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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
Katherine M Rancaño, Penny A Ralston, Jennifer L Lemacks, Iris Young-Clark, Jasminka Z Ilich
OBJECTIVE: African Americans (AAs) experience greater prevalence of cardiovascular disease (CVD) compared to other ethnic/racial groups. Low-grade chronic inflammation (often quantified by serum C-reactive protein CRP) is a well-documented risk factor for CVD. A healthy diet is plentiful in antioxidant nutrients and is associated with a lower inflammatory status and CVD risk. Our objective was to examine the relationship between dietary intake of antioxidants (carotenoids, vitamins A, C, E, and selenium) and serum CRP concentrations in mid-life and older AAs, while controlling for confounders...
July 2, 2018: Ethnicity & Health
Haeyoung Jang, Meryl Lovarini, Lindy Clemson, Karen Willis, Stephen Lord, Catherine Sherrington
OBJECTIVES: Older people from culturally and linguistically diverse (CALD) backgrounds are one of the fastest growing and rapidly ageing population segments in Australia. This qualitative study aims to explore the experiences, needs and challenges that individual program providers encountered in implementing and delivering a fall prevention program for CALD groups and meeting the linguistic, cultural and contextual needs of the program participants. DESIGN: Semi-structured in-depth interviews were conducted with a convenience sample of 24 program providers implementing, delivering or supporting fall prevention programs including Stepping On for CALD groups...
July 2, 2018: Ethnicity & Health
Fernando De Maio, David Ansell, Raj C Shah
Comparisons of communities across cities are rare in social epidemiology. Our prior work exploring racial/ethnic segregation and the prevalence of low birth weight (LBW) in communities from two large urban cities showed a strong relationship in Chicago and a very weak relationship in Toronto. This study extends that work by examining the association between racial/ethnic minority segregation and LBW in total of 307 communities in five North American cities: Baltimore, Boston, Chicago, Philadelphia, and Toronto...
June 27, 2018: Ethnicity & Health
Luisa Kcomt, Kevin M Gorey
OBJECTIVE: Like the barrio advantage theory related to Mexican Americans, a theory about the protective effects of Chinese American enclaves is developing. Such protections were examined among socioeconomically vulnerable people with colon cancer. DESIGN: A colon cancer cohort established in California between 1995 and 2000, and followed until the enactment of the Affordable Care Act was utilized in this study. Secondary analysis was conducted on the 5-year survival among 127 Chinese Americans and 4524 other Americans (3810 non-Hispanic white and 714 Hispanic people)...
June 27, 2018: Ethnicity & Health
Yilin Yoshida, Stephanie Broyles, Richard Scribner, Liwei Chen, Stephen Phillippi, Jeanette Jackson-Thompson, Eduardo J Simoes, Tung-Sung Tseng
BACKGROUND: This study examined the moderating role of social support in the acculturation-obesity/central obesity relationship in Mexican American (MA) men and women. METHODS: Data from NHANES 1999-2008 were used. Acculturation derived from language use, country of birth and length of residence in the U.S. Social support assessed emotional and financial support. BMI (≥30) and waist circumference (≥88 cm for women; ≥102 cm for men) measured obesity and central obesity, respectively...
June 26, 2018: Ethnicity & Health
Jennie Gamlin, David Osrin
Mexico's indigenous communities continue to experience higher levels of mortality and poorer access to health care services than non-indigenous regions, a pattern that is repeated across the globe. We conducted a two-year ethnographic study of pregnancies and childbirth in an indigenous Wixárika community to explore the structural causes of this excess mortality. In the process we also identified major differences between official infant mortality rates, and the numbers of infants born to women in our sample who did not survive...
June 19, 2018: Ethnicity & Health
Hyunjeong Park, Eunsuk Choi, Jennifer A Wenzel
OBJECTIVE: Despite their vastly different historical backgrounds, unique languages and variable pre- and post-immigration experiences, Asian-Americans are considered to share stressors surrounding immigration, but there is a gap in describing manifestations of possible mental distress. Thus, the purpose of this study was to explore and compare differences in factors associated with psychological distress among Asian subgroups including Chinese, Filipino, Vietnamese, Korean, Japanese, and non-Hispanic Whites...
May 29, 2018: Ethnicity & Health
Jungmi Jun
OBJECTIVES: This paper is an examination of cancer/health communication factors (i.e. cancer/health information seeking, patient-provider communication (PPC), cancer screening information from providers) and screening for breast and cervical cancer among Asian Americans and five Asian ethnic groups (Chinese, Filipinos, Japanese, Koreans, Vietnamese) in comparison to Whites. Additionally, the relationship between cancer/health communication disparity and cancer screening gaps between Asian Americans and Whites was investigated...
May 23, 2018: Ethnicity & Health
Venera Bekteshi, Sung-Wan Kang
PURPOSE: This systematic review of the literature informed of (a) the relationship between acculturation and acculturative stress, (b) examined the determinants of acculturative stress among Latino immigrants in the U.S., and (c) provided a conceptual framework that can be used to specify the interactive effect of various factors on acculturative stress. METHODS: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), this review synthesized the results of thirty studies published between 2000 and 2015 that investigated the influence of several socio-demographic and cultural contexts on acculturative stress among Latino immigrants categorized using Family Stress Management (FSM) theory as a framework...
May 23, 2018: Ethnicity & Health
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