It has often been hypothesized that stress and its biological consequences mediate the relationship between low socioeconomic status (SES) or minority status and poor cardiovascular disease outcomes. The objective of this study was to determine if daily cortisol patterns, a biomarker of the stress response, differ by race/ethnicity and socioeconomic status. Data were collected from 935 Black, W...

BACKGROUND A well targeted flu vaccine strategy can ensure that vaccines go to those who are at the highest risk of getting infected if unvaccinated. However, prior research has not explicitly examined the association between the risk of flu infection and vaccination rates. PURPOSE This study examines the relationship between the risk of flu infection and the probability of getting vaccinated...

Migration was a key component of the demographic regime of London in the eighteenth and nineteenth centuries. It is probable that a regular inflow of migrants was required to balance the high urban mortality rates and maintain the population of London until at least the late eighteenth century. While there is strong evidence of high urban mortality in infant mortality rates and in the large exc...

OBJECTIVE To assess the effects of reducing television viewing and computer use on children's body mass index (BMI) as a risk factor for the development of overweight in young children. DESIGN Randomized controlled clinical trial. SETTING University children's hospital. PARTICIPANTS Seventy children aged 4 to 7 years whose BMI was at or above the 75th BMI percentile for age and sex. INT...

OBJECTIVE We explored whether financial incentives have a role in patients' decisions to accept (purchase) a continuous positive airway pressure (CPAP) device in a healthcare system that requires cost sharing. DESIGN Longitudinal interventional study. PATIENTS The group receiving financial incentive (n = 137, 50.8±10.6 years, apnea/hypopnea index (AHI) 38.7±19.9 events/hr) and the control g...

It was hypothesized that individuals of low socioeconomic status are exposed to a greater number of stressful events and therefore have a higher incidence of psychological disorders. However, the way they interpret, evaluate and cope with these stressful situations may either cause them to maintain, intensify or eliminate their overall stress. Past research indicates that the poorest individual...

BACKGROUND Internet-based interventions for smoking cessation could help millions of people stop smoking at very low unit costs; however, long-term biochemically verified evidence is scarce and such interventions might be less effective for smokers with low socioeconomic status than for those with high status because of lower online literacy to engage with websites. We aimed to assess a new int...

BACKGROUND Emergency medicine is a young specialty in many low- and middle-income countries (LMICs). Although many patients seeking emergency or acute care are children, little information is available about the needs and current treatment of this group in LMICs. In this observational study, we sought to describe characteristics, chief complaints, management, and outcomes of children presenting...

BACKGROUND Socioeconomic variables are associated with mortality and morbidity in a variety of diseases at both the individual and neighborhood level. Investigating whether low socioeconomic status populations are exposed to higher air pollution has been an important objective for the scientific community during the last decade. The goal of this study was to analyze the associations between out...

BACKGROUND While low socioeconomic status (SES) has been associated with inferior cancer outcome among adults, its impact in pediatric oncology is unclear. Our objective was therefore to conduct a systematic review to determine the impact of SES upon outcome in children with cancer. METHODS We searched Ovid Medline, EMBASE and CINAHL from inception to December 2012. Studies for which survival...