The Future of Research on Alcohol Health Disparities: A Health Services Research Perspective

Glass, Joseph E.; Williams, Emily C.

doi:10.15288/jsad.2018.79.322

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…It is possible that the progression to cirrhosis rather the postcirrhosis course that was included in this study may be more dependent on microbiota-ADI interactions. For instance, patients with lower SES may be more likely to be obese, have lower access to healthier foods such as yogurt and high-fiber diets, and have lesser access to services that reduce alcohol and drug dependence (4,19,20,32,40). These may in turn affect the microbiota, brain function, and increase progression of patients with lower ADI toward cirrhosis (41)(42)(43)(44).…”

Section: Discussionmentioning

confidence: 99%

Area Deprivation Index and Gut-Brain Axis in Cirrhosis

Bajaj

Fagan

McGeorge

et al. 2022

Clin Transl Gastroenterol

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INTRODUCTION: Neighborhood deprivation has been associated with chronic diseases and with gut microbial alterations.Although cirrhosis is associated with gut microbiome changes and hepatic encephalopathy (HE), their association is unclear. METHODS:Demographics and cirrhosis details (model for end-stage liver disease [MELD], prior HE, and medications) were recorded from outpatients with cirrhosis. Area deprivation index (ADI), which ranks neighborhoods by socioeconomic disadvantage, was recorded as state decile and national percentile (high 5 worse for both) and dichotomized on the median. Patients underwent cognitive testing to diagnose minimal HE (MHE). Stool microbiota was analyzed using 16S ribosomal RNA for a/b-diversity. Multivariable analysis was used to evaluate the factors independently associated with MHE.

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Section: Discussionmentioning

confidence: 99%

Area Deprivation Index and Gut-Brain Axis in Cirrhosis

Bajaj

Fagan

McGeorge

et al. 2022

Clin Transl Gastroenterol

View full text Add to dashboard Cite

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“…Changes to the healthcare system resulting from the pandemic (including those focused specifically on addictions health services, such as federal relaxation of buprenorphine induction standards) hold potential to permanently and dramatically reshape US addiction healthcare. The consequences of such policy changes are unknown-they could ameliorate or exacerbate existing health and healthcare disparities in addictions [33,34].…”

mentioning

confidence: 99%