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[PMID]:29297077
[Au] Autor:Purnell TS; Luo X; Cooper LA; Massie AB; Kucirka LM; Henderson ML; Gordon EJ; Crews DC; Boulware LE; Segev DL
[Ad] Endereço:Division of Transplantation, Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
[Ti] Título:Association of Race and Ethnicity With Live Donor Kidney Transplantation in the United States From 1995 to 2014.
[So] Source:JAMA;319(1):49-61, 2018 01 02.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Over the past 2 decades, there has been increased attention and effort to reduce disparities in live donor kidney transplantation (LDKT) for black, Hispanic, and Asian patients with end-stage kidney disease. The goal of this study was to investigate whether these efforts have been successful. Objective: To estimate changes over time in racial/ethnic disparities in LDKT in the United States, accounting for differences in death and deceased donor kidney transplantation. Design, Setting, and Participants: A secondary analysis of a prospectively maintained cohort study conducted in the United States of 453 162 adult first-time kidney transplantation candidates included in the Scientific Registry of Transplant Recipients between January 1, 1995, and December 31, 2014, with follow-up through December 31, 2016. Exposures: Race/ethnicity. Main Outcomes and Measures: The primary study outcome was time to LDKT. Multivariable Cox proportional hazards and competing risk models were constructed to assess changes in racial/ethnic disparities in LDKT among adults on the deceased donor kidney transplantation waiting list and interaction terms were used to test the statistical significance of temporal changes in racial/ethnic differences in receipt of LDKT. The adjusted subhazard ratios are estimates derived from the multivariable competing risk models. Data were categorized into 5-year increments (1995-1999, 2000-2004, 2005-2009, 2010-2014) to allow for an adequate sample size in each analytical cell. Results: Among 453 162 adult kidney transplantation candidates (mean [SD] age, 50.9 [13.1] years; 39% were women; 48% were white; 30%, black; 16%, Hispanic; and 6%, Asian), 59 516 (13.1%) received LDKT. Overall, there were 39 509 LDKTs among white patients, 8926 among black patients, 8357 among Hispanic patients, and 2724 among Asian patients. In 1995, the cumulative incidence of LDKT at 2 years after appearing on the waiting list was 7.0% among white patients, 3.4% among black patients, 6.8% among Hispanic patients, and 5.1% among Asian patients. In 2014, the cumulative incidence of LDKT was 11.4% among white patients, 2.9% among black patients, 5.9% among Hispanic patients, and 5.6% among Asian patients. From 1995-1999 to 2010-2014, racial/ethnic disparities in the receipt of LDKT increased (P < .001 for all statistical interaction terms in adjusted models comparing white patients vs black, Hispanic, and Asian patients). In 1995-1999, compared with receipt of LDKT among white patients, the adjusted subhazard ratio was 0.45 (95% CI, 0.42-0.48) among black patients, 0.83 (95% CI, 0.77-0.88) among Hispanic patients, and 0.56 (95% CI, 0.50-0.63) among Asian patients. In 2010-2014, compared with receipt of LDKT among white patients, the adjusted subhazard ratio was 0.27 (95% CI, 0.26-0.28) among black patients, 0.52 (95% CI, 0.50-0.54) among Hispanic patients, and 0.42 (95% CI, 0.39-0.45) among Asian patients. Conclusions and Relevance: Among adult first-time kidney transplantation candidates in the United States who were added to the deceased donor kidney transplantation waiting list between 1995 and 2014, disparities in the receipt of live donor kidney transplantation increased from 1995-1999 to 2010-2014. These findings suggest that national strategies for addressing disparities in receipt of live donor kidney transplantation should be revisited.
[Mh] Termos MeSH primário: Disparidades em Assistência à Saúde/etnologia
Falência Renal Crônica/etnologia
Transplante de Rim/tendências
Doadores Vivos
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Americanos Asiáticos
Estudos de Coortes
Grupo com Ancestrais do Continente Europeu
Feminino
Disparidades em Assistência à Saúde/tendências
Hispano-Americanos
Seres Humanos
Estimativa de Kaplan-Meier
Falência Renal Crônica/cirurgia
Transplante de Rim/mortalidade
Masculino
Meia-Idade
Estados Unidos/epidemiologia
Listas de Espera
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180311
[Lr] Data última revisão:
180311
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19152


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[PMID]:28452698
[Au] Autor:Li S; Sim SC; Lee L; Pollack HJ; Wyatt LC; Trinh-Shevrin C; Pong P; Kwon SC
[Ad] Endereço:SUNY Old Westbury, Department of Public Health, Old Westbury, NY, USA.
[Ti] Título:Hepatitis B Screening & Vaccination Behaviors in a Community-based Sample of Chinese & Korean Americans in New York City.
[So] Source:Am J Health Behav;41(2):204-214, 2017 Mar 01.
[Is] ISSN:1945-7359
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: As Asian Americans are dis- proportionately affected by the hepatitis B virus (HBV), we explored predictors of HBV screening and vaccination among Chinese and Korean Americans. METHODS: We used cross-sectional data from a com- munity-based sample of Chinese Americans (N = 502) and Korean Americans (N = 487) residing in the metropolitan New York City area during 2008-2009. Logistic regression models were stratified by Asian-American subgroup and sex to predict HBV screening (for the entire sam- ple) and HBV vaccination (among those not HBV positive). RESULTS: Overall, screening rates were high (71.3% among Chinese and 70.1% among Koreans). The majority of respondents were aware of HBV; however, knowledge about HBV transmission was low. In logistic regression, a physician recommendation was consistently associated with HBV screening and vaccination outcomes across all groups; having heard of HBV was significantly associated with screening and vaccination among Chinese males and screening among Korean males and females. Screening and vaccination barriers were reported among all groups, and included lack of knowledge and feeling well/having no health issues. CONCLUSIONS: Targeted efforts in these at-risk communities are necessary to improve HBV knowledge, address misinformation about HBV, and eliminate provider-, patient-, and resource-related barriers to HBV screening and vaccination.
[Mh] Termos MeSH primário: Americanos Asiáticos/psicologia
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Hepatite B
Vacinação/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Hepatite B/diagnóstico
Hepatite B/etnologia
Hepatite B/prevenção & controle
Seres Humanos
Masculino
Meia-Idade
Cidade de Nova Iorque/etnologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.5993/AJHB.41.2.12


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[PMID]:28471315
[Au] Autor:Tung WC; Lu M; Granner M; Sohn J
[Ad] Endereço:a Orvis School of Nursing, University of Nevada , Reno , Nevada , USA.
[Ti] Título:Assessing perceived benefits/barriers and self-efficacy for cervical cancer screening among Korean American women.
[So] Source:Health Care Women Int;38(9):945-955, 2017 09.
[Is] ISSN:1096-4665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A large proportion of Korean American women (KAW) do not receive regular cervical cancer screening. Self-report data from 102 KAW were analyzed by multiple linear regressions. As compared to women in action/maintenance, women in precontemplation/relapse stages were less likely to agree that a Pap test is important for health and were more likely to endorse barriers to testing (cost, not having a female doctor, preference for Korean medicine). Women in precontemplation/relapse stages also reported lower scores on self-efficacy items (travel large distances, pain perceptions, financial costs, and time). Differences in specific aspects may be informative for interventions to improve screening rates among KAW.
[Mh] Termos MeSH primário: Americanos Asiáticos/psicologia
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
Autoeficácia
Neoplasias do Colo do Útero/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Americanos Asiáticos/estatística & dados numéricos
Estudos Transversais
Detecção Precoce de Câncer
Feminino
Seres Humanos
Programas de Rastreamento
Meia-Idade
Teste de Papanicolaou
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Percepção
República da Coreia/etnologia
Neoplasias do Colo do Útero/prevenção & controle
Neoplasias do Colo do Útero/psicologia
Esfregaço Vaginal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180304
[Lr] Data última revisão:
180304
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/07399332.2017.1326495


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[PMID]:27779462
[Au] Autor:Choi GY; Koh E; Choi S; Cho JY
[Ad] Endereço:a Department of Social Work , University of Northern Iowa , Cedar Falls , Iowa , USA.
[Ti] Título:Understanding breast cancer screening behaviors of Korean American women in sociocultural contexts.
[So] Source:Soc Work Health Care;56(1):45-63, 2017 01.
[Is] ISSN:1541-034X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examines the breast cancer screening behaviors of Korean American women focusing on their cultural beliefs and access to health care. A total of 111 Korean American women participated in the cross-sectional survey research. Korean American women who felt embarrassed about breast cancer screenings were less likely to have received clinical breast exams or mammograms. Implications to culturally competent social work practice in promoting their breast cancer screening behaviors are discussed.
[Mh] Termos MeSH primário: Americanos Asiáticos/psicologia
Neoplasias da Mama/diagnóstico
Detecção Precoce de Câncer/psicologia
Programas de Rastreamento/psicologia
[Mh] Termos MeSH secundário: Adulto
Americanos Asiáticos/estatística & dados numéricos
Estudos Transversais
Feminino
Seres Humanos
Programas de Rastreamento/estatística & dados numéricos
Meia-Idade
Fatores Socioeconômicos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180224
[Lr] Data última revisão:
180224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:27778127
[Au] Autor:Ikoma N; Blum M; Chiang YJ; Estrella JS; Roy-Chowdhuri S; Fournier K; Mansfield P; Ajani J; Badgwell BD
[Ad] Endereço:Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
[Ti] Título:Race Is a Risk for Lymph Node Metastasis in Patients With Gastric Cancer.
[So] Source:Ann Surg Oncol;24(4):960-965, 2017 Apr.
[Is] ISSN:1534-4681
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The frequency of lymph node metastasis in each T stage of gastric cancer has not been as well described for Western populations as it has for Asian populations. This study aimed to determine these frequencies and to investigate risk factors associated with lymph node metastases in a racially diverse U.S. METHODS: A prospectively maintained database of 8260 patients with gastric or gastroesophageal junction adenocarcinoma treated at our institution from 1995 to 2013 was reviewed to identify those who underwent surgical resection without preoperative therapy. Associations between clinicopathologic variables and lymph node metastasis were tested with uni- and multivariate analyses. RESULTS: The study identified 218 patients with a pathologic diagnosis of gastric adenocarcinoma who underwent upfront gastrectomy. These study subjects included 115 white (53 %), 19 black (9 %), and 41 Asian (19 %) patients. At least 15 lymph nodes were examined in 148 (68 %) of the patients. The lymph node metastasis rates were 10 % for stage T1a, 34 % for stage T1b, 44 % for stage T2, 73 % for stage T3, and 95 % for stage T4 tumors. Univariate analysis showed that submucosal invasion, race, 15 or more lymph nodes examined, and lymphovascular invasion were associated with lymph node metastasis in T1 and T2 tumors. The multivariate analysis showed all but lymphovascular invasion to be independent risk factors for nodal metastasis. CONCLUSIONS: The rates of lymph node metastasis observed in this study were higher than those reported in Asian reports. Race was an independent risk factor for lymph node metastasis. Caution is therefore needed when evidence from Asian countries is extrapolated to more racially diverse Western countries.
[Mh] Termos MeSH primário: Adenocarcinoma/etnologia
Adenocarcinoma/secundário
Grupos de Populações Continentais
Junção Esofagogástrica
Excisão de Linfonodo
Linfonodos/patologia
Neoplasias Gástricas/etnologia
Neoplasias Gástricas/patologia
[Mh] Termos MeSH secundário: Adenocarcinoma/cirurgia
Afroamericanos
Idoso
Americanos Asiáticos
Grupo com Ancestrais do Continente Europeu
Feminino
Seres Humanos
Linfonodos/cirurgia
Metástase Linfática
Masculino
Meia-Idade
Invasividade Neoplásica
Estadiamento de Neoplasias
Fatores de Risco
Neoplasias Gástricas/cirurgia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1245/s10434-016-5645-x


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[PMID]:27775956
[Au] Autor:Guo J; Fujiyoshi A; Masaki K; Vishnu A; Kadota A; Barinas-Mitchell EJ; Hisamatsu T; Ahuja V; Takashima N; Evans RW; Willcox BJ; Miura K; Rodriguez B; Ueshima H; Kuller LH; Sekikawa A
[Ad] Endereço:aDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA bDepartment of Public Health, Shiga University of Medical Science, Shiga, Japan cDepartment of Geriatric Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA dCentre for Epidemiologic Research in Asia, Shiga University of Medical Science, Shiga, Japan eDepartment of Research, Kuakini Medical Center, Honolulu, Hawaii, USA.
[Ti] Título:The role of initial and longitudinal change in blood pressure on progression of arterial stiffness among multiethnic middle-aged men.
[So] Source:J Hypertens;35(1):111-117, 2017 01.
[Is] ISSN:1473-5598
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A few studies have examined the longitudinal association of blood pressure (BP) with arterial stiffness progression, and the results were inconsistent. The objective of this study was to investigate the roles of initial BP and its longitudinal change on the progression of arterial stiffness measured using brachial-ankle pulse wave velocity (baPWV). METHOD: Study participants (n = 656) were from population-based samples of healthy men aged 40-49 years at baseline (213 White Americans, 47 African-Americans, 152 Japanese Americans and 244 Japanese in Japan). BP measures, baPWV and other factors were examined at baseline and 4-7 years later. General linear regression was applied for statistical analyses. RESULT: Annual change in SBP (standardized coefficient: 0.33, P < 0.001), but not its baseline level (standardized coefficient: 0.03, P = 0.495), had a positive significant association with the progression of baPWV after adjusting for a wide range of standard cardiovascular risk factors. Similarly, annual changes in DBP (standardized coefficient: 0.35, P < 0.001), pulse pressure (standardized coefficient: 0.15, P = 0.001) and mean arterial pressure (standardized coefficient: 0.37, P < 0.001) were positively associated with the progression of baPWV. None of the baseline measures were related to the progression of baPWV. CONCLUSION: Our findings imply that, regardless of initial BP, effective monitoring and controlling of BP is important to slow down arterial wall stiffening and hence reduce cardiovascular risk.
[Mh] Termos MeSH primário: Pressão Sanguínea/fisiologia
Rigidez Vascular
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Pressão Arterial/fisiologia
Americanos Asiáticos
Diástole
Grupo com Ancestrais do Continente Europeu
Voluntários Saudáveis
Seres Humanos
Japão
Estudos Longitudinais
Masculino
Meia-Idade
Análise de Onda de Pulso
Sístole
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29173103
[Au] Autor:Juon HS; Rimal RN; Klassen A; Lee S
[Ad] Endereço:a Department of Medical Oncology , Thomas Jefferson University , Philadelphia , Pennsylvania , USA.
[Ti] Título:Social Norm, Family Communication, and HBV Screening among Asian Americans.
[So] Source:J Health Commun;22(12):981-989, 2017 Dec.
[Is] ISSN:1087-0415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Individuals' behaviors are influenced by those of others in their social environment (i.e., descriptive norms), as well as by how individuals perceive they should behave in that environment (e.g., injunctive norms). Although social norms are thought to play an important role in hepatitis B virus (HBV) screening, limited theoretical or empirical guidance exists on how the underlying process works. In addition, norms are social phenomena that are spread through family discussion about the importance of getting HBV screening. Using the theory of normative social behavior (TNSB), this study examined the roles of injunctive norms (IN), descriptive norms (DN), and family discussion in HBV screening behavior among Asian Americans. Data from a survey of Asian Americans in the Baltimore Washington metropolitan area (N = 877) were used to test underlying theoretical propositions. DN and family discussion emerged as key factors in HBV screening behavior among all Asian Americans. IN were associated with HBV screening among Chinese and Korean Americans, but not for Vietnamese Americans. Family discussion moderated the influence of DN on behavior among Chinese and Vietnamese Americans. However, the main effect of DN on screening behavior was not modified by IN (no interactions between DN and IN). The results indicate that family discussion and social norms are integral in enabling Asian Americans to undergo HBV screening and warrant sensitivity in the design and implementation of a liver cancer prevention program in this high-risk group of Asian Americans.
[Mh] Termos MeSH primário: Americanos Asiáticos/psicologia
Comunicação
Família/etnologia
Hepatite B/etnologia
Programas de Rastreamento/utilização
Normas Sociais/etnologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Americanos Asiáticos/estatística & dados numéricos
Família/psicologia
Feminino
Hepatite B/prevenção & controle
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1080/10810730.2017.1388454


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[PMID]:28456052
[Au] Autor:Corriveau KH; DiYanni CJ; Clegg JM; Min G; Chin J; Nasrini J
[Ad] Endereço:Boston University, Boston, MA 02215, USA. Electronic address: kcorriv@bu.edu.
[Ti] Título:Cultural differences in the imitation and transmission of inefficient actions.
[So] Source:J Exp Child Psychol;161:1-18, 2017 Sep.
[Is] ISSN:1096-0457
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Across two studies, we explored cultural differences in children's imitation and transmission of inefficient actions. Chinese American and Caucasian American preschoolers (N=115) viewed either one or three models using two inefficient tools to perform two different tasks. In the video, when the model(s) performed the task, only the inefficient tool was available; thus, their choice to use that tool could be considered rational. Next, children were invited to complete the task with either the inefficient tool or an efficient alternative. Whereas the two cultural groups imitated a single model at similar rates, Chinese American children imitated significantly more than Caucasian American children after viewing a consensus. Similar results were found when exploring differences in information transmission. The Chinese American children were significantly more likely than their Caucasian American peers to instruct using an inefficient tool when they had initially viewed a consensus demonstrate it. We discuss these findings with respect to differences in children's use of social versus task-specific cues for learning and teaching.
[Mh] Termos MeSH primário: Americanos Asiáticos/psicologia
Comparação Transcultural
Grupo com Ancestrais do Continente Europeu/psicologia
Comportamento Imitativo
Ensino/psicologia
[Mh] Termos MeSH secundário: Pré-Escolar
Consenso
Sinais (Psicologia)
Feminino
Seres Humanos
Aprendizagem
Masculino
Grupo Associado
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29329117
[Au] Autor:Hu Sophia H; Fu Mei R; Liu S; Lin YK; Chang WY
[Ad] Endereço:Sophia H. Hu is an assistant professor and Wen-Yin Chang is a professor in the School of Nursing at Taipei Medical University, Taipei, Taiwan. Mei R. Fu is an associate professor in the Rory Meyers College of Nursing at New York University (NYU), New York City. Shan Liu is an associate professor in the College of Nursing and Public Health at Adelphi University, Garden City, NY. Yen-Kuang Lin is an associate research fellow in the Biostatistics Center at Taipei Medical University. This research was supported by grants from NYU's Muriel and Virginia Pless Center for Nursing Research, the Association of Chinese American Physicians, and the National Institute of Minority Health and Health Disparities (NIMHD project No. P60 MD000538-03). Contact author: Sophia H. Hu, sophiahu123@gmail.com. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
[Ti] Título:CE: Original Research: Physical Activity Among Chinese American Immigrants with Prediabetes or Type 2 Diabetes.
[So] Source:Am J Nurs;118(2):24-32, 2018 Feb.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: Background: Although the benefits of aerobic exercise and strength training for patients with type 2 diabetes have been studied extensively, research on physical activity among Chinese American immigrants diagnosed with prediabetes or type 2 diabetes has been limited. PURPOSE: We sought to learn more about this population's knowledge of physical activity, the types and intensity levels performed, and the barriers to such activity. DESIGN AND METHODS: A concurrent mixed-methods design was used. The short version of the International Physical Activity Questionnaire-Chinese was used to quantitatively measure participants' levels of exercise intensity. Semistructured face-to-face interviews were conducted to obtain qualitative information regarding participants' knowledge about physical activity, the types performed, and the barriers to such activity. RESULTS: A total of 100 Chinese American immigrants were recruited for the study from January to July 2012 in New York City. On average, participants had lived with a diagnosis of prediabetes or type 2 diabetes for 3.3 years and had lived in the United States for 21.5 years. Energy expenditure was measured in metabolic equivalent of task (MET) units; intensity was measured in cumulative MET-minutes per week. The mean total intensity score was 2,744 MET-minutes per week. This was achieved mainly through walking. The mean intensity score for walking was 1,454 MET-minutes per week; the mean duration was 79 minutes per day. Vigorous physical activity was least common. The mean intensity score for vigorous physical activity was 399 MET-minutes per week, and the mean duration was 17 minutes per week. Regarding types of physical activity, the most common were housekeeping, walking up stairs, and taking walking or stretching breaks every hour during the workday. Based on the interviews, three themes emerged regarding barriers to moderate or vigorous physical activity: insufficient education about physical activity, health concerns about physical activity, and work-related barriers to physical activity. CONCLUSIONS: The majority of Chinese American immigrants with prediabetes or type 2 diabetes do not engage in sufficient physical activity, performing at a rate significantly below that of the general U.S. POPULATION: Increases in the intensity and duration of physical activity should be promoted as part of diabetes management for Chinese American immigrants.
[Mh] Termos MeSH primário: Americanos Asiáticos
Diabetes Mellitus Tipo 2/epidemiologia
Exercício
Comportamentos Relacionados com a Saúde
Conhecimentos, Atitudes e Prática em Saúde
Estado Pré-Diabético/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Emigrantes e Imigrantes
Metabolismo Energético
Feminino
Seres Humanos
Masculino
Meia-Idade
Cidade de Nova Iorque/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000530221.87469.86


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[PMID]:28471244
[Au] Autor:O'Shea T; Thomas N; Webb BT; Dick DM; Kendler KS; Chartier KG
[Ad] Endereço:a Virginia Commonwealth University , School of Social Work , Richmond , VA , USA.
[Ti] Título:ALDH2*2 and peer drinking in East Asian college students.
[So] Source:Am J Drug Alcohol Abuse;43(6):678-685, 2017 Nov.
[Is] ISSN:1097-9891
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The ALDH2*2 allele (A-allele) at rs671 is more commonly carried by Asians and is associated with alcohol-related flushing, a strong adverse reaction to alcohol that is protective against drinking. Social factors, such as having friends who binge drink, also contribute to drinking in Asian youth. OBJECTIVES: This study examined the interplay between ALDH2*2, peer drinking, and alcohol consumption in college students. We hypothesized that the relationship between ALDH2*2 and standard grams of ethanol per month would vary based on the level of peer drinking. METHODS: Subjects (N = 318, 63.25% female) were East Asian college students in the United States who reported drinking alcohol. Data were from the freshman year of a university survey that included a saliva DNA sample. ALDH2*2 status was coded ALDH2*2(+) (A/G and A/A genotypes) and ALDH2*2(-) (G/G genotype). Peer drinking was students' perception of how many of their friends "got drunk". RESULTS: Main effects of ALDH2*2(-) and having more friends who got drunk were associated with greater alcohol consumption. The ALDH2*2 × peer drunkenness interaction showed a stronger positive association with alcohol consumption for ALDH2*2(-) versus ALDH2*2(+) at increasing levels of peer drunkenness. Follow-up comparisons within each peer drunkenness level identified significantly higher alcohol consumption for ALDH2*2(-) compared to ALDH2*2(+) at the all friends got drunk level. CONCLUSION: There was evidence of a stronger effect for ALDH2*2(-) compared to ALDH2*2(+) with greater alcohol use when students were more exposed to peer drinking. Findings contribute to a growing literature on the interrelationships between genetic influences and more permissive environments for alcohol consumption.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/genética
Consumo de Bebidas Alcoólicas/psicologia
Aldeído-Desidrogenase Mitocondrial/genética
Americanos Asiáticos/genética
Americanos Asiáticos/psicologia
Grupo Associado
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Intoxicação Alcoólica/genética
Intoxicação Alcoólica/psicologia
Alelos
Feminino
Genótipo
Seres Humanos
Masculino
Universidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
EC 1.2.1.3 (Aldehyde Dehydrogenase, Mitochondrial)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/00952990.2017.1314489



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