SARA QUANDT

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

..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...

..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...

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

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

..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...

..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...

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

..Women who formerly smoked and did not use supplements had a decreased BMD. ST should be considered as an additional risk factor for osteoporosis in populations where its use is prevalent...

..Future studies should attempt to use similar behavioral, environmental, and psychosocial measures to build a body of evidence with which to better understand the risk factors for pesticide exposure among farmworkers...

..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...

..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...

..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...

..Because national data indicate that fewer farmworkers are returning to their countries of origin, communities with large farmworker populations need to address their unmet needs for dental care...

..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)...

..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...

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

..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...

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..Of all, 38% reported never having visited any eyecare professional. Farmworkers have a high level of unmet need for both routine preventive eye care and treatment or correction of vision problems...

..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...

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

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

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

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..This approach can be used by others to develop collaborative relationships to investigate environmental health issues within a community-based participatory framework...

..Although the likelihood of agricultural pesticide exposure has been considered high for farmworker families, these results indicate that residential pesticide use and exposure in this population merit further study...

..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...

..This study demonstrates that tobacco workers experience substantial work-related exposure to nicotine. The long-term effects of such exposure should be investigated...

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..The transition from family tobacco production to dependence on hired labor has placed migrant and seasonal farmworkers (MSF) at risk for green tobacco sickness (GTS). No previous studies of GTS have focused on MSF...

..6 and -2.5 at the femoral neck and to describe how soon after initiation of therapy alendronate becomes effective and whether it is consistent in women with and without existing radiographic vertebral fracture...

..g., meal skipping, reduced home food production, less dietary variety). Rural communities need to develop ways to identify such widows and assist them in finding acceptable ways to meet nutritional needs...

..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...

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

..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...

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

..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...

..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...

..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...

..Contextual implications and the need for resources to aid cultural adaptation are discussed...

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

..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...

..CONCLUSIONS: Wearing a rain suit while working in wet tobacco can significantly reduce the risk of GTS among tobacco workers. Care must be taken that farmworkers do not have heat stress from wearing rain suits...

..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...

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

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

..We examined the epidemiology of tobacco use among a tri-racial population of elderly women in southeastern North Carolina...

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

..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...

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

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

..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...

..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...

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

..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...

..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...

..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...

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

..These research needs include formal evaluations of existing programs and basic research to characterize the health services utilization patterns of farmworkers...

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..To summarize current knowledge about the health and social consequences of tobacco production and to outline research needed to better understand these effects...

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

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

..Further research is needed to determine the best means of providing care to this underserved population...

..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...

..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...

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

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..Test-retest correlations show the reliability of the battery. These support the use of this battery in both cross-sectional and longitudinal studies...

..This pattern most likely reflects a common occupational practice of holding the tobacco leaves under the arm and pressed against the body during harvesting...

..The optimal duration of treatment of women with postmenopausal osteoporosis is uncertain...

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

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..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...

..These findings suggest points of intervention by diabetes educators with this vulnerable population. Further research is needed to determine how older adults use SMBG data in their self-care regimen...

..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...

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..In this paper, a comparative analysis of alternating logistic regressions with generalized estimating equations and random-effects logistic regression is presented, and the relative strengths of the three methods are discussed...

..Analyses of data from 3658 postmenopausal women with osteoporosis enrolled in the Fracture Intervention Trial showed that alendronate is effective in reducing the risk of symptomatic osteoporotic fractures across a spectrum of ages...

..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...

..These participants will complete six 24 hour diet recall interviews over a six month period, which will be used to validate the adapted Food Frequency Questionnaire and Meal Pattern Questionnaire. ..

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..Such research will provide the basis of future efforts to reduce disparities in occupational injuries in the fastest growing segment of the meat processing industry through education and enforcement. ..

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..Such research will provide the basis of future efforts to reduce disparities in occupational injuries in the fastest growing segment of the meat processing industry through education and enforcement. ..

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..Multivariate techniques will be used in the analysis of the survey data. A systematic approach will be used to analyze the qualitative data. ..

..Such research will provide the basis of future efforts to reduce disparities in occupational injuries in the fastest growing segment of the meat processing industry through education and enforcement. ..