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At least 649 records · Page 36Linked to original sources
PubMed2005

African American grandparents raising grandchildren: a national study using the Census 2000 American Community Survey.

OBJECTIVE: The objective of this work was to determine the prevalence, sociodemographic characteristics, and service utilization patterns of African American grandparents raising grandchildren compared with noncaregiving peers. METHODS: Data were obtained from the Census 2000 Supplementary Survey/American Community Survey, a nationally representative survey of 890,000 households. Analysis was based upon comparison of 2,362 African American grandparent caregivers aged 45+ with 40,148 noncaregiving peers. Gender-specific analyses also were conducted. RESULT: Over 500,000 African Americans aged 45+ were estimated to be raising grandchildren in 2000. They were disproportionately female, younger, and less educated than noncaregivers and more likely to be living in poverty and receiving public assistance. Grandmother caregivers had significantly higher rates of functional limitations and poverty than either grandfather caregivers or other African American women aged 45+. DISCUSSION: African American grandparent caregivers, particularly grandmothers, represent a highly vulnerable population economically. The finding that four-fifths of African American grandmother caregivers below the poverty line were not receiving public assistance underscores the need for improving program outreach and substance to better serve this population. The use of theories of intersectionality and multiracial feminism in future studies of grandparent caregiving should enhance our understanding of how the impact of race on gender varies by social class.

Black or African American↗
PubMed2001

Characteristics and financial performance of a pediatric faculty inpatient attending service: a resource-based relative value scale analysis.

OBJECTIVES: In many children's hospitals, inpatient attending physician services are provided by academic faculty who function as part-time inpatient specialists or hospitalists. Although some have claimed that hospitalist care can reduce length of stay and total hospital resource use and expenses, there are few benchmarks or data regarding physician productivity or the characteristics and financial performance of these programs. The resource-based relative value scale (RBRVS) is a valuable tool for developing national benchmarks and comparing the financial performance of inpatient programs at varying daily census and reimbursement levels. The objectives of this study were to 1) describe physician productivity on an inpatient service as measured by total relative value units (TRVUs) and professional charges, 2) determine whether inpatient collections were adequate to support faculty salaries for the time spent attending, and 3) develop a model to evaluate financial performance of inpatient programs at varying census and TRVU reimbursement levels. METHODS: A retrospective review of hospital discharge and faculty practice billing data between June 1997 and July 1998 was conducted in a general medical service in a regional, 208-bed, university-affiliated children's hospital in the Pacific Northwest. RESULTS: Of 4113 patients who were admitted to the children's hospital general medical service during a 12-month period, faculty part-time hospitalists (N = 28) served as the attending physician for 1738 (42%). On an annual basis, faculty attended for an average of 29.1 days (median: 21.0; range: 7.0-97.0), with an average daily patient census (ADC) of 7.2 (median: 6.5; range: 2.8-12.0). Inpatient attendings billed for 1738 initial visits and 3957 subsequent visits. Total physician productivity for the inpatient attending group during 1 year included 12 085 TRVUs and gross professional charges of $777 743. The average payment, or conversion factor (CF), was $24.46/TRVU (71% of Medicare CF). The cash collection rate was 38%, reflecting a payor mix that included 54% Medicaid, 28% commercial payors, 12% health maintenance organization, and 6% other payors. On a weekly basis, physicians generated an average of 109 TRVUs and collected $2665 in cash. The average salary cost per RVU was $23.40, and weekly faculty salary and benefit expenses were $2550. After operating expenses and academic taxes totaling 24% were deducted ($5.87/TRVU), RBRVS-based payments and cash collections covered 79% of average faculty weekly salaries. Financial modeling showed that either an average CF of $31/TRVU or an ADC of 9 patients per day on the inpatient service would be required to generate sufficient revenue to support physician salaries and operating expenses. CONCLUSIONS: For a faculty inpatient attending service in a children's hospital with an ADC of 7, a $24.46 RBRVS-based CF payment is inadequate to support faculty salaries and operating expenses for the time spent attending. Inpatient services in similar payor environments with comparable expenses and staffed by faculty who care for fewer than 9 patients per day will not cover typical faculty salary costs and operating expenses.

Benchmarking↗
PubMed2004

Prevalence of diabetic retinopathy in adult Latinos: the Los Angeles Latino eye study.

OBJECTIVE: To estimate age- and gender-specific prevalence of diabetic retinopathy (DR) and to determine the association of type, duration, and treatment of diabetes with the prevalence of DR in adult Latinos. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Six thousand three hundred fifty-seven Latinos aged 40 years and older from 6 census tracts in Los Angeles, California. METHODS: The study cohort consisted of all self-identified Latinos of primarily Mexican ancestry aged 40 years and older residing in 6 census tracts in La Puente, Los Angeles County, California. All participants diagnosed with diabetes underwent a complete ophthalmologic examination, including stereoscopic fundus photography (7 standard Early Treatment Diabetic Retinopathy Study fields). Photographs were graded in a masked manner using a modified Airlie House Grading System to assess presence and severity of DR. MAIN OUTCOME MEASURES: Prevalence of nonproliferative DR, proliferative DR, and macular edema. RESULTS: Of 1263 participants with definite diabetes mellitus, gradable fundus photographs were available in 1217 participants (96%). Of those 1217 participants, 46.9% had DR. Severe nonproliferative DR and proliferative DR were present in 4.4% and 6.1% of diabetics, respectively. Macular edema was observed in 10.4% and clinically significant macular edema was observed in 6.2% of all diabetics. No age- or gender-related differences were present. After adjusting for duration of diabetes, the prevalence of DR was similar in persons with type 1 and type 2 diabetes. CONCLUSIONS: Our data suggest that the prevalence of DR is high among Latinos of primarily Mexican ancestry. The increase in prevalence of DR with longer duration of diabetes emphasizes the public health importance of early diagnosis and management in Latinos. Further data on incidence and progression are required to understand better the natural history of DR in Latinos.

Adult↗
PubMed2006

Seasonal, El Niño and longer term changes in flower and seed production in a moist tropical forest.

It has recently been reported that humid tropical forests are changing rapidly in response to global anthropogenic change and that these forests experience greater tree mortality and even fire during droughts associated with El Niño events. The former reports are controversial largely because a single method has been used - repeated censuses of tree plots. The latter reports focus on recent extreme El Niño events. Here, we show that flower and seed production both increase during El Niño events in an old-growth tropical forest in Panama. Flower production, but not seed production, has also increased over the past 18 years. The sustained increase in flower production was greater for 33 liana species than for 48 tree species. These results indicate that moderate El Niño events favour seed production, document long-term increases in flower production for the first time, and corroborate long-term increases in the importance of lianas using independent methods. Changes in levels of solar irradiance might contribute to all three patterns.

Ecosystem↗
PubMed1987

[Methodology of the complete observation of the population at the end of 1985--evaluation and conclusions].

"The observation methodology used in the 1985 population census [of Bulgaria] is critically analysed.... The new elements of the census programme are discussed, as well as the factors for the changes. The possibility for implementing some new methods for observation used in other countries are also discussed. Concrete conclusions and recommendations for organizing and conducting future censuses are made." (SUMMARY IN ENG AND RUS)

Bulgaria↗
PubMed1992

On the quality of reinterview data with application to the Current Population Survey.

"The [U.S.] Current Population Survey (CPS) reinterview sample consists of two subsamples: (a) a sample of CPS households is reinterviewed and the discrepancies between the reinterview responses and the original interview responses are reconciled for the purpose of obtaining more accurate responses..., and (b) a sample of CPS households, nonoverlapping with sample (a), is reinterviewed 'independently' of the original interview for the purpose of estimating simple response variance (SRV). In this article a model and estimation procedure are proposed for obtaining estimates of SRV from subsample (a) as well as the customary estimates of SRV from subsample (b).... Data from the CPS reinterview program for both subsamples (a) and (b) are analyzed both (1) to illustrate the methodology and (2) to check the validity of the CPS reinterview data. Our results indicate that data from subsample (a) are not consistent with the data from subsample (b) and provide convincing evidence that errors in subsample (a) are the source of the inconsistency."

Americas↗
PubMed1999

Application of the capture-recapture method to epidemiological studies of alcohol related problems.

The capture-recapture method is used to enumerate members of populations for which a complete census is not possible. The use of this method to enumerate individuals with alcohol-related problems requires special considerations. This article comments on these considerations and addresses the strengths and weaknesses of this method for enumerating individuals with alcohol-related problems in a community.

Alcohol Drinking↗
PubMed2005

Population estimates; backseries methodology for 1992-2000.

In each decade, population estimates are rebased using data from the most recent census. However, this would lead to a step change in the population estimates series. To avoid this discontinuity the backseries for 1992 to 2000, was revised to bring it into line with the 2001 Census. This article discusses the methodology used to produce the final revised backseries for 1992 to 2000 published by ONS in October 2004. The final estimates were produced after a long period of research into the best methodology to use. Traditionally, the backseries have been revised using an interim simple period method, followed by a final simple cohort method. The approach taken following the 2001 Census was much more comprehensive. This article outlines this approach, summarises the range of methods available and describes in detail the final method selected.

Censuses↗
PubMed1998

Use of the census samples of anonymised records (SARs) and survey data in combination to obtain estimates at local authority level.

"The Samples of Anonymised Records (SARs) provide large representative samples of 278 small areas of Britain and are thus of great value to planners. This paper describes an approach which takes advantage of the fact that the SARs comprise individual records. Estimates of the proportions of local authority populations suffering serious illness were produced by use of data from the 4th National General Practitioner Morbidity survey and the 2% anonymised sample of individual 1991 Census records. These estimates were compared with external validation criterion, all-cause mortality. The correlation was high, providing some evidence of the validity of the approach."

Cause of Death↗
PubMed1999

[Evaluation of population data quality and coverage of registration of deaths for the Brazilian regions].

OBJECTIVE: The evaluation of the quality of population data and coverage of death statistics for all Federal Brazilian Units by sex in 1990. METHODS: The population data came from censuses and the recorded death data from "Fundação Instituto Brasileiro de Geografia e Estatística" and the Health Ministry. The population data were evaluated by applying classical demographic methods. Three techniques were chosen to evaluate the extent of death registration coverage. RESULTS: The degree of precision of the age statement for the majority of the Brazilian regions improved the status from "low precision" or "moderate" to "precise" during the 80's. The coverage of deaths in 1990 was classified as "good" or "satisfactory" for all Federal Units in the South, Southeast and Centre-West and for the Northeastern States below Rio Grande do Norte. All the remaining states were classified as "regular" or "unsatisfactory". CONCLUSIONS: There was a significant improvement in the quality of the census population data and an increase in the coverage of death. It is possible to obtain get reliable mortality indicators for many Brazilian States.

Adolescent↗
PubMed1989

[Evaluation of the quality of 1986 census data by age and sex at the national level].

"The purpose of the present study is to compare the [Statistics Canada method of reverse record check] estimates of undercoverage, by age and sex, with estimates produced using other sources of data, specifically: final postcensal estimates; estimates produced by the component method (for cohorts since 1961); and estimates produced through use of administrative data from Family Allowance (ages 0-14) and Old Age Security (ages 65+). Results indicate that, even though the estimates of the level of undercoverage by age differ depending on the source and/or method, the same general trend is observed. Using the average of such figures, for example, can yield an estimate of the 'actual' size of the Canadian population as of June 1, 1986." (SUMMARY IN ENG AND SPA)

Age Factors↗
PubMed1994

Estimating and projecting the populations of urban communities.

"The author describes a model for estimating and projecting the populations of communities living in small areas within cities. The model provides a means of updating the demographic inputs needed for projection between censuses and means of developing scenarios of demographic change and housing development. The method for estimating small-area populations between censuses is evaluated with recently published 1991 [U.K.] Census data. Single-year age-group detail is provided and the associated databases are embedded in a flexible user interface. Illustrative projections are discussed and interpreted for the northern English city of Bradford.... The model, although particular to districts of West Yorkshire, has been specified in a general way and could be adapted for use with any British district."

Demography↗
PubMed2000

Maternal reproductive history: a registry based comparison of previous pregnancy data derived from maternal recall and data obtained during the actual pregnancy.

OBJECTIVE: To compare the quality of data on previous pregnancies, based on maternal recall, to that of actual data in previous birth records, and to quantify to which extent recall based data bias results in epidemiologic studies on adverse reproductive outcomes. METHODS: Through linkage between agricultural censuses and the Medical Birth Registry, we identified 87,113 Norwegian female farmers with 174,764 single births in 1967-1991, including 533 late abortions (16-27 weeks). Data were linked into sibship records. In routine birth records, mothers provide information at each birth on previous fetal loss. Thus, we had information both based on recall and on the actual record. RESULTS: Among all mothers with a loss documented in previous records, 73.5% had a recall of previous loss (sensitivity), while 74.3% of all mothers reporting a previous loss also had a loss in previous sibship records (positive predictive value). Late abortion after a previous loss according to the sibship record was more frequent than after a previous loss based on maternal recall (18.3 vs. 10.8 per 1,000). There was a particular lack of recall for previous losses of short gestational age or when the current birth was a late abortion; both conditions tended to deflate the association between a previous and a current adverse outcome. Grain farming was associated with late abortion in mothers with previous loss in sibship records (odds ratio, 2.6) but not among mothers without previous loss (odds ratio, 1.0). When information on previous loss was based on maternal recall the odds ratios were 1.4 and 1.3, respectively. CONCLUSIONS: Consecutive sibship records give more valid information than data derived from maternal recall.

Abortion, Spontaneous↗
PubMed2006

Council tax valuation bands, socio-economic status and health outcome: a cross-sectional analysis from the Caerphilly Health and Social Needs Study.

UNLABELLED: Council tax valuation bands (CTVBs) are a categorisation of household property value in Great Britain. The aim of the study was to assess the CTVB as a measure of socio-economic status by comparing the strength of the associations between selected health and lifestyle outcomes and CTVBs with two measures of socio-economic status: the National Statistics Socio-Economic Classification (NS-SEC) and the 2001 UK census-based Townsend deprivation index. METHODS: Cross-sectional analysis of data on 12,092 respondents (adjusted response 62.7%) to the Caerphilly Health and Social Needs Study, a postal questionnaire survey undertaken in Caerphilly county borough, south-east Wales, UK. The CTVB was assigned to each individual by matching the sampling frame to the local authority council tax register. Crude and age-gender adjusted odds ratios for each category of CTVB, NS-SEC and fifth of the ward distribution of Townsend scores were estimated for smoking, poor diet, obesity, and limiting long-term illness using logistic regression. Mean mental (MCS) and physical (PCS) component summary scores of the Short-Form SF-36 health status questionnaire were estimated in general linear models. RESULTS: There were significant trends in odds ratios across the CTVB categories for all outcomes, most marked for smoking and mental and physical health status. The adjusted odds ratio for being a smoker in the lowest versus highest CTVB category was 3.80 (95% CI: 3.06, 4.71), compared to 3.00 (95% CI: 2.30, 3.90) for the NS-SEC 'never worked and long-term unemployed' versus 'higher managerial and professional' categories, and 1.61 (95% CI: 1.42, 1.83) for the most deprived versus the least deprived Townsend fifth. The difference in adjusted mean MCS scores was 5.9 points on the scale for CTVB, 9.2 for NS-SEC and 3.2 for the Townsend score. The values for the adjusted mean PCS scores were 6.3 points for CTVB, 11.3 for NS-SEC, and 2.5 for the Townsend score. CONCLUSION: CTVBs assigned to individuals were strongly associated with the health and lifestyle outcomes modelled in this study. CTVBs are readily available for all residential properties and deserve further consideration as a proxy for socio-economic status in epidemiological studies in Great Britain.

Adolescent↗
PubMed2005

The socio-economic status of communities predicts variation in brain serotonergic responsivity.

BACKGROUND: We reported previously that the socio-economic status (SES) of individuals predicts variation in brain serotonergic responsivity, as assessed by neuropharmacological challenge in an adult community sample, and that this association is qualified by allelic variation in the serotonin transporter gene-linked polymorphic region (5-HTTLPR). Here we examine whether serotonergic responsivity covaries similarly with the SES of communities, as indexed by US Census data in the same study sample. METHOD: Community SES was defined by levels of income, economic disadvantage, housing costs, and educational attainment of census tracts in which 249 locally recruited study participants (54% male) resided. Serotonergic responsivity was assessed as the baseline-adjusted, peak plasma prolactin (Prl) concentration following acute administration of the serotonin-releasing agent, fenfluramine; tissue for DNA extraction and 5-HTTLPR genotyping was available on 131 participants. RESULTS: Subjects residing in census tracts of lower SES showed a blunted Prl response to fenfluramine (diminished serotonergic responsivity) relative to individuals living in more affluent neighborhoods. When adjusted for personal income and education, SES at the community level continued to predict fenfluramine-stimulated Prl responses and did so independently of 5-HTTLPR genotype. CONCLUSIONS: Area-level indices of relative social and economic disadvantage covary with individual differences in brain serotonergic responsivity, and this association is, in part, independent of individually defined SES. These findings may be relevant to reported effects of low community SES on the prevalence of psychiatric disorders or behaviors associated with dysregulation of central serotonergic function, such as depression, impulsive aggression, and suicide.

Adult↗
PubMed2004

Comparisons of psychotropic drug prescribing patterns in acute psychiatric wards across Europe.

OBJECTIVE: To compare prescribed daily doses (PDDs) of psychotropic drugs in several European centres. METHOD: A one-day census of psychotropic drug prescriptions to 613 patients in 39 acute psychiatric wards in ten countries. RESULTS: Patients in Spain were on most drugs; patients in Germany were on the fewest. Chlorpromazine equivalents in Denmark, England, Germany and Spain were at high levels as were diazepam equivalents in Belgium, Finland, The Netherlands and Norway. Newer anti-psychotics were used in the majority of centres, although older anti-psychotics were used commonly in three centres. CONCLUSION: The high doses of psychotropic drugs patients receive in some centres may be having little additional therapeutic effect and could increase their risk of side effects. The use of older anti-psychotics in some centres may be causing side effects that could be reduced by using newer anti-psychotics.

Adult↗