Measuring the geographic disparity of comorbidity in commercially insured individuals compared to the distribution of physicians in South Africa by Cristina Mannie, Stefan Strydom, Hadi Kharrazi

“…Single disease outcomes are commonly used for healthcare resource allocations; however, leveraging population-level comorbidity measures for health disparity research has been limited. This study compares the geographical distribution of comorbidity and associated healthcare utilization among commercially insured individuals in South Africa (SA) relative to the distribution of physicians. …”
Get full text

Rare phylotypes in stone, stool, and urine microbiomes are associated with urinary stone disease by Mangesh Suryavanshi, Jose Agudelo, Aaron Miller, Aaron Miller

“…Both rare and common fractions contributed significantly to the differences observed between sample types and health disparity. Furthermore, the rare and common fractions were taxonomically unique across all sample types. …”
Get full text

38 Impacts of Racial Discrimination on Cognitive and Affective Processes and Drug-Cue Reactivity by Devin Butler, Cristina Risco, Edward Bernat

“…A substantial gap continues to exist regarding the nature of risk behavior among African Americans, despite the fact that African Americans represent a health disparity population with unique vulnerabilities to health-relevant risk behavior.…”
Get full text

4559 TX TM: Formalization and Institutional Investment in a Model Designed to Advance Research Translational to Community Transformation by Tabia Henry Akintobi, Tabia Henry Akintobi, Breana Blaess, Brittaney Bethea, Virginia Floyd, David Hefner, Shelia McClure, Vincent Bond, Sandra Harris Hooker, Herman Taylor

“…METHODS/STUDY POPULATION: The health research system has widely acknowledged challenges that can delay research translation to systems that advance health for chronically disadvantaged health disparity population groups. MSM’s vision is to lead the creation and advancement of health equity. …”
Get full text

Exploratory analysis of medication adherence and social determinants of health among older adults with diabetes by M.L. Blakely, F. Sherbeny, T.J. Hastings, L. Boyd, O.A. Adeoye-Olatunde

“…Secondary objectives were to characterize SDOH, estimate medication adherence, and explain implications for health disparity populations among older adults in the US who have been diagnosed with diabetes. …”
Get full text

Revealing role of epigenetic modifiers and DNA oxidation in cell-autonomous regulation of Cancer stem cells by Alejandra I. Ferrer-Diaz, Garima Sinha, Andrew Petryna, Ruth Gonzalez-Bermejo, Yannick Kenfack, Oluwadamilola Adetayo, Shyam A. Patel, Anupama Hooda-Nehra, Pranela Rameshwar

“…Stem cell and epigenetic markers in circulating BCCs could monitor treatment response and this could be significant for long BC remission to partly address health disparity.…”
Get full text

Antibiotic Prescribing in Outpatient Settings: Rural Patients Are More Likely to Receive Fluoroquinolones and Longer Antibiotic Courses by Haley J. Appaneal, Aisling R. Caffrey, Vrishali Lopes, David Dosa, Kerry L. LaPlante

“…Prior work demonstrated a rural health disparity of overprescribing antibiotics and longer durations of antibiotic therapy in the United States; however, large-scale evaluations are limited. …”
Get full text

Underrepresented in medicine students’ perspectives on impactful medical education by Shahrzad Bazargan-Hejazi, Jose A. Negrete Manriquez, Monique McDermoth-Grimes, Elisabeth Alexandra Parra, Deborah Prothrow-Stith

“…Theme 3 includes (a) longitudinal social justice curriculum, (b) advocacy, and (c) health disparity research. Theme 4 had the following subdomains (a) early and ongoing mentoring and (b) provision of supportive policies, services and practices to maximize learning and mental health. …”
Get full text

Situating implementation science (IS) in res(IS)tance: a conceptual frame toward the integration of scholarship from the black radical tradition by Cory D. Bradley, Whitney C. Irie, Elvin H. Geng

“…This is a call to action for integrating implementation science with critical philosophical and theoretical perspectives rooted in Black studies and related insights, which have been acquired through the struggle for social justice, to inform the design of implementation strategies and research projects that improve health services and health outcomes for health disparity populations.…”
Get full text

Exposure to early-life adversity and long-term trajectories of multimorbidity among older adults in China: analysis of longitudinal data from the China Health and Retirement Longit... by Xinyan Zhang, Huiying Liu, Mi Zhang, Xinyi Zhao

“…Our findings highlight the role of a supportive early-life family environment in promoting health development across the lifespan, advocating for the integration of life-course approaches to implementing health disparity interventions.…”
Get full text

Inequity in access to continuous glucose monitoring and health outcomes in paediatric diabetes, a case for national continuous glucose monitoring funding: A cross-sectional populat... by Mercedes J. Burnside, Jonathan A. Williman, Hannah M. Davies, Craig A. Jefferies, Ryan G. Paul, Benjamin J. Wheeler, Esko J. Wiltshire, Yvonne C. Anderson, Martin I. de Bock

“…Importantly, CGM was independently associated with lower HbA1c, suggesting that lack of CGM funding contributes to health disparity in children with T1D. Funding: Australasian Paediatric Endocrine Group (APEG), Canterbury Medical Research Foundation, Starship Foundation.…”
Get full text

Primary care detection of cognitive impairment leveraging health and consumer technologies in underserved US communities: protocol for a pragmatic randomised controlled trial of th... by Michael Wolf, Richard Gershon, Michael Bass, Minjee Kim, Morgan Bonham, Julia Yoshino Benavente, Rebecca Lovett, Zahra Hosseinian, Greg J Byrne, Maria Varela Diaz, Lihua Yao, Andrei Adin-Cristian, Stephanie Batio, Amanda Sluis, Margaret Moran, David R Buchanan, Justin Hunt, Stephanie R Young, Cindy Nowinski

“…Yet, CI/ADRD is often undetected and underdiagnosed within primary care settings, and in health disparate populations. The MyCog paradigm is an iPad-based, self-administered, validated cognitive assessment based on the National Institutes of Health (NIH) Toolbox Cognition Battery and coupled with clinician decision-support tools that is specifically tailored for CI/ADRD detection within diverse, primary care settings.Methods and analysis We will conduct a two-arm, primary care practice-randomised (N=24 practices; 45 257 active patients at the proposed practices), pragmatic trial among geographically diverse Oak Street Health sites to test the effectiveness of the MyCog paradigm to improve early detection CI/ADRD among low socioeconomic, black and Hispanic older adults compared with usual care. …”
Get full text

Prevalence of pre-existing lung diseases and their association with income level among patients with lung cancer: a nationwide population-based case-control study in South Korea by Chang-Mo Oh, Hyunsoon Cho, Bin Hwangbo, Sanghee Lee, Hoejun Kwon

“…The high prevalence odds of pre-existing lung diseases in medicaid patients suggests the health disparity arising from the lowest income group, underscoring a need for specialised lung cancer surveillance.…”
Get full text

Extracellular vesicle microRNA in early versus late pregnancy with birth outcomes in the MADRES study by Caitlin G Howe, Helen B Foley, Elizabeth M Kennedy, Sandrah P Eckel, Thomas a Chavez, Dema Faham, Brendan H Grubbs, Laila Al-Marayati, Deborah Lerner, Shakira Suglia, Theresa M Bastain, Carmen J Marsit, Carrie V Breton

“…In the current study, 800 miRNA were profiled for EVs from maternal plasma collected in early (median: 12.5 weeks) and late (median: 31.8 weeks) pregnancy from 156 participants in the MADRES Study, a health disparity pregnancy cohort. Associations between miRNA and birth weight, birth weight for gestational age (GA), and GA at birth were examined using covariate-adjusted robust linear regression. …”
Get full text

Examining the role of participant and study partner report in widely-used classification approaches of mild cognitive impairment in demographically-diverse community dwelling indiv... by Katherine H. Chang, Katherine H. Chang, Cuiling Wang, Cuiling Wang, Caroline O. Nester, Caroline O. Nester, Mindy J. Katz, Desiree A. Byrd, Desiree A. Byrd, Richard B. Lipton, Richard B. Lipton, Richard B. Lipton, Laura A. Rabin, Laura A. Rabin, Laura A. Rabin, Laura A. Rabin

“…Given that requiring informant report as a diagnostic criterion may unintentionally exclude health disparate groups, additional consideration is needed to determine how best to utilize informant-report in MCI diagnosis.…”
Get full text

Food Is Medicine for Individuals Affected by Homelessness: Findings from a Participatory Soup Kitchen Menu Redesign by Marianna S. Wetherill, Lacey T. Caywood, Nicholas Hollman, Valarie P. Carter, Joshua Gentges, Ashli Sims, Carrie Vesely Henderson

“…Health disparities among people experiencing homelessness are likely exacerbated by limited access to healthy, fresh, and minimally processed foods. …”
Get full text

Differences in Health-Related Quality of Life and Its Associated Factors Among Older Adults in Urban and Rural Areas by Zhang J, Xiao S, Shi L, Xue Y, Zheng X, Dong F, Xue B, Zhang C

“…Jiachi Zhang,1 Shujuan Xiao,1,2 Lei Shi,1 Yaqing Xue,1,2 Xiao Zheng,1,2 Fang Dong,1 Benli Xue,1 Chichen Zhang1,3,4 1School of Health Management, Southern Medical University, Guangzhou, People’s Republic of China; 2School of Public Health, Southern Medical University, Guangzhou, People’s Republic of China; 3Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, People’s Republic of China; 4Institute of Health Management, Southern Medical University, Guangzhou, People’s Republic of ChinaCorrespondence: Chichen Zhang, School of Health Management, Southern Medical University, No. 1023 Shatai South Road, Baiyun District, Guangzhou, 510515, People’s Republic of China, Tel +86-20-61648756, Email zhangchichen@sina.comPurpose: Urban-rural health disparity is one of the most prominent challenges in China today. …”
Get full text

Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial by Sarah L. Ullevig, Deborah Parra-Medina, Yuanyuan Liang, Jeffrey Howard, Erica Sosa, Vanessa M. Estrada-Coats, Vanessa Errisuriz, Shiyu Li, Zenong Yin

“…Future studies should investigate equity-related contextual factors that influence the impact of obesity prevention in health-disparity populations. Trial registration ClinicalTrials.gov, NCT03590834. …”
Get full text

Integrated Clinical Decision Support Systems Promote Absolute Cardiovascular Risk Assessment: An Important Primary Prevention Measure in Aboriginal and Torres Strait Islander Prima... by Veronica Matthews, Christopher P. Burgess, Christine Connors, Elizabeth Moore, David Peiris, David Scrimgeour, Sandra C. Thompson, Sarah Larkins, Ross Bailie

“…Around one-fifth of the health disparity is caused by cardiovascular disease (CVD). …”
Get full text

A Gamified Personalized Normative Feedback App to Reduce Drinking Among Sexual Minority Women: Randomized Controlled Trial and Feasibility Study by Sarah C Boyle, Joseph W LaBrie, Bradley M Trager, Lauren D Costine

“…Our findings demonstrate the utility of correcting sexual identity–specific drinking and coping norms to reduce alcohol-related risks among LBQ women and suggest that this approach may also prove fruitful in other stigmatized health disparity populations. To engage these populations in the real world and expand the psychological benefits associated with PNF, our findings also point to packaging PNF within a broader, culturally tailored competition designed to challenge negative group stereotypes. …”
Get full text