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Journal of Racial and Ethnic Health Disparities

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https://www.readbyqxmd.com/read/28526974/the-health-equity-scholars-program-innovation-in-the-leaky-pipeline
#1
Carole C Upshur, Diedra M Wrighting, Gonzalo Bacigalupe, Joan Becker, Laura Hayman, Barbara Lewis, Sylvia Mignon, Megan E Rokop, Elizabeth Sweet, Marie Idali Torres, Paul Watanabe, Cedric Woods
Despite attempts to increase enrollment of under-represented minorities (URMs: primarily Black/African American, Hispanic/Latino, and Native American students) in health professional programs, limited progress has been made. Compelling reasons to rectify this situation include equity for URMs, better prepared health professionals when programs are diverse, better quality and access to health care for UMR populations, and the need for diverse talent to tackle difficult questions in health science and health care delivery...
May 19, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28488251/ethnic-identity-and-regional-differences-in-mental-health-in-a-national-sample-of-african-american-young-adults
#2
Monnica T Williams, Gerardo Duque, Chad T Wetterneck, L Kevin Chapman, Ryan C T DeLapp
Prior research has found that a strong positive ethnic identity is a protective factor against anxiety and depression in African Americans. In this study, ethnic identity is examined in a geographically representative sample of African American young adults (n = 242), using the Multigroup Ethnic Identity Measure (MEIM) (Phinney in J Adolescent Res 7:156-76, 15). The two-factor structure of the measure (Roberts et al. in J Early Adolescence 19:301-22, 1) was analyzed using a structural equation model and displayed an acceptable fit only when multiple error terms were correlated...
May 9, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28488250/erratum-to-ethnic-differences-in-persistence-with-copd-medications-a-register-based-study
#3
Yusun Hu, Lourdes Cantarero-Arévalo, Anne Frølich, Ramune Jacobsen
No abstract text is available yet for this article.
May 9, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28455687/assessing-child-body-mass-index-perceptions-among-african-american-caregivers-in-a-rural-community
#4
Dayna S Alexander, Moya L Alfonso, Chunhua Cao, Andrew R Hansen
In the USA, African American children residing in rural areas are disproportionately affected by childhood obesity. One strategy for preventing childhood obesity is helping caregivers to recognize their child is overweight or obese. The purpose of this study is to assess African American caregivers' perceived level of their child's obesity status and concordance between caregiver's reported height and weight of their children compared to the objective measure of their child's height and weight. Caregivers completed a paper-based survey about perceptions of their child's weight status including body silhouettes (n = 119) and self-reported their child's body mass index status (n = 68)...
April 28, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28452008/underrepresentation-of-hispanics-and-other-minorities-in-clinical-trials-recruiters-perspectives
#5
Aurora Occa, Susan E Morgan, JoNell E Potter
Clinical trials and research studies often fail to recruit participants from the minorities, hampering the generalizability of results. In order to mitigate this problem, the present study investigated how race/ethnicity affects the process of recruiting people from racial and ethnic minority groups, by conducting 11 focus groups with professional recruiters. Several themes emerged, such as how to adapt to potential participants' language competency and literacy levels, the importance to engage in culturally appropriate verbal and non-verbal communication, and to establish a sense of homophily between recruiters and patients...
April 27, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28447275/risk-factors-for-shoulder-dystocia-the-impact-of-mother-s-race-and-ethnicity
#6
Jennifer Gaudet Hefele, Palmira Santos, Grant Ritter, Neha Varma, Ann Hendrich
Shoulder dystocia is a rare but severe birth trauma where the neonate's shoulders fail to deliver after delivery of the head. Failure to deliver the shoulders quickly can lead to severe, long-term injury to the infant, including nerve injury, skeletal fractures, and potentially death. This observational study examined shoulder dystocia risk factors by race and ethnicity using a sample of 19,236 pregnant women who presented for labor and delivery from July 1, 2010 until June 30, 2013 at five locations. Multivariate analyses were used to identify risk factors associated with shoulder dystocia occurrence in racial/ethnic groups with high incidence rates...
April 26, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28444629/stress-measured-by-allostatic-load-score-varies-by-reason-for-immigration-the-africans-in-america-study
#7
Jean N Utumatwishima, Rafeal L Baker, Brianna A Bingham, Stephanie T Chung, David Berrigan, Anne E Sumner
OBJECTIVE: Reason for immigration as a biological stress has not been studied in Africans. Our goal was to determine in African immigrants, if biological stress measured by allostatic load score (ALS) varies by reason for immigration. METHODS: Using an ALS which had been previously developed with the National Health and Nutrition Examination Survey (NHANES) data to assess stress due to racism and nativity, ALS was calculated in 85 African immigrants (67% male, age 42 ± 10 years)...
April 25, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28444628/moving-beyond-age-an-exploratory-qualitative-study-on-the-context-of-young-african-american-men-and-women-s-sexual-debut
#8
Yzette Lanier, Jennifer M Stewart, Jean J Schensul, Barbara J Guthrie
African American youth continue to be disproportionately affected by HIV. Early sexual debut has been identified as a major determinant of HIV risk. However, emerging research suggests that the overarching context in which first sex occurs may have greater implications for sexual health than simply age alone. The purpose of this exploratory, qualitative study was to better understand the broader context of African Americans' sexual debut. In-depth, semi-structured interviews were conducted with 10 African American men and women aged 18-24 years...
April 25, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28444627/level-of-cigarette-consumption-and-duration-of-smoking-abstinence-during-failed-quit-attempts-among-long-term-daily-smokers-the-role-of-race-ethnicity-and-cessation-aids
#9
Julia N Soulakova, Lisa J Crockett
The goal of this study was to determine whether race/ethnicity and use of smoking cessation aids are associated with the duration of the last serious quit attempt and reductions in cigarette consumption among long-term daily smokers who tried, and failed, to quit smoking during the preceding year. Data came from the 2010-2011 Tobacco Use Supplement survey conducted in the USA, and analyses included 6672 reports of long-term daily smokers (i.e., smokers who smoked daily for 1 year or longer) who made at least one serious quit attempt in the past 12 months...
April 25, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28434102/outcomes-following-surgical-management-of-cauda-equina-syndrome-does-race-matter
#10
Amit Jain, Emmanuel Menga, Addisu Mesfin
Cauda equina syndrome (CES) is a surgical emergency requiring urgent spinal decompression. Our objective is to analyze the association between race and in-hospital outcomes (complications, mortality, length of stay, and discharge disposition) in patients with CES. This is a retrospective cohort study of CES patients identified via the Nationwide Inpatient Sample (NIS) from 2000 to 2010 in inpatient hospitalizations in the USA. The patient sample includes 46,017 patients ≥18 undergoing spine surgery for CES...
April 21, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411330/a-restorative-yoga-intervention-for-african-american-breast-cancer-survivors-a-pilot-study
#11
Teletia R Taylor, Judith Barrow, Kepher Makambi, Vanessa Sheppard, Sherrie Flynt Wallington, Chloe Martin, Danyella Greene, Sri Lakshmi Hyndavi Yeruva, Sara Horton
BACKGROUND: Data show that yoga is effective for improving health-related outcomes in breast cancer survivors. While breast cancer is the most commonly diagnosed cancer among African-American women (AAW), AAW are less likely to engage in yoga compared to other ethnic groups. The goals of the current study were to assess the feasibility of an 8-week restorative yoga program among African-American breast cancer survivors (AA BCS). Specifically, study aims were to (1) measure changes in study outcomes in a restorative yoga (RY) group compared to a wait list control group, (2) assess adherence to the RY program, and (3) assess program satisfaction among study participants...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411329/racial-and-ethnic-difference-in-falls-among-older-adults-results-from-the-california-health-interview-survey
#12
Simona C Kwon, Benjamin H Han, Julie A Kranick, Laura C Wyatt, Caroline S Blaum, Stella S Yi, Chau Trinh-Shevrin
BACKGROUND: Research suggests that fall risk among older adults varies by racial/ethnic groups; however, few studies have examined fall risk among Hispanics and Asian American older adults. METHODS: Using 2011-2012 California Health Interview Survey data, this study examines falling ≥2 times in the past year by racial/ethnic groups (Asian Americans, Hispanics, and Blacks) aged ≥65, adjusting for socio-demographic characteristics, body mass index, co-morbidities, and functional limitations...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411328/dance-and-hometown-associations-are-promising-strategies-to-improve-physical-activity-participation-among-us-nigerian-transnational-immigrants
#13
Kelechi Ibe-Lamberts, Daudet Ilunga Tshiswaka, Ifeyinwa Onyenekwu, Andiara Schwingel, Juliet Iwelunmor
OBJECTIVE: Lack of physical activity participation has been identified as a determinant for negative health outcomes across various ethnicities worldwide and within the USA. We investigated the perceptions of the prospects of promoting dancing within hometown associations as a form for improving physical activity participation for Nigerian Transnational Immigrants (NTIs) in the USA: a migrant cohort subset of individuals who maintain cross-border ties with their indigenous communities of origin...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28411327/racial-differences-in-mental-health-recovery-among-veterans-with-serious-mental-illness
#14
Mana K Ali, Samantha M Hack, Clayton H Brown, Deborah Medoff, Lijuan Fang, Elizabeth A Klingaman, Stephanie G Park, Lisa B Dixon, Julie A Kreyenbuhl
Black consumers with serious mental illness (SMI) face significant challenges in obtaining quality mental health care and are at risk for experiencing significant disparities in mental health care outcomes, including recovery from mental illness. Patient-provider interactions may partly contribute to this disparity. The purpose of the current study was to understand the effects of race, psychosis, and therapeutic alliance on mental health recovery orientation among Veterans with SMI. Participants were Veterans who had an SMI being treated at two Veteran Affairs outpatient mental health clinics by a psychiatrist or nurse practitioner...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28409478/reversing-racial-inequities-at-the-end-of-life-a-call-for-health-systems-to-create-culturally-competent-advance-care-planning-programs-within-african-american-communities
#15
Randi Belisomo
Racial and cultural barriers inherent in health systems have made the delivery of culturally relevant end of life care that aligns with patient preferences a particular challenge across African American patient populations. The end of life experience has been cited as a public health crisis by the Institute of Medicine (IOM), and this crisis is one felt even more acutely by patients of this minority race. Structural racism has limited access to the planning mechanisms proven to result in quality end of life care; thus, health systems must initiate remedies in the face of dire need, as African Americans face a disproportionate burden of morbidity and mortality from many serious illnesses...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28409477/ethnic-differences-in-persistence-with-copd-medications-a-register-based-study
#16
Yusun Hu, Lourdes Cantarero-Arévalo, Anne Frølich, Ramune Jacobsen
BACKGROUND: Long-acting bronchodilators (LABDs) are recommended as a first-line maintenance therapy in patients with moderate or severe chronic obstructive pulmonary disease (COPD). The aim of the study was to explore potential ethnic differences in persistence with LABD in COPD patients. METHODS: A cohort of COPD patients diagnosed in 2003-2007 in Copenhagen, Denmark, was followed for 2 years in the Danish national registers. According to the number of the LABD medications dispensed, individuals were categorized into three therapy groups: monotherapy, drug combination therapy, and multiple drug therapy...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28405962/discrimination-fully-mediates-the-effects-of-incarceration-history-on-depressive-symptoms-and-psychological-distress-among-african-american-men
#17
Shervin Assari, Reuben Jonathan Miller, Robert Joseph Taylor, Dawne Mouzon, Verna Keith, Linda M Chatters
AIM: Using a nationally representative sample of African American men, this study investigated the associations between lifetime history of incarceration, discrimination, and mental health (e.g., depressive symptoms and psychological distress). We hypothesized that discrimination would fully mediate the association between incarceration history and mental health outcomes among African American men. METHODS: Using a cross-sectional design, our analysis included 1271 African American men who participated in the National Survey of American Life (NSAL), 2001-2003...
April 12, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28389906/racial-disparities-in-concussion-knowledge-and-symptom-recognition-in-american-adolescent-athletes
#18
Jessica Wallace, Tracey Covassin, Ryan Moran
BACKGROUND: The purpose of this study was to identify if knowledge of concussion differences exists between communities that service underserved, African-American athletes compared to white athletes, and to explore differences in concussion knowledge between African-American and white athletes with and without access to an athletic trainer. METHODS: Five hundred seventy-seven adolescent athletes ranging in age from 13 to 18 from 14 schools in the USA completed a one-time pencil and paper survey instrument...
April 7, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28374335/preventive-health-behaviors-among-low-income-african-american-and-hispanic-populations-can-colonoscopy-screening-serve-as-a-teachable-moment
#19
Pathu Sriphanlop, Lina Jandorf, Hayley Thompson, Heiddis Valdimarsdottir, William Redd, Rachel C Shelton
INTRODUCTION: Teachable moments (TMs) are situations with potential for promoting health behavior change. Little is known as to whether colonoscopy screening itself may serve as a TM, particularly among low-income or minority populations. Research in this area is needed to inform efforts to address the disproportionate burden of colorectal cancer (CRC) experienced by minorities. AIMS: This study aims to describe attitudes related to physical activity (PA) and healthy eating among a low-income Hispanic and African American sample, assess whether colonoscopy completion may encourage changes in dietary behavior or PA, and determine the type of interventions minority participants would prefer to promote preventive behaviors...
April 3, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28364374/improving-urban-minority-girls-health-via-community-summer-programming
#20
Amy M Bohnert, Carolyn R Bates, Amy M Heard, Kimberly A Burdette, Amanda K Ward, Rebecca L Silton, Lara R Dugas
Summertime has emerged as a high-risk period for weight gain among low-income minority youth who often experience a lack of resources when not attending school. Structured programming may be an effective means of reducing risk for obesity by improving obesogenic behaviors among these youth. The current multi-method study examined sedentary time, physical activity, and dietary intake among low-income urban minority girls in two contexts: an unstructured summertime setting and in the context of a structured 4-week community-based summer day camp program promoting physical activity...
March 31, 2017: Journal of Racial and Ethnic Health Disparities
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