Objective: To analyze the trend of secular growth among the minority girls in China from 1985 to 2005 in order to develop national and local intervention strategies and measures to improve their physical fitness and health.
Methods: A total of 19 Chinese minority girls, including Mongolian, Hui, Zhuang, Korean, Tibetan, Miao, Buyi, Dong, Yao, Bai, Tujia, Hani, Dai, Lisu, Wa, Nakhi, Tu, Qiang and Salar were sampled from the 1985 and 2005 Chinese national surveys to study the students' physical fitness and health. Probit analyses were used to calculate age at menarche (AAM), and the heights and weights of 17-years-old girls in various minority groups.
Results: From 1985 to 2005, the increments of adult heights and weights increased significantly in many minority groups. The average height of girls aged 17 years old in each minority group had an increase of 150 cm in 2005. Ethnic groups with height growth rates of more than 1 cm per decade in girls aged 17 years old were Korean (1.47 cm/decade), Tujia (1.38 cm/decade), Qiang (1.32 cm/decade), Bai (1.25 cm/decade), Hui (1.13 cm/decade) and Buyi (1.07 cm/decade). And the minority ethics with weight growth rates of more than 1 kg per decade in girls aged 17 years old were Mongolian (1.79 kg/decade), Korean (1.69 kg/decade), Tibetan (1.66 kg/decade), Nakhi (1.39 kg/decade), Qiang (1.28 kg/decade) and Hui (1.10 kg/decade). The overall AAM showed a downward rate in all the 19 minority groups, but with different degrees. Tujia, Yao and Nakhi showed the largest reductions, with AAMs as 2.15, 1.76 and 1.38 years earlier in 2005 than in 1985, respectively.
Conclusion: Our data suggested that the downward secular trend in AAMs and the increments of adult heights might reflect the secular growth change in the major minority groups during the past 20 years, but there was an obvious disequilibrium of puberty development and increments of heights in adults between the minority groups.
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JAMA
January 2025
Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis.
Importance: Care management benefits community-dwelling patients with dementia, but studies include few patients with moderate to severe dementia or from racial and ethnic minority populations, lack palliative care, and seldom reduce health care utilization.
Objective: To determine whether integrated dementia palliative care reduces dementia symptoms, caregiver depression and distress, and emergency department (ED) visits and hospitalizations compared with usual care in moderate to severe dementia.
Design, Setting, And Participants: A randomized clinical trial of community-dwelling patients with moderate to severe dementia and their caregivers enrolled from March 2019 to December 2020 from 2 sites in central Indiana (2-year follow-up completed on January 7, 2023).
JAMA Netw Open
January 2025
Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.
Importance: Limited research explores mental health disparities between individuals in sexual and gender minority (SGM) populations and cisgender heterosexual (non-SGM) populations using national-level data.
Objective: To explore mental health disparities between SGM and non-SGM populations across sexual orientation, sex assigned at birth, and gender identity within the All of Us Research Program.
Design, Setting, And Participants: This cross-sectional study used survey data and linked electronic health records of eligible All of Us Research Program participants from May 31, 2017, to June 30, 2022.
JAMA Netw Open
January 2025
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota.
Importance: There is a clear benefit to body armor against firearms; however, it remains unclear how these vests may influence day-to-day patient encounters when worn by emergency medical services (EMS).
Objective: To determine the association of ballistic vests worn by EMS clinicians with workplace violence (WPV) and disparities in care among racial and/or ethnic minority patients.
Design, Setting, And Participants: Prospective cohort study of a volunteer-based sample of EMS clinicians at a large, multistate EMS agency encompassing 15 ground sites across the Midwest from April 1, 2023, to March 31, 2024.
Transcult Psychiatry
January 2025
Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
COVID-19-related lockdowns resulted in strict visiting restrictions in care homes, placing a vulnerable population at further risk of functional and cognitive decline, and psychological difficulties due to isolation. Experiences of vulnerable minority groups of older persons who reside in care homes are not well researched. In New Zealand, the Chinese community is a fast-growing ethnic group that faces challenges such as language barriers, differing cultural beliefs and COVID-19-related discrimination.
View Article and Find Full Text PDFInt J Clin Health Psychol
January 2025
Département de Psychologie, Université de Montréal, Montréal, Canada.
The Sexual Abuse History Questionnaire (SAHQ), a widely used screening tool for childhood sexual abuse (CSA) and adolescent/adult sexual assault (AASA) experiences, has limited examination of its psychometric properties in diverse populations. Our study assessed the SAHQ's psychometric properties (i.e.
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