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Recent News and Articles on the Keywords: racial + disparities + web  Related to the article below (Last Update: 8/4/2008)


Mirror.co.uk
AMA apologizes to black doctors for past racism
The Associated Press - Jul 10, 2008
The apology is among initiatives at the nation's largest doctors' group to reduce racial disparities in medicine and to recruit more blacks to become ...
Doctors sorry for history of racism Chicago Sun-Times
AMA Issues Apology for Decades of Racism eFluxMedia
Doctors' Group Issues Apology for Racism Washington Post
Reuters - WZTV
all 509 news articles »
AMA apologizes for history of racial inequality
Insight News, MN - Jul 23, 2008
"Our goal is to identify and study racial and ethnic health care disparities in order to eradicate them. We strongly support the 'Doctors Back to School' ...
Screening for diabetes in an emergency setting
PressZoom (press release), Netherlands - Aug 3, 2008
( Other students are currently working to address, for example, Chagas' disease in Mexico; arsenic in drinking water in Bangladesh; and racial disparities, ...
Blood Pressure, Diabetes, Gender, and Race
Medscape (subscription) - Jul 18, 2008
Physician performance and racial disparities in diabetes mellitus care. Arch Intern Med. 2008;168:1145-1151. Abstract Clancy C. Improving care quality and ...

Adweek
Double Vision: The Race Issue Revisited
Adweek, NY - Jul 13, 2008
These disparities also reflect basic differences in racial self-perception. "African Americans have always had to think racially," says Darnell Hunt, ...
'Ten Commandments' of race and genetics issued
New Scientist (subscription), UK - Jul 17, 2008
Studies looking for health disparities between individuals shouldn't rely solely on this identity. They should also consider a person's cultural background. ...
Reversing mass imprisonment
RINF.COM, UK - Jul 30, 2008
Blacks are seven times more likely to be incarcerated than whites, and large racial disparities can be seen for all age groups and at different levels of ...
Numbers bring disparities to light
Chadron Record, NE - Jul 11, 2008
Although there may be disparities, the report warns that is not evidence of racial bias, though any inconsistencies should point to areas agencies need to ...
Red Ribbon Grand Jury Investigates Racism Against Indians in ... Infoshop News
all 3 news articles »
CDC Analysis: Risk Behavior Does Not Account For Higher Rates Of ...
U.S. Medicine, DC - Jul 29, 2008
It?s something that we?re all finding now, and that public health is really zoning in on, is that a lot of the racial disparities that we?re seeing are not ...

Times Online
The racist south has gone with the wind
Times Online, UK - Jul 26, 2008
Douglas has increased financial aid, introduced uniforms to level the disparities of wealth, and raised the proportion of ethnic minority children from 5% ...
Source: Google News

Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health -
DR Williams - Public Health Reports, 2001 - pubmedcentral.nih.gov
... Burke J. The effect of patient race and socio ... Latina and African American women:
continuing disparities in health ... Krieger N. Epidemiology and the web of causation ...

Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care -
EC Schneider, AM Zaslavsky, AM Epstein - JAMA, 2002 - Am Med Assoc
... Racial Disparities in the Quality of Care for Enrollees in Medicare Managed
Care ... Table 3. Racial Disparity in Clinical Quality*. ...

[BOOK] Racial disparities in the criminal justice system -
J Petersilia - 1983 - ncjrs.gov
... Minorities ; Arrest and apprehension ; Sentencing disparity ; Crime rate studies ;
Racial discrimination ; Michigan ... a link to the publisher's web site is ...

Patient-Physician Relationships and Racial Disparities in the Quality of Health Care -
S Saha, JJ Arbelaez, LA Cooper - American Journal of Public Health, 2003 - Am Public Health Assoc
... Association RESEARCH AND PRACTICE. Patient?Physician Relationships and
Racial Disparities in the Quality of Health Care Somnath ...

[BOOK] Death and Discrimination: Racial Disparities in Capital Sentencing
SR Gross, R Mauro - 1989 - ncjrs.gov
... Index Term(s): Sentencing disparity ; Racial discrimination. ... For documents not
available online, a link to the publisher's web site is provided. ...

The Health Impact of Resolving Racial Disparities: An Analysis of US Mortality Data -
SH Woolf, RE Johnson, GE Fryer, G Rust, D Satcher - American Journal of Public Health, 2004 - Am Public Health Assoc
... Health Association RESEARCH AND PRACTICE. The Health Impact of Resolving
Racial Disparities: An Analysis of US Mortality Data Steven ...

Racial, social, and environmental risks for childhood asthma -
M Weitzman, S Gortmaker, A Sobol - Archives of Pediatrics and Adolescent Medicine, 1990 - Am Med Assoc
... this message because your Web browser does not support basic Web standards ... Racial
disparities in prevalence emerged early and at all childhood ages were due to ...

Impact of Childhood Vaccination on Racial Disparities in Invasive Streptococcus pneumoniae … -
B Flannery, S Schrag, NM Bennett, R Lynfield, LH … - JAMA, 2004 - Am Med Assoc
... Impact of Childhood Vaccination on Racial Disparities in Invasive Streptococcus
pneumoniae Infections Brendan Flannery, PhD ; Stephanie ...

Inequality in Quality Addressing Socioeconomic, Racial, and Ethnic Disparities in Health Care -
K Fiscella, P Franks, MR Gold, CM Clancy - JAMA, 2000 - Am Med Assoc
... Disparities in health care are not immutable. Racial disparities in use of
cardiovascular procedures differ widely by region of the country. ...

The Contribution of Maternal Age to Racial Disparities in Birthweight: A Multilevel Perspective -
VA Rauh, HF Andrews, RS Garfinkel - American Journal of Public Health, 2001 - Am Public Health Assoc
... York City, 39 it is only a crude indicator for a web of social ... 9. Wise P. Confronting
racial disparities in infant mortality: reconciling science and politics. ...

Source: Google Scholar
 
 

Wide Racial Disparities Found In Coronary Artery Disease Deaths

Article Date: 15 Nov 2006 - 12:00pm (PST)
African-American patients with coronary artery disease die at a significantly higher rate than white patients with the same degree of disease, according to an analysis of more than 20,000 patients by cardiologists at the Duke Clinical Research Institute.

Among patients diagnosed with serious coronary disease who were followed for an average nine years, the researchers found that blacks have had a 36 percent survival rate while whites have had a 46 percent survival rate.

The researchers said the disparity can be partially by the findings that blacks tend to have higher rates of other medical conditions, which can complicate or contribute to heart problems, and that blacks do not receive coronary artery bypass surgery as often. But the researchers stressed that other unproven factors almost certainly are involved and that further research is needed to identify them and quantify their contributions.
"As prevention becomes a key point of emphasis in treating heart disease, it is vitally important to identify risk factors and to act on them," said cardiology fellow Kevin Thomas, M.D., who reported the results of the analysis on Sunday, Nov. 12, at the annual scientific sessions of the American Heart Association, in Chicago.

Article continues below and (thank you)
 
The study was supported by a young investigator award from the Association of Black Cardiologists and the Duke Clinical Research Institute.

"Past studies from which risk factors have been derived provide great information about heart disease in white men, but the studies have included few minorities and women," Thomas said. "Cardiovascular disease is the leading cause of death for blacks and whites in the United States, and yet there is a paucity of information on the long-term prognosis for blacks."

For the analysis, Thomas and colleagues consulted the Duke Database for Cardiovascular Disease, a compilation of data on heart patients who come to Duke University Medical Center for diagnosis and treatment. The team analyzed the outcomes of 21,054 patients seen between 1986 and 2004 and found to have serious coronary artery disease. Of those patients, 3,177 were black.

In general, the black patients tended to be younger and more often female, and they had higher rates of hypertension, diabetes, heart failure or previous heart attacks, Thomas said. After the team statistically accounted for those patient characteristics, the disparity in death rates persisted, Thomas said, meaning that other factors must be contributing to the disparity.
 
"When we looked at the extent of coronary disease, we found there was little difference between blacks and whites," Thomas said. "However, when we looked at the incidence of procedures received by patients within 30 days of cardiac catheterization, we found that whites were 12 percent more likely to receive coronary bypass surgery."

According to Thomas, it is not clear why blacks did not receive coronary bypass surgery as often as whites. One possible explanation, he suggested, is that some physicians may have been biased against blacks, whether intentionally or not, as has been shown in past Duke studies. He also said that many blacks have a historical mistrust of the medical system, and so black patients might not have been as willing to undergo coronary bypass surgery, an invasive procedure.

"A big part of that mistrust is communication," Thomas said. "If black patients don't have a complete understanding of the procedure, or if it is not explained well, they may decline the procedure. If a physician or health care provider explains the procedure and what it entails, more black patients might agree to the surgery -- especially if the person doing the explaining were black or trained to be culturally sensitive."

Aside from less use of bypass surgery, other factors also likely contributed to the observed disparities and need to be investigated in future studies, Thomas said.

For example, he noted that heart patients typically receive optimal care while they remain in the hospital.

"However, when patients return to their home environment, they face many challenges and barriers to following their doctor's advice and maintaining a healthy lifestyle," he said. "Patients may not fill their prescriptions, or if they do, they may not take the medication over the long term. Often, patients may revert to bad habits in terms of diet and smoking. They may not return for follow-up doctor visits or they may not have doctors that they see regularly. These obstacles may disproportionately affect minority populations."

To learn more about what treatments work best for individual patients, Thomas said, the medical community should mount concerted efforts to attract more blacks into participating in clinical trials.

"There has been a history in the black community of mistrust of the health care system, which has often been seen as using blacks in medical experiments," Thomas said. "To overcome this mistrust, we must learn how to communicate in a culturally sensitive manner. Not all people are the same, so you have to tailor your communication to your patient if you want to improve outcomes."

He said the Association of Black Cardiologists, which is respected and trusted in the black community, is working in various ways to improve the levels of minority enrollment in clinical trials of heart therapies.

Also, he said he expects that results from the current Jackson Heart Study, a National Institute of Health supported study which is focusing on cardiovascular disease among the black residents in and around Jackson, Miss., will yield important data. This study, he said, may provide advances in the manner of the classic Framingham Heart Study, which began in 1948 and still continues, though it focuses primarily on white men.

###

Other researchers who participated in the Duke analysis were Emily Honeycutt, Linda Shaw and Eric Peterson.

Contact: Richard Merritt
Duke University Medical Center
 
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