Medicine and Health Sciences Commons^™

Examining Race Differences In Blood Pressure Control Among People With Chronic Kidney Disease, Jayme Savoy, Roland J. Thorpe, Jr., Phd

Journal of Health Disparities Research and Practice

Of Chronic Kidney Disease (CKD) patients, 20% of them also have hypertension (HTN). African Americans (AA) are known to be more at risk of CKD development and poor HTN control compared to Whites, largely due to their higher prevalence of diabetes and HTN. While those health conditions are a known risk factor to CKD, it is less clear if there is a race difference in HTN control among CKD patients.

Using a combined 1999-2014 data set from The National Health and Nutrition Examination Survey (NHANES), we sought to determine if there is an association between race and HTN control among …

A Collaborative Effort To Assess Disparities Associated With Behavioral Health In The North Texas Region, Sushma Sharma

Journal of Health Disparities Research and Practice

Objective: This study aimed to provide an assessment of 16 North Texas Counties’ behavioral health access disparities and provide details of the percentage of hospital patient visits from each county diagnosed with mental health and drug issues. The gender, age, race-ethnicity and insurance status of each patient, the zip codes where they live and patient migration between different providers was also detailed. Furthermore, the number of psychiatric beds for each county is listed.

Methods: This study utilized the DFWHC Foundation's data warehouse which contains comprehensive hospital visit data from 96 partner hospitals, to understand the clinical trends of mental health …

Comparison Of Compliance With Cervical Cancer Screening Among Women Aged 18 And Above In Arkansas And The United States, Sarah N. O'Connor, Jun Tao, L. Joseph Su

Journal of Health Disparities Research and Practice

Introduction: Cervical cancer preys on women without access to preventative screening. Any woman who has developed an invasive case of cervical cancer should be regarded as a failure of screening. Disparities in access to screening, triage, and treatment fuel an uneven distribution in the burden of cervical cancer within the United States; weighing unusually heavy on the Southern States like Arkansas. The purpose of this study was to evaluate demographic and behavioral risk factors for cervical cancer and identify potential barriers which may influence the likelihood of complying with current Pap test recommendations on a state level, in Arkansas, and …

Disparities In Access To Primary Care And Emergency Department Utilization In A Large Medicaid Program, Natasha Parekh, Marian Jarlenski, David Kelley

Journal of Health Disparities Research and Practice

Identifying and eliminating disparities are priorities for State Medicaid programs, especially in the context of increased enrollment through Medicaid expansion. We assessed racial, ethnic, regional, and managed care organization (MCO) differences, as well as time trends before and after Medicaid expansion, in primary care and emergency department (ED) utilization in a large Medicaid program. We performed a cross-sectional evaluation of data from Pennsylvania Medicaid from 2011-2015. Three primary care outcomes included: 1) adult access to primary care; 2) adolescent access to primary care; and 3) pediatric access to dental care. Our fourth outcome reflected ED utilization. We observed significant racial …