Among the 5,598 children studied, most were African-American (73.4%), approximately one-half were male (51%), and most mothers were in the 20 years and over age group. The designated primary care providers included public health providers (9.3%), and private providers (90.7%). Private providers included family practitioners (10.7%), pediatricians (78.3%), and other specialists. Of the 5,598 children, [...]

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Rates of immunization for 5,598 children who were moved from fee-for-service care to a newly implemented primary care case management managed care program were reviewed in 1995 as part of the Quality Assessment and Improvement Project for Medicaid Managed Care in Virginia. Managed care was implemented for Virginia’s Medicaid population through a staged geographic approach. [...]

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INTRODUCTION Although childhood immunization is a primary disease prevention strategy, children, especially low-income children, often do not receive their vaccinations on time. Up to 40% of two-year-olds do not receive their immunizations at age-appropriate intervals. During the last two decades, sporadic outbreaks of measles in the U.S. affected thousands of children and the number of [...]

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Our data suggest that, independent of other risk factors, black race is linked to the occurrence of BV/intermediate vaginal flora. Race is also independently associated with an absence of H202+ lactobacilli and the presence of G. vaginalis, M. hominis, Gram negative pigmented or non-pigmented anaerobic rods, and Mobiluncus morphotypes from the vagina, as well as [...]

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Nine hundred (79.3%) women in this analysis were African American and 235 (20.7%) were non-Hispanic white (Table 1). Many characteristics differed between black women and whites including that blacks were less likely to have any education past high school or family incomes >$20,000, to be current smokers, and to have more than one sexual partner [...]

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Between May 1999, and June 2001, women 13 to 36 years of age were recruited from five sites located in the eastern, southern, and western regions of the US into the GYN Infections Follow-through (GIFT) Study, a cohort investigation of the health consequences of douching. Human subjects approval was obtained at each participating institution and [...]

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Growing literature suggests that black women are more likely than non-Hispanic white women to have clinical and microbiologic evidence of bacterial vaginosis (В V), a condition in which the normally protective hydrogen peroxide producing (H202+)  lactobacilli are over­ grown by disease-promoting endogenous anaerobic and facultative aerobic bacteria, including Gardnerella vaginalis, Mycoplasma hominis, Mobiluncus species, and [...]

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