scholarly journals Educational Differences in Diabetes Mortality among Hispanics in the United States: An Epidemiological Analysis of Vital Statistics Data (1989–2018)

2021 ◽  
Vol 10 (19) ◽  
pp. 4498
Author(s):  
Alberto Barcelo ◽  
Alfredo Valdivia ◽  
Angelo Sabag ◽  
Juan Pablo Rey-Lopez ◽  
Arise Garcia de Siqueira Galil ◽  
...  

Background: Diabetes accounted for approximately 10% of all-cause mortality among those 20–79 years of age worldwide in 2019. In 1986–1989, Hispanics in the United States of America (USA) represented 6.9% of the national population with diabetes, and this proportion increased to 15.1% in 2010–2014. Recently published findings demonstrated the impact of attained education on amenable mortality attributable to diabetes among Non-Hispanic Whites (NHWs) and Non-Hispanic Blacks (HNBs). Previous cohort studies have shown that low education is also a detrimental factor for diabetes mortality among the Hispanic population in the USA. However, the long-term impact of low education on diabetes mortality among Hispanics in the USA is yet to be determined. Aims and methods: The aim of this study was to measure the impact of achieving a 12th-grade education on amenable mortality due to diabetes among Hispanics in the USA from 1989 to 2018. We used a time-series designed to analyze death certificate data of Hispanic-classified men and women, aged 25 to 74 years, whose underlying cause of death was diabetes, between 1989 and 2018. Death certificate data from the USA National Center for Health Statistics was downloaded, as well as USA population estimates by age, sex, and ethnicity from the USA Census Bureau. The analyses were undertaken using JointPoint software and the Age–Period–Cohort Web Tool, both developed by the USA National Cancer Institute. Results: The analyses showed that between 1989 to 2018, age- and sex-standardized diabetes mortality rates among the least educated individuals were higher than those among the most educated individuals (both sexes together, p = 0.036; males, p = 0.053; females, p = 0.036). The difference between the least and most educated individuals became more pronounced in recent years, as shown by independent confidence intervals across the study period. Sex-based analyses revealed that the age-adjUSAted diabetes mortality rate had increased to a greater extent among the least educated males and females, respectively, than among the most educated. Conclusions: The results of the analyses demonstrated a powerful effect of low education on amenable mortality attributable to diabetes among the Hispanic population in the USA. As an increasing prevalence of diabetes among the least educated Hispanics has been reported, there is a great need to identify and implement effective preventive services, self-management, and quality care practices, that may assist in reducing the growing disparity among those most vulnerable, such as minority populations.

Author(s):  
Scott Fulmer ◽  
Shruti Jain ◽  
David Kriebel

The opioid epidemic has had disproportionate effects across various sectors of the population, differentially impacting various occupations. Commercial fishing has among the highest rates of occupational fatalities in the United States. This study used death certificate data from two Massachusetts fishing ports to calculate proportionate mortality ratios of fatal opioid overdose as a cause of death in commercial fishing. Statistically significant proportionate mortality ratios revealed that commercial fishermen were greater than four times more likely to die from opioid poisoning than nonfishermen living in the same fishing ports. These important quantitative findings suggest opioid overdoses, and deaths to diseases of despair in general, deserve further study in prevention, particularly among those employed in commercial fishing.


2021 ◽  
Vol 1 (10) ◽  
pp. 149-166
Author(s):  
Dmitry V. Gordienko ◽  

The paper examines the interests of Russia, the United States and China in the regions of the world and identifies the priorities of Russia's activities in Europe, Central Asia and the Caucasus, the Asia-Pacific region, the Arctic, Africa, the Middle East and Latin America, their comparative assessment with the interests of the United States and China. An approach to assessing the impact of possible consequences of the activities of the United States and China on the realization of Russia's interests is proposed. This makes it possible to identify the priorities of the policy of the Russian Federation in various regions of the world. The results of the analysis can be used to substantiate recommendations to the military-political leadership of our country. It is concluded that the discrepancy between the interests of the United States and China is important for the implementation of the current economic and military policy of the Russian Federation.


2020 ◽  
Vol 4 (12) ◽  
pp. 126-149
Author(s):  
D. V. GORDIENKO ◽  

The paper assesses the impact of the middle East component of the policy of the United States of America, the people's Republic of China and the Russian Federation on ensuring the national security of these countries. We propose an approach to comparing this influence, which allows us to identify the priorities of Russia's policy in the middle East and other regions of the world. The results of the work can be used to justify recommendations to the military and political leadership of our country. It is concluded that the middle East component of the policy of the United States, China and Russia is gaining a significant role in the implementation of the current economic and military policies of the countries of the middle East region.


Author(s):  
Philippe W. Zgheib

This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


2007 ◽  
Vol 45 (4) ◽  
pp. 855-877
Author(s):  
Paulo Sérgio Fracalanza ◽  
Adriana Nunes Ferreira ◽  
Marcos Fava Neves

This study aims at examining the resource allocation and welfare implications of the reduction of barriers in the United States market for Frozen Concentrated Orange Juice (FCOJ) imported from Brazil. The present paper is organized as follows: section 2 presents an overview of the main features of the market and current trade regime for orange juice, as well as the possible impacts of liberalization within FTAA and with the European Union; section 3 describes the partial equilibrium model of imperfect substitute goods used to estimate the impact of trade liberalization in the United States, on prices and quantities and on welfare; in section 4 two possible scenarios for liberalization are designed using the large country model. The last section summarizes the main conclusions.


Author(s):  
Radmila S. Ayriyan ◽  
Anastasia A. Komarova

The article examines the relationship between the United States and the DPRK during the first North Korean nuclear crisis. It discusses the events leading up to the crisis and the behavior of both sides and international organizations before and during the crisis. The article draws up the role of South Korea during the escalation of the crisis, as well as influence of other countries interested in resolving the crisis. It analyzes the U.S.-North Korea relationship and the impact of the UN and the International Atomic Energy Agency (IAEA) on the international situation at that time. In this aspect, the study of the Korean nuclear program and the role of the United States has not previously been carried out in Russian historiography. The discussion leads to the design and stages of the KEDO creation with attention to the documents on this international consortium. The situation demonstrates different visions on the USA foreign policy strategy chosen in relation to the DPRK nuclear problem in 1990s, namely the opinion of the United States diplomats working on relations with the DPRK, and American researchers in humanities and technology. The paper concludes with the reasons of the Framework Agreements’ failure that led to the crises.


This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


2020 ◽  
Vol 6 (12) ◽  
pp. 65-87
Author(s):  
D. V. GORDIENKO ◽  

The paper assesses the impact of the middle East component of the policy of the United States of America, the people's Republic of China and the Russian Federation on ensuring the national security of these countries. We propose an approach to comparing this influence, which allows us to identify the priorities of Russia's policy in the middle East and other regions of the world. The results of the work can be used to justify recommendations to the military and political leadership of our country. It is concluded that the middle East component of the policy of the United States, China and Russia is gaining a significant role in the implementation of the current economic and military policies of the countries of the middle East region.


Author(s):  
Michael Smith ◽  
Rebecca Steffenson

This chapter examines the evolution of the European Union's relations with the United States. More specifically, it looks at the ways in which EU–US relations enter into the international relations of the EU as well as the implications for key areas of the EU's growing international activity. The chapter begins with an overview of the changing shape and focus of the EU–US relationship as it enters into economic, political, and security questions. It then considers the impact of EU–US relations on the EU's system of international relations, on the EU's role in the processes of international relations, and on the EU's position as a ‘power’ in international relations. It shows that the EU–US relationship has played a key (and contradictory) role in development of the EU's foreign policy mechanisms.


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