Excess type 2 diabetes in African-American women and men aged 40-74 and socioeconomic status: evidence from the Third National Health and Nutrition Examination SurveyJ. M Robbins
Abstract available at publisher's website.
Metropolitan isolation segregation and Black–White disparities in very preterm birth: A test of mediating pathways and variance explainedMichael R. Kramer, Hannah L. Cooper, Carolyn D. Drews-Botsch, Lance A. Waller & Carol R. Hogue
Abstract available at publisher's web site.
A pilot church-based weight loss program for African-American adults using church members as health educators: a comparison of individual and group intervention.Betty M Kennedy, Sahasporn Paeratakul, Catherine M Champagne, Donna H Ryan, David W Harsha, Bernestine McGee, Glenda Johnson, Farzad Deyhim, William Forsythe & Margaret L Bogle
A church setting may provide an effective delivery mechanism for a health and nutrition program. Church members may be trained to conduct a weight control program. Both interventions (individual and group) were effective in inducing weight loss.
The Oregon Health Plan (OHP) has received national and international attention for rationing medical care based on explicit priorities. However, in recent years OHP has lost substantial enrollment and struggled to live up to its core principles. This paper explores what went wrong in OHP and the implications of Oregon’s experience for state-led health reform.
Racial Disparities in Medicaid Enrollment and Prenatal Care Initiation Among Pregnant Teens in FloridaTzy-Mey Kuo, Norma I. Gavin, E Kathleen Adams & M Femi Ayadi
BACKGROUND: Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE: This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnant teens by race and ethnicity. RESEARCH DESIGN: Using Medicaid enrollment and claims data and a difference-in-differences method, we examine how the patterns of prepregnancy Medicaid...
How white and African Americans view their health and social problems. Different experiences, different expectations.R J Blendon, A C Scheck, K Donelan, C A Hill, M Smith, D Beatrice & D Altman
DESPITE increases in expenditures and expansions of many US health and social welfare programs and institutions, racial disparities persist in many aspects of American society. Particularly troubling is the reality that the health of our nation's population differs so greatly by race. A number of studies in recent years have documented substantial differences between white and African Americans in health status, morbidity and mortality, access to health services, and perceptions of quality in health care...
Similarities in affect, perceived stress, and weight concerns between Black and White women who quit smoking during pregnancyMichele Levine, Marsha Marcus & MaGuadalupe Leon-Verdin
Mood and weight concerns may relate to postpartum smoking, and racial differences in these concerns may be important in developing interventions to prevent postpartum relapse. We compared differences in the smoking patterns, mood, and weight concerns of Black and White women who quit smoking during pregnancy (N=174). In univariate comparisons, there were no consistent differences in nicotine dependence, smoking history, or motivation to remain abstinent postpartum. Moreover, although there were univariate differences in negative affect,...
BACKGROUND: The contributions of demographic, socioeconomic, access, language, and nativity factors to racial/ethnic colorectal cancer (CRC) screening disparities are uncertain. METHODS: Using linked data from 22 973 respondents to the 2001-2005 Medical Expenditure Panel Survey and the 2000-2004 National Health Interview Survey, we modeled disparities in CRC screening (fecal occult blood testing [FOBT], endoscopy, and combined FOBT and endoscopy) between non-Hispanic whites and Asians, blacks, and Hispanics, sequentially adjusting for demographics, socioeconomic status, clinical and...
Abstract available at publisher's web site.
Why Lower Income Mothers Do Not Engage With the Formal Mental Health Care System: Perceived Barriers to CareCarol M. Anderson, Cynthia S. Robins, Catherine G. Greeno, Helen Cahalane, Valire Carr Copeland, R. Marc Andrews & Morse, Janice M., PhD
Lower income mothers who bring their children for mental health services also have high rates of depression and anxiety, yet few seek help. Maternal and child mental health are intimately intertwined; thus, the distress of both is likely to continue if the mother’s needs are unaddressed. Because mothers overcome numerous instrumental challenges to help their children, the authors identify potential perceptual barriers to mothers’ help seeking. An ethnographic analysis of in-depth qualitative interviews with 127...
African Americans, Latinos, and American Indians are severely underrepresented in the health professions. A strong case for diversity may be made on the grounds of civil rights, public health and educational benefit, and business gains. Improving the diversity of the health professions requires multiprong strategies addressing the educational pipeline, admissions policies and the institutional culture at health professions schools, and the broader policy environment.