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  1. Article ; Online: Relevance of cat and dog sensitization by skin prick testing in childhood eczema and asthma.

    Hon, Kam Lun E Lun / Tsang, Kathy Yin Ching / Leung, Ting Fan

    Current pediatric reviews

    2017  

    Abstract: Background: Household animal dander has been implicated as aeroallergen in childhood atopic diseases. Many parents seek healthcare advice if household pet keeping may be detrimental in atopic eczema (AE) and atopies.: Aim: We investigated if skin ... ...

    Abstract Background: Household animal dander has been implicated as aeroallergen in childhood atopic diseases. Many parents seek healthcare advice if household pet keeping may be detrimental in atopic eczema (AE) and atopies.
    Aim: We investigated if skin sensitization by cat/dog dander was associated with disease severity and quality of life in children with AE.
    Methods: Demographics, skin prick test (SPT) results, disease severity (Nottingham eczema severity score NESS), Children Dermatology Life Quality Index (CDLQI), blood IgE and eosinophil counts of a cohort of AE patients were reviewed.
    Results: 325 AE patients followed at a pediatric dermatology clinic were evaluated. Personal history of asthma was lowest (20%) in the dog-dander-positive-group but highest (61%) in both-cat-and-dog-dander-positive group (p=0.007). Unlike dust mite or food sensitization, the incidence of cat or dog sensitization was low. Binomial logistic regression ascertained that cat-dander sensitization was associated with increasing age (adjusted odds ratio [aOR], 1.056; 95% Confidence Interval [CI], 1.006 to 1.109; p=0.029), dust-mite sensitization (aOR, 4.625; 95% CI, 1.444 to 14.815; p=0.010), food-allergen sensitization (aOR, 2.330; 95% CI, 1.259 to 4.310; p=0.007) and keeping-cat-ever (aOR, 7.325; 95% CI, 1.193 to 44.971; p=0.032); whereas dog-dander sensitization was associated with dust-mite sensitization (aOR, 9.091; 95% CI, 1.148 to 71.980; p=0.037), food-allergen sensitization (aOR, 3.568; 95% CI, 1.341 to 9.492; p=0.011) and keeping-dog-ever (aOR, 6.809; 95% CI, 2.179 to 21.281; p=0.001). However, neither cat nor dog sensitization were associated with asthma, allergic rhinitis, parental or sibling atopic status, disease severity or quality of life.
    Conclusion: Physicians should advise parents that there is no direct correlation between AE severity, quality of life, asthma or allergic rhinitis with skin sensitization to cats or dogs. Sensitized patients especially those with concomitant asthma and severe symptoms may consider non-furry alternatives if they plan to have a pet. Highly sensitized individuals, especially those with asthma co-morbidity, may have to remove their pet for a trial period to determine if symptoms improve.
    Language English
    Publishing date 2017--14
    Publishing country United Arab Emirates
    Document type Journal Article
    ISSN 1875-6336
    ISSN (online) 1875-6336
    DOI 10.2174/1573396313666170615085018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Steroid phobia, Chinese medicine and asthma control.

    Ip, Ka Ian / Hon, Kam Lun / Tsang, Kathy Yin Ching / Leung, Theresa Ngan Ho

    The clinical respiratory journal

    2017  Volume 12, Issue 4, Page(s) 1559–1564

    Abstract: Background: Inhaled corticosteroids (ICS) are the mainstay of treatment for asthma. Corticosteroid (CS) phobia and fears are prevalent, and these may influence therapeutic efficacy and asthma control.: Aim: The aim of this study was to evaluate if CS ...

    Abstract Background: Inhaled corticosteroids (ICS) are the mainstay of treatment for asthma. Corticosteroid (CS) phobia and fears are prevalent, and these may influence therapeutic efficacy and asthma control.
    Aim: The aim of this study was to evaluate if CS fear is associated with asthma control in children.
    Methods: Patients aged >4 years with asthma at a pediatric outpatient clinic were surveyed, and the Asthma Control Test (ACT) was used for the assessment of asthma control.
    Results: Ninety-eight patients and their parents were interviewed. Thirty-four (35%) parents reported moderate or significant CS fear. They were more likely than those with no or little fear to have poorer asthma control (mean ACT scores 21.3 ± 4.0 vs 23.1 ± 3.3, P = 0.02), discuss their fears with their doctors (P < 0.001), request CS sparing medications (P = 0.044) and resort to Chinese medicine (CM) usage (P < 0.001). Backward binomial logistic regression showed parents with moderate/significant fears were more likely to discuss their fears with their doctors (OR: 5.21; 95% CI: 1.86-14.59; P = 0.002) and have used CM (OR: 4.28; 95% CI: 1.61-11.41; P = 0.004). CS fear was not translated to reduced self-reported compliance in the prescribed ICS. About 40% of the respondents had ever used Chinese Medicine (CM) with 82% of the users reported having used Chinese herbal medicine and 49% had used cold moxibustion.
    Conclusions: CS fear and CM usage are prevalent. Parents with CS fear were more likely to have children with poorer asthma control and have used Chinese medicine. Physicians caring for children with asthma should be aware of parents with CS fear, prepared to address the fear or concerns and offer evidence-based alternative treatment.
    MeSH term(s) Administration, Inhalation ; Adolescent ; Adrenal Cortex Hormones/administration & dosage ; Anti-Asthmatic Agents/administration & dosage ; Asthma/drug therapy ; Asthma/psychology ; Attitude to Health ; Child ; Child, Preschool ; Female ; Humans ; Male ; Medicine, Chinese Traditional/psychology ; Parents/psychology ; Phobic Disorders/epidemiology ; Surveys and Questionnaires
    Chemical Substances Adrenal Cortex Hormones ; Anti-Asthmatic Agents
    Language English
    Publishing date 2017-10-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2442214-9
    ISSN 1752-699X ; 1752-6981
    ISSN (online) 1752-699X
    ISSN 1752-6981
    DOI 10.1111/crj.12705
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Do we need another symptom score for childhood eczema?

    Hon, Kam Lun / Kung, Jeng Sum Charmaine / Tsang, Kathy Yin Ching / Yu, Jasmine Wai Sum / Cheng, Nam Sze / Leung, Ting Fan

    The Journal of dermatological treatment

    2018  Volume 29, Issue 5, Page(s) 510–514

    Abstract: Aim: It is important to objectively measure the severity of atopic dermatitis (AD). This study aims to investigate correlations among various clinical severity scores and determine how a severity score based on symptoms alone performs.: Methods: A ... ...

    Abstract Aim: It is important to objectively measure the severity of atopic dermatitis (AD). This study aims to investigate correlations among various clinical severity scores and determine how a severity score based on symptoms alone performs.
    Methods: A Chinese-translated symptom score based on Patient-Oriented Eczema Measure (POEM, a short-term subjective-symptom score), Scoring Atopic Dermatitis (SCORAD, a short-term subjective-symptom and objective-sign score), Nottingham Eczema Severity Score (NESS, a long-term subjective symptoms + objective signs), Children Dermatology Life Quality Index (CDLQI, a short-term subjective-symptom score), skin hydration (SH) and transepidermal water loss (TEWL) were compared and Spearman's rho correlations was evaluated.
    Results: 126 sets of clinical scores from eczema patients (mean age: 11.4 ± 5.6 years; 34.7% male) were evaluated. The modified-POEM, objective SCORAD, NESS and CDLQI correlated well with each other. All round, best correlations were obtained with POEM: Objective SCORAD (rho = 0.7, p < 0.001), NESS (rho = 0.69, p < 0.001), SCORAD symptom of itch (rho = 0.75, p < 0.01), SCORAD symptom of sleep loss (rho = 0.64, p < 0.01), CDLQI (rho = 0.77, p < 0.001) and SH (rho= -0.043, p < 0.05). Linear stepwise-backward regression demonstrated that POEM was independently associated with CDLQI parameters of pruritus (B: 2.16; p = 0.018), activities (B: 1.80; p = 0.009), sleep disturbance (B: 2.78; p < 0.001) and NESS parameter of sleep disturbance (B: 1.02; p = 0.003).
    Conclusion: Clinical scores for acute, chronic, subjective symptoms and objective signs correlated well with each other. The symptom measures by modified POEM is easy to perform by parents or patients and correlated better with most other clinical scores, making it an all-round ideal symptom-based severity score for research.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; China ; Eczema/diagnosis ; Eczema/pathology ; Female ; Humans ; Male ; Severity of Illness Index ; Translating
    Language English
    Publishing date 2018-01-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 1036299-x
    ISSN 1471-1753 ; 0954-6634
    ISSN (online) 1471-1753
    ISSN 0954-6634
    DOI 10.1080/09546634.2017.1373734
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clinical Signs, Staphylococcus and Atopic Eczema-Related Seromarkers.

    Hon, Kam Lun / Tsang, Kathy Yin Ching / Kung, Jeng Sum C / Leung, Ting Fan / Lam, Christopher W K / Wong, Chun Kwok

    Molecules (Basel, Switzerland)

    2017  Volume 22, Issue 2

    Abstract: Childhood eczema or atopic dermatitis (AD) is a distressing disease associated with pruritus, sleep disturbance, impaired quality of life and : Conclusions: Blood levels of anti-SEB, Th1, Treg and APC cytokines are correlated with various clinical ... ...

    Abstract Childhood eczema or atopic dermatitis (AD) is a distressing disease associated with pruritus, sleep disturbance, impaired quality of life and
    Conclusions: Blood levels of anti-SEB, Th1, Treg and APC cytokines are correlated with various clinical signs of AD. AD is a systemic immunologic disease involving
    MeSH term(s) Adolescent ; Antigen-Presenting Cells/immunology ; Biomarkers/blood ; Chemokines/blood ; Child ; Child, Preschool ; Dermatitis, Atopic/blood ; Dermatitis, Atopic/diagnosis ; Enterotoxins/blood ; Female ; Humans ; Immunoglobulin E/blood ; Male ; Pruritus/blood ; Pruritus/diagnosis ; Quality of Life ; Skin/microbiology ; Staphylococcus aureus ; T-Lymphocytes, Regulatory/immunology ; Th1 Cells/immunology ; Transforming Growth Factor beta/blood ; Tumor Necrosis Factor-alpha/blood
    Chemical Substances Biomarkers ; Chemokines ; Enterotoxins ; Transforming Growth Factor beta ; Tumor Necrosis Factor-alpha ; enterotoxin A, Staphylococcal (37337-57-8) ; Immunoglobulin E (37341-29-0) ; enterotoxin B, staphylococcal (39424-53-8)
    Language English
    Publishing date 2017-02-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1413402-0
    ISSN 1420-3049 ; 1431-5165 ; 1420-3049
    ISSN (online) 1420-3049
    ISSN 1431-5165 ; 1420-3049
    DOI 10.3390/molecules22020291
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Emollient Acceptability in Childhood Atopic Dermatitis: Not All Emollients are Equal.

    Hon, Kam Lun / Kung, Jeng Sum C / Tsang, Kathy Y C / Yu, Jasmine W S / Lee, Vivian W / Leung, Ting Fan

    Current pediatric reviews

    2017  Volume 14, Issue 2, Page(s) 117–122

    Abstract: Background: Eczema or Atopic Dermatitis (AD) is a common chronic relapsing skin disease associated with impaired quality of life. Regular usage of moisturizer/emollient is the mainstay of management but acceptability of emollient is often suboptimal. We ...

    Abstract Background: Eczema or Atopic Dermatitis (AD) is a common chronic relapsing skin disease associated with impaired quality of life. Regular usage of moisturizer/emollient is the mainstay of management but acceptability of emollient is often suboptimal. We investigated if emollient acceptability is influenced by various clinical factors in AD.
    Methods: A survey on frequency of emollient usage, brands, clinical factors including disease severity (Nottingham Eczema Severity Score, NESS), quality of life (Children Dermatology Life Quality Index, CDLQI), Transpidermal Water Loss (TEWL), and Skin Hydration (SH) was performed. Acceptability was classified as very good, good, fair or poor.
    Results: We evaluated 128 AD patients. NESS correlated with CDLQI and the treatment domain of CDLQI. Emollient usage is elementary for AD treatment. 89.1% of patients reported that doctor's recommendation was the major source of advice when choosing an emollient. Aqueous cream (AQ) and petroleum-derived products were among the commonly used emollients. More aqueous cream users reported fair/poor acceptability (p=0.017) and lower SH (p<0.05). Linear regression showed that patients who thought their emollient as fair or poor were currently using AQ (p=0.003), their emollient not recommended by a doctor (p=0.035), with more severe disease (p=0.04), and had lower emollient usage in winter (p=0.05).
    Conclusion: Physicians play a pivotal role in assisting patients to select an emollient that they will accept and use consistently. The studied emollients are generally acceptable by over 80% patients. However, aqueous cream is least acceptable by patients, making it the least favorable emollient to recommend to patients.
    MeSH term(s) Adolescent ; Child ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/drug therapy ; Dermatitis, Atopic/psychology ; Emollients/therapeutic use ; Female ; Health Care Surveys ; Humans ; Linear Models ; Male ; Patient Acceptance of Health Care/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Physician-Patient Relations ; Quality of Life ; Self Care/psychology ; Self Care/statistics & numerical data ; Self Report ; Severity of Illness Index
    Chemical Substances Emollients
    Language English
    Publishing date 2017-06-02
    Publishing country United Arab Emirates
    Document type Journal Article
    ISSN 1875-6336
    ISSN (online) 1875-6336
    DOI 10.2174/1573396313666170605080034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Testing the Actions of a Multi-action Emollient: Patient's Acceptability Determines Product Efficacy.

    Hon, Kam Lun / Kung, Jeng Sum C / Tsang, Kathy Yin Ching / Yu, Jasmine W S / Lee, Vivian W / Leung, Ting Fan

    Current pediatric reviews

    2017  Volume 14, Issue 2, Page(s) 110–116

    Abstract: Aim: Eczema or Atopic Dermatitis (AD) is associated with itch, sleep disturbance, impaired life quality, reduced skin hydration, impaired epidermal barrier function and colonization by Staphylococcus aureus (SA). We investigated an emollient with ... ...

    Abstract Aim: Eczema or Atopic Dermatitis (AD) is associated with itch, sleep disturbance, impaired life quality, reduced skin hydration, impaired epidermal barrier function and colonization by Staphylococcus aureus (SA). We investigated an emollient with claimed multi-actions on barrier repair, antihistaminergic and antimicrobial effects.
    Methods: Consecutive AD patients were recruited. Swabs and cultures from eczematous areas, disease severity (SCOring Atopic Dermatitis score: SCORAD), quality-of-life (Children Dermatology Life Quality Index, CDLQI), Skin Hydration (SH), and Transepidermal Water Loss (TEWL) were obtained before and 4-week following usage of the emollient. Global or General Acceptability of Treatment (GAT) was obtained (as very good, good, fair or poor).
    Results: 30 AD patients were recruited. 73% reported "very good" or "good", whereas 27% reported "fair" or "poor" GAT of the emollient. Following the use of the multi-action emollient, area affected, disease intensity and severity significantly improved, especially in the very good/good group (p=0.006-0.035). There was no significant improvement of itch or sleep scores, quality of life, SH, TEWL, S. aureus colonization status, or use of topical treatments. When compared with the historical data of another product, there was no statistical difference between the two creams.
    Conclusion: The emollient is acceptable in nearly three-quarter of AD patients. Patients that accept the moisturizer have less area affected, disease intensity and severity than the non-accepting counterparts following its usage. Despite claim for multi-action, there were no appreciable quality-oflife, anti-itch, skin barrier, and anti-microbial effects.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/drug therapy ; Emollients/therapeutic use ; Female ; Humans ; Male ; Patient Acceptance of Health Care ; Treatment Outcome
    Chemical Substances Emollients
    Language English
    Publishing date 2017-11-04
    Publishing country United Arab Emirates
    Document type Clinical Trial ; Journal Article
    ISSN 1875-6336
    ISSN (online) 1875-6336
    DOI 10.2174/1573396313666171117114005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Pilot crossover trial of Reiki versus rest for treating cancer-related fatigue.

    Tsang, Kathy L / Carlson, Linda E / Olson, Karin

    Integrative cancer therapies

    2007  Volume 6, Issue 1, Page(s) 25–35

    Abstract: Fatigue is an extremely common side effect experienced during cancer treatment and recovery. Limited research has investigated strategies stemming from complementary and alternative medicine to reduce cancer-related fatigue. This research examined the ... ...

    Abstract Fatigue is an extremely common side effect experienced during cancer treatment and recovery. Limited research has investigated strategies stemming from complementary and alternative medicine to reduce cancer-related fatigue. This research examined the effects of Reiki, a type of energy touch therapy, on fatigue, pain, anxiety, and overall quality of life. This study was a counterbalanced crossover trial of 2 conditions: (1) in the Reiki condition, participants received Reiki for 5 consecutive daily sessions, followed by a 1-week washout monitoring period of no treatments, then 2 additional Reiki sessions, and finally 2 weeks of no treatments, and (2) in the rest condition, participants rested for approximately 1 hour each day for 5 consecutive days, followed by a 1-week washout monitoring period of no scheduled resting and an additional week of no treatments. In both conditions, participants completed questionnaires investigating cancer-related fatigue (Functional Assessment of Cancer Therapy Fatigue subscale [FACT-F]) and overall quality of life (Functional Assessment of Cancer Therapy, General Version [FACT-G]) before and after all Reiki or resting sessions. They also completed a visual analog scale (Edmonton Symptom Assessment System [ESAS]) assessing daily tiredness, pain, and anxiety before and after each session of Reiki or rest. Sixteen patients (13 women) participated in the trial: 8 were randomized to each order of conditions (Reiki then rest; rest then Reiki). They were screened for fatigue on the ESAS tiredness item, and those scoring greater than 3 on the 0 to 10 scale were eligible for the study. They were diagnosed with a variety of cancers, most commonly colorectal (62.5%) cancer, and had a median age of 59 years. Fatigue on the FACT-F decreased within the Reiki condition (P=.05) over the course of all 7 treatments. In addition, participants in the Reiki condition experienced significant improvements in quality of life (FACT-G) compared to those in the resting condition (P <.05). On daily assessments (ESAS) in the Reiki condition, presession 1 versus postsession 5 scores indicated significant decreases in tiredness (P <.001), pain (P <.005), and anxiety (P<.01), which were not seen in the resting condition. Future research should further investigate the impact of Reiki using more highly controlled designs that include a sham Reiki condition and larger sample sizes.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anxiety/therapy ; Complementary Therapies/methods ; Cross-Over Studies ; Fatigue/etiology ; Fatigue/therapy ; Female ; Humans ; Male ; Middle Aged ; Neoplasms/complications ; Neoplasms/therapy ; Pain Management ; Quality of Life ; Rest ; Surveys and Questionnaires ; Therapeutic Touch
    Language English
    Publishing date 2007-03
    Publishing country United States
    Document type Clinical Trial ; Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2182320-0
    ISSN 1552-695X ; 1534-7354
    ISSN (online) 1552-695X
    ISSN 1534-7354
    DOI 10.1177/1534735406298986
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Urine Comprehensive Drug Screen, Low Birth Weight and Withdrawal Symptoms in a Neonatal Unit: A Case Control Study.

    Hon, Kam L / Chan, Michael H M / Ng, Ming H J / Ho, Chi C / Tsang, Kathy Y C / Tam, Wing H / Ho, Chung S

    Current clinical pharmacology

    2015  Volume 11, Issue 4, Page(s) 274–281

    Abstract: Objective: Maternal drug abuse may influence neonatal outcomes. We compared neonatal outcomes of patients with urine screened positive for commonly abused drugs (CAD) versus those who were screened negative, and reviewed the pattern of drugs detected at ...

    Abstract Objective: Maternal drug abuse may influence neonatal outcomes. We compared neonatal outcomes of patients with urine screened positive for commonly abused drugs (CAD) versus those who were screened negative, and reviewed the pattern of drugs detected at a university teaching hospital.
    Methods: Urine samples collected from babies with suspected illicit drug exposure who were admitted to the neonatal unit were sent for comprehensive drug screen (CDS) performed by liquid chromatographytime- of-flight mass spectrometry (LC-TOF/MS). The screening library can detect more than 300 drugs and their metabolites. Fluorescence polarization immunoassay (FPIA) was also used to screen for cannabinoids which were not detected by the present LC-TOF/MS method. Symptoms suggestive of drug exposure and history of maternal substance misuse were recorded.
    Results: Commonly abused drugs (CAD) including methadone, morphine, codeine, methamphetamine, ketamine, midazolam and heroin were present in the urine specimens of 46 (24.2%) of 190 neonates. Eighty-one (42.6%) urine samples screened positive for other drugs, which include antibiotics, lidocaine and pethidine administered during delivery. Drugs were undetectable in 33.2% samples. Urine positive for CAD was independently associated with maternal history of substance misuse (0.0001), birth-weight 2.5 kg (OR 2.9,0.01), neonatal withdrawal symptomatology (OR=8.89, 0.0001); but not with risk of preterm delivery. Logistic regression demonstrated that neonates with maternal history of substance misuse and CAD positivity were 5.99 (p=0.021) and 5.91 (0.0005) times more likely to have withdrawal symptoms.
    Conclusions: CADs are isolated in the CDS of nearly one-fourth of neonates. Neonates with maternal history of CAD exposure as evidenced by positive urine CDS are associated with low birth weight, and symptoms of drug withdrawal.
    MeSH term(s) Case-Control Studies ; Chromatography, Liquid/methods ; Female ; Fluorescence Polarization Immunoassay/methods ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Logistic Models ; Mass Spectrometry/methods ; Neonatal Abstinence Syndrome/diagnosis ; Neonatal Abstinence Syndrome/urine ; Pregnancy ; Pregnancy Complications ; Retrospective Studies ; Street Drugs/analysis ; Substance Abuse Detection/methods ; Substance-Related Disorders/complications
    Chemical Substances Street Drugs
    Language English
    Publishing date 2015-02-20
    Publishing country United Arab Emirates
    Document type Journal Article
    ZDB-ID 2250809-0
    ISSN 2212-3938 ; 1574-8847
    ISSN (online) 2212-3938
    ISSN 1574-8847
    DOI 10.2174/1574884711666161010164435
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women.

    Nguyen, Kim Hanh / Subramanian, S V / Sorensen, Glorian / Tsang, Kathy / Wright, Rosalind J

    Journal of epidemiology and community health

    2012  Volume 66, Issue 4, Page(s) 315–321

    Abstract: Background: Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse.: Methods: We examined associations between self- ... ...

    Abstract Background: Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse.
    Methods: We examined associations between self-reported experiences of racial discrimination on prenatal smoking among urban black and Hispanic women aged 18-44 years (n=677). Our main independent variable was created from the Experiences of Discrimination (EOD) scale. Multivariable logistic regression models were estimated to examine the relationship between EOD (moderate EOD as the referent group) and smoking for the entire sample and then separately by race/ethnicity adjusted for sociodemographic variables. We also examined the role of ethnic identity (EI) as a buffer to racial discrimination (n=405).
    Results: The prevalence of smoking was 18.1% versus 10% for black and Hispanic women, respectively (p=0.002). There were no significant differences in the level of EOD based on race. In multivariate regressions, compared to those reporting moderate EOD, women reporting high discrimination (OR 2.64, 95% CI 1.25 to 5.60) had higher odds of smoking. In stratified analyses, this relationship remained significant only in black women. Results suggest that foreign-born Hispanic women with higher EI were less likely to smoke compared to their low-EI counterparts (3.5 vs 10.1%; p=0.08).
    Conclusion: These are the first data in pregnant minority women showing an association between discrimination and increased risk of smoking particularly among black women. Ethnic identity and nativity status were also associated with smoking risk. Smoking cessation programmes should consider such factors among childbearing minority women.
    MeSH term(s) Adolescent ; Adult ; African Continental Ancestry Group/psychology ; Asthma/diagnosis ; Boston/epidemiology ; Female ; Hispanic Americans/psychology ; Humans ; Logistic Models ; Prejudice ; Prenatal Care ; Prospective Studies ; Smoking/epidemiology ; Smoking/ethnology ; Social Perception ; Socioeconomic Factors ; Stress, Psychological/ethnology ; Surveys and Questionnaires ; Urban Population/statistics & numerical data
    Language English
    Publishing date 2012-04
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 391868-3
    ISSN 1470-2738 ; 0142-467X ; 0141-7681 ; 0143-005X
    ISSN (online) 1470-2738
    ISSN 0142-467X ; 0141-7681 ; 0143-005X
    DOI 10.1136/jech.2009.107516
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Patient ethnicity: a key predictor of cancer care satisfaction.

    Thomas, Bejoy C / Groff, Shannon L / Tsang, Kathy / Carlson, Linda E

    Ethnicity & health

    2009  Volume 14, Issue 4, Page(s) 351–358

    Abstract: Introduction: Research in cancer care satisfaction itself is scarce; investigation of the role of ethnicity in care satisfaction is even rarer.: Objective: The present study examined relationships between ethnicity and satisfaction with care in a ... ...

    Abstract Introduction: Research in cancer care satisfaction itself is scarce; investigation of the role of ethnicity in care satisfaction is even rarer.
    Objective: The present study examined relationships between ethnicity and satisfaction with care in a sample of 759 patients diagnosed with three different types of cancer (lung, head and neck, or gynecologic) from a large tertiary cancer hospital.
    Method: Respondents filled out an assessment package that consisted of demographics, the Ware Patient Satisfaction Questionnaire-III (PSQ-III), 17 additional items constructed by the research team to examine other specific areas of satisfaction, and the Psychological Screen for Cancer (PSSCAN) Part C, to measure anxiety and depression.
    Results: In a multivariate analysis, being non-White emerged as the primary predictor variable (beyond patient age, gender, marital status, education, cancer site, duration of illness, and presence or absence of metastases) of several of the PSQ-III satisfaction subscales. Conclusion. Health care systems must consider how to become more responsive to the needs of all individuals, regardless of their ethnic background and levels of acculturation.
    MeSH term(s) Aged ; Alberta ; Cancer Care Facilities ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Neoplasms/ethnology ; Neoplasms/therapy ; Patient Satisfaction/ethnology ; Surveys and Questionnaires
    Language English
    Publishing date 2009-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1497968-8
    ISSN 1465-3419 ; 1355-7858
    ISSN (online) 1465-3419
    ISSN 1355-7858
    DOI 10.1080/13557850802638203
    Database MEDical Literature Analysis and Retrieval System OnLINE

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