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National trends in reported past year opioid misuse among black women J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-26 Debbynie Barsh, Mary Awuonda, Tamara McCants, Monika Daftary, La'Marcus Wingate, Earl Ettienne, Edwin Chapman, Jessica Lyons
The opioid crisis within the United States has been widely studied; however, some gaps within the literature still exist. There is limited information on trends in opioid misuse as it relates to income among a national sample of Black Women. Given the recent increase in opioid overdose deaths in Black Americans and the vulnerability of women who misuse opioids, research in this population is important
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Understanding the current status of respiratory illness in the United States J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-23 Edith Mitchell, Marie L. Borum
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In Memoriam: Edith Peterson Mitchell MD, MACP, FCPP, FRCP J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-23
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The role of dairy food intake for improving health among black Americans across the life continuum: A summary of the evidence J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-19 Kevin Comerford, Yolanda Lawson, Michal Young, Michael Knight, Kevin McKinney, Priscilla Mpasi, Edith Mitchell
Decades of health data show major health disparities occurring at every life stage between Black and White Americans. These disparities include greater mortality rates among Black mothers and their offspring, higher levels of malnutrition and obesity among Black children and adolescents, and a higher burden of chronic disease and lower life expectancy for Black adults. Although nutrition is only one
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A review of dairy food intake for improving health among black adults in the US J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-19 Edith Mitchell, Kevin Comerford, Michael Knight, Kevin McKinney, Yolanda Lawson
The adult life stage encompasses a range of new experiences, opportunities, and responsibilities that impact health and well-being. During this life stage, health disparities continue to increase for Black Americans, with Black adults having a disproportionate burden of obesity, chronic diseases, comorbidities, and worse treatment outcomes compared to their White peers. While many of the underlying
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Executive summary: The role of dairy food intake for improving health among Black Americans across the life continuum J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-16 Kevin Comerford, Yolanda Lawson, Michal Young, Michael Knight, Kevin McKinney, Priscilla Mpasi, Edith Mitchell
Given the complex relationships that many Black individuals have with dairy foods, due to issues with lactose intolerance or other cultural factors, the National Medical Association has made considerable efforts to examine the role that dairy foods play in the health and well-being of Black Americans. Over the last two decades, the National Medical Association and its partners have produced multiple
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A review of dairy food intake for improving health among black geriatrics in the US J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-16 Edith Mitchell, Kevin Comerford, Michael Knight, Kevin McKinney, Yolanda Lawson
The transition to older adulthood is generally marked by progressive declines in body composition, metabolism, cognitive function, and immunity. For socially disadvantaged geriatric populations such as Black Americans, this life stage may also include additional stressors, including dealing with discrimination, poor access to healthcare, and food insecurity. These types of chronic stressors are linked
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A review of dairy food intake for improving health for black women in the US during pregnancy, fetal development, and lactation J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-16 Yolanda Lawson, Kevin B. Comerford, Edith P. Mitchell
Pregnancy and lactation are special life stages that require regular nutritional and medical attention to help protect the health of the mother and promote the growth and development of the offspring. Despite an increased focus on maternal and fetal health over the last several decades, the rates of pregnancy-related morbidity and mortality are increasing in the United States (US). On average, Black
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A review of dairy food intake for improving health among black children and adolescents in the US J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-15 Yolanda Lawson, Priscilla Mpasi, Michal Young, Kevin Comerford, Edith Mitchell
Adequate nutrition during childhood and adolescence is crucial for proper neurological, musculoskeletal, immunological, and cardiometabolic health and development. Yet, disparities among socially underserved racial/ethnic groups in the United States (US) provide significant challenges to achieving adequate nutrition during these years of rapid growth and maturation. For example, Black children and
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A review of dairy food intake for improving health among black infants, toddlers, and young children in the US J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-15 Yolanda Lawson, Priscilla Mpasi, Michal Young, Kevin Comerford, Edith Mitchell
Adequate nutrition is paramount for proper growth and musculoskeletal, neurocognitive, and immunological development in infants, toddlers, and young children. Among breastfeeding mother–child dyads, this critical window of development, is impacted by both maternal and offspring dietary patterns. For mothers, their dietary patterns impact not only their own health and well-being, but also the nutrition
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Increasing provider awareness of PrEP on HBCU campuses and beyond: A case study of the HBCU HIV prevention project (H2P) J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-13 Goulda A. Downer, Suzanne Randolph Cunningham, Lauren M. Ramsey, Kecia L. Ellick, Denise Bailey
The HBCU-HIV Prevention Project (H2P) is a culturally-tailored, targeted intervention at Historically Black Colleges and Universities (HBCUs) aimed at training health care providers as key players in reducing HIV infections and improving healthcare outcomes among HBCU students. A cross-sectional purposive sample of health care providers at health centers on HBCU campuses and invited health care professionals
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Racial and ethnic disparities in cardiovascular disease - analysis across major US national databases J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-10 Abdul Mannan Khan Minhas, Khawaja M. Talha, Dmitry Abramov, Heather M. Johnson, Steve Antoine, Fatima Rodriguez, Marat Fudim, Erin D. Michos, Arunima Misra, Layla Abushamat, Vijay Nambi, Gregg C. Fonarow, Christie M. Ballantyne, Salim S. Virani
There are several studies that have analyzed disparities in cardiovascular disease (CVD) health using a variety of different administrative databases; however, a unified analysis of major databases does not exist. In this analysis of multiple publicly available datasets, we sought to examine racial and ethnic disparities in different aspects of CVD, CVD-related risk factors, CVD-related morbidity and
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Community-engaged education and evaluation of an acral lentiginous melanoma awareness initiative J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-08 Erik L. Jaklitsch, Alice J. Lin, Alaina J. James
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Post stroke pain: Is there under-diagnosis in Black versus White patients? J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-03 Ashlyn Schmitgen, Gayle B. Bodner, Sarah J. Garvick, Natalie Horback, Madeline Turnau, Kelly R. Conner, Courtney J. Perry, Chris Gillette
Stroke incidence is higher and stroke outcomes are poorer in Black patients compared to White patients. Poststroke pain, however, is not a well understood stroke outcome. Using the National Institutes of Health All of Us Research Program database, we hypothesized that the dataset would demonstrate proportionately higher relative risk of poststroke pain in the Black poststroke patient population compared
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Bloodless management of significantly elevated transcranial Doppler velocity value in a Jehovah's witness child with sickle cell disease: A tertiary centre experience-A case report J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-02 Chisom Adaobi Nri-Ezedi, Thomas Ulasi, Chilota Chibuife Efobi, John Chinawaeze Aneke, Nwanneka Ugwu, Chinekwu Nwosu
Effective management of complications in sickle cell disease (SCD), such as stroke prevention, often necessitates the use of blood transfusions. However, individuals who adhere to the religious tenets of Jehovah's Witnesses strictly abstain from accepting blood transfusions, thereby presenting a formidable challenge in clinical decision-making. This is a case of a 3 year old child Jehovah's Witness
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Myocarditis and brain abscess caused by disseminated Scedosporium boydii infection J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-02-02 Devon L. Jackson, Lamarque Coke, Sean X. Zhang, Charles Steenbergen, Galam Khan, Gezahegn Gorfu, Roger A. Mitchell
spp. is a fungal species documented as the cause of infections involving the lungs, brain, and other organ systems in both immunocompetent and immunocompromised individuals. Many cases of this type of fungal infection occurring in immunocompetent patients are subsequent to traumatic injury or drowning events in or near waters containing the fungi. Infection commonly involves the lungs. Rarely, it has
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Association of cardiometabolic comorbidities with mortality among low-income Black and White Americans J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-30 Pranoti Pradhan, Wanqing Wen, Martha Shrubsole, Mark Steinwandel, Xijing Han, Alvin C. Powers, Loren Lipworth, Wei Zheng
Investigated the association of multiple cardiometabolic comorbidities with total/major cause-specific mortality and evaluate if this association might be modified by race among predominantly low-income Black and White participants. The Southern Community Cohort Study, prospective cohort study. Participants (40-79 years) recruited predominantly from community health centers across 12 states in southeastern
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Prevalence of type 2 diabetes among tribal population of india: a multi-centric cross-sectional study J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-29 Bontha V. Babu, Chaya R. Hazarika, Sunil K. Raina, Shariq R. Masoodi, Yogish C. Basappa, Nihal Thomas, Anna S. Kerketta, Nanda kumar Menon, Felix K. Jebasingh
The perception among healthcare workers is that the Indian tribal (indigenous) population are less affected by diabetes. This paper reports the prevalence of type 2 diabetes and its associated factors among tribal populations from six districts across India. Random blood glucose (RBG) and fasting blood glucose (FBG) were measured for 8486 and 3131 adults, respectively, with a glucose meter. FBG ≥ 126 mg/dL
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Healthy dietary patterns that include dairy foods can have an important role in addressing health disparities across the life continuum J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-26 Marie L. Borum MD EdD MPH
Abstract not available
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A systematic review of barriers to pursuing careers in medicine among Black premedical students J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-24 Abbas Rattani, Zoha Mian, Shagayeg Farahani, Margaret Ridge, Theodore Uzamere, Moazzum Bajwa
Among the various etiologies of the exclusion of Black male physicians from the healthcare workforce, it is critical to identify and examine the barriers in their trajectory. Given that most medical school matriculants graduate and pursue residency training, medical school admission has been identified as the primary impediment to a career in medicine. Thus, this work aims to identify barriers in the
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Dysphagia in patients with sickle cell disease: An understudied problem J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-22 Candice J. Adams-Mitchell, Wally R. Smith, Diana J. Wilkie
Dysphagia which is defined as disordered swallowing is well known as one of the most common and dangerous symptoms of many diseases, including neurological disorders such as Parkinson's disease, amyotrophic lateral sclerosis, myasthenia gravis, and most commonly, stroke. Strokes are a potentially devastating complication of sickle cell disease (SCD), the most common genetic hemoglobinopathy worldwide
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Prevalence of HIV, syphilis, hepatitis B, and hepatitis C in patients attending STI/RTI clinic of a tertiary care teaching hospital J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-20 Vijaya P. Torane, Pooja Patil, Shashir Wanjare, Gita Nataraj
Background Patients attending Sexually transmitted infection/ Reproductive tract infection (STI/RTI) clinics are investigated for HIV and syphilis under the National AIDS Control Program (NACP). Although sexual contact is one of the modes of transmission of hepatitis B and C, they are not investigated under NACP. This study was planned to find the prevalence of HIV, syphilis, hepatitis B, and C in
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A Review of the Risks and Relationships Between Oral Health and Chronic Diseases J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-19 Gail Cherry-Peppers, Cheryl Fryer, Andrea D. Jackson, Debra Ford, Alison Glascoe, Dawn Smith, Jacquelyn Dunmore-Griffith, Morton Iris, Dexter Woods, Gillian Robinson-Warner, Alphonzo Davidson, Crystal McIntosh, Jezelle Sonnier, Lisa Slade, Goulda Downer, Shakeya Mundey, Jennifer Darden-Wilson, Nyree Dawson, Arielle Downes, Adel Rizkalla, Theresa Watkins-Bryant
Advances in medical science and in preventive dentistry have changed the context of oral health. The American population is living longer with numerous complex chronic diseases. This paper is to raise awareness about the impact of multiple chronic diseases and their associations with oral diseases. Comorbidities can worsen the course of dental treatment. Inflammation has been the connecting factor
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Does the revised LDCT lung cancer screening guideline bridge the racial disparities gap: Results from the health and retirement study J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-20 Chien-Ching Li, Jason Manella, Safa El Kefi, Alicia K. Matthews
This study examined racial/ethnic disparities in lung cancer screening eligibility rates using 2013 US Preventive Services Task Force (USPSTF) guidelines for lung cancer with low-dose computed tomography (LDCT) and the revised 2021 guidelines. The study utilized a retrospective and cross-sectional research design by analyzing data from the Health and Retirement Study (HRS). N = 2,823 respondents aged
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General surgery textbooks and surgical disparities J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-19 Peter A. Borowsky, Kyung Yoon, Ajiri Eroraha, Janice M. Bonsu, Daniella Kington, Phyllis E. Lawani, Randi N. Smith, John N. Bliton
Some academic textbooks have previously disseminated simplistic or even incorrect conceptions of race. Propagation of such ideas in General Surgery could contribute to gaps in quality of care received by minority patients. This study aims to determine whether General Surgery textbooks provide a thorough understanding of racial disparities. General Surgery texts were drawn from Doody's list, an industry-standard
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Underrepresented in medicine (URiM) faculty development: Trends in biomedical database publication J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-13 Ashley Collazo, Christen M. Walcher, Kendall M. Campbell
Biomedical databases create an educational platform that allows institutions to share innovations and research discoveries. Identifying literature in biomedical databases that inform the faculty development experiences of faculty underrepresented in medicine (URiM) can help institutions identify resources to promote career advancement for this group. The authors sought to determine biomedical database
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Emerging data in COVID-19 create urgent challengers for health providers: Updates on COVID-19 vaccine and Paxlovid J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-12 Maria Carmenza Mejia, John Mitchell, Meghana Dumpa, Dennis G. Maki, Mark DiCorcia, Robert S. Levine, Charles H. Hennekens
In this original research we present new emerging data in COVID-19 that create urgent challenges for health providers in prevention and treatment. Health providers should be aware that COVID-19 cases, hospitalizations, and deaths have increased markedly in August 2023. Further, recent data demonstrate a new emerging strain resistant to prior natural and vaccine immunity. The most recent emerging data
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Role of novel biomarker monocyte chemo-attractant protein-1 in early diagnosis & predicting progression of diabetic kidney disease: A comprehensive review J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-08 Shilna Muttickal Swaminathan, Indu Ramachandra Rao, Mohan V Bhojaraja, Ravindra Prabhu Attur, Shivashankara Kaniyoor Nagri, Dharshan Rangaswamy, Srinivas Vinayak Shenoy, Shankar Prasad Nagaraju
Diabetic kidney disease (DKD) is the most devastating complication of diabetes mellitus. Identification of patients at the early stages of progression may reduce the disease burden. The limitation of conventional markers such as serum creatinine and proteinuria intensify the need for novel biomarkers. The traditional paradigm of DKD pathogenesis has expanded to the activation of the immune system and
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Racial disparities in subjective cognitive decline and its implications among Alzheimer's caretakers J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-06 Dylan Wang, Rohan K. Mangal, Anjali Daniel, Murdoc Gould, Thor S. Stead, Latha Ganti
Alzheimer's disease is a prominent neurodegenerative disorder characterized by cognitive decline and memory loss. Variations in subjective cognitive decline among Alzheimer's patients, often reported by caregiver, may stem from cultural, socioeconomic, healthcare access, and genetic factors. This study investigates racial disparities in subjective cognitive decline reported by caregivers and their
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An in-person and technology-implemented holistic health promotion program for older Black adults in low-income communities J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2024-01-02 Guillermo M. Wippold, Carolyn M. Tucker, Aashna Farishta, Erin Kim, Rhonda Hill, Alexanderia Burwell, Paul Sapia
The COVID-19 pandemic halted many in-person programs of research and required researchers to pivot to technology-enhanced approaches. To date, there are no examples or guidelines on how to use technology to implement health promotion programs rooted in the community-based participatory research (CBPR) model among low-income older Black adults. The aims of this paper are (a) to describe and report on
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Racial Inequities in Mortality Rate in Hospitalized Children J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-26 Balagangadhar R. Totapally, Paul A. Martinez, Prithvi Sendi, Ramesh Sachdeva
Background and Objectives Racial/ethnic inequities for inpatient mortality in children at a national level in the U.S. have not been explored. The objective of this study was to evaluate differences in inpatient mortality rate among different racial/ethnic groups, using the Kids' Inpatient Database. Methods A cross-sectional study of children of ages greater than 28 days and less than 21 years discharged
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Lp(a) and risk of cardiovascular disease – A review of existing evidence and emerging concepts J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-24 Manasa Jasti, Sabrina Islam, Nathan Steele, Kendra Ivy, Willibroad Maimo, Ijeoma Isiadinso
Cardiovascular disease (CVD) remains the leading cause of death among adults in the United States. There has been significant advancement in the diagnosis and treatment of atherosclerotic cardiovascular disease (ASCVD) and its underlying risk factors. In certain populations, there remains a significant residual risk despite adequate lowering of low-density lipoprotein cholesterol (LDL-C) and control
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Cardiovascular complications of sickle cell disease: A primer for the general clinician J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-14 Chibuzo Ilonze, Gift C. Echefu, Alexandria L. Broadnax, Adedoyin Johnson, Aniekeme Etuk, Onyedika J. Ilonze
Sickle cell disease (SCD) is the most common hereditary hemoglobinopathy and mainly affects individuals of African ancestry. As survival has improved especially in high-income countries, increased rates of cardiopulmonary complications such as pulmonary hypertension, heart failure with diastolic dysfunction, and sudden death are encountered in clinical practice. These complications are the leading
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Sex and Employment Status Affect Patients’ Perspectives Regarding Affordability of Emergency Department Visits J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-13 Murdoc Gould, Rohan Mangal, Thor Stead, Shayne Gue, Latha Ganti
Background For many conditions, a timely visit to the Emergency Department (ED)can have a tremendous impact on the patient's outcome. However, the decision to visit the ED in a time of need can be stressful. Our study aims to understand whether cost was a factor for seeking ED care, and if any particular subgroups including race, ethnicity and sex were less likely to obtain such care. Methods A web-based
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Heart on Hypertension: Improving Hypertension Control in the FQHC Setting through a Group Visit Program J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-12 Christen Johnson, Abigail Gerbers, Anna Staudt, Janessa Cohrs, Priscilla Tutu
Introduction Many solutions for increasing hypertension control rates have been proposed yet the social determinants of health create health disparities within the populations served by Federally Qualified Health Centers (FQHC) that can complicate reaching these goals. This study observes impact of a group visit program on hypertension control within the patient population served by an FQHC. Methods
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COVID-19 risk communication gaps, needs, and strategies related to pandemic preparedness plans among vulnerable, Black American subgroups: A qualitative study J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-05 Jennifer Cunningham-Erves, Megan Davis, Elizabeth C. Stewart, Leah Alexander, Jamal Moss, Iman Barre, Imari Parham, Tilicia Mayo-Gamble, Jamaine Davis
Objective Improving current and future risk communication plans is critical mitigate the COVID-19 pandemic and begin to prepare for future pandemics. Minority groups, particularly African Americans, have been limited in engagement to prepare these plans which has been demonstrated to disadvantageous. We report findings from a qualitative study that describes gaps, needs, and strategies to improve communication
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Factors affecting residency selection for underrepresented minorities pursuing orthopaedic surgery J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-08 Anastasia A. Hunt, Christian Calderon, Julius A. Bishop
The United States is increasingly diverse and there are many benefits to an equally diverse physician workforce. Despite this, the percentage of under-represented minorities in orthopaedic surgery has remained stagnant. The purpose of this study was to describe the characteristics underrepresented minorities pursuing orthopaedic surgery value most when evaluating residency programs. The contact information
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Race and ethnicity are inadequate predictors of ambulatory visit length and utilization of preventive services J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-05 Tammy Gonzalez, Andrew Nicholas, Matthew Olagbenro, Steven R. Feldman, Alan B. Fleischer
Health disparities can be experienced by any disadvantaged group who has limited access to healthcare or decreased quality of care. Quality of care can be measured by physician-patient communication measures such as length of visit, health outcomes, patient satisfaction, or by the services one receives such as screening or health education. This study aims to determine the relationship between length
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Racial disparities in the selection of chief resident: A cross-sectional analysis of a national sample of senior residents in the United States J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-04 Tera Frederick Howard, Jordyn Pike, William A. Grobman
Introduction Part of the difficulty in recruiting and retaining a diverse physician workforce, as well as within medical leadership, is due to racial disparities in medical education. We investigated whether self-identified race-ethnicity is associated with the likelihood of selection as chief resident (CR). Materials and methods We performed a cross sectional analysis using de-identified person-level
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Respiratory Ilness Trends in the United States J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-02 Edith Peterson Mitchell
Abstract not available
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Psychological and Emotional Experiences of Participants in a Medical School, Early Assurance Admissions Program Targeting Students from Groups Underrepresented in Medicine J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-01 Cecilia Zhou, Chielozor Okafor, Justin Greisz, Han-Seul Ryu, Jamal Hagood, Horace M. DeLisser
Background There are growing number of pathway programs, with an early assurance of admission, that target undergraduate students from groups underrepresented in medicine (URiM) to enable their competitiveness for and matriculation to medical school, including the Penn Access Summer Scholars (PASS) program. The psychological and emotional experiences of students in these programs, however, have not
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Protecting Black Lives: Reducing Disparities in Cardiovascular Morbidity and Mortality J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-12-01 Onyedika J. Ilonze, Hakeem Ayinde, Keith C. Ferdinand
Abstract not available
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Delay in prior authorization of biologic therapy: Another possible cause of healthcare disparity in IBD patients J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-29 Vinay Rao, Ishaan Dharia, Jessica Gibilisco, Danielle Kirelik, Scott Baumgartner, Katherine Negreira, Karan Chawla, Jenny Dave, Samuel Kallus, Omar Ali Belfaqeeh, Marie L Borum
Background Biologics, a mainstay in inflammatory bowel disease (IBD) treatment, typically require prior authorization from insurance companies. Multiple studies show that African Americans are less likely to be prescribed biologics. The prior authorization process may perpetuate disparities in healthcare. This study evaluated the approval time for biologics in IBD. Methods A chart review of IBD patients
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Managing Hypertension in African Americans with Heart Failure: A Guide for the Primary Care Clinician: Short title: Hypertension in Black Patients with Heart Failure J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-27 Rice Bria, Mbatidde Lydia, Oluleye Oludamilola, Onwuanyi Anekwe, Adedinsewo Demilade
Hypertension is the predominant risk factor for cardiovascular disease related morbidity and mortality among Black adults in the United States. It contributes significantly to the development of heart failure and increases the risk of death following heart failure diagnosis. It is also a leading predisposing factor for hypertensive disorders of pregnancy and peripartum cardiomyopathy in Black women
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The Saint Louis Bridges Program: A Mental Health Network of More Than One Hundred Churches and the Mental Health Community J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-24 Barry Hong, Susan Scribner, Dana Downs, Rose Jackson-Beavers, Tamela Wright, Wendy Orson, Booker Rice, Karl Wilson, Rob Poirier
This article describes the history and development of a faith-based mental health network of over one hundred Black churches in North St Louis City and County. The Bridges to Care and Recovery (BCR) program is a joint effort of the Black faith community, three community hospitals, local universities, a school of medicine and funding from the city /state departments of mental health. The mission of
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Top Five Considerations for Improving Outcomes in Black Patients with Heart Failure: A Guide for Primary Care Clinicians J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-24 JaNae’ Richard, Jacob Sama, Anekwe Onwuanyi, Onyedika J. Ilonze
Black patients develop heart failure at younger ages and have worse outcomes such as higher mortality rates compared to other racial and ethnic groups in the United States. Despite significant recent improvements in heart failure medical therapy, these worse outcomes have persisted. Multiple reasons have been provided to explain the situation, including but not limited to higher baseline cluster of
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Addressing Racial Differences in the Management of Atrial Fibrillation: Focus on Black Patients J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-24 Hakeem Ayinde, Favour Markson, Ugonna Kevin Ogbenna, Larry Jackson
Atrial fibrillation (AF) is the most common sustained arrhythmia, affecting between 3-6 million people in the United States. It is associated with a reduced quality of life and increased risk of stroke, cognitive decline, heart failure and death. Black patients have a lower prevalence of AF than White patients but are more likely to suffer worse outcomes with the disease. It is important that stakeholders
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Life's Essential Eight as Targets for Cardiometabolic Risk Reduction Among Non-Hispanic Black Adults: A Primary Care Approach J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-24 Ebubechukwu Ezeh, Onyedika Ilonze, Maddie Perdoncin, Archana Ramalingam, Gurleen Kaur, Bisher Mustafa, Samson Teka, Keith C. Ferdinand
Cardiovascular diseases remain the leading cause of death in the United States. Several studies have shown racial disparities in the cardiovascular outcomes. When compared to their Non-Hispanic White (NHW) counterparts, non-Hispanic Black (NHB) individuals have higher prevalence of cardiovascular risk factors and thus, increased mortality from atherosclerotic cardiovascular diseases. This is evidenced
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Treating black patients as “knowers” J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-11-13 Justin J. Thomas, Shaneeta Johnson, Kisha B. Holden, Sonja Hutchins
Recent trends in healthcare policy from high-volume service models to “high-value” delivery systems have refocused the need for patient-centered approaches to quality care. However, benchmarks of how to define and evaluate successful patient-centeredness have not been sufficiently established. Such ill-defined evaluation criteria can further exacerbate systemic inequities in maximum quality health
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Racial disparity in the utilization of immunotherapy for advanced prostate cancer J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-30 Ali Mouzannar, Jessica Delgado, Deukwoo Kwon, Venkatasai S Atluri, Matthew M. Mason, Nachiketh S Prakash, Wei Zhao, Bruno Nahar, Sanjaya Swain, Sanoj Punnen, Mark L. Gonzalgo, Dipen J. Parekh, Leslie A. Deane, Chad R. Ritch
Purpose To identify whether there was a disparity in the utilization of immunotherapy in the treatment of black patients with metastatic castration resistant prostate cancer (mCRPC). Methods Using the National Cancer Database, we identified patients between 2010- 2015 with likely minimally/asymptomatic mCRPC. We analyzed annual trends for chemotherapy and immunotherapy use and compared utilization
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Ethics of identity concordance requests in patient-clinician encounters J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-23 Amber G.O. Acquaye, Sarah C. Hull
Systemic injustice has resulted in significant baseline inequality amongst populations according to gradients of privilege. What is the ethical approach to situations wherein equity may require differential treatment to correct for baseline disadvantages as a necessary means to its attainment? We explore this concept through the issue of patient requests for clinician identity concordance, when patients
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Retrospective evidence for pediatric benefit of U.S. assault weapons ban as rationale for implementing an even more effective ban J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-23 Archie Bleyer, Stuart E. Siegel, Charles R. Thomas
Background With data available since 1981, firearm death rates in American children and adolescents can be evaluated for trends during the 13 years before, the decade of, and during 16 years since the United States (U.S.) 1994–2004 Federal Assault Weapons Ban (FAWB). Methods National and regional firearm mortality trends in the U.S. during 1981–2020 were assessed with joinpoint regression applied to
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The Quest for Healthcare Transformation J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-17 Yolanda Lawson
Abstract not available
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Perception and prevalence of rape: A survey among in-school adolescents in rural Southwest Nigeria J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-20 Chidike Onyedikachi Ezegwui, Ikeoluwapo Kendra Bolakale-Rufai, Crystal Chisom Ukachukwu, Aminat Opeyemi Amusa, Adedade Titilope Adegoke, Ayodeji Matthew Adebayo
Introduction Rape has fast become an issue of relevance to global health cutting across geographical and cultural divides. Most studies on the subject are urban based and among adults. This study was conducted to assess the perception, prevalence and perpetrators among in-school adolescents which represent a unique group and in a rural setting. Methods A cross-sectional study was conducted using a
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Improving clinical trials partipation in Black patients J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-17 Edith Peterson Mitchell
Abstract not available
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Engaging the community on colorectal cancer screening: Additional factors identified by African Americans as potential barriers during focus groups J. Natl.Med. Assoc. (IF 3.3) Pub Date : 2023-10-16 Ankit Patel, Valeria Martinez Lebron, Ana Pabalan, Samuel A. Schueler, Jehan El-Bayoumi, Chavon Onumah, Marie L. Borum
Objective African-Americans have the highest rate of colorectal cancer deaths. Adherence to colorectal cancer screening guidelines can improve outcomes. The objective of this study was to evaluate physician trust and barriers to screening utilizing a unique bi-directional learning focus group involving African-American adults and health care learners. Methods A focus group of African-American adults