot flashes occur commonly among women in their thirties and forties who have regular menstrual cycles and that the prevalence of hot flashes appears to differ by race. Studies should be designed to evaluate the hormonal and physiologic implications of these symptoms among women in their late reproductive years. Few of these women had discussed menopause with their physicians. Given the differences in sources of information about menopause, development of culture-specific health education programs should be considered.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Grisso JA,Freeman EW,Maurin E,Garcia-Espana B,Berlin JAdoi
10.1046/j.1525-1497.1999.00294.xsubject
Has Abstractpub_date
1999-02-01 00:00:00pages
98-103issue
2eissn
0884-8734issn
1525-1497journal_volume
14pub_type
杂志文章abstract：:Increasing emphasis on value in health care has spurred the development of value-based and alternative payment models. Inherent in these models are choices around program scope (broad vs. narrow); selecting absolute or relative performance targets; rewarding improvement, achievement, or both; and offering penalties, r...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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abstract：BACKGROUND:Colorectal cancer (CRC) screening can be administered through tests with varied characteristics and is a preference-sensitive decision. OBJECTIVE:To assess patient experiences with a Maximum Differences Scaling (MDS) tool for eliciting values about CRC screening test characteristics and determine whether pa...
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abstract：BACKGROUND:Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the Caribbean region. OBJECTIVE:This study explored the concept of a health network, relationships focused on health-related matters, and examined associations with CVD risk factors in the Eastern Caribbean. DESIGN:The Eastern ...
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
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abstract：BACKGROUND:Leaders play a crucial role in implementing and sustaining changes in clinical practice, yet there is limited evidence on the strategies to engage them in team problem solving and communication. OBJECTIVE:Examine the impact of an intervention focused on facilitating leadership during daily huddles on optimi...
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doi：10.1007/s11606-014-2768-2
更新日期：2014-05-01 00:00:00
abstract：:To evaluate the performance of serum iron studies as a diagnostic test for iron-deficiency anemia in a county hospital, the authors identified retrospectively all general medicine patients who had had bone-marrow aspirates for the work-up of non-macrocytic anemias from 1978 through 1983. Re-reading a sample of aspirat...
journal_title：Journal of general internal medicine
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更新日期：1987-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：1995-03-01 00:00:00
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更新日期：1996-10-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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更新日期：2002-11-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2014-03-01 00:00:00
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journal_title：Journal of general internal medicine
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更新日期：2006-03-01 00:00:00
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pub_type： 杂志文章
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-019-05590-7
更新日期：2020-07-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2009-05-01 00:00:00
