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[PMID]:28459618
[Au] Autor:Celedón JC; Burchard EG; Schraufnagel D; Castillo-Salgado C; Schenker M; Balmes J; Neptune E; Cummings KJ; Holguin F; Riekert KA; Wisnivesky JP; Garcia JGN; Roman J; Kittles R; Ortega VE; Redline S; Mathias R; Thomas A; Samet J; Ford JG; American Thoracic Society and the National Heart, Lung, and Blood Institute
[Ti] Título:An American Thoracic Society/National Heart, Lung, and Blood Institute Workshop Report: Addressing Respiratory Health Equality in the United States.
[So] Source:Ann Am Thorac Soc;14(5):814-826, 2017 May.
[Is] ISSN:2325-6621
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health disparities related to race, ethnicity, and socioeconomic status persist and are commonly encountered by practitioners of pediatric and adult pulmonary, critical care, and sleep medicine in the United States. To address such disparities and thus progress toward equality in respiratory health, the American Thoracic Society and the National Heart, Lung, and Blood Institute convened a workshop in May of 2015. The workshop participants addressed health disparities by focusing on six topics, each of which concluded with a panel discussion that proposed recommendations for research on racial, ethnic, and socioeconomic disparities in pulmonary, critical care, and sleep medicine. Such recommendations address best practices to advance research on respiratory health disparities (e.g., characterize broad ethnic groups into subgroups known to differ with regard to a disease of interest), risk factors for respiratory health disparities (e.g., study the impact of new tobacco or nicotine products on respiratory diseases in minority populations), addressing equity in access to healthcare and quality of care (e.g., conduct longitudinal studies of the impact of the Affordable Care Act on respiratory and sleep disorders), the impact of personalized medicine on disparities research (e.g., implement large studies of pharmacogenetics in minority populations), improving design and methodology for research studies in respiratory health disparities (e.g., use study designs that reduce participants' burden and foster trust by engaging participants as decision-makers), and achieving equity in the pulmonary, critical care, and sleep medicine workforce (e.g., develop and maintain robust mentoring programs for junior faculty, including local and external mentors). Addressing these research needs should advance efforts to reduce, and potentially eliminate, respiratory, sleep, and critical care disparities in the United States.
[Mh] Termos MeSH primário: Grupos Étnicos/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Disparidades em Assistência à Saúde
Grupos Minoritários/estatística & dados numéricos
Doenças Respiratórias/epidemiologia
[Mh] Termos MeSH secundário: Política de Saúde
Seres Humanos
National Heart, Lung, and Blood Institute (U.S.)
Pneumologia
Classe Social
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:CONSENSUS DEVELOPMENT CONFERENCE, NIH; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1513/AnnalsATS.201702-167WS


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[PMID]:29173742
[Au] Autor:Wei C; Eisenberg RE; Ramos-Olazagasti MA; Wall M; Chen C; Bird HR; Canino G; Duarte CS
[Ad] Endereço:Division of Child and Adolescent Psychiatry, Columbia University Medical Center/New York State Psychiatric Institute (CUMC/NYSPI), New York.
[Ti] Título:Developmental Psychopathology in a Racial/Ethnic Minority Group: Are Cultural Risks Relevant?
[So] Source:J Am Acad Child Adolesc Psychiatry;56(12):1081-1088.e1, 2017 Dec.
[Is] ISSN:1527-5418
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The current study examined (a) the mediating role of parenting behaviors in the relationship between parental risks and youth antisocial behaviors (YASB), and (b) the role of youth cultural stress in a racial/ethnic minority group (i.e., Puerto Rican [PR] youth). METHOD: This longitudinal study consisted of 3 annual interviews of PR youth (N = 1,150; aged 10-14 years at wave 1) and their caretakers from the South Bronx (SB) in New York City and from San Juan, Puerto Rico. Parents reported on parental risks, parenting behaviors, and YASB. Youth also self-reported on YASB and youth cultural stress. A lagged structural equation model examined the relationship between these variables across 3 yearly waves, with youth cultural stress as a moderator of the association between effective parenting behaviors and YASB. RESULTS: Findings supported the positive influence of effective parenting on YASB, independently of past parental risks and past YASB: higher effective parenting significantly predicted lower YASB at the following wave. Parenting also accounted for (mediated) the association between the composite of parental risks and YASB. Youth cultural stress at wave 1 was cross-sectionally associated with higher YASB and moderated the prospective associations between effective parenting and YASB, such that for youth who perceived higher cultural stress, the positive effect of effective parenting on YASB was weakened compared to those with lower/average cultural stress. CONCLUSION: Among PR families, both parental and cultural risk factors influence YASB. Such findings should be considered when treating racial/ethnic minority youth for whom cultural factors may be a relevant influence on determining behaviors.
[Mh] Termos MeSH primário: Transtorno da Conduta/etnologia
Cultura
Hispano-Americanos/psicologia
Grupos Minoritários/psicologia
Poder Familiar/psicologia
Assunção de Riscos
Estresse Psicológico/etnologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Transtorno da Conduta/psicologia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Modelos Psicológicos
Modelos Estatísticos
Cidade de Nova Iorque
Estudos Prospectivos
Porto Rico/etnologia
Estresse Psicológico/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:27771960
[Au] Autor:Tenkorang EY
[Ad] Endereço:a Department of Sociology , Memorial University of Newfoundland , St. John's , Canada.
[Ti] Título:Early onset of type 2 diabetes among visible minority and immigrant populations in Canada.
[So] Source:Ethn Health;22(3):266-284, 2017 Jun.
[Is] ISSN:1465-3419
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Type 2 diabetes is a chronic condition that affects nearly over three million Canadians, including immigrants. The timing of the first onset of diabetes has been linked to several other severe diseases. Yet, there is a dearth of empirical studies that examine the timing of the first onset of diabetes among Canadians, in general, and among immigrants and ethnic minority populations within Canada, in particular. DESIGN: Applying event history techniques to the 2013 Canadian Community and Health Survey, we address this research void by examining factors that contribute to the first onset of diabetes among immigrant and visible minority populations in Canada (N = 8905). Given the gendered patterns in the epidemiology of diseases and the differences in risk factors for men and women, gender-specific models were estimated. RESULTS: Results showed that South Asian, Black and Filipino women developed diabetes earlier, compared to women from the UK. Similarly, South Asian, Chinese, Filipino, Black, South East Asian and Arab men developed diabetes earlier than men from the UK. A significant and important finding of this analysis was that the risks of developing diabetes vanished completely for Black and Filipino women, after accounting for lifestyle factors. For South Asian women, however, there was significant attenuation in their risks after accounting for lifestyle factors. The findings were strikingly different for immigrant men. Specifically, their risks of developing diabetes increased after accounting for lifestyle factors. CONCLUSIONS: These results suggest the development of gender-specific and lifestyle interventions, targeted at specific immigrant groups with increased risks of developing diabetes earlier in the life course.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/etnologia
Emigrantes e Imigrantes/estatística & dados numéricos
Estilo de Vida
Grupos Minoritários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Grupo com Ancestrais do Continente Africano/etnologia
Idade de Início
Idoso
Árabes/estatística & dados numéricos
Ásia Sudeste/etnologia
Canadá
Criança
China/etnologia
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Estilo de Vida/etnologia
Masculino
Meia-Idade
Filipinas/etnologia
Fatores de Risco
Fatores Sexuais
Reino Unido/etnologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1080/13557858.2016.1244623


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[PMID]:29194139
[Au] Autor:Cantwell RE; Napierkowski D; Gundersen DA; Naqvi Z
[Ti] Título:Nursing as an Additional Language and Culture (NALC): Supporting Student Success in a Second-Degree Nursing Program.
[So] Source:Nurs Educ Perspect;36(2):121-123, 2015 Mar/Apr.
[Is] ISSN:1536-5026
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: The nursing workforce does not represent the diversity of the United States population and while recruitment of diverse nursing students is high, so are their rates of attrition. The Nursing as an Additional Language and Culture Program (NALC) was implemented in an accelerated, second-degree baccalaureate nursing program to enhance retention by minimizing barriers and supporting activities to enhance student success. Results suggest that the NALC program was successful in decreasing the attrition rate of nursing students, including minority students.
[Mh] Termos MeSH primário: Bacharelado em Enfermagem/organização & administração
Grupos Étnicos/psicologia
Grupos Minoritários/psicologia
Evasão Escolar/psicologia
Estudantes de Enfermagem/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Pesquisa em Educação de Enfermagem
Cultura Organizacional
Avaliação de Programas e Projetos de Saúde
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.5480/12-1007.1


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[PMID]:29433477
[Au] Autor:Li Y; Huang W; Qiqige A; Zhang H; Jin L; Ti P; Yip J; Xiao B
[Ad] Endereço:The Affiliated Eye Hospital of Nanchang University, Nanchang City, China.
[Ti] Título:Prevalence and causes of blindness, visual impairment among different ethnical minority groups in Xinjiang Uygur autonomous region, China.
[So] Source:BMC Ophthalmol;18(1):41, 2018 Feb 13.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this cross-sectional study is to ascertain the prevalence and causes of blindness, visual impairment, uptake of cataract surgery among different ethnic groups in Xinjiang Uygur Autonomous Region, China. METHODS: Four thousand one hundred fifty people at 50 years and above from different minority ethnic groups were randomly selected for an eye examination. The four trained eye teams collected data using tumbling E visual chart, torch, portable slit lamp and direct ophthalmoscope in 2015. The World Health Organization's definition of blindness and visual impairment (VI) was used to classify patients in each ethnic group. Data were analyzed by different minority groups and were compared with Han Chinese. RESULTS: 3977 (95.8%) out of 4150 people were examined. The prevalence of blindness from the study population was 1.7% (95% confidence interval: 1.3-2.2%).There was no significant difference in prevalence of blindness between Han Chinese and people of Khazak and other minority ethnic groups, nor, between male and female. Cataract was the leading course (65.5%) of blindness and uncorrected refractive error was the most common cause of VI (36.3%) followed by myopic retinopathy. The most common barrier to cataract surgery was lack of awareness of service availability. CONCLUSIONS: This study documented a low blindness prevalence among people aged 50 years and over comparing to prevalence identified through studies of other regions in China. It still indicates blindness and un-operated cataract as the significant public health issue, with no evidence of eye health inequalities, but some inequities in accessing to cataract surgery amongst ethnic minority groups in Xinjiang.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático/etnologia
Cegueira/etnologia
Grupos Minoritários/estatística & dados numéricos
Baixa Visão/etnologia
Pessoas com Deficiência Visual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Catarata/etnologia
China/epidemiologia
Estudos Transversais
Grupos Étnicos
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Exame Físico
Prevalência
Erros de Refração/etnologia
Doenças Retinianas/etnologia
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180218
[Lr] Data última revisão:
180218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0705-6


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[PMID]:29338019
[Au] Autor:Meyers LC; Brown AM; Moneta-Koehler L; Chalkley R
[Ad] Endereço:Office for Biomedical Research Education and Training, School of Medicine, Vanderbilt University, Nashville, Tennessee, United States of America.
[Ti] Título:Survey of checkpoints along the pathway to diverse biomedical research faculty.
[So] Source:PLoS One;13(1):e0190606, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is a persistent shortage of underrepresented minority (URM) faculty who are involved in basic biomedical research at medical schools. We examined the entire training pathway of potential candidates to identify the points of greatest loss. Using a range of recent national data sources, including the National Science Foundation's Survey of Earned Doctorates and Survey of Doctoral Recipients, we analyzed the demographics of the population of interest, specifically those from URM backgrounds with an interest in biomedical sciences. We examined the URM population from high school graduates through undergraduate, graduate, and postdoctoral training as well as the URM population in basic science tenure track faculty positions at medical schools. We find that URM and non-URM trainees are equally likely to transition into doctoral programs, to receive their doctoral degree, and to secure a postdoctoral position. However, the analysis reveals that the diversions from developing a faculty career are found primarily at two clearly identifiable places, specifically during undergraduate education and in transition from postdoctoral fellowship to tenure track faculty in the basic sciences at medical schools. We suggest focusing additional interventions on these two stages along the educational pathway.
[Mh] Termos MeSH primário: Academias e Institutos/organização & administração
Pesquisa Biomédica
Diversidade Cultural
Docentes/estatística & dados numéricos
Grupos Minoritários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Biologia/educação
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180117
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190606


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[PMID]:29293516
[Au] Autor:Geary RS; Tanton C; Erens B; Clifton S; Prah P; Wellings K; Mitchell KR; Datta J; Gravningen K; Fuller E; Johnson AM; Sonnenberg P; Mercer CH
[Ad] Endereço:Institute for Global Health, University College London, London, United Kingdom.
[Ti] Título:Sexual identity, attraction and behaviour in Britain: The implications of using different dimensions of sexual orientation to estimate the size of sexual minority populations and inform public health interventions.
[So] Source:PLoS One;13(1):e0189607, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexual orientation encompasses three dimensions: sexual identity, attraction and behaviour. There is increasing demand for data on sexual orientation to meet equality legislation, monitor potential inequalities and address public health needs. We present estimates of all three dimensions and their overlap in British men and women, and consider the implications for health services, research and the development and evaluation of public health interventions. METHODS: Analyses of data from Britain's third National Survey of Sexual Attitudes and Lifestyles, a probability sample survey (15,162 people aged 16-74 years) undertaken in 2010-2012. FINDINGS: A lesbian, gay or bisexual (LGB) identity was reported by 2·5% of men and 2·4% of women, whilst 6·5% of men and 11·5% of women reported any same-sex attraction and 5·5% of men and 6·1% of women reported ever experience of same-sex sex. This equates to approximately 547,000 men and 546,000 women aged 16-74 in Britain self-identifying as LGB and 1,204,000 men and 1,389,000 women ever having experience of same-sex sex. Of those reporting same-sex sex in the past 5 years, 28% of men and 45% of women identified as heterosexual. INTERPRETATION: There is large variation in the size of sexual minority populations depending on the dimension applied, with implications for the design of epidemiological studies, targeting and monitoring of public health interventions and estimating population-based denominators. There is also substantial diversity on an individual level between identity, behaviour and attraction, adding to the complexity of delivering appropriate services and interventions.
[Mh] Termos MeSH primário: Grupos Minoritários/psicologia
Prática de Saúde Pública
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Reino Unido
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189607


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[PMID]:29285540
[Au] Autor:Spong CY; Bianchi DW
[Ad] Endereço:Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
[Ti] Título:Improving Public Health Requires Inclusion of Underrepresented Populations in Research.
[So] Source:JAMA;319(4):337-338, 2018 Jan 23.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ensaios Clínicos como Assunto
Grupos Minoritários
Seleção de Pacientes
Saúde Pública
[Mh] Termos MeSH secundário: Idoso
Criança
Pessoas com Deficiência
Feminino
Seres Humanos
Masculino
National Institutes of Health (U.S.)
Medicina de Precisão
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19138


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[PMID]:28456708
[Au] Autor:Askari A; Nachiappan S; Currie A; Bottle A; Abercrombie J; Athanasiou T; Faiz O
[Ad] Endereço:Surgical Epidemiology, Trials and Outcome Centre (SETOC), St Mark's Hospital & Academic Institute, Harrow, Middlesex, HA1 3UJ, United Kingdom. Electronic address: alan.askari@gmail.com.
[Ti] Título:Who requires emergency surgery for colorectal cancer and can national screening programmes reduce this need?
[So] Source:Int J Surg;42:60-68, 2017 Jun.
[Is] ISSN:1743-9159
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Patients undergoing emergency colorectal cancer (CRC) surgery are at higher risk of poor outcome than those managed electively. The aim of this national study is to identify groups at high risk of undergoing unplanned CRC surgery and assess short and long-term outcome in this cohort subsequent morbidity and mortality as well as quantify their long-term survival. The aim of this national study is to identify groups at high risk of undergoing unplanned CRC surgery and assess short and long-term outcome, subsequent morbidity and mortality as well as quantify their long-term survival. METHODS: The Hospital Episode Statistics (HES) database between the years of 1997-2012 was used to identify all patients that had undergone surgery for colorectal cancer. Multivariable logistic regression analysis and cox regression analyses were undertaken to identify patient factors predictive of undergoing emergency and quantify their long-term survival. RESULTS: A total of 286,591 patients underwent resection for CRC between April 1997 and April 2012, of which 24.3% (69,718 patients) were admitted as emergencies and underwent emergency surgery. Independent predictors of undergoing emergency surgery were female gender (OR 1.23, CI: 1.21-1.25, p < 0.001), older age (>79 years old OR 1.55, CI: 1.50-1.60, p < 0.001), social deprivation (most deprived quintile, OR 1.64, CI: 1.50-1.80, p < 0.001) and Black African/Caribbean ethnicity (OR 1.36, CI: 1.21-1.66, p < 0.001). All cause 30- and 90-day mortality within the emergency group was significantly higher than that for the electively managed patients group (13.3% versus compared with 3.4% at 30-days) as was 90-day (20.0% versus compared with 5.8% at 90-days). Amongst patients eligible for bowel screening there was an approximate 40% significant reduction in the proportion of patients requiring emergency surgery before and after its introduction in 2006 (23.4%-14.9%, p < 0.001). This reduction in emergency surgery included both proximal and distal cancer resections. CONCLUSION: Older, socially deprived and ethnic minority patients with colorectal cancer are more likely to present as emergencies requiring CRC surgery. Public health initiatives, such as bowel cancer screening, appear to have concomitantly reduced emergency and increased elective surgical rates within the eligible cohort. This is likely to have a beneficial impact on population survival. Strategies aimed at preventing emergency presentation by identifying patients at specific risk could improve survival outcome for colorectal cancer surgery in England.
[Mh] Termos MeSH primário: Neoplasias Colorretais/cirurgia
Emergências
Grupos Étnicos
Grupos Minoritários
Classe Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Grupo com Ancestrais do Continente Africano
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Região do Caribe
Estudos de Coortes
Neoplasias Colorretais/diagnóstico
Detecção Precoce de Câncer
Procedimentos Cirúrgicos Eletivos
Inglaterra
Feminino
Política de Saúde
Hospitais
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Mortalidade
Modelos de Riscos Proporcionais
Risco
Fatores de Risco
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:27771271
[Au] Autor:Waage C; Jenum AK; Mdala I; Berg JP; Richardsen K; Birkeland K
[Ad] Endereço:Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Faculty of Health and Society, University of Oslo, Oslo, Norway. Electronic address: christin.waage@medisin.uio.no.
[Ti] Título:Associations between gestational diabetes mellitus and elevated HbA early postpartum in a multi-ethnic population.
[So] Source:Prim Care Diabetes;11(2):132-139, 2017 Apr.
[Is] ISSN:1878-0210
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: To investigate the prevalence of elevated HbA 14 weeks postpartum in different ethnic groups and in women with and without gestational diabetes mellitus (GDM) in the index pregnancy and to explore demographic and biological factors from early pregnancy associated with elevated HbA (HbA ≥5.7% (≥39mmol/mol)) postpartum. METHODS: From a cohort study in Oslo, Norway, we included 570 pregnant women, examined in gestational week 15, 28, and 14 weeks postpartum. The association between elevated HbA and demographic and biological factors were assessed by logistic regression analyses. RESULTS: The prevalence of elevated HbA postpartum was 23% in the total population, 15% among Western Europeans and 28% among women with ethnic minority background (p<0.01). In ethnic minorities elevated HbA was found in 39% of women with recent GDM diagnosed by the World Health Organization 2013 criteria and in 21% of women without GDM (p<0.01), compared to 22% and 13% in Western Europeans (p=0.11). We found independent associations between elevated HbA and ethnic minority background (OR 2.0, 95% CI 1.27, 3.18), and GDM (OR 2.04, 95% CI 1.35, 3.10) (p<0.01). CONCLUSIONS: The prevalence of elevated HbA postpartum was 23%, and significantly higher among women with ethnic minority background irrespective of GDM.
[Mh] Termos MeSH primário: Diabetes Gestacional/sangue
Hemoglobina A Glicada/metabolismo
Período Pós-Parto/sangue
[Mh] Termos MeSH secundário: Adulto
Biomarcadores/sangue
Estudos de Casos e Controles
Diabetes Gestacional/diagnóstico
Diabetes Gestacional/etnologia
Grupos Étnicos
Grupo com Ancestrais do Continente Europeu
Feminino
Seres Humanos
Modelos Logísticos
Grupos Minoritários
Noruega/epidemiologia
Razão de Chances
Gravidez
Fatores de Risco
Fatores de Tempo
Regulação para Cima
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE



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