Addressing COVID-19 Vaccine Hesitancy and Uptake Among African Immigrants: Lessons from a Community-Based Outreach Program
AbstractIn 2021, the African Cultural Alliance of North America (ACANA) implemented a community-based vaccine education and outreach program to decrease hesitancy and increase COVID-19 vaccine uptake among African immigrants in Philadelphia. The program had three components: (1) tailored messaging on the benefits of vaccines by trusted communityhealth navigators in familiar languages/dialects, (2) use ofeducational/tabling events, and (3) establishment of avaccine clinic in community settings. Using secondary data analysis, in-depth interviews, focus group discussions and a self-administered survey, we explored (i) the imp...
Source: Journal of Racial and Ethnic Health Disparities - March 5, 2024 Category: International Medicine & Public Health Source Type: research

Family as a Pathway to Suicidal Behaviors Through Depression Symptoms and Internalized Homophobia
AbstractResearch consistently highlights how systemic and social factors can adversely impact mental health, and the potential buffering effects of family support, yet raced sexual minorities are vastly underrepresented among these studies. As rates of suicide increase among Black people and remain high among men and those in gender and sexually diverse communities, this study sought to examine to relationships between family dynamics and suicidality among young Black men who have sex with men (MSM) in young adulthood. We used an online survey to conduct a logistic regression to examine family factors (family support, open...
Source: Journal of Racial and Ethnic Health Disparities - March 5, 2024 Category: International Medicine & Public Health Source Type: research

Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review
ConclusionLC is associated with better patient experience. Using interpreters is associated with better patient experience but only with high-quality interpreters. Strategies are needed to eliminate disparities and enhance communication for all Spanish-preferring primary care patients, whether with a bilingual provider or an interpreter. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - March 5, 2024 Category: International Medicine & Public Health Source Type: research

Gender and Racialization Status of Medical Eponym Namesakes: Cross-sectional Study
ConclusionMost medical eponyms represent men and white individuals, highlighting the underrepresentation of women and racialized individuals. This indicates a need to re-examine the ongoing use of medical eponyms which may entrench sexism and racism in medicine and contribute to an environment that makes some feel unwelcome or undervalued. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - March 4, 2024 Category: International Medicine & Public Health Source Type: research

Factors Associated with the Awareness of and Willingness to Use HIV Pre-exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men, Baltimore, MD, 2017 –2019
AbstractPre-exposure prophylaxis (PrEP) is an effective tool in protecting persons from acquiring HIV infection through sex or injection drug use. However, awareness and willingness to use PrEP among Black gay, bisexual, and other men who have sex with men (BMSM) remain suboptimal compared to White MSM (WMSM) in the United States. Our aims were to (1) assess the factors associated with PrEP awareness and willingness to use PrEP among MSM and (2) compare the PrEP perceptions among BMSM versus non-Black MSM. Data were drawn from two cross-sectional behavioral surveys in Baltimore, MD: Behavioral Surveillance Research (BESURE...
Source: Journal of Racial and Ethnic Health Disparities - March 4, 2024 Category: International Medicine & Public Health Source Type: research

A Community-Based Reproductive Health Care Model Effectively Enhances Reproductive Health Among Lahu Women in Northern Thailand
ConclusionThe CRHC model ’s success illustrates the potential of community-based, culturally sensitive interventions in improving reproductive health outcomes, providing valuable insights for similar interventions in other indigenous or marginalized communities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 29, 2024 Category: International Medicine & Public Health Source Type: research

Association Between Changes in Racial Residential and School Segregation and Trends in Racial Health Disparities, 2000 –2020: A Life Course Perspective
ConclusionThis paper provides new evidence that school segregation is an independent predictor of racial health disparities and that reducing school segregation —even in the face of high residential segregation—could have a long-term impact on reducing racial health disparities. Furthermore, it suggests that the health consequences of residential segregation have not been eliminated from our society but are now being exacerbated by a new factor: school- based segregation. Throughout this paper, changes in school-based segregation not only show up as a consistent significant predictor of greater racial disparities throu...
Source: Journal of Racial and Ethnic Health Disparities - February 29, 2024 Category: International Medicine & Public Health Source Type: research

Correction: Is It Safe for Me to Get It? Factors Influencing COVID-19 Vaccination Decision-Making among Postpartum Women Who Are Black and Hispanic in Deep South
(Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 29, 2024 Category: International Medicine & Public Health Source Type: research

Racial Disparities in Outcomes of Delivery and Cardiac Complications Among Pregnant Women with Congenital Heart Disease
AbstractAdvances in cardiology have led to improved survival among patients with congenital heart disease (CHD). Racial disparities in cardiovascular and maternal outcomes are well known and are likely to be more profound among pregnant women with CHD. Using the 2001 to 2018 National Inpatient Sample, we identified all hospitalizations for delivery among women  ≥ 18 years of age with CHD. Unadjusted and adjusted between-race differences in adverse maternal cardiovascular, obstetric, and fetal events were assessed using logistic regression models. During the study period, we identified 52,711 hospitalizations for del...
Source: Journal of Racial and Ethnic Health Disparities - February 28, 2024 Category: International Medicine & Public Health Source Type: research

Health Service Utilization of Black Immigrant Women Residing in the United States: A Systematic Review
AbstractBlack immigrants constitute a rapidly growing population group in the U.S. A comprehensive understanding of health services used by Black immigrant women is necessary to support the complex needs of this population. We conducted a systematic review to (1) understand the types of health services used by Black immigrant women living in the U.S. and (2) examine barriers and motivators to using health services. Relevant studies were identified in the following databases: PubMed, PsychInfo, CINAHL, and Embase. Articles published until October 2022 were included in the review. From a total of 15,245 records, 47 articles ...
Source: Journal of Racial and Ethnic Health Disparities - February 28, 2024 Category: International Medicine & Public Health Source Type: research

Making Oneself “Fit”: Community Perspectives on Disaggregated Race and Ethnicity Data Collection and Reporting in Healthcare Settings
AbstractPatient race/ethnicity data collection in most U.S. health systems abide by federal standards, determined by the federal Office of Management and Budget. Yet, decades of research show that reliance on these categories alone limits understanding of within-group health disparities, systematically erasing key groups from health data. Because granular race/ethnicity data is complex and patients may be hesitant to disclose this personal information, it is important for health leaders to consider community perspectives when making decisions about race/ethnicity data procedures. As such, this study uses community focus gr...
Source: Journal of Racial and Ethnic Health Disparities - February 27, 2024 Category: International Medicine & Public Health Source Type: research

How Education Shapes Indigenous Health Inequalities in the USA and Mexico
AbstractIndigenous peoples around the world face significant health disparities relative to the dominant groups in their countries, yet the magnitude and patterns of health disparities vary across countries. We use data from the National Health Interview Survey and Mexican Family Life Survey to examine the health of Indigenous peoples in Mexico and American Indians and Alaska Natives in the USA and to evaluate how they fare relative to the majority populations in their countries (non-Indigenous Mexicans and non-Hispanic Whites, respectively). We assess disparities in self-rated health and activity limitations, with a focus...
Source: Journal of Racial and Ethnic Health Disparities - February 27, 2024 Category: International Medicine & Public Health Source Type: research

Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada
ConclusionHistoricization of colonialism and ongoing events of racism are a major barrier to trusting public health information. Fostering partnerships with trusted leaders and/or healthcare workers from racialized communities may help rebuild trust. Healthcare systems need to continuously implement strategies to restore trust with Indigenous and racialized populations. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 26, 2024 Category: International Medicine & Public Health Source Type: research

Social Statuses, Perceived Everyday Discrimination and Health and Well-being Before and After COVID-19 Pandemic
This study investigates the impact of COVID-19 pandemic on perceived everyday discrimination using data from the 2018 and 2021 General Social Survey. The study included representative samples of 1,499 adults in 2018 and 2,361 adults in 2021 in the United States. The study found that the overall level of perceived everyday discrimination had a slight decline from 2018 to 2021. However, frequency of being threatened/harassed increased in all racial/ethnic groups and more substantially among Asian Americans and people in the “other race” category. Most social statuses had a similar association with perceived everyday disc...
Source: Journal of Racial and Ethnic Health Disparities - February 26, 2024 Category: International Medicine & Public Health Source Type: research

Racial and Ethnic Disparities in COVID-19 Treatments in the United States
ConclusionThere were important racial disparities in inpatient COVID-19 treatment initiation, including the undertreatment of Black patients and overtreatment of White patients. Our new findings reveal the actual magnitude of this issue in routine clinical practice to clinicians, policymakers, and guideline developers. This is crucial to ensuring equitable and appropriate access to evidence-based therapies. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 26, 2024 Category: International Medicine & Public Health Source Type: research