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Racial Inequities in Mortality Rate in Hospitalized Children
CONCLUSIONS: Inpatient mortality rates are significantly higher in U.S. children of Asian and Pacific Islander and Black races compared to White children. U.S. population-based metrics such as hospitalization rate, ventilation rate, and hospital mortality rate are highest in Black children. Our data suggest that lower median household income alone may not account for a higher inpatient mortality rate. The causes and prevention of racial and ethnic inequities in hospitalized children need to be explored further.PMID:38151422 | DOI:10.1016/j.jnma.2023.12.004 (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - December 27, 2023 Category: General Medicine Authors: Balagangadhar R Totapally Paul A Martinez Prithvi Sendi Ramesh Sachdeva Source Type: research

Sex and employment status affect patients' perspectives regarding affordability of emergency department visits
CONCLUSION: In a national survey sample that asked about whether cost was a factor in visiting the emergency department, women and people who worked for wages or were self-employed were most likely to think twice about cost.PMID:38151423 | DOI:10.1016/j.jnma.2023.12.007 (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - December 27, 2023 Category: General Medicine Authors: Murdoc Gould Rohan Mangal Thor Stead Shayne Gue Latha Ganti Source Type: research

COVID-19 risk communication gaps, needs, and strategies related to pandemic preparedness plans among vulnerable, Black American subgroups: A qualitative study
This study found that Black American subgroups had diverse, yet trusted and non-trusted messages, messengers, and strategies for communication and wanted research results disseminated. We describe multi-level stakeholders and strategies to help improve risk communication for pandemics, and potentially preparedness and health outcomes.PMID:38151424 | DOI:10.1016/j.jnma.2023.12.003 (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - December 27, 2023 Category: General Medicine Authors: Jennifer Cunningham-Erves Megan Davis Elizabeth C Stewart Leah Alexander Jamal Moss Iman Barre Imari Parham Tilicia Mayo-Gamble Jamaine Davis Source Type: research

Lp(a) and risk of cardiovascular disease - A review of existing evidence and emerging concepts
J Natl Med Assoc. 2023 Dec 23:S0027-9684(23)00141-4. doi: 10.1016/j.jnma.2023.11.009. Online ahead of print.ABSTRACTCardiovascular disease (CVD) remains the leading cause of death among adults in the United States. There has been significant advancement in the diagnosis and treatment of atherosclerotic cardiovascular disease (ASCVD) and its underlying risk factors. In certain populations, there remains a significant residual risk despite adequate lowering of low-density lipoprotein cholesterol (LDL-C) and control of traditional risk factors. This has led to an interest in research to identify additional risk factors that c...
Source: Journal of the National Medical Association - December 24, 2023 Category: General Medicine Authors: Manasa Jasti Sabrina Islam Nathan Steele Kendra Ivy Willibroad Maimo Ijeoma Isiadinso Source Type: research

Life's essential eight as targets for cardiometabolic risk reduction among non-Hispanic black adults: A primary care approach
J Natl Med Assoc. 2023 Nov 24:S0027-9684(23)00143-8. doi: 10.1016/j.jnma.2023.11.003. Online ahead of print.ABSTRACTCardiovascular diseases remain the leading cause of death in the United States. Several studies have shown racial disparities in the cardiovascular outcomes. When compared to their Non-Hispanic White (NHW) counterparts, non-Hispanic Black (NHB) individuals have higher prevalence of cardiovascular risk factors and thus, increased mortality from atherosclerotic cardiovascular diseases. This is evidenced by lower scoring in the indices of the American Heart Association's Life Essential 8 among NHB individuals. N...
Source: Journal of the National Medical Association - December 23, 2023 Category: General Medicine Authors: Ebubechukwu Ezeh Onyedika Ilonze Maddie Perdoncin Archana Ramalingam Gurleen Kaur Bisher Mustafa Samson Teka Keith C Ferdinand Source Type: research

Psychological and emotional experiences of participants in a medical school, early assurance admissions program targeting students from groups underrepresented in medicine
CONCLUSIONS: URiM and other marginalized students participating in early assurance admissions programs likely enter medical school with a range of positive and negative emotions as a result of their participation in these programs. These data can be used to inform the development of programing and other initiatives that further support the transition and success of these students in medical school.PMID:38142142 | DOI:10.1016/j.jnma.2023.11.012 (Source: Journal of the National Medical Association)
Source: Journal of the National Medical Association - December 23, 2023 Category: General Medicine Authors: Cecilia Zhou Chielozor Okafor Justin Greisz Han-Seul Ryu Jamal Hagood Horace M DeLisser Source Type: research

Managing hypertension in African Americans with heart failure: A guide for the primary care clinician
J Natl Med Assoc. 2023 Nov 27:S0027-9684(23)00144-X. doi: 10.1016/j.jnma.2023.11.004. Online ahead of print.ABSTRACTHypertension is the predominant risk factor for cardiovascular disease related morbidity and mortality among Black adults in the United States. It contributes significantly to the development of heart failure and increases the risk of death following heart failure diagnosis. It is also a leading predisposing factor for hypertensive disorders of pregnancy and peripartum cardiomyopathy in Black women. As such, all stakeholders including health care providers, particularly primary care clinicians (including phys...
Source: Journal of the National Medical Association - December 22, 2023 Category: General Medicine Authors: Bria Rice Lydia Mbatidde Oludamilola Oluleye Anekwe Onwuanyi Demilade Adedinsewo Source Type: research

Addressing racial differences in the management of atrial fibrillation: Focus on black patients
J Natl Med Assoc. 2023 Nov 24:S0027-9684(23)00142-6. doi: 10.1016/j.jnma.2023.11.007. Online ahead of print.ABSTRACTAtrial fibrillation (AF) is the most common sustained arrhythmia, affecting between 3 and 6 million people in the United States. It is associated with a reduced quality of life and increased risk of stroke, cognitive decline, heart failure and death. Black patients have a lower prevalence of AF than White patients but are more likely to suffer worse outcomes with the disease. It is important that stakeholders understand the disproportionate burden of disease and management gaps that exists among Black patient...
Source: Journal of the National Medical Association - December 19, 2023 Category: General Medicine Authors: Hakeem Ayinde Favour Markson Ugonna Kevin Ogbenna Larry Jackson Source Type: research