1,073 results match your criteria nhw

Early racial/ethnic disparities in continuous glucose monitor use in pediatric type 1 diabetes.

Diabetes Technol Ther 2021 Jun 18. Epub 2021 Jun 18.

The Children's Hospital of Philadelphia Division of Endocrinology and Diabetes, 551609, Philadelphia, Pennsylvania, United States.

Racial-ethnic disparities in technology use have been described in children with type 1 diabetes (T1D). It is not known if these emerge early in disease management. This single-center retrospective study examined disparities in continuous glucose monitor (CGM) initiation and durability in the first-year following diagnosis of T1D in children. Read More

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Racial/Ethnic Differences in Pediatric Emergency Department Wait Times.

Pediatr Emerg Care 2021 Jun 15. Epub 2021 Jun 15.

From the University of California, Davis Medical Center, Sacramento, CA Children's National Health System, The George Washington University, Washington, DC Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA University of Colorado, Children's Hospital, Aurora, CO Cincinnati Children's Hospital Medical Center, UC Health, Cincinnati, OH University of Utah Myriad Genetics, Inc, Salt Lake City, UT Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, IL.

Objectives: Wait time for emergency care is a quality measure that affects clinical outcomes and patient satisfaction. It is unknown if there is racial/ethnic variability in this quality measure in pediatric emergency departments (PEDs). We aim to determine whether racial/ethnic differences exist in wait times for children presenting to PEDs and examine between-site and within-site differences. Read More

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Racial Disparities in Perioperative Morbidity Following Oncological Spine Surgery.

Global Spine J 2021 Jun 14:21925682211022290. Epub 2021 Jun 14.

Spine Research Group, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.

Study Design: Retrospective cohort study.

Objective: To assess the impact of race on complications following spinal tumor surgery.

Methods: Adults with cancer who underwent spine tumor surgery were identified in the American College of Surgeons National Surgical Quality Improvement Program datasets from 2012 to 2016. Read More

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Racial/ethnic differences in dietary intake among a diverse sample of adolescents: An experimental study.

Pediatr Obes 2021 Jun 13:e12823. Epub 2021 Jun 13.

Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California, USA.

Background: African-American (AA) and Hispanic/Latina (HL) females have higher obesity prevalence than do non-Hispanic Whites (NHW); this may be due to AA and HL consuming more energy-dense foods in response to stressors.

Objectives: This study examined racial/ethnic differences in dietary intake under controlled conditions (relaxation and stress) in a diverse sample of adolescent females.

Methods: Participants included 120 adolescent females (30% AA, 37% HL and 33% NHW) who participated in a laboratory food intake study. Read More

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Racial and ethnic disparities in post-traumatic stress and illness coherence in breast cancer survivors with comorbid diabetes.

Psychooncology 2021 Jun 9. Epub 2021 Jun 9.

Division of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Context: Breast cancer survivors (BCS) with comorbid diabetes mellitus (DM) and of racial and ethnic minority status are at higher risk of cancer-related post-traumatic stress (PTS) and severe illness beliefs. These affective and cognitive outcomes influence self-management and treatment adherence in patients with chronic conditions, yet little is known regarding the interplay of these processes in diverse BCS with comorbid DM.

Objectives: The purposes of this study were to (1) describe racial and ethnic differences in cancer-related PTS and illness perceptions; and (2) examine the relationship between PTS and illness perceptions in BCS with comorbid DM. Read More

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Self-Reported Diabetes Prevalence in Asian American Subgroups: Behavioral Risk Factor Surveillance System, 2013-2019.

J Gen Intern Med 2021 Jun 9. Epub 2021 Jun 9.

Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Background: Diabetes mellitus (DM) is a leading contributor to morbidity and mortality in the United States (US). Prior DM prevalence estimates in Asian Americans are predominantly from Asians aggregated into a single group, but the Asian American population is heterogenous.

Objective: To evaluate self-reported DM prevalence in disaggregated Asian American subgroups to inform targeted management and prevention. Read More

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Dementia care needs for individuals and caregivers among Mexican Americans and non-Hispanic Whites.

Aging Ment Health 2021 Jun 7:1-12. Epub 2021 Jun 7.

Department of Health Behavior and Health Education, University of Michigan, School of Public Health, Ann Arbor, MI, USA.

Mexican Americans (MA) are more likely to have cognitive impairment and dementia (CID), be diagnosed at an earlier age and live with CID longer, compared to non-Hispanic Whites (NHW). While studies have examined unmet needs of individuals with CID and their caregivers, few have focused on MA populations in the U.S. Read More

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Addressing Racial and Ethnic Disparities in COVID-19 Among School-Aged Children: Are We Doing Enough?

Prev Chronic Dis 2021 06 3;18:E55. Epub 2021 Jun 3.

Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

The disproportionate impact of COVID-19 and associated disparities among Hispanic, non-Hispanic Black, and non-Hispanic American Indian/Alaska Native children and teenagers has been documented. Reducing these disparities along with overcoming unintended negative consequences of the pandemic, such as the disruption of in-person schooling, calls for broad community-based collaborations and nuanced approaches. Based on national survey data, children from some racial and ethnic minority groups have a higher prevalence of obesity, asthma, type 2 diabetes, and hypertension; were diagnosed more frequently with COVID-19; and had more severe outcomes compared with their non-Hispanic White (NHW) counterparts. Read More

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Geographic Heterogeneity in Influenza and Pneumonia Mortality in Hispanic Americans.

Int J Environ Res Public Health 2021 05 5;18(9). Epub 2021 May 5.

Department of Medicine, Howard University College of Medicine, Washington, DC 20059, USA.

(1) : Influenza and pneumonia (IP) is a leading cause of death in the US. The hypothesis was tested that the mortality rate differential between Hispanic whites (HW) and non-Hispanic whites (NHW) from IP varied by geographic region in the US. (2) : The CDC database for multiple causes of death between 1999-2018 was used for this study. Read More

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The role of testosterone replacement therapy and statin use, and their combination, in prostate cancer.

Cancer Causes Control 2021 May 26. Epub 2021 May 26.

Deparment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA.

Purpose: Previous studies have reported conflicting results in the associations of testosterone replacement therapy (TTh) and statins use with prostate cancer (PCa). However, the combination of these treatments with PCa stage and grade at diagnosis and prostate cancer-specific mortality (PCSM) and by race/ethnicity remains unclear.

Methods: We identified non-Hispanic White (NHW, N = 58,576), non-Hispanic Black (NHB, n = 9,703) and Hispanic (n = 4,898) men diagnosed with PCa in SEER-Medicare data 2007-2011. Read More

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A Mediation Appraisal of Catastrophizing, Pain-Related Outcomes, and Race in Adults With Knee Osteoarthritis.

J Pain 2021 May 24. Epub 2021 May 24.

University of Florida, College of Nursing, Gainesville, Florida; University of Alabama at Birmingham, Department of Psychology, Birmingham, Alabama.

The current cross-sectional study investigates whether pain catastrophizing mediates the relationship between ethnicity/race and pain, disability and physical function in individuals with knee osteoarthritis. Furthermore, this study examined mediation at 2-year follow-up. Participants included 187 community-dwelling adults with unilateral or bilateral knee pain who screened positive for knee osteoarthritis. Read More

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Racial and ethnic disparities in bronchiolitis management in freestanding children's hospitals.

Acad Emerg Med 2021 May 7. Epub 2021 May 7.

University of Nebraska Medical Center, Children's Hospital Medical Center, Omaha, Nebraska, USA.

Objective: Variation in bronchiolitis management by race and ethnicity within emergency departments (EDs) has been described in single-center and prospective studies, but large-scale assessments across EDs and inpatient settings are lacking. Our objective is to describe the association between race and ethnicity and bronchiolitis management across 37 U.S. Read More

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Pre-pregnancy and Prenatal Alcohol use Among American Indian and Alaska Native and Non-Hispanic White Women: Findings from PRAMS in Five States.

Matern Child Health J 2021 May 7. Epub 2021 May 7.

Colorado School of Public Health, University of Colorado Denver, 13055 E. 17th Place, F800 Nighthorse Campbell Native Health Bldg. Rm 342, Anschutz Medical Campus, Aurora, CO, 80045, USA.

Introduction: Estimates of prenatal alcohol use among American Indian and Alaska Native (AI/AN) women are limited. This study sought to characterize pre-pregnancy and prenatal alcohol use among AI/AN women in the Pregnancy Risk Assessment Monitoring System (PRAMS) dataset, evaluate variation in alcohol use by state and rural/urban residence, and evaluate associations between potential risk factors and prenatal alcohol use among AI/AN and non-Hispanic white (NHW) women.

Methods: We pooled PRAMS data from five states (Alaska, New Mexico, Oklahoma, South Dakota and Washington) from 2015 to 2017. Read More

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Racial inequity in preterm delivery among college-educated women: The role of racism.

Paediatr Perinat Epidemiol 2021 May 6. Epub 2021 May 6.

Department of Epidemiology & Biostatistics, Michigan State University, East Lansing, MI, USA.

Background: Non-Hispanic Black (NHB) women face a 50% increased risk of delivering preterm compared to non-Hispanic White (NHW) women in the United States. Sociodemographic and pregnancy risk factors do not fully explain this inequity. This inequity exists even among women with a college education, although recent empirical analysis on racial inequities in preterm delivery (PTD) among college-educated women is lacking. Read More

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Effects of accumulated environmental, social and host exposures on early childhood educational outcomes.

Environ Res 2021 07 30;198:111241. Epub 2021 Apr 30.

Children's Environmental Health Initiative, University of Notre Dame, South Bend, IN, USA; Department of Applied and Computational Mathematics and Statistics, University of Notre Dame, South Bend, IN, USA.

Background: Persistent disparities in academic performance may result from a confluence of adverse exposures accruing disproportionately to specific subpopulations.

Objective: Our overarching objective was to investigate how multiple exposures experienced over time affect early childhood educational outcomes. We were specifically interested in whether there were: racial/ethnic disparities in prevalence of adverse exposures; racial/ethnic disparities in associations observed between adverse exposures and early childhood educational outcomes; and interactions between exposures, suggesting that one exposure augments susceptibility to adverse effects of another exposure. Read More

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Racial and Ethnic Disparities in the Investigation and Treatment of Growth Hormone Deficiency.

J Pediatr 2021 Apr 23. Epub 2021 Apr 23.

Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Genetics, Harvard Medical School, Boston, MA.

Objective: To determine if the racial/ethnic inequity in growth hormone (GH) use is due to differences in GH stimulation testing and/or prescribing patterns in children referred for endocrine evaluation of short stature.

Study Design: Retrospective chart review was performed including children aged 2-16 years, height z-score of ≤-1.5, and of non-Hispanic White (NHW), non-Hispanic Black (NHB), or Hispanic race/ethnicity, referred for endocrine growth evaluation between January 2012 and December 2019. Read More

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Disparities in Cardiovascular Disease Risk Among Hispanic Breast Cancer Survivors in a Population-Based Cohort.

JNCI Cancer Spectr 2021 Apr 15;5(2):pkab016. Epub 2021 Feb 15.

Division of Public Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.

Background: Breast cancer is the leading cause of cancer death among Hispanic women. The aim of our study was to estimate cardiovascular disease (CVD) risk among Hispanic and non-Hispanic White (NHW) breast cancer survivors compared with their respective general population cohorts.

Methods: Cohorts of 17 469 breast cancer survivors (1774 Hispanic and 15 695 NHW) in the Utah Cancer Registry diagnosed between 1997 and 2016, and 65 866 women (6209 Hispanic and 59 657 NHW) from the general population in the Utah Population Database were identified. Read More

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Hepatitis C Virus Testing Among Men With Human Immunodeficiency Virus Who Have Sex With Men: Temporal Trends and Racial/Ethnic Disparities.

Open Forum Infect Dis 2021 Apr 17;8(4):ofaa645. Epub 2021 Apr 17.

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: National guidelines recommend that sexually active people with human immunodeficiency virus (PWH) who are men who have sex with men (MSM) be tested for hepatitis C virus (HCV) infection at least annually. Hepatitis C virus testing rates vary by race/ethnicity in the general population, but limited data are available for PWH.

Methods: We analyzed medical records data from MSM in the HIV Outpatient Study at 9 human immunodeficiency virus (HIV) clinics from January 1, 2011 through December 31, 2019. Read More

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African Americans Have Differences in CSF Soluble TREM2 and Associated Genetic Variants.

Neurol Genet 2021 Apr 4;7(2):e571. Epub 2021 Mar 4.

Department of Neurology (S.E.S., A.J., R.L.H., R.J.M., L.P., J.J.L.-G., K.L.M., A.M.F., D.M.H., J.C.M.), Department of Psychiatry (C.C., F.H.G.F.), and Division of Biostatistics (L.M., C.X.), Washington University School of Medicine, St. Louis, MO; Office of Health Equity and Department of Medicine (C.H.W.), Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN; Department of Internal Medicine (C.H.W.), Meharry Medical College, Nashville, TN; Alzheimers Disease Research Center (Y.D.), University of Wisconsin School of Medicine and Public Health, Madison; Brain and Mind Centre (L.P.), University of Sydney, NSW, Australia; and Mallinckrodt Institute of Radiology (B.M.A., T.L.S.B.), Washington University School of Medicine, St. Louis, MO.

Objective: To evaluate for racial differences in triggering receptor expressed on myeloid cells 2 (TREM2), a key immune mediator in Alzheimer disease, the levels of CSF soluble TREM2 (sTREM2), and the frequency of associated genetic variants were compared in groups of individuals who self-reported their race as African American (AA) or non-Hispanic White (NHW).

Methods: Community-dwelling older research participants underwent measurement of CSF sTREM2 concentrations and genetic analyses.

Results: The primary cohort included 91 AAs and 868 NHWs. Read More

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A Comparison of Image-Guided Targeted Prostate Biopsy Outcomes by PI-RADS® Score and Ethnicity in a Diverse, Multiethnic Population.

J Urol 2021 Apr 21:101097JU0000000000001810. Epub 2021 Apr 21.

Albert Einstein College of Medicine, Bronx, New York.

Purpose: NonHispanic Black (NHB) and Hispanic/Afro-Caribbean men have the highest risk of prostate cancer (PCa) compared to nonHispanic White (NHW) men. However, ethnicity-specific outcomes of targeted fusion biopsy (FB) for the detection of PCa are poorly characterized. We compared the outcomes of FB by Prostate Imaging Reporting and Data System (PI-RADS®) score and race/ethnicity among a diverse population. Read More

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Independent and Joint Effects of Testosterone Replacement Therapy and Statins use on the Risk of Prostate Cancer Among White, Black, and Hispanic Men.

Cancer Prev Res (Phila) 2021 Apr 20. Epub 2021 Apr 20.

Division of Urology, UTHealth McGovern Medical School, Houston, Texas.

The associations of testosterone therapy (TTh) and statins use with prostate cancer remain conflicted. However, the joint effects of TTh and statins use on the incidence of prostate cancer, stage and grade at diagnosis, and prostate cancer-specific mortality (PCSM) have not been studied.We identified White ( = 74,181), Black ( = 9,157), and Hispanic ( = 3,313) men diagnosed with prostate cancer in SEER-Medicare 2007-2016. Read More

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Cancer Mortality Disparities among Asian American and Native Hawaiian/Pacific Islander Populations in California.

Cancer Epidemiol Biomarkers Prev 2021 Apr 20. Epub 2021 Apr 20.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida.

Background: Asian American and Native Hawaiian/Pacific Islanders (AANHPI) are the fastest growing minority in the United States. Cancer is the leading cause of death for AANHPIs, despite relatively lower cancer morbidity and mortality. Their recent demographic growth facilitates a detailed identification of AANHPI populations with higher cancer risk. Read More

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Racial disparities in treatment and outcomes of children with type 1 diabetes.

Pediatr Diabetes 2021 Mar 25;22(2):241-248. Epub 2020 Oct 25.

Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, USA.

Objective: The aim of this study was to assess racial disparities in treatments and outcomes between Non-Hispanic black (NHB), Hispanic and Non-Hispanic white (NHW) children with type 1 diabetes (T1D).

Methods: We reviewed electronic health records of children (<18 years) attending a large, pediatric tertiary care diabetes center in the United States between October 1, 2018, and December 31, 2019. Health care utilization (appointment attendance, ED visits, hospitalizations), technology use (insulin pumps, continuous glucose monitors [CGM]) and hemoglobin A1c (HbA1c) were examined for each race/ethnicity and stratified by insurance type (private/government) as a proxy for socioeconomic status (SES). Read More

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Differences in outcomes after emergency general surgery between Hispanic subgroups in the New Jersey State Inpatient Database (2009-2014): The Hispanic population is not monolithic.

Am J Surg 2021 Apr 2. Epub 2021 Apr 2.

Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:

Background: Our aim was to examine differences in clinical outcomes between Hispanic subgroups who underwent emergency general surgery (EGS).

Methods: Retrospective cohort study of the HCUP State Inpatient Database from New Jersey (2009-2014), including Hispanic and non-Hispanic White (NHW) adult patients who underwent EGS. Multivariable analyses were performed on outcomes including 7-day readmission and length of stay (LOS). Read More

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Impact of race on outcomes in intermediate-risk acute myeloid leukemia.

Cancer Causes Control 2021 Jul 9;32(7):705-712. Epub 2021 Apr 9.

Division of Hematology and Oncology, Department of Internal Medicine, University of Illinois at Chicago, 840 South Wood Street, Ste 820 E-CSB, Chicago, IL, 60612, USA.

Purpose: Racial disparities in acute myeloid leukemia (AML) have been reported but the relative contribution of disease versus patient-specific factors including comorbidities and access to care is unclear.

Methods: We conducted a retrospective analysis of patient characteristics, treatment patterns and outcomes in a racially diverse patient cohort controlling for cytogenetic risk group. Patients were classified into four groups: non-Hispanic White (NHW), non-Hispanic Black (NHB), Hispanic and Other. Read More

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Prevalence and predictors of obesity-related cancers among racial/ethnic groups with metabolic syndrome.

PLoS One 2021 7;16(4):e0249188. Epub 2021 Apr 7.

UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, California, United States of America.

Background: Obesity-related cancer (ORC) is associated with higher amounts of body fat, which could increase the risk of developing cardiovascular disease (CVD). A significant factor associated with CVD is metabolic syndrome (MetS), and MetS prevalence differs by race/ethnicity. The purpose of this study was to compare the prevalence and predictors of ORCs by race/ethnicity among adults (>18) with MetS. Read More

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Hispanic Ethnic Density May Be Protective for Older Black/African American and Non-Hispanic White Populations for Some Health Conditions: An Exploration of Support and Neighborhood Mechanisms.

Ann Behav Med 2021 Apr 3. Epub 2021 Apr 3.

The Department of Psychology, College of Science, University of Arizona, Tucson, AZ, USA.

Background And Purpose: Hispanic ethnic density (HED) is associated with salubrious health outcomes for Hispanics, yet recent research suggests it may also be protective for other groups. The purpose of this study was to test whether HED was protective for other racial-ethnic groups. We tested whether social support or neighborhood social integration mediated the association between high HED and depressive symptoms (CES-D) and physical morbidity 5 years later. Read More

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