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

Severe Acute Respiratory Syndrome (SARS) in the Context of the COVID-19 Pandemic Among Indigenous Peoples of Brazil: Epidemiology and Risk Factors Associated with Death
ConclusionThe study was able to trace the clinical-epidemiological profile, as well as identify the groups of indigenous people most vulnerable to SARS as a result of COVID-19 and evolution to death in Brazil. The findings show the high impact on the morbidity and mortality of the Brazilian indigenous population exposed to SARS and are relevant for epidemiological health surveillance, since they can guide preventive public policy actions and quality of life measures for this ethnic group in Brazil. (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

Colorectal Cancer Risk Perceptions Among Black Men in Florida
ConclusionHigher CRC risk perceptions were associated with older age, being obese/overweight, using the Internet as a health information source, and having a personal/family history of CRC. Culturally resonate health promotion interventions are sorely needed to elevate CRC risk perceptions for increasing intention to screen among Black men. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 13, 2023 Category: International Medicine & Public Health Source Type: research

Lost in Translation: Impact of Language Barriers and Facilitators on the Health Care of Asian Americans Living with HIV
This study was conducted to explore the impact of language barriers and facilitators on the health care of Asian Americans. Qualitative, in-depth interviews and quantitative surveys were conducted with 69 Asian Americans (Chinese, Filipino, Japanese, Malaysian, Indonesian, Vietnamese, and mixed Asian backgrounds) living with HIV (AALWH) in three urban areas (New York, San Francisco, and Los Angeles) in 2013 and from 2017 to 2020. The quantitative data indicate that language ability is negatively associated with stigma. Major themes emerged related to communication, including the impact of language barriers on HIV care and ...
Source: Journal of Racial and Ethnic Health Disparities - June 12, 2023 Category: International Medicine & Public Health Source Type: research

Structural Violence and Stress Experiences of Young Pregnant Black People
This study utilizes the Health Disparities Research Framework to conceptualize drivers of stress related to maternal health outcomes for young Black women. We conducted a thematic analysis to identify stressors for young Black women.ResultsFindings revealed the following overarching themes: Societal stress of being young, Black, and pregnant; Community level systems that perpetuate stress and structural violence; Interpersonal level stressors; Individual level effects of stress on mom and baby; and Coping with stress.DiscussionAcknowledging and naming structural violence and addressing structures that create and fuel stres...
Source: Journal of Racial and Ethnic Health Disparities - June 12, 2023 Category: International Medicine & Public Health Source Type: research

Resident Versus Attending Prenatal Care Models: an Analysis of the Effects of Race and Insurance on Appointment Attendance
ConclusionOur study highlights the potential reality that the resident care model, with more care delivery challenges, may beunderserving patients who are inherently more vulnerable to PNC non-adherence at care onset. Our findings show that patients attend more appointments at the resident clinic if publicly insured, but less so if they are Black than White. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - June 12, 2023 Category: International Medicine & Public Health Source Type: research

Linking Adverse Experiences to Pregnancy and Birth Outcomes: A Life Course Analysis of Racial and Ethnic Disparities Among Low-Income Women
AbstractRacial and ethnic disparities in birth outcomes have persisted in the United States for decades, though the causes remain poorly understood. The life course perspective posits that poorer outcomes of Black birthing people stem from heightened exposure to stressors early in life and cumulative exposure to stressors over time. Despite its prominence, this perspective has seldom been investigated empirically. We analyzed longitudinal data gathered from 1319 women in low-income households in Wisconsin who received perinatal home visiting services. Variable- and person-centered analyses were performed to assess whether ...
Source: Journal of Racial and Ethnic Health Disparities - June 8, 2023 Category: International Medicine & Public Health Source Type: research

WhatsApp-propriate? Exploring “WhatsApp” as a Tool for Research Among Ghanaian Immigrants in the United States
In this study, we examine the acceptability and feasibility ofWhatsApp as a tool for research among Ghanaian immigrants- a subset of the African immigrant population group. We usedWhatsApp to recruit 40 participants for a qualitative interview about their use of the mobile messaging application. Three distinct themes related to the acceptability and feasibility ofWhatsApp emerged from the interviews: (1) preference for usingWhatsApp as a medium of communication; (2) positive perception ofWhatsApp; and (3) preference for usingWhatsApp for research. The findings indicate that for African immigrants in the US,WhatsApp is a pr...
Source: Journal of Racial and Ethnic Health Disparities - June 7, 2023 Category: International Medicine & Public Health Source Type: research