Journal of Racial and Ethnic Health Disparities最新文献_第2页

A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients. 初级保健临床医生对黑人高血压患者认知的定性探讨。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-15 DOI: 10.1007/s40615-025-02689-y

Ebiere Okah, Enid Logan, Drexler James, Rebekah Pratt

{"title":"A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients.","authors":"Ebiere Okah, Enid Logan, Drexler James, Rebekah Pratt","doi":"10.1007/s40615-025-02689-y","DOIUrl":"https://doi.org/10.1007/s40615-025-02689-y","url":null,"abstract":"Background: Black Americans experience stereotyping when receiving care, harming the therapeutic relationship and likely contributing to inequities in hypertension management. Although patients have described these experiences, there is limited understanding from clinicians' perspectives.Methods: We conducted an Interpretive Description study with 30 Minnesota family medicine physicians between July and September 2023 to explore the assumptions associated with hypertensive Black patients, as perceived by the clinicians. Transcripts were analyzed and themes developed using thematic analysis with inductive and deductive approaches.Results: Participants observed that they, or their colleagues (1) viewed Black patients as having hypertension that was more challenging to manage due to factors outside the clinicians' control, and (2) changed their approach to Black patients' hypertension management in response to assumed difficulty. Participants viewed Black patients as less willing and able to manage their hypertension due to mistrust and biological, behavioral, and social factors. Perceived barriers to hypertension management overlapped with what participants described as stereotypes of Black patients, and a few participants acknowledged that clinicians may convey their lower expectations of Black patients through disinvestment in their care.Conclusions: Participants viewed Black patients as having greater challenges with hypertension control due to factors that were seen as being indiscriminately assumed of these patients, potentially resulting in reduced clinician engagement. As such, clinicians must balance their knowledge of population-level disparities with an individualized approach to patient care. To reduce stereotyping of Black patients, it is crucial to pay closer attention to how population-level differences are discussed and applied.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of Discrimination in Medical Settings in a Pregnant Population with Low Income. 低收入孕妇在医疗环境中的歧视经验

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-15 DOI: 10.1007/s40615-025-02676-3

Anju Ranjit, Dorian S Odems, Alice Pressman, Mary A Garza, Miriam Kuppermann, Brittany D Chambers Butcher

{"title":"Experiences of Discrimination in Medical Settings in a Pregnant Population with Low Income.","authors":"Anju Ranjit, Dorian S Odems, Alice Pressman, Mary A Garza, Miriam Kuppermann, Brittany D Chambers Butcher","doi":"10.1007/s40615-025-02676-3","DOIUrl":"https://doi.org/10.1007/s40615-025-02676-3","url":null,"abstract":"Introduction: Discrimination in medical settings (DMS) has been reported in several contexts; however, little is known about its prevalence in pregnant populations with low income.Methods: We conducted a baseline cross-sectional analysis of participants enrolled in a randomized comparative-effectiveness trial of two forms of enhanced prenatal care among pregnant people in California's San Joaquin Valley with low incomes (the EMBRACE Study). We used the DMS Scale to assess participants' perceived discrimination in medical settings due to race, ethnicity, or color across their lifetime. Demographic and clinical characteristics of participants who had experienced DMS were compared to those of participants who did not report having experienced DMS, using chi-square tests. Predictors of DMS were identified using stepwise logistic regression models.Results: Most of the 652 participants were of color, identifying as Latine (71.9%), Black (7.2%), or another race/ethnicity (9.8%). Half (49.4%) reported having experienced DMS, with Black participants most likely (68.1%) and Latine participants least likely (44.1%) to report it. In adjusted analyses, Latine participants continued to be less likely to report DMS (aOR:0.48; CI:0.25-0.90), while participants with higher educational attainment (some college aOR:1.84; CI:1.19-2.83; college graduate aOR:2.96; CI:1.53-5.73) and who had experienced discrimination in community settings (aOR:2.98; CI:1.90-4.68) were more likely to have experienced DMS.Conclusion: Our findings highlight the high prevalence of DMS in a pregnant population with low income. This study adds to existing calls for providers to be mindful of patients' lifetime experiences in the community that may impact their perception of care in medical settings.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Masking Mandate Policies and Community-Level Factors Associated with COVID-19 Cases Spread in the State of Texas. 掩盖与德克萨斯州COVID-19病例传播相关的授权政策和社区层面因素。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-14 DOI: 10.1007/s40615-025-02688-z

Eduardo Pérez, Samuel K Greer, Mary Van, Kenneth Skidmore, Kenroy Williams, Francis A Méndez Mediavilla

{"title":"Masking Mandate Policies and Community-Level Factors Associated with COVID-19 Cases Spread in the State of Texas.","authors":"Eduardo Pérez, Samuel K Greer, Mary Van, Kenneth Skidmore, Kenroy Williams, Francis A Méndez Mediavilla","doi":"10.1007/s40615-025-02688-z","DOIUrl":"https://doi.org/10.1007/s40615-025-02688-z","url":null,"abstract":"This exploratory study investigates the intersection of county demographics, healthcare disparities, and COVID-19 policies with COVID-19 outcomes in Texas. Using hierarchical clustering, random forest, and multinomial logistic regression algorithms, the study analyzes COVID-19 case data from March 4, 2020, to December 15, 2020, across 254 Texas counties. The findings reveal six distinct clusters, with key differentiating factors including the number of days under mask mandate, number of churches, population density, water area, and proportion of African American population. Longer mask mandates are associated with higher case rates, suggesting remedial rather than preventive implementation. Higher population density and more churches per person correlate with steeper case increases. Access to bodies of water and the proportion of the African American population were also associated with case trends. These insights helped us formulate hypotheses that can inform tailored public health interventions to address regional characteristics within Texas.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Race on Outcomes in Obese Kidney Transplant Recipients: A Mate Kidney Analysis. 种族对肥胖肾移植受者预后的影响：一项配偶肾分析。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-14 DOI: 10.1007/s40615-025-02686-1

Rita L McGill, Tomoki Tsukahara, Bhavna Chopra, Reem Daloul, Kalathil K Sureshkumar

{"title":"Impact of Race on Outcomes in Obese Kidney Transplant Recipients: A Mate Kidney Analysis.","authors":"Rita L McGill, Tomoki Tsukahara, Bhavna Chopra, Reem Daloul, Kalathil K Sureshkumar","doi":"10.1007/s40615-025-02686-1","DOIUrl":"https://doi.org/10.1007/s40615-025-02686-1","url":null,"abstract":"Survival of patients on maintenance dialysis is longer in Black patients and patients who are obese. We sought to examine the interaction between transplant outcomes and self-reported race in obese kidney transplant recipients. Deceased donors for whom both kidneys were transplanted into first-time kidney alone recipients from 1/1/2000-12/31/2022 were identified from the United Network for Organ Sharing. Analysis was restricted to kidney recipients with BMI ≥ 30 kg/m2 who self-identified as White or Black. Mate-kidney regression models were used to evaluate delayed graft function (DGF), post-transplant mortality, uncensored graft failure, and death-censored graft failure. There were 15,458 recipients in 7,729 mate-kidney pairs, of which 30% were Black, 31% were White, and 39% were discordant for race. At study end, 5,292 patients had died, of whom 3,263 died with a functioning allograft. Death occurred in 30% of Black patients and 38% of White patients (P < 0.001). Allograft failures occurred in 39%. Adjusted mortality was lower in Black recipients, compared to Whites (HR = 0.84, 95%CI = 0.79, 0.90, P < 0.001). Death-censored graft failure was higher in Black recipients (HR = 1.20, 95%CI = 1.10, 1.30, P < 0.001), as was DGF (OR = 1.35, 95%CI = 1.19, 1.60, P < 0.001). In conclusion, we observed longer survival in obese Black kidney transplant recipients, compared to White recipients, despite increased risks for DGF and death-censored graft failure.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Black Femicide in the U.S.: The Ultimate Health Disparity. 美国黑人女性被杀：最终的健康差距。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-13 DOI: 10.1007/s40615-025-02696-z

Tameka L Gillum, Alexis Sheffield, Clarice J Hampton, Antonia Drew Norton

{"title":"Black Femicide in the U.S.: The Ultimate Health Disparity.","authors":"Tameka L Gillum, Alexis Sheffield, Clarice J Hampton, Antonia Drew Norton","doi":"10.1007/s40615-025-02696-z","DOIUrl":"https://doi.org/10.1007/s40615-025-02696-z","url":null,"abstract":"The murder of Black women in the United States (U.S.) is a major public health concern that has received minimal attention. Black women in the U.S., including Black transgender women, are at increased risk for murder, including but not limited to intimate partner homicide (IPH) and homicide by police, relative to their White counterparts. Stereotypes of Black women may reduce inhibitions towards violence against this group by both intimate partners and police officers. Structural inequalities that place Black communities at increased risk for exposure to violence and heightened policing also contribute to existing disparities. The disproportionate murder of Black women significantly affects their families and communities. Despite the sheer magnitude and persistence of these disparities, there have been limited efforts to raise awareness of this significant public health concern. Culturally informed services tailored towards Black men have potential for reducing IPH. Policies that foster the development of Black communities and disrupt the impact of systematic racism are also necessary to reduce risk for Black women. Here we place an urgent call to action to save the lives of Black women in the U.S.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protective Effects of Community Institutions Against Suicide Death Among Indigenous Survivors of Historical Trauma in Rural Alaska. 社区机构对阿拉斯加农村历史创伤土著幸存者自杀死亡的保护作用。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-13 DOI: 10.1007/s40615-025-02665-6

Matthew Berman

{"title":"Protective Effects of Community Institutions Against Suicide Death Among Indigenous Survivors of Historical Trauma in Rural Alaska.","authors":"Matthew Berman","doi":"10.1007/s40615-025-02665-6","DOIUrl":"https://doi.org/10.1007/s40615-025-02665-6","url":null,"abstract":"The pattern of historical trauma arising from the internal colonialism of North American Indigenous populations has generated a range of adverse behavioral health outcomes, especially in Arctic areas such as rural Alaska, where suicide rates exceed three times the national average. Although the overall suicide risks are high for Alaska Indigenous people, suicide outcomes vary substantially among communities. The study examined whether indicators constructed from publicly available data of community institutions associated with the cultural continuity hypothesis correlated with lower suicide rates in the 140 small, largely Indigenous communities in rural Alaska. Results of negative binomial regressions for place-level suicide deaths showed that indicators representing community institutions were significantly associated with a large relative and absolute reduction in suicide deaths over an 11-year period among the study communities. Significant effects were found for community institutions in governance, religious practice, livelihoods, and culture. Specific patterns suggested that less fragmentation within each community, signified by unified governance (one local authority), a single religious congregation, economic inclusion, and language fluency across age groups reduced suicide risk. The findings suggest that community institutions that promote cultural continuity may offer protection for a variety of health challenges for survivors of historical trauma, although research to identify the protective role of these institutions must take careful account of the local historical context.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stigma, Silence and Strength: A Co-produced Inquiry into Mental Health Conversations in Black African Communities in the UK. 耻辱，沉默和力量：联合制作的调查心理健康对话在非洲黑人社区在英国。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-13 DOI: 10.1007/s40615-025-02669-2

Hannah M Degge, Roselyne Masamha, Abigail Daniels, Franklin Onukwugha

{"title":"Stigma, Silence and Strength: A Co-produced Inquiry into Mental Health Conversations in Black African Communities in the UK.","authors":"Hannah M Degge, Roselyne Masamha, Abigail Daniels, Franklin Onukwugha","doi":"10.1007/s40615-025-02669-2","DOIUrl":"https://doi.org/10.1007/s40615-025-02669-2","url":null,"abstract":"In Black African communities, communication and discussions about mental health challenges and concerns are often limited, avoided or difficult to initiate and maintain as a regular part of wellbeing conversations. Therefore, using a co-production approach as a means of generating new knowledge, our study sought to identify the barriers young people and parents from Black African backgrounds face, in expressing their feelings/emotions and having conversations about mental health and wellbeing. Two Focus Group Discussions involving 19 young people (aged 11-19 years) and 12 in-depth interviews (IDIs) with parents and/community leaders was conducted. Data were analysed using Braun and Clark's thematic analysis approach. Our analysis revealed shared barriers across both groups, presented under four themes: understanding of mental health and source of support; lack of good communication in families; beliefs about societal perceptions; and response to racism incidents. Differences emerged on both groups shared expectations when dealing with issues of emotional concerns. Also, there is a sharp distinction in how young people and adults made sense of the cause of these barriers. While young people associated the cause to their parents' 'immigrant' aspiration for success, adults on the other hand attributed them to factors like a lack of close parent-child relationships and their own past childhood experiences. Furthermore, some parents' efforts to build resilience against racism, often through acculturation were found to inadvertently limit open conversations about mental health. Understanding these perceptions can help improve mental health literacy and inform culturally appropriate strategies for supporting mental health communication within Black African families and communities.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial or Ethnic Disparities in Incidence, Treatment, and Prognosis of Adult Intracranial Meningiomas. 成人颅内脑膜瘤的发病率、治疗和预后的种族差异。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-13 DOI: 10.1007/s40615-025-02650-z

Chao Li, Qingyue Yuan, Ziwei Zhang, Shuo Li, Xianzhen Chen

{"title":"Racial or Ethnic Disparities in Incidence, Treatment, and Prognosis of Adult Intracranial Meningiomas.","authors":"Chao Li, Qingyue Yuan, Ziwei Zhang, Shuo Li, Xianzhen Chen","doi":"10.1007/s40615-025-02650-z","DOIUrl":"https://doi.org/10.1007/s40615-025-02650-z","url":null,"abstract":"Purposes: This study aims to explore racial or ethnic differences in incidence, treatment, and prognosis among adult intracranial meningioma patients.Methods: Patients were selected from the SEER database. Average annual age-adjusted incidence rates (AAAIRs) were calculated. Chi-square tests assessed incidence differences between females and males. Logistic and Cox regression were used to identify the impact of race or ethnicity on treatment and prognosis. Additionally, mediation analyses were performed to examine the mediating effect of socioeconomic variables.Results: This study enrolled 86574 patients. For non-Hispanic races, non-Hispanic Black (NHBlack) had the highest AAAIRs for grade I and II meningiomas. While for Hispanic races, Hispanic White (HWhite) had the highest AAAIRs for meningiomas of all grades. Almost all Hispanic races had lower AAAIRs compared to corresponding non-Hispanic races for meningiomas of all grades. Females had significantly higher AAAIRs than males for grade I and II meningiomas. As for treatment, compared to non-Hispanic White (NHWhite) patients, HWhite patients were more likely to receive surgery, any radiotherapy, and radiotherapy without surgery. And only NHBlack patients exhibited worse OS at 3, 12, and 60 months compared to NHWhite in full adjustment models. The mediation analyses showed that marital status, median household income, and rural-urban continuum code partially mediate the association between race and survival.Conclusions: Racial or ethnic disparities exist in the incidence, treatment, and survival of adult intracranial meningioma patients. Further studies are needed to understand racial or ethnic differences and improve prognosis for all meningioma patients.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Population Attributable Fraction for Cognitive Impairment in Mexican American Older Adults. 墨西哥裔美国老年人认知障碍的人群归因比例。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-13 DOI: 10.1007/s40615-025-02687-0

Mellanie V Springer, Wen Chang, Steven G Heeringa, Emily M Briceño, Roshanak Mehdipanah, Xavier F Gonzales, Nicholas Hartman, Deborah A Levine, Kenneth M Langa, Darin B Zahuranec, Nelda Garcia, Lewis B Morgenstern

{"title":"Population Attributable Fraction for Cognitive Impairment in Mexican American Older Adults.","authors":"Mellanie V Springer, Wen Chang, Steven G Heeringa, Emily M Briceño, Roshanak Mehdipanah, Xavier F Gonzales, Nicholas Hartman, Deborah A Levine, Kenneth M Langa, Darin B Zahuranec, Nelda Garcia, Lewis B Morgenstern","doi":"10.1007/s40615-025-02687-0","DOIUrl":"https://doi.org/10.1007/s40615-025-02687-0","url":null,"abstract":"Background: The contribution of modifiable risk factors to cases of mild cognitive impairment (MCI) and Alzheimer's disease and related dementias (AD/ADRD) among Hispanic/Latin (a,o,x) adults is unclear.Objective: To determine the population attributable fraction (PAF), the proportion of MCI and AD/ADRD cases that would be eliminated with elimination of modifiable risk factors.Methods: This was a cross-sectional analysis nested within a prospective cohort study (2018 - 2023) of Mexican American older adults. Logistic regression estimated the odds of probable MCI or AD/ADRD (defined by education-specific cutoff scores on the Montreal Cognitive Assessment) associated with age, sex, education, medical comorbidities, cigarette smoking, and alcohol consumption. We calculated the PAF for MCI and AD/ADRD associated with individual and combined risk factors.Results: Among 1,272 participants, the prevalence of MCI was 48% and of AD/ADRD was 23%. Having no more than a high school education was associated with a PAF for MCI of 17% (95% CI, 10 - 24%) and a PAF for AD/ADRD of 52% (95% CI, 40 - 64%). Heart disease and diabetes were each associated with a PAF for MCI of 5% (95% CI, 3 - 7% and 95% CI, 1 - 10% respectively). A history of stroke was associated with a PAF for AD/ADRD of 7% (95% CI, 3 - 11%). The elimination of all modifiable risk factors was associated with 28% of MCI and 55% of AD/ADRD cases.Discussion: Low educational attainment and cardiovascular comorbidities greatly contribute to cases of MCI and AD/ADRD among Mexican American adults.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prenatal Oral Health for Black Women. 黑人妇女产前口腔保健。

IF 2.4 3区医学

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-11 DOI: 10.1007/s40615-025-02700-6

Amy R Billizon, Adonis J Billizon-Johnson, Eric Matthews

{"title":"Prenatal Oral Health for Black Women.","authors":"Amy R Billizon, Adonis J Billizon-Johnson, Eric Matthews","doi":"10.1007/s40615-025-02700-6","DOIUrl":"https://doi.org/10.1007/s40615-025-02700-6","url":null,"abstract":"Introduction: Prenatal oral care is a huge concern due to hormonal changes women undergo during pregnancy, during which pregnant women become susceptible to many oral diseases, such as periodontal disease. Disparities in oral health often affect women who fall into these categories: low-income, uninsured, and minority ethnic/racial groups. Having limited knowledge and a lack of access are significant contributing factors to the adverse effects of pregnancies. This qualitative phenomenological study aims to understand the perspectives of pregnant Black women and dental health care providers with oral health knowledge, oral health practices, insurance, and dental visits. Additionally, it offers perspectives of health care providers and minority pregnant women on how improvements to their dental care and hygiene can be enhanced.Method: A purposive sample of 10 participants, including five prenatal Black women and five health/dental providers, was recruited from New Orleans Public Health members and national medical and dental school networks. Qualitative data were collected through open-ended Zoom interviews with five Black women who were pregnant during 2020- 2022, and with five practicing physicians and dentists. Understanding why oral diseases affect this underserved population at high rates can help improve the practices in place.Results: Overall themes of concern were oral health education, additional oral health training for health care providers, including cultural competencies, and improved insurance practices.Discussion: Findings suggest increasing educational awareness for health care providers and Black pregnant women can help reduce oral diseases, while enhancing insurance practices can give this underserved population a holistic care approach.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0