Correction to: Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations
A Correction to this paper has been published:https://doi.org/10.1007/s40615-021-01003-w (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 24, 2021 Category: International Medicine & Public Health Source Type: research

Racial Disparities in COVID-19 Impacts in Michigan, USA
AbstractRacial disparities have been observed in the impacts of COVID-19 in the USA. In the present paper, we used a representative sample of adults in Michigan to examine differences in COVID-19 impacts on Blacks and Whites in four domains: direct, perceived, political, and behavioral. We found that in the initial wave of the outbreak in May 2020, Blacks experienced more severe direct impacts: they were more likely to be diagnosed or know someone who was diagnosed, and more likely to lose their job compared to Whites. In addition, Blacks differed significantly from Whites in their assessment of COVID-19 ’s threat to...
Source: Journal of Racial and Ethnic Health Disparities - February 23, 2021 Category: International Medicine & Public Health Source Type: research

How Racial Identity and Worry About Discrimination Impact Coping Responses to Racial Discrimination Among Black American Community Members
AbstractEvery year, most Black Americans report experiencing racial discrimination, which has been shown to have a variety of negative consequences. Aspects of racial identity, particularly holding a positive perception of one ’s racial group (private regard), may buffer the impact of negative experiences including racial discrimination through differential coping strategy use. The current study (1) examined whether level of private regard impacted the type of coping strategies used across various forms of perceived exp eriences of racial discrimination and (2) tested for indirect pathways from perceived experiences ...
Source: Journal of Racial and Ethnic Health Disparities - February 23, 2021 Category: International Medicine & Public Health Source Type: research

Increasing Prenatal Care Compliance in At-Risk Black Women: Findings from a RCT of Patient Navigation and Behavioral Incentives
ConclusionsGiven ACOG ’s redefining of the postpartum period as the fourth trimester, study findings suggest PNBI may facilitate prevention and intervention efforts to more successfully reduce health disparities in outcomes for both mother and infant. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 23, 2021 Category: International Medicine & Public Health Source Type: research

Differences in Emotional Distress Among Black and White Breast Cancer Survivors During the Covid-19 Pandemic: a National Survey
AbstractThe Covid-19 pandemic is straining US healthcare resources, causing significant disruptions in cancer care. Prior to the pandemic, Black cancer survivors experienced a disproportionate burden of delays in cancer treatment compared to White cancer survivors. As a result of the pandemic, disruptions in care are widespread and affect cancer survivors regardless of race. This shift presented an opportunity to investigate differences in how Black and White cancer survivors experience disruptions in cancer care due to the pandemic. We conducted a national survey of adult breast cancer survivors, distributed online from 4...
Source: Journal of Racial and Ethnic Health Disparities - February 23, 2021 Category: International Medicine & Public Health Source Type: research

Prevalence of Guideline-Directed Medical Therapy for Cardiovascular Disease Among Baltimore City Adults in the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study
ConclusionsAmong an urban-dwelling population of adults, the use of secondary prevention of CVD was low, with lower aspirin and combination GDMT for Black participants with CAD. Efforts to improve GDMT use at the patient and provider levels may be needed to improve morbidity and mortality and reduce disparities in CVD. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 16, 2021 Category: International Medicine & Public Health Source Type: research

Asian, Latinx, or Multiracial? Assessing Filipinxs ’ Health Conditions and Outcomes by Aggregate Ethnic Category
DiscussionThese findings suggest emerging differences in health linked to identification with different ethnic categories, underscoring the need to investigate nuances among Filipinxs in future research as well as highlighting the utility of emerging sociological insights in health research. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 16, 2021 Category: International Medicine & Public Health Source Type: research

Black Nurses Collaborative Approach to Addressing COVID-19 in Black Communities
AbstractAs with other national disasters, epidemics, and pandemics, the novel coronavirus SARS-CoV-2 (COVID-19) pandemic has highlighted health disparities in Black communities in the USA. Healthcare providers, community activists, politicians, members of faith-based organizations, professional athletes, and Black families are asking crucial questions about why Black and Brown people are disproportionately infected by, and dying from, the COVID-19. Evidence in healthcare and social sciences literature demonstrates that historically, systemic racism and injustices play a large role in the health and well-being of Blacks liv...
Source: Journal of Racial and Ethnic Health Disparities - February 12, 2021 Category: International Medicine & Public Health Source Type: research

“I Struggle with Breast Cancer and I Struggle with God”: Insights from African American Breast Cancer Survivors
ConclusionsParticipants used spirituality as an avenue to cope and navigate through their diagnosis and treatment. These spiritual relationships created “church families” and provided the survivors’ access to cancer support groups, financial support, and therapeutic support. Our findings support faith-based approaches to health promotion and call for more studies to understand the influence of religion on health. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 10, 2021 Category: International Medicine & Public Health Source Type: research

“I Struggle with Breast Cancer and I Struggle with God”: Insights from African Americans Breast Cancer Survivors
ConclusionsParticipants used spirituality as an avenue to cope and navigate through their diagnosis and treatment. These spiritual relationships created “church families” and provided the survivors’ access to cancer support groups, financial support, and therapeutic support. Our findings support faith-based approaches to health promotion and call for more studies to understand the influence of religion on health. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 10, 2021 Category: International Medicine & Public Health Source Type: research

Engineering Solutions to COVID-19 and Racial and Ethnic Health Disparities
AbstractThe role of engineers in response to the COVID-19 pandemic and in the elimination of health disparities, while not always visible, has important implications for the attainment of impactful solutions. The design skills, systems approach, and innovative mindset that engineers bring all have the potential to combat crises in novel and impactful ways. When a disparities lens is applied, a lens that views gaps in access, resources, and care, the engineering solutions are bound to be more robust and equitable. The disproportionate impact of COVID-19 on the Black community and other communities of color is linked to ineq...
Source: Journal of Racial and Ethnic Health Disparities - February 10, 2021 Category: International Medicine & Public Health Source Type: research

Visualizing COVID-19 Mortality Rates and African-American Populations in the USA and Pennsylvania
AbstractThe Centers for Disease Control and Prevention has identified African-Americans as having increased risk of COVID-19-associated mortality. Access to healthcare and related social determinants of health are at the core of this disparity. To explore the geographical links between race and COVID-19 mortality, we created descriptive maps of COVID-19 mortality rates in relation to the percentage of populations self-identifying as African-American across the USA, by state, and Pennsylvania (PA), by county. In addition, we used bivariate and logistic regression analyses to quantify the statistical relationship between the...
Source: Journal of Racial and Ethnic Health Disparities - February 9, 2021 Category: International Medicine & Public Health Source Type: research

Acculturation and Health Literacy Among Chinese Speakers in the USA with Limited English Proficiency
We examined the relationship between acculturation and health literacy among Chinese speakers in the USA who have limited English proficiency. Since language proficiency is an important subcomponent of acculturation, we also explored the relationship between English language proficiency and health literacy.MethodsOur sample included 405 participants. To evaluate the appropriateness of the acculturation instrument to elicit valid data, we performed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). We performed linear regressions to investigate the relationship between acculturation and health literac...
Source: Journal of Racial and Ethnic Health Disparities - February 9, 2021 Category: International Medicine & Public Health Source Type: research

Global Food Insecurity and African, Caribbean, and Black (ACB) Populations During the COVID-19 Pandemic: a Rapid Review
Conclusion/implicationsThe study showed that COVID-19 had exacerbated food insecurity and other health disparities within racialized populations including ACB people, due to systemic anti-Black racism; inadequate representation in decision-making; and issues of cultural appropriateness and competency of health services. While sociocultural response by ACB people through the expansion of their social capital is imperative, specific policies easing access to food, medicine, and shelter for racialized communities will ensure equity while reducing global food insecurity and health crises during the COVID-19 pandemic. (Source: ...
Source: Journal of Racial and Ethnic Health Disparities - February 8, 2021 Category: International Medicine & Public Health Source Type: research

Correlates of Casual Sex Amidst Vulnerability to HIV Among ACB Heterosexual Men in Ottawa and Windsor, Ontario Canada
AbstractHeterosexual exposure is the second highest means of HIV transmission; and African, Caribbean, and Black (ACB) men face greater risks. Black men can reduce the disproportionately high HIV prevalence in their communities by changing their socially misconstrued masculine role. We analysed factors predisposing heterosexual ACB men to risky sexual behaviour, particularly multiple casual sex partnerships in Ottawa and Windsor, Ontario, Canada. We employed quantitative datasets from a broader mixed methods study within hierarchical logistic regression model to determine the association between psychosocial factors and ca...
Source: Journal of Racial and Ethnic Health Disparities - February 8, 2021 Category: International Medicine & Public Health Source Type: research

Effect of Ethnic Identity on the Relationship Between Acculturation Stress and Abnormal Food Behaviors in Colombian Migrants in Chile
This study ’s main objective is to analyze the mediating effect of ethnic identity on the relationship between acculturation stress and abnormal eating behaviors in Colombian migrants living in Chile.MethodsWe obtained data on 976 Colombian migrants who were recruited with the help of the Department of Foreign Affairs, the Colombian Consulate in Chile, and self-managed groups of migrants residing in Chile. The mediation model was analyzed using Mplus 8.2 software, using the robust weighted least squares (WLSMV) estimation method.ResultsThe most common abnormal eating behaviors were eating until you feel full and eati...
Source: Journal of Racial and Ethnic Health Disparities - February 8, 2021 Category: International Medicine & Public Health Source Type: research

Psychological Distress and Attitudes Toward Seeking Professional Psychological Services Among Black Women: the Role of Past Mental Health Treatment
This study investigated the relationship among symptoms of anxiety, depression, and post-traumatic stress as a predictor of attitudes toward professional psychological help (i.e., psychological openness, help-seeking propensity, and indifference to stigma) in a sample of 205 Black women. We also examined if past mental health treatment (i.e., counseling or therapy) moderated these relationships. Results indicated that symptoms of anxiety, depression, and post-traumatic stress were all negatively associated with help-seeking propensity and indifference to stigma. Only symptoms of post-traumatic stress were negatively associ...
Source: Journal of Racial and Ethnic Health Disparities - February 8, 2021 Category: International Medicine & Public Health Source Type: research

Federal, State, and Local Immigrant-Related Policies and Child Health Outcomes: a Systematic Review
AbstractThe passage of US immigrant-related policies at the federal, state, and local level is on the rise. These policies may affect child health through several mechanisms. We performed a systematic review of English-language, peer-reviewed, quantitative studies examining US immigrant-related policies and the mental and physical health of youth in immigrant families. We searched PubMed and five social science databases for studies published between 1986 and 2019. Two independent reviewers screened the studies and appraised study quality. Of the final 17 studies, ten studies examined birth outcomes and seven studies exami...
Source: Journal of Racial and Ethnic Health Disparities - February 8, 2021 Category: International Medicine & Public Health Source Type: research

Assessing the Validity of Self-rated Health Across Ethnic Groups: Implications for Health Disparities Research
ConclusionThese findings have implications for health disparities research that uses SRH as the dependent measure. Studies that compare the health profiles of diverse ethnic groups should use the SRH measure with caution, as SRH does not align with ethnic patterns of morbidity. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 5, 2021 Category: International Medicine & Public Health Source Type: research

Factors Associated with Weight Loss Maintenance and Weight Regain Among African American and White Adults Initially Successful at Weight Loss
ConclusionsAs lifestyle interventions for WLM (particularly for AA) are developed, attention to the preferences, and lived experiences of these groups is recommended. Strategies targeting physical activity maintenance and autonomy-supportive approaches may improve WLM among AA. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 5, 2021 Category: International Medicine & Public Health Source Type: research

HIV Risk-Related Behaviors and Willingness to Use Pre-Exposure Prophylaxis Among Black Americans with an Arrest History
AbstractObjectiveBlack individuals in the USA are arrested and incarcerated at a significantly higher rate than White individuals, and incarceration is associated with increased HIV vulnerability. Pre-exposure prophylaxis (PrEP) reduces the risk for HIV transmission, but little is known about the relationship between HIV risk behavior and willingness to use PrEP among Black individuals with an arrest history.MethodA total of 868 individuals completed a nationally representative survey and provided baseline data on sexual risk. Participants were grouped as those with a history of arrest (N = 226) and those with no history o...
Source: Journal of Racial and Ethnic Health Disparities - February 5, 2021 Category: International Medicine & Public Health Source Type: research

Mitigating SARS-CoV-2 Transmission in Hispanic and Latino Communities —Prince William Health District, Virginia, June 2020
ConclusionsSpecific attention to the needs of Hispanic or Latino communities could help reduce the burden of COVID-19. The investigation methods can also be used by other jurisdictions to evaluate the needs of and services provided to diverse underserved populations. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 4, 2021 Category: International Medicine & Public Health Source Type: research

Challenging Assumptions About Race/Ethnicity, Socioeconomic Status, and Cigarette Smoking Among Adolescents
AbstractBackgroundPrevious research indicates that differences in cigarette smoking exist among those of different race/ethnicity and varying levels of socioeconomic status. However, most research has examined the influence of these factors separately on cigarette smoking despite their observed covariation. To examine the interaction of race/ethnicity and socioeconomic status on adolescent tobacco use and behaviors, this study tests whether or not the social gradient holds for smoking patterns and perceptions of smoking among African American, American Indian/Alaska Native (AIAN), Asian, Hispanic, and White adolescents.Met...
Source: Journal of Racial and Ethnic Health Disparities - February 4, 2021 Category: International Medicine & Public Health Source Type: research

Racial Differences in Prevalence of Cardiometabolic Morbidities Among Homeless Men
ConclusionBlack homeless men are more likely to have pre-diabetes or diabetes than White counterparts. On the other hand, Black homeless men have better lipid profiles of HDL or LDL than their White counterparts. Our findings reveal the health challenges of the homeless men and can provide guidance on policy changes related to diet and nutrition of meal programs provided by homeless shelters and congregate meal program to address the health disparities by race in this population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 4, 2021 Category: International Medicine & Public Health Source Type: research

Clinical Characteristics and Predictors of Mortality in Minority Patients Hospitalized with COVID-19 Infection
ConclusionPatients of advanced age that present with elevated biomarkers of inflammation, coagulation, and end-organ damage were at higher risk of mortality. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 4, 2021 Category: International Medicine & Public Health Source Type: research

Discrimination and Multimorbidity Among Black Americans: Findings from the National Survey of American Life
ConclusionsWe found strong evidence to suggest that discrimination was associated with greater odds of reporting multimorbidity. Future studies can expand on these findings using longitudinal data to capture the relations between discrimination and health over time, or by testing preventive interventions that allay the damaging health effects of discrimination. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2021 Category: International Medicine & Public Health Source Type: research

Profiles of Psychosocial Risk and Protective Factors and their Associations with Alcohol Use and Regular Smoking in Black Adults
ConclusionsResults indicate substantive variations in the clustering of substance use-related psychosocial risk and protective factors in Black adults. Furthermore, they suggest that neither the presence of high demands nor the absence of support alone differentiates likelihood of engaging in frequent alcohol use or regular smoking, but adverse experiences such as racial discrimination may be especially impactful. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2021 Category: International Medicine & Public Health Source Type: research

Size Matters: Addressing Social Determinants of Health Through Black Churches
AbstractCongregational size has been most consistently linked with offering health-related programs. However, few studies have examined the unique contribution of congregational size when considering other factors and across a range of health topics including those identified as social determinants of health. The current study sought to fill this gap. Eighty-eight faith leaders from 63 Christian churches in Baltimore, Maryland, provided information about themselves, their congregations, and the programs offered in their congregations. Over half of the sample were Baptist, and 60% were women. Logistic regression analyses we...
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2021 Category: International Medicine & Public Health Source Type: research

Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review
ConclusionsThe finding suggests that highly segmented interventions are needed in order to improve cancer screening among various racial/ethnic minority adults. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2021 Category: International Medicine & Public Health Source Type: research

Inequities in Employment by Race, Ethnicity, and Sector During COVID-19
ConclusionsStructural racism has further affected people of Color through differential employment loss during the onset of the pandemic, both overall and by sector. However, the effect of sector varies dramatically across racial and ethnic groups.Policy ImplicationsBecause employment is an important social determinant of health and a potential risk factor for contracting COVID-19, these trends may provide important context for the prioritization of PPE and immunizations, as well as the provision of stable health insurance and income support for vulnerable workers. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 15, 2021 Category: International Medicine & Public Health Source Type: research

The Association Between Moderate and Serious Mental Health Distress and General Health Services Utilization Among Chinese, Filipino, Japanese, Korean, and Vietnamese Adults in California
In this study, we examined the associations between distress and health services utilization among five Asian subgroups: Chinese, Korean, Japanese, Filipino, and Vietnamese adults in California.Materials and MethodsUsing a combined dataset using the 2011 –2018 cross-sectional cycles of the California Health Interview survey, we assessed moderate and serious distress and four health services utilization indicators in a set of disaggregated analyses among adults 18 years of age and older in five Asian subgroups. We performed bivariate and multivari able analyses.ResultsThe prevalence of and associations between mo...
Source: Journal of Racial and Ethnic Health Disparities - January 15, 2021 Category: International Medicine & Public Health Source Type: research

Interactions Between Obesity and One-Carbon Metabolism Genes in Predicting Prostate Cancer Outcomes Among White and Black Patients
ConclusionsWe observed associations of one-carbon metabolism genes with different associations by race. We also observed interactions with obesity related to PCa outcomes in Black men only. Therefore, the involvement of one-carbon metabolism on PCa was dependent upon obesity status for Black men. These novel results could help identify patients that might benefit from effective weight management targeting one-carbon metabolism effects. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 11, 2021 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Differences in Burnout: a Systematic Review
ConclusionIncreased focus on burnout measurement, conceptualization, and mitigation among UiM populations may be useful in improving recruitment, retention, and thriving. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 11, 2021 Category: International Medicine & Public Health Source Type: research

The Association Between Adverse Life Events, Psychological Stress, and Pain-Promoting Affect and Cognitions in Native Americans: Results from the Oklahoma Study of Native American Pain Risk
AbstractNative Americans (NAs) experience higher rates of chronic pain. To examine the mechanisms for this pain inequity, we have previously shown that NAs report higher levels of pain-related anxiety and pain catastrophizing, which are in turn related to pronociceptive (pain-promoting) processes. But, it is currently unclear why NAs would report greater pain-related anxiety and catastrophizing. Given that NAs are also more likely to experience adverse life events (ALEs) and associated psychological distress, it was hypothesized that higher anxiety/catastrophizing in NAs would be partially explained by higher rates of ALEs...
Source: Journal of Racial and Ethnic Health Disparities - January 11, 2021 Category: International Medicine & Public Health Source Type: research

“Was Test Designed for Africans?” Health Literacy and African Immigrants
ConclusionsMost African immigrants in this study have limited health literacy despite English proficiency, college education, employment, and connection to a health system. Further research is needed to determine the value of aligning the measurement of health literacy with the cultural-linguistic identities of the population being assessed versus the need to understand their health literacy within the dominant culture. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 11, 2021 Category: International Medicine & Public Health Source Type: research

Racial Disparities and Diagnosis-to-Treatment Time Among Patients Diagnosed with Breast Cancer in South Carolina
ConclusionsTo improve timely receipt of effective BrCA treatments, programs aimed at reducing racial disparities may need to target subgroups of Black breast cancer patients based on their social determinants of health and geographic residence. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 11, 2021 Category: International Medicine & Public Health Source Type: research

COVID-19 Hospitalization by Race and Ethnicity: Association with Chronic Conditions Among Medicare Beneficiaries, January 1 –September 30, 2020
ConclusionsRacial/ethnic disparities in hospitalization rate persist among MBs with COVID-19, and associations of COVID-19 hospitalization with chronic conditions differ among racial/ethnic groups in the USA. These findings indicate the need for interventions in racial/ethnic populations at the highest risk of being hospitalized with COVID-19. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 8, 2021 Category: International Medicine & Public Health Source Type: research

Prevalence of Overweight and Obesity Among African American Children and Adolescents: Risk Factors, Health Outcomes, and Prevention/Intervention Strategies
AbstractThis paper examines the biological, psychosocial, cultural, and obesogenic environmental factors that might account for the high prevalence rates of overweight and obesity among African American young children (aged 2 –11) and adolescents (aged 12–19). Research findings are discussed on the practices associated with the development of childhood obesity including maternal overweight and obesity, physiological predisposition, infant feeding practices, breastfeeding, rapid infant weight gain, sleep disruption, l ow nutrition diets, physical inactivity, and sedentary behavior. The psychological correlates o...
Source: Journal of Racial and Ethnic Health Disparities - January 8, 2021 Category: International Medicine & Public Health Source Type: research

Environmental Justice in the American Public Health Context: Trends in the Scientific Literature at the Intersection Between Health, Environment, and Social Status
In this study, we analyzed how the scientific literature approaches EJ issues in the USA. We searched PubMed for journal articles discussing at least one sociodemographic or environmental variable in the context of cumulative impacts and analyzed the relative frequency with which various EJ topics were studied. Our findings indicate that demographic variables are commonly used in epidemiologic studies, though some areas (e.g., age) are better studied than others. Similarly, occupational exposure and ambient air pollution were more studied than other types of exposures. Word frequency analyses revealed which toxicants and h...
Source: Journal of Racial and Ethnic Health Disparities - January 8, 2021 Category: International Medicine & Public Health Source Type: research

The Relationship Between Attitudes about Research and Health Literacy among African American and White (Non-Hispanic) Community Dwelling Older Adults
ConclusionThis work helps link older adults ’ beliefs towards research, health literacy, and their participation in research. Future research is needed to remove barriers to participation in research for underserved, older adults. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Age, Comorbid Conditions, and Racial Disparities in COVID-19 Outcomes
ConclusionsOur report shows that  Black and non-Black patients presenting to the emergency department with COVID-19 had similar risks of hospitalization and, of those who were hospitalized, similar mortality when adjusted for multiple factors. Blacks had higher risk of acute kidney injury. Our results suggest that examination of disparities without exploration of the individual effects of age and comorbidities may mask important patterns. While stratified analyses suggest that disparities in outcomes may differ substantially by age and comorbid conditions, further exploration among these important subgroups is ne...
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Digital Health Information Disparities in Older Adults: a Mixed Methods Study
AbstractImportant health information including disease prevention and chronic disease self-management is increasingly packaged for digital use. The purpose of this sequential explanatory mixed methods study was to describe the extent of computer ownership, Internet access, and digital health information use in an ethnically diverse sample of older adults, comparing ownership, access, and use of digital health information (DHI) across ethnic groups and identifying the factors associated with them quantitatively. Significant differences in computer ownership, Internet access, and DHI use were found across ethnic groups (Afri...
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Differences in Preceding Circumstances of Suicide and Potential Suicide Misclassification Among US Adolescents
ConclusionsCircumstances contributing to suicide among adolescents differ by race/ethnicity, indicating the need for culturally tailored suicide  prevention efforts. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Disclosure of Sexual Identities Across Social-Relational Contexts: Findings from a National Sample of Black Sexual Minority Men
AbstractBlack sexual minority men (BSMM) in the USA navigate a range of factors that may influence the extent to which they disclose or conceal their sexual identity in various social contexts. To date, few studies have investigated the correlates of sexual identity disclosure or concealment among BSMM across multiple life domains. Guided by a minority stress perspective and intersectionality, we analyzed data fromN = 809 BSMM who participated in the Social Justice Sexuality Survey. We conducted ordinary least squares regression to examine the relative weight of perceptions of homophobia, religiosity, LGBT co...
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Torn Between Caution and Compassion: a Dilemma for Clinicians from Black and Minority Ethnic Groups During the COVID-19 Pandemic
AbstractThe wide disparity in coronavirus disease (COVID-19) –related death rates based upon the ethnic origin is well established by now. The higher incidence of COVID-19 deaths amongst the healthcare staff belonging to black and minority ethnic (BAME) communities living in the United Kingdom has generated a great deal of concern and anxiety in clinicians. Public Health England (PHE) has outlined mitigation strategies after immense pressure from professional organisations and influential clinical leaders. Although seemingly well thought through, these measures fall short of addressing the professional, moral and emo...
Source: Journal of Racial and Ethnic Health Disparities - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Correlates of depression among Black girls exposed to violence
AbstractDepression rates for youth remanded to juvenile detention is double that of the general population and Black girls are especially vulnerable. A dearth of literature analyzes the factors that are correlated with depression among system-involved Black girls, ages 12 –17 years old. We utilized personal agency to examine the relationship between risk factors (i.e., abuse history, and fear of condom negotiation) and protective factors (i.e., condom self-efficacy, and perceived social support) that might correlate with depression among Black girls exposed to vio lence. Findings indicate that fear of condom neg...
Source: Journal of Racial and Ethnic Health Disparities - January 5, 2021 Category: International Medicine & Public Health Source Type: research

Understanding Health Priorities, Behaviors, and Service Utilization Among Brazilian Immigrant Women: Implications for Designing Community-Based Interventions
This study aimed to gather formative data to understand the needs of Brazilian immigrant women to guide public health interventions. We conducted five focus groups with Brazilian women born in Brazil (n = 47) and 13 key informant interviews with representatives from Brazilian-serving organizations. Participants were recruited from churches and social service organizations in the Greater Boston area. Findings revealed that mental health was the most pressing health priority; many attributed hig h levels of anxiety and depression to worries about undocumented status, separation from social networks, and strenuo...
Source: Journal of Racial and Ethnic Health Disparities - January 5, 2021 Category: International Medicine & Public Health Source Type: research

The Relationship Between Social Determinants of Health and Racial Disparities in COVID-19 Mortality
ConclusionsThis study demonstrates that social determinants of health contribute to COVID-19 mortality for Black Americans at the county level, highlighting the need for public health policies that address racial disparities in health outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 5, 2021 Category: International Medicine & Public Health Source Type: research

Meet Me Where I Am : An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South
AbstractThe southern region of the USA is the epicenter of the HIV epidemic. HIV disproportionately affects African Americans, particularly Black men who have sex with men (Black  MSM). Given the alarming rates of new infections among Black MSM, there is an urgent need for culturally competent healthcare professionals who are trained to address the unique needs and barriers to uptake and adherence to HIV prevention, care, and treatment services. Utilizing a mixed method re search approach, we conducted a process evaluation ofMeet Me Where I Am, a 6-month, 6-session HIV/AIDS patient navigation training progra...
Source: Journal of Racial and Ethnic Health Disparities - January 5, 2021 Category: International Medicine & Public Health Source Type: research

Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations
AbstractBackgroundRacial concordance between patients and clinician has been linked to improved satisfaction and patient outcomes.Objectives(1) To examine the likelihood of clinician-patient racial concordance in non-Hispanic White, non-Hispanic Black, Asian, and Hispanic patients and (2) to evaluate the impact of patient-clinician race concordance on healthcare use and expenditures within each racial ethnic group.MethodsWe analyzed data from the 2010 –2016 Medical Expenditure Panel Survey (MEPS). We used bivariate and multivariate models to assess the association between patient-clinician race concordance and emerge...
Source: Journal of Racial and Ethnic Health Disparities - January 5, 2021 Category: International Medicine & Public Health Source Type: research