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https://www.readbyqxmd.com/read/28731440/challenges-and-considerations-related-to-studying-dementia-in-african-americans
#1
Eseosa T Ighodaro, Peter T Nelson, Walter A Kukull, Frederick A Schmitt, Erin L Abner, Allison Caban-Holt, Shoshana H Bardach, Derrick C Hord, Crystal M Glover, Gregory A Jicha, Linda J Van Eldik, Alexander X Byrd, Anita Fernander
Blacks/African Americans have been reported to be ∼2-4 times more likely to develop clinical Alzheimer's disease (AD) compared to Whites. Unfortunately, study design challenges (e.g., recruitment bias), racism, mistrust of healthcare providers and biomedical researchers, confounders related to socioeconomic status, and other sources of bias are often ignored when interpreting differences in human subjects categorized by race. Failure to account for these factors can lead to misinterpretation of results, reification of race as biology, discrimination, and missed or delayed diagnoses...
July 19, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28725865/the-science-of-empathy
#2
Helen Riess
Empathy plays a critical interpersonal and societal role, enabling sharing of experiences, needs, and desires between individuals and providing an emotional bridge that promotes pro-social behavior. This capacity requires an exquisite interplay of neural networks and enables us to perceive the emotions of others, resonate with them emotionally and cognitively, to take in the perspective of others, and to distinguish between our own and others' emotions. Studies show empathy declines during medical training...
June 2017: Journal of patient experience
https://www.readbyqxmd.com/read/28717860/performance-of-the-diarem-score-for-predicting-diabetes-remission-in-two-health-systems-following-bariatric-surgery-procedures-in-hispanic-and-non-hispanic-white-patients
#3
G Craig Wood, Daniel Horwitz, Christopher D Still, Tooraj Mirshahi, Peter Benotti, Manish Parikh, Annemarie G Hirsch
OBJECTIVE: The objective of this study was to determine whether the DiaRem, a score that predicts type 2 diabetes (T2D) remission following roux-en-y gastric bariatric surgery (RYGB), also predicts remission following laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) in white and Hispanic patients. BACKGROUND: While bariatric surgery is highly effective in reversing insulin resistance, there are patients for whom surgery will not lead to remission...
July 17, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28697777/enhancing-the-use-of-research-in-health-promoting-anti-racism-policy
#4
Angeline S Ferdinand, Yin Paradies, Margaret Kelaher
BACKGROUND: The Localities Embracing and Accepting Diversity (LEAD) programme was established to improve the health of ethnic minority communities through the reduction of racial discrimination. Local governments in the state of Victoria, Australia, were at the forefront of LEAD implementation in collaboration with leading state and national organisations. Key aims included expanding the available evidence regarding effective anti-racism interventions and facilitating the uptake of this evidence in organisational policies and practices...
July 11, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28669235/social-stress-obesity-and-depression-among-women-clarifying-the-role-of-physical-activity
#5
Karen D Lincoln
OBJECTIVE: This study examined the role of stress in the association among physical activity, obesity, and depression among women. The extent to which physical activity moderated these relationships was also examined. DESIGN: Data from the National Survey of American Life (N = 3235) and multivariable regression analyses were used to examine the effects of chronic stress, material hardship, racial discrimination, and physical activity on obesity and depression among African American, Caribbean Black and White women...
July 1, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28650179/political-activism-and-mental-health-among-black-and-latinx-college-students
#6
Elan C Hope, Gabriel Velez, Carly Offidani-Bertrand, Micere Keels, Myles I Durkee
OBJECTIVES: The current study investigates the utility of political activism as a protective factor against experiences of racial/ethnic (R/E) discrimination that negatively affect stress, anxiety, and depressive symptoms among Black and Latinx college freshmen at predominately White institutions. METHOD: Data come from the Minority College Cohort Study, a longitudinal investigation of Black and Latinx college students (N = 504; 44% Black). We conducted multiple regression analyses for each mental health indicator and tested for interaction effects...
June 26, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28609485/self-reported-racial-ethnic-discrimination-and-bronchodilator-response-in-african-american-youth-with-asthma
#7
Sonia Carlson, Luisa N Borrell, Celeste Eng, Myngoc Nguyen, Shannon Thyne, Michael A LeNoir, Nadine Burke-Harris, Esteban G Burchard, Neeta Thakur
IMPORTANCE: Asthma is a multifactorial disease composed of endotypes with varying risk profiles and outcomes. African Americans experience a high burden of asthma and of psychosocial stress, including racial discrimination. It is unknown which endotypes of asthma are vulnerable to racial/ethnic discrimination. OBJECTIVE: We examined the association between self-reported racial/ethnic discrimination and bronchodilator response (BDR) among African American youth with asthma ages 8 to 21 years (n = 576) and whether this association varies with tumor necrosis factor alpha (TNF-α) level...
2017: PloS One
https://www.readbyqxmd.com/read/28583962/challenges-to-reducing-discrimination-and-health-inequity-through-existing-civil-rights-laws
#8
Amitabh Chandra, Michael Frakes, Anup Malani
More than fifty years after the passage of the Civil Rights Act of 1964, health care for racial and ethnic minorities remains in many ways separate and unequal in the United States. Moreover, efforts to improve minority health care face challenges that differ from those confronted during de jure segregation. We review these challenges and examine whether stronger enforcement of existing civil rights legislation could help overcome them. We conclude that stronger enforcement of existing laws-for example, through executive orders to strengthen enforcement of the laws and congressional action to allow private individuals to bring lawsuits against providers who might have engaged in discrimination-would improve minority health care, but this approach is limited in what it can achieve...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28571900/racial-disparities-in-health-among-nonpoor-african-americans-and-hispanics-the-role-of-acute-and-chronic-discrimination
#9
Cynthia G Colen, David M Ramey, Elizabeth C Cooksey, David R Williams
Racial disparities in health tend to be more pronounced at the upper ends of the socioeconomic (SES) spectrum. Despite having access to above average social and economic resources, nonpoor African Americans and Latinos report significantly worse health compared to nonpoor Whites. We combine data from the parents and children of the 1979 National Longitudinal Survey of Youth (NLSY79) to address two specific research aims. First, we generate longitudinal SES trajectories over a 33-year period to estimate the extent to which socioeconomic mobility is associated with exposure to discrimination (acute and chronic) across different racial/ethnic groups (nonHispanic Whites, nonHispanic Blacks, and Hispanics)...
May 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28540604/systems-factorial-technology-provides-new-insights-on-the-other-race-effect
#10
Cheng-Ta Yang, Mario Fifić, Ting-Yun Chang, Daniel R Little
The other-race effect refers to the difficulty of discriminating between faces from ethnic and racial groups other than one's own. This effect may be caused by a slow, feature-by-feature, analytic process, whereas the discrimination of own-race faces occurs faster and more holistically. However, this distinction has received inconsistent support. To provide a critical test, we employed Systems Factorial Technology (Townsend & Nozawa in Journal of Mathematical Psychology, 39, 321-359, 1995), which is a powerful tool for analyzing the organization of mental networks underlying perceptual processes...
May 24, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28533677/in-pursuit-of-belonging-acculturation-perceived-discrimination-and-ethnic-racial-identity-among-latino-youths
#11
Adrienne Juliet Michele Baldwin-White, Elizabeth Kiehne, Adriana Umaña-Taylor, Flavio F Marsiglia
Guided by Bronfenbrenner's ecological systems framework and informed by the rejection-identification model, this study examined the relationship between acculturation, discrimination, and ethnic-racial identity (ERI) searching and affirmation among a sample of Latino youths (N = 830; mean age = 12.2 years). Results revealed that higher levels of acculturation were associated with lower levels of searching and affirmation. Furthermore, higher perceived discrimination was associated with higher affirmation, but unrelated to searching...
March 2017: Social Work Research
https://www.readbyqxmd.com/read/28498530/examining-discrimination-ethnic-racial-identity-status-and-youth-public-regard-among-black-latino-and-white-adolescents
#12
Sara Douglass, Adriana J Umaña-Taylor
How positively adolescents believe others feel about their ethnic-racial group (i.e., public regard) is an important part of their ethnic-racial identity (ERI), which is likely informed by contextual and individual factors. Using cluster analyses to generate ERI statuses among Black, Latino, and White adolescents (n = 1,378), we found that associations between peer versus adult discrimination and public regard varied across ERI status and ethnic-racial group. However, among all adolescents, an achieved ERI (i...
March 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28494387/a-review-of-sociocultural-factors-that-may-underlie-differences-in-african-american-and-european-american-anxiety
#13
REVIEW
Patricia D Hopkins, Natalie J Shook
Preliminary evidence indicates there may be differences in the prevalence and severity of anxiety in African Americans and European Americans. A number of sociocultural risk and protective factors have been suggested to contribute to these group differences, such as salience of physical illnesses, discrimination, stigma toward mental illness, religiosity, and ethnic identity. In this paper, the literature concerning each of these factors is reviewed. Overall, the strongest evidence was found for ethnic identity and stigma toward mental illness as factors underlying group differences in anxiety...
June 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28492707/the-strangest-of-all-encounters-racial-and-ethnic-discrimination-in-us-health-care
#14
Sherman A James
In 2003, a Committee of the Institute of Medicine of the National Academy of Sciences summarized hundreds of studies documenting that US racial minorities, especially African Americans, receive poorer quality health care for a wide variety of conditions than their White counterparts. These racial differences in health care persist after controlling for sociodemographic factors and patients' ability to pay for care. The Committee concluded that physicians' unconscious negative stereotypes of African Americans, and perhaps other people of color, likely contribute to these health care disparities...
May 8, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28481713/internalized-smoking-stigma-in-relation-to-quit-intentions-quit-attempts-and-current-e-cigarette-use
#15
Richard J O'Connor, Vaughan W Rees, Cheryl Rivard, Dorothy K Hatsukami, K Michael Cummings
BACKGROUND: Reducing the social acceptability of smoking is associated with lowered smoking prevalence. However, denormalization strategies can also contribute to the stigmatization that some smokers may feel about their smoking. Smoking stigma may be more acute if smokers are also members of other stigmatized groups, such as racial/ethnic minorities. This study examined correlates of smoking self- and felt-stigma and discrimination, among current smokers. METHODS: Participants were recruited in the United States via a national commercial consumer panel to complete a cross-sectional, Web-based survey...
May 8, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28444470/sexual-orientation-differences-in-health-and-wellbeing-among-women-living-with-hiv-in-canada-findings-from-a-national-cohort-study
#16
Carmen H Logie, Ashley Lacombe-Duncan, Ying Wang, Angela Kaida, Alexandra de Pokomandy, Kath Webster, Tracey Conway, Mona Loutfy
Sexual orientation differences in health and wellbeing among women living with HIV (WLH) are underexplored. Limited research available, however, suggests that sexual minority WLH may experience barriers to HIV care. Cross-sectional baseline data was analyzed from a Canadian cohort study with WLH (sexual minority women [SMW]: n = 180; heterosexual women: n = 1240). SMW (median age 38 years, IQR 13) included bisexual (58.9%), lesbian (17.8%) and other sexualities (23.3%). In multivariable analyses adjusting for age, poverty, education, and ethnicity, SMW identity was associated with increased odds of: clinical (80% vs...
April 25, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28405176/discrimination-internalized-racism-and-depression-a-comparative-study-of-african-american-and-afro-caribbean-adults-in-the-us
#17
Kristine M Molina, Drexler James
Emerging research suggests that both perceptions of discrimination and internalized racism (i.e., endorsement of negative stereotypes of one's racial group) are associated with poor mental health. Yet, no studies to date have examined their effects on mental health with racial/ethnic minorities in the US in a single study. The present study examined: (a) the direct effects of everyday discrimination and internalized racism on risk of DSM-IV criteria of past-year major depressive disorder (MDD); (b) the interactive effects of everyday discrimination and internalized racism on risk of past-year MDD; and (c) the indirect effect of everyday discrimination on risk of past-year MDD via internalized racism...
July 2016: Group Processes & Intergroup Relations: GPIR
https://www.readbyqxmd.com/read/28394166/ethnic-racial-discrimination-moderates-the-effect-of-sleep-quality-on-school-engagement-across-high-school
#18
Margaret Dunbar, Sheena Mirpuri, Tiffany Yip
OBJECTIVE: Previous research has indicated that school engagement tends to decline across high school. At the same time, sleep problems and exposure to social stressors such as ethnic/racial discrimination increase. The current study uses a biopsychosocial perspective to examine the interactive and prospective effects of sleep and discrimination on trajectories of academic performance. METHOD: Growth curve models were used to explore changes in 6 waves of academic outcomes in a sample of 310 ethnically and racially diverse adolescents (mean age = 14...
April 10, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28372829/the-weight-of-racism-vigilance-and-racial-inequalities-in-weight-related-measures
#19
Margaret T Hicken, Hedwig Lee, Anna K Hing
In the United States, racial/ethnic inequalities in obesity are well-documented, particularly among women. Using the Chicago Community Adult Health Study, a probability-based sample in 2001-2003 (N = 3105), we examined the roles of discrimination and vigilance in racial inequalities in two weight-related measures, body mass index (BMI) and waist circumference (WC), viewed through a cultural racism lens. Cultural racism creates a social environment in which Black Americans bear the stigma burden of their racial group while White Americans are allowed to view themselves as individuals...
March 28, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28314455/multicultural-developmental-experiences-implications-for-resilience-in-transitional-age-youth
#20
REVIEW
Deborah Rivas-Drake, Gabriela Livas Stein
Transitional age youth were born into a world that is becomingly increasingly diverse. Youth who are ethnic or racial minorities encounter cultural stressors, including acculturative stress and discrimination that undermine their health and mental health. Decades of research demonstrate that cultural assets can serve as risk-reducing and resilience-enhancing mechanisms among minority and immigrant youth. Cultural assets include the development of a healthy ethnic-racial identity and maintenance of cultural values...
April 2017: Child and Adolescent Psychiatric Clinics of North America
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