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At least 19 recordsLinked to original sources
PubMed1990

Ethnic minorities, health provision and the 1976 Race Relations Act.

The present anti-racial discrimination legislation in the United Kingdom is embodied in the 1976 Race Relations Act. In essence this Act attempts to avoid any form of direct or indirect discrimination on the basis of racial or ethnic origin. However, health professionals are acutely aware that there are important racial differences in disease, some of which are, in fact, not racial but merely associated with social deprivation, poor housing and, of course, the incapacity to speak English. These new findings present the medical profession, in the climate of scarce resources, with the challenge of meeting these needs without discriminating in favour of, or against, individuals on the basis of their race. This is because there are few provision in the 1976 Act to allow for such discrimination, even when it is for an ethnic group's advantage. The dilemmas this raises for health professionals who are involved in planning services for ethnic minorities are discussed.

Ethnicity↗
PubMed1990

Race-related differences among elderly urban residents: a cohort study, 1975-1984.

A population-based cohort of 1,598 urban residents, aged 65 years and over, was studied in 1975, and 645 survivors were re-interviewed in their places of residence in 1984. Since 25.6 percent of the subjects were Black, it was possible to examine race-related changes in health, function, and socioeconomic status over nine years, as well as differences in rates of institutionalization and mortality. Aging urban Blacks continue to experience major social disadvantages, especially in education and income. After age 74, although Blacks probably experience more favorable mortality rates and less institutionalization, they consider themselves less healthy and are more likely to develop diabetes, hypertension, and glaucoma. Although Blacks rate their own mental health lower, this difference is not supported by other measures. Functionally, elderly Whites are more likely to be dependent in certain activities of daily living. The findings are consistent with the previously observed mortality crossover; predictors of mortality are identified but do not differ by race. Lower institutionalization rates among older Blacks may be partly explained by different living patterns, poverty, and a higher proportion of males among surviving Blacks.

Activities of Daily Living↗
PubMed1992

Race-related differences in metabolic control among adults with diabetes.

The effect of race on differences in metabolic control was examined in patients with non-insulin-dependent (NIDDM) and insulin-dependent (IDDM) diabetes mellitus. Data were collected on HbA1c, age, duration of diabetes, age at onset, family function, stress, body mass index, waist/hip ratio, total cholesterol, insulin dose, diet, and physical activity. Among those with NIDDM, black patients had significantly higher HbA1c levels than their white counterparts. This difference persisted after adjustment for covariates. Among patients with IDDM, black subjects were found to have higher HbA1c levels, body mass index, and total cholesterol levels than their white counterparts. After correction for diabetes duration, relative insulin dose, physical activity, body mass index, and cholesterol, black women had significantly higher HbA1c levels than black men, white men, or white women. We conclude that race and sex differences do affect the metabolic control of patients with diabetes mellitus.

Adolescent↗
PubMed1992

Sex- and race-related differences in liver-associated serum chemistry tests in young adults in the CARDIA study.

Simultaneous multiple automated analyses of liver function can be performed quickly and cheaply, but their usefulness in mass screening is questionable. Reference intervals are frequently applied without regard to race and sex, despite the fact that reported values may vary considerably in relation to these factors. Serum analyte results for greater than 5000 black and white men and women in the CARDIA Study showed clinically and statistically significant differences by race and sex for values of aspartate aminotransferase, gamma-glutamyltransferase, alkaline phosphatase, total bilirubin, total protein, and albumin; these differences were not explained by differences in age, body mass, reported ethanol intake, smoking, or oral contraceptive use. Results for at least one of these six tests were out of range in 38% of the men and 19% of the women. Sex- and race-specific reference intervals are recommended to decrease the frequency of values reported as abnormal in otherwise healthy young adults.

Adult↗
PubMed1975

Level of education, diagnosis and race-related differences in MMPI performance.

MMPIs were obtained from eight groups of black and white, schizophrenic and nonschizophrenic, and highly educated and poorly educated psychiatric patients. Profiles were classified blindly by use of two rules (Sc greater than 70; Sc greater than PT). All but poorly educated blacks were classified correctly beyond a chance level. Almost half of the poorly educated black nonschizophrenics were misclassified as schizophrenic. Implications for diagnostic work were discussed.

Acculturation↗
PubMed1978

Race-related differences in HLA association with ankylosing spondylitis and Reiter's disease in American blacks and whites.

Ankylosing spondylitis is three times less common in American blacks than in whites. It is extremely rare in African blacks of unmixed ancestry. A histocompatibility antigen HLA-B27, which does not exist in African blacks of unmixed ancestry, and is present in eight percent of white and two to four percent of the American black population, is strongly associated with ankylosing spondylitis and Reiter's disease. B27 is present in more than 80 percent of white patients with ankylosing spondylitis or Reiter's disease but in less than 60 percent of American black patients. Other genetic and environmental factors may be of major importance in the genesis of these diseases in American blacks. For diagnostic purposes the absence of B27 is of less importance in excluding these diseases in blacks than in whites.

Arthritis, Reactive↗
PubMed1977

Race-related differences in peripheral blood and in bone marrow cell populations of American black and American white infants.

The present study confirms that in healthy infants, a racial difference exists in peripheral blood hemoglobin levels, total leukocyte, and total neutrophil counts. Racial differences in the composition of the bone marrow are negligible. The only demonstrable difference is confined to the erythroid cell population. No significant difference exists in the incidence of myeloid cells or small lymphocytes.

Adult↗
PubMedDate not supplied

[Hepatosplenic form of schistosomiasis mansoni, in relation to race and socioeconomic level, in Catolândia-Bahia].

Of 1,125 individuals, residents in an area where mansonic schistosomiasis is hyperendemic, were studied regarding the clinical forms correlated to the racial groups (indian mestizo, white, light mullato, medium mullato, dark mullato and negro) and to their socio-economic level according to a set of 16 variables. The white individuals (10.5%) showed a significantly higher incidence of the hepatosplenic forms; in the other racial groups there were similar frequencies, altogether 3.6%. Those with hepatosplenomegaly had a higher socio-economic level and when they also belonged to the white race the relative risk (2.78) was significantly higher.

Adolescent↗
PubMed1990

Adrenal androgen excretion during adrenarche. Relation to race and blood pressure.

We have previously shown that black children have higher blood pressures than white children. In the present study, we examined whether a possible racial difference in adrenal androgen production during adrenarche might contribute to the racial disparity in blood pressure. Adrenal androgen production was estimated from urinary excretion of adrenal androgen metabolites that showed cross-reactivity with antisera to dehydroepiandrosterone sulfate (DHEA-S). Urine samples were collected overnight in 798 children, one third of whom were black. Analyses were performed for two different age groups, less than 10 years and 10 years or more of age. In children less than 10 years of age, adrenal androgen excretion rates were 17% higher in blacks than in whites (p = 0.0099); adrenal androgen excretion rates tended to be higher in older black children as well, but differences here were not statistically significant. Adrenal androgen excretion rates were positively correlated with diastolic blood pressure in the older age group only (p = 0.014). However, when the relation of race to blood pressure was examined along with adrenal androgen excretion adjusted for age, sex, and weight, race remained an independent contributor to the level of blood pressure, suggesting that a difference in adrenal androgens could not explain the racial differences in blood pressure. In summary, black children produced more adrenal androgen, but this did not explain their higher blood pressures. In older children, where adrenal androgen excretion rates were higher, diastolic blood pressure and adrenal androgen excretion were positively related, suggesting that adrenal androgens participate in establishing the level of blood pressure in young people.

Adrenal Glands↗
PubMed1992

Quality of care and black American patients.

Even with major advancements in medical knowledge and significant improvements in health sciences technology, evidence still exists that blacks do not enjoy as full a measure of health as do other racial and ethnic groups. To attempt a better understanding of this situation, literature was reviewed to consider relationships between being black and issues related to quality of health care. It was determined that these relationships have not been studied to any great extent, either in quantity or quality. When such studies have been undertaken, they have been limited to mostly qualitative designs, and appropriate controls for confounding variables have been minimal. The psychiatric literature reports most of the studies with very few studies found in the literature of other specialties. A conceptual model is presented regarding race-related research. It is argued that a first step might be to study whether the quality of care differs when the physician and the patient are members of different racial groups compared with when the physician and patient are members of the same racial group. In all race-related research, it is necessary to carefully consider specific variables that may confound results, eg, diagnostic errors, age, sex, socioeconomic status, level of education, geographic locale, and method of payment for health-care services.

Black or African American↗
PubMed1979

Cultural factors and attrition in drug abuse treatment.

The present study examined how race related to attrition in drug abuse treatment. 165 male voluntary admissions to an inpatient Substance Abuse Unit were tested at admission on functioning, motivation, attitudes, symptoms, and mood-using reliable and valid scales. One week later they completed a 12-factor scale measuring perception of the treatment milieu. Data were analyzed in a 2 x 2 factorial design of analysis of variance. There were 106 White subjects and 59 Blacks. The dropout rate for Blacks and Whites was 63%. Two factors measured at intake, motivation and social functioning, showed statistically significant interactions between race and attrition. Four ward perception factors showed a differential effect related to race and attrition. The White dropout and completer did not differ in how they perceived the ward. Blacks, however, who perceived the environment as being more insightful, spontaneous, autonomous, and practical remained. Although Blacks and Whites differed on many variables, only six showed race-related differences in attrition. Having higher motivation and poorer adjustment influenced Whites to stay. Factors in the environment, however, influenced Blacks. What might be considered a more "therapeutic" milieu was effective in helping Blacks remain in treatment. Knowledge of these cultural differences could help in designing treatment programs.

Black or African American↗
PubMed1975

Race and the differential "power" of the MMPI.

The interpretation that blacks' tendency to score higher on MMPI clinical scales is due to educational deprivation has been challenged by research in which, when educatation was held constant, race-related differences remained. Racial differences in type of psychopathology have seldom been controlled in part research. After establishing that a grester proportion of black psychiatric patients may receive a schizophrenic diagnosis (Study 1), MMPI protocols of black and white schizophrenic and nonschizophrenic psychiatric patients were obtained. All patients had received 12 or more years of education. Schizophrenics scored significantly higher on the MMPI F and Sc scales and nonschizophrenics tended to score higher on Pd. No race-related differences were observed on any of the 11 MMPI scales considered.

Adult↗
PubMed1975

Adolescent verbal behavior. An investigation of noncontent styles as related to race and delinquency status.

This investigation assessed the relationship of race and delinquent status with the noncontent verbal behavior of adolescent males. A standardized videotape interview was used to ensure consistent stimulus presentation. Sixteen white and sixteen black delinquents were compared with equal numbers of nondelinquents on the noncontent verbal measures of total time (performance time), units (frequency), and latency. It was predicted that nondelinquents would be more verbal than delinquents and whites would be more verbal than blacks. No racial differences were found. Delinquents, however, were found to talk significantly less than nondelinquents and to have significantly longer verbal latencies. Discussion of these results centered on the verbal demand characteristics of certain settings, such as classrooms and court hearings.

Adolescent↗