Race and Sex Differences in Vital Signs Associated with COVID-19 and Flu Diagnoses in Mississippi
The objective of this study was to utilize the University of Mississippi Medical Center ’s extensive clinical database (EPIC) to investigate associations between temperature, pulse rate, blood pressure (BP), and respiration rate in COVID-19 and flu diagnosed patients. Data from 1,363 COVID-19 (March 3, 2020, to February 27, 2021) and 507 flu (October 1, 2017, to September 30, 2018) d iagnosed patients with reported demographic dimensions (age, first race, and sex) and office visit dimensions (BMI, diastolic BP, pulse rate, respiration rate, systolic BP, and temperature) was obtained, including day of diagnosis and additi...
Source: Journal of Racial and Ethnic Health Disparities - January 23, 2022 Category: International Medicine & Public Health Source Type: research

Comparison of Demographic and Clinical Features of Bipolar Disorder in Persons of African and European Ancestry
ConclusionThe low rate of AA enrollment is consistent with other genetic studies. While clinical features of bipolar disorder are largely similar, this study identified differences in rates of trauma, substance use, and tardive dyskinesia that may represent health disparities in bipolar patients of African ancestry. Future bipolar biomarker studies with larger sample sizes focused on underrepresented populations will provide greater ancestry diversity in genomic medicine with greater applicability to diverse patient populations, serving to inform health care policies to address disparities in bipolar disorder. (Source: Jou...
Source: Journal of Racial and Ethnic Health Disparities - January 21, 2022 Category: International Medicine & Public Health Source Type: research

Patient-Identified Markers of Quality Care: Improving HIV Service Delivery for Older African Americans
ConclusionOur findings illuminate how the prominence of barriers to care often uproot facilitators of care, creating impediments to HIV service delivery as patients transition through the HIV care continuum. We offer implications for practice and policy, as well as recommendations for reducing structural barriers to care by enhancing the patient voice and for aligning services toward compassionate and inclusive care. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 21, 2022 Category: International Medicine & Public Health Source Type: research

Hospitalizations for COVID-19 Among American Indian and Alaska Native Adults ( ≥ 18 Years Old) — New Mexico, March–September 2020
AbstractTo assess the presence of racial disparity during the COVID-19 pandemic, the New Mexico Department of Health (NMDOH) sought to compare the case rate and risk of hospitalization between persons of American Indian and Alaska Native (AI/AN) race and persons of other races in New Mexico from March 1 through September 30, 2020. Using NMDOH COVID-19 surveillance data, age-standardized COVID-19 case and hospitalization risks were compared between adults ( ≥ 18 years old) of AI/AN and other races. We compared age, sex, and comorbidities between hospitalized adults of AI/AN and other races. Among AI/AN persons, age-sta...
Source: Journal of Racial and Ethnic Health Disparities - January 21, 2022 Category: International Medicine & Public Health Source Type: research

A Medicare Claims Analysis of Racial and Ethnic Disparities in the Access to Radiation Therapy Services
ConclusionsThere appears to be a patient cohort for which RT disparities may be more marginal in their effects —allowing for access to consultation and treatment prescription but not for treatment initiation or timely completion of treatment—and may therefore permit effective solutions to help address current differences in cancer outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 21, 2022 Category: International Medicine & Public Health Source Type: research

Prospective Predictors of Blood Pressure Among African American Men Living with HIV
This article is a prospective secondary analysis of data from a randomized controlled trial of a health-promotion intervention for African American men living with HIV. We measured the participants ’ BP pre-intervention and three, six, and 12 months post-intervention. Generalized estimating equations linear regression analyses examined whether marital status, age, BMI, and muscular endurance predicted BP post-intervention, adjusting for pre-intervention BP and the intervention. Older age, h igher BMI, and lower muscular endurance predicted higher BP post-intervention, adjusting for the intervention and baseline BP. Alth...
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2022 Category: International Medicine & Public Health Source Type: research

Pilot Trial of a Critical Consciousness-Based Intervention for Black Young Gay and Bisexual Men Living with HIV: Mobilizing Our Voices for Empowerment (MOVE)
This article presents outcomes of a pilot randomized controlled trial comparing Mobilizing our Voices for Empowerment (MOVE), a culturally and developmentally tailored critical consciousness-based intervention for Black Y-GBM living with HIV (ages 16 –24), with a comparison health promotion intervention. Black Y-GBM (n = 54) from four cities participated. Mixed effects models across four assessment points revealed participants in MOVE showed greater increases over time in perceived stress of HIV disclosure, self-efficacy for limiting HIV risk behavior, and condom use self-efficacy. Examining mean difference scores separa...
Source: Journal of Racial and Ethnic Health Disparities - January 20, 2022 Category: International Medicine & Public Health Source Type: research

Child Lead Screening Behaviors and Health Outcomes Following the Flint Water Crisis
ConclusionChild BLL screening following the crisis initiation was moderate, and BLLs and potential water contamination-related morbidity outcomes appeared heightened. Further research is needed to contextualize epidemiologic factors contributing to BLL screening patterns and results and the potential water contamination-associated sequelae observed here. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 18, 2022 Category: International Medicine & Public Health Source Type: research

Age and Racial Disparities in the Utilization of Anticancer, Antihypertension, and Anti-diabetes Therapies, and in Mortality in a Large Population-Based Cohort of Older Women with Breast Cancer
ConclusionsThere were substantial age and racial disparities in the prevalence of hypertension and diabetes and in the receipt of medications. Black women did not have a significantly higher risk of all-cause mortality but had a significantly higher risk of breast cancer-specific mortality as compared to White women. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 17, 2022 Category: International Medicine & Public Health Source Type: research

Racial Disparities in Avoidant Coping and Hypertension Among Midlife Adults
AbstractWhile associations between stress and hypertension have been documented, little research has examined the association between coping and hypertension, especially in the context of understanding racial disparities. Utilizing data from the CHDS-DISPAR study, we examine the association between avoidant coping and hypertension among adults age 50 while assessing for potential differences across (1) coping in response to the general stress and discrimination and (2) African American and White racial groups. Coping was measured using a 9-item scale with an avoidant coping subscale (e.g., drinking alcohol). Mean avoidance...
Source: Journal of Racial and Ethnic Health Disparities - January 17, 2022 Category: International Medicine & Public Health Source Type: research

Socioeconomic Stability Buffers Racial Discrimination Effect on Depression in a Marginalized Community
AbstractDepression disproportionately burdens poverty-affected minority communities. Racism and racial discrimination are well-known determinants of depression among members of marginalized minority communities. Less is known about potential buffers of the discrimination effects on depression, particularly those that could serve as targets for efficient community-based policies and interventions. Our secondary analysis of data from a community needs assessment survey (N = 677) in an urban minority neighborhood of low socio-economic status revealed that high school completion and current employment significantly weakene...
Source: Journal of Racial and Ethnic Health Disparities - January 17, 2022 Category: International Medicine & Public Health Source Type: research

The Relationship Between Subjective Social Status, Mental Health Disparities, and the Mediating Role of Discrimination Among Latinx Populations
ConclusionsThese findings have practice implications for health disparities among Latinx populations. In particular, discrimination may be a major contributing factor to the role of SSS on health outcomes. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - January 17, 2022 Category: International Medicine & Public Health Source Type: research

Subsidized Marketplace Purchases Reduced Racial Disparities in Private Coverage Under the Affordable Care Act
AbstractThe Affordable Care Act ’s Marketplaces, by allowing subsidized purchase of insurance coverage by persons with incomes from the poverty line to middle income, and through active outreach and enrollment assistance efforts, are well situated to reduce large African American-white private coverage disparities. Using data fr om the National Health Interview Survey for multiyear periods before and after Affordable Care Act implementation, from 2011–2013 to 2015–2018, this study assessed how much disparity reduction occurred when Marketplaces were implemented. Analysis compared private coverage take-up by African A...
Source: Journal of Racial and Ethnic Health Disparities - January 15, 2022 Category: International Medicine & Public Health Source Type: research

Navigating a Pandemic: A Qualitative Study of Knowledge, Sources of Information, and COVID-19-Related Precautions Taken by HBCU Students
AbstractThe coronavirus (COVID-19) has spread quickly across the nation with a disproportionate impact on Black Americans. Many college-aged students receive their COVID-19-related information through social media and television even though research suggests that social media sources are more likely to be incorrect. Some students report trusting these sources over government sources such as the CDC and WHO. The purpose of this study was to understand Historically Black College and University (HBCU) students ’ COVID-19 knowledge, sources of information, and planned precautions. There were 21 in-depth interviews conducted ...
Source: Journal of Racial and Ethnic Health Disparities - January 15, 2022 Category: International Medicine & Public Health Source Type: research

The Prevalence and Predictors of Depressive, Anxiety, and Stress Symptoms Among Tepi Town Residents During the COVID-19 Pandemic Lockdown in Ethiopia
ConclusionIn this study, the prevalence of depression, anxiety, and stress symptoms was found to be high among residences in Tepi town. Being female, chewing Khat, smoking, being quarantined for 14  days, frequently using social media, and having sleeping problems were all found to be significantly associated with an increased risk of developing depression, anxiety, and stress symptoms, whereas alcohol consumption and family members infected by COVID-19 were considerably linked to depression and anxiety symptoms. Fear of COVID-19, influence on social interaction and having a moderate level of hope were substantially relat...
Source: Journal of Racial and Ethnic Health Disparities - January 14, 2022 Category: International Medicine & Public Health Source Type: research