The Impact of Patient –Physician Racial and Gender Concordance on Patient Satisfaction with Outpatient Clinic Visits
ConclusionsRacial concordance, particularly among older, White, male patients, is a nonmodifiable predictor of patient satisfaction. Physicians of color are at a disadvantage, as they receive lower patient satisfaction scores, even in race concordant pairs, with Asian physicians seeing Asian patients receiving the lowest scores. Patient satisfaction data is likely an inappropriate means of determining physician incentives as such may perpetuate racial and gender disadvantages. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 21, 2023 Category: International Medicine & Public Health Source Type: research

Unfulfilled Needs in the Detection, Diagnosis, Monitoring, Treatment, and Understanding of Glaucoma in Blacks Globally
AbstractGlaucoma is an ophthalmic disorder that affects a significant number of Blacks globally. A leading cause of this condition is an age-related enlargement of the lens and increased intraocular pressure. Although Blacks are affected by glaucoma at a higher rate than their Caucasian counterparts, there remains a lack of emphasis placed on the detection, diagnosis, monitoring, and treatment of glaucoma in this population. Education regarding glaucoma in the African and African American populations is essential to reducing rates of glaucoma-related visual impairment and improving treatment success. In this article, we hi...
Source: Journal of Racial and Ethnic Health Disparities - June 20, 2023 Category: International Medicine & Public Health Source Type: research

Has the Expansion of Health Insurance Coverage via the Implementation of the Affordable Care Act Influenced Inequities in Coronary Revascularization in New York City?
ConclusionsAlthough this health care reform law led to the narrowing of inequities in the use of coronary revascularization, disparities persist in NYC in the post-ACA period. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 20, 2023 Category: International Medicine & Public Health Source Type: research

HIV Prevention Intervention-related Research with Adult, Sexual Minority Hispanic Men in the United States: A Systematic Review
AbstractThe systematic review describes aims to synthesize the HIV prevention intervention-related research conducted among adult, US sexual minority Hispanic men since 2012. Following PRISMA guidelines, 15 articles representing 14 studies were included in the review: 4 randomized controlled trials, 5 pilots, and 5 formative projects. Two interventions had PrEP-related outcomes whereas 7 focused on behavioral (e.g., condoms, testing) and/or educational outcomes. Few studies used digital health. All but one study was theoretically guided. Community engagement was a common and important thread in the included studies, with c...
Source: Journal of Racial and Ethnic Health Disparities - June 20, 2023 Category: International Medicine & Public Health Source Type: research

COVID-19 Anti-Chinese Discrimination, Current Pandemic Stress, And Adolescents ’ Mental Health
AbstractThe current study investigated adolescents ’ experiences of COVID-19 anti-Chinese discrimination (i.e., vicariously witnessed, directly experienced), the consequences for mental health, and the moderating role of general pandemic stress. During Summer 2020, 106 adolescents (43% Latino/a/x, 19% Asian American, 13% Black/African American, 26 % biracial/multiracial/other; 58% female) participated in a 14-day daily diary study. Path analyses revealed that more experiences of vicarious COVID-19 anti-Chinese discrimination were associated with greater anxious mood, depressed mood, and mental health stress, while direct...
Source: Journal of Racial and Ethnic Health Disparities - June 20, 2023 Category: International Medicine & Public Health Source Type: research

Assessing Food Access, Exercise, and Dietary History among Older African American Parishioners During the COVID-19 Pandemic (C-FED Study): Design, Opportunities, Challenges, and Lessons Learned
ConclusionsDespite challenges related to the COVID-19 pandemic, detailed data on older African American adults ’ diet and exercise habits were obtained. Our study design and experiences will benefit future researchers. More importantly, results from our study will inform interventions and policies aimed at minimizing consequences associated with poor diet and exercise habits during the pandemic among this vulnerable population. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 19, 2023 Category: International Medicine & Public Health Source Type: research

COVID-19 Vaccine Decision-Making Among Black Pregnant and Postpartum Women
ConclusionUnderstanding the vaccine decision-making process of underserved populations likely to decline vaccination due to pregnancy, postpartum, and breastfeeding status will help design tailored interventions to improve vaccine acceptance in minority communities, especially for pregnant and postpartum women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 19, 2023 Category: International Medicine & Public Health Source Type: research

The Diverging Trend in Exposure to Environmental Tobacco Smoke Among US Children
ConclusionOverall ETSE prevalence was cut by half between 1999 and 2018. However, due to uneven declines, the gaps between black children and others have expanded in heavy ETSE. Special vigilance is needed in preventive medicine practice with black children. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 16, 2023 Category: International Medicine & Public Health Source Type: research

Examining Racial/Ethnic Disparities in Tobacco Dependence Treatment Among Medicaid Beneficiaries Using Fifty State Medicaid Claims, 2009 –2014
The objective is to estimate racial/ethnic differences in TDT use among Medicaid fee-for-service beneficiaries. Using a retrospective study design and 50 state (including the District of Columbia) Medicaid claims (2009 –2014), we employed multivariable logistic regression models and predictive margin methods to estimate TDT use rates among adults (18–64) enrolled (≥ 11 months) in Medicaid fee-for-service programs (January 2009–December 2014) by race/ethnicity. The population included White (n = 6,536,004), Black (n = 3,352,983), Latinx (n = 2,264,647), Asian (n = 451,448), and Native American/Ala...
Source: Journal of Racial and Ethnic Health Disparities - June 16, 2023 Category: International Medicine & Public Health Source Type: research

A Systematic Review of Organizational Assessments Related to Racism and Equity
AbstractThis systematic review aimed to assess the following questions: (1) what organizational assessments exist for measuring racism and equity? (2) How are these assessments meant to be completed? (3) What constructs are typically assessed for in these measures? (4) What are the psychometric properties of these measures? Assessments were located by searching PubMed/MEDLINE (including non-MEDLINE and pre-MEDLINE), Scopus, CINAHL Plus with Full Text, PsycInfo, SocIndex, Dissertations& Theses Global, and the Trip Database through June 27, 2022. Cited and citing references of included assessments were also screened. In ...
Source: Journal of Racial and Ethnic Health Disparities - June 15, 2023 Category: International Medicine & Public Health Source Type: research

Intersections of Racial/Ethnic and Religious Identities on Bodily Well-Being for Black College-Attending Emerging Adults
AbstractBlack undergraduates face threats to healthy weight and body image (i.e., bodily well-being). Having a strong racial/ethnic identity can promote health during emerging adulthood. However, less is known about the intersections of racial/ethnic and religious identities on the bodily well-being of Black college-attending emerging adults, despite evidence to indicate that aspects of religiosity are also associated with health. We use quantitative data from 767 Black college-attending emerging adults in the Multi-University Study of Identity and Culture to examine the independent contributions of racial/ethnic and relig...
Source: Journal of Racial and Ethnic Health Disparities - June 15, 2023 Category: International Medicine & Public Health Source Type: research

Disparities by Race/Ethnicity and Immigration Status in Perceived Importance of and Access to Culturally Competent Health Care in the United States
AbstractWhile cultural competence has been proposed as an important framework for enhancing health care equity, how members of different racial/ethnic groups consider the importance of cultural competence and their access to culturally competent health care are insufficiently understood. Despite continuously increasing immigrants into the US, it is unclear how immigration status intersects with race/ethnicity to shape individuals ’ perception of and access to culturally competent care in the US health care system. To fill this research gap, this study examined how the intersection of race/ethnicity and immigration status...
Source: Journal of Racial and Ethnic Health Disparities - June 14, 2023 Category: International Medicine & Public Health Source Type: research

Differences in Staff-Resident Care Interactions by Nursing Home Racial Composition: a Preliminary Analysis
AbstractLimited research has examined racial differences in the quality of staff-resident care interactions in long-term care settings. The quality of care interactions can significantly affect resident quality of life and psychological well-being among nursing home residents living with dementia. Limited research has assessed racial or facility differences in the quality of care interactions. The purpose of the present study was to determine if there were differences in the quality of care interactions among nursing home residents with dementia between Maryland nursing home facilities with and without Black residents. It ...
Source: Journal of Racial and Ethnic Health Disparities - June 14, 2023 Category: International Medicine & Public Health Source Type: research

Multilevel Count Regression Analysis of Factors Associated with the Desired Number of Antenatal Care Service Visits in Ethiopia
ConclusionsThe majority of pregnant women did not visit antenatal care services according to the findings of this study. This study ’s results revealed that the predictor variables such as mother’s age, education level, religion, place of residence, marital status, and wealth index were significant, and the findings revealed that there were regional differences in ANC visits in Ethiopia. Women’s economic and educational in terventions should be a top priority. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 14, 2023 Category: International Medicine & Public Health Source Type: research

Increasing Clinical Trial Participation of Black Women Diagnosed with Breast Cancer
AbstractDespite racial disparities in breast cancer mortality, Black women remain underrepresented in clinical trials. In this mixed methods research, 48 Black women were engaged via focus group discussions and in-depth interviews to better understand the lived experience of women with breast cancer. The results of this qualitative study informed the development of a subsequent online survey to identify barriers, motivators, and other factors that influence decision-making by Black women diagnosed with breast cancer when considering clinical trial participation. Among the 257 Black survey participants, most (95%) were awar...
Source: Journal of Racial and Ethnic Health Disparities - June 14, 2023 Category: International Medicine & Public Health Source Type: research