Previous studies have identified a "digital divide" between African Americans and whites, with African Americans having substantially lower rates of Internet use. However, use of the Internet to access health information has not been sufficiently evaluated in this population. Therefore, we conducted a telephone survey to determine the prevalence of computer and Internet use among 457 African American adults with type 2 diabetes. Participants were 78% female, with a mean age of 57 +/- 11 years, and about one-third had a yearly income % $7,500. Forty percent of the participants reported having a computer at home and 46% reported knowing how to use a computer. Most participants (58%) reported that they had, at some point, used a computer, and of those, 40% reported that they used the computer to find health information. In a stratified analysis, participants with lower education levels (
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Ann Emerg Med
January 2025
Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN; Center for Health Services Research, The William M. Tierney Center for Health Services Research, Regenstrief Institute, Indianapolis, IN.
Study Objective: Patient experience is an essential measure of patient-centered emergency care. However, emergency department (ED) patient experience scores may be influenced by patient demographics as well as clinical and operational characteristics unrelated to actual patient-centeredness of care. This study aimed to determine whether there are characteristics associated with patient experience scores that have not yet been proposed for risk adjustment by the Centers for Medicare and Medicaid Services (CMS).
View Article and Find Full Text PDFJCO Clin Cancer Inform
November 2024
College of Computing and Informatics, Drexel University, Philadelphia, PA.
Purpose: Machine learning algorithms are used for predictive modeling in medicine, but studies often do not evaluate or report on the potential biases of the models. Our purpose was to develop clinical prediction models for readmission after surgery in colorectal cancer (CRC) patients and to examine their potential for racial bias.
Methods: We used the 2012-2020 American College of Surgeons' National Surgical Quality Improvement Program (ACS-NSQIP) Participant Use File and Targeted Colectomy File.
Objective: Black families are less likely to continue in pediatric weight management programs (PWMPs) and have less optimal outcomes. Few studies have examined how parenting practices and perceived support influence Black children's retention and weight loss in PWMPs.
Method: To fill this gap, this study sampled Black children and their parent ( = 49) who were participating in a Midwest PWMP to explore how children's reports of parental support and parenting practices at program initiation associate with early weight loss 3- and 6-month and retention at 6-month in the PWMP.
NIHR Open Res
September 2024
School of Medicine, Keele University, Keele, England, UK.
Introduction: Parkinson's disease (PD) is the most common neurodegenerative movement disorder and is associated with significant disability. The prevalence is rising, and studies have reported potential sex and race disparities in patient outcomes. Data about the demographic trends in PD-related mortality in the United States (US) is limited.
View Article and Find Full Text PDFJ Steroid Biochem Mol Biol
January 2025
Department of Pathology, University of Illinois Chicago, Chicago, IL, USA; University of Illinois Cancer Center, Chicago, IL, USA. Electronic address:
Epidemiological data from as early as the 1930s documented a dramatic racial disparity in prostate cancer incidence, survival, and mortality rates among Black men-a trend that persists to this day. Black men are disproportionately burdened by prostate cancer, developing the disease at younger ages, facing more aggressive and lethal forms, and ultimately experiencing double the mortality rate of men of European descent. Investigating the multifactorial contributors to this racial disparity has been extensive, but results have often been inconsistent or inconclusive, making it difficult to pinpoint clear correlations.
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