Identifying Frequently Endorsed Benefits and Barriers to Breast Cancer Screening for African-Born Women in the NYC Metropolitan Area: a Pilot Study
AbstractMost cancer screening data report on Black participants without distinguishing nativity, limiting our understanding of the needs of distinct groups within the African diaspora. The purpose of this pilot study was to assess demographic characteristics and perceptions of the benefits of and barriers to mammography among African immigrant women in New York City (NYC). Forty-two women who were 40  years or older, born in Africa, and English and/or French-speaking were recruited from African immigrant communities in NYC to complete a survey. Eighty percent of our sample aged 50 to 73 was adherent to the 2016 USPSTF mam...
Source: Journal of Racial and Ethnic Health Disparities - December 11, 2023 Category: International Medicine & Public Health Source Type: research

Regional Disparities in the Uptake of Differentiated Influenza Vaccines  in the United States
AbstractSignificant racial/ethnic inequities in the uptake of differentiated influenza vaccines (DIVs) have been previously reported, though less is known about regional disparities. We conducted a retrospective longitudinal study (2014/15 –2017/18 influenza seasons) among privately insured adults aged 65 + years in the US. The exposure was the beneficiary’s area of residence (US Census Bureau division) and the outcome was the type of influenza vaccine: differentiated (high-dose [HDV], adjuvanted, recombinant, and cell-based) versus conventional standard-dose egg-based. Multilevel logistic regression modeling, gui...
Source: Journal of Racial and Ethnic Health Disparities - December 8, 2023 Category: International Medicine & Public Health Source Type: research

HIV and Hepatitis C Among People Who Inject Drugs in Memphis, Tennessee: an Intersectional Risk Environment Analysis of the Social Determinants of Health
ConclusionThis is the first study to implement local population-based survey data to evaluate distinctive intersections of ethnic/racial and social factors associated with HIV and HCV status among PWID in the Memphis region. Findings come at an opportune time as harm reduction programs are in development in the South and shed light to the need for socially equitable race conscious resource investment. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 8, 2023 Category: International Medicine & Public Health Source Type: research

Understanding the Intersectionality of COVID-19 Racism, Mental Distress, Alcohol Use, and Firearm Purchase Behavior Among Asian Americans
AbstractFirearm-related injuries are a major public health concern in the USA. Given the increased racism endured by Asian Americans during the COVID-19 pandemic, the current study aims to investigate the direct and indirect effects of racism, mental distress, and substance use on firearm purchase among Asian Americans. To fulfill this purpose, we collected data from a national sample of 916 Asian Americans in 2021. The study results showed that Asian Americans ’ racism experience is directly related to increased mental distress, substance abuse, and firearm purchase. Both mental distress and alcohol use were also linked...
Source: Journal of Racial and Ethnic Health Disparities - December 7, 2023 Category: International Medicine & Public Health Source Type: research

Does Race/Ethnicity Explain Regional Inequities in Child Food Insufficiency During the Second Year of the COVID-19 Pandemic?
AbstractHistorically, food insecurity prevalence was higher in the U.S. Southern region than in other regions, particularly among children, but it is not known if the COVID-19 pandemic affected this situation. Our objectives were to (1) assess regional inequities in child food insufficiency during the second year of the pandemic between Deep South states (Alabama, Georgia, Louisiana, Mississippi, and South Carolina) and non-Deep South states, and (2) examine the role of race/ethnicity and other factors in the observed differences. Data from Household Pulse Survey phases 3.1 –3.2 (4/15–10/11/2021) on households with chi...
Source: Journal of Racial and Ethnic Health Disparities - December 6, 2023 Category: International Medicine & Public Health Source Type: research

Black/African American Women ’s Woes: Women’s Perspectives of Black/African American Maternal Mortality in the USA
ConclusionBased on the study ’s findings, we recommend DEI training for healthcare professionals providing direct care to pregnant and postpartum women, advocacy and resource-awareness training for pregnant Black/African American women and their spouses/partners, or a family member, to assist them in their pregnancy and birth ing journeys. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 5, 2023 Category: International Medicine & Public Health Source Type: research

Chorioamnionitis, Cesarean Deliveries, and Racial Disparities in the USA
ConclusionChorioamnionitis is associated with increased rate of CD. Ethnic disparities exist in CD rates regardless of the chorioamnionitis status. Such findings warrant further investigation to explore factors associated with this discrepancy. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 4, 2023 Category: International Medicine & Public Health Source Type: research

Disparities in fatal and non-fatal opioid-involved overdoses among middle-aged non-Hispanic Black Men and Women
AbstractThe gap in fatal opioid overdose rates has been closing between non-Hispanic Black and non-Hispanic White individuals. The rising opioid-involved mortality rates among non-Hispanic Black adults has been identified by SAMHSA as a critical public health issue. However, further research is needed that utilizes comprehensive surveillance data on both fatal and non-fatal opioid-involved overdoses to better assess the changing trends and evaluate factors contributing to changing disparities. We conducted an analysis of medical examiner and hospital data for years 2016 –2021 from the largest county in Illinois (Cook) to...
Source: Journal of Racial and Ethnic Health Disparities - December 4, 2023 Category: International Medicine & Public Health Source Type: research

Church Leaders Share and Implement Solution-Focused Health Strategies During the COVID-19 Pandemic in Rural Alabama
This study explored perceived barriers and resources to meeting community needs, including vaccination, during the COVID-19 pandemic as reported by 17 Black American church leaders in the rural West Alabama Black Belt geographic region in May 2022. The main themes that emerged included (1) attending to community impact of COVID-19 illness and death; (2) maximizing health literacy and diminishing vaccine hesitancy through engaging in preventive health practices and sharing public health information; (3) addressing challenges created or exacerbated by COVID-19, including reduction in in-person attendance (particularly among ...
Source: Journal of Racial and Ethnic Health Disparities - December 4, 2023 Category: International Medicine & Public Health Source Type: research

Low Hospital Volume Is Associated with Higher All-Cause Mortality in Black Women with Triple Negative Breast Cancer
ConclusionBlack women treated at high-volume hospitals have lower all-cause mortality than those at low-volume hospitals. Future studies should examine the characteristics of high-volume hospitals associated with improved outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - December 1, 2023 Category: International Medicine & Public Health Source Type: research

Black Race Remains Associated with Lower Eligibility for Screening Using 2021 US Preventive Services Task Force Recommendations Among Lung Cancer Patients at an Urban Safety Net Hospital
ConclusionThe revised 2021 USPSTF LCS guidelines may not be sufficient to eliminate racial inequities in LCS eligibility among patients who go on to be diagnosed with primary lung cancer. Differential rates of lung cancer among never-smokers may contribute to this inequity. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2023 Category: International Medicine & Public Health Source Type: research

US-Born Black Women and Black Immigrant Women: an Exploration of Disparities in Health Care and Sociodemographic Factors Related to Low Birth Weight
ConclusionsDifferences between USBW and BIW across sociodemographic variables and health care related factors related to adverse pregnancy outcomes were observed in this study. Controlling for the factors attenuated nativity differences but did not eliminate the differences on LBW. Future research should continue to explore this relationship. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2023 Category: International Medicine & Public Health Source Type: research

Black Americans ’ Diminished Return of Educational Attainment on Tobacco Use in Baltimore City
ConclusionDue to MDRs of educational attainment, while highly educated White adults show a low risk of tobacco use, educated Black adults remain at a disproportionately increased risk. The study emphasizes the need for better policies and programs that address minorities ’ diminished return of education for tobacco use. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2023 Category: International Medicine & Public Health Source Type: research

Efficacy of Web-Delivered Acceptance and Commitment Therapy (ACT) for Helping Black Adults Quit Smoking
ConclusionsThis study addressed the lack of research on the utilization and efficacy of digital interventions for helping Black adults quit smoking. WebQuit participants engaged more with their website and quit smoking at a somewhat higher rate relative to Smokefree participants, albeit nonsignificant. Findings suggest high acceptability of ACT-based digital interventions to enable Black adult smokers to engage and sustain behavior changes.Trial RegistrationClinicalTrials.gov Identifier: NCT01812278. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2023 Category: International Medicine & Public Health Source Type: research

Socio-Economic and Demographic Factors Associated with the Spatial Distribution of COVID-19 in Africa
This study evaluates the geo-statistical distribution of COVID-19 to identify critical areas of Africa using spatial clustering pattern analysis. In addition, the spatial correlation between infected cases and variables such as the unemployment rate, gross domestic product (GDP), population, and vaccination rate is calculated using Geographically Weighted Regression (GWR) analysis. The hot-spot map showed a statistically significant cluster of high values in southern and northern Africa. Moreover, the outcome of the GWR analysis revealed the GDP and population had the most significant correlation with the spreading of COVI...
Source: Journal of Racial and Ethnic Health Disparities - November 15, 2023 Category: International Medicine & Public Health Source Type: research