Purpose: The lack of an ongoing surveillance system for hemoglobinopathies in the United States impedes the ability of public health organizations to identify individuals with these conditions, monitor their health-care utilization and clinical outcomes, and understand the effect these conditions have on the health-care system. This article describes the results of a pilot program that supported the development of the infrastructure and data collection methods for a state-based surveillance system for selected hemoglobinopathies.
Methods: The system was designed to identify and gather information on all people living with a hemoglobinopathy diagnosis (sickle cell diseases or thalassemias) in the participating states during 2004-2008. Novel, three-level case definitions were developed, and multiple data sets were used to collect information.
Results: In total, 31,144 individuals who had a hemoglobinopathy diagnosis during the study period were identified in California; 39,633 in Florida; 20,815 in Georgia; 12,680 in Michigan; 34,853 in New York, and 8,696 in North Carolina.
Conclusion: This approach provides a possible model for the development of state-based hemoglobinopathy surveillance systems.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427044 | PMC |
http://dx.doi.org/10.1038/gim.2014.81 | DOI Listing |
Med Cannabis Cannabinoids
November 2024
Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Background: Medical cannabis (MC) use is increasing across the USA, with functional MC programs now operating in 38 states. While program policies and practices vary widely, little is known about whether and how states evaluate their programs. Better characterization of state MC program evaluation to date could inform states, program officials, and providers about best practices and provide a roadmap for future program evaluation.
View Article and Find Full Text PDFJAMA Netw Open
November 2024
Advancing New Standards in Reproductive Health, University of California San Francisco, Oakland.
Importance: Most US individuals who access abortion care pay out of pocket due to insurance coverage restrictions on abortion. More research is needed on the financial and psychological burdens of abortion seeking, particularly for those traveling across state lines for care.
Objectives: To estimate the proportion of patients seeking abortion who incur abortion-related catastrophic health expenditures (CHEs), assess whether CHE differs between those seeking care in state vs out of state, and examine the association of CHE with mental health symptoms.
COPD
December 2024
Department of Health Promotion and Education, School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
Spinal Cord
November 2024
College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Curr Opin Nephrol Hypertens
November 2024
Renal Division, Cairo University Hospital, Cairo, Egypt.
Purpose Of Review: Chronic kidney disease and hypertension, two widely prevalent conditions worldwide, present an urgent and pressing need for immediate action. The review describes how social conditions and humanitarian issues can influence hypertension and kidney disease.
Recent Findings: Undoubtedly, social determinants of health (SDoH) are key influencers in the development of many noncommunicable diseases, including hypertension and kidney disease.
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