Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community(2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, GretchenItem Cost-Effectiveness Analysis of Efforts to Reduce Risk of Type 2 Diabetes and Cardiovascular Disease in Southwestern Pennsylvania, 2005-2007(2010) Smith, Kenneth J.; Hsu, Heather E.; Roberts, Mark S.; Kramer, Kaye; Orchard, Trevor J.; Piatt, Gretchen A.; Seidel, Miriam C.; Zgibor, Janice C.; Bryce, Cindy L.Item Cost-Effectiveness Analysis of Efforts to Reduce Risk of Type 2 Diabetes and Cardiovascular Disease in Southwestern Pennsylvania, 2005-2007(2010) Smith, Kenneth J.; Hsu, Heather E.; Roberts, Mark S.; Kramer, Kaye; Orchard, Trevor J.; Piatt, Gretchen A.; Seidel, Miriam C.; Zgibor, Janice C.; Bryce, Cindy L.Item Definition of Metabolic Syndrome: Report of the National Heart, Lunch, and Blood Institute/American Heart Association Conference on Scientific Issues Related to Definition(2004) Gundy, Scott M.; Brewer, Bryan; Cleeman, James; Smith, Sidney C.; Lenfant, ClaudeItem Definition of Metabolic Syndrome: Report of the National Heart, Lunch, and Blood Institute/American Heart Association Conference on Scientific Issues Related to Definition(2004) Gundy, Scott M.; Brewer, Bryan; Cleeman, James; Smith, Sidney C.; Lenfant, ClaudeItem Translating the Diabetes Prevention Program Into an Urban Medically Undeserved Community(2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, GretchenItem Prevalence of metabolic syndrome using WHO, ATPIII and IDF definitions in Asian Indians: The Chennai Urban Rural Epidemiology Study (CURES-34)(2006) Deepa, M.; Farooq, S.; Datta, R.; Deepa, R.Item Lifestyle Change and Mobility in Obese Adults with Type 2 Diabetes(2012) Rejeski, W. Jack; Ip, Edward H.; Bertoni, Alain G.; Bray, George A.; Evans, Gina; Gregg, Edward W.; Zhang, QiangBackground Adults with type 2 diabetes mellitus often have limitations in mobility that increase with age. An intensive lifestyle intervention that produces weight loss and improves fitness could slow the loss of mobility in such patients. Methods We randomly assigned 5145 overweight or obese adults between the ages of 45 and 74 years with type 2 diabetes to either an intensive lifestyle intervention or a diabetes support-and-education program; 5016 participants contributed data. We used hidden Markov models to characterize disability states and mixed-effects ordinal logistic regression to estimate the probability of functional decline. The primary outcome was self-reported limitation in mobility, with annual assessments for 4 years. Results At year 4, among 2514 adults in the lifestyle-intervention group, 517 (20.6%) had severe disability and 969 (38.5%) had good mobility; the numbers among 2502 participants in the support group were 656 (26.2%) and 798 (31.9%), respectively. The lifestyle-intervention group had a relative reduction of 48% in the risk of loss of mobility, as compared with the support group (odds ratio, 0.52; 95% confidence interval, 0.44 to 0.63; P<0.001). Both weight loss and improved fitness (as assessed on treadmill testing) were significant mediators of this effect (P<0.001 for both variables). Adverse events that were related to the lifestyle intervention included a slightly higher frequency of musculoskeletal symptoms at year 1. Conclusions Weight loss and improved fitness slowed the decline in mobility in overweight adults with type 2 diabetes. (Funded by the Department of Health and Human Services and others; ClinicalTrials.gov number, NCT00017953.)Item Blacks more likely to die of cancer and diabetes(2012) Graff, LauraAfrican-Americans in North Carolina are more likely than whites to die of most cancers and more likely to get and die of diabetes, doctors said Thursday during a panel discussion about health disparities. African-American babies are also more likely that white infants to die in their first year of birth, an advocate for lowering infant mortality rates said. "We see this as an issue of social justice," said Debbie Mason of the Forsyth County Infant Mortality Reduction Coalition. The health disparities forum was part of a daylong event focusing on improving health for blacks in Forsyth put on by the Winston-Salem Urban League. Mason said mortality rates for African-American babies are three times as high as the rates for white babies in Forsyth, the largest gap in the state. She said mortality rates for African-American infants are also higher in Forsyth than in any of the other urban counties in North Carolina.Item Cardiovascular and Diabetes Risk Perception in a Hispanic Community Sample(2012) Diaz, Vanessa A.; Mainous, Arch G.; Williamson, Deborah; Johnson, Sharleen P.; Knoll, Michele E.Abstract available at publisher's website.