Journal of health disparities research and practice最新文献_第7页

Housing, the Neighborhood Environment, and Physical Activity among Older African Americans. 非裔美国老人的住房、邻里环境和体育活动。

Journal of health disparities research and practice Pub Date : 2012-01-01

Lonnie Hannon, Patricia Sawyer, Richard M Allman

{"title":"Housing, the Neighborhood Environment, and Physical Activity among Older African Americans.","authors":"Lonnie Hannon, Patricia Sawyer, Richard M Allman","doi":"","DOIUrl":"","url":null,"abstract":"This study examines the association of neighborhood environment, as measured by housing factors, with physical activity among older African Americans. Context is provided on the effects of structural inequality as an inhibitor of health enhancing neighborhood environments. The study population included African Americans participating in the UAB Study of Aging (n=433). Participants demonstrated the ability to walk during a baseline in-home assessment. The strength and independence of housing factors were assessed using neighborhood walking for exercise as the outcome variable. Sociodemographic data, co-morbid medical conditions, and rural/urban residence were included as independent control factors. Homeownership, occupancy, and length of residency maintained positive associations with neighborhood walking independent of control factors. Housing factors appear to be predictive of resident engagement in neighborhood walking. Housing factors, specifically high rates of homeownership, reflect functional and positive neighborhood environments conducive for physical activity. Future interventions seeking to promote health-enhancing behavior should focus on developing housing and built-environment assets within the neighborhood environment.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"5 3","pages":"27-41"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3672407/pdf/nihms473160.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31488661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Disparities in Pain Management in Primary Care. 初级医疗中疼痛治疗的种族差异。

Journal of health disparities research and practice Pub Date : 2012-01-01

Miriam O Ezenwa, Michael F Fleming

{"title":"Racial Disparities in Pain Management in Primary Care.","authors":"Miriam O Ezenwa, Michael F Fleming","doi":"","DOIUrl":"","url":null,"abstract":"This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African Americans and Caucasians on pain management and QOL, with African Americans faring worse. The proposed mediational model, which included race, perceived discrimination, hopelessness, and pain management was supported: (1) African Americans compared to Caucasians had higher perceived discrimination, (2) perceived discrimination was positively associated with hopelessness, and (3) higher hopelessness was associated with worse pain management. Further, pain management predicted QOL. This is the first study in which an explanatory model for the racial disparities in pain management of primary care patients with chronic nonmalignant pain was examined. Perceived discrimination and hopelessness were implicated as explanatory factors for the disparities.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"5 3","pages":"12-26"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827865/pdf/nihms-517816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31874990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Innovative Approach for Community Engagement: Using an Audience Response System. 社区参与的创新方法：使用观众反应系统

Journal of health disparities research and practice Pub Date : 2012-01-01

Jenna L Davis, Kara E McGinnis, Margaret L Walsh, Coni Williams, Kevin B Sneed, Julie A Baldwin, B Lee Green

{"title":"An Innovative Approach for Community Engagement: Using an Audience Response System.","authors":"Jenna L Davis, Kara E McGinnis, Margaret L Walsh, Coni Williams, Kevin B Sneed, Julie A Baldwin, B Lee Green","doi":"","DOIUrl":"","url":null,"abstract":"Community-based participatory research methods allow for community engagement in the effort to reduce cancer health disparities. Community engagement involves health professionals becoming a part of the community in order to build trust, learn from the community and empower them to reduce disparities through their own initiatives and ideas. Audience Response Systems (ARS) are an innovative and engaging way to involve the community and obtain data for research purposes using keypads to report results via power point. The use of ARS within communities is very limited and serves to widen the disparity gap by not delivering new advances in medical knowledge and technology among all population groups. ARS was implemented at a community town hall event sponsored by a National Institute on Minority Health and Health Disparities Exploratory Center of Excellence, the Center for Equal Health. Participants appreciated being able to see how everyone else answered and felt included in the research process. ARS is beneficial because the community can answer truthfully and provides instant research results. Additionally, researchers can collect large amounts of data quickly, in a non-threatening way while tracking individual responses anonymously. Audience Response Systems proved to be an effective tool for successfully accomplishing community-based participatory research.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538363/pdf/nihms430964.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40223889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial and Ethnic Health Disparities in Incarcerated Populations. 被监禁人口的种族和民族健康差异。

Journal of health disparities research and practice Pub Date : 2012-01-01

Meghan E Borysova, Ojmarrh Mitchell, Dawood H Sultan, Arthur R Williams

{"title":"Racial and Ethnic Health Disparities in Incarcerated Populations.","authors":"Meghan E Borysova, Ojmarrh Mitchell, Dawood H Sultan, Arthur R Williams","doi":"","DOIUrl":"","url":null,"abstract":"Alarming disparities in population health and wellness in the United States have led to multidisciplinary research efforts to create health equity. Identifying disparities, elucidating the etiological bases of disparities, and implementing solutions to eliminate disparities are part of the U.S. national health agenda. Racial and ethnic disparities have been identified throughout the cancer control continuum, in cardiovascular disease, diabetes and a multitude of other conditions. The causes of disparities are complex, condition specific, and conjectured to result from combinations of biological and socio-behavioral factors. Racial and ethnic health disparities within the vast incarcerated communities have been excluded from most studies, yet are of significant ethical and fiscal concern to inmates, governing bodies, and non-incarcerated communities into which inmates return. Importantly, research on racial and ethnic disparities in this unique population may shed light on the relative etiologies of health disparities and solutions for creating health equity throughout the general population in the United States.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"5 2","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546523/pdf/nihms-430960.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31177677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing Hepatitis B-induced Liver Cancer: Implications for Eliminating Health Disparities. 预防乙型肝炎引起的肝癌:消除健康差异的意义。

Journal of health disparities research and practice Pub Date : 2010-10-01

Moon S Chen

引用次数: 0

Value of Community Partnership for Understanding Stress and Coping in Rural Yup'ik Communities: The CANHR Study. 社区伙伴关系对农村彝族社区理解压力和应对的价值:CANHR研究。

Journal of health disparities research and practice Pub Date : 2010-01-01

Inna D Rivkin, Ellen Lopez, Tonie M Quaintance, Joseph Trimble, Scarlett Hopkins, Candace Fleming, Eliza Orr, Gerald V Mohatt

{"title":"Value of Community Partnership for Understanding Stress and Coping in Rural Yup'ik Communities: The CANHR Study.","authors":"Inna D Rivkin, Ellen Lopez, Tonie M Quaintance, Joseph Trimble, Scarlett Hopkins, Candace Fleming, Eliza Orr, Gerald V Mohatt","doi":"","DOIUrl":"","url":null,"abstract":"Stress and trauma can compromise physical and mental health. Rural Alaska Native communities have voiced concern about stressful and traumatic events and their effects on health. The goal of the Yup'ik Experiences of Stress and Coping Project is to develop an in-depth understanding of experiences of stress and ways of coping in Yup'ik communities. The long-range goal is to use project findings to develop and implement a community-informed and culturally grounded intervention to reduce stress and promote physical and mental health in rural Alaska Native communities. This paper introduces a long-standing partnership between the Yukon-Kuskokwim Regional Health Corporation, rural communities it serves, and the Center for Alaska Native Health Research at the University of Alaska Fairbanks. Within the context of the Stress and Coping project, we then discuss the value and challenges of taking a CBPR approach to advance science and address a priority community concern, and share strategies to respond to challenges. Focus groups were conducted to culturally adapt an existing structured interview and daily diary protocol to better fit Yup'ik ways of knowing. As modified, these interviews increased understanding of stress and coping particular to two Yup'ik communities. Challenges included the geographical nature of Yup'ik communities, communication barriers, competing priorities, and confidentiality issues. Community participation was central in the development of the study protocol, helped ensure that the research was culturally appropriate and relevant to the community, and facilitated access to participant knowledge and rich data to inform intervention development.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"4 3","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728713/pdf/nihms305513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31273018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Activity Effects on Depressive Symptoms in Black Adults. 体育活动对黑人成人抑郁症状的影响

Journal of health disparities research and practice Pub Date : 2010-01-01

Elisa R Torres, Carolyn M Sampselle, Kimberlee A Gretebeck, David L Ronis, Harold W Neighbors

{"title":"Physical Activity Effects on Depressive Symptoms in Black Adults.","authors":"Elisa R Torres, Carolyn M Sampselle, Kimberlee A Gretebeck, David L Ronis, Harold W Neighbors","doi":"","DOIUrl":"","url":null,"abstract":"OBJECTIVES: Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults. METHODS: Articles were abstracted by conducting a computer and hand search of eligible studies. RESULTS: Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored. CONCLUSION: Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the etiology of depressive symptoms, include individuals diagnosed with depression and with health conditions which may increase the risk of depressive symptoms, account for intra-group ethnic heterogeneity, measure and differentiate between social support and social network, consider aspects of the physical environment and use standardized measurements of PA.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"4 2","pages":"70-87"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440010/pdf/nihms391824.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30911506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Human Capital Approach to Reduce Health Disparities. 减少健康差距的人力资本方法。

Journal of health disparities research and practice Pub Date : 2009-04-01

Saundra H Glover, Sudha Xirasagar, Yunho Jeon, Keith T Elder, Crystal N Piper, Harris Pastides

{"title":"A Human Capital Approach to Reduce Health Disparities.","authors":"Saundra H Glover, Sudha Xirasagar, Yunho Jeon, Keith T Elder, Crystal N Piper, Harris Pastides","doi":"","DOIUrl":"","url":null,"abstract":"OBJECTIVE: To introduce a human capital approach to reduce health disparities in South Carolina by increasing the number and quality of trained minority professionals in public health practice and research. METHODS: The conceptual basis and elements of Project EXPORT in South Carolina are described. Project EXPORT is a community based participatory research (CBPR) translational project designed to build human capital in public health practice and research. This project involves Claflin University (CU), a Historically Black College University (HBCU) and the African American community of Orangeburg, South Carolina to reduce health disparities, utilizing resources from the University of South Carolina (USC), a level 1 research institution to build expertise at a minority serving institution. The elements of Project EXPORT were created to advance the science base of disparities reduction, increase trained minority researchers, and engage the African American community at all stages of research. CONCLUSION: Building upon past collaborations between HBCU's in South Carolina and USC, this project holds promise for a public health human capital approach to reduce health disparities.","PeriodicalId":15847,"journal":{"name":"Journal of health disparities research and practice","volume":"3 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147290/pdf/nihms197601.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30053387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Disparities and Discrimination: Three Perspectives. 健康差异与歧视：三个视角。

Journal of health disparities research and practice Pub Date : 2008-10-01 DOI: 10.1901/jaba.2008.2-51

Khadidiatou Ndiaye, Janice R Krieger, Jennifer R Warren, Michael L Hecht, Kola Okuyemi

引用次数: 0

Evaluation of a Tobacco Educational Intervention for Pregnant Alaska Native Women. 阿拉斯加原住民孕妇烟草教育干预评估。

Journal of health disparities research and practice Pub Date : 2008-01-01

Christi A Patten, Carrie Enoch, Caroline C Renner, Karin Larsen, Paul A Decker, Kari J Anderson, Caroline Nevak, Ann Glasheen, Kenneth P Offord, Anne Lanier

引用次数: 0