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Black Women More Likely To Have Vitamin D Deficiency, Bacterial Vaginosis, Study Finds
Black women are nearly three times as likely as white women to have a vitamin D deficiency, which is linked with an increased risk of the vaginal infection bacterial vaginosis, according to a study published in the June issue of the Journal of Nutrition, the New York Times reports. Black women likely have lower levels of vitamin D because the higher amount of pigment in their skin prevents the body from absorbing the vitamin.For the study, researchers led by Lisa Bodnar, an assistant professor of epidemiology at the University of Pittsburgh, examined 209 white pregnant women and 260 black pregnant women at a Pittsburgh clinic. More than half of the women had low levels of vitamin D, the study found. Women whose vitamin D levels were 50 nanomoles or less had a 26% increased risk of BV, while women whose vitamin levels were less than 20 nanomoles had a 65% increased risk of the infection. About 52% of black women had the infection, compared with 27% of white women, the study found (Bakalar, New York Times, 5/26). The study found that 93% of women with BV had low vitamin D levels and that BV prevalence decreased as vitamin levels increased.In addition, although black women were more likely to have BV, white women who had low levels of vitamin D were as likely to have the infection as black women. Poor diets and obesity also contributed to a vitamin deficiency. Bodnar noted that black women are less likely than white women to meet dietary recommendations for vitamin D. Bodnar recommended that women discuss their level of vitamin D with their physicians and that pregnant women take a prenatal vitamin, which typically includes vitamin D.According to the Pittsburgh Post-Gazette, Bodnar"s research team has received NIH funding to conduct a study of whether vitamin D deficiency in women increases the risk of poor birth outcomes and whether high infant mortality among blacks can be attributed to factors such as obesity (Templeton, Pittsburgh Post-Gazette, 5/23).
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Local Groups React To Proposed Changes In Medicare And Medicaid

Local news coverage details concerns about Medicare and Medicaid spending reductions that could affect senior and nursing care. The Providence Business News reports that the Obama administration has pledged to root out Medicare waste and called for a $1.05 billion reduction in Medicare spending on nursing homes in the White House"s draft budget for the 2010 fiscal year. The Rhode Island Health Care Association, which represents the state"s nursing homes and rehabilitation centers, has said "the proposed cuts would drain more than $9 million from the Rhode Island economy, with $6.19 million less in business activity and $3.18 million less in personal income due to the loss of 94 jobs." The association also noted that the cuts would end savings created from Medicare money that provide short-term care to patients recuperating after a hospital visit and that the state has already suffered from a reduction in their Medicaid program, which covers two-thirds of the nursing home population (Nesi, 6/1). Public radio station WHCQ in Wilmington, N.C., reported on how proposed Medicaid cuts could impact thousands of local residents who receive in-home care. The Association for Home and Hospice Care of North Carolina criticized the senate"s proposal that "carves $55-million out of Medicaid funding for personal care services." The group"s CEO Tim Rogers said each patient receiving Medicaid for in-home care costs the state $750 a month, far less than nursing home care, according to WHCQ. Meanwhile, the powerful seniors group AARP is pushing lawmakers to improve long-term care as health care reform heats up, according to Channel 13 WOWK, a CBS affiliate television station in Charleston, W.V. "Millions of older Americans rely on Medicaid for the long-term services and supports they need, but the program"s bias toward institutional care prevents most from getting more affordable care where they want it: their own homes," the station reports. AARP has endorsed the Empowered at Home Act (S. 434), "which would provide incentives and greater opportunities for states to expand access to home and community based services." The group also supports the Retooling the Health Care Workforce for an Aging America Act (S. 245/H.R. 468), legislation that "would provide support, training and information to family caregivers, and improve the health and long-term care workforce to better meet the needs of the aging population" (6/1). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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