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Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.

Publication ,  Journal Article
Diamantidis, CJ; Davenport, CA; Lunyera, J; Bhavsar, N; Scialla, J; Hall, R; Tyson, C; Sims, M; Strigo, T; Powe, NR; Boulware, LE
Published in: BMC Nephrol
January 10, 2019

BACKGROUND: Use of routine medical care (RMC) is advocated to address ethnic/racial disparities in chronic kidney disease (CKD) risks, but use is less frequent among African Americans. Factors associated with low RMC use among African Americans at risk of renal outcomes have not been well studied. METHODS: We examined sociodemographic, comorbidity, healthcare access, and psychosocial (discrimination, anger, stress, trust) factors associated with low RMC use in a cross-sectional study. Low RMC use was defined as lack of a physical exam within one year among participants with CKD (estimated glomerular filtration rate < 60 mL/min/1.73m2 or urine albumin-to-creatinine ratio > 30 mg/g) or CKD risk factors (diabetes or hypertension). We used multivariable logistic regression to estimate the odds of low RMC use at baseline (2000-2004) for several risk factors. RESULTS: Among 3191 participants with CKD, diabetes, or hypertension, 2024 (63.4%) were ≥ 55 years of age, and 700 (21.9%) reported low RMC use. After multivariable adjustment, age < 55 years (OR 1.61 95% CI 1.31-1.98), male sex (OR 1.71; 1.41-2.07),

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Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

January 10, 2019

Volume

20

Issue

1

Start / End Page

11

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Social Determinants of Health
  • Risk
  • Renal Insufficiency, Chronic
  • Psychology
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Longitudinal Studies
 

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Diamantidis, C. J., Davenport, C. A., Lunyera, J., Bhavsar, N., Scialla, J., Hall, R., … Boulware, L. E. (2019). Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study. BMC Nephrol, 20(1), 11. https://doi.org/10.1186/s12882-018-1190-0
Diamantidis, Clarissa J., Clemontina A. Davenport, Joseph Lunyera, Nrupen Bhavsar, Julia Scialla, Rasheeda Hall, Crystal Tyson, et al. “Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.BMC Nephrol 20, no. 1 (January 10, 2019): 11. https://doi.org/10.1186/s12882-018-1190-0.
Diamantidis CJ, Davenport CA, Lunyera J, Bhavsar N, Scialla J, Hall R, et al. Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study. BMC Nephrol. 2019 Jan 10;20(1):11.
Diamantidis, Clarissa J., et al. “Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.BMC Nephrol, vol. 20, no. 1, Jan. 2019, p. 11. Pubmed, doi:10.1186/s12882-018-1190-0.
Diamantidis CJ, Davenport CA, Lunyera J, Bhavsar N, Scialla J, Hall R, Tyson C, Sims M, Strigo T, Powe NR, Boulware LE. Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study. BMC Nephrol. 2019 Jan 10;20(1):11.
Journal cover image

Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

January 10, 2019

Volume

20

Issue

1

Start / End Page

11

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Social Determinants of Health
  • Risk
  • Renal Insufficiency, Chronic
  • Psychology
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Longitudinal Studies