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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
A R Mas-Harithulfadhli-Agus, N A Hamid, A J Rohana
OBJECTIVES: The objectives of this study were to determine the prevalence of malnutrition among five-year-olds and factors associated with unsuccessful outcome of a Food Basket Programme (FBP) in a rural district of Kelantan, Malaysia. DESIGN: Administrative health records from selected health clinics were reviewed. Study sample includes indigenous population or Orang Asli of Malaysia. Unsuccessful outcome was defined according to failure to complete the programme according to growth gain and on-time...
July 25, 2018: Ethnicity & Health
Kasi M Chu, Shawn M S Garcia, Hela Koka, Gary H Wynn, Tzu-Cheg Kao
OBJECTIVE: To investigate race disparities in the US Military among Asian, White, Black, Native American and Other, seeking mental health care in the context of stigma defined by perceived damage to career. DESIGN: Using 2008 survey data taken from US military personnel, mental disorders including depression, generalized anxiety disorder, suicidal ideation, suicidal attempt and post-traumatic stress disorder serious psychological distress (as defined in Kessler - 6), as well as seeking mental health care in past 12 months and stigma were dichotomized and weighted logistic regression models were used...
July 19, 2018: Ethnicity & Health
Kelly L Gonzales, Michelle M Jacob, Amanda Mercier, Heather Heater, Lindsay Nall Goes Behind, Jillene Joseph, Suzie Kuerschner
OBJECTIVE: To build on Evans-Campbell's [2008. "Historical Trauma in American Indian/Native Alaska Communities: A Multilevel Framework for Exploring Impacts on Individuals, Families, and Communities." Journal of Interpersonal Violence 23 (3): 316-338. doi:10.1177/0886260507312290.] multilevel framework of historical trauma and health by focusing on the cycle of fetal alcohol spectrum disorders (FASD) in the socio-cultural, historical, and interpersonal context of trauma shared by American Indian and Alaska Native (AI/AN) peoples...
July 12, 2018: Ethnicity & Health
Daisy Y Morales-Campos, S A Snipes, E K Villarreal, L C Crocker, A Guerrero, M E Fernandez
BACKGROUND: Gendered perspectives may be particularly important in shaping norms and values around HPV and HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) may contribute to low perceived risk among adolescent and young adult Hispanic females. However, research to date focuses primarily on Hispanic mothers, adolescent females, and women of HPV vaccine-eligible age. Hispanic father's perspectives are relatively unknown despite father's important role in shaping norms for their female children...
July 12, 2018: Ethnicity & Health
Dinorah Martinez Tyson, Enrique Teran, Lillie Uyên-Loan Đào, Vanessa Chee, Isabel Hernández, Mercedes Flores, Miguel Reina Ortiz, Ricardo Izurieta, Julie A Baldwin
INTRODUCTION: There is a paucity of information on cancer among Indigenous populations in Latin America. METHODS: Guided by tenets of community engaged research and syndemic theory, we conducted eight focus groups (n = 59) with Kichwa men and women in the province of Imbabura, Ecuador. Data were analyzed using applied thematic analysis techniques. RESULTS: Cancer emerged as an important health problem and was reported as a growing concern...
July 4, 2018: Ethnicity & Health
Charles R Rogers, Ogechi Jessica Obidike, Sherrie F Wallington, Musse Hussein, Zahra A Mahamed, Jill Sampson
The rate of cancer screening is generally increasing in the US. In Minnesota, the statewide average rate of screening for colorectal cancer (CRC) is 73%. However, screening completion is relatively low among Somali men; overall, only 27% of Somali immigrants have been screened for CRC. Factors contributing to this disparity have not been well researched. The purpose of this pilot study was to employ focus group methodology to describe and advance understanding of the barriers and enablers associated with CRC screening among Somali men ages 50-74 in Minnesota...
July 4, 2018: Ethnicity & Health
Nadia N Abuelezam, Abdulrahman M El-Sayed
BACKGROUND: Arab Americans are at high risk for poor mental health outcomes and are difficult to study at a population level due to a lack of racial/ethnic identifiers for this population. METHODS: Using data from the standalone 2013 Michigan Arab Behavioral Risk Factor Survey (MI ABRFS) we aimed to understand whether the burden of mental health differed between Arab Americans and non-Arab, non-Hispanic Whites. Two measures of mental health were used: a subjective (number of poor mental health days experienced in the past 30 days) and an objective (being diagnosed with depression) measure...
July 4, 2018: Ethnicity & Health
R Turner Goins, Jacqueline Jones, Mark Schure, Blythe Winchester, Vickie Bradley
OBJECTIVE: The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites. DESIGN: Study participants were older members of a federally recognized tribe who had T2DM...
July 3, 2018: Ethnicity & Health
Sara Wilcox, Patricia A Sharpe, Angela D Liese, Caroline G Dunn, Brent Hutto
OBJECTIVE: To examine diet quality and dietary intake among residents of disadvantaged neighborhoods in the Southeast United States (U.S.) and to examine associations between dietary and socioeconomic factors. DESIGN: We examined baseline data from an evaluation study of a healthy food access initiative. Participants were recruited from two urban settings comprising seven neighborhoods of high household poverty (17% to 62%). Participants completed in-person interviews with measures of education, household income, and food security and one unannounced 24-hour dietary recall by telephone with trained registered dietitians...
July 2, 2018: Ethnicity & Health
Amber W Kinsey, Marissa A Gowey, Fei Tan, Dali Zhou, Jamy Ard, Olivia Affuso, Gareth R Dutton
OBJECTIVE: African Americans (AA) are often underrepresented and tend to lose less weight than White participants during the intensive phase of behavioral obesity treatment. Some evidence suggests that AA women experience better maintenance of lost weight than White women, however, additional research on the efficacy of extended care programs (i.e. continued contacts to support the maintenance of lost weight) is necessary to better understand these differences. METHODS: The influence of race on initial weight loss, the likelihood of achieving ≥5% weight reduction (i...
July 2, 2018: Ethnicity & Health
Catherine E Burnette, Jessica Liddell, Soonhee Roh, Yeon-Shim Lee, Hee Yun Lee
BACKGROUND: Despite cancer and depression being disproportionately high for American Indian and Alaska Native (AI/AN) women, such cancer survivors' help-seeking practices and perceptions related to depression are absent in extant research. A broader context of historical oppression has set the stage for unequal health outcomes and access to quality services. The purpose of this article was to explore AI women cancer survivors' experiences with conventional mental health services and informal and tribally-based assistance, as well as barriers related to mental health service utilization...
July 2, 2018: Ethnicity & Health
Kharah M Ross, Christine Guardino, Christine Dunkel Schetter, Calvin J Hobel
BACKGROUND: Prenatal health disparities exist for African Americans and low socioeconomic status (SES) individuals when compared to non-Hispanic Whites and people of higher SES, particularly in cardio-metabolic diseases. Furthermore, having had a pregnancy-specific cardio-metabolic disease, e.g. preeclampsia, increases risk for future cardio-metabolic disease. Although these factors (race, SES and pregnancy cardio-metabolic disease) are interrelated, studies have rarely considered their combined effect on postpartum cardio-metabolic risk...
July 2, 2018: Ethnicity & Health
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