Sixty dropouts from hypertensive clinics were interviewed in depth to determine reasons for noncompliance. Waiting time and a poor doctor-patient relationship were the major reasons given. The average waiting time prior to examination by the doctor was 2.5 hours, and the average waiting time at the pharmacy was 1.8 hours. In contrast the average time spent with the doctor was 7.5 min. The poor ...

A 56-year-old homeless male presented to the emergency department with a bloody nose. When asked if he took medications, he replied in the affirmative. When asked which medications he took on a regular basis he produced the following photograph (Figure). Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding, sources, a...

Parental involvement in schools is a national priority for both educators and researchers to promote the successful schooling of contemporary youth. Contemporary parental involvement research has produced some promising findings, but parental involvement efforts with inner-city African Americans are currently limited by problems of research methodology and program foci. Certain research studies...

OBJECTIVE The obesity epidemic disproportionately affects minority and poor children. Negative perceptions of neighborhood safety in poor communities may affect overweight by inhibiting children's physical activity. This study investigates the degree to which parents in a poor inner city vs. a middle-class suburban community limit their children's outdoor activity because of neighborhood safety...

Literature focusing on the intraurban location patterns of the elderly, based on 1970 and earlier data, generally suggests that they are concentrated in the inner city and have good access to services. Recent literature and data from the 1980 Census of Population and Housing suggest that the location of the elderly in urban areas is changing. In a case study of Toledo, Ohio, concentrations of e...

STUDY POPULATION. Four hundred students with physiciandiagnosed asthma attending inner-city elementary schools are currently being recruited from screening surveys collected during the spring and phenotypically characterized at baseline in the summer in an ongoing longitudinal study (SICAS [School Inner-City Asthma Study]). The primary purpose of the study is to evaluate the role of indoor alle...

STUDY POPULATION. Four hundred students with physiciandiagnosed asthma attending inner-city elementary schools are currently being recruited from screening surveys collected during the spring and phenotypically characterized at baseline in the summer in an ongoing longitudinal study (SICAS [School Inner-City Asthma Study]). The primary purpose of the study is to evaluate the role of indoor alle...

Asthma morbidity has increased dramatically in the past decade, especially among poor and minority children in the inner cities. The National Cooperative Inner-City Asthma Study (NCICAS) is a multicenter study designed to determine factors that contribute to asthma morbidity in children in the inner cities. A total of 1,528 children with asthma, ages 4 to 9 years old, were enrolled in a broad-b...