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Full-Text Articles in Medicine and Health

Development, Health And Race Differences In Fertility At The Turn Of The Twentieth Century In The U.S. South, Cheryl Elman, Andrew S. London, Robert A. Mcguire Dec 2014

Development, Health And Race Differences In Fertility At The Turn Of The Twentieth Century In The U.S. South, Cheryl Elman, Andrew S. London, Robert A. Mcguire

Cheryl Elman

Mid-twentieth century demographers were puzzled to find that, between 1880 and 1910, fertility rates had dropped more precipitously among African American than U.S. white women. Since then, demographic research has focused on historical fertility differentials in the South, where most African Americans lived before 1920. Under a multiple causes model, two major sources of race differences have found some empirical support. One stresses that timing differences in voluntary fertility control, due to a high demand for child labor in tenant farming, sustained both high overall southern rural fertility rates and race differences, to about 1940. A second mechanism stresses that …


An Ecological Approach To Organizational Transformation: The Growth Of Cross-Cultural Health Care Delivery In An Academic Community Health Network, James Geiger, Judith Sabino, Eric Gertner, Jarret Patton, Llewellyn Cornelius, Debbie Salas-Lopez Sep 2014

An Ecological Approach To Organizational Transformation: The Growth Of Cross-Cultural Health Care Delivery In An Academic Community Health Network, James Geiger, Judith Sabino, Eric Gertner, Jarret Patton, Llewellyn Cornelius, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.


An Ecological Approach To Organizational Cultural Competence, Judith Sabino, Jarret Patton, Erica Mahady, Lynn Deitrick, James Geiger, Marykay Grim, Debbie Salas-Lopez Sep 2014

An Ecological Approach To Organizational Cultural Competence, Judith Sabino, Jarret Patton, Erica Mahady, Lynn Deitrick, James Geiger, Marykay Grim, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.


Parent-Child Relations And Peer Associations As Mediators Of The Family Structure-Substance Use Relationship, Lizabeth A. Crawford, Katherine B. Novak Sep 2014

Parent-Child Relations And Peer Associations As Mediators Of The Family Structure-Substance Use Relationship, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

Using data from the National Education Longitudinal Survey of 1988, the authors assess the extent to which adolescents’ levels of parental attachment and opportunities for participating in delinquent activities mediate the family structure–substance use relationship. A series of hierarchical regressions supported the hypotheses that high levels of substance use among adolescents residing with stepfamilies would be explained by low parental attachment, whereas heightened opportunities for participating in deviant activities would account for the substance use behaviors of individuals living in single-parent households. More generally, the findings suggest that family structure has a moderate effect on youth substance use; that parental …


Worry About Medical Care, Family Support, And Depression Of The Elders In Urban China, Rongjun Sun Apr 2012

Worry About Medical Care, Family Support, And Depression Of The Elders In Urban China, Rongjun Sun

Rongjun Sun

This study examines the role of family support in reducing the elders’s depression in the face of the perceived inadequate public medical care in urban China. Using data from the Survey on Aging and Intergenerational Relations in Baoding City, this article investigates the overall depression level, somatic symptoms, and affective symptoms, respectively. The findings suggest that perceived inadequate public medical care, which results from dramatic changes in China’s socioeconomic transformation, has a stressful impact on all measures of depression. Family support, by its structure and function, shows both direct and moderating effects in counteracting such stress from the public domain. …


Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley Apr 2012

Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley

Rongjun Sun

OBJECTIVES: Evaluate the effect of preadmission functional status on severity of pneumonia, length of hospital stay (LOS), and all-cause 30-day and 1-year mortality of adults aged 60 and older and to understand the effect of pneumonia on short-term functional impairment. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: One hundred twelve patients with radiograph-proven pneumonia (mean age 74.6) were enrolled. MEASUREMENTS: Functional status and comorbidities were assessed using the Functional Autonomy Measurement System (SMAF) and Charlson Comorbidity Index. Clinical information was used to calculate the Pneumonia Prognostic Index (PPI). RESULTS: Eighty-four (75%) patients were functionally independent (FI) before admission, with …