Urban populations

Exploring cancer support needs for older African-American men with prostate cancer.

PURPOSE: The purpose of this study was to explore cancer support and financial issues related to cancer care experienced by African-American men with prostate cancer and to understand whom they relied on for resource issues during diagnosis and treatment.

The Utility of Ambulatory Electrocardiographic Monitoring for Detecting Silent Arrhythmias and Clarifying Symptom Mechanism in an Urban Elderly Population with Heart Failure and Hypertension: Clinical Implications.

 BACKGROUND: Atrial and ventriclar tachyarrhythmias, as well as bradyarrhythmias, in the elderly with heart failure (HF) and/or hypertension (HTN) have been well documented. However, the frequency of these arrhythmias, whether silent or symptomatic, and their association with subsequent cardiac events has not been well defined in patients 65 years or older with HF and other cardiovascular risk factors.

Spatial equity in facilities providing low- and no-fee screening mammography in Chicago neighborhoods

 Recent research suggests living in an economically disadvantaged neighborhood is associated with decreased likelihood of undergoing mammography and increased risk of late-stage breast cancer diagnosis. Long distances and travel times to facilities offering low- or no-fee mammography may be important barriers to adherence to mammography screening recommendations for women living in economically disadvantaged urban neighborhoods, in which African–Americans are disproportionately represented.

Multilevel Correlates of Satisfaction with Neighborhood Availability of Fresh Fruits and Vegetables

 Background
Little is known about influences on perceptions of neighborhood food environments, despite their relevance for food-shopping behaviors and food choices.
Purpose
This study examined relationships between multilevel factors (neighborhood structure, independently observed neighborhood food environment, individual socioeconomic position) and satisfaction with neighborhood availability of fruits and vegetables.
Methods

How Neighborhood Environments Contribute to Obesity

 Until recently, researchers have focused most of their attention on psychosocial factors that contribute to obesity and related behaviors, such as diet and physical activity.1, 2 However, there is increasing recognition of the important role that environmental factors play in these behaviors.

Neighborhood retail food environment and fruit and vegetable intake in a multiethnic urban population.

 PURPOSE: To examine relationships between the neighborhood food environment and fruit and vegetable intake in a multiethnic urban population.
DESIGN: Analysis of cross-sectional survey and observational data.
SETTING: One hundred forty-six neighborhoods within three large geographic communities of Detroit, Michigan.
SUBJECTS: Probability sample of 919 African-American, Latino, and white adults.

Urban Hypertensive African American Grandparents: Stress, Health, and Implications of Child Care

Because stress is a major factor in hypertension, research on parenting stressors and lifestyle behaviors of grandparents with hypertension is important. This study describes urban African Americans caring for grandchildren and examines effects of perceived parenting stressors on hypertension self-management. Hypertensive African American grandparents (N = 49) residing in a large Midwestern city participated in the study. Structured interviews collected descriptive data and the Index of Parental Attitudes (IPA).

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