Original Article

Travel Costs and Health Disparities: The Impact of Rurality and Social Vulnerability on Hand Therapy Access in Alabama

Objective: Postoperative hand therapy is important for recovery and enhanced functional outcomes following hand surgery. Access to this essential care is limited in Alabama, however, particularly for vulnerable populations in rural areas where public transportation is scarce. These challenges are further amplified for patients who are unable to drive due…

Posted in: health disparities 19 rural health 11 social determinants of health 8

Perspectives

Mitigating Health Disparities: Bridging the Digital Divide in Modern Health Care

In the rapidly evolving landscape of US health care, technological advances promise significant improvements. The ongoing digital divide, however, is a critical factor affecting equitable access to health care. This perspective examines the multifaceted nature of the digital divide and its impact on health literacy, the use of electronic health…

Posted in: health disparities 19 health literacy 9 race and ethnicity 3

Original Article

Role of Race, Rurality, and Age in Human Papillomavirus Vaccine Initiation among US Women

Objectives: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with a lifetime prevalence of more than 80%. HPV is associated with cervical cancer, which affects thousands of US women each year. A vaccine was introduced in 2006 to mitigate the prevalence and mortality of…

Posted in: health disparities 19 health equity 3 Prevention 18 vaccination 11

Original Article

LGBTQ+ Health Inequities in a Rural, Conservative Context: Alabama Compared with Other Southern States

Objectives: There are no statewide statistics regarding the health of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) Alabamians. To fill this gap, we used data collected by the Southern Equality Research and Policy Center to compare Alabama with other southern US states regarding the health and well-being of LGBTQ+ people….

Posted in: health disparities 19 LGBTQ+ 2 mental health 22

Review Article

Open Access: Design and Impact of a Novel Rural Hospital Alliance

Without rural hospitals, many patients may not have access to essential services, or even any health care. Rural hospitals provide a community hub for local access to primary care and emergency services, as well as a bridge to specialized care outside the community. The goal of this review was to…

Posted in: health disparities 19 hospitals 5 rural health 11

Original Article

Heart Disease Knowledge and Awareness in African American and Hispanic Women

Objectives: Coronary heart disease (CHD) is the leading cause of morbidity and mortality among US women. Minority women have higher rates of CHD and are more likely to experience adverse outcomes. Because of racial disparities in CHD outcomes, the purpose of this study was to assess CHD knowledge and awareness…

Posted in: African American women 3 coronary heart disease 5 health disparities 19 Hispanic women 2 racial disparities 9

Original Article

Differences in Cardiometabolic Biomarkers between Elementary School–Age Latinx Children with Obesity versus Healthy Weight

Objectives: Low-income Latinx youth are disproportionately affected by obesity, which results in an increased risk of cardiometabolic abnormalities. Biomarker tracking may be useful for the early identification of obesity comorbidities in young Latinx children. Hence, we aimed to compare cardiometabolic biomarkers between age- and sex-matched pairs of elementary school-aged Latinx…

Posted in: biomarkers 4 Childhood 2 health disparities 19 Obesity 70

Original Article

CME Article: Integration of Sex and Gender Minority Standardized Patients into a Workshop on Gender-Inclusive Patient Care: Exploring Medical Student Perspectives

Objectives: Sexual and gender minority (SGM) communities experience significant health disparities. Although coverage of health issues specific to these communities has increased in the undergraduate medical curriculum, there is still opportunity for improved teaching about sexual diversity and inclusive care. The goal of this study was to assess students’ perceptions…

Posted in: health disparities 19 remote learning 2 transgender 3 undergraduate medical education 14

Original Article

Transgender-Competent Health Care: Lessons from the Community

Objectives: Transgender (trans) individuals experience high discrimination levels when accessing medical and mental health care, resulting in poorer health outcomes compared with the general population and other minority populations. A community-based research design was used to elicit direct input from the trans community about critical trans-knowledgeable care components to address…

Posted in: focus groups 2 health disparities 19 stigma 3

Original Article

Health Disparities among Lesbian, Gay, Bisexual, and Transgender (LGBT) Adults in Nashville, Tennessee

Objectives: Health disparities for lesbian, gay, bisexual, and transgender (LGBT) adults are well documented, but LGBT health data at the municipal and county levels are lacking, especially in the southern United States. The objective of this study was to compare access to care, health outcomes, and behavioral risk factors between…

Posted in: health disparities 19 mental health 22

Original Article

How Does Black History Help Doctors? Addressing Cultural Competency through Cinemeducation at a Diverse Medical School

Racial minorities will account for >50% of the United States population by 2045, yet race and ethnicity persist as leading predictors of morbidity. Although minorities achieve better outcomes when treated by racially concordant providers, the number of minority physicians is disproportionately low compared with the rapidly growing minority population. This…

Posted in: cultural competency 2 health disparities 19 medical education 73 social medicine 2

Original Article

An Examination of Racial Disparities in Inpatient Consultations

Objective: To determine whether racial disparities occurred among specialty and allied health inpatient consultations for patients admitted to adult hospital services at an academic hospital. Methods: A retrospective data analysis of the first 2000 patients, ages 18 years or older, admitted to an academic hospital. Results: No regression model demonstrated…

Posted in: health disparities 19 hospital medicine 15 racial disparities 9

Original Article

Stroke Hospital Characteristics in the Florida–Puerto Rico Collaboration to Reduce Stroke Disparities Study

Objectives: Although disparities in stroke care and outcomes have been well documented nationally, state-based registries to monitor acute stroke care in Florida (FL) and Puerto Rico (PR) have not been established. The FL-PR Collaboration to Reduce Stroke Disparities (CReSD) was developed to evaluate race-ethnicity and regional disparities in stroke care…

Posted in: health disparities 19 quality improvement 22 race and ethnicity 3

Original Article

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Objectives: The purpose of this investigation was to describe cancer survivorship based on the Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship modules in Alabama, Georgia, and Mississippi, conducted in 2012 and 2014, and to investigate disparities across the US Deep South region. Methods: The optional BRFSS cancer survivorship module…

Posted in: Behavioral Risk Factor Surveillance System 3 Cancer 19 health disparities 19 health literacy 9 survivorship 3

Original Article

Disparities in Breast Cancer Incidence, Mortality, and Quality of Care among African American and European American Women in South Carolina

Objectives: Breast cancer is the most frequently diagnosed cancer among women and the second-leading cause of female cancer deaths in the United States. African Americans and other minorities in the United States experience lower survival rates and have a worse prognosis than European Americans despite European Americans having a much…

Posted in: breast cancer 44 health disparities 19 screening 33

Original Article

Race, Socioeconomic Status, Health-Related Quality of Life, and Self-Care of Type 2 Diabetes Mellitus among Adults in North Carolina

Objectives: The objective of this study was to examine the associations among race, education, income, and health-related quality of life (HRQoL) in self-care of type 2 diabetes mellitus among adults in North Carolina. Methods: A secondary analysis was conducted using data from the 2009 Behavioral Risk Factor Surveillance Survey (BRFSS),…

Posted in: diabetes mellitus 34 health disparities 19 health-related quality of life 3

Expired CME Article

Surveillance of the Colorectal Cancer Disparities Among Demographic Subgroups: A Spatial Analysis

Objective:The literature suggests that colorectal cancer mortality in Texas is distributed inhomogeneously among specific demographic subgroups and in certain geographic regions over an extended period. To understand the extent of the demographic and geographic disparities, the present study examined colorectal cancer mortality in 15 demographic groups in Texas counties between…

Posted in: colorectal cancer 17 geographic information systems 2 health disparities 19

Original Article

Effectiveness of a School-based Intervention to Increase Health Knowledge of Cardiovascular Disease Risk Factors Among Rural Mississippi Middle School Children

Background: Few school-based interventions have been evaluated to assess health awareness among children in rural southern areas. The purpose of this controlled investigation was to increase health awareness among middle school-aged children residing in a racially diverse rural community in Mississippi. Methods: This investigation assessed health knowledge before and after…

Posted in: children 22 dietary intake 3 health disparities 19 overweight 11 physical activity 19

Original Article

Body Weight Status, Dietary Habits, and Physical Activity Levels of Middle School-aged Children in Rural Mississippi

Objectives: Obesity and cardiovascular diseases are more prevalent in the Southeast as compared with other geographic regions of the United States. However, few investigations have addressed health disparities among children in rural Southeastern areas. The purpose of this investigation was to determine the risk of overweight and obesity in middle…

Posted in: children 22 dietary intake 3 health disparities 19 overweight 11 physical activity 19
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