Scientific and Technical Aerospace Reports Volume 39 April 6, 2001

20010021850 Michigan Univ., Dept. of Sociology, Ann Arbor, MI USA
Racial Differences in Medical Care Satisfaction
Malat, Jennifer Rebecca, Michigan Univ., USA; 2000; 18p; In English
Contract(s)/Grant(s): HS-09894
Report No.(s): PB2001-102023; AHRQ-2001-12; Copyright; Avail: National Technical Information Service (NTIS)
African Americans are less likely than whites to be satisfied with their health care. I tested three potential sources of the gap
in satisfaction: 1) racial differences in health status, 2) structural level race differences in access to and source of care, and 3) individual
level race differences in how health care providers treat patients. I analyze original focus group data and secondary quantitative
data from the 1995 Detroit Area Study. First, I find that African Americans’ worse average health status does not account
for lower satisfaction with health care providers. Second, the quantitative data do not indicate that access to or source of care
explain much of the racial gap in satisfaction with care. However, nearly every focus group explained that patients with Blue Cross/
Blue Shield receive better care than those with health maintenance organization or public insurance. Third, whites’ reduced social
distance from their health care provider, that is their greater likelihood of having a same-race health care provider and of having
a higher income like their health care provider, explains much of the racial variation in satisfaction. Focus group data support the
importance of having a health care provider with whom there is a personal connection.
NTIS
Race Factors; Culture (Social Sciences); Social Factors; Medical Services; Patients
20010021851 Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion,
Atlanta, GA USA
Chronic Disease Notes and Reports, Volume 13
Ramsey, Teresa, Editor, Centers for Disease Control and Prevention, USA; Winter 2000; 20p; In English
Report No.(s): PB2001-102116; No Copyright; Avail: CASI; A03, Hardcopy; A01, Microfiche
Obesity is not a benign condition for children, nor one that they are likely to outgrow. In fact, 60% of overweight 5- to 10-yearold
children already have at least one risk factor for heart disease. Even though few long-term studies have followed obese children
into adulthood, the metabolic changes that come with obesity make it more difficult to lose weight, say nutrition and fitness
experts. In addition, dietary and activity habits adapted during childhood may be difficult to change.
NTIS
Obesity; Metabolism; Nutrition; Children
20010021853 Centers for Disease Control and Prevention, National Center for Prevention Services, Atlanta, GA USA
Effects of Progesterone on the Outcome of Traumatic Brain Injury Final Report
Stein, Donald Gerald, Centers for Disease Control and Prevention, USA; [2000]; 12p; In English
Report No.(s): PB2001-102215; Copyright; Avail: National Technical Information Service (NTIS)
The purpose of this research program was to determine if progesterone could improve the rate and extent of behavioral and
anatomical recovery of function following contusion injury to the medical frontal cortex in rats. In order to model the type of TBI
that is the most frequent cause of moderate to severe injury in humans, we made controlled, bilateral cortical impact contusions
of the medial frontal cortex (MFC) in adult rats. The medial frontal cortex is the area of the rat brain homologous to the areas of
the human brain likely to be contused; i.e., the anteroinferior, frontotemporal lobes and the parasagittal convexities.
NTIS
Hormones; Brain; Injuries
20010021854 Centers for Disease Control and Prevention, Atlanta, GA USA
Morbidity and Mortality Weekly Report, Volume 49
Nov. 10, 2000; 21p; In English
Report No.(s): PB2001-102302; No Copyright; Avail: CASI; A01, Microfiche; A03, Hardcopy
Declines in cervical cancer incidence and mortality reported in the USA since the 1950s have been attributed to early detection
and treatment of pre-cancerous and cancerous lesions through the use of the Papanicolaou (Pap) test. More than 50 million Pap
tests are performed each year; however, guidelines about the frequency of testing in women with a history of normal test results
are inconsistent. to determine the incidence of cervical cytologic abnormalities following a normal Pap test, 1991-1998 data from
the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) were analyzed for this report. The findings indi-
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