Ronny A Bell
Datos Biográficos
| ID | 73684 |
|---|---|
| NOMBRE | Ronny A Bell |
| NOMBRES | Ronny A |
| APELLIDO | Bell |
| FIRMA | BELL R A |
| AFILIACIONES | Wake Forest University |
| ORCID | 0000-0001-8512-2565 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 65 |
| TOTAL DE CITAS | 132 |
| TOTAL COMO AUTOR | 65 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1995 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 7 |
Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Cultural Connection and Well-being for American Indian Adolescents
American Indian and Alaska Native (AI/AN) adolescents face health disparities resulting from historical traumas. There is a paucity of research focusing on mental health in AI/AN adolescents or the relationship between cultural connection and health. This project assesses the relationship between cultural identity and markers of mental health and well-being for AI/AN adolescents. Adolescents 12 to 18 years old from the Lumbee Tribe of North Carol…
Homicide among Indigenous females in North Carolina
Like other minoritized populations, American Indian/Alaska Native (AI/AN) females experience disparate morbidity and mortality outcomes to that of the general US population. This study identified discrepancies in reporting of AI/AN female decedents between the North Carolina Violent Death Reporting System (NC-VDRS) and an online, user-generated database. Female AI/AN decedent data of all ages were collected from the NC-VDRS and compared against t…
Rural‐urban differences in uptake of diabetes self‐management education among Medicare beneficiaries
PURPOSE: To assess rural-urban differences in participation rates of diabetes self-management education and associated factors among Medicare beneficiaries with type 2 diabetes (T2DM). METHODS: Data were from the 2016 to 2018 Medicare Current Beneficiary Survey (MCBS). Participation in diabetes self-management education was self-reported. The study sample included 3,799 beneficiaries aged 65 years and older with self-reported T2DM. Logistic regre…
Associations between shopping patterns, dietary behaviours and geographic information system-assessed store accessibility among small food store customers
Objective: To examine associations between geographic information systems (GIS)-assessed accessibility to small food stores, shopping patterns and dietary behaviours among small food store customers. Design: Residential addresses and customer shopping patterns (frequency of shopping, and previous purchase of fruits and vegetables) were gathered through customer intercept surveys. Addresses were geocoded, and GIS-assessed distance and driving time…
Rural‐Urban Differences in Dental Service Utilization and Dental Service Procedures Received Among US Adults
PURPOSE: To assess rural-urban differences in dental service use and procedures and to explore the interaction effects of individual- and county-level factors on having dental service use and procedures. METHODS: Data were from the 2016 Medical Expenditure Panel Survey (MEPS). We assessed rural-urban differences in 3 outcome variables: number of dental visits (1, 2, or 3+ visits), preventive care procedures (Yes/No), and treatment procedures (Yes…
Qualitative perspectives of the North Carolina healthy food small retailer program among customers in participating stores located in food deserts
Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations
Influenza and Pneumonia Vaccinations among North Carolina Adults with Diabetes
Objectives: In this study, we sought to elucidate the influenza and pneumonia vaccination practices of adults with diabetes in North Carolina. Methods: Using North Carolina Behavioral Risk Factor Surveillance System data, we examined 2011-2018 trend data and demographic and health factors (2014-2018) in influenza (influenza vaccine receipt in the past year among adults ages 18+ years) and pneumonia (lifetime pneumonia vaccination receipt for adul…
Perceived barriers and facilitators to participating in the North Carolina Healthy Food Small Retailer Program
Objective: The North Carolina Legislature appropriated funds in 2016–2019 for the Healthy Food Small Retailer Program (HFSRP), providing small retailers located in food deserts with equipment to stock nutrient-dense foods and beverages. The study aimed to: (1) examine factors facilitating and constraining implementation of, and participation in, the HFSRP from the perspective of storeowners and (2) measure and evaluate the impact and effectivenes…
Testing a Culturally Adapted Colorectal Cancer Screening Decision Aid Among American Indians
Purpose: American Indian adults have not experienced decreases in colorectal cancer (CRC) incidence and mortality observed in other races or ethnic groups and their screening rates are low. Decision aids that explain available CRC screening options are one potential strategy to promote screening. The goal of this study was to test the effect of a culturally adapted decision aid on CRC-related outcomes among American Indian adults, including scree…
Risk Factors for Alzheimer’s Disease and Related Dementia Diagnoses in American Indians
The burden of Alzheimer's disease and related dementias (ADRD) has increased substantially in the United States, particularly in health disparity populations. Little is known about the epidemiology of ADRD in American Indian (AI) adults, although they have a high prevalence of ADRD risk factors including hypertension, diabetes, obesity, and smoking. Using electronic health records from a large health care organization during 2016-18, we describe …
Trends of children being given advice for dental checkups and having a dental visit in the United States
Although there was an increase in the proportion of children being given advice to have dental checkups by PCPs from 2001 to 2016, there was no significant increase in having a dental visit among children being given the advice. More research is needed to better understand how dental care advice from a PCP can effectively motivate and facilitate dental care for children
Health insurance coverage among American Indians and Alaska Natives in the context of the Affordable Care Act
Objectives: American Indians and Alaska Natives (AI/AN) have a unique healthcare system uniquely interwoven with the Affordable Care Act (ACA). The aim of this study is to document changes in health insurance among AI/AN adults before and after implementation of the ACA. Design: We used data from the American Community Survey from 2008 to 2016 to examine trends in health insurance. We compared to Non-Hispanic Whites and stratified AI/AN adults wi…
A non-invasive assessment of skin carotenoid status through reflection spectroscopy is a feasible, reliable and potentially valid measure of fruit and vegetable consumption in a diverse community samp…
Objective To assess the feasibility, reliability and validity of reflection spectroscopy (RS) to assess skin carotenoids in a racially diverse sample. Design Study 1 was a cross-sectional study of corner store customers ( n 479) who completed the National Cancer Institute Fruit and Vegetable Screener as well as RS measures. Feasibility was assessed by examining the time it took to complete three RS measures, reliability was assessed by examining …
Comparison of Measures of Adiposity and Cardiovascular Disease Risk Factors Among African American Adults
Baseline Assessment of a Healthy Corner Store Initiative
In 2016, the North Carolina (NC) Legislature allocated $250,000 to the NC Department of Agriculture, to identify and equip small food retailers to stock healthier foods and beverages in eastern NC food deserts (the NC Healthy Food Small Retailer Program, HFSRP). The purpose of this study was to examine associations between food store environments, shopping patterns, customer purchases, and dietary consumption among corner store customers. We surv…
Prevalence and Risk for Negative Disability Outcomes Between American Indians-Alaskan Natives and Other Race-Ethnic Groups in the Southwestern United States
Culture
Relative validity and reliability of an FFQ in youth with type 1 diabetes
Objective To evaluate the relative validity and reliability of the SEARCH FFQ that was modified from the Block Kids Questionnaire. Design Study participants completed the eighty-five-item FFQ twice plus three 24 h dietary recalls within one month. We estimated correlations between frequencies obtained from participants with the true usual intake for food groups and nutrients, using a two-part model for episodically consumed foods and measurement …
Unreliable item or inconsistent person? A study of variation in health beliefs and belief-anchors to biomedical models
The reliability of an item designed to measure health belief is often confounded with response consistency at the person level. The study applied contemporary measurement methods to an inventory of common sense beliefs about diabetes and used a sample of N = 563 adults with diabetes to test the hypothesis that individuals whose beliefs are congruent with a biomedical model are more consistent in their responses. Item-level analysis revealed that …
Perceptions and Psychosocial Correlates of Bullying among Lumbee Indian Youth
Although bullying has been linked to suicide among youth, little is known about bullying in American Indians, a population at high risk for suicide. Qualitative data from focus groups with Lumbee Indian youth (N = 31, 16 males, 15 females, 12-17 years of age) and in-depth interviews with gatekeepers in the Lumbee community revealed that bullying is common, and is perceived to contribute to depression and suicide. Youth expressed powerlessness to …
Correlates of Physician Trust among Rural Older Adults with Diabetes
Physician trust may influence patient adherence to diabetes management recommendations. Efforts should be made to build trust in the patient-provider relationship to enhance patient outcomes
Understanding and Addressing Disparities in Diabetes and Obesity
Professor, Department of Epidemiology and Prevention Director, Maya Angelou Center for Health Equity Wake Forest School of Medicine Winston-Salem, North Carolina [email protected] The authors declare no conflict of interest
Social Control in Older Adults’ Diabetes Self Management and Well-Being
The "dual effects" hypothesis argues that social control can be effective in promoting positive health-related behavior change, but it can also jeopardize the targeted individual's well-being. This hypothesis is tested using hemoglobin A1C as an objective indicator of behavioral compliance with diabetes self-management behavior and depressive symptoms. Differences in the effects of social control on A1C and depressive symptoms by sex and ethnicit…
Dental care utilization among North Carolina rural older adults
Regular and recent dental care are infrequent among rural older adults. Contrary to expectations, those not receiving dental care are those who most need care; this has been referred to as the Paradox of Dental Need. Community access to dental care and the ability of older adults to pay for dental care must be addressed by public-health policy to improve the health and quality of life of older adults in rural communities
Culture
Self-management of nutritional risk among older adults
The contribution of social support and social strain to depressive symptoms in African American, Native American, and European American women
Positive and negative aspects of social relations and their association with depressive symptoms were examined for a sample of Native American, African American and European American women ( N = 249). Support was associated with lower depressive symptoms, whereas strain was associated with higher depressive symptoms. Further, European American women were advantaged only by high levels of support compared to the women of color; at moderate and low…
Staying healthy
The social and nutritional meaning of food sharing among older rural adults
Age, Race, and Ethnicity in the Use of Complementary and Alternative Medicine for Health Self-Management
Objectives: Determine if complementary and alternative medicine (CAM) use for treating existing conditions and for health maintenance differs by age and ethnicity. Methods: Data from the 2002 National Health Interview Survey were used to operationalize distinct types of CAM in terms of (a) no use, (b) use for treatment only, (c) use for prevention only, and (d) use for both treatment and prevention. Differences in CAM use by age and ethnicity wer…
Herbal Remedy Use as Health Self-Management Among Older Adults
A complex set of factors is associated with the inclusion of herbs in the health self-management of older adults, with cultural and personal resources being extremely important
Faith and health self-management of rural older adults
Aging and eating in the rural, southern United States
Aging research in multi-ethinic rural communities
Health insurance coverage among American Indians and Alaska Natives in the context of the Affordable Care Act
Objectives: American Indians and Alaska Natives (AI/AN) have a unique healthcare system uniquely interwoven with the Affordable Care Act (ACA). The aim of this study is to document changes in health insurance among AI/AN adults before and after implementation of the ACA. Design: We used data from the American Community Survey from 2008 to 2016 to examine trends in health insurance. We compared to Non-Hispanic Whites and stratified AI/AN adults wi…
Calling the Doctor
Objectives: Guided by Leventhal’s self-regulatory model and Cockerham’s theory of health lifestyles, we explore two questions regarding physician consultation among elderly rural adults: What symptom characteristics prompt patient-initiated physician consultation? Do participants’ accounts of responses to symptoms, including the decision to consult a physician, incorporate descriptions of change over time? Method: We analyze data from semistructu…
Daily Use of Complementary and Other Therapies for Symptoms Among Older Adults
The daily-diary design provides detailed information for delineating how elders include complementary and other therapies in their health self-management
Age, Ethnicity, and Use of Complementary and Alternative Medicine in Health Self-Management
Drawing on models of health self-management, we develop hypotheses that age and ethnicity will modify associations among indicators of poor health and use of complementary and alternative medicine. These hypotheses are evaluated using the 2002 National Health Interview Survey with the Alternative Health Supplement. Results produced partial support for hypotheses that the effects of ailments on use of complementary and alternative medicine differ …
Geographic Variation in Cardiovascular Disease Risk Factors Among American Indians and Comparisons with the Corresponding State Populations
The substantial variations in prevalence of CVD and its risk factors among Tribal Nations suggests that distinct cultural norms, historic conditions, and important health issues of each American Indian community must be recognized and incorporated into all health promotion programs and policies
Perceptions and Psychosocial Correlates of Bullying among Lumbee Indian Youth
Although bullying has been linked to suicide among youth, little is known about bullying in American Indians, a population at high risk for suicide. Qualitative data from focus groups with Lumbee Indian youth (N = 31, 16 males, 15 females, 12-17 years of age) and in-depth interviews with gatekeepers in the Lumbee community revealed that bullying is common, and is perceived to contribute to depression and suicide. Youth expressed powerlessness to …
Social Integration and Diabetes Management Among Rural Older Adults
Social integration had small but significant associations with diabetes management behaviors. This analysis suggests specific mechanisms for how social integration influences the effect of disease on disability
Older Adults’ Self-Management of Daily Symptoms
In considering the percentage of individuals who use a therapy and the frequency with which therapies are used, this analysis adds a new dimension to understanding how older adults manage daily symptoms. Older adults are selective in their use of health self-management
Stress, Trauma, and Coronary Heart Disease Among Native Americans
In the May 2005 issue, which focused on Native Americans/Alaska Natives, we were especially interested in the article by the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) Team, “Social Epidemiology of Trauma Among 2 American Indian Reservation Populations.”1 This study quantified exposure to trauma among American Indians, adding to the existing evidence2,3 that this population exp…
Health education to increase screening for cervical cancer among Lumbee Indian Women in North Carolina
Although age-adjusted mortality rates from cancer among Native-Americans are generally lower than for the US population as a whole, cervical cancer mortality rates are higher. This report presents results from a National Cancer Institute-funded health education program conducted among the Lumbee tribe in North Carolina that was designed to increase the proportion of women, age 18 and older, who receive Pap smears to screen for cervical cancer. Th…
Racial Differences in Psychosocial Variables among Adults with Non–Insulin-Dependent Diabetes Mellitus
To determine whether racial differences exist in psychosocial variables among patients with non-insulin-dependent diabetes mellitus (NIDDM), the authors administered a series of questionnaires to 211 Black and White patients of the Wake Forest Family Medicine ambulatory care unit and the Reynolds Health Center, a community health center. In general, Blacks in the study population had higher levels of external locus of control, higher levels of st…
Coronary heart disease risk factors in black and white patients with non‐insulin‐dependent diabetes mellitus
Our results indicate that racial differences in CHD risk factors exist among black and white patients with NIDDM. The complex genetic, sociocultural and environmental interactions involving CHD risk factors that contribute to the development of CHD may eventually provide clues to the etiology of the disease
Body Fat, Fat Distribution, and Psychosocial Factors Among Patients With Type 2 Diabetes Mellitus
Diabetes, a risk factor for cardiovascular disease, requires lifestyle modifications (diet, exercise, weight loss). The relations between body mass index, waist-hip ratio (WHR), and psychosocial indicators, such as affect and stress, among 302 diabetic patients from a clinic and a neighborhood health center were analyzed. Data included stress and mood scale responses, body size (height, weight, and WHR) and potential confounders (physical activit…
Self-management of nutritional risk among older adults
Health education to increase screening for cervical cancer among Lumbee Indian Women in North Carolina
Although age-adjusted mortality rates from cancer among Native-Americans are generally lower than for the US population as a whole, cervical cancer mortality rates are higher. This report presents results from a National Cancer Institute-funded health education program conducted among the Lumbee tribe in North Carolina that was designed to increase the proportion of women, age 18 and older, who receive Pap smears to screen for cervical cancer. Th…
Association of gender with symptoms and complications in type II diabetes mellitus
Racial Differences in Symptoms and Complications in Adults with Type 2 Diabetes Mellitus
Both African- and white Americans with type 2 diabetes are likely to experience a wide variety of symptoms and vascular complications. African-American subjects appear more likely than whites to experience symptoms related to glycemic control but less likely to have, or experience symptoms and complications of, cardiovascular disease. That nearly half of these subjects seen in a primary care setting had microalbuminuria suggests that vascular com…
Aging research in multi-ethinic rural communities
Health Behaviors of Rural White, African American and Native American Elders
Faith and health self-management of rural older adults
The social and nutritional meaning of food sharing among older rural adults
Staying healthy
Quality of Diets Consumed by Older Rural Adults
Older adults residing in rural communities are at risk for low dietary quality because of a variety of social, physical and environmental circumstances. Minority elders are at additional risk because of poorer health status and lower socioeconomic status. This study evaluated the food group intake of 130 older (>70 years) African American (34%), European American (36%), and Native American (30%) residents of two rural communities in central North…
Investigating correlates of health related quality of life in a low-income sample of patients with diabetes
Geographic Variation in Cardiovascular Disease Risk Factors Among American Indians and Comparisons with the Corresponding State Populations
The substantial variations in prevalence of CVD and its risk factors among Tribal Nations suggests that distinct cultural norms, historic conditions, and important health issues of each American Indian community must be recognized and incorporated into all health promotion programs and policies
Health Differences Among Lumbee Indians Using Public and Private Sources of Care
Context: Of 2.4 million American Indians, approximately 60% are eligible to receive Indian Health Service (IHS) benefits, leaving many to seek care elsewhere. It is unknown if their quality of care, health behaviors, and health status vary by source of care, as demonstrated for other populations. Purpose: The purpose of this study was to determine whether preventive services, health behaviors, and number of health conditions vary as a function of…
Primary and Specialty Medical Care Among Ethnically Diverse, Older Rural Adults With Type 2 Diabetes
PURPOSE: Residents in rural communities in the United States, especially ethnic minority group members, have limited access to primary and specialty health care that is critical for diabetes management. This study examines primary and specialty medical care utilization among a rural, ethnically diverse, older adult population with diabetes. METHODS: Data were drawn from a cross-sectional face-to-face survey of randomly selected African American (…
Age, Race, and Ethnicity in the Use of Complementary and Alternative Medicine for Health Self-Management
Objectives: Determine if complementary and alternative medicine (CAM) use for treating existing conditions and for health maintenance differs by age and ethnicity. Methods: Data from the 2002 National Health Interview Survey were used to operationalize distinct types of CAM in terms of (a) no use, (b) use for treatment only, (c) use for prevention only, and (d) use for both treatment and prevention. Differences in CAM use by age and ethnicity wer…
Smokeless tobacco use accelerates age-related loss of bone mineral density among older women in a multi-ethnic rural community
Stress, Trauma, and Coronary Heart Disease Among Native Americans
In the May 2005 issue, which focused on Native Americans/Alaska Natives, we were especially interested in the article by the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) Team, “Social Epidemiology of Trauma Among 2 American Indian Reservation Populations.”1 This study quantified exposure to trauma among American Indians, adding to the existing evidence2,3 that this population exp…
Physical Activity Among Rural Older Adults With Diabetes
Purpose: This analysis describes physical activity levels and factors associated with physical activity in an ethnically diverse (African American, Native American, white) sample of rural older adults with diabetes. Method: Data were collected using a population‐based, cross‐sectional stratified random sample survey of 701 community‐dwelling elders with diabetes completed in 2 rural North Carolina counties. Outcome measures were as follows: first…
Ethnic Differences in Elders' Home Remedy Use
Objective: To determine if ethnic differences in elders' use of home remedies are explained by structured inequalities.Method: Dichotomous indicators of "food" and "other" home remedies were obtained from a randomly selected cohort of older adults with diabetes (N=701).Analyses evaluated if differences in availability of care, economic hardship, and health status explained ethnic differences in home remedy use.Results: Differences in residential …
Aging and eating in the rural, southern United States
Ethnic and Sex Differences in Ownership of Preventive Health Equipment Among Rural Older Adults With Diabetes
Context: Diabetes self‐management is important for achieving successful health outcomes. Different levels of self‐management have been reported among various populations, though little is known about ownership of equipment that can enhance accomplishment of these tasks. Purpose: This study examined diabetes self‐management equipment ownership among rural older adults. Methods: Participants included African American, American Indian, and white men…
The Association of Health and Functional Status with Private and Public Religious Practice among Rural, Ethnically Diverse, Older Adults with Diabetes
Purpose: This analysis describes the association of health and functional status with private and public religious practice among ethnically diverse (African American, Native American, white) rural older adults with diabetes. Methods: Data were collected using a population‐based, cross‐sectional, stratified, random sample survey of 701 community‐dwelling elders with diabetes in two rural North Carolina counties. Outcome measures were private reli…
Medicine (61 obras) · Gerontology (41 obras) · Environmental health (34 obras) · Psychology (26 obras) · Ethnic group (22 obras) · Population (22 obras) · Diabetes mellitus (20 obras) · Sociology (18 obras) · Demography (16 obras) · Internal Medicine (16 obras)