US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011-2016 Behavioral Risk Factor Surveillance System.
Authors: Walker LE, Poltavskiy E, Janak JC, Beyer CA, Stewart IJ, Howard JT Abstract Objective: To determine: 1) rates of cardiovascular disease (CVD) among individuals with and without prior US military service; and 2) variation in CVD outcomes by race/ethnicity. Methods: We performed a cross-sectional study of the 2011-2016 Behavioral Risk Factor Surveillance System during 2018-2019. Groups with (n=369,844) and without (n=2,491,784) prior service were compared overall, and by race/ethnicity. CVD odds were compared using logistic regression. Rate-difference decomposition was used to estimate relative contribut...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Brief Report: Characterizing the Burden of Cardiometabolic Disease among Public Housing Residents Served by an Urban Hospital System.
Conclusion: The burden of CMD among public housing residents shows sex disparities where women have a higher prevalence of CMD and related risk factors than men. PMID: 31367166 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Physical Activity of Arab Muslim Mothers of Young Children Living in the United States: Barriers and Influences.
Authors: Eldoumi H, Gates G Abstract Objectives: To examine physical activity (PA) levels, and how sociocultural factors, acculturation, self-efficacy and religion influence PA levels of Arab Muslim mothers of young children living in the United States. Participants and Setting: Arab Muslim mothers of young children (aged
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Years of Potential Life Lost from Cardiovascular Disease Among Hispanics.
Conclusions: In conclusion, disaggregation of Hispanic subgroups revealed marked heterogeneity in premature cardiovascular mortality. These findings suggest that measures to improve the cardiovascular health of Hispanics should incorporate subgroup status as a key part of public health strategy. PMID: 31367168 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Self-Esteem, Weight Status, and Trying to Lose Weight During Young Adulthood: The Roles of Sex and Ethnicity/Race.
This study sought to examine sex and ethnicity/race differences in the associations between self-esteem, weight status, and trying to lose weight among young adults in the United States. Methods: Data were drawn from Wave III (2001/2002) of the US National Longitudinal Study of Adolescent to Adult Health (Add Health public-use sample). Body mass index (BMI) was measured during in-home visits. Weight-loss patterns, self-esteem, and sociodemographics were assessed via self-reports. Logistic regression models were fitted among 4,594 young adults who were aged 21.8 (SD=1.8) years. Results: Obesity was associated with r...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Web-Based Tobacco Cessation Interventions and Digital Inequality across US Racial/Ethnic Groups.
Authors: Webb Hooper M, Carpenter KM, Salmon EE Abstract Introduction: Internet-based tobacco cessation programs have increased in use and popularity in recent years. To examine evidence for racial/ethnic digital inequality in web-only tobacco cessation services offered by US tobacco quitlines, we conducted an analysis of quitline enrollees in five states. We hypothesized that racial/ethnic minorities would demonstrate lower enrollment and utilization of a web-only tobacco cessation program. Methods: The sample includes enrollees into five state quitlines whose service options included a web-only program in 201...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Are the Fitzpatrick Skin Phototypes Valid for Cancer Risk Assessment in a Racially and Ethnically Diverse Sample of Women?
Authors: Sommers MS, Fargo JD, Regueira Y, Brown KM, Beacham BL, Perfetti AR, Everett JS, Margolis DJ Abstract The Fitzpatrick Skin Phototypes (FSP) were developed to classify skin color and response to ultraviolet radiation. FSP are used clinically to assess risk for sunburn and skin cancer. Our aim was to determine the criterion-related validity of self-reported FSP when compared with skin color and sunburn history, controlling for age, race/ethnicity, and seasonality/geography. We performed a secondary analysis of data (N=466) from an observational study. The racial/ethnic composition of the sample was 45% White...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Perspective: The Clinical Use of Polygenic Risk Scores: Race, Ethnicity, and Health Disparities.
Authors: Roberts MC, Khoury MJ, Mensah GA Abstract Polygenic risk scores (PRS) are an emerging precision medicine tool based on multiple gene variants that, taken alone, have weak associations with disease risks, but collectively may enhance disease predictive value in the population. However, the benefit of PRS may not be equal among non-European populations, as they are under-represented in genome-wide association studies (GWAS) that serve as the basis for PRS development. In this perspective, we discuss a path forward, which includes: 1) inclusion of underrepresented populations in PRS research; 2) global effort...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Diversity in the Era of Precision Medicine - From Bench to Bedside Implementation.
This article reports on the topics discussed at the 13th Annual Texas Conference on Health Disparities, organized by the Texas Center for Health Disparities at the University of North Texas Health Science Center; the meeting focused on the theme, "Diversity in the Era of Precision Medicine" and was held during June 2018 in Fort Worth, Texas. The primary focus of this conference, which brought together clinical and basic scientists, was on the inclusion of diversity in precision medicine to bridge the gap in health disparities. Here, we present the highlights of the conference that include the potential applicatio...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Trends in Memory Problems and Race/Ethnicity in the National Health and Examination Survey, 1999-2014.
Authors: Casillas A, Liang LJ, Vassar S, Brown A Abstract Background: Little data exist to describe serial population-level trends in cognitive impairment- especially among minority communities. Because memory problems are among the first warning signs of cognitive impairment, they provide a potential method for monitoring changes in cognitive health at the population level. This exploratory study aimed to: 1) estimate prevalence of memory problems among US residents by race/ethnicity, age category; and 2) examine whether racial/ethnic differences in subjective cognitive concerns (memory problems) varied across rec...
Source: Ethnicity and Disease - August 2, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Achieving Health Equity through Science, Policy, and Partnerships.
Authors: Webb Hooper M PMID: 31308598 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Reducing Health Disparities to Promote Health Equity through Policy Research.
Authors: Pérez-Stable EJ, Sayre MH Abstract Health policy research aligns with the vision, mission, and strategic goals of the National Institute on Minority Health and Health Disparities (NIMHD). Understanding the effects of a policy change at a local, state or national level that impacts health requires setting up data collection or accessing existing data to evaluate impact at a population health level. The translational work in this special supplement issue of Ethnicity & Disease is a powerful and essential approach in optimizing scientific inquiry that supports increasing awareness and selected stra...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Leveraging Science to Advance Health Equity: A Regional Health Policy Research Center's Approach.
This article provides an overview of the research projects, pilot project programs, infrastructure cores, communications, and strategic dissemination activities supported by the TCC. PMID: 31308600 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Applying a Health Equity Lens to Evaluate and Inform Policy.
This article describes a "health equity lens" as defined, operationalized and applied by the TCC to inform health policy development, implementation, and analysis. Prioritizing health equity in laws and organizational policies provides an upstream foundation for ensuring that the laws are implemented at the midstream and downstream levels to advance health equity. PMID: 31308601 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

The Future of Health Equity in America: Addressing the Multiple, Intersecting Determinants of Health.
This article examines the past and present health policy issues affecting health equity in the United States and discusses the need to address the multiple, intersecting determinants of health in order to fully realize health equity and eliminate health disparities in the future. PMID: 31308602 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Strategies for Achieving Health Equity: Concern about the Whole Plus Concern about the Hole.
Authors: Jones CP, Holden KB, Belton A Abstract Health equity is a process, assurance of the conditions for optimal health for all people, which requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need. At the heart of health equity is concern about the whole of society, not just a single individual or group. Also, at the heart of health equity is concern about the holes in society, about gaps of opportunity and gaps of being valued that are experienced by many. Strategies to achieve health equity that reflect concern about...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Tx ™: An Approach and Philosophy to Advance Translation to Transformation.
Tx ™: An Approach and Philosophy to Advance Translation to Transformation. Ethn Dis. 2019;29(Suppl 2):349-354 Authors: Henry Akintobi T, Hopkins J, Holden KB, Hefner D, Taylor HA Abstract The translational science spectrum consists of phases or types of research, from discoveries that advance our understanding of the biological basis of health and disease to interventions that engage individuals and social systems toward improved population health. The health research system has widely acknowledged flaws that delay (or even deny) the fruits of research findings for the population and for chronica...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Addressing Health Disparities in Adults with Developmental Disabilities.
Authors: Videlefsky AS, Reznik JM, Nodvin JT, Heiman HJ Abstract Adults with developmental disabilities are a growing population that experiences significant health disparities due to unmet health care and social needs. Few standardized health care guidelines are available or broadly accepted as best practices for this population. The Adult Disability Medical Healthcare (ADMH) is a community-based clinic that provides a unique multidisciplinary team-based approach to addressing the social and health care needs of adults with developmental disabilities within the framework of a Patient Centered Medical Home model. A...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers.
This article reviews the status of cultural competence education in health care, the merits of continued commitment to training health care providers in integrated care settings, and policy and practice strategies to ensure emerging health care professionals and those already in the field are prepared to meet the health care needs of racially and ethnically diverse populations. PMID: 31308606 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Collaborative Action on Child Equity: Lessons from the Field.
The objectives of SSC are to support the development of parental agency and leadership in order to achieve positive health and academic readiness among school-aged children. Of the 13 partners, 9 were able to successfully implement SSC, with more than 350 parent-peer learners completing the program. Additionally, several partners were able to successfully develop Policy Action Plans. We discuss our efforts to bring SSC to scale in a national replication effort and to build policy development, implementation and evaluation capacity in organizations serving children and families. We highlight lessons learned in this replicat...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Advancing Health Equity through Organizational Mentoring Policies at Minority-Serving Institutions.
Conclusions: Given these findings, we offer recommendations to help MSIs establish a mentoring culture backed by institutional policy. PMID: 31308608 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Health Policy Engagement Strategy for the Health Information Technology Policy Project of the Transdisciplinary Collaborative Center for Health Disparities Research.
This article describes a case study of the Transdisciplinary Collaborative Center for Health Disparities Research Health Information Technology (TCC HIT) Policy Project's approach to health-policy engagement using: 1) social media; and 2) a webinar to educate stakeholders on the rulemaking process and increase their level of meaningful engagement with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule public comment submission. The webinar "Paying for Quality: What Is the Impact on Health Equity" was promoted through Twitter and held in June 2016. In total, we posted 19 tweets using tw...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

A Participatory Evaluation Framework for the Implementation of a Transdisciplinary Center for Health Disparities Research.
This article describes the participatory evaluation framework for the Transdisciplinary Collaborative Center for Health Disparities Research (TCC) funded by the National Institute of Minority Health and Health Disparities. In collaboration with TCC stakeholders, logic models, the McKinlay model, and process and outcome evaluation plans, including quantitative and qualitative methods, have been developed and used to document the impact of the TCC. The McKinlay model, a widely used comprehensive health model for eliminating health disparities, was also tailored to document the outcomes of the TCC. The process and outcome eva...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Achieving Health Equity with e-Healthystrides ©: Patient Perspectives of a Consumer Health Information Technology Application.
We describe the implementation, clinical outcomes and participant perspectives for e-Healthystrides©. Setting: Three independent ambulatory clinics and an historic African American (AA) church. Participants: Adults with diagnosed diabetes mellitus type 2. Intervention: e-Healthystrides© health coach facilitated intervention. Primary outcome: Acquisition of three new self-management behaviors. Secondary outcomes: Blood pressure, blood glucose, A1c, attrition rate and participant perspectives of e-Healthystrides©. Methods: A convergent parallel mixed method design was used in both pilot...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Health Policy Training for Health Equity Leaders.
We present our training approach as well as results from an alumni survey assessing learner outcomes one to five years post fellowship completion. To our knowledge, this is the first study that evaluates the longitudinal impact of health policy training on the career trajectories of program graduates. We believe this offers a number of opportunities for replication and translation across health professional training programs. PMID: 31308612 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Curriculum Mapping and Needs Assessment to Inform the Training of Health Policy Leaders.
Authors: Bayer CR, Respress E, Josiah Willock R, Heiman HJ Abstract Purpose: To identify synergies and gaps in knowledge, skills, and attributes identified by health policy leaders and create a summary measure of congruence with the Health Policy Leadership Fellowship Program curriculum. Methods: We mapped the Health Policy Leadership Fellowship Program curriculum to the most highly ranked knowledge, skills, and attributes identified through the Health Policy Leaders' Training Needs Assessment survey. Results: Overall, the Health Policy curricular elements had the highest percentage of congruence with the n...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Developing a Policy Brief on Child Mental Health Disparities to Promote Strategies for Advancing Equity among Racial/Ethnic Minority Youth.
Authors: Butler AM, Rodgers CRR Abstract Research has identified a broad range of risk factors during early childhood that have neurobiological consequences and negatively affect children's mental health. Such risk factors disproportionately affect racial/ethnic minority youth. Disparities in children's mental health service use have also been documented for minority youth. Yet, compared with the focus on strategies to address health disparities (including mental health disparities) during adulthood, very little work has concentrated on addressing the roots of health disparities that occur in childhood. The purpose...
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen's Behavioral Model of Healthcare Services Utilization.
Conclusions: The findings offer implications for health policy aimed at increasing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels. PMID: 31308615 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Evaluating the Availability and Quality of HIV/AIDS Services and Supports for Individuals with Intellectual and Developmental Disabilities.
We present the findings of a three-phase research project. Findings from the research informs organizations and policymakers on how to provide persons with disabilities better access to HIV/AIDS care. PMID: 31308616 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Development of a Natural Language Processing Algorithm to Identify and Evaluate Transgender Patients in Electronic Health Record Systems.
Conclusions: Our novel algorithm correctly identified transgender patients and provided important insights into health care utilization among this marginalized population. PMID: 31308617 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - July 18, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

How Does Acculturation Influence Smoking Behavior Among Latinos? The Role of Education and National Background.
Conclusions: The relationship between acculturation and health behaviors among Latinos is influenced by education and should be considered by public health and clinician stakeholders when developing or adapting tobacco control strategies. PMID: 31057307 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Cancer-related Knowledge, Attitudes and Behaviors within the Latino Faith Community in South Los Angeles.
Conclusions: Our data suggest a need to focus on both primary and secondary cancer prevention by promoting healthy lifestyles to curb the obesity epidemic and by promoting colorectal cancer screening. These data will inform future interventions to promote wellness in South Los Angeles in collaboration with the Latino faith community. PMID: 31057308 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Neighborhood Social Cohesion and Walking Limitations in Ethnically Diverse Older Latinos in the United States.
We examined the association between neighborhood social cohesion and walking limitations among Latinos overall and by specific Latino groups. We combined data from the 2013 to 2016 National Health Interview Survey (NHIS) and selected adults aged ≥60 years (n= 3,716). Walking limitations were assessed based on responses to the "experienced difficulty walking" survey question. Social cohesion was measured using four NHIS questions regarding neighborhood social cohesion. Logistic regression models were stratified by Latino subgroup. Mexican Americans represented the largest proportion of the sample (55%). Cubans ...
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Assessing the Likelihood of Having a Regular Health Care Provider among African American and African Immigrant Women.
Conclusion: Expanding health care educational efforts for immigrants may be warranted. Future research should examine how cultural beliefs and time in residence influence health care utilization among US immigrants. PMID: 31057310 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Patient-level Predictors of Extent of Exposure to a Community Health Worker Intervention in a Randomized Controlled Trial.
Conclusions: Differential exposure to a CHW intervention is influenced by patients' physical, psychosocial, and sociodemographic characteristics. PMID: 31057311 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Influence of Spirituality on Depression-Induced Inflammation and Executive Functioning in a Community Sample of African Americans.
This study examines the influence of daily spiritual experiences on the relationship between depressive symptoms and cognitive functioning, and how inflammatory markers may partially explain these associations. A sample of 212 (mean age= 45.6) participants completed the Daily Spiritual Experience Scale (DSES), Beck Depression Inventory-II (BDI-II), Trail Making Test A and B (TMT) and Stroop Color and Word Test (Stroop). Blood samples were collected to measure inflammatory mediators (IL-6, IL-1a, TNF-a). Linear regression analyses were used to evaluate associations. Higher BDI-II scores were associated with poorer psychomot...
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Community Engagement and Planning versus Resources for Services for Implementing Depression Quality Improvement: Exploratory Analysis for Black and Latino Adults.
Conclusions: Exploratory analyses of CEP for depression quality improvement suggests significant 6-month benefits in mental health outcomes for Black and Latino participants and trends for improvement in community-prioritized outcomes for both groups. Findings may inform research in multi-sector coalitions to promote equity in depression care. PMID: 31057313 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Comparison of Ideal Cardiovascular Health Attainment and Acculturation among Asian Americans and Latinos.
Conclusion: We found significant variation in ideal cardiovascular health attainment by language spoken at home in two of the largest immigrant groups in the United States. Findings suggest the need for language and culturally tailored public health and clinical initiatives to reduce cardiovascular risk in diverse populations. PMID: 31057314 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Longitudinal Changes in Allostatic Load during a Randomized Church-based, Lifestyle Intervention in African American Women.
Conclusions: Lower education levels may dampen the benefits of lifestyle interventions in reducing AL. Although a significant reduction in AL was found after participation in a lifestyle intervention, more research is needed to determine how lifestyle behaviors and socioeconomic factors influence AL in AA women. PMID: 31057315 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Convergence Despite Divergence: Views of Academic and Community Stakeholders about the Ethics of Community-Engaged Research.
Conclusions: The strong agreement among stakeholders on these broad, aspirational ethical statements can help guide partnerships toward ethical decisions and actions. Continued research about variability among stakeholders' ethics perspectives is needed to bolster the capacity of CEnR to contribute to health equity. PMID: 31057316 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - May 7, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Foreword: Strategic Partnerships to Advance Health Equity.
Authors: Mensah GA PMID: 30906149 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

The National Heart, Lung, and Blood Institute Strategic Vision Implementation for Health Equity Research.
Authors: Mensah GA, Stoney CM, Freemer MM, Smith S, Engelgau MM, Hoots WK, Kiley JP, Goff DC Abstract The National Heart, Lung, and Blood Institute (NHLBI) provides global leadership for a research, training, and education program to promote the prevention and treatment of heart, lung, and blood diseases and enhance the health of all individuals so that they can live longer and more fulfilling lives. Inherent in this mission is the commitment to advance health equity research as an avenue for enhancing the health of all individuals. Additionally, the four goals and eight research objectives of the NHLBI Strategic V...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Eliminating the Sex and Gender Gap and Transforming the Cardiovascular Health of All Women.
Authors: Cook NL Abstract Critical to eliminating the sex and gender gap in cardiovascular health is addressing known differences in disease burden, disparities in treatment and clinical outcomes, and the scientific importance of sex as a biological variable that influences resilience, pathophysiology, and ultimately the health of women. Furthermore, key disparities exist at the intersection of sex/gender and race/ethnicity where women of color are disproportionately affected by higher burden of disease and poorer outcomes in several cardiovascular conditions. Through efforts to galvanize strategic partnerships, Th...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Fostering Diversity and Inclusion in the National Heart, Lung, and Blood Institute's Small Business Program.
This article describes the historical context and current state of policies in this arena; it also provides details about mechanisms and approaches used to achieve the goals. PMID: 30906152 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Building the Next Generation of Implementation Science Careers to Advance Health Equity.
Authors: Boyce CA, Barfield W, Curry J, Shero S, Green Parker M, Cox H, Bustillo J, Price LN Abstract Rapid advancements in translational research have produced innovative clinical discoveries and evidence-based interventions that are ready for uptake in real-world settings, creating vast opportunities and challenges for implementation science. However, there is an inadequate research workforce to study effective strategies and delivery of implementation to advance the field. Novel career development initiatives will build scholars for the next generation of implementation science to bridge research to practice for...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity.
Authors: McNulty M, Smith JD, Villamar J, Burnett-Zeigler I, Vermeer W, Benbow N, Gallo C, Wilensky U, Hjorth A, Mustanski B, Schneider J, Brown CH Abstract Implementation science has great potential to improve the health of communities and individuals who are not achieving health equity. However, implementation science can exacerbate health disparities if its use is biased toward entities that already have the highest capacities for delivering evidence-based interventions. In this article, we examine several methodologic approaches for conducting implementation research to advance equity both in our understanding ...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Promoting Health Equity through De-Implementation Research.
Authors: Helfrich CD, Hartmann CW, Parikh TJ, Au DH Abstract Ensuring equitable access to quality health care historically has focused on gaps in care, where patients fail to receive the high-value care that will benefit them, something termed underuse. But providing high-quality health care sometimes requires reducing low-value care that delivers no benefit or where known harms outweigh expected benefits. These situations represent health care overuse. The process involved in reducing low-value care is known as de-implementation. In this article, we argue that de-implementation is critical for advancing equity for...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Partnerships to Improve Shared Decision Making for Patients with Hypertension - Health Equity Implications.
Authors: Langford AT, Williams SK, Applegate M, Ogedegbe O, Braithwaite RS Abstract Shared decision making (SDM) has increasingly become appreciated as a method to enhance patient involvement in health care decisions, patient-provider communication, and patient-centered care. Compared with cancer, the literature on SDM for hypertension is more limited. This is notable because hypertension is the leading risk factor for cardiovascular disease and both conditions disproportionately affect certain subgroups of patients. However, SDM holds promise for improving health equity by better engaging patients in their health ...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Economic Dimensions of Health Inequities: The Role of Implementation Research.
In this report, we describe four economic dimensions of health inequities in the United States. First, we describe an economic conceptual framework that connects poverty and health inequities at both individual and population levels and conveys the concept of reverse causality, where poverty worsens health inequities and health inequities worsen poverty. This framework can help us understand the key elements of health inequity and its drivers. Second, we describe economic measurements used for quantifying the economic burden of health inequalities and summarize the empirical findings from studies. Third, we review the evid...
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Practice-Based Research Networks: Strategic Opportunities to Advance Implementation Research for Health Equity.
This article will briefly outline the history of PBRNs, types of PBRNs, locations, topics, and patient outcomes over the past 25 years. Current PBRN efforts to address health disparities and improve health equity will be described. New PBRN opportunities to address health disparities and approaches to advance implementation research for health equity in the practice and community will be described. Readers will be challenged to consider ways to engage practice-based research networks in their health equity efforts. PMID: 30906158 [PubMed - in process] (Source: Ethnicity and Disease)
Source: Ethnicity and Disease - March 26, 2019 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research