Acculturative Stress and Depressive Symptoms Among Chinese Immigrants: the Role of Gender and Social Support
AbstractThe USA has among the largest immigrant population of any country in the world, and over the past few decades, the proportion of Chinese immigrants in the USA has increased significantly. Immigrants may experience substantial acculturative stress as they learn to navigate their new environment, and this stress can contribute to depressive symptoms and poor mental health. Social support can help mitigate the effects of stress on depressive symptoms, but the protective effects of social support have been reported to differ between men and women. Thus, the present study examined associations of acculturative stress an...
Source: Journal of Racial and Ethnic Health Disparities - September 20, 2021 Category: International Medicine & Public Health Source Type: research

Predictors of Health-Related Quality of Life Among African American Men
AbstractAfrican American men have the lowest life expectancy of any ethnic gender group in the USA. Furthermore, these men endorse having a lower health-related quality of life (HRQoL) than any other group. There have been recent calls from national organizations to improve HRQoL —a multidimensional indicator of health strongly associated with mortality and morbidity. Following these calls, there have been widespread efforts implemented to improve HRQoL among the US population, though no known effort has been implemented that is tailored to the unique experiences of Africa n American men. Health promotion efforts that ar...
Source: Journal of Racial and Ethnic Health Disparities - September 17, 2021 Category: International Medicine & Public Health Source Type: research

Diagnostic and Medication Treatment Disparities in African American Children with ADHD: a Literature Review
AbstractBackgroundDespite a national focus on achieving health equity, limited attention has been paid to behavioral and pediatric health disparities. As the most common pediatric neurobehavioral disorder, attention-deficit/hyperactivity disorder (ADHD) provides an opportunity to assess the status of pediatric behavior health disparities. The purpose of this literature review is to provide a synthesis of existing research on ADHD diagnostic and treatment disparities between African American and White children.MethodsStudies were systematically identified through searches in PubMed, CINAHL, and APA PsycInfo using the terms ...
Source: Journal of Racial and Ethnic Health Disparities - September 14, 2021 Category: International Medicine & Public Health Source Type: research

Latinos ’ Conceptualization of Depression, Diabetes, and Mental Health–Related Stigma
AbstractDepression and diabetes are two of the most common health conditions experienced by those from Latino backgrounds. However, community-based stigma toward these health conditions may discourage those experiencing symptoms of depression or diabetes from seeking professional assistance. To assess stigma in the Latino community toward these common health conditions, a community-based sample of 469 Latino participants in a major urban area in the [Southwestern United States — Houston, TX] completed a face-to-face survey using an experimental vignette methodology. Participants were asked to name the problem that the su...
Source: Journal of Racial and Ethnic Health Disparities - September 10, 2021 Category: International Medicine & Public Health Source Type: research

Racial Differences and In-Hospital Outcomes Among Hospitalized Patients with COVID-19
ConclusionsThis observational analysis of a large integrated healthcare system early in the pandemic revealed that patients with COVID-19 did exhibit some racial variations in clinical presentation, laboratory data, and requirements for advanced monitoring and cardiopulmonary support, but these nuances did not dramatically alter in-hospital outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 10, 2021 Category: International Medicine & Public Health Source Type: research

The Intersection of Pain Outcomes and Social Isolation Among African Americans
AbstractThere is increasing evidence suggesting the influence social isolation has on health outcomes and mental well-being. Chronic medical conditions, such as pain, have been shown to impact social relationships and isolation among majority populations, but there is little evidence documenting this relationship among African Americans. To address this lack of scholarly work, the current study aimed to examine subjective and objective social isolation, pain interference with daily life, and problems with pain in a sample of African American adults 18  + years of age. Taken from the National Survey of American Life: Co...
Source: Journal of Racial and Ethnic Health Disparities - September 10, 2021 Category: International Medicine & Public Health Source Type: research

Cognitive Disability Among Arab Americans by Nativity Status and Arrival Year: Lack of Evidence for the Healthy Migrant Effect
The objectives of this study were to estimate the age- and sex-adjusted prevalence and associations of cognitive disability by (1) nativity status and (2) arrival year (pre-1991, 1991 –2000, 2001–2013, and 2014–2018). We analyzed 11 years (2008–2018) of data from the American Community Survey (ACS) Public Use Microdata Samples (weightedn = 264,086; ages ≥ 45 years). Weighted means, percentages, age- and sex-adjusted prevalence estimates, and logistic regression results (crude and adjusted) were calculated. Among all Arab Americans, the age- and sex-adjusted prevalence of cognitive disability was 6.5%. T...
Source: Journal of Racial and Ethnic Health Disparities - September 9, 2021 Category: International Medicine & Public Health Source Type: research

Correction to: Risk Factors for Death Among Hospitalized Patients Aged 21 –64 Years Diagnosed with COVID-19—New York City, March 13–April 9, 2020
(Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 8, 2021 Category: International Medicine & Public Health Source Type: research

The Role of Community-Level Factors on Disparities in COVID-19 Infection Among American Indian/Alaska Native Veterans
ConclusionsNeighborhood-level social determinants of health may contribute to the disproportionate COVID-19 infection burden on AI/ANs; differences are exacerbated among AI/ANs living near reservations. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 7, 2021 Category: International Medicine & Public Health Source Type: research

Colorblind Racial Ideology and Physician Use of Race in Medical Decision-Making
ConclusionsPhysicians who adhere to a color blind racial ideology, particularly those who deny institutional racism, are more likely to use race in medical decision-making. As the use of race may be due to a colorblind racial ideology, and therefore due to a poor understanding of how systemic racism affects health, more physician education about racism as a health risk is needed. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 7, 2021 Category: International Medicine & Public Health Source Type: research

Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review
ConclusionsA considerable knowledge gap exists regarding effective methods, tools, and outcomes to use for undoing racism and mitigating bias in healthcare professionals. Nothing less than a seismic paradigm shift is called for, one in which an anti-racist perspective informs all healthcare education, research, and practice. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - September 3, 2021 Category: International Medicine & Public Health Source Type: research

Racial/Ethnic Differences in Prosocial Beliefs and Prevention Behavior During the COVID-19 Pandemic
AbstractControlling the COVID-19 pandemic has required communities to engage in prosocial action, including behaviors that may inconvenience individuals, but protect the collective (e.g., mask wearing, social distancing). The purpose of this study was to understand to what extent COVID-19  prosocial beliefs and behavior differ by race/ethnicity and why this might be the case. A US nationally representative sample of 410 adults completed a survey about COVID-19 beliefs and prevention behaviors between June 12 and 18, 2020. Compared to White respondents, Black respondents perceived th e risk of COVID-19 to be greater to the...
Source: Journal of Racial and Ethnic Health Disparities - August 30, 2021 Category: International Medicine & Public Health Source Type: research

Actual Racial/Ethnic Disparities in COVID-19 Mortality for the Non-Hispanic Black Compared to Non-Hispanic White Population in 353 US Counties and Their Association with Structural Racism
ConclusionsThere are large disparities in COVID-19 mortality rates between the Black and White populations at the county level, there are profound differences in the level of these disparities, and those differences are directly related to the level of structural racism in a given county. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 30, 2021 Category: International Medicine & Public Health Source Type: research

Medicare Enrollment Rates Across Six Asian Subgroups in the USA
This study aimed to examine heterogeneity in Medicare enrollment across the six largest subgroups of Asian Americans (Chinese, Japanese, Filipino, Indian, Korean, and Vietnamese), in relation to their citizenship status and labor force participation.MethodsData from the American Community Survey Public Use Microdata Sample (2014 –2018) were analyzed for older foreign-born Asians aged 65 or older (N = 83,378). A two-level multilevel logistic regression model (states >  individuals) was used to model the probabilities of Medicare enrollment, accounting for state-level residential clustering by Asian subgroup and...
Source: Journal of Racial and Ethnic Health Disparities - August 26, 2021 Category: International Medicine & Public Health Source Type: research

Tuberculosis in Indigenous Persons — United States, 2009–2019
ConclusionTB among U.S. indigenous persons is associated with persistent and concerning health disparities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - August 26, 2021 Category: International Medicine & Public Health Source Type: research