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  1. Article: The impact of carceral churn and healthcare organizations on HIV/AIDS incidence in Arkansas.

    Haimson, Chloe E / Simes, Jessica T / Eason, John M / Zhang, Jienian

    SSM - population health

    2023  Volume 21, Page(s) 101355

    Abstract: Penal and healthcare institutions generate and mitigate community-level health inequality, respectively.•Arkansas Counties with high prison churn and disadvantage have higher rates of HIV/AIDS.•Hospital density moderates effect of prison churn on ... ...

    Abstract •Penal and healthcare institutions generate and mitigate community-level health inequality, respectively.•Arkansas Counties with high prison churn and disadvantage have higher rates of HIV/AIDS.•Hospital density moderates effect of prison churn on incidence of HIV/AIDS.
    Language English
    Publishing date 2023-02-01
    Publishing country England
    Document type Journal Article
    ISSN 2352-8273
    ISSN 2352-8273
    DOI 10.1016/j.ssmph.2023.101355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Treatment Inequity: Examining the Influence of Non-Hispanic Black Race and Ethnicity on Pancreatic Cancer Care and Survival in Wisconsin.

    Schiefelbein, Andrea M / Krebsbach, John K / Taylor, Amy K / Zhang, Jienian / Haimson, Chloe E / Trentham-Dietz, Amy / Skala, Melissa C / Eason, John M / Weber, Sharon M / Varley, Patrick R / Zafar, Syed N / LoConte, Noelle K

    WMJ : official publication of the State Medical Society of Wisconsin

    2022  Volume 121, Issue 2, Page(s) 77–93

    Abstract: Introduction: We investigated race and ethnicity-based disparities in first course treatment and overall survival among Wisconsin pancreatic cancer patients.: Methods: We identified adults diagnosed with pancreatic adenocarcinoma in the Wisconsin ... ...

    Abstract Introduction: We investigated race and ethnicity-based disparities in first course treatment and overall survival among Wisconsin pancreatic cancer patients.
    Methods: We identified adults diagnosed with pancreatic adenocarcinoma in the Wisconsin Cancer Reporting System from 2004 through 2017. We assessed race and ethnicity-based disparities in first course of treatment via adjusted logistic regression and overall survival via 4 incremental Cox proportional hazards regression models.
    Results: The study included 8,490 patients: 91.3% (n = 7,755) non-Hispanic White; 5.1% (n = 437) non-Hispanic Black, 1.8% (n = 151) Hispanic, 0.6% Native American (n = 53), and 0.6% Asian (n = 51) race and ethnicities. Non-Hispanic Black patients had lower odds of treatment than non-Hispanic White patients for full patient (OR, 0.52; 95% CI, 0.41-0.65) and Medicare cohorts (OR, 0.40; 95% CI, 0.29-0.55). Non-Hispanic Black patients had lower odds of receiving surgery than non-Hispanic White patients (full cohort OR, 0.67 [95% CI, 0.48-0.92]; Medicare cohort OR, 0.57 [95% CI, 0.34-0.93]). Non-Hispanic Black patients experienced worse survival than non-Hispanic White patients in the first 2 incremental Cox proportional hazard regression models (model II HR, 1.18; 95% CI, 1.06-1.31). After adding insurance and treatment course, non-Hispanic Black and non-Hispanic White patients experienced similar survival (HR, 0.98; 95% CI, 0.88-1.09).
    Conclusion: Non-Hispanic Black patients were almost 50% less likely to receive any treatment and 33% less likely to receive surgery than non-Hispanic White patients. After including treatment course, non-Hispanic Black and non-Hispanic White patient survival was similar. Increasing non-Hispanic Black patient treatment rates by addressing structural factors affecting treatment availability and employing culturally humble approaches to treatment discussions may mitigate these disparities.
    MeSH term(s) Adenocarcinoma/ethnology ; Adenocarcinoma/therapy ; Adult ; Aged ; Black People ; Ethnicity ; Healthcare Disparities ; Humans ; Medicare ; Pancreatic Neoplasms/ethnology ; Pancreatic Neoplasms/therapy ; United States ; White People ; Wisconsin/epidemiology ; Pancreatic Neoplasms
    Language English
    Publishing date 2022-07-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 441051-8
    ISSN 2379-3961 ; 0043-6542 ; 1098-1861
    ISSN (online) 2379-3961
    ISSN 0043-6542 ; 1098-1861
    Database MEDical Literature Analysis and Retrieval System OnLINE

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