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  1. Article ; Online: Increased ACE2 Levels and Mortality Risk of Patients With COVID-19 on Proton Pump Inhibitor Therapy.

    Liu, Julia J / Sloan, Meredith E / Owings, Anna H / Figgins, Erika / Gauthier, Josee / Gharaibeh, Raad / Robinson, Tanya / Williams, Haley / Sindel, Campbell B / Backus, Fremel / Ayyalasomayajula, Krishna / Parker, Adam / Senitko, Michal / Abraham, George E / Claggett, Brian / Horwitz, Bruce H / Jobin, Christian / Adelman, Robert M / Diamond, Gill /
    Glover, Sarah C

    The American journal of gastroenterology

    2021  Volume 116, Issue 8, Page(s) 1638–1645

    Abstract: Introduction: Proton pump inhibitor (PPI) use was recently reported to be associated with increased severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and worse clinical outcomes. The underlying mechanism(s) for this association are ... ...

    Abstract Introduction: Proton pump inhibitor (PPI) use was recently reported to be associated with increased severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and worse clinical outcomes. The underlying mechanism(s) for this association are unclear.
    Methods: We performed a prospective study of hospitalized coronavirus disease 2019 (COVID-19) patients and COVID-negative controls to understand how PPI use may affect angiotensin-converting enzyme 2 (ACE2) expression and stool SARS-CoV-2 RNA. Analysis of a retrospective cohort of hospitalized patients with COVID-19 from March 15, 2020 to August 15, 2020 in 6 hospitals was performed to evaluate the association of PPI use and mortality. Covariates with clinical relevance to COVID-19 outcomes were included to determine predictors of in-hospital mortality.
    Results: Control PPI users had higher salivary ACE2 mRNA levels than nonusers, 2.39 ± 1.15 vs 1.22 ± 0.92 (P = 0.02), respectively. Salivary ACE2 levels and stool SARS-CoV-2 RNA detection rates were comparable between users and nonusers of PPI. In 694 hospitalized patients with COVID-19 (age = 58 years, 46% men, and 65% black), mortality rate in PPI users and nonusers was 30% (68/227) vs 12.1% (53/439), respectively. Predictors of mortality by logistic regression were PPI use (adjusted odds ratio [aOR] = 2.72, P < 0.001), age (aOR = 1.66 per decade, P < 0.001), race (aOR = 3.03, P = 0.002), cancer (aOR = 2.22, P = 0.008), and diabetes (aOR = 1.95, P = 0.003). The PPI-associated mortality risk was higher in black patients (aOR = 4.16, 95% confidence interval: 2.28-7.59) than others (aOR = 1.62, 95% confidence interval: 0.82-3.19, P = 0.04 for interaction).
    Discussion: COVID-negative PPI users had higher salivary ACE2 expression. PPI use was associated with increased mortality risk in patients with COVID-19, particularly African Americans.
    MeSH term(s) Adult ; Aged ; Angiotensin-Converting Enzyme 2/blood ; COVID-19/blood ; COVID-19/mortality ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Proton Pump Inhibitors/adverse effects ; Retrospective Studies ; Risk Assessment
    Chemical Substances Proton Pump Inhibitors ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
    Language English
    Publishing date 2021-05-31
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000001311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Race, gender, and marriage: destination selection during the Great Migration.

    White, Katherine J Curtis / Crowder, Kyle / Tolnay, Stewart E / Adelman, Robert M

    Demography

    2005  Volume 42, Issue 2, Page(s) 215–241

    Abstract: Using historical census microdata, we present a unique analysis of racial and gender disparities in destination selection and an exploration of hypotheses regarding tied migration in the historical context of the Great Migration. Black migrants were more ...

    Abstract Using historical census microdata, we present a unique analysis of racial and gender disparities in destination selection and an exploration of hypotheses regarding tied migration in the historical context of the Great Migration. Black migrants were more likely to move to metropolitan areas and central cities throughout the period, while white migrants were more likely to locate in nonmetropolitan and farm destinations. Gender differences were largely dependent on marital status. Consistent with the "tied-migration" thesis, married women had destination outcomes that were similar to those of men, whereas single women had a greater propensity to reside in metropolitan locations where economic opportunities for women were more plentiful.
    MeSH term(s) African Americans/history ; Choice Behavior ; European Continental Ancestry Group/history ; Female ; History, 20th Century ; Humans ; Logistic Models ; Male ; Marriage/history ; Models, Psychological ; Population Dynamics ; Prejudice ; Race Relations/history ; Residence Characteristics ; Rural Population/history ; Sex Factors ; Social Mobility/history ; Socioeconomic Factors ; United States ; Urban Population/history
    Language English
    Publishing date 2005-06-11
    Publishing country United States
    Document type Comparative Study ; Historical Article ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 280612-5
    ISSN 1533-7790 ; 0070-3370
    ISSN (online) 1533-7790
    ISSN 0070-3370
    DOI 10.1353/dem.2005.0019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: "Narrow and filthy alleys of the city"?

    Tolnay, Stewart E / Adelman, Robert M / Crowder, Kyle D

    Social forces : SF; an international journal of social research associated with the Southern Sociological Society Vol. 78, No. 3 , p. 989-1015

    The residential settlement patterns of black southern migrants to the North

    2000  Volume 78, Issue 3, Page(s) 989–1015

    Author's details Stewart E. Tolnay; Kyle D. Crowder; Robert M. Adelman
    Keywords Binnenwanderung ; Schwarze ; Wohnungsmarkt ; USA
    Language English
    Publisher Univ. of North Carolina Press
    Publishing place Chapel Hill, NC
    Document type Article
    ZDB-ID 212930-9
    Database ECONomics Information System

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