Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

Price, James H.; Khubchandani, Jagdish; McKinney, Molly; Braun, Robert E.

doi:10.1155/2013/787616

Cited by 144 publications

(105 citation statements)

References 98 publications

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“…self-destructive behaviors) [4,9,16,29,30]. Latino adolescents are significantly more likely than White youths to have unmet mental healthcare needs.…”

Section: Discussionmentioning

confidence: 99%

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Latina Adolescents Health Risk Behaviors and Suicidal Ideation and Suicide Attempts: Results from the National Youth Risk Behavior Survey 2001–2013

Price

Khubchandani

2016

J Immigrant Minority Health

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Suicidal ideation and suicide attempts are more common in Latina adolescents than White or African-American adolescents. Several health risk behaviors have been identified as being associated with Latina adolescent suicides. However, to date, no study has identified the consistency and stability of these risk behaviors over time. This study utilized the national Youth Risk Behaviors Survey from 2001 to 2013 to estimate the prevalence of suicidal ideation, suicide attempts, and health risk behaviors associated with suicidal behaviors in Latina adolescents. Our analysis found the prevalence of suicidal ideation and suicide attempts varied significantly over the 13-year study span, decreasing from 2001 to 2009 and increased from 2011 to 2013. The analyses found 11 health risk behaviors that were significantly associated with both suicidal ideation and suicide attempts that did not vary over time. The stability of these 11 health risk behaviors associated with suicidal behaviors could be useful to school personnel to identify early at risk Latina adolescents who may benefit from school and community mental health resources.

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“…self-destructive behaviors) [4,9,16,29,30]. Latino adolescents are significantly more likely than White youths to have unmet mental healthcare needs.…”

Section: Discussionmentioning

confidence: 99%

“…Latino adolescents are significantly more likely than White youths to have unmet mental healthcare needs. An important variable in seeking any form of healthcare is being able to afford care [30]. However, Latino youth made up nearly 40 % of U.S. uninsured youths in 2014 even though they were only 24 % of the total youth population.…”

Section: Discussionmentioning

confidence: 99%

Latina Adolescents Health Risk Behaviors and Suicidal Ideation and Suicide Attempts: Results from the National Youth Risk Behavior Survey 2001–2013

Price

Khubchandani

2016

J Immigrant Minority Health

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“…Cultural traditions and morals may act as barriers to selective termination or even prenatal diagnosis [13]. As minorities tend to have a higher prevalence of chronic diseases, including genetic diseases [17], they have displayed greater concerns regarding the potential misuse of the results and a more negative attitude toward genetic testing [5]. These negative attitudes may be driven by the existing race and ethnic disparities in receiving health care; moreover, the high cost of genetic testing may further widen existing disparities.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Genetics and Attitudes toward Genetic Testing among College Students in Saudi Arabia

Olwi

Merdad

Ramadan

2016

Public Health Genomics

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Background: Genetic testing has been gradually permeating the practice of medicine. Health-care providers may be confronted with new genetic approaches that require genetically informed decisions which will be influenced by patients' knowledge of genetics and their attitudes toward genetic testing. This study assesses the knowledge of genetics and attitudes toward genetic testing among college students. Methods: A cross-sectional study was conducted using a multistage stratified sample of 920 senior college students enrolled at King Abdulaziz University, Saudi Arabia. Information regarding knowledge of genetics, attitudes toward genetic testing, and sociodemographic data were collected using a self-administered questionnaire. Results: In general, students had a good knowledge of genetics but lacked some fundamentals of genetics. The majority of students showed positive attitudes toward genetic testing, but some students showed negative attitudes toward certain aspects of genetic testing such as resorting to abortion in the case of an untreatable major genetic defect in an unborn fetus. The main significant predictors of knowledge were faculty, gender, academic year, and some prior awareness of ‘genetic testing'. The main significant predictors of attitudes were gender, academic year, grade point average, and some prior awareness of ‘genetic testing'. Conclusion: The knowledge of genetics among college students was higher than has been reported in other studies, and the attitudes toward genetic testing were fairly positive. Genetics educational programs that target youths may improve knowledge of genetics and create a public perception that further supports genetic testing.

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“…ADHD is a pervasive behavioral disorder beginning in childhood, characterized by increased levels of inattention, hyperactivity, and impulsivity [4]. Worldwide, 5% -12% of children are estimated to suffer from ADHD [5] [6], and estimates in North America range from 11% to 16% [7]- [9]. As of 2005, one in 20 to 25 North American children were prescribed some form of psychostimulant for the treatment of ADHD [10].…”

Section: Introductionmentioning

confidence: 99%

Effect of Chronic DL-Amphetamine Exposure on Brain Volume, Anxiogenic, Locomotor, and Social Behaviors in Male SD Rats

Kafka¹,

Heinz²,

Flemming³

et al. 2014

JBBS

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Research examining the long-term effects of drugs such as Adderall™, a mixed DL-amphetamine, as a first-line treatment strategy for those diagnosed with attention deficit hyperactivity disorder (ADHD), is very much lacking. In order to address this, the present study sought to examine possible behavioral and neuroanatomical effects of chronic oral exposure to DL-amphetamine administered at a relatively low dose to the developing male Sprague Dawley rat. Animals were administered a mixture of chocolate drink and DL-amphetamine at a dose of 1.6 mg/kg for 36 days, beginning at PD 24 and ending at PD 60. Anxiety, a potential side effect of stimulant treatment, was assessed using three paradigms: The open field test (OF), the social interaction test (SI), and the elevated plus maze (EPM). The OF and SI were conducted using repeated testing over the course of five weeks. Testing occurred immediately after drug administration on a given day. The EPM was used only once on the penultimate day of treatment, before the drug was administered. Following drug treatment on PD 60, brain-to-body weight ratios were obtained. Results indicated that there were no group differences in brain-to-body weight ratios nor were differences in locomotor and social behaviors observed. However, rats treated with DL-amphetamine did show an anxiogenic response in the EPM. This was represented as a significant reduction in open arm entries. Overall our findings suggest that while chronic drug treatment fails to alter multiple measures of behavior, or reliable changes in brain volume, such treatment may impact a behavioral index of anxiety. Future research should seek to examine the implications of this heightened anxiogenic response in animals treated chronically with oral, low-dose DL-amphetamine.

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Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

Cited by 144 publications

References 98 publications

Latina Adolescents Health Risk Behaviors and Suicidal Ideation and Suicide Attempts: Results from the National Youth Risk Behavior Survey 2001–2013

Latina Adolescents Health Risk Behaviors and Suicidal Ideation and Suicide Attempts: Results from the National Youth Risk Behavior Survey 2001–2013

Knowledge of Genetics and Attitudes toward Genetic Testing among College Students in Saudi Arabia

Effect of Chronic DL-Amphetamine Exposure on Brain Volume, Anxiogenic, Locomotor, and Social Behaviors in Male SD Rats

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