Ethnicity & Disease最新文献

{"title":"Advancing Health Infrastructure to Address Mental Health Disorders among People Living with HIV in Sub-Saharan Africa.","authors":"Faraan O Rahim, Kavya Kannan, Meghna Katyal, Velda Wang, Zavera K Basrai, Henry S Q Lartey, Bhav Jain, Alessandro Hammond, Tej Patel, Brandon A Knettel","doi":"10.18865/EthnDis-2023-46","DOIUrl":"10.18865/EthnDis-2023-46","url":null,"abstract":"<p><p>People living with HIV in sub-Saharan Africa bear a disproportionate burden of mental and behavioral health disorders compared with the general population. Several health care systems throughout the region have made efforts to integrate HIV and mental health care, but these systems have met challenges in long-term sustainability due to limited care continuity and insufficient attention to social determinants of health. In this commentary, we propose evidence-based recommendations for integrating HIV and mental health care that may overcome these barriers. These strategies include mental health screenings and referrals during routine HIV clinic visits, community-based mobile clinics and telemedicine to expand access to mental health services, concurrent mental health and HIV education within schools, and models for future health care innovation. These approaches have the potential to offer an entire continuum of care for people living with HIV and co-occurring mental health disorders, mitigating the dual burden of these conditions in sub-Saharan Africa.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"53-57"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Cardiovascular Disease Associated with Serious Mental Illness among People of African Ancestry.","authors":"Margaret Salisu, Laura Geer, Elizabeth Helzner, Carla Boutin-Foster, Michele Pato","doi":"10.18865/EthnDis-2022-2029","DOIUrl":"10.18865/EthnDis-2022-2029","url":null,"abstract":"<p><strong>Background: </strong>Individuals with severe mental illness (SMI)-schizophrenia, schizoaffective disorder, and bipolar disorder-are at higher risk for cardiovascular disease (CVD) than the general population. Black Americans are known to have a higher prevalence of cardiovascular risk factors. However, the association of SMI with CVD and its risk factors in this population has not been widely examined.</p><p><strong>Methods: </strong>The analytic sample included 2305 participants from the African Ancestry-Genomic Psychiatric Cohort enrolled in Brooklyn, New York, between 2016 and 2020. SMI was identified by using the Diagnostic Interview for Psychoses and Affective Disorders. Associations between SMI and CVD and its risk factors, including high body mass index, diabetes, hypertension, and hypercholesterolemia, were evaluated by using logistic regression models adjusted for age, sex, alcohol, and tobacco use.</p><p><strong>Results: </strong>After multivariable adjustment, compared to those without SMI, participants with SMI had significantly higher odds of CVD and CVD risk factors. After adjusting for all CVD risk factors mentioned above, SMI was independently associated with 57% higher odds of CVD (OR=1.57; 95% CI, 1.14-2.15). These associations were more pronounced among middle-aged adults (30-49 years), most notably for CVD (OR=5.13; 95% CI, 2.45-10.75), hypercholesterolemia (OR=2.88; 95% CI, 1.80-4.64), and diabetes (OR=3.08; 95% CI, 1.88-5.02).</p><p><strong>Conclusions: </strong>In this sample, SMI was associated with higher CVD risk even after controlling for other CVD risk factors. There is an urgent need for earlier recognition and treatment of CVD and its risk factors in African American populations with SMI. Targeted clinical and lifestyle interventions in this population are warranted.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"58-64"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes in Mayan Populations: Monitoring of Glycosylated Hemoglobin.","authors":"Karla Stephanie Vázquez Encalada, Carlos Esteban Vázquez Gamboa, José Iván Martínez Rivera, Jonatan Jafet Uuh Narvaez, Maira Rubi Segura Campos","doi":"10.18865/EthnDis-2023-65","DOIUrl":"10.18865/EthnDis-2023-65","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) is a global health concern that has affected various populations worldwide. Among the various methods to monitor the progress and management of DM, glycosylated hemoglobin (HbA_1c) serves as a key marker for understanding long-term glucose control. The Mayan populations of Yucatan represent a unique demographic in which the prevalence and management of DM can be distinctively analyzed.</p><p><strong>Method: </strong>In this study, HbA_1c levels were monitored over 12 months in 1722 patients with DM from 17 medical units of the Mexican Institute of Social Security in the southern region of Yucatan. Based on initial HbA_1c levels, patients were assigned to either standard or intensive treatment. Treatment efficacy was analyzed based on sex, age, and location.</p><p><strong>Results: </strong>HbA_1c levels significantly decreased in patients receiving intensive treatment, from means (±SD) of 9.7±1.9% to 8.9±2.0% after 12 months (P=.001), with notable reductions in remote areas such as Akil and Huntochac (P<.05). Although slight reductions were observed among women and middle-aged individuals, these reductions were not statistically significant (P=.2 and P=.4, respectively). Despite the initial improvement, standard treatment was more effective for maintaining long-term glycemic stability, with lower variability and better adherence. However, a 10% increase in HbA_1c was observed in this group by the end of the study.</p><p><strong>Conclusion: </strong>Monitoring of DM in Mayan populations revealed significant HbA_1c reductions with intensive treatment, especially in remote areas. Consequently, strategies to improve primary care and promote self-care in DM patients in the Mayan population must be implemented.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"65-72"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case for Centering Health Equity as a Research Priority in Majority White Academic Medical Centers.","authors":"Elizabeth A Bonney, Gagan Deep Bajaj, Olivia O Darko, Maria Mercedes Avila, Brittany M Williams","doi":"10.18865/EthnDis-2024-14","DOIUrl":"10.18865/EthnDis-2024-14","url":null,"abstract":"<p><strong>Setting: </strong>In this commentary, 5 women of color who are engaged in different aspects of the research mission at the University of Vermont weigh in on the historical importance, current rationale, and persisting barriers to impactful health equity research.</p><p><strong>Objective: </strong>Based on existing information, we delineate recommendations to grow capacity in this and similar majority White academic medical centers.</p><p><strong>Conclusion: </strong>Our assertion is that an evolving, robust, and engaged infrastructure to support this research will benefit patients, faculty, and systems by providing evidence-based and culturally competent solutions that center and enhance the overall health of marginalized populations.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"49-52"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Cognitive Performance Among Older People Living with HIV in Georgia.","authors":"Esma Imerlishvili, Deborah Gustafson, Davit Baliashvili, Ana Karaulashvili, Jack DeHovitz, Mamuka Djibuti","doi":"10.18865/EthnDis-2024-17","DOIUrl":"10.18865/EthnDis-2024-17","url":null,"abstract":"<p><strong>Introduction: </strong>Highly effective antiretroviral therapy has increased the life expectancy of people living with HIV (PLWH), resulting in an increase in noncommunicable diseases, including cognitive and mental health disorders. Published literature on cognitive performance in older PLWH is scarce in low- and middle-income countries, including Georgia. Our study aimed to assess mental health and cognitive performance and identify associated factors among PLWH aged ≥40 years.</p><p><strong>Methods: </strong>Primary mental health and behavior assessments included the Drug Use Disorder Identification Test, the Alcohol Use Disorder Identification Test, the Beck Depression Inventory (BDI), and the General Anxiety Disorder 7 (GAD-7). Cognitive assessments included the Montreal Cognitive Assessment (MoCA); Trail Making Tests A and B; verbal fluency; Stroop 1, 2, and 3; and Grooved Pegboard. Univariate and multivariable regression analyses were performed to identify factors associated with cognitive performance.</p><p><strong>Results: </strong>Our sample included 125 PLWH (78 men, 47 women). Drug use-related problems or drug dependence was observed in 36% and hazardous or harmful alcohol consumption among 23%. Mild to extreme depressive symptoms were observed among 51% and mild to severe anxiety among 47%. A MoCA score <26 was observed among 89%. Multivariable regression analyses showed higher mean scores on the Stroop Test 3 associated with higher scores on the GAD-7 (β=.40; 95% CI, 0.12-0.68) and BDI (β=.70; 95% CI, 0.17-1.2). No other associations were observed.</p><p><strong>Conclusion: </strong>This study shows high percentages of psychiatric and cognitive morbidities among older PLWH in Georgia. Longitudinal studies should be conducted to evaluate cognitive performance and associated factors among older PLWH in Georgia.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"73-82"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occurrence of Comorbid Metabolic and Depressive Symptoms across Sociodemographic Categories in the United States.","authors":"Tyra Dark, George Rust","doi":"10.18865/EthnDis-2024-29","DOIUrl":"10.18865/EthnDis-2024-29","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to quantify the prevalence of metabolic syndrome and depressive symptoms across racial/ethnic and socioeconomic strata in a nationally representative U.S. sample.</p><p><strong>Methods: </strong>We used National Health and Nutrition Examination Survey 2017-March 2020 data for participants aged 18 years and older. Prevalence of depressive symptoms and metabolic syndrome alone and in combination was measured across racial/ethnic, sex, age, and income strata. Chi-square tests were used for between-group comparisons.</p><p><strong>Results: </strong>Over 7% of sampled adults had comorbid depressive symptoms and metabolic syndrome, representing 18.3 million Americans. These conditions were not equally distributed across racial/ethnic groups (χ²=124.28, P<.0001). The non-Hispanic Asian group was least likely to have either condition. Differences by economic status were also significant (χ²=86.61, P<.0001). Those in the highest economic group were least likely to have either or both conditions.</p><p><strong>Conclusions: </strong>Disparities in comorbid conditions exist across socioeconomic and demographic strata. Achieving optimal and equitable health outcomes for people with these comorbidities will require \"whole-person-in-context\" interventions. Integrated approaches to coexisting medical, psychological, and social complexities are needed.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 2","pages":"83-86"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Case-Fatality Rates in Michigan Are Higher for Arab Americans Compared With Non-Hispanic White Individuals for the Oldest Age Groups.","authors":"Florence J Dallo, Tiffany B Kindratt, Randell Seaton, Julie J Ruterbusch","doi":"10.18865/EthnDis-2023-82","DOIUrl":"10.18865/EthnDis-2023-82","url":null,"abstract":"<p><p>The aim of this study was to estimate and compare the age-specific and sex-adjusted case-fatality rates (CFRs) among Arab Americans to Hispanic, non-Hispanic Black, non-Hispanic White, and Asian adults living in Michigan. Data from Michigan's vital records, surveillance data (March 2020-July 2021), and an Arab/Chaldean surname algorithm were used. We used χ² tests to determine statistically significant differences between groups. Logistic regression was used to estimate age-specific and sex-adjusted CFRs. Arab Americans had a lower CFR of 1.54% compared with Asian (1.97%), non-Hispanic White (2.17%), and non-Hispanic Black adults (3.36%), regardless of sex. For those 80 years of age or older, Arab American (30.72%) and Asian adults (31.47%) had higher CFR compared with the other racial or ethnic groups, with non-Hispanic White adults displaying a lower CFR of 18.28%. An Arab American ethnic identifier would likely increase the visibility of this population so that they can be included in the efforts to increase awareness, testing, and prevention strategies of COVID-19 or similar pandemics that might be facing us in the future.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"35-40"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges to Social Connection Among Black Men with Chronic Conditions: Examination of Structural, Functional, and Quality Domains.","authors":"Thomas K M Cudjoe, Harry O Taylor, Ledric D Sherman, Caroline D Bergeron, Jeremy Holloway, Annie Nguyen, Matthew Lee Smith","doi":"10.18865/EthnDis-2024-8","DOIUrl":"10.18865/EthnDis-2024-8","url":null,"abstract":"<p><strong>Objectives: </strong>Limited social connection places individuals at greater risk for chronic conditions; however, there is limited research examining the association between chronic conditions and barriers to disease self-management on social connections. Our study addresses this gap in the empirical literature by examining these issues among Black men aged 40+ years with 1 or more chronic conditions.</p><p><strong>Methods: </strong>Data came from a national sample of 1200 Black men. We conducted 3 multivariate logistic regression models examining social connection domains (did not have people to call for help, felt isolated from others, and were not content with relationships/friendships) on 3 independent variables: the number of chronic health conditions, cut down or skipped social activities because of health problems, and self-reported barriers to disease self-management. Sociodemographic covariates for all regression models included age, education, partner status, and annual household income.</p><p><strong>Results: </strong>Men were aged 56.7 (±9.7) years and self-reported 4.0 (±2.9) chronic conditions. Approximately 1 in 4 participants reported that they did not have enough people to call for help (25.2%), felt isolated from others (26.0%), and were not content with friendships/relationships (23.8%). Across multivariate models, men who reported more barriers to disease self-management were significantly more likely to report a social connection domain challenge. The number of chronic conditions and cutting down or skipping social activities because of health problems were also associated with a greater likelihood of social connection challenges.</p><p><strong>Conclusions: </strong>Efforts to improve the self-management of illness symptomology may mitigate challenges to social connection among middle-aged and older Black men.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"41-47"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex, Race, and Ethnic Disparities in Cardiovascular Disease Risk Factors among Service Members and Veterans.","authors":"Sheila Faye Castañeda, Scott Christopher Roesch, Neika Sharifian, Claire Alexis Kolaja, Felicia Renee Carey, Ltc Keyia Nichole Carlton, Julia Susan Seay, Rudolph Pecundo Rull","doi":"10.18865/EthnDis-2023-81","DOIUrl":"10.18865/EthnDis-2023-81","url":null,"abstract":"<p><strong>Background: </strong>Health disparities in cardiovascular disease (CVD) risk factors persist among racially, ethnically, and sex diverse civilian populations. Little is known about whether these disparities persist in US military populations. The aim of this study was to examine and describe differences in CVD risk factors by sex, race, and ethnicity among US service members and veterans of Operation Enduring Freedom/Operation Iraqi Freedom conflicts.</p><p><strong>Method: </strong>Sex, racial, and ethnic differences in CVD risk factors (self-reported diagnoses of hypertension, high cholesterol, and diabetes, obese body mass index, and current smoking) were examined in 2014-2016 among 103,245 service members and veterans (age [years], M=40, SD=11; 70.3% men; 75.7% non-Hispanic White adults) enrolled in the Millennium Cohort Study. A series of ordinal regressions were conducted sequentially adjusting for sociodemographic, military, behavioral, and psychosocial factors.</p><p><strong>Results: </strong>Overall, 59% of participants reported at least 1 CVD risk factor. Men had greater odds of screening positive for CVD risk factors than did women. Non-Hispanic Asian or Pacific Islander adults had lower odds of screening positive for CVD risk factors than did non-Hispanic White adults. Although unadjusted models showed non-Hispanic Black, Hispanic/Latino, and non-Hispanic American Indian/Alaska Native individuals had greater odds of screening positive for CVD risk factors, these associations were attenuated or reversed after adjusting for sociodemographic, military, behavioral, and/or psychosocial factors.</p><p><strong>Conclusion: </strong>Due to differences in CVD risk by sex, race, and ethnicity among service members and veterans, studies are needed to understand the potential mechanisms that explain persistent disparities. Implementation of CVD prevention interventions should be considered.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"8-16"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Associations between Race/Ethnicity and Glaucoma Prevalence in a Multicenter Brazilian Study: The ELSA-Brasil.","authors":"Patrícia Sena P de G V Protásio, Maria da Conceição Almeida, Marcelo Krieger Maestri, Geraldo Bezerra da Silva Junior, Sheila Alvim, André R Brunoni, Kallene S M Vidal, Estela M L Aquino, Paulo A Lotufo, Sandhi M Barreto, Maria Inês Schmidt, Antonio Alberto Lopes","doi":"10.18865/EthnDis-2024-6","DOIUrl":"10.18865/EthnDis-2024-6","url":null,"abstract":"<p><strong>Purpose: </strong>Previous research indicates a higher prevalence of glaucoma in Black individuals of African descent. However, the association between race and glaucoma in Brazil's multiracial population remains underexplored. This study examines this association and seeks to identify preventable factors potentially influencing prevalence differences among racial groups in Brazil, should such difference be found.</p><p><strong>Methods: </strong>Employing a cross-sectional design, data were analyzed from 10,696 participants in the multicenter Brazilian Longitudinal Study of Adult Health (2008-2010) who self-identified their race as White, Black, mixed race (<i>pardo</i>), Asian, or Indigenous and completed an ophthalmological questionnaire including their self-reported glaucoma status (yes or no). Poisson regression was used to estimate prevalence ratios (PRs) with robust SEs and adjustments for sociodemographic characteristics and the presence of diabetes, hypertension, and obesity.</p><p><strong>Results: </strong>The prevalence of glaucoma was 5.8% in Black (86/1483), 3.8% in mixed race (101/2688), 3.8% in indigenous (4/106), 3.5% in Asian (10/288), and 2.4% in White (145/6131) populations. Compared with Whites, Blacks and mixed-race individuals were younger. Age-adjusted prevalence was 175% higher in Black individuals (PR=2.75, 95% confidence interval [CI]: 2.12, 3.56) and 85% higher in mixed-race individuals (PR=1.85, 95% CI: 1.44, 2.36) compared with Whites. The strength of these associations was reduced in models including the comorbidities of obesity, hypertension, and diabetes, which are more prevalent in Black and mixed-race individuals.</p><p><strong>Conclusions: </strong>Our results reveal a higher prevalence of self-reported glaucoma in non-White groups, especially among Black and mixed-race individuals. Although causality cannot be conclusively established, our data suggest that the increased prevalence of glaucoma in these groups, compared with their White peers, is partially influenced by preventable health conditions.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"27-34"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}