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

Factors Associated with Beneficiary Outcomes from Community Health Programs in Predominantly Low-Income African American Communities in Mississippi USA
ConclusionsThe negative relationship between participation in program activities and satisfaction, and the large size of participants (42 –57%) who are less likely to report satisfaction with services, calls for an investigation of the causes of low levels of satisfaction. Immediate and long-term improvements needed to strengthen the fit between CHP services and beneficiary needs in Belzoni and Jackson are recommended. (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

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota
ConclusionsAccounting for breastfeeding barriers eliminated observed disparities in breastfeeding outcomes between American Indian and White birthing parents. Targeted and culturally safe efforts to reduce barriers to breastfeeding are warranted to reduce racial/ethnic disparities in breastfeeding. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 23, 2024 Category: International Medicine & Public Health Source Type: research

Ending the HIV Epidemic in Black America: Qualitative Insights Following COVID-19
ConclusionsThemes directly speak to recommendations to adjust education and policy strategies for HIV and COVID-19 prevention and intervention. Such recommendations, (1) amplifying Black voices, (2) investing sustainable dollars into Black communities, and (3) leaning into advocacy, can bolster the foundation for the HIV workforce and Black community to break ineffective response patterns and lead the fight against these systemic issues of inequity. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 22, 2024 Category: International Medicine & Public Health Source Type: research

Breast Cancer Risk Perceptions Among Underserved, Hispanic Women: Implications for Risk-Based Approaches to Screening
ConclusionFactors shaping breast cancer risk perceptions differ by age. Prior screening may play less of role in constructing risk perceptions. Research is needed to develop culturally and linguistically appropriate strategies to improve implementation of risk-based screening. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 21, 2024 Category: International Medicine & Public Health Source Type: research

Provider Perspectives on Multi-level Barriers and Facilitators to PrEP Access Among Latinx Sexual and Gender Minorities
AbstractAlthough pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention intervention, inequities in access remain among Latinx sexual and gender minorities (LSGM). There is also a gap in the PrEP literature regarding providers ’ perspective on access inequities. This qualitative case study sought to explore barriers and facilitators to PrEP engagement in a community-based integrated health center primarily serving Latinx populations in Northern California. We conducted in-depth, semi-structured interviews with providers (9/15) involved in PrEP services and engaged in a constructivist grounded theory analysi...
Source: Journal of Racial and Ethnic Health Disparities - February 21, 2024 Category: International Medicine & Public Health Source Type: research

Community-Based Organizations Leading Research Efforts: Preliminary Findings from the Chicagoland CEAL Program ’s COVID-19 Vaccine Uptake and Intention Survey
ConclusionHard to reach populations present two unique challenges in emerging infectious disease events. Reaching populations vulnerable to poor outcomes with vaccines was essential to addressing the COVID-19 pandemic. Additionally, learning about barriers and hesitancy toward vaccine uptake is difficult in these communities. CCP ’s partnership of five academic institutions, a community research center, and a community-based non-profit health equity-focused organization shows what is possible when traditional models of research and inquiry are reconsidered for community-based participatory research. Results shown here ar...
Source: Journal of Racial and Ethnic Health Disparities - February 21, 2024 Category: International Medicine & Public Health Source Type: research

Multimorbidity Patterns, Hospital Uses and Mortality by Race and Ethnicity Among Oldest-Old Patients
ConclusionsPatterns of multimorbidity and its significant association with the uses of ambulatory and emergency care varied by race-ethnicity. More studies are needed to explore barriers when minoritized patients are faced with the use of hospital services. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - February 21, 2024 Category: International Medicine & Public Health Source Type: research

Are Interracial Couples at Higher Risk of Multiple Chronic Conditions? Evidence from a Nationally Representative Sample
AbstractInterracial relationships are becoming increasingly common in the United States, yet the physical health status of individuals in interracial relationships is not well understood. Using 18  years of pooled data from the National Health Interview Study (2001–2018) (N = 264, 891), we compared the odds of having multiple chronic conditions (MCC) among adults in interracial and same-race unions. We anticipate that individuals in interracial relationships may be at higher risk of MCC than individuals in same-race relationships due to increased exposure to stres sors associated with crossing racial boundaries. Fin...
Source: Journal of Racial and Ethnic Health Disparities - February 21, 2024 Category: International Medicine & Public Health Source Type: research