Racial/ethnic differences in cardiovascular risk factors among women veterans.

Abstract:

BACKGROUND:Heart disease is the leading cause of death for women in the United States, accounting for 24.5 % of all deaths among women. Earlier research has demonstrated racial/ethnic differences in prevalence of cardiovascular (CVD) risk factors. OBJECTIVE:To empirically examine the prevalence of CVD risk factors among a national sample of women Veterans by race/ethnicity, providing the first portrait of women Veterans' cardiovascular care needs. DESIGN AND PARTICIPANTS:Cross-sectional, national population-based telephone survey of 3,611 women Veterans. MEASUREMENTS:Women Veterans were queried about presence of diabetes, hypertension, obesity, tobacco use and physical activity. Four racial/ethnic categories were created: Hispanic, Non-Hispanic White (White), Non-Hispanic Black (Black), and Other. Logistic regressions were conducted for each risk factor to test for racial/ethnic differences, controlling for age (under 40 vs. 40 and over). KEY RESULTS:Racial/ethnic differences in CVD risk factors persisted after adjusting for age. Black women Veterans were more likely to report a diagnosis of diabetes (OR: 2.58, 95 % CI: 1.07, 6.21) or hypertension (OR: 2.31, 95 % CI: 1.10, 4.83) and be obese (OR: 2.06, 95 % CI: 1.05, 3.91) than White women Veterans. Hispanic women Veterans were more likely than White women Veterans to report diabetes (OR: 4.20, 95 % CI: 1.15, 15.39) and daily smoking (OR: 3.38, 95 % CI: 1.01, 11.30), but less likely to report a hypertension diagnosis (OR 0.21, 95% CI: 0.07, 0.64) or to be obese (OR: 0.39, 95 % CI: 0.18, 0.81). CONCLUSIONS:Among women Veterans, CVD risks vary by race/ethnicity. Black women Veterans consistently face higher CVD risk compared to White women Veterans, while results are mixed for Hispanic women Veterans.

journal_name

J Gen Intern Med

authors

Rose DE,Farmer MM,Yano EM,Washington DL

doi

10.1007/s11606-012-2309-9

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

S524-8

eissn

0884-8734

issn

1525-1497

journal_volume

28 Suppl 2

pub_type

杂志文章,随机对照试验
  • Integrating buprenorphine treatment into office-based practice: a qualitative study.

    abstract:BACKGROUND:Despite the availability and demonstrated effectiveness of office-based buprenorphine maintenance treatment (BMT), the systematic examination of physicians' attitudes towards this new medical practice has been largely neglected. OBJECTIVE:To identify facilitators and barriers to the potential or actual impl...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0881-9

    authors: Barry DT,Irwin KS,Jones ES,Becker WC,Tetrault JM,Sullivan LE,Hansen H,O'Connor PG,Schottenfeld RS,Fiellin DA

    更新日期:2009-02-01 00:00:00

  • A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates.

    abstract:BACKGROUND:Prior studies have demonstrated how price transparency lowers the test-ordering rates of trainees in hospitals, and physician-targeted price transparency efforts have been viewed as a promising cost-controlling strategy. OBJECTIVE:To examine the effect of displaying paid-price information on test-ordering r...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-016-3917-6

    authors: Chien AT,Lehmann LS,Hatfield LA,Koplan KE,Petty CR,Sinaiko AD,Rosenthal MB,Sequist TD

    更新日期:2017-04-01 00:00:00

  • Longitudinal Continuity Learning Experiences and Primary Care Career Interest: Outcomes from an Innovative Medical School Curriculum.

    abstract:BACKGROUND:Medical students in the USA have negative perceptions of primary care careers, which are exacerbated by the hidden curriculum and medical school culture. Longitudinal integrated clerkships (LICs) have shown promise in ameliorating this situation by promoting student/preceptor continuity relationships and hel...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4600-x

    authors: Ford CD,Patel PG,Sierpina VS,Wolffarth MW,Rowen JL

    更新日期:2018-10-01 00:00:00

  • Potentially Preventable Spending Among High-Cost Medicare Patients: Implications for Healthcare Delivery.

    abstract:BACKGROUND:High-cost patients account for a disproportionate share of healthcare spending. The proportion and distribution of potentially preventable spending among subgroups of high-cost patients are largely unknown. OBJECTIVE:To examine the distribution of potentially preventable spending among high-cost Medicare pa...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-05691-8

    authors: Khullar D,Zhang Y,Kaushal R

    更新日期:2020-10-01 00:00:00

  • Preventing diabetes in the clinical setting.

    abstract:OBJECTIVE:Translating lessons from clinical trials on the prevention or delay of type 2 diabetes to populations in nonstudy settings remains a challenge. The purpose of this paper is to review, from the perspective of practicing clinicians, available evidence on lifestyle interventions or medication to prevent or delay...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1497.2005.0277.x

    authors: Burnet DL,Elliott LD,Quinn MT,Plaut AJ,Schwartz MA,Chin MH

    更新日期:2006-01-01 00:00:00

  • Real-time Feedback in Pay-for-Performance: Does More Information Lead to Improvement?

    abstract:BACKGROUND:Pay-for-performance (P4P) has been used expansively to improve quality of care delivered by physicians. However, to what extent P4P works through the provision of information versus financial incentives is poorly understood. OBJECTIVE:To determine whether an increase in information feedback without changes ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05004-8

    authors: Bond AM,Volpp KG,Emanuel EJ,Caldarella K,Hodlofski A,Sacks L,Patel P,Sokol K,Vittore S,Calgano D,Nelson C,Weng K,Troxel A,Navathe A

    更新日期:2019-09-01 00:00:00

  • Prediction of one-year survival in high-risk patients with acute coronary syndromes: results from the SYNERGY trial.

    abstract:BACKGROUND:Despite advances in pharmacologic therapy and invasive management strategies for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS), these patients still suffer substantial morbidity and mortality. OBJECTIVE:The objective of this study was to analyze independent predictors of 1-year ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11606-007-0498-4

    authors: Mahaffey KW,Yang Q,Pieper KS,Antman EM,White HD,Goodman SG,Cohen M,Kleiman NS,Langer A,Aylward PE,Col JJ,Reist C,Ferguson JJ,Califf RM,SYNERGY Trial Investigators.

    更新日期:2008-03-01 00:00:00

  • The availability and nature of physician information on the internet.

    abstract:BACKGROUND:Although patients are commonly using the Internet to find healthcare information, the amount of personal and professional physician information and patient-generated ratings freely accessible online is unknown. OBJECTIVE:To characterize the nature of online professional and personal information available to...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-010-1425-7

    authors: Mostaghimi A,Crotty BH,Landon BE

    更新日期:2010-11-01 00:00:00

  • Elements of Program Design in Medicare's Value-based and Alternative Payment Models: a Narrative Review.

    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

    doi:10.1007/s11606-017-4125-8

    authors: Joynt Maddox KE,Sen AP,Samson LW,Zuckerman RB,DeLew N,Epstein AM

    更新日期:2017-11-01 00:00:00

  • Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

    abstract:BACKGROUND:The Department of Veterans Affairs (VA) mandates disclosure of large-scale adverse events to patients, even if risk of harm is not clearly present. Concerns about past disclosures warranted further examination of the impact of this policy. OBJECTIVE:Through a collaborative partnership between VA leaders, po...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-014-3034-3

    authors: Elwy AR,Bokhour BG,Maguire EM,Wagner TH,Asch SM,Gifford AL,Gallagher TH,Durfee JM,Martinello RA,Schiffner S,Jesse RL

    更新日期:2014-12-01 00:00:00

  • Examination of Post-discharge Follow-up Appointment Status and 30-Day Readmission.

    abstract:BACKGROUND:Post-hospital discharge follow-up appointments are intended to evaluate patients' recovery following a hospitalization, but it is unclear how appointment statuses are associated with readmissions. OBJECTIVE:To examine the association between post-discharge ambulatory follow-up status, (1) having a scheduled...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06569-5

    authors: Coppa K,Kim EJ,Oppenheim MI,Bock KR,Conigliaro J,Hirsch JS

    更新日期:2021-01-19 00:00:00

  • Which advance directive do patients prefer?

    abstract::This study examined patient acceptance of two different advance directives. Outpatients completed the two directives and a 12-item acceptability questionnaire for each, and then stated their directive preferences. Of 128 patients enrolled, 97 (76%) responded. Overall, 47% of the respondents were satisfied with the Let...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02599143

    authors: Reinders M,Singer PA

    更新日期:1994-01-01 00:00:00

  • Improving Rates of Outpatient Influenza Vaccination Through EHR Portal Messages and Interactive Automated Calls: A Randomized Controlled Trial.

    abstract:BACKGROUND:Patient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal messages and interactive voice response (IVR) calls, offer an innovative approach to improving patient care. OBJECTIVE:To test the effectiveness of portal and IVR outreach in improving rates of influenza...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-017-4266-9

    authors: Cutrona SL,Golden JG,Goff SL,Ogarek J,Barton B,Fisher L,Preusse P,Sundaresan D,Garber L,Mazor KM

    更新日期:2018-05-01 00:00:00

  • "Targeted" consent for pragmatic clinical trials.

    abstract::Research on interventions within the standard of care has enormous potential, yet it also raises several ethical and regulatory challenges. Perhaps the most important is determining what consent process is needed for these "pragmatic" clinical trials. Some argue that pragmatic clinical trials need to obtain in-depth r...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-014-3169-2

    authors: Wendler D

    更新日期:2015-05-01 00:00:00

  • Suspected pulmonary embolism and lung scan interpretation: trial of a Bayesian reporting method.

    abstract:OBJECTIVE:To determine whether a Bayesian method of lung scan (LS) reporting could influence the management of patients with suspected pulmonary embolism (PE). DESIGN:1) A descriptive study of the diagnostic process for suspected PE using the new reporting method; 2) a non-experimental evaluation of the reporting meth...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02600392

    authors: Becker DM,Philbrick JT,Schoonover FW,Teates CD

    更新日期:1990-07-01 00:00:00

  • Insurance status, not race, is associated with mortality after an acute cardiovascular event in Maryland.

    abstract:BACKGROUND:It is unclear how lack of health insurance or otherwise being underinsured contributes to observed racial disparities in health outcomes related to cardiovascular disease. OBJECTIVE:To determine the relative risk of death associated with insurance and race after hospital admission for an acute cardiovascula...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-012-2147-9

    authors: Ng DK,Brotman DJ,Lau B,Young JH

    更新日期:2012-10-01 00:00:00

  • The impact of the Medicare Part D prescription benefit on generic drug use.

    abstract:BACKGROUND:Little information exists regarding the impact of Medicare Part D on generic drug use. OBJECTIVE:To examine changes in the use of generic prescriptions attributable to Part D among a sample of Medicare beneficiaries. DESIGN, PARTICIPANTS, AND MEASUREMENTS:Difference-in-difference analysis of pharmacy claim...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0742-6

    authors: Zhang JX,Yin W,Sun SX,Alexander GC

    更新日期:2008-10-01 00:00:00

  • Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting.

    abstract:BACKGROUND:Medical management of acute pain among hospital inpatients may be enhanced by mind-body interventions. OBJECTIVE:We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery would significantl...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-017-4116-9

    authors: Garland EL,Baker AK,Larsen P,Riquino MR,Priddy SE,Thomas E,Hanley AW,Galbraith P,Wanner N,Nakamura Y

    更新日期:2017-10-01 00:00:00

  • Racial and ethnic differences in preferences for end-of-life treatment.

    abstract:BACKGROUND:Studies using local samples suggest that racial minorities anticipate a greater preference for life-sustaining treatment when faced with a terminal illness. These studies are limited by size, representation, and insufficient exploration of sociocultural covariables. OBJECTIVE:To explore racial and ethnic di...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-0952-6

    authors: Barnato AE,Anthony DL,Skinner J,Gallagher PM,Fisher ES

    更新日期:2009-06-01 00:00:00

  • Surviving and Thriving as Physicians in General Internal Medicine Fellowship in the Twenty-First Century.

    abstract::General internal medicine (GIM) fellowships play an important role in the development of physician scientists and clinical educators, as well as leaders in academic medicine. Nevertheless, the challenges of developing another novel aspect to one's career, along with balancing coursework, research productivity, clinica...

    journal_title:Journal of general internal medicine

    pub_type: 社论

    doi:10.1007/s11606-020-05837-8

    authors: Essien UR,Tipirneni R,Leung LB,Sterling MR

    更新日期:2020-12-01 00:00:00

  • Symptom burden, depression, and spiritual well-being: a comparison of heart failure and advanced cancer patients.

    abstract:BACKGROUND:A lower proportion of patients with chronic heart failure receive palliative care compared to patients with advanced cancer. OBJECTIVE:We examined the relative need for palliative care in the two conditions by comparing symptom burden, psychological well-being, and spiritual well-being in heart failure and ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-009-0931-y

    authors: Bekelman DB,Rumsfeld JS,Havranek EP,Yamashita TE,Hutt E,Gottlieb SH,Dy SM,Kutner JS

    更新日期:2009-05-01 00:00:00

  • Obesity and mammography: a systematic review and meta-analysis.

    abstract:BACKGROUND:Obese women experience higher postmenopausal breast cancer risk, morbidity, and mortality and may be less likely to undergo mammography. OBJECTIVES:To quantify the relationship between body weight and mammography in white and black women. DATA SOURCES AND REVIEW METHODS:We identified original articles eval...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11606-009-0939-3

    authors: Maruthur NM,Bolen S,Brancati FL,Clark JM

    更新日期:2009-05-01 00:00:00

  • Perceptions of financial payment for research participation among African-American drug users in HIV studies.

    abstract:BACKGROUND:Financial compensation for participating in research is controversial, especially when participants are recruited from economically disadvantaged and/or marginalized populations such as drug users. Little is known about these participants' own views regarding payment for research participation. OBJECTIVE:Th...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-007-0319-9

    authors: Slomka J,McCurdy S,Ratliff EA,Timpson S,Williams ML

    更新日期:2007-10-01 00:00:00

  • Systematic review of the literature on comparative effectiveness of antiviral treatments for chronic hepatitis B infection.

    abstract:OBJECTIVES:To evaluate the comparative effectiveness of antiviral drugs in adults with chronic hepatitis B monoinfection for evidence-based decision-making. METHODS:A systematic review of randomized controlled clinical trials (RCTs) published in English. Results after interferon and nucleos(t)ides analog therapies wer...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-010-1569-5

    authors: Shamliyan TA,Johnson JR,MacDonald R,Shaukat A,Yuan JM,Kane RL,Wilt TJ

    更新日期:2011-03-01 00:00:00

  • Impact of Medical Scribes on Physician and Patient Satisfaction in Primary Care.

    abstract:BACKGROUND:Use of electronic health records (EHRs) is associated with physician stress and burnout. While emergency departments and subspecialists have used scribes to address this issue, little is known about the impact of scribes in academic primary care. OBJECTIVE:Assess the impact of a scribe on physician and pati...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4434-6

    authors: Pozdnyakova A,Laiteerapong N,Volerman A,Feld LD,Wan W,Burnet DL,Lee WW

    更新日期:2018-07-01 00:00:00

  • General internist communication about sexual function with cancer survivors.

    abstract:BACKGROUND:Sexual dysfunction is an important issue that affects many cancer survivors who are increasingly being cared for by internists. OBJECTIVE:To examine the attitudes and reported practices of internists regarding survivorship care as it pertains to sexual dysfunction. DESIGN:Surveys were sent to 406 physician...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-1026-5

    authors: Park ER,Bober SL,Campbell EG,Recklitis CJ,Kutner JS,Diller L

    更新日期:2009-11-01 00:00:00

  • Osteoporosis management in prostate cancer patients treated with androgen deprivation therapy.

    abstract:BACKGROUND:The use of androgen deprivation therapy (ADT) for prostate cancer has increased substantially in recent years, exposing more men to potential treatment complications, including osteoporosis and fractures. OBJECTIVE:To determine whether men treated with ADT for prostate cancer received osteoporosis screening...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-007-0291-4

    authors: Yee EF,White RE,Murata GH,Handanos C,Hoffman RM

    更新日期:2007-09-01 00:00:00

  • Nicotine dependence: a preventable risk factor for other diseases.

    abstract::Nicotine meets all critical criteria for an addictive drug. Furthermore, there is no evidence that there would be widespread compulsive use of tobacco without nicotine. These findings have led to consideration of the cigarette as a contaminated vehicle for an addictive drug (nicotine). Nevertheless, nicotine itself ma...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02600847

    authors: Cohen C,Henningfield JE

    更新日期:1990-09-01 00:00:00

  • Prostate-specific antigen testing practices and outcomes.

    abstract:OBJECTIVES:To characterize prostate-specific antigen (PSA) testing practices in a hospital-based primary care clinic, and to determine the outcomes of PSA testing, including urology referrals, biopsies, cancers detected, and cancer treatments. DESIGN:Retrospective cohort study. Data were obtained from computerized Dep...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1998.00026.x

    authors: Hoffman RM,Blume P,Gilliland F

    更新日期:1998-02-01 00:00:00

  • Tips for teachers of evidence-based medicine: making sense of decision analysis using a decision tree.

    abstract::Decision analysis is a tool that clinicians can use to choose an option that maximizes the overall net benefit to a patient. It is an explicit, quantitative, and systematic approach to decision making under conditions of uncertainty. In this article, we present two teaching tips aimed at helping clinical learners unde...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-0918-8

    authors: Lee A,Joynt GM,Ho AM,Keitz S,McGinn T,Wyer PC,EBM Teaching Scripts Working Group.

    更新日期:2009-05-01 00:00:00