Disparities in end of life care for elderly lung cancer patients.


:The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, the number of inpatient admissions and the number of intensive care unit (ICU) days in the last 90 days of life, hospice care ever used and hospice enrollment within the last 3 days of life. Medicare beneficiaries with lung cancer residing in rural, remote rural, and micropolitan areas had more ER visits in the last 90 days of life as compared to urban residents. Urban residents however, had more ICU days in the last 90 days of life and were more likely to have ever used hospice as compared to residents of rural, remote rural and micropolitan counties. Racial minority lung cancer patients had more ICU days, ER visits and inpatient days than non-Hispanic White patients, and also were less likely to have ever used hospice care or be enrolled in hospice in the last 3 days of life. Lung cancer patients with very low socioeconomic status (SES) were less likely to ever use hospice or be enrolled in hospice care in the last 3 days of life, as compared to those who had very high SES. Geographic, racial and socioeconomic disparities in end of life care call for targeted efforts to address access barriers for these groups of patients.


J Community Health


Nayar P,Qiu F,Watanabe-Galloway S,Boilesen E,Wang H,Lander L,Islam M




Has Abstract


2014-10-01 00:00:00












  • Promotoras as mental health practitioners in primary care: a multi-method study of an intervention to address contextual sources of depression.

    abstract::We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method desi...

    journal_title:Journal of community health

    pub_type: 杂志文章,随机对照试验


    authors: Waitzkin H,Getrich C,Heying S,Rodríguez L,Parmar A,Willging C,Yager J,Santos R

    更新日期:2011-04-01 00:00:00

  • The effect of coordinated, multidisciplinary ambulatory care on service use, charges, quality of care and patient satisfaction in the elderly.

    abstract::This study evaluated a multidisciplinary care center, the Pike Market Clinic (PMC), whose physicians provide and coordinate inpatient and outpatient care for downtown low-income elderly in Seattle. We interviewed users of PMC and their near-neighbors with a 206 item questionnaire to compare their medical and social se...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Baldwin LM,Inui TS,Stenkamp S

    更新日期:1993-04-01 00:00:00

  • Current Situation of Congenital Toxoplasmosis in Ecuador.

    abstract::Congenital toxoplasmosis (CT) is a zoonosis resulting from the fetal transmission of the obligate intracellular parasite, T. gondii, transplacentally in pregnant women usually in the first trimester of pregnancy. This research consisted in the review of indexed articles made in the Ecuador in the period between the ye...

    journal_title:Journal of community health

    pub_type: 杂志文章,评审


    authors: Velásquez Serra GC,Piloso Urgiles LI,Guerrero Cabredo BP,Chico Caballero MJ,Zambrano Zambrano SL,Yaguar Gutierrez EM,Barrera Reyes CG

    更新日期:2020-02-01 00:00:00

  • Delayed prenatal care and the risk of low birth weight delivery.

    abstract::To determine if the timing of prenatal care is associated with low birth weight delivery after adjusting for sociodemographic and behavioral risk factors, we performed a retrospective cross-sectional study of singleton births to white (2,945,595) or African-American (552,068) women in the United States in 1996. When a...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Hueston WJ,Gilbert GE,Davis L,Sturgill V

    更新日期:2003-06-01 00:00:00

  • Child Passenger Safety in the Somali Communities of Columbus, Ohio.

    abstract::Children (particularly low-income minorities and refugees) are at high risk for serious injury or death from motor vehicle crashes. Interpreter-assisted data collection included key informant interviews, focus groups and face-to-face surveys with the Somali community of Columbus, Ohio about child passenger safety. Mea...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: McKenzie LB,Fowler E,Roberts KJ,Kaercher RM

    更新日期:2017-04-01 00:00:00

  • Cervical Cancer and Human Papillomavirus Vaccine Awareness Among Married Bhutanese Refugee and Nepali Women in Eastern Nepal.

    abstract::This study examined the sexually transmitted infections (STIs), cervical cancer, and human papillomavirus virus (HPV) vaccine-related awareness and knowledge among married Bhutanese refugee and Nepali women living in eastern Nepal. Participants were recruited from a women's health camp in Jhapa District in eastern Nep...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Bhatta MP,Johnson DC,Lama M,Maharjan B,Lhaki P,Shrestha S

    更新日期:2020-06-01 00:00:00

  • Knowledge, Attitudes, and Practices Towards COVID-19 Among Ecuadorians During the Outbreak: An Online Cross-Sectional Survey.

    abstract::Preventing the transmission of SARS-CoV-2 (causative agent for COVID-19) requires implementing contact and respiratory precautions. Modifying human behavior is challenging and requires understanding knowledge, attitudes, and practices (KAPs) regarding health threats. This study explored KAPs among people in Ecuador. A...

    journal_title:Journal of community health

    pub_type: 评论,杂志文章


    authors: Bates BR,Moncayo AL,Costales JA,Herrera-Cespedes CA,Grijalva MJ

    更新日期:2020-12-01 00:00:00

  • Desire for, and uptake of HIV tests by Ghanaian women: the relevance of community level stigma.

    abstract::Voluntary counseling and testing (VCT) has been recognized as the crux of HIV surveillance, prevention and treatment programs. Since 2000, Ghana government has launched a number of HIV prevention and treatment programs intended to increase VCT services. Despite these efforts, uptake of testing is still low, though man...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Koku EF

    更新日期:2011-04-01 00:00:00

  • Food insecurity and other poverty indicators among people living with HIV/AIDS: effects on treatment and health outcomes.

    abstract::Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Kalichman SC,Hernandez D,Cherry C,Kalichman MO,Washington C,Grebler T

    更新日期:2014-12-01 00:00:00

  • Proyecto MercadoFRESCO: a multi-level, community-engaged corner store intervention in East Los Angeles and Boyle Heights.

    abstract::Urban food swamps are typically situated in low-income, minority communities and contribute to overweight and obesity. Changing the food landscape in low income and underserved communities is one strategy to combat the negative health consequences associated with the lack of access to healthy food resources and an abu...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Ortega AN,Albert SL,Sharif MZ,Langellier BA,Garcia RE,Glik DC,Brookmeyer R,Chan-Golston AM,Friedlander S,Prelip ML

    更新日期:2015-04-01 00:00:00

  • The preceptorship, an integral unit of the curriculum in community and family medicine.

    abstract::A curriculum in community and family medicine at the University of Massachusetts Medical School, planned to include a primary care preceptorship as an integral unit, is described. The curriculum has been planned to allow for repeated and increasing exposure of medical students during their undergraduate years to a var...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Burke WM,Lukes JJ,Mansell E

    更新日期:1978-04-01 00:00:00

  • Perceived needs and unmet needs for formal services among people with HIV disease.

    abstract::This study presents estimates of the prevalence of perceived needs and unmet needs among people with HIV disease in the United States for six areas of community services: mental health, drug treatment, home care, housing, transportation, and entitlements. The prevalence of service needs and unmet needs within racial, ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Piette JD,Fleishman JA,Stein MD,Mor V,Mayer K

    更新日期:1993-02-01 00:00:00

  • Caregiving on the Hopi Reservation: Findings from the 2012 Hopi Survey of Cancer and Chronic Disease.

    abstract::A family caregiver provides unpaid assistance to a family member/friend with a chronic disease, illness or disability. The caregiving process can affect a caregiver's quality of life by reducing time for themselves, for other family members and for work. The 2000 Behavioral Risk Factor Surveillance Survey estimates th...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Cordova FM,B Harris R,Teufel-Shone NI,L Nisson P,Joshweseoma L,R Brown S,Sanderson PR,Ami D,Saboda K,M Mastergeorge A,B Gerald L

    更新日期:2016-12-01 00:00:00

  • Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior.

    abstract::In 1972 the Stanford Heart Disease Prevention Program launched a three-community field study. A multimedia campaign was conducted for two years in two California communities (Watsonville and Gilroy), in one of which (Watsonville) it was supplemented by an intensive-instruction program with high-risk subjects. A third ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Maccoby N,Farquhar JW,Wood PD,Alexander J

    更新日期:1977-01-01 00:00:00

  • Home-based Health Risk Appraisal and screening program.

    abstract::In an effort to improve Health Risk Appraisals and to induce individuals to change their lifestyles, comprehensive evaluations and counseling sessions were carried out for 476 participants of an experimental preventive care program (1984). Nurse practitioners interviewed participants in their homes and collected infor...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Acquista VW,Wachtel TJ,Gomes CI,Salzillo M,Stockman M

    更新日期:1988-04-01 00:00:00

  • Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan hospital: perspective of child caregivers.

    abstract::In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the f...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Nankinga Z,Muliira JK,Kalyango J,Nankabirwa J,Kiwuwa S,Njama-Meya D,Karamagi C

    更新日期:2012-10-01 00:00:00

  • Access to usual source of care by race and income in ten urban areas.

    abstract::In terms of less access to private sources of care (as distinguished from hospital-public clinics) and longer travel time to usual source of care, poverty areas are at a disadvantage. Within the ten areas studied, the poor have less access than the nonpoor, with access differences even greater between the races than b...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Okada LM,Sparer G

    更新日期:1976-04-01 00:00:00

  • Understanding Cultural Beliefs in Families of Somali Children with Diabetes in the Twin Cities, Minnesota.

    abstract::Describe cultural beliefs related to diabetes in Minnesota Somali children with type 1 diabetes (T1D), and compare their diabetes control to that of non-Somali children with diabetes. A cross-sectional study involving Somali children ≤ 19 years with T1D at the University of Minnesota Masonic Children's Hospital and Ch...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Sunni M,Farah M,Hardie C,Dhunkal AM,Abuzzahab MJ,Kyllo JH,Bellin MD,Nathan B,Moran A

    更新日期:2015-08-01 00:00:00

  • Indigenizing Academics Through Leadership, Awareness, and Healing: The Impact of a Native American Health Seminar Series for Health Professionals, Students, and Community.

    abstract::Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.' Lifting the voices of AI/ANs in telling their stories could improve the education of students, faculty and the lay public. We collaborated...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Carney PA,Taylor C,Frutos R,Spector D,Brodt E

    更新日期:2019-12-01 00:00:00

  • Health disparities and prevention: racial/ethnic barriers to flu vaccinations.

    abstract::To address the widening disparity between Whites and non-Whites for influenza vaccination rates, this study employed the Health Belief Model to examine these rates in five racial ethnic groups (White, Latino, African American, Filipino American, and Japanese American) to identify modifiable determinants of vaccination...

    journal_title:Journal of community health

    pub_type: 杂志文章,多中心研究


    authors: Chen JY,Fox SA,Cantrell CH,Stockdale SE,Kagawa-Singer M

    更新日期:2007-02-01 00:00:00

  • Primary care, private physicians, and public health personnel: a conflict in expectations.

    abstract::The elimination of categorical grants and their replacement by block grants provides public health departments the opportunity to integrate their services and provide general primary care to the underserved. While some may consider this an opportunity long overdue such a change may generate considerable conflict with ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Kirkman-Liff BL,Kaluzny AD

    更新日期:1982-01-01 00:00:00

  • The racial disparity in breast cancer mortality.

    abstract::Black women die of breast cancer at a much higher rate than white women. Recent studies have suggested that this racial disparity might be even greater in Chicago than the country as a whole. When data describing this racial disparity are presented they are sometimes attributed in part to racial differences in tumor b...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Whitman S,Ansell D,Orsi J,Francois T

    更新日期:2011-08-01 00:00:00

  • Loneliness, emotional repression, marital quality, and major life events in women who develop breast cancer.

    abstract::Women awaiting mammograms at a breast clinic were given questionnaires to investigate the role of psychosocial variables in the development of breast cancer while controlling for established breast cancer risk factors. Questionnaires to determine loneliness, emotional repression, marital quality, and major life change...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Fox CM,Harper AP,Hyner GC,Lyle RM

    更新日期:1994-12-01 00:00:00

  • Longitudinal study of career choices of a SUNY-Upstate cohort of medical students.

    abstract::A SUNY-Upstate cohort was observed during the four-year matriculation (1974--1978) of the students for changes in their career choices. Medical school exposure seemed to increase students' interest in all major specialties, with the exception of family practice for which there was an overall 3% decrease. Internship an...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Oates RP,Feldman HA

    更新日期:1979-01-01 00:00:00

  • Environmental and economic evaluation of the Massachusetts Smoke-Free Workplace Law.

    abstract::An environmental and economic evaluation of the smoke-free law in Massachusetts provides a broad appreciation of how a state-wide smoking ban affects the health of patrons and workers as well as the industries that are commonly concerned about the effects of smoking bans on business. The aim of this study is to evalua...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Alpert HR,Carpenter CM,Travers MJ,Connolly GN

    更新日期:2007-08-01 00:00:00

  • New York Medical College: an early center of excellence in American medical education.

    abstract::Originating in 1850, the New York Medical College was one of the earliest medical schools to adopt the educational reforms advocated by the American Medical Association. This college lengthened the school term, employed more professors than usual and established a separate Board of Censors to approve students for thei...

    journal_title:Journal of community health

    pub_type: 历史文章,杂志文章


    authors: Spiegel AD

    更新日期:1993-10-01 00:00:00

  • Emergency room management of patients with sore throats in a teaching hospital: influence of non-physician factors.

    abstract::The care of 169 patients with sore throats was evaluated retrospectively to determine if the quality of medical care received in a teaching hospital's emergency room is associated with the degree of control managing physicians have over the medical care process. Diagnostic evaluation (temperature, throat and cervical ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Fletcher SW,Hamann C

    更新日期:1976-04-01 00:00:00

  • Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions.

    abstract::Universal health coverage requires an adequate health workforce, including community health workers (CHWs) to reach rural communities. To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community hea...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Shelley KD,Belete YW,Phiri SC,Musonda M,Kawesha EC,Muleya EM,Chibawe CP,van den Broek JW,Vosburg KB

    更新日期:2016-04-01 00:00:00

  • Patterns of tobacco-use behavior among Chinese smokers with medical conditions.

    abstract::Understanding the characteristics of Chinese American smokers with medical conditions and factors associated with their tobacco-use behaviors will guide effective cessation programs. In 2008, the authors described socio-demographic profiles of Chinese smokers with medical conditions treated during the period 2002-2006...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Wong CC,Tong EK,Tsoh JY,Chen MJ,Hom FB

    更新日期:2009-12-01 00:00:00

  • A Social Needs Assessment Tool for an Urban Latino Population.

    abstract::Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Careyva BA,Hamadani R,Friel T,Coyne CA

    更新日期:2018-02-01 00:00:00