Contextualizing Black Women ’s Mental Health in the Twenty-First Century: Gendered Racism and Suicide-Related Behavior
AbstractDespite predictions from the Black-White and gender paradoxes in suicide risk, there has been a recent growth in suicide rates among Black women and girls that requires special attention from social and behavioral researchers. In this review, we demonstrate how and why an intersectional framework is needed to understand and contextualize Black women ’s mental health and suicide risk. To begin, we outline data and existing literature on Black women’s mental health outcomes. Next, we provide insights from intersectional and Black feminist scholars on the uniqueness of Black womanhood and the necessity of centerin...
Source: Journal of Racial and Ethnic Health Disparities - January 4, 2022 Category: International Medicine & Public Health Source Type: research

Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA
AbstractThe purpose of the current study was to identify predisposing, enabling, and need-based factors associated with human papillomavirus (HPV) or HPV vaccination intentions among ethnoracial minority men who have sex with men (MSM) and gender expansive natal males. This was a secondary analysis of survey data from 299 Black and Hispanic MSM and gender expansive young (aged 18 –30 years) adults living in the USA. Variable selection was informed by Anderson’s model of healthcare utilization. Outcomes were self-reported HPV vaccination and vaccine intentions. Less than half of the sample (45.5%) reported initiating (...
Source: Journal of Racial and Ethnic Health Disparities - January 3, 2022 Category: International Medicine & Public Health Source Type: research

Implicit Racial Attitudes and Associations Among Obstetricians in Hawai ʻi: a Pilot Study
ConclusionThe findings from this pilot suggest a slight degree of implicit bias favoring Whites over Micronesians within this sample of OB-GYNs and warrant a larger investigation into implicit biases toward this unique and understudied Pacific Islander population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 1, 2022 Category: International Medicine & Public Health Source Type: research

Barriers in Accessing Care for Consequence of Unsafe Abortion by Black Women: Evidence of Institutional Racism in Brazil
This study aimed at identifying factors associated with the institutional barriers in access to health services for women who underwent abortion by race/color. The survey encompassed 2640 users admitted to public hospitals in Salvador, Recife, and S ão Luís. Differences among covariables according to race/color (Black, Brown, and White women) were analyzed and tested for statistical significance using Pearson’s χ2 test. The regression analysis initially included variables that may express the technical criteria of priority in care (time of pregnancy when abortion occurred and conditions of arrival), then the sociodemo...
Source: Journal of Racial and Ethnic Health Disparities - November 23, 2021 Category: International Medicine & Public Health Source Type: research

Advancing Health Disparities Research: The Need to Include Asian American Subgroup Populations
ConclusionsMore research is required to focus on smaller-sized subgroup populations to obtain accurate results and address health disparities for all groups. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 17, 2021 Category: International Medicine & Public Health Source Type: research

Untold Risk: HIV Transmission Behaviors in Miami ’s Historically Black Communities
AbstractAdvances in HIV prevention therapies have led to significant reductions in HIV transmission across the USA. However, these resources have not been equally utilized across all populations, with Black communities in the Southeastern USA experiencing among the greatest HIV disparities in the nation. Tailoring HIV programs to align with the cultural norms of minority communities is one approach that can increase uptake of HIV prevention services. However, accomplishing this requires a rich understanding of the unique risk factors and the context of HIV transmission among men and women within culturally distinct communi...
Source: Journal of Racial and Ethnic Health Disparities - November 17, 2021 Category: International Medicine & Public Health Source Type: research

Promoting a Culturally Adapted Policy to Deal with the COVID-19 Crisis in the Haredi Population in Israel
AbstractCOVID-19 has caused high morbidity and mortality in Israel but, as in other countries, not all groups were equally affected. Haredi Jews (often called ultra-Orthodox), a religious minority, were disproportionately harmed by the pandemic. This group has distinctive cultural, lifestyle, and demographic characteristics, which may be related to these higher COVID-19 rates and call for policies specifically adapted for this community. This paper describes in detail the steps the Israeli Ministry of Health (MoH) took to try to improve the quality of care and prevent morbidity in the Haredi population through working in c...
Source: Journal of Racial and Ethnic Health Disparities - November 17, 2021 Category: International Medicine & Public Health Source Type: research

Racial and Ethnic Differences in Falls Among Older Adults: a Systematic Review and Meta-analysis
AbstractThe aim of this systematic review and meta-analysis was to determine whether differences in reported fall rates exist between different ethnic groups. Searches were carried out on four databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science. Only English language studies with community-dwelling participants aged 60  + years were included. Studies also needed to compare fall prevalence for at least two or more ethnic groups. Two reviewers independently screened all articles and evaluated study quality. Twenty-three articles were included for systematic re...
Source: Journal of Racial and Ethnic Health Disparities - November 16, 2021 Category: International Medicine & Public Health Source Type: research

Prevalence and Determinants of Contraceptive Utilization among Women in the Reproductive Age Group in Ethiopia
ConclusionsThe study concluded that the use of contraceptives remained very low (found below the national target) in Ethiopia. Factors like age, educational level, number of children, and region of the women, religion, wealth index, and marital status are determinant factors associated with contraceptive use among reproductive-age women in Ethiopia. For a more successful intervention approach that encourages the use of contraceptive methods, these variables should be considered. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2021 Category: International Medicine & Public Health Source Type: research

Racial Differences in Urine Testing of Febrile Young Children Presenting to Pediatric Hospitals
ConclusionBlack patients had lower rates of urine testing and UTI diagnoses relative to other racial/ethnic groups. This was not associated with higher rates of missed diagnoses or unscheduled return visits. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2021 Category: International Medicine & Public Health Source Type: research

HPV Testing Behaviors and Willingness to Use HPV Self-sampling at Home Among African American (AA) and Sub-Saharan African Immigrant (SAI) Women
ConclusionsHealth care providers have an important role in recommending cervical cancer screening according to current guidelines. HPV self-sampling may be a promising strategy to reach older, less educated, uninsured, and underinsured Black women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2021 Category: International Medicine & Public Health Source Type: research

Testing a Prostate Cancer Educational Intervention in High-Burden Neighborhoods
This study showed that gathering at-risk men for discussions about PCa or other health concerns may increase their PCa knowledge and intention to talk to a doctor about PCa screening. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 8, 2021 Category: International Medicine & Public Health Source Type: research

Prevalence and Correlates of SARS CoV-2 Among a Community-Based Sample Recruited Using Randomized Venue-Based Sampling. Essex County, NJ, 2020
AbstractDisparities in morbidity and mortality related to COVID-19 based on race and ethnicity have been documented in the USA. However, it is unclear if these disparities also exist at the exposure stage. To determine this, studies are needed to document the underlying burden of disease, potential disparities through serologic surveillance. Additionally, such studies can help identify where along the disease spectrum (e.g., exposure, infection, diagnosis, treatment, death) and with regard to the structural factors that necessitate public health and/or clinical interventions. Our objectives in this study were to estimate t...
Source: Journal of Racial and Ethnic Health Disparities - November 8, 2021 Category: International Medicine & Public Health Source Type: research

Molecular Heterogeneity of Cervical Cancer Among Different Ethnic/Racial Populations
AbstractThe study aimed to find differential gene mutation profile and gene expression status among different ethnic/racial human populations relevant for cervical cancer pathogenesis. The study was based on freely available datasets of The Cancer Genome Atlas (TCGA) of cervical cancer samples in Genomic Data Commons (GDC) data portal. We identified that choline metabolism in cancer and Ras signaling pathways were significantly associated with the Hispanic and Latino group of cervical cancer patients. In these pathways, mutations in thePIK3CA gene, especially E545K, were significantly associated with the Hispanic and LATIN...
Source: Journal of Racial and Ethnic Health Disparities - November 5, 2021 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Disparities in State-Level COVID-19 Vaccination Rates and Their Association with Structural Racism
ConclusionsThere are marked racial disparities in COVID-19 vaccination throughout the USA, and structural racism is strongly associated with the magnitude of these disparities. Efforts to reduce these disparities must address not only individual behavior but must also confront the structural barriers that are inhibiting equitable vaccine distribution. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 28, 2021 Category: International Medicine & Public Health Source Type: research