The study examined prevalence, awareness, and care patterns for GERD among Caucasian, African American, Asian, and Hispanic populations in the U.S. It found that Hispanics had the highest rates of monthly GERD symptoms at 50%, while Asians had the lowest at 20%. While all groups experienced heartburn, knowledge about GERD varied between ethnicities. For severe symptoms, Hispanics were more likely than other groups to seek care at a clinic or emergency room. The study highlights differences in GERD impacts and management between minority populations in the U.S.
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Presented by: Dr. Paul C Rogers, MBChB, FRCPC, FRCP(Lond), MBA
In this webinar, Dr. Rogers will discuss:
1) Nutrition from a cancer control perspective
2) The importance of continuous longitudinal nutritional assessment from diagnosis through survivorship
3) The role of nutrition on the well being of cancer survivors and chronic disease prevention
4) Incorporating nutritional research in survivorship research
View the YouTube video: https://youtu.be/Wk3dJ0rvJUY
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School of Psychology, University of Sydney.
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
This presentation offers stats, trends, and factors associated with higher HIV-infection risk and how clinicians can attend to it.This was my presentation for Bayless Bahavioral Health- Didactic training on 12.10.13, it explores the HIV problem in the US and AZ and
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Krista Noonan is a medical oncologist specializing in thoracic and genitourinary malignancies at BC Cancer, Surrey Centre. Her research interests focus on thoracic and genitourinary malignancies and health services research. On Thursday, February 27, join Dr. Noonan as she: - Reviews the advancements in systemic therapy in lung cancer over the past decade - Highlights how the advancements in systemic therapy have dramatically improved quality of life and length of life.
View the video: https://youtu.be/3DaUwQ8ab44
To learn more about CCSN, visit us at survivornet.ca
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Cancer and US Latinos
Daniel Santibanez, MPH, University of North Florida
June 24, 2005 - UNF Hispanic Health Issues Seminar
This is part 5 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Don't miss our upcoming webinars! Subscribe today!
Presented by: Dr. Paul C Rogers, MBChB, FRCPC, FRCP(Lond), MBA
In this webinar, Dr. Rogers will discuss:
1) Nutrition from a cancer control perspective
2) The importance of continuous longitudinal nutritional assessment from diagnosis through survivorship
3) The role of nutrition on the well being of cancer survivors and chronic disease prevention
4) Incorporating nutritional research in survivorship research
View the YouTube video: https://youtu.be/Wk3dJ0rvJUY
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
School of Psychology, University of Sydney.
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
This presentation offers stats, trends, and factors associated with higher HIV-infection risk and how clinicians can attend to it.This was my presentation for Bayless Bahavioral Health- Didactic training on 12.10.13, it explores the HIV problem in the US and AZ and
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Krista Noonan is a medical oncologist specializing in thoracic and genitourinary malignancies at BC Cancer, Surrey Centre. Her research interests focus on thoracic and genitourinary malignancies and health services research. On Thursday, February 27, join Dr. Noonan as she: - Reviews the advancements in systemic therapy in lung cancer over the past decade - Highlights how the advancements in systemic therapy have dramatically improved quality of life and length of life.
View the video: https://youtu.be/3DaUwQ8ab44
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Cancer and US Latinos
Daniel Santibanez, MPH, University of North Florida
June 24, 2005 - UNF Hispanic Health Issues Seminar
This is part 5 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Don't miss our upcoming webinars! Subscribe today!
In this webinar, Dr. Durand will review the changing landscape of HPV-related diseases and cancers. She will discuss methods of HPV prevention for current cancer patients and cancer survivors. Attendees will learn about the evidence for HPV vaccination in adults. Practical tips will be provided on how to access HPV vaccination.
View the YouTube video: https://youtu.be/wFgpmqOpzC4
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
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It has been estimated that at least one in ten of the patients seen in primary care has a disorder with a genetic component.
There are three main themes of genetics in primary care: identifying patients with, or at risk of, a genetic condition; clinical management of genetic conditions; communicating genetic information.
Taking and considering a genetic family history is a key skill in identifying families with Mendelian disorders and clusters of common conditions such as cancer, cardiovascular disease and diabetes.
General practitioners (GPs) have a key role in identifying patients and families who would benefit from being referred to appropriate specialist genetic services.
General practice plays a key part in discussing results from the antenatal and newborn screening programs which are identifying carriers and people affected with genetic conditions.
Information about genetic susceptibility in common conditions (currently being gathered through research studies) is likely to offer additional information about risk factors to aid management.
Genomic information is currently being utilized in the stratified use of certain medicines.
This essay gives the descriptive account of how Paratransit services are in need of better assessment criteria but it also highlights the expense of managing a program that caters to people who are disabled.
Cancer Disparities in the 21st Century - Otis W. Brawley, M.D.bkling
Racial disparities in breast cancer mortality have been clearly documented despite widespread screening and advances in treatment. Otis W. Brawley, M.D., the Bloomberg Distinguished Professor of Oncology and Epidemiology at Johns Hopkins University, will explore with us: what causes these disparities, and what steps are needed to facilitate change?
Branch vital, angela condom use among african-american women-nfmij-6-1-09William Kritsonis
Dr. William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. Kritsonis has served as an elementary school teacher, elementary and middle school principal, superintendent of schools, director of student teaching and field experiences, professor, author, consultant, and journal editor. Dr. Kritsonis has considerable experience in chairing PhD dissertations and master thesis and has supervised practicums for teacher candidates, curriculum supervisors, central office personnel, principals, and superintendents. He also has experience in teaching in doctoral and masters programs in elementary and secondary education as well as educational leadership and supervision. He has earned the rank as professor at three universities in two states, including successful post-tenure reviews.
Hepatitis C Risk Assessment, Testing and Referral for Treatment in primary Ca...Real Wellness, LLC
Dr. Robert Winn worked with a team to determine rates of hepatitis C (HCV) risk factor ascertainment, testing, and referral in urban primary care practices, with particular attention to the effect of race and ethnicity.
Don't miss our upcoming webinars! Subscribe today!
In this webinar, Dr. Durand will review the changing landscape of HPV-related diseases and cancers. She will discuss methods of HPV prevention for current cancer patients and cancer survivors. Attendees will learn about the evidence for HPV vaccination in adults. Practical tips will be provided on how to access HPV vaccination.
View the YouTube video: https://youtu.be/wFgpmqOpzC4
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
It has been estimated that at least one in ten of the patients seen in primary care has a disorder with a genetic component.
There are three main themes of genetics in primary care: identifying patients with, or at risk of, a genetic condition; clinical management of genetic conditions; communicating genetic information.
Taking and considering a genetic family history is a key skill in identifying families with Mendelian disorders and clusters of common conditions such as cancer, cardiovascular disease and diabetes.
General practitioners (GPs) have a key role in identifying patients and families who would benefit from being referred to appropriate specialist genetic services.
General practice plays a key part in discussing results from the antenatal and newborn screening programs which are identifying carriers and people affected with genetic conditions.
Information about genetic susceptibility in common conditions (currently being gathered through research studies) is likely to offer additional information about risk factors to aid management.
Genomic information is currently being utilized in the stratified use of certain medicines.
This essay gives the descriptive account of how Paratransit services are in need of better assessment criteria but it also highlights the expense of managing a program that caters to people who are disabled.
Cancer Disparities in the 21st Century - Otis W. Brawley, M.D.bkling
Racial disparities in breast cancer mortality have been clearly documented despite widespread screening and advances in treatment. Otis W. Brawley, M.D., the Bloomberg Distinguished Professor of Oncology and Epidemiology at Johns Hopkins University, will explore with us: what causes these disparities, and what steps are needed to facilitate change?
Branch vital, angela condom use among african-american women-nfmij-6-1-09William Kritsonis
Dr. William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. Kritsonis has served as an elementary school teacher, elementary and middle school principal, superintendent of schools, director of student teaching and field experiences, professor, author, consultant, and journal editor. Dr. Kritsonis has considerable experience in chairing PhD dissertations and master thesis and has supervised practicums for teacher candidates, curriculum supervisors, central office personnel, principals, and superintendents. He also has experience in teaching in doctoral and masters programs in elementary and secondary education as well as educational leadership and supervision. He has earned the rank as professor at three universities in two states, including successful post-tenure reviews.
Hepatitis C Risk Assessment, Testing and Referral for Treatment in primary Ca...Real Wellness, LLC
Dr. Robert Winn worked with a team to determine rates of hepatitis C (HCV) risk factor ascertainment, testing, and referral in urban primary care practices, with particular attention to the effect of race and ethnicity.
Presentation on Child and Adult Attachment Theory. Also includes result of a small survey done with my friends. Part of the 'Personality and Development' course at IIT Delhi
EXPLORING U.S. MINORITY ATTITUDES TOWARDS CLINICAL TRIALSCOUCH Health
Patient diversity is still a huge issue in clinical trials. And like us, you might be wondering why this is still an ongoing challenge, and how can it be improved?
This report summarises research from ethnic minority groups in the US to find the answers to those very questions.
Ethnicity and Differential Access to Care for Eating Disorder SymptomsDr David Herzog
Dr David Herzog discusses how Ethnicity impacts Differential Access to Care for Eating Disorder Symptoms, and what the reality of the disease is vs. our public perceptions.
The FDA plans to prioritize improvements in the quality of demographic subgroup data collection, reporting and analysis, encourages greater participation of diverse patients, and supports the transparency of subgroup data. To this end, ways to recruit, engage, educate, and study those of diverse backgrounds to alopecia areata trials will be discussed.
Latinos in the U.S. and Northeast Florida: A Health Overview
Feb. 25, 2005
This is part 1 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
UNF Hispanic Health Issues Seminars: Brief Review
Dr. Judith Rodriguez, RD and Daniel Santibanez, MPH, RD, Department of Public Health, University of North Florida
September 23, 2005 - UNF Hispanic Health Issues Seminars
This is part 8 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of the Duval County Health Department.
Andres Pumariega, M.D. -
Member, RiverMend Health Scientific Advisory Board for Eating Disorders & Obesity
Professor and Chair, Department of Psychiatry,
Cooper Medical School, Rowan University
Dr. Pumariega addresses the RiverMend Health Scientific Advisory Board on the statistics and effects of obesity in society
To watch lecture visit :http://vimeo.com/112420763
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
Presented by
Salim Chowdhury, MD - Community Care
Curtis Upsher, Jr. MS - Director Community Relations - Community Care
Medicine, Culture, and Spirituality Conference
September 9, 2011
Aetna Presentations Latinos and Mental DisordersDanny Santibanez
HISPANICS: Mental & Emotional Disorders
Eneida Gómez, MD, Child, Adolescent & Adult Psychiatrist, St. Johns County Health Department
August 26, 2005 - UNF Hispanic Health Issues Seminar
This is part 7 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
On August 10, I had the wonderful opportunity to work with a group of amazing individuals to assess the biases present in our current healthcare system. This project was a part of a summer intensive program through MedSTEMPowered.
Running head: MODULE 3 - SLP 1
MODULE 3 – SLP 2
Module 3 – SLP
Elizabeth Davis
Trident International University
Dr. Sharlene Gozalians
13 May 2019
Module 3 – SLP
In a bid to control the prevalence of diabetes among the African Americans, it is important to examine a number of attributes of culture that can empower a person towards changing a behavior. The factors may be positive, existential, and negative. Existential factors may be not harmful but need to be acknowledged. The importance of a family cannot be ignored especially because of the support they provide to diabetic patients. Family is therefore a positive cultural value which will assist in managing diabetes disease. This paper therefore seeks to address how each of the PEN-3 model’s three factors within the dimension of cultural empowerment applies to the African American group.
It is important to explore by identifying several cultural beliefs and practices that are positive, existential and negative. Positive factors are likely to lead to an improvement by reducing the prevalence of diabetes among the African Americans. Existential factors are existing cultural values and beliefs that may have no harmful health consequences. Cultural practices that may act as barriers in controlling the prevalence of diabetes among the African Americans are the negative factors. Example of these negative practices includes poor nutrition leading to obesity.
Positive Factors
The positive factors which will influence management and control of diabetes among the African Americans include spirituality and family. For example, talking about a family affair with diabetes will make a great impact in controlling diabetes among the African Americans. This is because it will create awareness of how to handle and deal with diabetes. Spirituality will have a positive impact in controlling the prevalence of diabetes among the African Americans. African Americans who have spiritual faith are likely to engage in activities which will reduce the prevalence of the disease.
Existential Factors
Existential factors include faith healing. A belief in faith healing is a factor which is likely to reduction in prevalence of diabetes among the African Americans. Individuals who are religious are likely to visit religious leaders to seek healing and intervention. Many individuals confess that they got healed after being prayed for by the Pastors and other religious leaders. This is attributed to believing in faith healing.
Negative Factors
Consumption of “comfort foods” is common in the diet of the African Americans. These foods contain high fat, sugar, and calorie contents. Example of negative cultural factors includes unhealthy traditional foods. Poor nutrition among the African Americans is more l.
Running head: MODULE 3 - SLP 1
MODULE 3 – SLP 2
Module 3 – SLP
Elizabeth Davis
Trident International University
Dr. Sharlene Gozalians
13 May 2019
Module 3 – SLP
In a bid to control the prevalence of diabetes among the African Americans, it is important to examine a number of attributes of culture that can empower a person towards changing a behavior. The factors may be positive, existential, and negative. Existential factors may be not harmful but need to be acknowledged. The importance of a family cannot be ignored especially because of the support they provide to diabetic patients. Family is therefore a positive cultural value which will assist in managing diabetes disease. This paper therefore seeks to address how each of the PEN-3 model’s three factors within the dimension of cultural empowerment applies to the African American group.
It is important to explore by identifying several cultural beliefs and practices that are positive, existential and negative. Positive factors are likely to lead to an improvement by reducing the prevalence of diabetes among the African Americans. Existential factors are existing cultural values and beliefs that may have no harmful health consequences. Cultural practices that may act as barriers in controlling the prevalence of diabetes among the African Americans are the negative factors. Example of these negative practices includes poor nutrition leading to obesity.
Positive Factors
The positive factors which will influence management and control of diabetes among the African Americans include spirituality and family. For example, talking about a family affair with diabetes will make a great impact in controlling diabetes among the African Americans. This is because it will create awareness of how to handle and deal with diabetes. Spirituality will have a positive impact in controlling the prevalence of diabetes among the African Americans. African Americans who have spiritual faith are likely to engage in activities which will reduce the prevalence of the disease.
Existential Factors
Existential factors include faith healing. A belief in faith healing is a factor which is likely to reduction in prevalence of diabetes among the African Americans. Individuals who are religious are likely to visit religious leaders to seek healing and intervention. Many individuals confess that they got healed after being prayed for by the Pastors and other religious leaders. This is attributed to believing in faith healing.
Negative Factors
Consumption of “comfort foods” is common in the diet of the African Americans. These foods contain high fat, sugar, and calorie contents. Example of negative cultural factors includes unhealthy traditional foods. Poor nutrition among the African Americans is more l.
Communities of Color and Participation in Breast Cancer Researchbkling
40 percent of Americans belong to a minority racial or ethnic group, yet only 2 percent of cancer clinical trials have studied enough minorities to provide useful information to these populations. In this webinar Dr. Susan Love, from the Dr. Susan Love Research Foundation, presents on the importance of including communities of color in breast cancer research, the barriers to diversifying research, and what can be done to address them.
Nutrition and Secondary Prevention: A public health projectdebbiewalkerr
Nutrition and Secondary Prevention: A public health project
University of Florida
Amarillys Alvarado-Sojo, Christie Champaign,
Kristin Miller, Debbie Walker, Chris Weiss
86% of Americans believe developing cures for more forms of cancer should be one of the top national health priorities, followed by developing effective treatments for heart disease (78 percent) and more intensive medical care for seniors (76 percent), according to a new survey commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA) and conducted by Hart Research Associates.
2. A Quick Look
Study: Conducted to examine
prevalence, awareness and care patterns for GERD
across 4 ethnic groups (Caucasian, African-
American, Asian, and Hispanic).
Method: Used a population-based, cross
sectional, survey fielded in English, Chinese and
Spanish
Results: 1,172 participants were included for
analysis of GERD symptoms:
Monthly – 34.6%
Weekly – 26.2%
Daily – 8.2%
3. A Quick Look
As compared by ethnic groups:
Hispanics – 50%
Caucasians – 37%
African-Americans – 31%
Asians – 20%
Conclusion: The study confirms high prevalence
rates in the Hispanic community, with Asian
Americans experiencing higher rates in the U.S. than
the Far East.
Also confirms a need for culturally appropriate
education about GERD symptoms and treatment
4. Background Information
GERD defined as a chronic disorder characterized by
heart burn and regulation.
Other studies show higher rates in Western Nations
(20-40%) particularly in Caucasians.
Medical care was sought when symptoms impacted
quality of life, self-treatment was ineffective, and
when concern could be resolved with care and a
prescription medication.
Cultural and Ethnic factors that affected seeking
help: issues of trust, language, literacy and
comprehension barriers
5. Background Information
Personal beliefs can also have an affect on seeking
help. These include:
Beliefs about self-treatment
Lack of control of health
Modesty
Embarrassment
Fear of illness
Attitude of fatalism
It was found that medical information was sought
from the media and “word of mouth” more
frequently than from healthcare providers.
6. This Study
This study was conducted to better understand
prevalence, knowledge, and health seeking behaviors
among ethnic groups.
A small, population-based, observational study
(Philadelphia, PA) that looked at:
African Americans
Asian Americans
Hispanics
Caucasians
7. Method
Study Population
Included a minimum of 200 adults (≥18 years)
Had to be from one of the four groups
African-American
Asian
Hispanic/Latino
Caucasion
Targeted at least 200 from each group, attending local
community centers or faith-based community activities.
Survey Methods:
36 question, 8 page survey adapted from Srinivasan’s
description survey and Locke’s validated instrument
8. Method
Domains include:
Familiarity with term GERD
Prevalence of heartburn
Diagnosis of GERD
Medication use
Social impact
Attitudes about seeking care
Knowledge about heartburn or GERD
Sources of information
Beliefs about symptomatic relief for heartburn
Beliefs about symptoms associated with heartburn
Intentions for treating heartburn
Demographics (gender, marital status, education, employment
status, income, race/ethnicity, weight, and height)
9. Method
Statistical Methods an Analysis:
Data was entered into an Access database and analyzed using SAS 9.1.
The Prevalence of GERD was calculated for each of the ethnic groups
and then compared controlling for age, gender, and other
demographic variables
Knowledge, attitudes and care seeking patterns were assessed for
those reporting GERD symptoms and compared in the four ethnic
groups
Questionnaire also featured two questions to assess:
Prevalence of heartburn after a meal
Prevalence after going to sleep
Final measure for prevalence to account for all who indicated
experiencing heartburn in general, after a meal, and after going to
sleep.
10. Results
1,172 surveys were included in the analysis
African-Americans – 34%
Caucasians – 27%
Hispanics – 21%
Asians – 18%
Population Prevalence: Observed differences in
populations:
Monthly – 34.6%
Weekly – 26.2%
Daily - 8.2%
Statistically significant differences were found:
50% of Hispanics compared with 37.0% of Caucasians
30.8% of African-Americans compared with 19.9% of Asians
11. Results
Hispanics were shown to have highest rate of
prevalence across all frequencies and Asians were
shown to have the lowest across all frequencies.
Adjusted Monthly Prevalence:
Age and gender differences in prevalence were found between
ethnic groups.
These rates were:
Hispanics – 47.9%
Caucasians – 36.1%
African-Americans – 26.6%
Asians – 20.4%
12. Results
Conditional Prevalence after Eating or Sleeping:
Statistically significant differences found between the ethnic groups
for both conditions (after a meal and after going to sleep)
The “after a meal” rates were as follows and across all frequencies:
Hispanics – 50.4%
Caucasians – 40.7%
African-Americans – 35.4%
Asians – 27.5
The “after going to sleep” rates were as follows and across
all frequencies:
Hispanics – 38.1%
Caucasians – 29.6%
African-Americans – 23.4%
Asians – 19.5%
13. Results
General Occurrence of Heartburn
The differences between the ethnic groups were consistent
with the differences in monthly prevalence
The rates for heartburn in general were as follows:
Hispanics – 50.4%
Caucasians – 36.3%
African-Americans – 29.8%
Asians – 20.4%
14. Results
Awareness and Knowledge of GERD:
Study also assessed awareness and knowledge of GERD
symptoms
Familiarity with terms
74.4% was familiar with the term “Gastro-esophageal Reflux
Disease” or GERD
61.0% of males reported familiarity
80.2% of females reported familiarity
Hispanics had the highest prevalence of GERD but familiarity was
lower (72.4%) compared to Caucasians (78.2%) and Asians (74.4%)
15. Results
Awareness and Knowledge of GERD cont.:
Beliefs concerning continual occurrences of GERD:
76.3% who suffered symptoms believed serious heartburn could lead
to ulcers, while 5.6% disagreed
Hispanics were more likely to disagree while Asians were least likely
44.9% who suffered symptoms believed serious heartburn could lead
to cancer, while 19.7% disagreed and 35.4% were neutral
Participants across all ethnic groups were more confident that
heartburn could lead to ulcers and less confident that it could lead to
cancer
Beliefs concerning treatment techniques for GERD:
19.1% of African-Americans and 21.8% of Hispanics believed that
lying down for 2-3 hours after eating would help control heartburn
compared to 14.7% by Asians and 9.5% by Caucasians
46.2% of African-American and 45.5% of Hispanics believed that
smaller more frequent meals might control heartburn compared to
72.1% by Asians and 57.8% by Caucasians
16. Results
Awareness and Knowledge of GERD cont.:
Beliefs concerning treatment techniques for GERD:
19.1% of African-Americans and 21.8% of Hispanics believed that
lying down for 2-3 hours after eating would help control heartburn
compared to 14.7% by Asians and 9.5% by Caucasians
46.2% of African-American and 45.5% of Hispanics believed that
smaller more frequent meals might control heartburn compared to
72.1% by Asians and 57.8% by Caucasians
Care Seeking Patterns:
33.7% of those that suffered GERD symptoms had been
diagnosed by a doctor
No significant differences in diagnosis rates by a doctor
between gender, education level, or household income
17. Results
Care Seeking Patterns:
33.7% of those that suffered GERD symptoms had been
diagnosed by a doctor
No significant differences in diagnosis rates by a doctor
between gender, education level, or household income
18. Results
In the case of experiencing severe heartburn symptoms:
Hispanics were more likely to go to the clinic (28.9%) compared to
African-Americans (24.3%), Asians (20.6%), and Caucasians
(12.2%)
African-Americans (37.6%) and Hispanics (28.9%) were more likely
to go to the ER when suffering severe heartburn compared to
Asians (19.1%) and Caucasians (16.3%)
41.8% of Asians and 35.7% of Hispanics indicated that cost and lack
of health insurance would prevent then from seeing a doctor
Hispanics were more likely than other ethnic groups to not seek
care from a doctor due to not being able to take time away form
work or family
33.8% of Hispanics avoid seeking care from a doctor due to “fear or
anxiety about going to the doctor” which is significantly higher than
the other groups
19. Limitations of Study
Limitations of this study specific to definition, selection and
exploration of physiological, psychological and social reasons
for differences among ethnicities are as follows:
Designed to obtain unsolicited feedback at a community level from the four
designated ethnic groups
Certain neighborhoods were selected possibly resulting in selection bias
Study was conducted at community and faith-based facilities and health fairs
possibly resulting in selection bias
There was no “randomization” in selection of participants
Study instrument was adapted for Chinese and Spanish speakers and a
translator was available
Translators may have unknowingly “lead” the participant to answer a certain
way
Ethnicity was also self-selected by participants
The study design did not accommodate for considering
physiological, psychological and social reasons for differences among
ethnicities
20. Summary
The results show all four ethnic groups experience
heartburn
GERD symptoms are more frequent in Hispanic
Americans and lower in Asians living in the U.S.
compared to other ethnic groups
Prevalence rates of African-Americans and
Caucasians were similar to findings in other studies
Results reflect a need for education about GERD for
all populations
The need is most pressing in the Hispanic population
21. Resource
Yuen, Elaine; Romney, Martha; Toner, Richard W.; Cobb, Nicole M.;
Katz, Philip O.; Spodik, Maya;and Goldfarb, Neil I., "Prevalence, knowledge
and care patterns for gastro-oesophageal reflux disease in United States
minority populations." (2010). School of Population Health Faculty Papers.
Paper 42.
http://jdc.jefferson.edu/healthpolicyfaculty/42
Tables that follow are also from this study and show the data obtained in a
table format