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Ethnicity & Health

Sharon L Manne, Nadia Islam, Sara Frederick, Usman Khan, Sunanda Gaur, Anam Khan
OBJECTIVES: Colorectal cancer (CRC) is the third most common cancer among Americans of South Asian (SA) descent and is a significant public health concern in SA communities. Rates of screening compliance among foreign-born SAs are very low. The goal of this study was to report on the development, acceptability, and preliminary impact of a culturally-targeted 1:1 intervention delivered in English, Hindi, and Urdu, called Desi-Sehat. DESIGN: Ninety-three foreign-born SAs between the ages of 50 and 75 were recruited using community-based organization methods...
November 4, 2018: Ethnicity & Health
Amy L Ai, Jungup Lee
OBJECTIVE: Obesity is a prominent public health concern significantly impacting various minority groups, especially Latina Americans. However, little study has explored acculturation-related factors associated with obesity among Latinas in the United States. This study examines the link between acculturation-related factors and obesity among Latinas. DESIGN: Using the National Latino and Asian American Study (NLAAS), we detected the incremental associations of acculturation-related factors, especially perceived discrimination with obesity, after controlling for socio-demographics, among all 1427 Latinas...
October 30, 2018: Ethnicity & Health
Karen D Lincoln, Tiffany Chow, Bryan F Gaines, Terence Fitzgerald
OBJECTIVES: African Americans have a significantly higher risk than Whites for developing Alzheimer's disease (AD), but show lower participation in AD clinical trials. Studies of African Americans' involvement in clinical research have identified fear and mistrust of research as barriers to participation. Historical occurrences of unethical research practices are often cited as the source of these attitudes, but underlying factors such as African Americans' experiences of racism and discrimination remain unexplored...
October 30, 2018: Ethnicity & Health
Amber N Kraft, Jessica Nunez, Elizabeth Tarlov, Sandy Slater, Shannon N Zenk
OBJECTIVES: Obesity and its associated health risks are on the rise throughout the US due, in part, to an overall decline in physical activity. Although public green spaces, and in particular trails, show promise as population-level interventions to promote physical activity among adults, these amenities may have disparate impacts across racial/ethnic and socioeconomic groups within a community. DESIGN: This cross-sectional study employed an intercept survey of users of a newly opened $95 million rail-to-trail development in Chicago, IL, immediately after its opening and one year later to examine differences by race/ethnicity and educational attainment in trail use behaviors, motivations for trail use, safety concerns, and change in physical activity attributed to the trail...
October 29, 2018: Ethnicity & Health
Sharon Croxford, Deevya Gupta, Mridula Bandyopadhyay, Catherine Itsiopoulos
BACKGROUND: Women of South Asian descent have an increased risk of developing gestational diabetes mellitus (GDM), and type 2 diabetes mellitus compared to Caucasian women. Dietary advice provided by health practitioners to this group has been found to be culturally inappropriate. The aim of this study was to describe the dietary intakes of South Asian women with gestational diabetes and use this information to develop culturally appropriate dietary models for education and support of dietary management...
October 25, 2018: Ethnicity & Health
Toshiaki Aizawa
OBJECTIVES: This paper studies the institutional inequality that exists in the prevalence of diabetes and hypertension, as well as their diagnosis and medication management, between urban and rural residency status (hukou) holders in China. METHODS: Exploiting the Chinese Health and Nutrition Survey, we primarily demonstrate that while a lower proportion of rural residency holders suffer from diabetes and hypertension, a larger proportion have never been diagnosed with these conditions and do not take medicine to control them...
October 25, 2018: Ethnicity & Health
Dudith Pierre-Victor, Dionne Stephens, Kemesha Gabbidon, Naomie Jean-Baptiste, Rachel Clarke, Purnima Madhivanan
OBJECTIVE: Parents play an integral role in young adults' sexual health including human papillomavirus (HPV) vaccine decision-making. The objective of this study was to explore conversations regarding sexual activity in Haitian households and the influence of such conversations on young Haitian women's HPV vaccine discussion with their parents. METHODS: From a large university in the southeastern United States, 30 Haitian-American college women (ages 17-26) were recruited for semi-structured in-depth interviews...
October 24, 2018: Ethnicity & Health
Seok Won Jin, Jongwook Lee, Hee Yun Lee
BACKGROUND: Korean American (KA) women have experienced higher prevalence and lower survival rates of breast cancer (BC) than other ethnic groups in the United States. However, BC screening rates for KA women remain significantly lower than the national target (81.1%) specified by Healthy People 2020. Few studies have explained how the decision to adopt BC screening occurs and progresses and what factors contribute to this decision among KA women. This study used Weinstein's Precaution Adoption Process Model (PAPM) as a theoretical framework to examine characteristics and factors associated with the decisional stage of mammography adoption...
October 16, 2018: Ethnicity & Health
Furqan B Irfan, Maaret Castren, Zain A Bhutta, Pooja George, Isma Qureshi, Stephen H Thomas, Sameer A Pathan, Guillaume Alinier, Loua A Shaikh, Jassim A Suwaidi, Rajvir Singh, Ashfaq Shuaib, Tooba Tariq, William J McKenna, Peter A Cameron, Therese Djarv
AIMS: There are very few studies comparing epidemiology and outcomes of out-of-hospital cardiac arrest (OHCA) in different ethnic groups. Previous ethnicity studies have mostly determined OHCA differences between African American and Caucasian populations. The aim of this study was to compare epidemiology, clinical presentation, and outcomes of OHCA between the local Middle Eastern Gulf Cooperation Council (GCC) Arab and the migrant North African populations living in Qatar. METHODS: This was a retrospective cohort study of Middle Eastern GCC Arabs and migrant North African patients with presumed cardiac origin OHCA resuscitated by Emergency Medical Services (EMS) in Qatar, between June 2012 and May 2015...
October 10, 2018: Ethnicity & Health
Roxann McNeish, Christopher Simmons, Jerry Watson, Quynh Tran
African American are at risk for adverse emotional health. However, due to the intersection of their racial and gender identities which heightens their masculinity, emotional wellness is not always considered a priority by and for these men. This study aimed to examine African American men's emotional and physical health in relation to their overall health. An exploratory cross-sectional study was conducted to examine self-reported responses regarding emotional and physical health as predictors of overall wellness among a convenience sample of 115 African American men...
October 4, 2018: Ethnicity & Health
Cheryl A Vamos, Coralia Vázquez-Otero, Nolan Kline, Elizabeth A Lockhart, Kristen J Wells, Sara Proctor, Cathy D Meade, Ellen M Daley
BACKGROUND: HPV vaccination is the primary prevention method for HPV-related cancers, although among Hispanic populations, migrant farmworkers may experience exacerbated challenges to HPV vaccination due to intersecting political, social, and personal contexts. This study explored multi-level determinants of HPV vaccination among Hispanic migrant farmworker families. METHODS: Using a community-engaged approach and guided by the socio-ecological model, Intervention Mapping, and PRECEDE-PROCEED constructs, we recruited parents who had a daughter and/or son age 9-15 years from a rural, faith-based, community organization in Florida...
September 27, 2018: Ethnicity & Health
Daniel B Lee, Melissa K Peckins, Alison L Miller, Meredith O Hope, Enrique W Neblett, Shervin Assari, Jaime Muñoz-Velázquez, Marc A Zimmerman
OBJECTIVE: Racial discrimination (RD) is hypothesized to dysregulate the production of stress reactive hormones among African Americans. Psychological processes that may mediate the association between RD and such dysregulation (e.g. cortisol/DHEA ratio) are not well articulated. Organizational religious involvement (ORI) has been discussed as a psychological protective factor within the context of RD, but our understanding of ORI as a physiological protective factor remains limited. We evaluated whether RD was directly and indirectly (through depressive symptoms) associated with an imbalance of cortisol and DHEA hormones, and whether ORI buffered these direct and/or indirect pathways...
September 10, 2018: Ethnicity & Health
Jason J Schafer, Jacquelyn McRae, Katherine M Prioli, Lynn Fields Harris, Megan McCoy, Elizabeth Cannon-Dang, Laura T Pizzi
OBJECTIVES: To assess the association of the Pharmacists' Pneumonia Prevention Program (PPPP) with changes in beliefs related to pneumonia vaccination (PV) in a predominately older African American population. METHODS: PPPP was an educational intervention delivered using a senior center model of care consisting of a formal pharmacist presentation, live skit, small group action planning, and optional PV. A 15-item instrument assessed participants' beliefs at baseline, post-test, and three months across four domains: pharmacists and pharmacies, vaccination, pneumococcal disease, and physicians...
September 3, 2018: Ethnicity & Health
Katherine Kirkinis, Alex L Pieterse, Christina Martin, Alex Agiliga, Amanda Brownell
OBJECTIVE: The aim of this paper is to provide a systematic review of studies that examine relationships between racial discrimination and trauma in order to further understand the relationship between racial oppression and psychological functioning. DESIGN: In this review, we describe the characteristics of 28 studies, identified by a comprehensive search strategy, including measurements of racial discrimination and trauma, as well as the nature of the reported associations...
August 30, 2018: Ethnicity & Health
Carol E Kaufman, Ellen M Keane, Carly Shangreau, Ruth Arthur-Asmah, Bradley Morse, Nancy R Whitesell
OBJECTIVES: HIV and sexually transmitted diseases (STDs) are serious health conditions among American Indian and Alaska Native (AIAN) populations, especially youth. However, few sexual risk reduction evidence-based interventions (EBIs) have been implemented by AIAN-serving organizations. This project sought to identify and assess the parameters facilitating the uptake and use of EBIs in order to strengthen opportunities for sustainability and improved sexual health among AIANs. DESIGN: Guided by Rogers' theory of diffusion of innovation, we conducted a survey with a national sample of stakeholders involved with sexual health and well-being of AIAN youth (N = 142)...
August 27, 2018: Ethnicity & Health
Yuri Jang, Hyunwoo Yoon, Miyong T Kim, Nan Sook Park, David A Chiriboga
OBJECTIVES: The present study examined factors associated with the preference for patient-provider ethnic concordance in Asian Americans. DESIGN: With data drawn from the 2015 Asian American Quality of Life Survey (N = 2535), a logistic regression model of the preference for patient-provider ethnic concordance was tested with demographic (age, gender, ethnicity, marital status, education), health and access (chronic medical conditions, self-rated health, health insurance coverage), immigration-related (place of birth, length of stay in the US, English proficiency, acculturation), and adverse experience (perceived discrimination, communication problems in healthcare settings) variables...
August 25, 2018: Ethnicity & Health
April K Wilhelm, Annie-Laurie McRee, Zobeida E Bonilla, Marla E Eisenberg
OBJECTIVES: Community, school, family, and individual factors protect against mental illness in general samples of adolescents. How these assets apply to Somali youth resettled to the United States (U.S.), a group with significant trauma exposure, remains unclear. We aimed to quantify which protective factors are associated with lower prevalence of depressive symptoms, suicidality, and self-injury among Somali youth in the U.S. compared with their non-Hispanic white peers. DESIGN: Participants consisted of 8th, 9th, and 11th grade respondents to the 2016 Minnesota Student Survey, an anonymous school-administered statewide survey with 85...
August 24, 2018: Ethnicity & Health
Angelica M Roncancio, Chakema C Carmack, Veronica Garcia-Morales, Felicity L Cribbs, Miguel A Cano
OBJECTIVE: Despite the widespread availability of the human papillomavirus (HPV) vaccine in the US, rates of vaccination among Hispanic adolescents lag behind those of other recommended vaccines. Understanding what happens during the HPV vaccination visit should provide important insight into communication between health care providers and Hispanic mothers and identifies areas where communication can be improved. As such, this qualitative study explored Hispanic mothers' experiences during their adolescent child's HPV vaccination visit...
August 24, 2018: Ethnicity & Health
Haeok Lee, Deogwoon Kim, Peter Nien-Chu Kiang, Mary E Cooley, Ling Shi, Linda Thiem, PenhSamnang Kan, Phala Chea, Jeroan Allison, Minjin Kim
Cervical cancer is caused by human papillomavirus (HPV) infection, which can be prevented by vaccination. Mothers play an important role in promoting vaccination and health education. However, Cambodian American mothers reported to have challenges to play a role as primary health educators due to lack of health knowledge and language and cultural gaps. Therefore, this study aims to understand the Cambodian American daughters' and mothers' awareness, knowledge and social norms of HPV vaccination and their health communication and vaccination decision-making...
August 24, 2018: Ethnicity & Health
Sarah-Jane Paine, Ricci Harris, Donna Cormack, James Stanley
OBJECTIVE: The aim was to investigate the prevalence of self-reported sleep complaints in New Zealand adults and determine the independent association of sleep complaints with adverse health outcomes. DESIGN: We used 2002/03 New Zealand Health Survey data (n = 12,500 adults, ≥15 years). The prevalence of self-reported sleep complaints was estimated by ethnicity. The relationship between sleep complaints and mental health, physical health and health risk behaviors were investigated using multivariable logistic regression models...
January 2019: Ethnicity & Health
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