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Articles 3181 - 3210 of 5911

Full-Text Articles in Demography, Population, and Ecology

Social Issues, Authoritarianism, And Ideological Conceptualization: How Policy Dimensions And Psychological Factors Influence Ideological Labeling, Christopher J. Devine Aug 2012

Social Issues, Authoritarianism, And Ideological Conceptualization: How Policy Dimensions And Psychological Factors Influence Ideological Labeling, Christopher J. Devine

Political Science Faculty Publications

Ideology's crucial theoretical and empirical role in explaining political behavior makes it imperative that scholars understand how individuals conceptualize and apply ideological labels. The existing literature on this topic is quite limited, however, because it relies almost exclusively upon data from the 1970s and 1980s, and it does not examine how psychological factors influence conceptualizations of ideological labels. This article uses data from two original laboratory experiments to test the relative impact of four major policy dimensions on participants' evaluations of candidate ideology and to test authoritarianism's role in shaping ideological conceptualization. These analyses indicate that individuals most often define …


Socio-Demographic And Economic Determinants Of Food Deserts, Zhongyi Wang Aug 2012

Socio-Demographic And Economic Determinants Of Food Deserts, Zhongyi Wang

Graduate Theses and Dissertations

In this paper we utilized a panel data set from 2004 to 2010 to identify and determine the demographic and economic drivers of food deserts in both urban and rural areas in Arkansas. We defined food deserts as areas where access to healthy foods such as fresh vegetables and fruits are limited. More specifically, separate distance measures from the census block centroid to the nearest supermarket or grocery store were used to determine if the area is an urban food desert (1 mile) or rural food desert (10 miles). These distance measures were then aggregated at the census block group …


An Innovative Approach For Community Engagement: Using An Audience Response System, Jenna L. Davis, Kara E. Mcginnis, Margaret L. Walsh, Coni Williams, Kevin B. Sneed, Julie A. Baldwin, B. Lee Green Jul 2012

An Innovative Approach For Community Engagement: Using An Audience Response System, Jenna L. Davis, Kara E. Mcginnis, Margaret L. Walsh, Coni Williams, Kevin B. Sneed, Julie A. Baldwin, B. Lee Green

Journal of Health Disparities Research and Practice

Community-based participatory research methods allow for community engagement in the effort to reduce cancer health disparities. Community engagement involves health professionals becoming a part of the community in order to build trust, learn from the community and empower them to reduce disparities through their own initiatives and ideas. Audience Response Systems (ARS) are an innovative and engaging way to involve the community and obtain data for research purposes using keypads to report results via power point. The use of ARS within communities is very limited and serves to widen the disparity gap by not delivering new advances in medical knowledge …


Community Mapping: Transforming Thinking And Actions Toward Sustainability, Melanie J. Kornis Jul 2012

Community Mapping: Transforming Thinking And Actions Toward Sustainability, Melanie J. Kornis

Professional Projects

This phenomenological study explored the level of concern regarding issues of sustainability, for individuals residing within one mid-sized Midwestern urban community. Ultimately, this research sought to determine those factors that increase the sense of urgency for some individuals to do more to reduce our global footprint and to create a sustainable future for our children and grandchildren. The participants were chosen via purposeful sampling and the interview process was used for data collection. Several themes uncovered in the study findings were similar to those in the literature review, which include: caring for the environment, making connections within the community, recycling, …


Marketing Vermont As A Multicultural Brand, Shambulia Gadsden Sams Jul 2012

Marketing Vermont As A Multicultural Brand, Shambulia Gadsden Sams

Capstone Collection

Considered one of the most ethnically diverse countries, race diversity is at its highest and most rapid growth in the United States due to the increase in the minority population. Vermont has long been the U.S.’s least diverse state, being the 2nd whitest state in the U.S., yet, according to the 2010 census, the racial and ethnic population has increased. However, the visibility of that growth amongst the minority population in Vermont is stagnating in only marketing to a Caucasian-centric base. This capstone paper will examine the Marketing of Vermont as a Multicultural Brand and how it has and …


“Green” Technology And Ecologically Unequal Exchange: The Environmental And Social Consequences Of Ecological Modernization In The World-System, Eric Bonds Jul 2012

“Green” Technology And Ecologically Unequal Exchange: The Environmental And Social Consequences Of Ecological Modernization In The World-System, Eric Bonds

History and American Studies Articles

This paper contributes to understandings of ecologically unequal exchange within the world-systems perspective by offering a series of case studies of ecological modernization in the automobile industry. The case studies demonstrate that “green” technologies developed and instituted in core nations often require specific raw materials that are extracted from the periphery and semi-periphery. Extraction of such natural resources causes significant environmental degradation and often displaces entire communities from their land. Moreover, because states often use violence and repression to facilitate raw material extraction, the widespread commercialization of “green” technologies can result in serious human rights violations. These findings challenge ecological …


Silver Hair Market In Japan? Good Quality Of (Whose) Life With Silver-To-Black Consumption?, On Kwok Lai Jun 2012

Silver Hair Market In Japan? Good Quality Of (Whose) Life With Silver-To-Black Consumption?, On Kwok Lai

APIAS-TSAO-ILC Symposium for Junior Researchers on Active Ageing 2012

Japanese Society (Silver Market?): Exceptionalism in Socio-Economic Sense?

What You See is Not What it is in Japan! This question was my Japanese colleagues and informants confronting me, and I concur with them as I completing this brief…. Perhaps this synopsis could help to realize the limited understanding of we have on another Asia society (despite frequent travels and information exchange in the mobile-Internet age), par­ticularly the enigma about Japanese society’s traditionalism embedded into its supra-modernization trajectories of socio-economic development since 1868!

日本社会(银发市场?):社会经济的例外主义?

你所见的并不是真实的日本!这是我提出这问题时,我的日本同事跟消息提供者对我的反驳,而我完成这篇概论后也认同他们的理据……也许这篇概论能帮助我们意识到自己对另一个亚洲社会的认知是如此有限(即使我们经常到日本旅游,而且又身处这信息交流发达的年代),特别是自1868年起,深嵌于社会经济发展超现代化进程中的日本传统主义,对我们来说真的有如谜一样。


實踐原居安老的理念 : 新加坡曹氏基金會的小區服務模式, Mary Ann Tsao Jun 2012

實踐原居安老的理念 : 新加坡曹氏基金會的小區服務模式, Mary Ann Tsao

APIAS-TSAO-ILC Symposium for Junior Researchers on Active Ageing 2012

No abstract provided.


Mountain Monitor-1st Quarter 2012, Mark Muro, Kenan Fikri Jun 2012

Mountain Monitor-1st Quarter 2012, Mark Muro, Kenan Fikri

Mountain Monitor Quarterly

For three years now the Mountain Monitor — Brookings Mountain West’s Mountain Zone variant of Brookings’ MetroMonitor — has been tracking the region’s protracted, in-most-places anemic, economic recovery. Quarter-to-quarter, the Monitor has reported on a slow healing of the region’s metropolitan economies that has differed starkly from the region’s past boom-bust cycles.


Comparison Of Nebraska Population By Race/Ethnicity And Age: 2000 And 2010 With Changes And Percent Changes, David J. Drozd Jun 2012

Comparison Of Nebraska Population By Race/Ethnicity And Age: 2000 And 2010 With Changes And Percent Changes, David J. Drozd

Past Publications

Comparison of population changes in Nebraska, 2000 - 2010


The Hiv/Aids Pandemic In African American Msm: Targets For Intervention, Kelly Neff Jun 2012

The Hiv/Aids Pandemic In African American Msm: Targets For Intervention, Kelly Neff

Journal of Health Disparities Research and Practice

The Centers for Disease Control and Prevention estimated in 2005 that 46% of African American men who have sex with men (MSM) are HIV positive. This review explores the unique factors that contribute to risky sexual behavior and the spread of HIV within this population, suggesting that the disparate prevalence of HIV among African American MSM is rooted in experiences of stigmatization from multiple sources and lack of social support from society at large as well as from within the African American community. Beliefs in HIV conspiracy myths are also thought to hinder HIV education, awareness and prevention for African …


Racial Differences In Preventive And Complementary Health Behaviors And Attitudes, Steven E. Shive, Grace X. Ma, Yin Tan, Jamil I. Toubbeh, Lalitha Parameswaran, Lalitha Parameswaran, Joe Halowich Jun 2012

Racial Differences In Preventive And Complementary Health Behaviors And Attitudes, Steven E. Shive, Grace X. Ma, Yin Tan, Jamil I. Toubbeh, Lalitha Parameswaran, Lalitha Parameswaran, Joe Halowich

Journal of Health Disparities Research and Practice

Screening tests have been developed for many diseases—the presence of cancer, especially—but are differentially utilized among racial/ethnic groups. In addition to standard medical screening techniques, some patients opt to use Complementary and Alternative Medicine (CAM) for prevention and treatment. The purpose of the current study is to examine racial/ethnic disparities in primary and secondary preventive health behaviors, determine differences in use of complementary and alternative health regimens, and determine which health attitudes and health self-management factors are associated with use of complementary alternative medicine. If differences among ethnic/racial groups in perceived health status, preventive health care behaviors, and use of …


Equal Care, Unequal Outcomes: Experiences Of A Reach 2010 Community, Diane Neal, Barbara Carlson, Carolyn Jenkins, Gayenell Magwood Jun 2012

Equal Care, Unequal Outcomes: Experiences Of A Reach 2010 Community, Diane Neal, Barbara Carlson, Carolyn Jenkins, Gayenell Magwood

Journal of Health Disparities Research and Practice

Diabetes is growing in prevalence and costs. Guidelines for care have been available since 1983, yet diabetes care and outcomes remain less than ideal. CDC’s Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) identified diabetes in African Americans as a priority for action. This article documents the activities, interventions, and current progress of the REACH 2010 diabetes coalition formed in Charleston and Georgetown counties, South Carolina, in reducing health care disparities and describes next steps for improving outcomes. The Chronic Care Model guided many of the implementation activities, and chart audits were used to document outcomes. Ambulatory care …


The Influence Of Patient-Centeredness On Minority And Socioeconomically-Disadvantaged Patients’ Trust In Their Physicians: An Evidence-Based Structural Equation Modeling Investigation, Stephen J. Aragon, Sylvia A. Flack, Cecil A. Holland, Racquel R. Ingram, Michael L. Clements Jun 2012

The Influence Of Patient-Centeredness On Minority And Socioeconomically-Disadvantaged Patients’ Trust In Their Physicians: An Evidence-Based Structural Equation Modeling Investigation, Stephen J. Aragon, Sylvia A. Flack, Cecil A. Holland, Racquel R. Ingram, Michael L. Clements

Journal of Health Disparities Research and Practice

The purpose of this investigation was to determine the effect of physician patient-centeredness on patient trust across randomly selected groups of patients from an inner city medical practice serving a preponderance of minority and socioeconomically-disadvantaged patients.

METHODS: A two-factor multigroup structural equation modeling design was employed, with randomly selected test (N = 300) and cross-validation (N = 300) samples of medical practice patients. Equality constraints were established to test the invariance of effects across groups. The model was compared to its unconstrained counterpart to further test its trustworthiness. An additional 5,000 nonparametric bootstrapped samples for each group were generated to …


Self-Rated Health Status Comparing Pacific Islanders To Asians, Maile Taualii Jun 2012

Self-Rated Health Status Comparing Pacific Islanders To Asians, Maile Taualii

Journal of Health Disparities Research and Practice

Disease reporting for Asians/Pacific Islanders often conflicts and is, many cases, inaccurate because of the aggregation of Asians and Pacific Islanders. An analysis of 2005 Behavior Risk Factor Surveillance System data was performed to examine health status of Asians compared to Native Hawaiian or Other Pacific Islanders. Findings show a significant difference between Asians and Native Hawaiian or Other Pacific Islanders, with a greater likelihood for Native Hawaiians or Other Pacific Islanders to rate their health as poor. Conclusion: Asians and Native Hawaiians or Other Pacific Islanders do not have the same health status. By aggregating these two distinctly different …


Health Literacy As A Contributor To Immigrant Health Disparities, Jennifer B. Kimbrough Jun 2012

Health Literacy As A Contributor To Immigrant Health Disparities, Jennifer B. Kimbrough

Journal of Health Disparities Research and Practice

The ability to obtain, understand and use the information needed to make wise health choices is known as health literacy. Low health literacy among members of populations with poor reading skills, limited mastery of the English language, members of ethnic or cultural minorities, and immigrants is likely a major contributor to health disparities in the US (Agency for Health Care Policy and Research 1997). A series of focus groups with East-Asian, African, Central and South American immigrants was conducted to better understand the perceptions of immigrants seeking health care services in an urban North Carolina county. Participants’ responses are reported …


Quality And Severity Of Lower Urinary Tract Symptoms Among African American Elders, Daniel L. Howard, Bennett G. Edwards, Kimberly Whitehead, M. A. Amamoo, Paul A. Godley Jun 2012

Quality And Severity Of Lower Urinary Tract Symptoms Among African American Elders, Daniel L. Howard, Bennett G. Edwards, Kimberly Whitehead, M. A. Amamoo, Paul A. Godley

Journal of Health Disparities Research and Practice

Lack of population-based data on lower urinary tract symptoms (LUTS) among African American men represents a significant gap in understanding. This study examined LUTS among a racially over-sampled, mixed urban/rural, elderly cohort of African Americans and whites in the South to discern whether racial differences exist in the prevalence, severity, and associated risk factors of LUTS. Longitudinal analyses using generalized estimating equations (GEE) were conducted on the 1994–1998 EPESE dataset for 5 North Carolina counties. In 1994, the analytic cohort included 482 African Americans and 407 whites; by 1998, 249 and 222, respectively. In 1994, 49.4% of African Americans reported …


African American And Non-Hispanic White Births In Enhanced Prenatal Care Programs And Wic, Monica Cain Jun 2012

African American And Non-Hispanic White Births In Enhanced Prenatal Care Programs And Wic, Monica Cain

Journal of Health Disparities Research and Practice

North Carolina uses Maternity Care Coordination (MCC), an enhanced prenatal care program, to improve birth outcomes for high risk women. The WIC program provides similar services to achieve the same goal. Women in North Carolina Medicaid can choose to participate in either, both, or neither the MCC and WIC programs. The study compares the percentages of low birth weight (LBW)—less than 2500 grams—births and maternal risk characteristics of women: (1) participating in the MCC program only, (2) participating in WIC only, or (3) participating in both programs, to those women who receive conventional Medicaid prenatal care. The analysis is further …


Cumulative Risk And A Call For Action In Environmental Justice Communities, H. P. Hynes, Russ Lopez Jun 2012

Cumulative Risk And A Call For Action In Environmental Justice Communities, H. P. Hynes, Russ Lopez

Journal of Health Disparities Research and Practice

Health disparities, social inequalities, and environmental injustice cumulatively affect individual and community vulnerability and overall health; yet health researchers, social scientists and environmental scientists generally study them separately. Cumulative risk assessment in poor, racially segregated, economically isolated and medically underserved communities needs to account for their multiple layers of vulnerability, including greater susceptibility, greater exposure, less preparedness to cope, and less ability to recover in the face of exposure. Recommendations for evidence-based action in environmental justice communities include: reducing pollution in communities of highest burden; building on community resources; redressing inequality when doing community-based research; and creating a screening framework …


Nebraska Demographics: Trends And Implications, David J. Drozd Jun 2012

Nebraska Demographics: Trends And Implications, David J. Drozd

Presentations

Presented to the Peter Kiewit Foundation Board.


Consistency Of Minority And Socioeconomic Status As Predictors Of Health, Ari K. Mwachofi, Robert W. Broyles Jun 2012

Consistency Of Minority And Socioeconomic Status As Predictors Of Health, Ari K. Mwachofi, Robert W. Broyles

Journal of Health Disparities Research and Practice

This paper examines the relative consistency of economic and racial status as predictors of the individual’s physical and emotional health. The focus of the study is the covariates of (1) limited activity resulting from poor physical and (2) limited activity resulting from poor emotional health. Using data from the 2003 Behavioral Risk Factor Surveillance System survey, the study was developed in two phases. In the first, logistic regression analysis was used to examine two binary variables that identified respondents who reported at least one day of limited activity that resulted from poor physical and then poor emotional or mental health. …


Seeking Cancer Information: An Appalachian Perspective, Robin C. Vanderpool, Bin Huang, Brent J. Shelton Jun 2012

Seeking Cancer Information: An Appalachian Perspective, Robin C. Vanderpool, Bin Huang, Brent J. Shelton

Journal of Health Disparities Research and Practice

There are noted disparities by ethnicity, race, age, gender, and socioeconomic status in the reported use of and access to cancer information. Missing from this list of variables that predict these disparities are specific geographic locales, such as Appalachia, a region recognized as a medically underserved, “special population”. Through a secondary analysis of NCI’s 2003 HINTS dataset, we are able to describe the cancer information-seeking behaviors of Appalachians as compared to non-Appalachians with a focus on actual versus preferential information-seeking behaviors, information-seeking experiences, and demographics. In general, Appalachians and non-Appalachians do not significantly differ in their cancer information-seeking behaviors and …


Process Evaluation In Action: Lessons Learned From Alabama Reach 2010, M. C. Nagy, Rhoda E. Johnson, Robin C. Vanderpool, Mona N. Fouad, Mark Dignan, Theresa A. Wynn, Edward E. Patridge, Isabel Scarinci, Cheryl Holt, Sharina D. Person Jun 2012

Process Evaluation In Action: Lessons Learned From Alabama Reach 2010, M. C. Nagy, Rhoda E. Johnson, Robin C. Vanderpool, Mona N. Fouad, Mark Dignan, Theresa A. Wynn, Edward E. Patridge, Isabel Scarinci, Cheryl Holt, Sharina D. Person

Journal of Health Disparities Research and Practice

The CDC-funded Alabama Racial and Ethnic Approaches to Community Health (REACH 2010) project is designed to reduce and eliminate disparities in breast and cervical cancer between African American and white women in six rural and three urban counties in Alabama. In this manuscript, we report on the development, implementation, results, and lessons learned from a process evaluation plan initiated during the Phase I planning period of the Alabama REACH 2010 program. The process evaluation plan for Alabama REACH 2010 focused on four main areas of activity that coincided with program objectives: assessing coalition development, building community capacity, conducting a needs …


Increasing Rate Of Pneumonia Hospitalizations Among Older American Indian And Alaska Native Adults, Robert C. Holman, Krista L. Yorita, Rosalyn J. Singleton, James E. Cheek, Edna L. Paisano, Jay C. Butler, Larry J. Anderson, Alicia M. Fry Jun 2012

Increasing Rate Of Pneumonia Hospitalizations Among Older American Indian And Alaska Native Adults, Robert C. Holman, Krista L. Yorita, Rosalyn J. Singleton, James E. Cheek, Edna L. Paisano, Jay C. Butler, Larry J. Anderson, Alicia M. Fry

Journal of Health Disparities Research and Practice

Objective: To examine rates and trends of pneumonia hospitalization among older American Indian and Alaska Native (AI/AN) adults.

Methods: Pneumonia hospitalizations for older AI/AN adults ≥65 years of age living in the Alaska and Southwest Indian Health Service (IHS) regions during 1988 through 2002 from the IHS hospital discharge data were analyzed.

Results: The average annual hospitalization rate for first-listed pneumonia for older AI/AN adults in both the Alaska and the Southwest regions has increased (15.3 and 23.0 in 1988-1990 to 25.9 and 28.8 in 2000-2002 per 1,000 population, respectively), with the greatest increase seen among older AI/AN adults in …


Elevated Depressive Symptoms In A Community Sample Of African-Americans And Whites, Robert J. Jagers, Fernando A. Wagner, Pamela E. Scott-Johnson, Yan Wang, Dorothy C. Browne Jun 2012

Elevated Depressive Symptoms In A Community Sample Of African-Americans And Whites, Robert J. Jagers, Fernando A. Wagner, Pamela E. Scott-Johnson, Yan Wang, Dorothy C. Browne

Journal of Health Disparities Research and Practice

This study examined demographic and psychosocial correlates of elevated depressive symptoms among African-Americans and Whites from comparable socioeconomic and neighborhood backgrounds. 851 African-Americans and 597 Whites from adjacent census tracts were interviewed using previously validated indicators of depressive symptoms, social support, religious practices and various demographic characteristics. More Whites than African-Americans reported elevated depressive symptoms and the groups also differed on several demographic variables and psychosocial variables. Employment, marital status and age were salient demographic covariates for African Americans, while income was for Whites. For both groups, social support and church attendance were inversely associated with depressive symptoms. Prayer was …


A Survey Of Non-Classical Polyandry, Kathrine E. Starkweather, Raymond Hames Jun 2012

A Survey Of Non-Classical Polyandry, Kathrine E. Starkweather, Raymond Hames

Department of Anthropology: Faculty Publications

We have identified a sample of 53 societies outside of the classical Himalayan and Marquesean area that permit polyandrous unions. Our goal is to broadly describe the demographic, social, marital, and economic characteristics of these societies and to evaluate some hypotheses of the causes of polyandry. We demonstrate that although polyandry is rare it is not as rare as commonly believed, is found worldwide, and is most common in egalitarian societies. We also argue that polyandry likely existed during early human history and should be examined from an evolutionary perspective. Our analysis reveals that it may be a predictable response …


Physicians’ Experiences And Opinions Regarding Strategies To Improve Care For Minority Patients, Jared W. Klein, Lindsay O. Schubiner, Margaret Gadon, Matthew K. Wynia May 2012

Physicians’ Experiences And Opinions Regarding Strategies To Improve Care For Minority Patients, Jared W. Klein, Lindsay O. Schubiner, Margaret Gadon, Matthew K. Wynia

Journal of Health Disparities Research and Practice

Objective: To assess the views and experiences of a select group of physicians interested in minority health issues regarding promising strategies to improve minority care. Methods: Physicians were asked to respond to a 17-item survey assessing the level of agreement, frequency of implementation of and interest in learning more about 7 promising strategies for alleviating disparities. Results: Most physicians (75-95%) agreed that the 7 proposed strategies could be useful to improve the quality of care provided to minority patients, but only 40-66% of physicians had implemented the strategies sometimes or often in their practices. Between 22 and …


Cancer-Related Disparities Among Residents Of Appalachia Ohio, James L. Fisher, Holly L. Engelhardt, Julie A. Stephens, Bette R. Smith, Georgette G. Haydu, Robert W. Indian, Electra D. Paskett May 2012

Cancer-Related Disparities Among Residents Of Appalachia Ohio, James L. Fisher, Holly L. Engelhardt, Julie A. Stephens, Bette R. Smith, Georgette G. Haydu, Robert W. Indian, Electra D. Paskett

Journal of Health Disparities Research and Practice

The authors sought to identify cancer-related disparities in Appalachia Ohio and better understand reasons for the disparities. Data from the Ohio Cancer Incidence Surveillance System, among other sources, were used to examine potential cancer disparities among residents of Appalachia Ohio. Using Ohio census data, the authors examined contributions of household income, educational attainment and population density to disparities in cancer incidence. Results suggest the following disparities in Appalachia Ohio (compared to non-Appalachia Ohio): greater cancer incidence and mortality rates for cancers of the cervix, colon and rectum, lung and bronchus and melanoma of the skin; a later stage at diagnosis …


A Geospatial Analysis Of Cdc-Funded Hiv Prevention Programs For African Americans In The United States, G. A. Gilliam, Carol L. Hanchette, Kieran J. Fogarty, Deborah A. Gibbs May 2012

A Geospatial Analysis Of Cdc-Funded Hiv Prevention Programs For African Americans In The United States, G. A. Gilliam, Carol L. Hanchette, Kieran J. Fogarty, Deborah A. Gibbs

Journal of Health Disparities Research and Practice

Given the increase in HIV/AIDS infection rates among racial and ethnic minorities, particularly African Americans, this study was undertaken as part of a larger research effort to examine the distribution of HIV prevention services focusing on African American populations within the United States. Data were gathered via a national survey of community-based organizations (CBOs) funded by the Centers for Disease Control and Prevention (CDC). A geocoded national database was constructed to identify, locate, and map these HIV prevention programs. A total of 1,020 CBOs responded to the survey, yielding a response rate of 70.3%. These CBOs administered a total of …


Educating And Empowering Elders: Improving The Health Of Senior Latino Diabetics Through Community Collaboration, G. D. Cleghorn, Jean Lussier, Martha Velez, Marianna Canovitch, Marilyn Licciardello, Sarah Stanlick May 2012

Educating And Empowering Elders: Improving The Health Of Senior Latino Diabetics Through Community Collaboration, G. D. Cleghorn, Jean Lussier, Martha Velez, Marianna Canovitch, Marilyn Licciardello, Sarah Stanlick

Journal of Health Disparities Research and Practice

According to the American Diabetes Association (ADA), diabetes is the sixth leading cause of death among Americans.1 As of 2005, estimates indicate 20.8 million people – 7 percent of the population – afflicted by diabetes, 6.2 million of which are undiagnosed. 1 While diabetes is a growing problem for the United States as a whole, older, poverty-stricken Latinos and other minority groups have felt the encumbrance of this trend most intensely.2 In Massachusetts, the burden of diabetes among Caribbean Latinos is 11.8 percent, which is 2.5 times greater than the prevalence for the majority of the population in the state …