Mobile Phone Applications to Support Breastfeeding Among African-American Women: a Scoping Review
ConclusionsThe quality of studies was generally high and many included African-American participants, but research focused on breastfeeding apps specifically for African-American mothers/parents is limited, creating a meaningful gap in the literature. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 20, 2020 Category: International Medicine & Public Health Source Type: research

Associations Between Experienced HIV Stigma, Resulting Consequences, and the HIV Care Continuum: Moderating Effects of Two Resilience Characteristics Among Persons Living with HIV (PLWH) in Louisiana
We examined whether two resilience measures (i.e., social support and resilience assets and resources [RAR]) moderated the relationship between experienced HIV stigma and the HIV care continuum as well as how they moderated the relationship between the consequences of experienced HIV stigma (CES) and the HIV care continuum among 300 PLWH in Louisiana. Separate bootstrapping analyses were conducted to test for evidence of moderated moderation.ResultsMost participants were Black (79%) and had been living with HIV for 10  years or more. A relatively high sample of men who have sex with men (MSM) were enrolled (37%). The ...
Source: Journal of Racial and Ethnic Health Disparities - November 19, 2020 Category: International Medicine & Public Health Source Type: research

The Effect of Acute Interpersonal Racial Discrimination on Smoking Motivation and Behavior Among Black Smokers: an Experimental Study
AbstractIn comparison to White smokers, Black smokers are likely to report both more discrimination and less success in smoking cessation. No previous study has tested the causal relationship between an experience of racial discrimination and smoking variables associated with cessation. The goal of this study was to test the causal influence of interpersonal racial discrimination on smoking motivation (i.e., the urge to smoke cigarettes, cessation self-efficacy, and smoking behavior) using a controlled experimental design. We used a virtual ball-playing game to create a laboratory model of racial discrimination. A 2 &thins...
Source: Journal of Racial and Ethnic Health Disparities - November 19, 2020 Category: International Medicine & Public Health Source Type: research

Poor Medication Adherence in African Americans Is a Matter of Trust
AbstractThe purpose of this paper was to explore the lack of medication adherence in the African American patient community. The paper will address myths that many African American patients believe related to type 2 diabetes, hypertension treatment, and natural remedies. Research has shown that the disparities in the acceptance of healthcare provider advice and prescriptions are a significant concern particularly in African American patients. The acceptance of a provider ’s diagnosis and subsequent intervention can vary based on several issues including healthcare access, patient preferences, trust of a provider, and...
Source: Journal of Racial and Ethnic Health Disparities - November 19, 2020 Category: International Medicine & Public Health Source Type: research

Systemic Racism and the Family Medical Leave Act (FMLA): Using Critical Race Theory to Build Equitable Family Leave Policies
AbstractPast and current policies have led to the creation and sustainment of systemic racism. The Family and Medical Leave Act (FMLA) is a key contributor to sustaining health disparities for working Black women in the USA. Black women have a longstanding history of disadvantage and the current family leave policies make this demographic more vulnerable to economic hardship and eventually disparate health outcomes. Using data from the Family and Medical Leave Act in 2012 – Employee Survey (N = 1266), this study conducts logistic regression analyses to examine if this policy disparately benefits white m...
Source: Journal of Racial and Ethnic Health Disparities - November 19, 2020 Category: International Medicine & Public Health Source Type: research

Black Lives Matter in Science Engineering and Medicine
AbstractAddressing racism is key in moving forward as a nation and creating a more equitable environment. Within this paper, Cato T. Laurencin, M.D., Ph.D. describes the critical need to shift from diversity, inclusion, and equity (D.I.E.) to inclusion, diversity, equity, anti-racism, and learning (I.D.E.A.L.) (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 18, 2020 Category: International Medicine & Public Health Source Type: research

Healthcare Providers ’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA
This study sought to quantify healthcare providers ’ advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study sample included 86 women, nearly all (97%;n = 83) immigrants. Participants’ mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (n = 22) reported being overweight, and 1.2% (n = 1) being underweight. Only about 62% (n = 53) rep...
Source: Journal of Racial and Ethnic Health Disparities - November 18, 2020 Category: International Medicine & Public Health Source Type: research

Natural Hair: a Vital Component to Black Women ’s Health
This study examines the impact of natural hair on physical activity behaviors and health profiles among Black women. Sixty-nine Black women (ages 18–51) affiliated with a large predominately White ins titution completed demographic and hair questionnaires, Godin’s Leisure–Time Exercise questionnaire, Rosenburg’s self-esteem scale, and the Bankhead-Johnson hair-esteem scale. Body composition was assessed using waist circumference and body mass index. Descriptive statistics including mean, st andard deviation, and percentages were employed to determine health status in each measure. Correlation analys...
Source: Journal of Racial and Ethnic Health Disparities - November 17, 2020 Category: International Medicine & Public Health Source Type: research

Marijuana Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men in California
AbstractYoung black men who have sex with men (YBMSM) are disproportionately affected by HIV and continue to experience higher rates of new HIV infections when compared to other population groups. As part of the Peer Promotion of Wellness and Enhanced Linkage to Resources Project, we examined problem marijuana use and the overall sexual risk profile of 250 YBMSM. Eighty percent reported prior use of marijuana in their lifetime (n = 200). Among those, problem marijuana use was correlated with problem use of alcohol (r = 0.51,p 
Source: Journal of Racial and Ethnic Health Disparities - November 16, 2020 Category: International Medicine & Public Health Source Type: research

Racism, COVID-19, and Health Inequity in the USA: a Call to Action
AbstractThe current national COVID-19 mortality rate for Black Americans is 2.1 times higher than that of Whites. In this commentary, we provide historical context on how structural racism undergirds multi-sector policies which contribute to racial health inequities such as those highlighted by the COVID-19 pandemic. We offer a concrete, actionable path forward to address structural racism and advance health equity for Black Americans through anti-racism, implicit bias, and cultural competency training; capacity building; community-based participatory research (CBPR) initiatives; validated metrics for longitudinal monitori...
Source: Journal of Racial and Ethnic Health Disparities - November 16, 2020 Category: International Medicine & Public Health Source Type: research

Association Between Ethnicity and Severe COVID-19 Disease: a Systematic Review and Meta-analysis
ConclusionsThis review could not confirm a certain ethnicity as an independent poor prognostic factor for COVID-19. Racial disparities in COVID-19 outcomes may be partially attributed to higher comorbidity rates in certain ethnicity. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 12, 2020 Category: International Medicine & Public Health Source Type: research

Better Together? A Pilot Study of Romantic Partner Influence on Exercise Adherence and Cardiometabolic Risk in African-American Couples
This study examined whether exercising together influences exercise adherence and cardiometabolic risk in AA couples.MethodsNine AA romantic couples (age 62.8  ± 7.7 years; body mass index 31.0 ± 4.4 kg/m2; 6105  ± 1689 average steps/day) completed a 12-week walking (≥ 30 min, 3 days/week) plus resistance training (RT; 2 days/week) pilot intervention. Couples were randomized to either exercise together (ET) or separately (ES). Waist and hip circumferences, iDXA-measured body composition, blood p ressure, and blood biomarkers (...
Source: Journal of Racial and Ethnic Health Disparities - November 11, 2020 Category: International Medicine & Public Health Source Type: research

Factors Associated with COVID-Related Mortality: the Case of Texas
ConclusionCounties with higher rates of minorities, specifically Hispanics and African Americans, have a higher COVID-19 fatality burden. Targeted interventions are needed to raise awareness of preventive measures in these communities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 9, 2020 Category: International Medicine & Public Health Source Type: research

A Disparity beneath a Paradox: Cancer Mortality among Young Hispanic Americans in the US-Mexico Border Region
AbstractThe age-adjusted mortality rate for cancer in the US Hispanic population is two thirds that of the non-Hispanic white population, probably because of differences in smoking rates. We aimed to determine whether Hispanic white (HW) cancer mortality in the US-Mexico Border Region was also lower than that of the non-Hispanic white (NHW) border population, particularly in the younger population less likely to develop smoking-related cancer. We obtained age-adjusted cancer mortality rates from 1999 to 2017 for the 44 border counties, the four US-Mexico border states, and the rest of the US. We obtained cancer incidence r...
Source: Journal of Racial and Ethnic Health Disparities - November 6, 2020 Category: International Medicine & Public Health Source Type: research

Correction to: Denominational and Gender Differences in Hypertension Among African American Christian Young Adults
Readers should note that the “95% CI” column of estimates for Model 1 was erroneously included under the Model 2 heading in Table 2 in this article as originally published. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 6, 2020 Category: International Medicine & Public Health Source Type: research

Race and Gender-Based Perceptions of Older Adults: Will the Youth Lead the Way?
AbstractBackgroundOlder individuals encounter the greatest racial/gender biases. It is unknown whether younger generations, who often lead culture shifts, have racial and gender biases against older populations.MethodsUsing Amazon ’s Mechanical Turk’s crowdsourcing, we identified how an individual’s race and gender are associated with perceptions of individuals aged mid-60s. Participants were asked to rate photograph appearances on Likert Scale (1–10). Interactions between participant and photograph race and gender we re assessed with mixed effects models. Delta represents rating differences (positi...
Source: Journal of Racial and Ethnic Health Disparities - November 3, 2020 Category: International Medicine & Public Health Source Type: research

Historical Antecedents and Challenges of Racialized Immigrant Women in Access to Healthcare Services in Canada: an Exploratory Review of the Literature
AbstractExamining the historical antecedents of racialized immigrant women are important precursors to understanding the challenges they face in access to quality and timely healthcare in Canada. Changes to immigration policies, structural and systemic racial discrimination perpetuate the feminization of migration in Canada, create structural barriers in labour market integration, increase social exclusion and ultimately create unequal access to healthcare services. Despite their high levels of education, racialized immigrant women in Canada are over-represented in low-paid, low-skill precarious jobs. They also face powerf...
Source: Journal of Racial and Ethnic Health Disparities - November 3, 2020 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Disparities in Opioid Use Disorder and Poisoning Emergency Department Visits in Florida
ConclusionsThe study highlights the heterogeneity of the opioid overdose problem across racial/ethnic patients and communities with different racial/ethnic mixes. Future policies may consider the effect of living in different racial/ethnic mixed communities in addition to individual race/ethnicity. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 2, 2020 Category: International Medicine & Public Health Source Type: research

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists
ConclusionFocused funding that supports historically underrepresented scientists and their HIV prevention and care intervention research can help facilitate reaching national goals to reduce HIV-related disparities and end the HIV epidemic. Maintaining these funding streams should remain a priority as one of the tools for national HIV prevention. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 30, 2020 Category: International Medicine & Public Health Source Type: research

An Ecologic Study of Disparities in COVID-19 Incidence and Case Fatality in Oakland County, MI, USA, During a State-Mandated Shutdown
ConclusionZip codes with larger Black populations were disproportionately affected by COVID-19. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 29, 2020 Category: International Medicine & Public Health Source Type: research

Time Trends in Perioperative Characteristics and Health Outcomes in Hispanic Patients Undergoing Primary Total Knee Arthroplasty
ConclusionWhile the recent trends in procedure utilization, comorbidity profiles, and LOS in Hispanic/Latino patients undergoing primary TKA are reassuring, these have not been accompanied with improved postoperative safety. Patients with bleeding disorders, chronic steroid use, and those admitted from facilities other than home appear to be at highest risk for developing 30-day AEs. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 29, 2020 Category: International Medicine & Public Health Source Type: research

Global Prevalence of Physical Activity, Sedentary Behaviour, and Sleep of Immigrant Children: a Systematic Review
ConclusionsFuture studies should include all three movement behaviours and use standard assessment tools and definitions. Future research should extend beyond Western countries to non-Western countries with immigrant children. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 29, 2020 Category: International Medicine & Public Health Source Type: research

Increased Incidence of Chronic Kidney Injury in African Americans Following Cardiac Transplantation
This study examined whether African American race was associated with an elevated risk of chronic kidney disease (CKD) post-cardiac transplantation.BackgroundCKD often occurs after cardiac transplantation and may require renal replacement therapy (RRT) or renal transplant. African American patients have a higher risk for kidney disease as well as worse post-cardiac transplant morbidity and mortality. It is unclear, however, if there is a propensity for African Americans to develop CKD after cardiac transplant.MethodsThe Institutional Review Board of Columbia University Medical Center approved the retrospective study of 151...
Source: Journal of Racial and Ethnic Health Disparities - October 28, 2020 Category: International Medicine & Public Health Source Type: research

Social Determinants of Pharmacy Deserts in Los Angeles County
AbstractAs medications are commonly used to prevent and mitigate chronic diseases and their associated complications and outcomes, limited geographic access to medications in communities that are already plagued with health inequity is a growing concern. This is especially important because low-income urban minority communities often have high prevalence and incidence of cardiometabolic and respiratory chronic conditions. Community pharmacy deserts have been established in Chicago, New York, and other locales. In part because the definition was originally adapted from the concept of food deserts, existing studies have eith...
Source: Journal of Racial and Ethnic Health Disparities - October 27, 2020 Category: International Medicine & Public Health Source Type: research

How the Coronavirus Lockdown Impacts the Impoverished in India
This article outlines their sufferings triggere d by the long drawn-out lockdown episode. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 26, 2020 Category: International Medicine & Public Health Source Type: research

Paternal Education and Infant Health: Variation by Race/Ethnicity
AbstractIn the USA, efforts to improve unequal infant health outcomes require knowledge about how the relationship between education and infant health varies by parental gender and race/ethnicity. Drawing from a pooled random sample of over 1 million live births from the 2011 to 2017 National Vital Statistics System data, we examine the relationship between maternal and paternal education and infant health and assess how it varies by maternal racial and ethnic background. The model fit statistics suggest that the relationship between paternal education and infant health is about equal to maternal education and infant healt...
Source: Journal of Racial and Ethnic Health Disparities - October 23, 2020 Category: International Medicine & Public Health Source Type: research

Does Patient Race Affect Physical Therapy Treatment Recommendations?
ConclusionsIn most aspects of treatment planning, the patient ’s race did not impact recommendations by physical therapy professionals. The lower exercise prescription assigned to the Black patient may represent a disparity that merits further attention. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 21, 2020 Category: International Medicine & Public Health Source Type: research

End-of-Life Wishes Among Non-Hispanic Black and White Middle-Aged and Older Adults
ConclusionNon-Hispanic Blacks desired a closer relationship with their providers as well as a higher level of respect for their cultural beliefs and values from their providers compared with their White counterparts. Awareness, understanding, and respecting the cultural beliefs and values of older non-Hispanic Black patients, that usually are seen by non-Hispanic Black providers, is the first step for meaningful relationship between non-Hispanic Black patients and their providers that directly improve the end-of-life quality of life for this segment of our population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 19, 2020 Category: International Medicine & Public Health Source Type: research

Denominational and Gender Differences in Hypertension Among African American Christian Young Adults
This study investigates whether denominational affiliation predicts within-group differences in odds of having hypertension among African American Christian young adults. Data from Wave IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health) were used to examine hypertension differences between 1932 African American young adults based on self-reported religious denomination. Gender-separated logistic regressions included religious service attendance and coping measures, as well as personal characteristics and health behaviors to adjust for potential effects on BP. The odds of having hypertension we...
Source: Journal of Racial and Ethnic Health Disparities - October 16, 2020 Category: International Medicine & Public Health Source Type: research

Twitter Fingers and Echo Chambers: Exploring Expressions and Experiences of Online Racism Using Twitter
AbstractSocial media sites, such as Twitter, represent a growing setting in which racism and related stress may manifest. The aims of this exploratory qualitative study were to (1) understand the essence of Twitter users ’ lived experience with and response to content about race and racism on the platform, and (2) explore their perceptions of how discussions about race and racism on Twitter may impact health and well-being. We conducted six focus groups and four interviews with adult Twitter users (n = 27) from Berkeley, California, and Greenville, South Carolina. We managed the data with NVivo and cond...
Source: Journal of Racial and Ethnic Health Disparities - October 15, 2020 Category: International Medicine & Public Health Source Type: research

The Impact of Intentionality of Injury and Substance Use History on Receipt of Discharge Opioid Medication in a Cohort of Seriously Injured Black Men
AbstractBlack patients are less likely than white patients to receive pain treatment, especially opioids, for both acute and chronic pain. Black men are at higher risk than other populations of being “assumed criminal” regardless of any involvement in criminal activity. Additionally, certain injury and patient characteristics such as intentionality of injury and substance use history may lead providers to suspect criminal involvement and impact pain treatment decisions. The purpose of this s tudy was to describe factors that predict receipt of opioid prescription at hospital discharge. We conducted a secondary ...
Source: Journal of Racial and Ethnic Health Disparities - October 14, 2020 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study
AbstractPrevious research has demonstrated that the burden of household food insecurity is disproportionately high among racial/ethnic minority groups, yet no peer-reviewed studies have systematically examined racial/ethnic disparities in household food insecurity in the context of the COVID-19 pandemic. This cross-sectional study on household food insecurity during COVID-19 used data from a nationally representative sample of US households through the 2020 Household Pulse Survey (HPS) (including all 50 states and the District of Columbia,n = 74,413 households). Six generalized estimating equation (GEE) model...
Source: Journal of Racial and Ethnic Health Disparities - October 14, 2020 Category: International Medicine & Public Health Source Type: research

Is Racial Discrimination Associated with Number of Missing Teeth Among American Adults?
ConclusionThis study demonstrated a potential role for discrimination in tooth loss among American adults. Discrimination could also explain part of ethnic inequalities in oral health. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 13, 2020 Category: International Medicine & Public Health Source Type: research

Institutional and Faculty Partnerships to Promote Learner Preparedness for Health Professions Education
AbstractBy the year 2060, it is projected that 57% of the US population will be members of minority groups, with no one group being the majority. While there is increasing diversity of the population, there remain significant disparities in morbidity and mortality affecting minority groups, and persistent low numbers of underrepresented students in the health professions. Increasing the numbers of underrepresented minority students in health care and decreasing the disparity gap have been a priority for many institutions. Increasing diversity requires an approach that not only involves health professions schools but also i...
Source: Journal of Racial and Ethnic Health Disparities - October 13, 2020 Category: International Medicine & Public Health Source Type: research

Risk Factors Associated with Mortality Among Patients with Novel Coronavirus Disease (COVID-19) in Africa
ConclusionsThe COVID-19 pandemic is evolving gradually in Africa. Among patients with COVID-19 in Africa, older age, presence of chronic disease, travel history, and the locations of Central Africa and West Africa were associated with increased mortality. A regional response should prioritize strategies that will protect these populations. Also, conducting a further in-depth study could provide more insights into additional factors predictive of mortality in COVID-19 patients. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 13, 2020 Category: International Medicine & Public Health Source Type: research

Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California
AbstractThis project examines risk and protective factors for preterm birth (PTB) among Black women in Oakland, California. Women with singleton births in 2011 –2017 (n = 6199) were included. Risk and protective factors for PTB and independent risk groups were identified using logistic regression and recursive partitioning. Having less than 3 prenatal care visits was associated with highest PTB risk. Hypertension (preexisting, gestational), previous PTB, and u nknown Women, Infant, Children (WIC) program participation were associated with a two-fold increased risk for PTB. Maternal birth outside of the ...
Source: Journal of Racial and Ethnic Health Disparities - October 9, 2020 Category: International Medicine & Public Health Source Type: research

Race, Nativity, and Sex Disparities in Human Papillomavirus Vaccination Among Young Adults in the USA
This study also investigated the associations between nativity and vaccination, and sex differences between race/ethnicity and vaccination and nativity and vaccination. A cross-sectional study was conducted with a sample of adults aged 18 –26 years drawn from the 2014 NHPI National Health Interview Survey (n = 2590) and the general 2014 National Health Interview Survey (n = 36,697). Log-binomial models were fitted to examine differences in vaccination. There was a statistically significant racial/ethnic difference in HPV vaccination (p = 0.003). More women than men were ...
Source: Journal of Racial and Ethnic Health Disparities - October 8, 2020 Category: International Medicine & Public Health Source Type: research

Language in a Time of COVID-19: Literacy Bias Ethnic Minorities Face During COVID-19 from Online Information in the UK
ConclusionReadability of COVID-19 information is below national standards and that there is a lack of accompanying translated and graphics-based material online. This may lead to an amplified level of misunderstanding in BAME populations about the COVID-19 pandemic and the rulings put in place. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 8, 2020 Category: International Medicine & Public Health Source Type: research

Racial Discrimination, Racial Identity, and Obesity in Collegiate African American Women
ConclusionsRD and racial identity accounted for up to 13% of variance in BMI and waist circumference in main effects models among young collegiate AA women. While obesity is a multifactorial phenomenon, racial discrimination and racial identity may affect observed racial disparities in obesity rates among young women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 6, 2020 Category: International Medicine & Public Health Source Type: research

Barriers to Human Papillomavirus Vaccine Uptake Among Racial/Ethnic Minorities: a Systematic Review
ConclusionsProvider recommendations and accurate distribution of information must be increased and targeted to racial/ethnic minority populations in order to bolster the rate of vaccine uptake. To effectively target these communities, multi-level interventions need to be established. Further, research to understand the barriers that may affect unvaccinated adults in the catch-up age range, including males, may be beneficial, as majority of the previous studies focused on either parents of adolescents or women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 5, 2020 Category: International Medicine & Public Health Source Type: research

COVID-19 in the Indigenous Population of Brazil
AbstractBrazil has 896,917 Indigenous individuals distributed among 505 Indigenous lands. There are 274 different Indigenous languages within 305 Indigenous ethnic groups. The Indigenous population is susceptible to pandemics, especially to the current pandemic of COVID-19, which has spread rapidly. In Brazil, after the first COVID-19-confirmed Indigenous case on 05th June 2020, more 420 suspected cases, 1727 confirmed cases being 934 active cases, 715 cases with clinical cure, and 70 cases of death were accounted through the first week of June. The number of cases is underestimated, according to the Special Secretariat fo...
Source: Journal of Racial and Ethnic Health Disparities - October 5, 2020 Category: International Medicine & Public Health Source Type: research

Knowledge and Attitudes About Genetic Testing Among Black and White Women with Breast Cancer
AbstractPrior to embarking on a large descriptive evaluation of genetic/racial variations in symptom phenotype, we sought foundational information to determine racial differences in (1) feasibility (consent) and acceptability of collecting genomic samples, (2) genetic literacy, and (3) concerns of genomic research during breast cancer (BC) chemotherapy. Women with early-stage BC undergoing chemotherapy were recruited from an academic, urban breast care center. Information was collected for consent to participate, genetic literacy, and concerns about genetic testing in Black and White women with BC. Fifty-six women were eli...
Source: Journal of Racial and Ethnic Health Disparities - October 5, 2020 Category: International Medicine & Public Health Source Type: research

Correlates of Life Satisfaction Among Middle-Aged and Older Black Adults
This study examines satisfaction across life domains (condition of the home, city of residence, daily life/leisure, family life, current financial situation, total household income, health, and life as a whole) among Black adults. The study also explores the association between satisfaction in each life domain and sociodemographic, personality, and mental/physical health measures.MethodsA community-dwelling sample of Black adults (n = 93, age range = 55–80) residing in the Tampa, FL area, completed a life satisfaction scale and measures of sociodemographic factors, personality, and mental/...
Source: Journal of Racial and Ethnic Health Disparities - October 5, 2020 Category: International Medicine & Public Health Source Type: research

Coronavirus (COVID-19) and Racial Disparities: a Perspective Analysis
AbstractHealth disparity refers to systematic differences in health outcomes between groups and communities based on socioeconomic isolation. In the USA, health disparities among minority groups, especially African Americans, limit their access to quality medical care and other beneficial resources and services. Presently, the novel coronavirus (COVID-19) highlights the extreme healthcare challenges that exist in the African American and other minority communities in the USA. African Americans are dying at a rate nearly four times higher than the national average. With inadequate access to quality healthcare, viable resour...
Source: Journal of Racial and Ethnic Health Disparities - October 5, 2020 Category: International Medicine & Public Health Source Type: research

Coping with Racism: a Perspective of COVID-19 Church Closures on the Mental Health of African Americans
AbstractAcademic medical literature and news outlets extensively document how older individuals in communities of color, especially African American communities, are dying disproportionately of COVID-19 due to ongoing societal, racial, and healthcare disparities. Fear of death and suffering are acutely elevated in Black communities; yet, African Americans have been facing, coping with, and overcoming American societal racism and subsequent detriments to our mental health for centuries. Predominately African American churches (hereafter referred to as the “Black Church”) have always served a historical, cultural...
Source: Journal of Racial and Ethnic Health Disparities - October 1, 2020 Category: International Medicine & Public Health Source Type: research

Implementation of Universal Colorectal Cancer Screening for Lynch Syndrome in Hispanics Living in Puerto Rico
ConclusionsOur data is consistent with the results from other studies including US Hispanics, where approximately 10% of Hispanic individuals with colorectal cancer have microsatellite instability. Our results support universal tumor-based screening for LS among Hispanics in accordance with National Comprehensive Cancer Network guidelines. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 1, 2020 Category: International Medicine & Public Health Source Type: research

Just in TIME: Trauma-Informed Medical Education
AbstractNumerous organizations implement a trauma-informed approach. This model assists institutions in providing care and education that delivers support to members who have undergone traumatic experiences, and many institutions apply the principles as a universal precaution. Student and trainee experiences in medical education reveal a hidden curriculum that may deliver conflicting messages about the values of an institution, in which equity is promoted, but biased and discriminatory practices are commonplace. Implicit racial bias has been identified in the patient-provider interaction and may also extend its impact on t...
Source: Journal of Racial and Ethnic Health Disparities - September 30, 2020 Category: International Medicine & Public Health Source Type: research

Guidance for Healthcare Providers Managing COVID-19 in Rural and Underserved Areas
AbstractCoronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has ravaged many urban and high-density areas in the USA. However, rural areas (despite their low population density) may be especially vulnerable to poor outcomes from COVID-19, owing to limited healthcare infrastructure, long distances to advanced health care, and population characteristics (e.g., high tobacco use, hypertension, obesity, older age). A panel of experts who are actively engaged in treating and managing COVID-19 at a rural academic center was convened to address this topic. In this c...
Source: Journal of Racial and Ethnic Health Disparities - September 13, 2020 Category: International Medicine & Public Health Source Type: research

Changes Over Time in Disparities in Health Behaviors and Outcomes by Race in Allegheny County: 2009 to 2015
AbstractRacial/ethnic disparities in health behaviors and disease outcomes on the national level have persisted over time despite overall improvements in public health. To better understand the changes over time in racial/ethnic health disparities at the county level, we examined the Allegheny County Health Survey (ACHS) for Pittsburgh, PA and the surrounding area, which was conducted in 2009/2010 and 2015/2016 using random digit dialing of residents aged 18 and older. The prevalence rates and rate ratios at each time period were calculated using survey weights and general linear models. The change in prevalence over time ...
Source: Journal of Racial and Ethnic Health Disparities - September 13, 2020 Category: International Medicine & Public Health Source Type: research

Race Differences in the Effect of Subjective Social Status on Hostility and Depressive Symptoms Among 9- to 11-Year-Old Children
ConclusionThese racial differences in SSS-associated psychosocial functioning could be explained by race-based differences in attributions of social mobility and socioeconomic inequalities. Findings provide support for investigating possible tailoring of behavioral interventions to assist children in developing high SSS or coping with low SSS. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 13, 2020 Category: International Medicine & Public Health Source Type: research