Publications by authors named "Senait Teklehaimenot"

2 Publications

  • Page 1 of 1

Racial differences in institutionalization after hip fractures: California hospital discharge data.

Ethn Dis 2005 ;15(4 Suppl 5):S5-30-3

Division of General Internal Medicine, Charles R Drew University of Medicine and Science, Los Angeles, California, USA.

Objective: Hip fractures related to osteoporosis are a major cause of illness leading to institutionalization of elderly patients. Our objective was to determine the ethnic differences and the factors influencing the placement of hip fracture patients in extended-care facilities (ECFs).

Design: Secondary data analyses of California Hospital Discharge Data Program (CHDDP).

Participants: 78,576 men and 246,177 women > or = 65 years of age with hip fractures related to osteoporosis were included for the analyses.

Methods: The main outcome variable was placement in ECFs as opposed to home. Other variables studied were age, gender, ethnicity, cormobid conditions, insurance, and length of stay in the hospital.

Results: Whites and African-American patients with hip fractures were more likely to be placed in ECFs compared to Hispanics. Older age, male gender, presence of two or more comorbid conditions, Medicare insurance, and shorter length of stay in the hospital were also significantly associated with placement in ECFs.

Conclusion: Future studies should explore sociocultural and other factors that influence ethnic differences in the disposition of hip fracture patients.
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January 2006

Multi-cultural surveillance for ectopic pregnancy: California 1991-2000.

Ethn Dis 2005 ;15(4 Suppl 5):S5-20-4

RCMI-Biomedical Research Center, Drew University Center for Cross-cultural Epidemiologic Studies, Women's Health Initiative Projects, The Charles R Drew University of Medicine & Science, Los Angeles, California, USA.

Background: National surveillance for ectopic pregnancy (EP), the primary cause of maternal death in the first trimester, began in 1970. EP rates peeked during the late 1980s and have been highest for African Americans. However, limited reports on EP rates exist for other racial/ethnic groups.

Objectives: To report state-level, multicultural trends in EP rates from 1991 to 2000.

Methods: Secondary data analysis of the California hospital discharge database collected by the Office of Statewide Health Planning and Development by using codes 633.0-633.9, from the International Classification of Diseases, Ninth Revision. EP rates are reported per 1000 pregnancies.

Results: From 1991 to 2000, 62,839 EP were reported in California. Mean EP rate was 11.2/1000, decreased from 15/1000 to 9.3/1000, and varied significantly by race/ethnicity and age. EP rates were highest among African Americans (25/1000) and lowest among Hispanics (7.7/1000); African Americans had higher odds of having EP relative to non-Hispanic Whites (odds ratio [OR] 2.14, 95% confidence interval [CI] 2.09-2.19). Women 35-44 years of age had the highest EP rates (17.6/1000) and higher odds of having EP compared to other age groups (OR 2.45, 95% CI 2.39-2.50). The highest rate of EP was found among African Americans 35-44 years of age (43.1/1000).

Conclusions: The study showed declining EP rates in California for all groups but highlights disparities in EP rates and the attenuated rate of decline for African Americans, which places them at highest risk of death in the first trimester. This study demonstrates the usefulness of analyzing state-level data that may differ from aggregated national data when studying culturally diverse populations.
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January 2006