Thomas A Arcury

..These results provide information for the design of health programs for the prevention of type 2 diabetes...

..This article presents an overview of PACE3 and provides a descriptive analysis of participant characteristics and one set of pesticide biomarkers, the dialkylphosphate (DAP) urinary metabolites of organophosphorus (OP) pesticides...

..This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems...

..The primary aim of this analysis is to expand existing knowledge of GTS risk factors by delineating the association of measures of skin integrity with the prevalence of GTS among Latino farmworkers...

..To quantify prevalence of dry mouth, association between dry mouth and beverage intake and dietary quality, and association between dry mouth and self-reported dietary accommodations to oral health deficits...

..This article describes research designed to specify complementary therapies used among older adults by obtaining daily use data and the specific purposes for use...

..Future research needs to collect multiple exposure measures at frequent intervals over an extended period to characterize factors associated with exposure...

..Further research needs to account for social and cultural factors. Regulations should be compared with pesticide metabolite levels to measure their effectiveness. More effort is needed to enforce existing regulations...

..These data add to a limited body of literature on lifetime use of smoked and smokeless tobacco products, and are useful in identifying the impact of these products on morbidity and mortality, particularly for vulnerable populations...

..Underreporting seemed to be due to omitting foods from major food groups as well as from omitting discretionary energy foods. There was a high degree of low energy reporting in this population, particularly by men, even with six 24HR...

..Diabetes status was associated with higher use of sugar-modified foods. This study shows high level of acceptance of sugar- and fat-modified foods among rural older adults across variety of demographic and health characteristics...

..To describe older adults' use of complementary therapies, self-care practices, and medical care to treat daily symptoms and to delineate gender, ethnic, age, and education differences...

..Limited data document the multiple and repeated pesticide absorption experienced by farmworkers in an agricultural season or their risk factors...

..These data indicate that older ethnic minorities in rural communities are at increased risk for diabetes complications and need diabetes management strategies to improve glycemic control...

..To compare the validity of a modified Block food-frequency questionnaire (FFQ), a picture-sort administration of the FFQ (PSFFQ) and a meal pattern-based questionnaire (MPQ) in a multi-ethnic population of low socio-economic status (SES)...

..To assess the association of depressive symptoms with diabetes self-management regimens among older adults with type 2 diabetes in a rural, ethnically diverse community...

..Farmworkers are at high risk for skin diseases, and are an appropriate population in which to explore these associations...

..Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources...

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..The odds were decreased among individuals who reported harvesting activities (odds ratio: 0.3, 95% confidence interval: 0.1, 1.0). Among Latino farmworkers, respiratory symptoms may be associated with work activities...

..Policy changes are needed to address circumstances outside of farmworkers' control that affect pesticide exposure...

..This study examines primary and specialty medical care utilization among a rural, ethnically diverse, older adult population with diabetes...

..To evaluate diet quality of rural older adults using national dietary guidelines and the Healthy Eating Index (HEI)...

..Falls are a recognized danger for older adults with diabetes. Persons in rural communities with diabetes may face additional risks from falling due to environmental and activity differences...

..Promoters' supervisors reported challenges and strategies experienced by the promoters. Promoter programs in occupational health and safety are feasible approaches to supplement training provided in the workplace...

..This study examines the association between oral health and foods avoided or modified in a multiethnic rural population of older adults. It considers implications for nutrition and medical service provision to this population...

..This analysis describes the association of health and functional status with private and public religious practice among ethnically diverse (African American, Native American, white) rural older adults with diabetes...

..Study recommendations include facilitating family contact by expanding access to telephones among migrant workers...

..CAM is a widely used component of health self-management among rural among older adults with diabetes. Research on CAM use will benefit from theory that considers the specific behavior and cognitive characteristics of CAM therapies...

..This study estimates the prevalence of self-reported skin problems among Latino farmworkers and identifies associated risk factors...

..To determine if ethnic differences in elders' use of home remedies are explained by structured inequalities...

..Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care...

..The pattern of results suggests that strategies to address mental health problems in this vulnerable population will require coordinated action at the individual and social level...

..To describe diabetes management behaviors and social integration among older adults, and delineate the associations of social integration with diabetes management behaviors...

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..This article describes the daily self-management practices of older adults with arthritis and examines the association of symptom experience with the use of self-management behaviors...

..To evaluate associations between poultry processing work and respiratory health among working Latino men and women in North Carolina...

..Second, it was determined whether dominant linkages of CAM modalities differ by age, gender, ethnicity, and education...

..Farmworkers in North America work in an environment likely to produce skin injuries and illnesses that affect quality of life (QOL)...

..This situation creates the potential for organizational injustice, made visible through abusive supervisory practices, and leads to situations in which occupational illnesses and injuries are likely to occur...

..Because farmworkers are exposed to neurotoxic pesticides, they may be at risk for adverse health effects from the combined exposure...

..Melasma is a common condition of Latino women that detracts from their quality of life (QOL). The prevalence and impact of melasma in Latino men is not well characterized...

..Differences among family members suggest that access to services, not lack of education, is the primary barrier facing farmworker families...

..This analysis documents CAM use among Black, Hispanic, Asian, and White adults age > or =65 and delineates the importance of ethnicity in predicting CAM use...

..Families living in farmworker households would benefit from health education programs that target their specific needs...

..Although a number of antihypertensive therapies are currently available, adherence and control are low. The purpose of this study was to assess the use of complementary and alternative medicine (CAM) among older adults with HT...

..The goal of our study was to improve understanding of the cultural basis for variation in diabetes beliefs...

..This analysis described Latino migrant farmworkers' work safety climate and its association with musculoskeletal discomfort, working while injured or ill, and depressive symptoms...

..Recommendations are provided for educational programs and physicians to improve men's experiences with exams that involve the rectum...

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..The results of this study suggest that LHPs may be effective in promoting occupational health and reducing occupational health disparities among ethnic minorities in high-risk occupations...

..Every social group shares beliefs about health and illness. Knowledge and understanding of these health beliefs are essential for education programs to address health promotion and illness prevention...

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..To compare oral health status according to ethnicity and socioeconomic status in African-American, American-Indian, and white dentate and edentulous community-dwelling older adults...

..Farmworker housing quality is regulated, but little documentation exists of compliance with regulations...

..However, analyses produced several interaction effects, including evidence that high levels of control may buffer the effects of physical job demands on detection of DAP urinary pesticide metabolites...

..Appropriate medical care for treating skin problems that are dangerous and reduce farmworkers' quality-of-life needs to be made available to this population...

..CONCLUSIONS: These data further elucidate the nature of CAM use among people with diabetes and stress the need for interaction between providers and diabetes patients on CAM use as a self-management modality...

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..These older adults' narratives demonstrate their attempts to reconcile the important role of traditional foods in their identity as Southerners with their attempts to meet medical recommendations for healthy eating...

..Different levels of self-management have been reported among various populations, though little is known about ownership of equipment that can enhance accomplishment of these tasks...

..To examine ethnic disparities in the quality of diabetes care among adults with diabetes in the US through a systematic qualitative review...

..The results provide preliminary evidence suggesting that the organization of work underlies injury and illness among immigrant workers in poultry processing...

..Little is known about the prevalence and correlates of depressive symptoms among older adults living in rural communities, particularly among ethnic minority groups, who are at increased risk of developing diabetes and complications...

..Farmworkers can be exposed to a wide variety of pesticides. Assessing cholinesterase activity over time can be used to monitor exposure to organophosphorus and carbamate pesticides...

..This study identified approaches to diabetes self-management that differentiate persons with well-controlled from poorly controlled diabetes. Previous research has focused largely on persons participating in self-management interventions...

..We review the strengths and weaknesses of such an approach and suggest areas for future research in risk communication to communities affected by environmental health risks...

..Older men and ethnic minorities with diabetes should be targeted for dietary change education...

..Skin diseases are common occupational illnesses for farmworkers. Migrant farmworkers commonly access rural health clinics for diagnosis and treatment of skin disease...

..This patient illustrates a common practice that exacerbates skin disease and sheds light on social and cultural factors of which health care providers serving this community should be aware...

..The results also highlight the significance of social and cultural factors in understanding patterns of complementary and alternative medicine use in the adult population...

..Overall, these findings suggest that immigrant Latinos experience significant levels of food insecurity that are not addressed by current governmental programs...

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..Pesticide safety education needs to reinforce behaviors that reduce take-home exposure in farmworker households...

..Interventions to reduce skin disease must be adapted to farmworkers' understanding of such disease, including their beliefs or knowledge of risk factors for skin disease...

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..The purposes of this study were to assess the level of foot self-care performed in a rural, multiethnic population of older adults and to identify factors associated with foot self-care...

..Strategies to reduce diabetes-related complications (long term) and assist mobility (short term) may reduce ethnic disparities in HRQOL...

..Heavy alcohol use among Latino farmworkers is believed to be common, but it remains poorly documented...

..However, little research has examined directly access to transportation in analyses of rural health care utilization...

..CONCLUSIONS: These results show the importance of geographic and spatial behavior factors in rural health care utilization. They also indicate continuing inequity in rural health care utilization that must be addressed in public policy...

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..To assess determinants of health care visits among children in a 12-county region of western North Carolina representative of rural areas in the United States...

..If health care providers understand the explanatory model held by farmworkers, they will be more effective at diagnosing and treating GTS and be better prepared to teach patients how to prevent future episodes...

..Worker self-reports were not strongly associated with dermatologist diagnoses. Skin diseases are common among poultry workers and impact workers' quality of life; reasons for lack of medical care should be investigated...

..These data provide greater insight into the dietary patterns of rural elders than examining nutrient intakes...

..This study compared education, race, and screening status to determine how each factor shapes men's knowledge of prostate cancer and screening...

..This analysis describes physical activity levels and factors associated with physical activity in an ethnically diverse (African American, Native American, white) sample of rural older adults with diabetes...

..Poultry processing is the largest sector of the meat products industry. Many workers are immigrants; few data exist on their illness and injury rates and the impact of workplace safety environment...

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..Hispanics have higher rates of diabetes and diabetes-related complications than do non-Hispanic whites. A meta-analysis was conducted to estimate the difference between the mean values of A1C for these two groups...

..The number of Latinos in rural regions of the United States is increasing. Little is known about factors that undermine the mental health of this segment of the rural population...

..This glossary is a supplement to other resources for learning medical Spanish and expands health care professionals' knowledge of dermatology-related Spanish vocabulary...

..Determine if complementary and alternative medicine (CAM) use for treating existing conditions and for health maintenance differs by age and ethnicity...

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..Participants were not sure if diabetes could be prevented. These results provide information to address primary prevention of diabetes in this at-risk group...

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..The procedures used in this study can be generalized to other communities and prevention programs for other chronic diseases...

..The relative importance of para-occupational, residential, and environment risk factors are delineated...

..Pesticide exposure is an important environmental and occupational health risk for agricultural workers and their families, but health care providers receive little training in it...