Background: Racial inequities for patients with heart failure (HF) have been widely documented. HF patients who receive cardiology care during a hospital admission have better outcomes. It is unknown whether there are differences in admission to a cardiology or general medicine service by race. This study examined the relationship between race and admission service, and its effect on 30-day readmission and mortality Methods: We performed a retrospective cohort study from September 2008 to November 2017 at a single large urban academic referral center of all patients self-referred to the emergency department and admitted to either the cardiology or general medicine service with a principal diagnosis of HF, who self-identified as white, black, or Latinx. We used multivariable generalized estimating equation models to assess the relationship between race and admission to the cardiology service. We used Cox regression to assess the association between race, admission service, and 30-day readmission and mortality. Results: Among 1967 unique patients (66.7% white, 23.6% black, and 9.7% Latinx), black and Latinx patients had lower rates of admission to the cardiology service than white patients (adjusted rate ratio, 0.91; 95% CI, 0.84–0.98, for black; adjusted rate ratio, 0.83; 95% CI, 0.72–0.97 for Latinx). Female sex and age >75 years were also independently associated with lower rates of admission to the cardiology service. Admission to the cardiology service was independently associated with decreased readmission within 30 days, independent of race. Conclusions: Black and Latinx patients were less likely to be admitted to cardiology for HF care. This inequity may, in part, drive racial inequities in HF outcomes.

STUDY OBJECTIVE Long acting reversible contraceptives, including etonogestrel implants, are top tier contraceptives for adolescents, yet they remained underutilized. This study aimed to assess awareness of and attitudes toward etonogestrel implants among adolescent and young adult women. DESIGN, MAIN OUTCOME MEASURES This is a cross sectional study. We distributed an original, self-administered survey to a convenience sample of anonymous subjects. The survey assessed demographic information, pregnancy and sexual history, general contraceptive preferences and awareness of implants. Subjects then read a brief description of implants before completing the section assessing attitudes toward them. We used chi-squared and t-test analyses to identify factors associated with awareness of and positive attitudes toward implants. SETTING, PARTICIPANTS Women aged 10–24 attending a birth control education group at an adolescent health center in New York City. RESULTS Of the 129 participants, only 40% had heard of etonogestrel implants. Some (33%) reported positive attitudes toward implants. Positive attitudes were associated with preferences for birth control convenience (OR = 3.3, 95% CI= 1.1– 9.5) and privacy (OR= 2.2, 95% CI= 1.0– 4.8). Neutral or negative attitudes were associated with a preference for birth control that maintained menstrual regularity (OR= 0.4, 95% CI= 0.2– 0.8) and with having experienced at least one unintended pregnancy (OR= 0.4, 95% CI= 0.2– 0.9). Age, race and education were not associated with participants' attitudes toward implants. CONCLUSIONS Women who value convenience and privacy are more likely to report positive attitudes toward implants, and thus may represent especially receptive candidates for them.

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