American Journal of Public Health special issue to highlight health disparities among former combatants -
In an online-only, open access special issue of American Journal of Public health , the researchers study health equity issues, quality and disparities within the veterans health care system.
"As one of the largest integrated health care systems, we remember the access and quality in our daily mission statement - 'to care for him who carried the battle, or his widow, and his orphan. However, we realized that some veterans, especially those having characteristics related to discrimination and social exclusion, continue to experience disparities in access and equitable care, " writes Robert Jesse, MD, PhD, former acting undersecretary for health of the Administrator of veterans health Affairs.
"A failure in the quality of care, access or fairness is the antithesis of our duty to those who have served to protect our freedoms ;. it's just not who we are as a organization "
accompanying the 11 research papers are a collection of editorials and memories taking on subjects including the gender, race and genomics, social determinants of equity health care and transgender veteran.
documents of this issue will be freely available online on 6 August. 2014-12 EDT
Highlights of the special issue of the American Journal of Public Health include:
1.Veterans show increase making smokeless houses but lag behind civilians
2.Racial disparities observed in cancer patients receiving care in the VA health care system
3.Suicidal ideation and mental distress correlated with those in their forties with military history
veterans show increase making the smoke houses, but still lagging behind civilians
a new study from the American Journal of public Health concludes that veterans but showing an increase between 01 and 2011, remain non-veterans behind to voluntarily adopt rules without smoke in their home. During this time period, the disparity between veterans and non-veteran adoption of smoke-free rules also expanded.
Using Data smoking Supplement 01-02 and 2010-2011 to the Survey of the current population, researchers analyzed patterns Veterans adopting rules of the house without smoke between 01 and 2011 house rules smokeless, noted that the rules voluntarily made by the inhabitants of a household or owner, have been defined as one respondent stating that "no one is allowed to smoke anywhere inside [their] house" within this study.
the results of the study indicated that veterans have shown an increase of the adoption of rules of origin smokeless between 01 and 2011 from 64 percent to 79.7 Veterans percent. This increase, however, does not match the habits of the house without smoke non-veterans who have shown an increase of 67.6 percent with a smoke-free home in 01 to 84.4 percent in 2011. In addition, Smoking prevalence among veterans was found to be higher fighters and former smokers have been found to smoke more than non-veterans who smoke.
"because of high rates of smoking and suboptimal rules at home smokeless rate, we recommend that all Department of Veteran Affairs Patient screening status smokeless home rule and advised to establish comprehensive smoke-free home rules, especially those of smoking households, "the study suggests.
racial disparities observed in cancer patients receiving health care system VA care
A new study from the American Journal of Public Health found the presence of disparities race in cancer treatment and outcomes among older black and white veterans who receive care against cancer for the interior of the veterans health care system.
researchers examined data registry VA Central Cancer from 01 to 04 and VA administrative data from 00 to 05. They also used data and information from the National Death Index 00 Census to 05 . VA cancer patients spanned 118 VA medical centers where the study evaluated 20 process and outcome measures related to cancer to investigate potential racial disparities in cancer patients white and black veterans.
The results showed that for 13 of the 20 measures of quality, black and white patients received similar treatments. However, seven of the 20 measures, racial disparities exist where blacks were lower quality of care. Measures affected by the black included racial disparities with lower rates of early-stage colon cancer diagnosis, three-year survival for cancer of the colon and rectum, curative surgery for early stage lung cancer and Phase I , II and III rectal cancer, among other measures.
"Previous research indicates that racial / ethnic disparities in care and outcomes exist for many conditions, but that these disparities are mitigated in the health care system for veterans," the authors explain .
"Future efforts should focus on understanding the sources of these disparities in the hospital. However, differential models in the adoption of new technologies and the use of drugs through the VA hospitals are potential sources of cancer disparities that deserve further exploration, "they conclude.
People in their forties with military history may be at greater risk for suicidal ideation and mental distress
military service history is associated with suicidal ideation and mental distress among people aged 40 to 64, according to a new study from the American Journal of public Health.
researchers examined data from the Centers for Disease Control and 2010 Behavioral Risk Factor Surveillance System implementation, including data from five states last year inquired suicidal ideation in 2010 represents a sample size of 26,685 people. The study examined the prevalence of suicidal ideation and mental distress in adults with a history of military service.
The results of the study indicated that mental distress last year and suicidal ideation were correlated with the military service history in old elderly 40-64.
"Reasons for an increased prevalence of suicidal ideation last year in people with military experience in midlife (age 40-64) are not clear. It may possibly be a phenomenon related to a cohort effect, an effect of the service era, or both, "the study suggests
Find a complete list of documents to be published online August 6, 2014 at 12:00 below :.
• towards the elimination of health disparities in veterans through the quality, access and equity
• Institutional Journey in Pursuit of Health Equity: Office of Veterans Health Administration health equity
• the struggle for health equity: the sustained effort by the VA
health system • Editorial - of social equity in health determinants
• partnership, research, and leadership to advance health equity and eliminate health disparities
• Race and genomics in the Veterans health administration
• health equity research in the Veterans health administration - We have come far, but are not there yet
• excellence and equality in health care
• improving trends in gender disparities in the Department of Veterans Affairs: 08-2013
• Access to health care for former combatants in transgender HAV: 06-2013
• Suicidality among veterans: Implications of sexual minority status
• ancient American and Asian fighters and soldiers Pacific islands United States: the use of health services and perceived barriers to mental health services
• Understand How to improve the delivery of culturally competent services to American Indians and Alaska Native former combatants address disparities healthcare
• impact of race / ethnicity and sex on hepatitis C Virus and screening prevalence among US Veterans at Veterans Affairs care
• racial disparities in care cancer in the health care system for veterans and the role of care site
• Battling smoking at home: analysis home smokeless us Rules of former combatants 01-2011
• abandonment tobacco in African-American and white smokers in the health system of veterans
• Keep homeless veterans in outpatient care: A mobile pilot study appointment of text message reminders
• l suicidal ideation and psychological distress in adults with military service history: results of the 5 American States, 2010
• Suicidality Prevalence among former combatants Hispanic and African-American after
• Can surgery -on fight against health inequalities and the health of populations without addressing the root causes? An in-silico experiment
• The feasibility and effectiveness of a smoking cessation intervention in a community-based racial, Smoker Urban Cohort
EmoticonEmoticon