Finding Common Ground: Can Provider-Patient Race Concordance and Self-disclosure Bolster Patient Trust, Perceptions, and Intentions?
ConclusionWhile it is possible, based on past research, that race-concordant pairings may lead to trust via similarity, provider self-disclosure directly increased perceptions of trust as well as providing numerous other benefits. This study supports the importance of trainings for providers on health-related self-disclosure to benefit both parties in provider-patient dyads. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Coping While Black: Chronic Illness, Mastery, and the Black-White Health Paradox
AbstractPrior research indicates that there is a black-white paradox in the relationship between physical health and mental health among American adults. However, none have considered black-white differences in psychosocial coping and depressive symptoms during the transitional stages from health to chronic illness. Using a nationally representative sample of chronically ill adults from the American Changing Lives study, this study builds on literature on chronic illness and the black-white paradox to examine if (1) growth in depressive symptoms across 16  years differs for black and white adults as they transition fr...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Examining Race/Ethnicity Differences in the Association Between the Experience of Workplace Racial Discrimination and Depression or Negative Emotions
This study examines associations and potential interactions between race/ethnicity, workplace racial discrimination, depression, and negative emotional symptoms experienced due to treatment based on race. Data for this study come from the 2014 Behavioral Risk Factor Surveillance System (BRFSS), an annual telephone survey of US residents, aged 18 and older. Respondents from MN and NM (n = 13,655) completed a module titled Reactions to Race, which contained items assessing workplace racial discrimination and negative emotions experienced based on treatment due to race, as well as standard BRFSS items assessing ...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Worry Among Latinx Young Adults: Relations to Pain Experience, Pain-Related Anxiety, and Perceived Health
AbstractLatinx are one of the largest and most rapidly growing segments of the United States (U.S.) population that is significantly impacted by health disparities, including somatic health problems. Young Latinx adults (ages 18 –25 years) are at a greater risk for being affected by such health inequalities and there is a need to understand individual-based differences that may contribute to and maintain somatic symptoms, including pain experience, pain beliefs, and perceptions of health. Thus, the current study investig ated the explanatory role of worry in association between pain intensity, pain disability, p...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Exploring the Determinants of Risky Sexual Behavior Among Ethnically Diverse University Students: the Student Behavioral Health Survey-Web
This study examined the prevalence and determinants of risky sex among students attending a Hispanic-serving university. A cross-sectional online survey was conducted to obtain sensitive data from a random sample of students. Nearly two-thirds (65.2%) of 632 respondents reported engaging in risky sex. Sexual risk was significantly associated with older age (AOR  = 2.16, 95% CI 1.09–4.30), lower self-control (AOR = 0.58, 95% CI 0.34–0.97), and higher alcohol (AOR = 2.10, 95% CI 1.20–3.67) and drug use (AOR = 2.59, 95% CI 1.48–4.50). Most respond...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Differences in Breast Cancer Stage at Diagnosis by Ethnicity, Insurance Status, and Family Income in Young Women in the USA
AbstractPurposeDescribe the clinical and epidemiological data from young women with breast cancer and determine the association between ethnicity, insurance status, family income, and breast cancer stage at the diagnosis in this population.MethodsWomen under the age of 40 diagnosed with invasive breast cancer from 2010 to 2014 and identified in the Surveillance, Epidemiology, and End Results (SEER) 18 registries database were included. Binary logistic regression was applied in order to estimate the odds ratios (ORs) for factors that were potentially predictive for receiving a breast cancer diagnosis at stage I.ResultsOf 14...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Exploring Racial Disparities in Physical Activity and Quality of Life Through an Expectancy-Value Perspective
AbstractObjectivesAlleviating racial/ethnic disparities in physical activity (PA) and health outcomes during childhood becomes an important public health priority as the nation ’s populace continues to diversify. Guided by expectancy-value model, the purposes of this study were (a) to examine the potential differences in expectancy-value beliefs, PA and health-related quality of life (HRQOL) between African-American (AA) children and their American-Caucasian (AC) peers, and (b) to determine how the relationships among these variables might differ between the two racial groups.MethodParticipants were 321 (152 boys; 18...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Socially Assigned Race and Diabetes: Findings from the Arizona Behavioral Risk Factor Surveillance System, 2013 –2014
AbstractSocially assigned race, the racial/ethnic categorization of individuals by others, may serve as the basis for differential or unfair treatment. Latinxs are commonly socially assigned to a race/ethnicity with which they do not self-identify. However, it is unclear the degree to which self-identified Latinxs who are socially assigned as white or Latinx may differentially predict health outcomes beyond general health status and healthcare utilization. We examine the association between socially assigned race and type 2 diabetes mellitus (T2DM). Data from the Arizona ’s Behavioral Risk Factor Surveillance System ...
Source: Journal of Racial and Ethnic Health Disparities - September 11, 2019 Category: International Medicine & Public Health Source Type: research

Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013 –2016
ConclusionMSMW in the South experience social and structural factors that may affect their risk for HIV infection. Strategies to address these factors should be considered in prevention and care efforts for this population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 9, 2019 Category: International Medicine & Public Health Source Type: research

Family First: Asian Americans ’ Attitudes and Behaviors Toward Deceased Organ Donation
This study is the first to explore attitudes and knowledge about posthumous organ donation among US Asian American populations in at least a decade. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 6, 2019 Category: International Medicine & Public Health Source Type: research

Police Interactions and the Mental Health of Black Americans: a Systematic Review
AbstractBlack Americans comprise 13% of the US population, yet data suggests that they represent 23% of those fatally shot by police officers. Data on non-lethal encounters with police in the Black community is less available but can understandably result in emotional trauma, stress responses, and depressive symptoms. The aim of this systematic literature review is to assess if interactions with the police are associated with mental health outcomes among Black Americans. Following pre-defined inclusion criteria, 11 articles were reviewed. Using a quality assessment tool, eight studies received a fair quality rating, two st...
Source: Journal of Racial and Ethnic Health Disparities - September 3, 2019 Category: International Medicine & Public Health Source Type: research

Barriers to and Facilitators of Diabetic Retinopathy Screening Utilization in a High-Risk Population
ConclusionsThe factors that influence diabetic retinopathy screening utilization are complex. Visual symptoms and the need for glasses are important facilitators of screening. Many patients lack knowledge about diabetic retinopathy and the utility of preventative eye care. New strategies for engaging high-risk populations are necessary. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 28, 2019 Category: International Medicine & Public Health Source Type: research

An Exploration of the Ecological Context of Low-Income, Urban African-American Adolescent Sexual Risk
AbstractPrior health disparities research has indicated that urban, low-income African-American families and adolescents experience ecological and environmental hardships that result in higher rates of engagement in risk behaviors. Contextual factors like community violence, socioeconomic status, and family processes, as well as limited sexual health knowledge, a psychological element, also contribute to high rates of sexual risk among urban African-American adolescents. However, protective factors like parental monitoring and parent-adolescent communication about sex may decrease sexual risk among this urban teen populati...
Source: Journal of Racial and Ethnic Health Disparities - August 28, 2019 Category: International Medicine & Public Health Source Type: research

Internalized HIV-Related Stigma and Breast Health Beliefs Among African –American Women Receiving Care for HIV in the USA
AbstractObjectivesAfrican –American women suffer disproportionately from HIV, breast cancer, and other illnesses. Little is known about the relationship between internalized HIV-related stigma and health beliefs related to other illnesses, including breast cancer. Our study examined (1) the relationship between internalize d HIV-related stigma and breast health beliefs over time and (2) the moderating effects of participating in a stigma reduction intervention and/or social support.MethodsData from 239 African –American women receiving care for HIV in Chicago, IL, or Birmingham, AL, enrolled in the Unity random...
Source: Journal of Racial and Ethnic Health Disparities - August 26, 2019 Category: International Medicine & Public Health Source Type: research

A Systematic Review of Indian Boarding Schools and Attachment in the Context of Substance Use Studies of Native Americans
AbstractThis PRISMA style literature review was used to explore substance abuse studies focused on Native American populations in the context of historical trauma (from experiences at Indian boarding schools) and the critical loss of family relationships from colonization. It was found that while Indian boarding schools are recognized as being important research topics related to substance use, they are usually mentioned as a part of the colonization process rather than examined for their specific historical/personal impacts. Furthermore, social science may fail to recognize how detrimental the loss of family relationships...
Source: Journal of Racial and Ethnic Health Disparities - August 26, 2019 Category: International Medicine & Public Health Source Type: research

Medical Surprise Anticipation and Recognition Capability: A New Concept for Better Health Care
AbstractPredicting and preparing for the unforeseen is challenging. Medicine and health care are continuously changing based on science, technology, and regulation. This very process of change creates pathways for surprise and leaves us vulnerable to its impact. The armed forces have established strategies to identify and address surprising events, a framework that can be adapted to benefit the medical community. We introduce Medical Surprise Anticipation and Recognition Capability (SARC), adapted from an established military strategy. SARC is the process of addressing surprising events before they emerge. We explore the f...
Source: Journal of Racial and Ethnic Health Disparities - August 23, 2019 Category: International Medicine & Public Health Source Type: research

Alcohol Use and Ethnicity Independently Predict Antiretroviral Therapy Nonadherence Among Patients Living with HIV/HCV Coinfection
ConclusionsBehavioral health providers are encouraged to incorporate alcohol use reduce interventions in HIV clinical settings to reduce ART nonadherence among patients living with HIV/HCV coinfection. Additionally, public health professionals and researchers, and clinicians are encouraged to use inductive methods to discover why ART nonadherence disproportionately impacts African American patients living with HIV/HCV coinfection and to develop approaches that are sensitive to those respective barriers. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 21, 2019 Category: International Medicine & Public Health Source Type: research

Predictors of Cervical Cancer Screening Awareness and Literacy Among Korean-American Women
This study recommends culture specific guidelines to promote annual checkups through primary care physicians and the transfer of information about cervical cancer screening through acquaintances giving support. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 13, 2019 Category: International Medicine & Public Health Source Type: research

The Role of Patient-Physician Communication on the Use of Hydroxyurea in Adult Patients with Sickle Cell Disease
ConclusionProviders who engaged in shared decision –making empowered participants to decide whether to start HU treatment. Participants who felt their providers were not listening to their concerns expressed disengaging from HU treatment. During discussions about HU with patients living with SCD, providers must understand the multi-faceted aspects that impact patients’ decision and empower patients to engage in such discussions. Further research is needed to understand the role of shared decision-making among patients with SCD to improve management of SCD. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 13, 2019 Category: International Medicine & Public Health Source Type: research

Comorbid Conditions and Driving Status Among Older Low-Income African Americans
ConclusionApproximately 77% of older adults getting care at a safety net hospital in Atlanta reported not driving a motor vehicle. Utilization of primary healthcare resources was low in both groups and was not affected by enrollment in a Medicare advantage plan. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 13, 2019 Category: International Medicine & Public Health Source Type: research

Psychosocial Factors of Diet and Physical Activity among Rural, Hispanic Children: Findings from a Multilevel Health Intervention Study
ConclusionMale gender and some psychosocial measures were associated with obesogenic behaviors. Insight about factors associated with obesity-related behaviors in rural, Hispanic children may help the development of successful and effective behavioral health interventions for this understudied population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 5, 2019 Category: International Medicine & Public Health Source Type: research

Systematic Review of Chronic Discrimination and Changes in Biology During Pregnancy Among African American Women
AbstractProfound racial health disparities in maternal and infant health exist in the USA. Discrimination based on race may contribute to these disparities, but the biological pathways through which racial discrimination acts on health are not fully known. Even less is known about these pathways during development. Examining how racial discrimination becomes biology is paramount because it may shed light on how and when such social forces result in lasting biological consequences for health and wellbeing. To begin exploring this issue, we performed a systematic review of the relationships between experiences of chronic rac...
Source: Journal of Racial and Ethnic Health Disparities - August 5, 2019 Category: International Medicine & Public Health Source Type: research

Socioeconomic, Racial, and Ethnic Disparities in Postpartum Readmissions in Patients with Preeclampsia: a Multi-state Analysis, 2007 –2014
AbstractPurposeChildbirth is the most common reason for hospitalization for reproductive-aged women, with about 4 million annual deliveries nationally. Hypertension is the leading indication for postpartum readmission and therefore women with preeclampsia are at high risk for readmission. Social determinants of health are associated with increased readmission in postpartum patients; however, no study has specifically investigated readmissions in this higher risk group of patients. We sought to evaluate the effect of social determinants of health on postpartum readmissions in all postpartum patients and in a subgroup analys...
Source: Journal of Racial and Ethnic Health Disparities - July 26, 2019 Category: International Medicine & Public Health Source Type: research

Physician Trust and Home Remedy Use Among Low-Income Blacks and Whites with Hypertension: Findings from the TRUST Study
ConclusionsBlack home remedy users, non-users, and White non-users reported similar trust scores; the lowest trust scores were found among White home remedy users. Home remedy use was higher among Black participants. Future studies should examine the context of mistrust and home remedy use among Whites. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 26, 2019 Category: International Medicine & Public Health Source Type: research

Multiple Influences on Cognitive Function Among Urban-Dwelling African Americans
This study examined multiple influences on cognitive function among African Americans, including education, literacy, poverty status, substance use, depressive symptoms, and cardiovascular disease (CVD) risk factors. Baseline data were analyzed from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. Participants were 987 African Americans (mean age 48.5  years, SD = 9.17) who completed cognitive measures assessing verbal learning and memory, nonverbal memory, working memory, verbal fluency, perceptuo-motor speed, attention, and cognitive flexibility. Using preplanned hie...
Source: Journal of Racial and Ethnic Health Disparities - July 26, 2019 Category: International Medicine & Public Health Source Type: research

Addressing the Absence of Black Men in Medicine
This article summarizes three medical student perspectives  presented as posters at the National Academies of Science, Engineering, and Medicine inaugural workshop on the growing absence of Black men in medicine. These posters present perspectives from men of color each from one of the three historically Black medical colleges in the country. The authors provide narratives on the importance of early access to resources and adequate inter-generational mentorship in preparing Black men for a career in medicine. Popular culture is also discussed as a means of facilitating further engagement of premedical Black ...
Source: Journal of Racial and Ethnic Health Disparities - July 26, 2019 Category: International Medicine & Public Health Source Type: research

Uncovering Profiles of Economic, Social, and Cultural Capital to Explore Depression Across Racial Groups
This study analyzed secondary data from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative sample of US individuals. A sub-population of the sample was used, which was comprised of 4339 Black and white participants from wave IV. To address the study aims, we used the new three-step approach to conducting latent class analysis. We identified five profiles of capital, the composition of which varied by race. Compared to Blacks, whites were more likely to be in the “cultural-economic capital” (14% vs. 10%), “elevated overall capital” (35% vs. 14%), and “soc...
Source: Journal of Racial and Ethnic Health Disparities - July 25, 2019 Category: International Medicine & Public Health Source Type: research

Community Readiness Model for Prevention Planning: Addressing Childhood Obesity in American Indian Reservation Communities
DiscussionThe low readiness scores directed the team to implement corresponding strategies to increase awareness, while the thematic analysis suggested that action-based approaches might also be appropriate. The narrow range of scores suggest that community-wide assessments may be sufficient unless specific information is needed for each region of the community. The CRM may be an effective way to assess community readiness to address childhood obesity on an American Indian Reservation. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 22, 2019 Category: International Medicine & Public Health Source Type: research

Assessing the Acceptability of a Mindfulness-Based Cognitive Therapy Intervention for African-American Women Living with HIV/AIDS
This study explored the acceptability and feasibility of an MBCT intervention for this group. The data suggests that this intervention could be potentially useful in improving the mental health of this population, and includes suggestions for making the intervention culturally relevant. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 22, 2019 Category: International Medicine & Public Health Source Type: research

Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites
ConclusionInterventions targeting stigma may reduce disparities in behavioral health service utilization. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 20, 2019 Category: International Medicine & Public Health Source Type: research

Structural Racism and Odds for Infant Mortality Among Infants Born in the United States 2010
ConclusionsEducational and judicial indicators of structural racism were associated with infant mortality among blacks. Decreasing structural racism could prevent black infant deaths. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 15, 2019 Category: International Medicine & Public Health Source Type: research

Racial Differences in Hospitalizations Due to Injuries in South Dakota Children and Adolescents
AbstractObjectivesTo determine racial differences and trends in pediatric injury hospitalization rates in a rural state.MethodsHospital inpatient discharge data (2009 –2014) for South Dakota residents aged 0–19 years were used to calculate annual hospitalization rates due to injuries. Race-, age-, and sex-specific rates were calculated, and trends over time were determined.ResultsBetween 2009 and 2014, there were 3701 pediatric hospitalizations (1008 American Indian [AI]; 2303 white) due to injuries at an average rate of 269/100,000 (95% CI 260 –280/100,000). Injury hospitalization rates were higher ...
Source: Journal of Racial and Ethnic Health Disparities - July 12, 2019 Category: International Medicine & Public Health Source Type: research

Factors Influencing Low Prevalence of Neurodevelopmental Disabilities Among US Hispanic/Latino Children
ConclusionsThese findings may be a result of cultural differences in knowledge or understanding of what constitutes a disability or the result of differential treatment within the healthcare system among H/Ls. The findings underscore the importance of accessible and culturally appropriate health and clinical care interventions among H/L communities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 10, 2019 Category: International Medicine & Public Health Source Type: research

At the Intersection of Ethnicity/Race and Poverty: Knee Pain and Physical Function
ConclusionsResults of the present study add to the literature by emphasizing the importance of considering poverty and/or other indicators of socioeconomic status in studies examining ethnic/racial disparities in pain and physical function. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 10, 2019 Category: International Medicine & Public Health Source Type: research

Higher Educational Attainment is Associated with Lower Risk of a Future Suicide Attempt Among Non-Hispanic Whites but not Non-Hispanic Blacks
ConclusionsConsistent with the Minorities ’ Diminished Return theory, educational attainment better protected non-Hispanic White than non-Hispanic Blacks against future suicide attempt/death. While Whites who have not completed college may be at an increased risk of suicide, risk of suicide seems to be independent of educational attainmen t for non-Hispanic Blacks. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 5, 2019 Category: International Medicine & Public Health Source Type: research

Do Disparities in Sleep Duration Among Racial and Ethnic Minorities Contribute to Differences in Disease Prevalence?
AbstractSleep duration in the USA has declined continually during the second half of the twentieth century, before reaching a plateau in the early twenty-first century. However, not everyone has been equally affected by this continuous decline. Epidemiological studies indicate that ethnic minorities are sleeping even less than those in the general population. Today, Americans are sleeping, on average, for 6  h. This is significantly below the minimum recommended sleep duration of at least 7 h a day. This insufficiency of sleep duration, however, is not evenly distributed in the population, and different racial an...
Source: Journal of Racial and Ethnic Health Disparities - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Neighborhood Environment and Health of Injured Urban Black Men
ConclusionsWe found both area-level and individual-level measures were associated with health, perhaps operating through different mechanisms, but individual experiences may not be easily extrapolated from area-level data. By identifying important components of neighborhood environments, we may better understand how neighborhoods contribute to health in vulnerable populations. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 27, 2019 Category: International Medicine & Public Health Source Type: research

Integrating Palliative Care into the Chronic Illness Continuum: a Conceptual Model for Minority Populations
AbstractAlthough the use of palliative care has increased in recent years, chronically ill Americans within a racial/ethnic minority (non-White) population underutilize this supportive and comfort-giving healthcare service. Consequently, chronically ill minority Americans experience increased pain, symptom burden, and inappropriate use of healthcare resources compared to their white counterparts. A literature review was conducted to compile and synthesize the current state of research pertinent to improving the use of palliative care among chronically ill minority Americans. Selection criteria produced 18 relevant publicat...
Source: Journal of Racial and Ethnic Health Disparities - June 27, 2019 Category: International Medicine & Public Health Source Type: research

The Impact of Patient-Provider Race/Ethnicity Concordance on Provider Visits: Updated Evidence from the Medical Expenditure Panel Survey
AbstractObjectiveTo examine the association between race/ethnicity concordance and in-person provider visits following the implementation of the Affordable Care Act.DesignUsing 2014 –2015 data from the Medical Expenditure Panel Survey, we examine whether having a provider of the same race or ethnicity (“race/ethnicity concordance”) affects the probability that an individual will visit a provider. Multivariate probit models are estimated to adjust for demographic, socioeco nomic, and health factors.ResultsRace/ethnicity concordance significantly increases the likelihood of seeking preventative care for His...
Source: Journal of Racial and Ethnic Health Disparities - June 24, 2019 Category: International Medicine & Public Health Source Type: research

What the Group Threat Hypothesis Notes About States ’ Medicaid Spending
AbstractThis secondary data analysis examined the relationship between state Medicaid spending in 2000 –2014 and the perspective of the group threat hypothesis. The hypothesis posits that as any racial minority group grows in size, the increase is perceived by the racial majority group to threaten its dominant status. The employed data described states’ Medicaid spending, racial makeup, and pover ty and unemployment rates and came from reports compiled by several federal agencies. It was processed first in 2 discrete date-based groups. Results with 2000–2009 data showed states’ per capita Medicaid s...
Source: Journal of Racial and Ethnic Health Disparities - June 21, 2019 Category: International Medicine & Public Health Source Type: research

Health Care Disparities: a Practical Approach to Teach Residents about Self-Bias and Patient Communication
AbstractStudies have shown that the education of resident physicians on health care disparities (HCDs) needs improvement. We implemented a system-wide program on HCD for residents and evaluated outcomes across 1  year. Designed in 2015 by a multidisciplinary team, the HCD program incorporated information about our health system’s patient population and the tenets of unconscious bias. We used the ask-tell-ask model of communication to teach trainees how to identify patients’ barriers to health care. In 2016, resident participants in the HCD program were asked to complete a modified version of the Bonham and...
Source: Journal of Racial and Ethnic Health Disparities - June 18, 2019 Category: International Medicine & Public Health Source Type: research

Vicarious Racism Stress and Disease Activity: the Black Women ’s Experiences Living with Lupus (BeWELL) Study
ConclusionsVicarious racism may result in heightened disease activity and contribute to racial disparities in SLE. Our findings suggest that acts of racism committed against members of one ’s racial group may have distinct health consequences beyond the immediate victim or target. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 18, 2019 Category: International Medicine & Public Health Source Type: research

Racial Disparity in Incidence and Survival for Gastrointestinal Stromal Tumors (GISTs): an Analysis of SEER Database
AbstractBackgroundGastrointestinal tumors (GISTs) represent the most common mesenchymal tumors of the gastrointestinal tract. There has been limited data on GIST incidence and survival disparities between ethnic groups.AimsAssess disparities in incidence and survival among race in the USA in the era of available GIST histologic codes and treatment.MethodsWe queried Surveillance, Epidemiology, and End Results (SEER) database for GIST from 2002 to 2015, with diagnostic code 8936.ResultsOf the 7204 patients identified, 4928 (68.4%) were White, 1308 (18.2%) African American (AA), and 968 (13.4%) were classified as “Other...
Source: Journal of Racial and Ethnic Health Disparities - June 18, 2019 Category: International Medicine & Public Health Source Type: research

Ethnic Differences in the Association of Depressive Symptoms with Clinical Outcome in Dialysis Patients
ConclusionsDepressive symptoms are a risk factor for hospitalization and mortality, especially in native dialysis patients. Adverse clinical events associated with depressive symptoms differ among ethnic groups. This differential association could play a role in the conflicting findings in literature. Ethnicity is an important factor when investigating depressive symptoms and clinical outcome in dialysis patients. Future research should focus on the possible mechanisms and pathways involved in these differential associations. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 18, 2019 Category: International Medicine & Public Health Source Type: research

Examining Colorectal Cancer Risk Awareness and Food Shelf Use Among Health Center Patients
ConclusionsBehavioral interventions exist that are focused on preventing and managing type II diabetes among food shelf users. Building off such interventions and incorporating behavioral economics components (such as nudges and product labels) has the potential to reduce food shelf customers ’ heightened risk and management of CRC. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 5, 2019 Category: International Medicine & Public Health Source Type: research

Quality of Diabetes Care Among Recent Immigrants to the USA
This study investigated the relationship between immigration status and quality of care for patients with diabetes.MethodsWe used the Medical Expenditure Panel (MEPS) dataset between 2002 and 2011 to examine the association between quality of care and immigration status. Quality of care was measured by report of dilated eye exam, foot exam, A1C test, an annual doctor ’s visit, and having blood pressure checked. Immigration status was defined as US born, non-US born but living in the USA for less than 15 years, and non-US born but living in the USA for more than 15 years. Bivariate analyses were used to comp...
Source: Journal of Racial and Ethnic Health Disparities - May 4, 2019 Category: International Medicine & Public Health Source Type: research

A Call for Culturally-Relevant Interventions to Address Child Abuse and Neglect in American Indian Communities
AbstractThe American Indian population has the highest rate of child abuse and neglect in the country at 14.2 cases per 1000 children. Yet, there is a paucity of child abuse interventions available and an even deeper need of culturally relevant interventions for American Indian families. This paper explores the literature of the existing interventions that are specifically used with American Indian families affected by child abuse and neglect. This paper is also a call for culturally relevant interventions and a proposal of recommendations for child abuse and neglect interventions for American Indian families. (Source: Jou...
Source: Journal of Racial and Ethnic Health Disparities - May 4, 2019 Category: International Medicine & Public Health Source Type: research

Comparisons of Conditioned Pain Modulation and Physical Activity Between Hispanic and Non-Hispanic White Adults
AbstractIt is well-documented that adults of racial/ethnic minorities experience pain more frequently and suffer from more severe pain compared to non-Hispanic White (NHW) adults. These observations are consistent with laboratory findings that adults of racial/ethnic minorities show increased sensitivity to laboratory pain stimuli compared to NHW adults. Research generally shows that central pain inhibitory processing, as quantified using conditioned pain modulation (CPM), serves as a risk factor of clinical pain. Currently, racial/ethnic differences in CPM are poorly understood, and research suggests that physical activit...
Source: Journal of Racial and Ethnic Health Disparities - May 4, 2019 Category: International Medicine & Public Health Source Type: research

Racial Differences in the Predictors of Interest in Bariatric Surgery in the Rural, Southeastern USA
ConclusionsKnowledge variables may be stronger than healthcare and demographic variables as predictors of interest in bariatric surgery among rural, southern, African-Americans and Whites. Whites ’ willingness to consider the surgery might be enhanced by favorable stories/blogs by those who had the surgery, whereas African-Americans’ interest might be increased by information on the additional health benefits of the surgery. These culturally tailored messages from healthcare providers mi ght increase utilization of and reduce racial disparities in bariatric surgery. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - May 4, 2019 Category: International Medicine & Public Health Source Type: research

Adult Immigrants ’ Utilization of Physician Visits, Dentist Visits, and Prescription Medication
This study sought factors in immigrants ’ utilization of services of physicians and dentists, as well as their use of prescription medication. The study used data from 1452 adult immigrants collected for the National Health and Nutrition Examination Survey 2011–2012. Logistic regression results showed that age, US citizenship, and hea lth insurance status were associated with the use of physician, dentist, and medication services. For this sample, physician visits were associated negatively with Hispanic ethnicity, poverty-level family income, and English-language proficiency. Also, dentist visits were associat...
Source: Journal of Racial and Ethnic Health Disparities - May 4, 2019 Category: International Medicine & Public Health Source Type: research