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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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    • Background
    • African American
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Stroke

Stroke related mortality is higher in women compared to men and accounted for 62% of the US stroke related deaths in 2002. African American women appear to have almost twice the risk of first-time stroke compared to whites. Qureshi et al. (2006) in a prospective study examined racial and gender differences in long-term survival following ischemic stroke in a well defined cohort of patients.

The authors reported that African American women had higher rate of mortality (relative risk 2.1) after adjustment for all potential confounders except diabetes mellitus. After adjustment for diabetes, the difference was insignificant although a 70% greater risk of 1-year mortality was still observed.

The authors concluded that compared with whites and men, African American women have a lower 1-year survival following ischemic stroke. This phenomenon may be due to factors such as the higher prevalence of diabetes, obesity and metabolic syndrome in African American women and ethnic difference in the modification of risk factors such as hypertension, elevated cholesterol and smoking.

Authors also noted that ethnic and gender differences in utilization of medical intervention (e.g. endarterectomy) contribute to differences in the risk of recurrent stroke and cardiovascular death in patients with ischemic stroke. The authors suggested greater monitoring, counseling and intervening in African American women in regard to risk factor modification.

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African American

  • Description
  • Learning Objectives
  • Introduction & Overview
    • Population Growth and Distribution
    • Characteristics
  • Patterns of Health Risk
    • Life Expectancy
    • Mortality
    • Morbidity
    • Self-Rated Health and Functional Status

CULTURALLY APPROPRIATE CARE

  • Fund of Knowledge
    • Health History
      • Up from slavery
      • Health and Longevity Since the Mid-19th Century
      • Significant Dates and Periods
      • Cohort Experiences
    • Health Beliefs
    • Illness Causes & Interventions
  • Assesment
    • Cultural Biases and Misdiagnoses
    • Showing Respect
    • Use of Assesment Instruments
  • Delivery of Care
    • Cardiovascular Disease
    • Stroke
    • Breast Cancer
    • Mental Health
    • End-of-life Care
  • Cancer Care

Access and Utilization

  • Disparities
    • 1. Patient-Based Factors
    • 2. Physician-Based Factors
      • Maltreatment and Segregated Training
      • Discriminatory Patterns
      • Social and Kinship Networks
      • Informal Caregiving
      • Caregiver Burden
      • Long-Term Care
    • 3. End-of-Life Care Issues
      • Palliative and Hospice Care
      • Advance Directives
      • Role of Church and Religion
  • Health Promotion
    • Improving Health Care

Learning Resources

  • Instructional Strategies
    • Projects and Assignments
    • Case Study 1: Mr. S
      • Overview and History
      • Course and Outcome
      • Cultural Issues
    • Case Study 2: Mrs. P
  • Student Evaluation
  • List of References
    • General
    • Fictive Kin
    • Breast Cancer
    • Tuskegee Study
  • Searchable Reference Database
  • Links
  • Important Cultural Terminology
  • Glossary
  • Interview Strategies
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