scholarly journals Perceived Discrimination and Reported Trust and Satisfaction in African Americans: The Jackson Heart Study

2017 ◽  
Vol 27 (3) ◽  
pp. 209 ◽  
Author(s):  
LáShauntá M. Glover ◽  
Mario Sims ◽  
Karen Winters
Keyword(s):  
African Americans ◽  
Health Care Providers ◽  
Perceived Discrimination ◽  
Discrimination Score ◽  
Care Providers ◽  
Jackson Heart Study ◽  
Cross Sectional ◽  
Heart Study ◽  
The Mean ◽  
Everyday Discrimination

<p class="Pa5"><strong>Objectives: </strong>1) To examine the association of multiple dimensions of discrimination with reported trust and satisfaction with providers; 2) to report within-group differences among African Americans (AAs). </p><p class="Pa5"><strong>Methods: </strong>Descriptive cross sectional study. The study population included AAs aged 35 to 84 years from the Jackson Heart Study (JHS) (N=5,301). Poisson regression (PR) was used to quantify the association between perceived discrimination and reported trust and satisfaction with providers before and after controlling for selected characteristics. </p><p class="Pa5"><strong>Main Measures: </strong>Measures of perceived discrimination included everyday, lifetime, burden from lifetime discrimination, and stress from discrimination. Outcomes included trust and satisfaction with providers. </p><p class="Pa5"><strong>Results: </strong>The mean everyday discrimination score was 2.11 (SD±1.02), and the mean lifetime discrimination score was 2.92 (SD±2.12). High (vs low) levels of everyday discrimination were associated with a 3% reduction in the prevalence of trust in providers (PR .97, 95% CI .96, .99) in all models. In fully-adjusted models, high (vs low) lifetime discrimination was associated with a 4% reduction in the prevalence of trust and satisfaction (PR .96, 95% CI .95, .98). Burden of discrimination was not associated with trust or satisfaction, but stress from discrimination was inversely associated with satisfaction. </p><p class="Pa5"><strong>Conclusions: </strong>The significant association between discrimination and mistrust and dissatisfaction suggests that health care providers should be made aware of AA perceptions of discrimination, which likely affects their levels of trust and satisfaction.</p><p class="Pa5"><em>Ethn Dis. </em>2017;27(3):209-216; doi:10.18865/ed.27.3.209 </p>

scholarly journals Nurses’ knowledge and practices related to pain assessment in critically ill patients in a selected private hospital in Bangladesh

2018 ◽  
Vol 5 (10) ◽  
pp. 4219 ◽  
Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury
Keyword(s):  
Critically Ill ◽  
Health Care Providers ◽  
Pain Assessment ◽  
Subjective Experience ◽  
Sampling Technique ◽  
Care Providers ◽  
Cross Sectional ◽  
Management Interventions ◽  
The Mean ◽  
Nurses Knowledge

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.

scholarly journals 0827 ASSOCIATIONS BETWEEN EVERYDAY DISCRIMINATION AND SLEEP AMONG AFRICAN AMERICANS IN THE JACKSON HEART STUDY

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A306-A306 ◽  
Author(s):  
DA Johnson ◽  
M Sims ◽  
T Lewis ◽  
A Xu ◽  
CL Jackson ◽  
...  
Keyword(s):  
African Americans ◽  
Jackson Heart Study ◽  
Heart Study ◽  
Everyday Discrimination

scholarly journals The combined effects of genetic risk and perceived discrimination on blood pressure among African Americans in the Jackson Heart Study

Medicine ◽  
2017 ◽  
Vol 96 (43) ◽  
pp. e8369 ◽  
Author(s):  
Jacquelyn Y. Taylor ◽  
Yan V. Sun ◽  
Veronica Barcelona de Mendoza ◽  
Mosi Ifatunji ◽  
Jane Rafferty ◽  
...  
Keyword(s):  
Blood Pressure ◽  
African Americans ◽  
Genetic Risk ◽  
Perceived Discrimination ◽  
Combined Effects ◽  
Jackson Heart Study ◽  
Heart Study

scholarly journals Association of plasma adiponectin with pulmonary hypertension, mortality and heart failure in African Americans: Jackson Heart Study

2020 ◽  
Vol 10 (4) ◽  
pp. 204589402096124
Author(s):  
Suvasini Lakshmanan ◽  
Matthew Jankowich ◽  
Wen-Chih Wu ◽  
Siddique Abbasi ◽  
Alan R Morrison ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Hypertension ◽  
African Americans ◽  
Management Strategies ◽  
Targeted Prevention ◽  
Jackson Heart Study ◽  
Cross Sectional ◽  
Plasma Adiponectin ◽  
Heart Study ◽  
Observational Cohort

Background Adiponectin is a polypeptide hormone related to obesity, and a known modulator of pulmonary vascular remodeling. Association between plasma adiponectin levels and pulmonary hypertension (PH) has not been studied in African Americans (AAs) who are disproportionately affected by obesity. The relationship between adiponectin and heart failure (HF) and mortality, outcomes associated with PH, is unclear. Methods We performed cross-sectional and longitudinal analysis to examine if there is an association between plasma adiponectin and PH and associated clinical outcomes, in participants of Jackson Heart Study (JHS). JHS is a prospective observational cohort study of heart disease in AAs from Jackson, Mississippi. Results Of the 3161 participants included in the study, mean age (SD) was 56.38 (12.61) years, 1028 were men (32.5%), and mean (SD) BMI was 31.42 (7.05) kg/m2. Median (IQR) adiponectin was 4516.82 (2799.32–7065.85) ng/mL. After adjusting for potential confounders including BMI, higher adiponectin levels were associated with increased odds of PH (adjusted odds ratio per log increment in adiponectin, (1.81; 95% CI, 1.41–2.32). High adiponectin levels were also associated with associated HF admissions (adjusted hazard ratio [HR] per log increment in adiponectin, 1.63, 95% CI, 1.24–2.14) and mortality (adjusted HR per log increment in adiponectin, 1.20; 95% CI 1.02–1.41). Conclusions Elevated plasma adiponectin levels are associated with PH, HF admissions and mortality risk in AAs. High adiponectin levels may help identify an at-risk population that could be evaluated for targeted prevention and management strategies in future studies

scholarly journals Common gynecological morbidities among married women in a resettlement colony of East Delhi

2017 ◽  
Vol 6 (12) ◽  
pp. 5330 ◽  
Author(s):  
Mansi Mathur ◽  
Ranjan Das ◽  
. Vibha
Keyword(s):  
Health Care Providers ◽  
Coming Out ◽  
Lower Abdominal Pain ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Care Providers ◽  
Birth Process ◽  
Cross Sectional ◽  
The Mean

Background: A women is always celebrated for child birth but gynaecological issues a stigma is attached. The fear of being ostracised by the society for gynaecological problems is deep set. Gynaecological morbidity is defined as “structural and functional disorder of genital tract not related to pregnancy, delivery or perpuerium”. This paper aims to study the pattern of gynaecological morbidity among married women residing in a resettlement colony of East Delhi.Methods: A community based cross-sectional study was conducted during 2014-2015 in the field practise area of Lady Hardinge Medical College, New Delhi. A self-designed, pre-tested questionnaire was used to collect data. All married women of reproductive age (15-49 years) who were willing to participate were included in the study.Results: The mean age of study subjects was 34.6±8.5 years with a range of 18-49 years. All women in study had menarche within normal range (mean age =13.1±1.01 years, range: 11-16 years). Mean age at marriage was 20.6±2.4 years, range: 15-25 years. Nearly 40% of women had 3 children and most women above 40 years of age had three or more children. The mean parity was 2.04±0.5. Mean age at first delivery for study subjects was 22.1±3.9 years. In the present study 722 (59.5%) of the 1214 study subjects had one or more symptom related to common gynaecological morbidities. Among symptomatic 594 out of 277 (82%) had one symptom. The commonest symptom was ‘lower abdominal pain during menstrual period’ 419 (34.5%) followed by symptoms of premenstrual syndrome [(such as ‘bloating’ 328 (27%) and ‘irritability’ 269 (22.2%) and ‘breast tenderness’ 218 (18%)]. Other symptoms observed were ‘scanty blood loss’166 (13.7%), ‘shortened duration of blood flow’ 149 (12.2%) and ‘something coming out of vagina’140 (11.5%).Conclusions: Gynaecological morbidities in spite of their preponderance and adverse health outcomes, have not attracted the attention due to it for two reasons: i) women in most patriarchal dominated societies do not speak out of their health problems and needs, more so if that is not connected to the birth process, ii) Health care providers and institutions had been so overwhelmed with the birthing process, and now the expanded reproductive health issues that attending to gynaecological morbidities was considered to be “luxury” in as far as public health was considered. 

scholarly journals Pharmacists’ Knowledge Regarding Drug Disposal in Karbala

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Khansaa A. Ibrahim Albaroodi
Keyword(s):  
Health Care Providers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pharmaceutical Waste ◽  
Take Back ◽  
The Mean ◽  
Main Barrier ◽  
Self Administered Questionnaire ◽  
Good Proportion

Background: Consumers and caregivers should remove expired, or unwanted, medications to minimize the chance for misuse or accidentally using those medicines. This study investigated pharmacists’ knowledge regarding drug disposal in Karbala, Iraq. Methods: This study was a cross-sectional survey among pharmacists in Karbala. It was performed from December 2018 until January 2019. A standardized, 12-item, self-administered questionnaire was designed, developed and validated to assess pharmacists’ knowledge when generating pharmaceutical waste in pharmacies. Results: One hundred twenty-nine participants enrolled in the study. The mean age of participants was 33 ± 9.3 years—more than two-thirds (65.9%)—agreed that the return of medications to the source would be appropriate drug disposal. A good proportion of participants agreed with disposing of drugs in the trash. Further, 63.6% believe that education is the main barrier opposing the implementation of a medicine–take–back program in Iraq. Conclusion: Pharmacists had relatively poor knowledge regarding drug disposal methods. Health care providers (not only pharmacists) need educational courses and workshops to improve their knowledge regarding medication disposal in Iraq.

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