Impact of Stress and Loneliness on Health-Related Quality of Life Among Low Income Senior African Americans
AbstractLow  income senior African Americans are at risk for low health-related quality of life (HRQoL). Loneliness may exacerbate the effects of stress on health. The purpose of this study was to examine the impact of perceived stress and loneliness on the HRQoL of low income senior African Americans (N =  281). Results indicate that loneliness may exacerbate the inverse relationship of perceived stress with psychological HRQoL among this sample. Additionally, both loneliness and perceived stress were associated with poorer physical HRQoL. The present study has implications for interventions seeking t o improve HRQo...
Source: Journal of Racial and Ethnic Health Disparities - July 16, 2021 Category: International Medicine & Public Health Source Type: research

Hygienic Risk Exposures Across Ethnic Groups in Rural Areas of Guangxi, China: Prevalence, Associated Factors, and Perceptions of Policy
ConclusionsHREs were prevalent in all ethnic groups, especially in Miao minority. Ethnicity, one of social determinants, was significantly associated with HREs. Raising awareness at both the village and household levels on HREs is needed for all ethnic groups. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 16, 2021 Category: International Medicine & Public Health Source Type: research

Time for Inclusion of Racial and Gender Discrimination in Routine Clinical Assessment
We describe the case and how it was handled differently by pediatricians and pediatric trainees with equally different personal and professional backgrounds.We also report the preliminary results of a national survey aimed to assess discrimination and inequalities in Italian Paediatric Residency Schools. Medical ability has been allowing us to respond rapidly to a novel virus in order to save lives. The expertise of doctors and researchers must be used to evaluate this hidden crisis as well, to address racism and injustice and to protect vulnerable people from harm. Our case showed us how it is essential including racial a...
Source: Journal of Racial and Ethnic Health Disparities - July 16, 2021 Category: International Medicine & Public Health Source Type: research

The Underreporting of Concussion: Differences Between Black and White High School Athletes Likely Stemming from Inequities
AbstractPrevious studies have found that Black high school athletes have poorer knowledge about concussions and have fewer sports medicine healthcare resources than White athletes, but research on concussion disclosure by race is still needed. Therefore, the purpose of this study was to examine racial differences in concussion reporting behaviors between Black and White high school athletes. This cross-sectional study administered surveys to 577 high school athletes (64.5% Black; 72.3% males; 16.02  ± 1.2 years) from 14 schools (title I,n = 9; non-title I,n = 5). The survey included self-reported items on con...
Source: Journal of Racial and Ethnic Health Disparities - July 16, 2021 Category: International Medicine & Public Health Source Type: research

COVID-19: Perceived Infection Risk and Barriers to Uptake of Pfizer-BioNTech and Moderna Vaccines Among Community Healthcare Workers
ConclusionsEnthusiastic acceptance of the COVID-19 vaccine is lacking among surveyed HCWs of certain racial/ethnic groups. Provision of resources and public health interventions targeting underserved, minority populations are necessary to halt opposition to vaccine uptake. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 15, 2021 Category: International Medicine & Public Health Source Type: research

SARS-CoV-2 Infection and Racial Disparities in Children: Protective Mechanisms and Severe Complications Related to MIS-C
AbstractA novel coronavirus has resulted in a pandemic with over 176 million confirmed cases and over 3.8 million recorded deaths. In the USA, SARS-CoV-2 infection has a significant burden on minority communities, especially Hispanic and Black communities, which are overrepresented in cases compared to their percentage in the population. SARS-CoV-2 infection can manifest differently in children and adults, with children tending to have less severe disease. A review of current literature was performed to identify the hypothesized protective immune mechanisms in children, and to describe the rare complication of multisystem ...
Source: Journal of Racial and Ethnic Health Disparities - July 13, 2021 Category: International Medicine & Public Health Source Type: research

Treatment Outcomes Among Black Adults Receiving Medication for Opioid Use Disorder
The objectives of this study are to (1) assess psychosocial and clinical predictors of OUD outcomes and (2) explore differences in OUD outcomes by gender among a sample of Black adults receiving buprenorphine. This is a secondary data analysis of a cross-sectional survey and medical record review with a convenience sample recruited from an addiction medicine clinic. Analyses included Black participants who provided at least one urine drug test during the study period (n = 98). Prospective 6-month OUD outcomes (treatment retention, substance use recurrence, and buprenorphine continuation) were abstracted from the medical re...
Source: Journal of Racial and Ethnic Health Disparities - July 12, 2021 Category: International Medicine & Public Health Source Type: research

Hispanic Ethnicity and Breast Cancer: Disaggregating Surgical Management and Mortality by Race
ConclusionFindings from this study suggest there are ethnoracial disparities in reconstruction utilization and mortality among Hispanic women. Future studies should examine how culture, language, healthcare access, and patient preferences contribute to these disparities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 12, 2021 Category: International Medicine & Public Health Source Type: research

Time to HCV Treatment Disfavors Patients Living with HIV/HCV Co-infection: Findings from a Large Urban Tertiary Center
This study aimed to assess time to hepatitis C (HCV) treatment (i.e., the time between the initial clinic visit for HCV evaluation and the HCV treatment start date), to compare clinical characteristics between patients who received HCV treatment ≥ and< 6 months, and to identify predictors of longer time to HCV treatment in patients living with HCV. This study conducted a retrospective secondary analysis of patients living with HCV mono-infection and HIV/HCV co-infection who received HCV treatment with DAAs (n=214) at a HIV Clinic. Binomial logistic regression was used to identify predictors of longer time to treatment...
Source: Journal of Racial and Ethnic Health Disparities - July 12, 2021 Category: International Medicine & Public Health Source Type: research

Racial and Ethnic Disparities in Cesarean Delivery and Indications Among Nulliparous, Term, Singleton, Vertex Women
ConclusionsRace/ethnicity was significantly associated with the odds of cesarean and indication. All other race/ethnicity groups had higher odds of cesarean compared with White women. Compared with White women, Black women had greater odds of fetal intolerance as an indication, while Hispanic and Asian women had greater odds of failure to progress. Maternal, neonate, and facility factors for cesarean delivery did not explain the observed disparities in cesarean delivery rates. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - July 12, 2021 Category: International Medicine & Public Health Source Type: research

Underserved and Undermeasured: a Mixed-Method Analysis of Family-Centered Care and Care Coordination for Low-Income Minority Families of Children with Autism Spectrum Disorder
This study examined how a racially and socioeconomically diverse group of caregivers of children with autism spectrum disorder (ASD) responds to national standard measures of family-centered care (FCC) and care coordination (CC) and what aspects of quality care are missing from these measures. Based on survey and interview data collected from 70 caregivers who have a child with ASD that receive services at a community-based autism clinic located in Atlanta, GA, we compared proportions of answers to FCC and CC questions to national and state representative data using chi-square analyses and contextualized our findings throu...
Source: Journal of Racial and Ethnic Health Disparities - July 6, 2021 Category: International Medicine & Public Health Source Type: research

Shan Migrant Sex Workers Living with HIV Who Remain Active in Sexual Entertainment Venues in Chiang Mai, Thailand
This study aims to understand how the risks of HIV infection and transmission are perceived and acted upon by Shan MFSW living with HIV who remain active in sex work. The paper employs a narrative approach, offering insight into the lives of eight Shan MFSW living with HIV in Chiang Mai, Thailand. Their risk behaviors are examined, from when they first entered sex work through to becoming HIV-positive and adopting antiretroviral treatment, as well as the reasons for continuing sex work. The findings reveal several ways in which stigmatized identities and life conditions influence risk perceptions and behaviors of Shan MFSW...
Source: Journal of Racial and Ethnic Health Disparities - July 6, 2021 Category: International Medicine & Public Health Source Type: research

Health Beliefs of Diabetic Pacific Islanders in Iowa
AbstractDiabetic Pacific Islanders from the Federated State of Micronesia island state of Pohnpei have settled in rural Iowa. Little is known about the people of Pohnpei. Research was undertaken to examine health practices and cultural beliefs of diabetic Ponapeans. Open-ended questions were utilized to interview 15 adults about their experiences in caring for their diabetes. Four themes were identified among participants: attitude toward diabetes, food choices, barriers to care, and support from community and family. Health care providers must prioritize culturally sensitive care. Understanding the importance of Ponapean ...
Source: Journal of Racial and Ethnic Health Disparities - July 6, 2021 Category: International Medicine & Public Health Source Type: research

Association Between Lifestyle Behaviors and Hypertension Among Hill Tribe Adults in Thailand: a Cross-Sectional Study
ConclusionsEffective public health programs that focus on reducing the use of daily oil for cooking and decreasing the prevalence of depression in hill tribe people are urgently needed. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 29, 2021 Category: International Medicine & Public Health Source Type: research

Racial Disparities in 7-Day Readmissions from an Adult Hospital Medicine Service
ConclusionsBlack patients and Asian patients experienced higher rates of 7-day readmission than patients who identified as white, confirmed on adjusted analysis. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 28, 2021 Category: International Medicine & Public Health Source Type: research