Impact of Medicare Part D on Cancer and Diabetes Disparities Among Dual Enrollees
The purpose of this study is to investigate the impact of a major change in national health insurance coverage (the passage of Medicare Part D) on disparities in health services use, outcomes, and costs among vulnerable, chronically ill patients.
Funder: National Institute on Aging
Principal Investigator: Adams, Alyce
Drug Cost Containment Changes and Quality of Care for Mentally Ill Dual Enrollees
This study will evaluate the impact of changes in drug cost containment policies associated with the shift from Medicaid to Part D drug coverage in four states (SC, MO, CA, NJ) among fee-for-service (non-managed care) dual enrollees with schizophrenia or bipolar disorder overall and in high risk subgroups (e.g., minorities).
Funder: Agency for Healthcare Research and Quality
Principal Investigator: Adams, Alyce
Medication Adherence and Social Disparities in Diabetes
This study will evaluate whether diabetes, blood pressure, and cholesterol medications are taken by patients with diabetes as prescribed (“adherence”), emphasizing social patterns in adherence, clinical consequences, and reasons for differences in therapy initiation, maintenance, and discontinuation.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew
The Impact of Language Concordance on the Health Care of Patients with Limited English Proficiency
This study characterize patient-provider language concordance/discordance, quality of care and health outcomes in diabetic patients with limited English proficiency. We will also survey providers regarding their language fluency.
Funder: California Program on Access to Care
Principal Investigator: Karter, Andrew
Diabetes, Social Disparities and Aging
This study focuses on diabetes-related care and outcomes among geriatric patients with diabetes. We will evaluate the effects of commonly used antihyperglycemic therapies, polypharmacy, hypoglycemia; geriatric syndromes, and quality of life; all-cause mortality, and explore the implications of the widespread adoption of geriatric diabetes guidelines for ethnic disparities in diabetes care.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew
Adjuvant Breast Cancer Therapy: Race, Variation in Care and Survival
This study examines racial disparities in breast cancer prognosis, examining factors such as appropriate use of adjuvant therapy.
Funder: American Cancer Society
Principal Investigator: Kushi, Lawrence
Physical and Social Environmental Factors in Adult Asthma
This study analyzes the cumulative risk of combined physical environmental and social environmental factors that affect asthma outcomes, giving particular emphasis to relationships that might be amenable to intervention/secondary-tertiary prevention strategies designed to improve outcomes.
Funder: Nat. Inst. of Environmental Health Sciences
Principal Investigator: Iribarren, Carlos
Member Health Survey and Health Services Evaluation
This study provides information about the health status, health-related risks, needs and interests of adult health plan members.
Funder: Kaiser Permanente Community Benefit Program
Principal Investigator: Gordon, Nancy
Surveillance Modeling of Racial Disparities in U.S. Prostate Cancer Trends
This study investigates what clinical factors contribute to observed/racial disparities in prostate cancer incidence and mortality.
Funder: National Cancer Institute
Principal Investigator: Van Den Eeden, Stephen
Ethnic Disparities in Diabetes Complications
This study evaluates ethnic differences in the incidence and antecedents of diabetic complications in a large population of African-Americans, Asians, Caucasians, Filipinos and Latinos within an integrated managed care setting (Kaiser Permanente), and focuses on health services and epidemiologic aspects of diabetic complications, including myocardial infarction, stroke, congestive heart failure, end-stage renal disease, lower-extremity amputation and proliferative retinopathy.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew
Educational Disparities in Diabetes Complications
This study evaluates the role of education in the incidence of diabetic complications in a large, well-characterized population within an integrated, managed care setting (Kaiser Permanente).
Funder: Nat. Inst. of Child Health and Human Dev.
Principal Investigator: Karter, Andrew
Disparities in the risk of gestational diabetes by race-ethnicity
and country of birth
Hedderson, M. M.;
Darbinian, J. A.;
Ferrara, A.;
Paediatr Perinat Epidemiol
24
(5):
441-8
Sep 2010
PubMed abstract »
Gender Differences in Treatment of Severe Carotid Stenosis After
Transient Ischemic Attack
Poisson, S. N.;
Johnston, S. C.;
Sidney, S.;
Klingman, J. G.;
Nguyen-Huynh, M. N.;
Stroke
Jul 22 2010
PubMed abstract »
Hemoglobin A1c between 5.7 and 6.4% as a marker for identifying
pre-diabetes, insulin sensitivity and secretion, and cardiovascular
risk factors: The Insulin Resistance Atherosclerosis Study (IRAS)
Lorenzo, C.;
Wagenknecht, L. E.;
Hanley, A. J.;
Rewers, M. J.;
Karter, A. J.;
Haffner, S. M.;
Diabetes Care
Jun 23 2010
PubMed abstract »
Adherence to Cardiovascular Disease Medications: Does
Patient-Provider Race/Ethnicity and Language Concordance Matter?
Traylor, A. H.;
Schmittdiel, J. A.;
Uratsu, C. S.;
Mangione, C. M.;
Subramanian, U.;
J Gen Intern Med
Jun 23 2010
PubMed abstract »
Dietary glycemic load, glycemic index, and associated factors in a
multiethnic cohort of midlife women
Hu, Y.;
Block, G.;
Sternfeld, B.;
Sowers, M.;
J Am Coll Nutr
28
(6):
636-47
Dec 2009
PubMed abstract »
Hypoglycemia is More Common Among Type 2 Diabetes Patients with
Limited Health Literacy: The Diabetes Study of Northern California
(DISTANCE)
Sarkar, U.;
Karter, A. J.;
Liu, J. Y.;
Moffet, H. H.;
Adler, N. E.;
Schillinger, D.;
J Gen Intern Med
May 18 2010
PubMed abstract »
Treatment of ductal carcinoma in situ among patients cared for in
large integrated health plans
Haque, R.;
Achacoso, N. S.;
Fletcher, S. W.;
Nekhlyudov, L.;
Collins, L. C.;
Schnitt, S. J.;
Quesenberry, C. P., Jr.;
Habel, L. A.;
Am J Manag Care
16
(5):
351-60
May 2010
PubMed abstract »
Maternal and paternal race/ethnicity are both associated with
gestational diabetes
Caughey, A. B.;
Cheng, Y. W.;
Stotland, N. E.;
Washington, A. E.;
Escobar, G. J.;
Am J Obstet Gynecol
Apr 16 2010
PubMed abstract »
Social disparities in dental insurance and annual dental visits among medically insured patients with diabetes: the Diabetes Study of Northern California (DISTANCE) Survey
Moffet, H. H.;
Schillinger, D.;
Weintraub, J. A.;
Adler, N.;
Liu, J. Y.;
Selby, J. V.;
Karter, A. J.;
Prev Chronic Dis
7
(3):
11
May 2010
PubMed abstract »
Prevalence of electrocardiographic abnormalities in a middle-aged,
biracial population: Coronary Artery Risk Development in Young
Adults study
Walsh, J. A., 3rd;
Prineas, R.;
Daviglus, M. L.;
Ning, H.;
Liu, K.;
Lewis, C. E.;
Sidney, S.;
Schreiner, P. J.;
Iribarren, C.;
Lloyd-Jones, D. M.;
J Electrocardiol
Apr 5 2010
PubMed abstract »
Race/Ethnicity, Social Support, and Associations With Diabetes
Self-Care and Clinical Outcomes in NHANES
Rees, C. A.;
Karter, A. J.;
Young, B. A.;
Diabetes Educ
Mar 23 2010
PubMed abstract »
The impact of limited English proficiency and physician language
concordance on reports of clinical interactions among patients with
diabetes: The DISTANCE study
Schenker, Y.;
Karter, A. J.;
Schillinger, D.;
Warton, E. M.;
Adler, N. E.;
Moffet, H. H.;
Ahmed, A. T.;
Fernandez, A.;
Patient Educ Couns
Mar 9 2010
PubMed abstract »
The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach
Traylor, A. H.;
Schmittdiel, J. A.;
Uratsu, C. S.;
Mangione, C. M.;
Subramanian, U.;
Health Serv Res
45
(3):
792-805
Jun 2010
PubMed abstract »
Angiotensin-converting Enzyme-related Cough among Chinese-Americans
Tseng, D. S.;
Kwong, J.;
Rezvani, F.;
Coates, A. O.;
Am J Med
123
(2):
183 e11-183 e15
Feb 2010
PubMed abstract »
Chronic kidney disease in United States Hispanics: a growing public
health problem
Lora, C. M.;
Daviglus, M. L.;
Kusek, J. W.;
Porter, A.;
Ricardo, A. C.;
Go, A. S.;
Lash, J. P.;
Ethn Dis
19
(4):
466-72
Autumn 2009
PubMed abstract »