American journal of preventive medicine
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African Americans, especially those in the South, suffer a disproportionate burden of obesity and are at high risk for perceived discrimination (PD). This study investigates the association between PD and weight status among African Americans and clarifies the role of perceived stress and health behaviors in this relationship. ⋯ PD and perceived stress are potential risk factors for higher weight status. They should be considered as a part of a comprehensive approach to reduce obesity among African Americans.
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Multicenter Study Comparative Study
A Comparison of Black and White Racial Differences in Health Lifestyles and Cardiovascular Disease.
This study examines the health lifestyles of a cohort of blacks and whites in relation to cardiovascular disease (CVD). The link between health lifestyles and CVD is well established, but most of the focus has been on SES and more research is needed on racial differences. ⋯ Health lifestyles differ by race and support the exploratory hypothesis that distinct classes of healthy-unhealthy lifestyles exist within each racial group.
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Comparative Study
Sociodemographic Patterns of Chronic Disease: How the Mid-South Region Compares to the Rest of the Country.
States in the Mid-South region are among the least healthy in the nation. This descriptive study examines sociodemographic differences in the distribution of chronic diseases and health-related behaviors in the Mid-South versus the rest of the U.S., identifying subgroups at increased risk of chronic disease. ⋯ Future studies should test tailored interventions to address the specific needs of population subgroups in order to improve their health.
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Randomized Controlled Trial
A Cluster Randomized Trial of a Personalized Multi-Condition Risk Assessment in Primary Care.
Personal risk for multiple conditions should be assessed in primary care. This study evaluated whether collection of risk factors to generate electronic health record (EHR)-linked health risk appraisal (HRA) for coronary heart disease, diabetes, breast cancer, and colorectal cancer was associated with improved patient-provider communication, risk assessment, and plans for breast cancer screening. ⋯ Patient-reported risk factors and EHR-linked multi-condition HRAs in primary care can modestly improve communication and promote accuracy of self-perceived risk.
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Observational Study
Fish Consumption, Omega-3 Fatty Acids, and Risk of Cardiovascular Disease.
Data on omega-3 polyunsaturated fatty acids in relation to cardiovascular disease are limited in women. The aim of this study was to examine longitudinal relations of tuna and dark fish, α-linolenic acid, and marine omega-3 fatty acid intake with incident major cardiovascular disease in women. ⋯ In this cohort of women without history of cardiovascular disease, intakes of tuna and dark fish, α-linolenic acid, and marine omega-3 fatty acids were not associated with risk of major cardiovascular disease.