A New Paradigm for Addressing Health Disparities in Inner-City Environments: Adopting a Disaster Zone Approach
This article presents a framework for improving health among inner-city populations using a multidisciplinary approach drawn from medicine, economics, and disaster response. Results from focus groups and photovoice conducted in Milwaukee, WI are used as a case study for a perspective on using this approach to address health disparities. A disaster approach provides a long-term focus on improving overall health and decreasing health disparities in the inner city, instead of a short-term focus on immediate relief of a single symptom. Adopting a disaster approach to inner-city environments is an innovative way to address the ...
Source: Journal of Racial and Ethnic Health Disparities - August 12, 2020 Category: International Medicine & Public Health Source Type: research

Black and Minority Ethnic (BAME) Alliance Against COVID-19: One Step Forward
AbstractDuring the COVID-19 pandemic, the data of Department of Health in United Kingdom (UK) showed an increase mortality and morbidity among the Black and Minority Ethnic (BAME) population. This high mortality can be due to social factors, genetic and immunological factors. Metabolic factors like high prevalence of diabetes, obesity, metabolic syndrome and hypertension were also found to contribute to the increased risk of COVID-19 infection in BAME population. In addition, a large number of BAME population are working in jobs that involve regular and daily contact with public, and this may increase risk of encountering ...
Source: Journal of Racial and Ethnic Health Disparities - August 12, 2020 Category: International Medicine & Public Health Source Type: research

The Face of Medicine Is Not My Face …But, It Should Be
AbstractThe “face of medicine” is a term commonly used to describe the leaders and decision-makers of medicine. Medical ethics often discuss past historical atrocities committed by the “face of medicine,” such as the American eugenics movement and medical experimentation. However, a great irony persists : the “faces of medicine” do not resemble the faces of the oppressed populations. Nevertheless, the discussion of white supremacy and systemic racism, structures which fueled historical medical atrocities, is often omitted. This reflection discusses the need for education, conversation, a...
Source: Journal of Racial and Ethnic Health Disparities - August 7, 2020 Category: International Medicine & Public Health Source Type: research

The Utilization of Maternal Healthcare Services Among Ethnic Minority Populations in Vietnam
ConclusionSubstantial inequity exists in antenatal coverage both within ethnic minority groups and between socio-economic groups. The low coverage of having at least four antenatal contacts and its ’ correlates with facility-based delivery suggests that the government should focus efforts on increasing the number of antenatal contacts for ethnic minority women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 5, 2020 Category: International Medicine & Public Health Source Type: research

Trends and Racial/Ethnic Disparities in the Rates of Pre-eclampsia by HIV Status in the US
ConclusionThe increase in rates of pre-eclampsia between 2002 and 2015 was mostly noted among pregnant women without HIV. Regardless of HIV status, NH-Blacks experienced the highest discharge prevalence of preeclampsia. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 4, 2020 Category: International Medicine & Public Health Source Type: research

A Longitudinal Analysis of Patient-Level Factors Associated with Pap Test Uptake Among Chinese American Women
AbstractThe purpose of this study was to longitudinally examine patient-level factors associated with Pap test uptake among middle-aged Chinese American women. The study analyzed data from 498 Chinese American women (1326 person-time-waves) who participated in the Study of Women ’s Health Across the Nation (SWAN) Series. Generalized estimating equation (GEE) was used to longitudinally examine patient-level factors associated with Pap test uptake over the 7-year period. Of the 1326 person-time-waves, 61% had a Pap test and 39% did not. Higher amounts of time spent by femal e healthcare providers for female health need...
Source: Journal of Racial and Ethnic Health Disparities - August 4, 2020 Category: International Medicine & Public Health Source Type: research

The Conceptualization of Everyday Racism in Research on the Mental and Physical Health of Ethnic and Racial Groups: a Systematic Review
AbstractBackgroundResearch on the influence of everyday racism and discrimination on the mental and physical health of ethnic and racial groups is on the rise. Scholars use self-reported experiences of racism and discrimination scales to study the relationship between everyday racism/discrimination and health. Throughout the years, these scales have been tested for psychometric measures, validity, and reliability of the items. However, less attention is paid tohow the concept of everyday racism and discrimination is defined in the first place.MethodsBased on the Preferred Reporting Items for Systematic Reviews and Meta-Ana...
Source: Journal of Racial and Ethnic Health Disparities - August 1, 2020 Category: International Medicine & Public Health Source Type: research

Are Anxious and Depressive Symptoms Associated with Gastrointestinal Symptoms in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)?
AbstractPsychological distress is common among non-Hispanic/Latino adults with gastrointestinal (GI) symptoms. Heartburn and acid regurgitation symptom prevalence, and their relationship with anxious and depressive symptoms, was examined in 16,415 Hispanic Community Health Study/Study of Latinos participants aged 18 –74 from 4 US cities (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA). Complex survey logistic regression models were used to test relations between GI, anxious, and depressive symptoms. 10.1% (95% confidence interval [CI] = 9.4, 10.8) and 8.9% (95% CI = 8.3, 9.5) of the over...
Source: Journal of Racial and Ethnic Health Disparities - August 1, 2020 Category: International Medicine & Public Health Source Type: research

A Systematic Review of Environmental Health Outcomes in Selected American Indian and Alaska Native Populations
DiscussionThe complex interplay of environmental and social factors in disease etiology among AI/ANs is a product of externally imposed environmental exposures, systemic discrimination, and modifiable risk behaviors. The connection between environmental health disparities and adverse health outcomes indicates a need for further study. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 5, 2020 Category: International Medicine & Public Health Source Type: research

Adaptation and Initial Psychometric Evaluation of an Informed Prostate Cancer Screening Decision Self-Efficacy Scale for African-American Men
ConclusionsFindings suggest the one-factor, 11-itemInformed Prostate Cancer Screening Decision Self-Efficacy Scale has excellent psychometric properties and utility in reliably measuring health-related decision self-efficacy in African-American men. Future research is needed to confirm this factor structure among socio-demographically diverse African Americans. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 5, 2020 Category: International Medicine & Public Health Source Type: research

Race/Ethnicity, Gender, and Trajectories of Depressive Symptoms Across Early- and Mid-Life Among the Add Health Cohort
This study investigates how intra- and inter-individual trends in depressive symptoms unfold across a 30-year span (ages 12 –42) and are structured by the intersection of race/ethnicity and gender among White, Black, Hispanic, and Asian American young adults (N = 18,566). Analyses use data from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative study of adolescents who have been followed through their fourth decade of life. We draw on Waves I–IV and a representative subsample of the brand new Wave V data. Grow th curve models indicated depressive symptoms de...
Source: Journal of Racial and Ethnic Health Disparities - July 5, 2020 Category: International Medicine & Public Health Source Type: research

Changes in Insurance Coverage and Healthcare Use Among Immigrants and US-Born Adults Following the Affordable Care Act
AbstractObjectivesImmigrants to the USA have disparate access to health insurance coverage and healthcare services. We evaluate the effects of gaining insurance following the January 2014 Affordable Care Act ’s (ACA) key provisions implementation on health services use among foreign- (FB) and US-born (USB) adults.MethodsLongitudinal data from two panels (2013/2014 and 2014/2015) of the Medical Expenditure Panel Survey on FB and USB adults, ages 26 –64 (unweightedn = 15,232), and difference-in-differences analysis using generalized estimating equations were used to estimate the effects of insurance...
Source: Journal of Racial and Ethnic Health Disparities - July 3, 2020 Category: International Medicine & Public Health Source Type: research

Association Between Race and Ethnicity with Intraoperative Analgesic Administration and Initial Recovery Room Pain Scores in Pediatric Patients: a Single-Center Study of 21,229 Surgeries
ConclusionsAlthough children of all races and ethnicities investigated received similar total intraoperative opioid doses, some were less likely to receive non-opioid analgesics intraoperatively. Asians were less likely to report moderate-severe pain upon awakening. Further investigation may delineate how these differences lead to disparate patient outcomes and are influenced by patient, provider, and system factors. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 3, 2020 Category: International Medicine & Public Health Source Type: research

Hair Cortisol Concentration and Perceived Chronic Stress in Low-Income Urban Pregnant and Postpartum Black Women
AbstractBlack women are more likely to experience short- or long-term health consequences from their labor and delivery and die from pregnancy-related causes than White women. Similarly, infants born to Black women also have heightened health risks. Developing research suggests that a contributing factor to Black health disparities may be maternal chronic stress. A widely used biomarker for chronic stress is hair cortisol concentration (HCC). Few prior studies have explored the HCC of pregnant Black women or comprehensively examined perceived chronic stress in this population. Using a mixed-methods focus group framework, w...
Source: Journal of Racial and Ethnic Health Disparities - July 1, 2020 Category: International Medicine & Public Health Source Type: research

Perceived Discrimination and Risk Behaviors in African American Students: the Potential Moderating Roles of Emotion Regulation and Ethnic Socialization
AbstractPrior research has identified perceived discrimination as being a contributing factor in health and mental health disparities. However, there is little research on the relationship between perceived discrimination and behaviors such as hazardous alcohol and illicit substance use and risky sexual behaviors that put people at risk for negative health consequences including HIV. The current research explores the role that cultural factors may play in a tendency for individuals to engage in unhealthy behaviors or an ability to avoid them. A total of 266 college students who self-identified as Black or African American ...
Source: Journal of Racial and Ethnic Health Disparities - June 30, 2020 Category: International Medicine & Public Health Source Type: research

A Comparison of the Content and Quality of Organ Donation Discussions with African American Families Who Authorize and Refuse Donation
ConclusionsThe study suggests that AA families making decisions about organ donation would benefit from culturally appropriate discussions.Trial RegistrationClinical Trial Notation: NCT02138227. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 30, 2020 Category: International Medicine & Public Health Source Type: research

Access to Social Determinants of Health and Determinant Inequity for the Black Population in US States in the Early Twenty-First Century
AbstractThis analysis develops indices of (1) modifiable social determinants of health and (2) social determinant inequity and applies the indices to the black population in US states. It uses state data available between 2013 and 2018 stratified by black and white race on six social determinants covering a range of topics (high school non-completion, incarceration, non-home ownership,  poverty, unemployment, and voter non-registration). Determinants are ranked by state on (1) limited determinant access by blacks and (2) on black-white determinant differences, i.e., inequity. For each state, ranks are summed for each ...
Source: Journal of Racial and Ethnic Health Disparities - June 29, 2020 Category: International Medicine & Public Health Source Type: research

Stress and Drug Use from Prepregnancy, During Pregnancy, to Postpartum
ConclusionsOur study has illustrated a complex time course of changes of both perceived stress and drug use from prepregnancy through 6  months postpartum. For drug-using pregnant women, pregnancy showed protective effect in reduction of both drug use and stress during pregnancy; and during postpartum, drug resumption peaked at 1–2 months while stress peaked at 3–4 months. If we can identify modifiable, pregnancy-related resi liency factors for both stress and drug use, we can begin to extend prevention efforts initiated during pregnancy into the postpartum period. (Source: Journal of Racial and ...
Source: Journal of Racial and Ethnic Health Disparities - June 27, 2020 Category: International Medicine & Public Health Source Type: research

Relative Contribution of Individual, Community, and Health System Factors on Glycemic Control Among Inner-City African Americans with Type 2 Diabetes
AbstractBackgroundHealth disparities disproportionately impact inner-city African Americans; however, limited information exists on the contribution of individual, community, and health system barriers on diabetes outcomes in this population.MethodsA cross-sectional study collected primary data from 241 inner-city African Americans with type 2 diabetes. A conceptual framework was used to specify measurements across the individual level, such as age and comorbidities; community level, such as neighborhood factors and support; and health system level such as access, trust, and provider communication. Based on current best pr...
Source: Journal of Racial and Ethnic Health Disparities - June 25, 2020 Category: International Medicine & Public Health Source Type: research

Proactive Recruitment of Older African-Americans for Alzheimer ’s Research with Brain Donation: a Cohort Case Study of Success
This article describes the Minority Aging Research Study ’s brain donation challenges, processes, and successful procurement with older African-American adults (65 years and older).Design and MethodsThe recruitment and retention strategy of the Minority Aging Research Study Brain Gifting Program was developed in accordance with Peplau ’s theory of interpersonal relationship and Swanson’s middle-range theory of caring.ResultsAt the time of this submission, approximately 345 of 755 older African-American adults in the Minority Aging Research Study consented to brain donation to be completed at the time...
Source: Journal of Racial and Ethnic Health Disparities - June 25, 2020 Category: International Medicine & Public Health Source Type: research

Correction to: Discrimination and Multimorbidity Among Black Americans: Findings from the National Survey of American Life
The name of author Hans Oh was presented incorrectly as “By Hans Oh” in this article as original published. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 23, 2020 Category: International Medicine & Public Health Source Type: research

Examining Help-Seeking Intentions of African American College Students Diagnosed with Depression
AbstractA depressed African American emerging adult ’s intention to seek help can be affected by the severity of their mental health or perception of self-flourishing, or positive mental health. Using the Healthy Minds Study, a nationally representative dataset, utilization of mental health services among African American emerging adult students wh o have been diagnosed with depression by a health professional (n = 201), and the mediating effect of positive mental health on help-seeking intentions were examined. The findings revealed that 89.45% of students reported help-seeking intentions, and they may...
Source: Journal of Racial and Ethnic Health Disparities - June 19, 2020 Category: International Medicine & Public Health Source Type: research

Comparative Analysis of the Constitution and Implementation of Race/Skin Color Field in Health Information Systems: Brazil and South Africa
The objective is to compare the information systems of Brazil and South Africa regarding the configuration and implementation of the item race/skin color. This is a qualitative, descriptive study, based on the content analysis proposed by Bardin. A survey on race/skin color was carried out in health department documents and ministerial sites in both countries. The collected material was processed and analyzed utilizing the IRAMUTEQ R software, version 0.7 alpha 2, with a test × 2 >  3.80 (p 
Source: Journal of Racial and Ethnic Health Disparities - June 18, 2020 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Differences in Age at Menarche and Lifetime Nonmedical Marijuana Use: Results from the NHANES 2005 –2016
This study suggests that early menarche may be a risk factor of lifetime nonmedical use of marijuana, and racial/ethnic differences may exist in the association. Future studies are warranted to examine and confirm these findings. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 17, 2020 Category: International Medicine & Public Health Source Type: research

Post-Discharge Adverse Events Among African American and Caucasian Patients of an Urban Community Hospital
ConclusionPost-discharge AEs were experienced by a large proportion of both African American and Caucasian patients, and there was no statistically significant difference in these proportions by race. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 17, 2020 Category: International Medicine & Public Health Source Type: research

Beyond Asian-Specific Cutoffs: Gender Effects on the Predictability of Body Mass Index, Waist Circumference, and Waist Circumference to Height Ratio on Hemoglobin A1c
ConclusionsWC and WHtR are two anthropometric measures that serve as appropriate proxy of HbA1c for gauging the risk of developing type 2 diabetes among Asians living in the USA. They can be easily performed at non-clinical settings and should be used by individuals to monitor their health and be a part of disease prevention. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 16, 2020 Category: International Medicine & Public Health Source Type: research

Factors Associated with Diabetes Control in Predominately African American and Hispanic Population with Newly Diagnosed Type 2 Diabetes
This study characterizes factors affecting glycemic control in a predominately African American and Hispanic population with newly diagnosed type 2 diabetes (T2DM).MethodsRetrospective longitudinal cohort study of 1638 patients with newly diagnosed T2DM to determine factors associated with improved HbA1c ( ΔHbA1c ≤ − 0.5%) and achieving target HbA1c 
Source: Journal of Racial and Ethnic Health Disparities - June 15, 2020 Category: International Medicine & Public Health Source Type: research

Health Caf é Series: a Potential Platform to Reduce Health Disparities
AbstractTo help bridge the increasing gap between health scientists/physicians and the community, we have developed a new seminar program —Health Café series. Health Café takes place in causal settings, is open to everyone, and features a keynote speaker regarding prevalent healthcare-related topics. Health Café topics are usually generated via community feedback and are coordinated in partnership with local nonprofit community o rganizations. The Health Café series is completely free, and no prior knowledge is required to attend seminars. We have been collaborating with a web of community...
Source: Journal of Racial and Ethnic Health Disparities - June 15, 2020 Category: International Medicine & Public Health Source Type: research

ChicagO Multiethnic Prevention and Surveillance Study (COMPASS): Increased Response Rates Among African American Residents in Low Socioeconomic Status Neighborhoods
AbstractAfrican American (AA) populations experience persistent health disparities in the USA. Low representation in bio-specimen research precludes stratified analyses and creates challenges in studying health outcomes among AA populations. Previous studies examining determinants of bio-specimen research participation among minority participants have focused on individual-level barriers and facilitators. Neighborhood-level contextual factors may also inform bio-specimen research participation, possibly through social norms and the influence of social views and behaviors on neighbor ’s perspectives. We conducted an e...
Source: Journal of Racial and Ethnic Health Disparities - June 15, 2020 Category: International Medicine & Public Health Source Type: research

Perceived Benefits and Barriers in the Mediation of Exercise Differences in Older Black Women with and Without Obesity
ConclusionsWomen largely agreed on the exercise benefits. Lack of will power and engaging in exercise only for weight loss were barriers that were more common among older Black women with obesity. The barriers partially explained the lower exercise engagement in women with obesity. Future work may address these barriers to increase exercise in older Black women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 12, 2020 Category: International Medicine & Public Health Source Type: research

Racial and Ethnic Health Services Disparities in Pediatric Anesthesia Practice: A Scoping Review
The objective of this study is to describe health services disparities in pediatric anesthetic care in the pre-, intra-, or post-operative period by synthesizing current literature. We searched the National Library of Medicine ’s PubMed/Medline, Embase, and Web of Science for articles published between January 1, 2007, and May 9, 2020, to identify literature on racial and ethnic health services disparities in pediatric anesthesia. We used the Institute of Medicine’s definition of disparities. Health services were rela ted to pre-, intra-, or post-operative anesthetic care of pediatric patients (
Source: Journal of Racial and Ethnic Health Disparities - June 12, 2020 Category: International Medicine & Public Health Source Type: research

Inequities in Access to Medical Care Among Adults Diagnosed with Diabetes: Comparisons Between the US Population and a Sample of US-Residing Marshallese Islanders
ConclusionThe largest group of diabetic Marshallese Islanders in the continental US faces severe healthcare access inequities necessitating policies that increase access to health insurance options and associated resources. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 11, 2020 Category: International Medicine & Public Health Source Type: research

Can Hostile Attitudes and Hostile Affections Lead to Depressive Symptoms Under Stress? A Study Based on Racial/Ethnic and Gender Differences
This study is aimed to investigate the role of coping styles and resilience to depressive symptoms when individuals are facing stress in life based on racial/ethnic and gender differences.MethodsEnrolled individuals were assessed using the Unfairness Scale, City Stress Inventory, Cook-Medley Hostility Scale, Conner-Davidson Resilience Scale, and Beck Depression Inventory (BDI).ResultsThree hundred ninety-six individuals completed the rating scales. There were significant interactions between race and unfairness, city stress (P = 0.006,P 
Source: Journal of Racial and Ethnic Health Disparities - June 11, 2020 Category: International Medicine & Public Health Source Type: research

Exposure to Violence and Posttraumatic Stress Among Youth in Public Housing: Do Community, Family, and Peers Matter?
This study examines the mediating roles of neighborhood risk factors, parental behaviors, and peers on the relationship between community violence exposure and posttraumatic stress in a sample of urban youth in low-income public housing communities. Data are from 320 African-American youth living in public housing in a northeastern city in the USA. Structural equation modeling was utilized to examine the stated relationships. Study results point to significant effects of violence exposure on posttraumatic stress in urban youth. While findings indicated indirect effects of neighborhood risk, parenting practices, and exposur...
Source: Journal of Racial and Ethnic Health Disparities - June 9, 2020 Category: International Medicine & Public Health Source Type: research

Lead Poisoning Prevention Efforts in High-Risk Environments: Follow-up Testing Rates among Preschool Children in Flint, Michigan, 2013 –2015
ConclusionAs illustrated in this bivariate analysis, subpopulations in Flint most likely to have lead poisoning were least likely to receive follow-up testing. Evidence also demonstrates that the likelihood that children with lead poisoning received follow-up testing was overwhelmingly associated with their blood lead concentration level than other indicators including socioeconomic status in this high-risk environment. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 8, 2020 Category: International Medicine & Public Health Source Type: research

Microaggressions and Psychological Health Among College Students: A Moderated Mediation Model of Rumination and Social Structure Beliefs
AbstractRacial microaggressions are common experiences for students of color on college campuses. Given prior research connecting microaggressions to negative mental health outcomes, it is important to better understand the social context and process through which microaggressions are associated with poorer mental health. In addition, we put forth a psycho-sociological approach to microaggressions, integrating an attention to both individual psychology and broader social structure. Specifically, the present study investigated whether the indirect association of school/workplace microaggressions and internalizing symptoms (...
Source: Journal of Racial and Ethnic Health Disparities - June 8, 2020 Category: International Medicine & Public Health Source Type: research

Unconscious Bias, Racism, and Trauma-Informed Policing: an Address and Message to the Connecticut Racial Profiling Prohibition Project Advisory Board
AbstractAs a community member of the Connecticut Racial Profiling Prohibition Project Advisory Board, I wish to acknowledge the group for its work, but to make clear there is much more to be done. While the state ’s data show more parity across departments, we know that unconscious bias and racism still exists. I wish to advocate for the committee’s work to focus on answering three new questions.How does the community feel about its relationship with the police?How do those who are stopped by the police feel about their experience?To what extent do the police understand the principles of unconscious bias, racis...
Source: Journal of Racial and Ethnic Health Disparities - June 8, 2020 Category: International Medicine & Public Health Source Type: research

We  Are the First to Applaud You Regarding Your Efforts in COVID-19: A Message from the African Diaspora to Our Brothers and Sisters of Africa
AbstractAs African countries address the COVID-19 pandemic, we applaud the continent and its efforts in the crisis, and offer a message that includes lessons learned from the American experience. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 4, 2020 Category: International Medicine & Public Health Source Type: research

Development of an Intervention to Promote Physical Activity and Reduce Dietary Sodium Intake for Preventing Hypertension and Chronic Disease in Filipino Americans
AbstractHypertension is a common chronic health condition affecting Filipino Americans. This pilot study examined the feasibility of addressing high rates of hypertension among Filipino Americans through the implementation of a culturally tailored education intervention. Filipino Americans living in the Greater Philadelphia Area were recruited through community-based organizations for participation and were engaged using a community-based participatory research (CBPR) framework. The study included pre- and post-intervention blood pressure measurements, self-reported body mass index, and questionnaires about physical activi...
Source: Journal of Racial and Ethnic Health Disparities - June 3, 2020 Category: International Medicine & Public Health Source Type: research

Racial Disparities in Reproductive Healthcare among Parous and Nulliparous Women in Mississippi
ConclusionLow use of the most effective methods of contraception, despite high levels of general contraceptive use and high insurance coverage, hints at additional barriers to full access for black women in Mississippi. More equitable access to effective family planning counseling and contraception can have meaningful impact on the lives of black women in our state. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 3, 2020 Category: International Medicine & Public Health Source Type: research

Dietary Patterns with Healthy and Unhealthy Traits Among Overweight/Obese Hispanic Women with or at High Risk for Type 2 Diabetes
AbstractHispanic women are at high risk for type 2 diabetes (T2D), with obesity and unhealthy eating being important contributing factors. A cross-sectional design was used in this study to identify dietary patterns and their associations with diabetes risk factors. Participants completed a culturally adapted Food Frequency Questionnaire capturing intake over the prior 3  months. Overweight/obese Hispanic women (n = 191) with or at risk for T2D were recruited from a community clinic into a weight loss intervention. Only baseline data was used for this analysis. Dietary patterns and their association with...
Source: Journal of Racial and Ethnic Health Disparities - June 3, 2020 Category: International Medicine & Public Health Source Type: research

Racial Discrimination, Inflammation, and Chronic Illness Among African American Women at Midlife: Support for the Weathering Perspective
AbstractIt is widely accepted that socioeconomic status (SES) is a fundamental cause of health inequality. There is evidence, however, that race is also a fundamental cause of disparities in health. Based on this idea, the weathering hypothesis developed by Geronimus and her colleagues views the elevated rates of illness and disability seen among Black Americans as a physiological response to the structural barriers, daily slights, and other threats to identity that comprise the Black experience. The current study tests the weathering hypothesis using chronic inflammation as an indicator of biological weathering. Specifica...
Source: Journal of Racial and Ethnic Health Disparities - June 3, 2020 Category: International Medicine & Public Health Source Type: research

Subgroup Variation and Neighborhood Social Gradients —an Analysis of Hypertension and Diabetes Among Asian Patients (New York City, 2014–2017)
We examined variation in prevalence for both conditions, comparing between US Asian subgroups, including within South Asian nationalities, and comparing within subgroups by neighborhood economic context. We obtained data on a non-probability sample of 633,664 patients ages 18 –64 in New York City, NY, USA (2014–2017); 30,138 belonged to one of seven Asian subgroups (Asian Indian, Bangladeshi, Pakistani, Chinese, Korean, Japanese, and Filipino). We used electronic health records to classify disease status. We characterized census tract economic context using the Index of Concentration at the Extremes and estimat...
Source: Journal of Racial and Ethnic Health Disparities - June 2, 2020 Category: International Medicine & Public Health Source Type: research

The Association of Race/Ethnicity, Dietary Intake, and Physical Activity with Depression
ConclusionPrevalence for depression was lower among people who have good or acceptable diet and moderate physical activity. These modifiable factors as well as race/ethnicity should be incorporated into psychotherapeutic interventions to improve depression. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 2, 2020 Category: International Medicine & Public Health Source Type: research

Exploring Awareness of HCV Among Sexual-Minority Black Generation Millennials and Gen Z: a Qualitative Study
AbstractHepatitis C (HCV) is a significant public health burden globally. While HIV-positive men who have sex with men (MSM) have traditionally comprised the majority of sexually acquired HCV cases in the USA, recent studies indicate that HIV-negative MSM and MSM who use pre-exposure prophylaxis (PrEP) in particular are at increasing risk for incident HCV. Further, in the USA, African Americans are disproportionately burdened by chronic HCV compared with other ethnic groups. We sought to better understand awareness and knowledge about HCV and the perceived barriers to HCV testing, among young Black MSM (YBMSM) ages 18 &nda...
Source: Journal of Racial and Ethnic Health Disparities - May 16, 2020 Category: International Medicine & Public Health Source Type: research

Ethnic Disparities for Gynecologic Cancers in Israel
This study ’s objective was to evaluate disparities in the incidence, presentation, and outcomes of gynecologic cancers among Israeli women of Arab and Jewish ethnicity.MethodsData on the Israeli female population diagnosed with gynecologic cancers during the years 2000 –2012 was obtained from the National Cancer Registry and the National Population Registry. Disease incidence rates by ethnic origin were calculated, and the “Segi World standard population” was used for age standardization. Data for Jewish and Arab patients was compared using chi-square test f or categorical variables andT test for c...
Source: Journal of Racial and Ethnic Health Disparities - May 16, 2020 Category: International Medicine & Public Health Source Type: research

Pathologic Factors Affecting Colorectal Cancer Survival in a Jamaican Population —the UHWI Experience
ConclusionsDespite surgical quality meeting USA standards, CRC survival rates in Jamaica are 13% lower than survival of CRC in non-Hispanic Blacks in the USA. The survival trends found by our study support the application of international indices for CRC prognostication to Jamaican patients. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - May 16, 2020 Category: International Medicine & Public Health Source Type: research

Explaining Health Outcomes of Asian Immigrants: Does Ethnicity Matter?
AbstractThe present study intended to evaluate whether 4 discrete ethnic groups of Asian immigrants could, for empirical reasons, be assigned a set of unique operating factors explaining health outcomes of members. The set comprised several acculturation, social structure, lifestyle, and health-related factors. Our study asked if these factorsuniformly explained health outcomes across the 4 groups. We pooled National Health Interview Survey (NHIS) data dating 1999 –2015 and developed 2 outcomes: self-rated health and self-reported chronic illness (specifically, diagnosis of cardiovascular disease, prediabetes/diabete...
Source: Journal of Racial and Ethnic Health Disparities - May 16, 2020 Category: International Medicine & Public Health Source Type: research

Nativity and Cardiovascular Dysregulation: Evidence from the 2001 –2016 National Health and Nutrition Examination Survey
ConclusionsThe foreign-born health advantage among Blacks was not observed in the cardiovascular biomarkers under study, suggesting that the commonly cited Healthy Immigrant Effect may need to be reassessed. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - May 14, 2020 Category: International Medicine & Public Health Source Type: research

Predictors of Latinx Youth Health and Emotional Well-being: Social Determinants of Health Perspective
AbstractLatinx youth disproportionately experience numerous negative social determinants of health (SDOH) that can have deleterious impact health outcomes. Yet, limited research is available on the role of SDOH on the well-being of Latinx adolescents. Utilizing data from the Fragile Families and Child Wellbeing Study, this study examined the association between variables representing five discrete domains of SDOH and health and emotional well-being outcomes among youth of Latinx mothers (N = 745). The study included 15-year-old youth of Latina mothers who were retained in the most recent wave of data collecti...
Source: Journal of Racial and Ethnic Health Disparities - May 13, 2020 Category: International Medicine & Public Health Source Type: research