Racial Disparities in the Perceived Risk of COVID-19 and in Getting Needed Medical Care
ConclusionDisparities in the COVID-19-related perceived risks and mistrust in healthcare across racial and ethnic groups existed at the beginning of the COVID-19 pandemic. As we enter into a post-COVID New Normal, new policies must ensure that the causes of this widespread fear and distrust in the healthcare system are understood and reversed. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 3, 2023 Category: International Medicine & Public Health Source Type: research

The Use of Race in Risk Assessment Tools Contributes to Systemic Racism
AbstractMany patients suffer from hip or knee osteoarthritis and elect to pursue total joint arthroplasty (TJA). Though perioperative risk is an inherent component of surgery, calculators that assess the risk of complications following TJA can help both surgeons and patients make informed decisions about the risk of surgery and aid in shared decision-making discussions. The inclusion of race in a risk calculator for readmission after TJA is flawed and unacceptable because a patient ’s race does not increase their risk of a complication after total joint replacement. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 3, 2023 Category: International Medicine & Public Health Source Type: research

Correction to: Child Lead Screening Behaviors and Health Outcomes Following the Flint Water Crisis
(Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 3, 2023 Category: International Medicine & Public Health Source Type: research

Psychological Well-Being and Substance Use During the COVID-19 Pandemic: Ethnic/Racial Identity, Discrimination, and Vigilance
ConclusionsAlthough ERI exploration and commitment were associated with better psychological well-being among BIPOC young adults, a significant association was found between ERI commitment and more substance use as explained by rumination. Public health efforts should cultivate culturally sensitive mental health services to decrease rumination and its negative association with substance use and well-being. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 28, 2022 Category: International Medicine & Public Health Source Type: research

Intersectional Effects of Race and Educational Attainment on Memory Function of Middle-Aged and Older Adults With Alzheimer ’s Disease
ConclusionThe effect of higher educational attainment on memory differs for Black patients with AD compared to White patients. To prevent cognitive disparities by race, we need to go beyond racial inequality in access to resources (e.g., education) and minimize diminished returns of educational attainment for racial minorities. To tackle health inequalities, social policies should not be limited to equalizing socioeconomic status but also help minority groups leverage their available resources, such as educational attainment, and secure tangible outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 28, 2022 Category: International Medicine & Public Health Source Type: research

Disparities in Late-Stage Breast and Colorectal Cancer Diagnosis Among Hispanic, Non-Hispanic White, and Non-Hispanic Black Patients: a Retrospective Cohort Study of Texas Medicare Beneficiaries
ConclusionRacial disparities in late-stage breast and colorectal cancer diagnoses remain after adjustment for SDOH and clinically relevant factors, underscoring the need to optimize access to screening and timely cancer treatment in racial/ethnic minorities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 27, 2022 Category: International Medicine & Public Health Source Type: research

Hesitancy or Resistance? Differential Changes in COVID-19 Vaccination Intention Between Black and White Americans
AbstractThe literature on COVID-19 vaccination has rarely taken a macro and longitudinal approach to investigate the nuanced racial and ethnic differences in vaccine hesitancy and refusal. To fill this gap, this study examines the relationships between race, time, and COVID-19 vaccine hesitancy and refusal using state-level data from the US Census Household Pulse Survey, 2020 US Decennial Census, and other sources (i.e., American Community Survey, Human Development Index database, and Centers for Disease Control and Prevention). Four longitudinal Generalized Estimating Equations (GEEs) were estimated to analyze how time-va...
Source: Journal of Racial and Ethnic Health Disparities - December 22, 2022 Category: International Medicine & Public Health Source Type: research

Effects of Experienced Discrimination in Pediatric Sickle Cell Disease: Caregiver and Provider Perspectives
AbstractFor Black children with sickle  cell disease (SCD) and their families, high disease stigmatization and pervasive racism increase susceptibility to discrimination in healthcare settings. Childhood experiences of discrimination can result in medical nonadherence, mistrust of healthcare providers, and poorer health outcomes across the lifespan. Caregivers and medical providers are essential to childhood SCD management and are therefore well-positioned to provide insight into discrimination in the context of pediatric SCD. This mixed-methods study sought caregivers’ and providers’ perspectives on processes underly...
Source: Journal of Racial and Ethnic Health Disparities - December 19, 2022 Category: International Medicine & Public Health Source Type: research

A Systematic Review on Participant Diversity in Clinical Trials —Have We Made Progress for the Management of Obesity and Its Metabolic Sequelae in Diet, Drug, and Surgical Trials
ConclusionsOur findings suggest that disparities remain in the diverse racial, ethnic, and gender representation of participants engaged in clinical trials on obesity relative to the prevalence of obesity in underrepresented populations. Commitment to inclusive and intentional recruiting practices is needed to increase the representation of underrepresented groups, thus increasing the generalizability of future research. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 19, 2022 Category: International Medicine & Public Health Source Type: research

Correction to: “It’s Important to Work with People that Look Like Me”: Black Patients’ Preferences for Patient-Provider Race Concordance
(Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 19, 2022 Category: International Medicine & Public Health Source Type: research

Perceptions of the Healthcare System Among Black Men with Previously Undiagnosed Diabetes and Prediabetes
ConclusionTo help alleviate the disparity in diabetes burden among Black men, healthcare providers should take a more active role in recognizing and addressing their own implicit biases, engage in understanding the specific healthcare needs and expectations of each patient, and consider emphasizing non-medication approaches to improve glycemic control. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 15, 2022 Category: International Medicine & Public Health Source Type: research

Barriers to Type 2 Diabetes Mellitus Management for Older Hmong Patients with Minimal English Language Skills: Accounts from Caregivers, Case Managers, and Clinicians
AbstractType 2 diabetes mellitus prevalence rates for Hmong Americans in Wisconsin are more than double that of non-Hispanic Whites. The Hmong ’s history, lifestyle (dietary and behavioral patterns), and reliance on traditional medicine contribute to their increased risk of diabetes. This qualitative study aimed to better understand the barriers challenging older Hmong patients’ ability to manage diabetes. Asian Americans have long bee n overlooked in health-related research, but recent disaggregated data of specific ethnic groups reveal significant health inequities. Among the different ethnic groups, there is a signi...
Source: Journal of Racial and Ethnic Health Disparities - December 13, 2022 Category: International Medicine & Public Health Source Type: research

Demographic and Psychosocial Characteristics, Air Pollution Exposure, and Housing Mobility of Mexican Immigrant Families
ConclusionThere are limits to assimilation for Mexican immigrant families. Living in more advantaged neighborhoods is associated with experiencing better air quality, but this advantage may come at the cost of experiencing more ethnic discrimination. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 13, 2022 Category: International Medicine & Public Health Source Type: research

Motivators and Barriers to COVID-19 Research Participation at the Onset of the COVID-19 Pandemic in Black Communities in the USA: an Exploratory Study
ConclusionsBased on our findings, majority of the participants reported willingness to participate in research with observational research being the most commonly cited type of research. Providing data on the attitudes and perspectives of Black individuals and their intentions for COVID-19 research participation using TPB informs intervention targets for healthcare providers and policy makers for an equitable emergency response. Our results suggest improved communication on the research process, research opportunities, and participant testimonial through trusted sources could increase the likelihood of participation. This ...
Source: Journal of Racial and Ethnic Health Disparities - December 13, 2022 Category: International Medicine & Public Health Source Type: research

Measuring Structural Racism and Its Association with Racial Disparities in Firearm Homicide
ConclusionsThese new measures can be utilized by researchers to relate structural racism to racial health disparities at the county level. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 12, 2022 Category: International Medicine & Public Health Source Type: research