Prevalence and Trends in Periodontitis in the USA: from the NHANES III to the NHANES, 1988 to 2000

2005 ◽  
Vol 84 (10) ◽  
pp. 924-930 ◽  
Author(s):  
L.N. Borrell ◽  
B.A. Burt ◽  
G.W. Taylor
Keyword(s):  
Ethnic Groups ◽  
Mexican Americans ◽  
Mexican American ◽  
Periodontal Diseases ◽  
Nhanes Iii ◽  
The Usa ◽  
Multivariable Analyses ◽  
Racial Ethnic ◽  
Hispanic White

Trends in periodontal diseases in the USA have been documented for years. However, the results have been mixed, mostly due to different periodontal assessment protocols. This study examined change in the prevalence of periodontitis between the NHANES III and the NHANES 1999–2000, and differences in the prevalence of periodontitis among racial/ethnic groups in the USA. Analysis was limited to non-Hispanic black, non-Hispanic white, and Mexican-American adults aged 18+ yrs in the NHANES III (n = 12,088) or the NHANES 1999–2000 (n = 3214). The prevalences of periodontitis for the NHANES III and the NHANES 1999–2000 were 7.3% and 4.2%, respectively. In multivariable analyses, blacks were 1.88 times (95%CI: 1.42, 2.50) more likely to have periodontitis than whites surveyed in the NHANES III. However, the odds of periodontitis for blacks and Mexican-Americans did not differ from those for whites surveyed in the NHANES 1999–2000. Our findings indicate that the prevalence of periodontitis has decreased between the NHANES III and the NHANES 1999–2000 for all racial/ethnic groups in the USA.

scholarly journals Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988–1994 and 1999–2008

2014 ◽  
Vol 18 (12) ◽  
pp. 2115-2125 ◽  
Author(s):  
Brent A Langellier ◽  
Deborah Glik ◽  
Alexander N Ortega ◽  
Michael L Prelip
Keyword(s):  
Ethnic Groups ◽  
Mexican Americans ◽  
Weight Status ◽  
White Women ◽  
Mexican Immigrants ◽  
Ethnic Disparities ◽  
Self Perceptions ◽  
The Usa ◽  
Time Periods ◽  
Racial Ethnic

AbstractObjectiveWeight self-perceptions, or how a person perceives his/her weight status, may affect weight outcomes. We use nationally representative data from 1988–1994 and 1999–2008 to examine racial/ethnic disparities in weight self-perceptions and understand how disparities have changed over time.DesignUsing data from two time periods, 1988–1994 and 1999–2008, we calculated descriptive statistics, multivariate logistic regression models and predicted probabilities to examine trends in weight self-perceptions among Whites, Blacks, US-born Mexican Americans and Mexican immigrants to the USA.SettingNational Health and Nutrition Examination Survey (NHANES) III (1988–1994) and continuous NHANES (1999–2008).SubjectsAdult NHANES participants aged 18 years and older (n 37 050).ResultsThe likelihood of self-classifying as overweight declined between 1988–1994 and 1999–2008 among all US adults, despite significant increases in mean BMI and overweight prevalence. Trends in weight self-perceptions varied by gender and between racial/ethnic groups. Whites in both time periods were more likely than racial/ethnic minorities to perceive themselves as overweight. After adjustment for other factors, disparities in weight self-perceptions between Whites and Blacks of both genders grew between survey periods (P<0·05), but differences between overweight White women and Mexican immigrants decreased (P<0·05).ConclusionsWeight self-perceptions have changed during the obesity epidemic in the USA, but changes have not been consistent across racial/ethnic groups. Secular declines in the likelihood of self-classifying as overweight, particularly among Blacks, are troubling because weight self-perceptions may affect weight-loss efforts and obesity outcomes.

scholarly journals Trends in the Racial and Ethnic Disparity and Predictors of Hepatic Steatosis: Data From NHANES III and NHANES 2017–2018

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A31-A31
Author(s):  
Magda Shaheen ◽  
Deyu Pan ◽  
Katrina Schrode ◽  
Dulcie Kermah ◽  
Sonia Michael Najjar ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Hepatic Steatosis ◽  
Mexican Americans ◽  
Mexican American ◽  
Public Health Problem ◽  
Ethnic Disparity ◽  
Nhanes Iii ◽  
Time Periods ◽  
Racial Ethnic

Abstract Hepatic steatosis is a serious problem worldwide and it affects Hispanics at a higher rate than Blacks. This disparity is an important public health problem. The purpose of this study was to examine the trend in the racial/ethnic disparity of hepatic steatosis among a representative sample of the U.S. adult ≥20 years old in two time-periods. Data from the National Health and Nutrition Examination Survey (NHANES) III (1988–1994) and NHANES 2017–2018 were analyzed. The sample size in the two respective cycles was 13,910 and 5,492 respectively. Hepatic steatosis in NHANES III was diagnosed using ultrasound while in NHANES 2017–2018, fibroscan was used. We analyzed the data using bivariate Chi square, and multiple logistic regression to adjusting for confounding variables and considering the design and sample weights. In both time-periods, Mexican American had the highest prevalence of hepatic steatosis (28% in NHANES III and 43% in NHANES 2017–2018) compared to the other racial/ethnic groups (p&lt;0.05). In the adjusted logistic regression model, relative to the white population, Mexican-Americans had 40% higher odds of hepatic steatosis in NHANES III (adjusted odds ratio [AOR]=1.4, 95% confidence level [CL]=1.1–1.9, p&lt;0.05) and 200% higher odds of hepatic steatosis in NHANES 2017–2018 (AOR=2.0, 95% CL=1.3–3.1, p&lt;0.05). The common predictors of hepatic steatosis in the two time periods were gender, high waist-to-hip ratio, borderline and high levels of triglyceride, and prediabetes and diabetes as diagnosed by HbA1c (p&lt;0.05). For CRP, independent of the method used, mild and significant inflammation were predictors of hepatic steatosis (p&lt;0.05). In NHANES 2017–2018, participants ≥ 65 years (compared to 20–34 years of age) and Blacks (relative to Whites) had a lower chance of hepatic steatosis in the adjusted regression model (p&lt;0.05), and those inactive (relative to those who met the physical activity guideline) had a higher chance of hepatic steatosis (p&lt;0.05). The increased prevalence of hepatic steatosis in 2017–2018 compared to 1988–1994, may be related to the obesity epidemic, although differences in methodological factors may also play a role. Our study indicated that the racial/ethnic disparity in hepatic steatosis especially among Mexican American persisted over time. Future work is needed to explore the persistence of the racial/ethnic disparity of hepatic steatosis and its underlying mechanisms.

Trastuzumab-induced cardiotoxicity and hypertension among racially and ethnically diverse patients with HER2-positive early-stage breast cancer.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24092-e24092
Author(s):  
Monica F. Chen ◽  
Daniel K. Manson ◽  
Ariel Yuan ◽  
Katherine D. Crew
Keyword(s):  
Breast Cancer ◽  
Ethnic Groups ◽  
Ethnic Minorities ◽  
Early Stage ◽  
Early Stage Breast Cancer ◽  
Her2 Positive ◽  
Factors Associated ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
Hispanic White

e24092 Background: Trastuzumab improves breast cancer survival but is associated with an increased risk of heart failure. Identifying risk factors associated with trastuzumab induced cardiotoxicity (TIC) would allow for more targeted and intensive screening for at-risk patients. Hypertension is one of the most consistent predictors of TIC. Racial/ethnic minorities are at higher risk of cardiovascular disease but are under-represented in studies of TIC. The objective of this study was to evaluate the relationship between race/ethnicity and risk of TIC among a diverse cohort of patients with HER2-positive early-stage breast cancer. Methods: We conducted a retrospective cohort study of patients treated at Columbia University between 2007 and 2016 for stage I-III breast cancer with adjuvant or neoadjuvant trastuzumab who had at least two echocardiograms. Mild TIC was defined as a ≥10% decline in left ventricular ejection fraction (LVEF); moderate TIC ≥15% decline; severe TIC ≥20% or decline in LVEF to < 50%. Diagnosis of hypertension, average systolic and diastolic blood pressure, and number of hypertension medications was assessed 1- year pre-treatment, during treatment, and 1-year post-treatment. We generated descriptive statistics and used multivariable logistic regression to evaluate demographic and clinical factors associated with TIC. Results: Of 279 patients evaluated, 36.6% were non-Hispanic white, 18.3% non-Hispanic black, 34.8% Hispanic, and 10.4% Asian. The average baseline LVEF was 60% and did not significantly differ between racial/ethnic groups. Mild TIC developed in 33.3% of patients, moderate TIC 18.6%, severe TIC 15.8%, and 14.7% with LVEF decline to < 50%. Patients with hypertension were at increased odds of developing TIC (OR = 2.41, 95% CI = 1.15-3.93; p = 0.02). Prevalence of hypertension was 53% among non-Hispanic white women, 69% non-Hispanic black, 53% Hispanic, and 39% Asian. Incidence of TIC did not differ significantly between racial/ethnic groups. Forty percent of patients with hypertension were not on any medications before initiating trastuzumab. Conclusions: There was no difference in TIC based upon race/ethnicity despite higher rates of hypertension among racial/ethnic minorities compared to non-Hispanic whites. However, a high portion of patients with hypertension were not on any medications before treatment. Increased screening and treatment of hypertension among patients receiving HER2-positive targeted therapy for early-stage breast cancer may be warranted.

scholarly journals Hispanic Ethnic Density May Be Protective for Older Black/African American and Non-Hispanic White Populations for Some Health Conditions: An Exploration of Support and Neighborhood Mechanisms

2021 ◽  
Author(s):  
Melissa Flores ◽  
John M Ruiz ◽  
Emily A Butler ◽  
David A Sbarra
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Social Integration ◽  
Ethnic Groups ◽  
Indirect Effects ◽  
Ethnic Density ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
Hispanic White ◽  
Physical Morbidity

Abstract Background and Purpose Hispanic ethnic density (HED) is associated with salubrious health outcomes for Hispanics, yet recent research suggests it may also be protective for other groups. The purpose of this study was to test whether HED was protective for other racial-ethnic groups. We tested whether social support or neighborhood social integration mediated the association between high HED and depressive symptoms (CES-D) and physical morbidity 5 years later. Lastly, we tested whether race-ethnicity moderated both main and indirect effects. Methods We used Waves 1 (2005–2006), and 2 (2010–2011) from The National Social Life, Health, and Aging Project, a national study of older U.S. adults. Our sample was restricted to Wave 1 adults who returned at Wave 2, did not move from their residence between waves, and self-identified as Hispanic, non-Hispanic White (NHW), or non-Hispanic Black (NHB; n = 1,635). We geo-coded respondents’ addresses to a census-tract and overlaid racial–ethnic population data. Moderated-mediation models using multiple imputation (to handle missingness) and bootstrapping were used to estimate indirect effects for all racial–ethnic categories. Results Depressive symptoms were lower amongst racial-ethnic minorities in ethnically (Hispanic) dense neighborhoods; this effect was not stronger in Hispanics. HED was not associated with physical morbidity. Sensitivity analyses revealed that HED was protective for cardiovascular events in all racial–ethnic groups, but not arthritis, or respiratory disease. Social support and neighborhood social integration were not mediators for the association between HED and outcomes, nor were indirect effects moderated by race–ethnicity. Conclusions This study offers some evidence that HED may be protective for some conditions in older adults; however, the phenomena underlying these effects remains a question for future work.

Abstract 49: Withdrawal of Care in the Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Kevin N Sheth ◽  
Sharyl R Martini ◽  
David L Tirschwell ◽  
Kyra J Becker ◽  
Bradford B Worrall ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Ethnic Groups ◽  
Minority Groups ◽  
Do Not Resuscitate ◽  
Racial Variations ◽  
Baseline Characteristics ◽  
Race Ethnicity ◽  
Gcs Score ◽  
Racial Ethnic ◽  
Hispanic White

Introduction: Withdrawal of care (WOC) during hospitalization is the most common cause of death after intracerebral hemorrhage (ICH). Prior work suggests minority groups are less likely to choose WOC. Our goal was to evaluate for differences in rates of WOC among racial/ethnic groups from the ERICH cohort. Methods: ERICH is an ongoing multicenter study of genetic and environmental risk factors for spontaneous ICH. We analyzed data from the first 725 individuals. Baseline characteristics,do not resuscitate (DNR) status, intensive care procedures, and WOC were prospectively recorded. A central core analyzed all imaging. We compared characteristics among patients with and without eventual WOC and by race/ethnicity. Logistic regression was used to identify variables independently associated with WOC and associations are presented as the odds ratio (95% confidence interval). Results: 9.9% (72/725) of patients underwent WOC. After controlling for age, ICH volume, initial Glasgow Coma Scale (GCS) score, and presence of intraventricular hemorrhage (IVH), there were no significant differences in WOC between non-Hispanic white, non-Hispanic black (OR 1.82; CI 0.78-4.25), and Hispanic (OR 2.16; CI 0.93-5.00) patients. There were also no differences in rates of DNR/DNI status across racial/ethnic groups. In multivariate analysis, patients who underwent WOC had larger ICH volume (1.75; 1.13-2.73); were older (1.43; 1.27-1.61), more likely to have IVH (3.21; 1.53-6.73), and had lower GCS (2.41; 1.63-3.56). While patients who underwent WOC were more likely to have a DNR/DNI order (12.7; 4.69-34.7), intubated patients were more likely to undergo WOC (4.09; 1.08-9.25), even after adjusting for ICH severity. Conclusions: In our cohort, we were able to model ICH severity and factors predictive of WOC. There were not significant racial/ethnic differences in WOC rates. Intubated patients are more likely to undergo care limitations, independent of ICH severity.

Self-Reports of Spousal Violence in a Mexican-American and Non-Hispanic White Population

1991 ◽  
Vol 6 (1) ◽  
pp. 3-15 ◽  
Author(s):  
Susan B. Sorenson ◽  
Cynthia A. Telles
Keyword(s):  
United States ◽  
Los Angeles ◽  
Sexual Assault ◽  
Mexican Americans ◽  
Mexican American ◽  
The United States ◽  
Spousal Violence ◽  
Mexican American Women ◽  
Self Reports ◽  
Hispanic White

As part of a survey of Los Angeles households, 1,243 Mexican Americans and 1,149 non-Hispanic whites were surveyed about their experiences of spousal violence. Questions to assess violence included both perpetration (whether they had been physically violent toward a partner) and victimization (whether they had been the victim of sexual assault by a partner). Over one-fifth (21.2%) of the respondents indicated that they had, at one or more times in their lives, hit or thrown things at their current or former spouse or partner. Spousal violence rates for Mexican Americans born in Mexico and non-Hispanic whites born in the United States were nearly equivalent (20.0% and 21.6%, respectively); rates were highest for Mexican Americans born in the United States (30.9%). While overall rates of sexual assault were lower for Mexican Americans, one-third of the most recent incidents reported by Mexico-born Mexican-American women involved the husband and approximated rape.

A Comparison of Federal Laws Toward Disabled and Racial/Ethnic Groups in the USA

1988 ◽  
Vol 3 (1) ◽  
pp. 37-48 ◽  
Author(s):  
Sharon N. Barnartt ◽  
Katherine Seelman
Keyword(s):  
Ethnic Groups ◽  
The Usa ◽  
Federal Laws ◽  
Racial Ethnic

scholarly journals Struggles in Cultural Construction by Ethnic Groups in the USA

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
I S Lolowang
Keyword(s):  
African American ◽  
Ethnic Groups ◽  
Asian American ◽  
Mexican American ◽  
Cultural Construction ◽  
Dominant Culture ◽  
White People ◽  
Internal Factors ◽  
Race And Class ◽  
The Usa

This article discusses about the struggles in cultural construction by some ethnic groups. These groups are attributed to their race and class as well. Through blending and negotiation experiences, the ethnic groups struggle to invent their identity and power in facing the dominant culture, the white people. They have to face both the external and the internal factors of their coexistence in the society. The groups discussed are the Mexican-American or the brown people, the African-American or the black, and the Asian-American or the yellow one.Keywords: cultural construction, Mexican-American, AfricanAmerican, Asian-American, color people

scholarly journals Association of Urinary Phthalate Metabolites With Erectile Dysfunction in Racial and Ethnic Groups in the National Health and Nutrition Examination Survey 2001-2004

2016 ◽  
Vol 11 (3) ◽  
pp. 576-584 ◽  
Author(s):  
David S. Lopez ◽  
Shailesh Advani ◽  
Konstantinos K. Tsilidis ◽  
Run Wang ◽  
Jacques Baillargeon ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Ethnic Groups ◽  
National Health ◽  
Mexican Americans ◽  
Endocrine Disrupting Compounds ◽  
Computer Assisted ◽  
Nutrition Examination Survey ◽  
Phthalate Metabolites ◽  
Health And Nutrition ◽  
Racial Ethnic

Phthalates are endocrine-disrupting compounds detectable in more than 75% of the U.S. population with differential distributions across racial and ethnic groups, and they have been linked with reduced levels of serum testosterone. This study aims to investigate the associations of phthalate metabolites with erectile dysfunction (ED) and to determine whether these associations vary by race/ethnicity among men in the United States. Analyzed data for 12 phthalate metabolites from 3,746 men (≥20 years old), who participated in the National Health and Nutrition Examination Survey 2001-2004 cross-sectional study, were included. Metabolites included MBP, MCHP, MEP, MEHP, MiNP, MBzP, MMP, MCPP, MEHHP, MEOHP, MiBP, and MECPP. Racial/ethnic groups included non-Hispanic Blacks ( n = 770), non-Hispanic Whites ( n = 2,147), and Mexican Americans ( n = 829). ED was assessed by a single question during a self-paced, computer-assisted self-interview. In racial/ethnic stratified analyses, there were higher MBP and MBzP concentrations that had a strong-dose response association with lower prevalence odds of ED among Mexican Americans, ptrend < .01, and ptrend = .03, respectively. Similarly, a significant inverse association between MEHHP and likelihood of ED among non-Hispanic Black men ( ptrend < .04) was observed. Furthermore, significant inverse associations between higher concentrations of phthalates and ED were identified only in minority populations. Further investigations, particularly prospective studies, are warranted to determine the role of phthalates on the biological mechanism(s) associated with ED. A focus may be placed on testosterone levels which are suggested to be affected by phthalates, and also low levels of testosterone are suggested to increase the risk of ED.

Ethnic Differences in Psycholinguistic Abilities

1972 ◽  
Vol 39 (2) ◽  
pp. 112-118 ◽  
Author(s):  
Samuel A. Kirk
Keyword(s):  
Ethnic Groups ◽  
Mexican Americans ◽  
Mexican American ◽  
Black Children ◽  
Child Rearing ◽  
Group Differences ◽  
Short Term ◽  
Ethnic Group Differences ◽  
Sequential Memory ◽  
American Children

This article summarizes the results of several research studies on the psycholinguistic abilities, as measured by the Illinois Test of Psycholinguistic Abilities, of three ethnic groups, Blacks, Indians, and Mexican Americans. Black children appear to have superior ability (as compared to their other abilities and to other ethnic groups) in short term auditory sequential memory, while Indian and Mexican American children appear to have superior ability in short term visual sequential memory. The author hypothesizes that ethnic group differences may be accounted for by different child rearing practices among the ethnic groups.

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