Ethnicity & Disease最新文献

{"title":"Advancing Inclusive Research: Establishing Collaborative Strategies to Improve Diversity in Clinical Trials.","authors":"Owen Garrick,&nbsp;Ruben Mesa,&nbsp;Andrea Ferris,&nbsp;Edward S Kim,&nbsp;Edith Mitchell,&nbsp;Otis W Brawley,&nbsp;John Carpten,&nbsp;Keith D Carter,&nbsp;Joseph Coney,&nbsp;Robert Winn,&nbsp;Stephanie Monroe,&nbsp;Fabian Sandoval,&nbsp;Edith Perez,&nbsp;Mitzi Williams,&nbsp;Evan Grove,&nbsp;Quita Highsmith,&nbsp;Nicole Richie,&nbsp;Susan M Begelman,&nbsp;Asha S Collins,&nbsp;Jamie Freedman,&nbsp;Melissa S Gonzales,&nbsp;Gerren Wilson","doi":"10.18865/ed.32.1.61","DOIUrl":"https://doi.org/10.18865/ed.32.1.61","url":null,"abstract":"<p><p>Well-characterized disparities in clinical research have disproportionately affected patients of color, particularly in underserved communities. To tackle these barriers, Genentech formed the External Council for Advancing Inclusive Research, a 14-person committee dedicated to developing strategies to increase clinical research participation. To help improve the recruitment and retention of patients of color, this article chronicles our efforts to tangibly address the clinical research barriers at the system, study, and patient levels over the last four years. These efforts are one of the initial steps to fully realize the promise of personalized health care and provide increased patient benefit at less cost to society. Instead of simply acknowledging the problem, here we illuminate the collaborative and multilevel strategies that have been effective in delivering meaningful progress for patients.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 1","pages":"61-68"},"PeriodicalIF":3.2,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785867/pdf/ethndis-32-61.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39741484","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":"Electronic Health Literacy among Linguistically Diverse Patients in the Los Angeles County Safety Net Health System.","authors":"Cristina Valdovinos, Giselle Perez-Aguilar, Roberto Gonzalez Huerta, Chesca Barrios, Griselda Gutierrez, Carmen Mendez, Anshu Abhat, Gerardo Moreno, Arleen Brown, Alejandra Casillas","doi":"10.18865/ed.32.1.21","DOIUrl":"10.18865/ed.32.1.21","url":null,"abstract":"<p><strong>Background: </strong>Electronic health (eHealth) literacy may affect telehealth uptake, yet few studies have evaluated eHealth literacy in underserved populations.</p><p><strong>Objective: </strong>The objective of this study was to describe technology access and use patterns as well as eHealth literacy levels among English-speaking and LEP patients in a Los Angeles safety net health system.</p><p><strong>Methods: </strong>Patients, aged ≥18 years with a diagnosis of diabetes mellitus and/or hypertension, and their caregivers were recruited from three primary care safety-net clinics in Los Angeles County (California) between June - July 2017. Participants' electronic health literacy was assessed by the eHealth Literacy Scale (eHEALS); participants were also asked about technology access and use. We examined these measures in English-speaking and limited English proficient (LEP) Spanish-speaking patients.</p><p><strong>Results: </strong>A total of 71 participants (62 patients and 9 caregivers) completed the questionnaire. The mean age of the respondents was 56 years old. More than half of participants used a phone that could connect to the Internet (67%). The mean score for 10 eHEALS items was in the moderate range (26/50 points). There was no difference in mean eHEALS between language groups. However, 47% of Spanish-speaking participants \"agreed/strongly agreed\" that they knew how to use the Internet to answer their health questions, compared to 68% of English-speaking participants (P<.05).</p><p><strong>Conclusions: </strong>In this sample of patients from a diverse safety net population, perceived skills and confidence in engaging with electronic health systems were low, particularly among LEP Spanish-speakers, despite moderate levels of electronic health literacy. More studies are needed among diverse patient populations to better assess eHealth literacy and patients' digital readiness, and to examine how these patient metrics directly impact telehealth utilization.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 1","pages":"21-30"},"PeriodicalIF":3.4,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785863/pdf/ethndis-32-21.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9308862","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 Qualitative Analysis on Sexual and Reproductive Health Needs and Issues During COVID-19 Using a Reproductive Justice Framework.","authors":"Patanjali de la Rocha,&nbsp;May Sudhinaraset,&nbsp;Nicole V Jones,&nbsp;Catherine Kim,&nbsp;Alejandra Cabral,&nbsp;Bita Amani","doi":"10.18865/ed.32.4.357","DOIUrl":"https://doi.org/10.18865/ed.32.4.357","url":null,"abstract":"<p><p>The COVID-19 pandemic exacerbated existing health inequities, further exposing the challenges in meeting the sexual and reproductive health (SRH) needs, particularly for Black, Indigenous and People of Color (BIPOC). We interviewed 11 key informants through three focus groups to explore barriers and pathways to SRH care for BIPOC during COVID-19 in the United States. Reimagining reproductive health practices requires holistic practices and multisector pathways, a comprehensive reproductive justice approach. This includes interventions across the sexual and reproductive health continuum. Using a deductive-dominant approach grounded in reproductive justice values, we explore themes around SRH during COVID-19. Five themes for advancing reproductive justice were identified: \"supremacy of birth\"; police violence as a determinant of SR mental health; addressing quality of care outside of hospital settings; digital redlining; and centering joy, liberation, and humanity.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 4","pages":"357-372"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590595/pdf/ethndis-32-357.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327808","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":"Factors Associated with Anticoagulation Initiation for New Atrial Fibrillation in an Urban Emergency Department.","authors":"Johanna Seiden,&nbsp;Samantha Lessen,&nbsp;Natalie T Cheng,&nbsp;Benjamin W Friedman,&nbsp;Daniel L Labovitz,&nbsp;Charles C Esenwa,&nbsp;Ava L Liberman","doi":"10.18865/ed.32.4.325","DOIUrl":"https://doi.org/10.18865/ed.32.4.325","url":null,"abstract":"<p><strong>Objective: </strong>To explore factors associated with anticoagulation (AC) initiation after atrial fibrillation (AF) diagnosis.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Urban medical center.</p><p><strong>Patients: </strong>Adults with emergency department (ED) diagnosis of new onset AF from 1/1/2017-1/1/2020 discharged home.</p><p><strong>Methods: </strong>We compared patients initiated on AC, our primary outcome, to those not initiated on AC. Stroke, major bleeding, and AC initiation within 1 year of visit were secondary outcomes. We hypothesized that minority race and non-English language preference are associated with failure to initiate AC.</p><p><strong>Results: </strong>Of 111 patients with AF, 88 met inclusion criteria. Mean age was 65 (SD 15); 47 (53%) were women. 49 (56%) patients were initiated on AC. Age (61 vs 68 years; P=.02), non-English language (28% vs 10%; P=.03), leaving ED against medical advice (AMA) (36% vs 14%; P=.04), and CHA²DS²-VASc score of 1 (41% vs 6%; P<=.001) were associated with no AC initiation. There were no associations between patient-reported race/ethnicity and AC. Cardiology consultation (83.67% vs 30.78%; P<.0001) and higher median CHA²DS²-VASc score (3[2-4]) vs. 2[1-4]; P=.047) were associated with AC. Of 73 patients with follow-up data at 1 year, 2 (8%) not initiated on AC had strokes, 2 (4%) initiated on AC had major bleeds, and 15 (62.5%) not initiated on AC in the ED subsequently were initiated on AC.</p><p><strong>Conclusion: </strong>More than half of ED patients with new AF eligible for AC were initiated on it. Work to improve AC utilization among patients with new AF who left AMA from ED and those who prefer to communicate in a non-English language may be warranted.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 4","pages":"325-332"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590604/pdf/ethndis-32-325.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327811","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":"Perceived Severity of COVID-19 in a Longitudinal Study in Detroit, Michigan.","authors":"Danting Yang,&nbsp;Abram L Wagner,&nbsp;Sherri Sheinfeld Gorin","doi":"10.18865/ed.32.3.231","DOIUrl":"https://doi.org/10.18865/ed.32.3.231","url":null,"abstract":"<p><strong>Objective: </strong>To slow down the spread of SARS-CoV-2, many countries have instituted preventive approaches (masks, social distancing) as well as the distribution of vaccines. Adherence to these preventive measures is crucial to the success of controlling the pandemic but decreased perceptions of disease severity could limit adherence. The aim of our study was to observe changes in perceived personal severity and perceived community severity; the study also explored their predictors.</p><p><strong>Methods: </strong>In a longitudinal study from an address-based probability survey in Detroit, we asked participants to rate their perceived severity of COVID-19 for themselves and for their community. In our analysis, 746 participants were queried across 5 waves of the Detroit Metro Area Communities Study surveys from March 31 to October 27 in 2020. We tested for trends in changes of self-reported perceived severity for themselves and for their community; we assessed the effects of different predictors of the two severities through mixed effects logistic regression models.</p><p><strong>Results: </strong>Our results highlight that the overall levels of perceived community and personal severity were decreasing over time even though both severities were fluctuating with rising confirmed case counts. Compared with non-Hispanic (NH) White Detroiters, NH Black Detroiters reported a higher perceived personal severity (OR: 5.30, 95% CI: 2.97, 9.47) but both groups reported similar levels of perceived community severity. We found steeper declines in perceived severity in NH White than NH Black Detroiters over time; the impact of education and income on perceived severity was attenuated in NH Black Detroiters compared with NH White Detroiters.</p><p><strong>Conclusions: </strong>Our findings suggested that perceived severity for COVID-19 decreased through time and was affected by different factors among varied racial/ethnic groups. Future interventions to slow the pace of the pandemic should take into account perceived personal and community severities among varied ethnic/racial subgroups.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 3","pages":"231-238"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311308/pdf/ethndis-32-231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103829","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":"The Prevalence of Multimorbidity among Foreign-born Adults in the United States.","authors":"Rebecca E Jones,&nbsp;Lubaba Tasnim,&nbsp;Solveig A Cunningham","doi":"10.18865/ed.32.3.213","DOIUrl":"https://doi.org/10.18865/ed.32.3.213","url":null,"abstract":"<p><strong>Objective: </strong>We examined multimorbidity among foreign-born adults in the United States. This population may be particularly affected by chronic conditions and limited health care access.</p><p><strong>Design: </strong>Longitudinal cohort.</p><p><strong>Setting: </strong>United States.</p><p><strong>Participants: </strong>Foreign-born adults at the point of legal permanent residency.</p><p><strong>Main outcome measures: </strong>Multimorbidity defined as two or more of eight chronic conditions (hypertension, diabetes, obesity, arthritis, stroke, cancer, chronic lung disease, and heart problems).</p><p><strong>Methods: </strong>We estimated the prevalence of multimorbidity and patterns over time. Data are from the New Immigrant Survey (NIS), a nationally representative study of adult immigrants at green card status in 2003 (N=8,174) and reinterview in 2008.</p><p><strong>Results: </strong>The prevalence of multimorbidity was 6% in 2003, and 12% in 2008. The most common condition dyad at both time points was hypertension-obesity; the largest increase over time was in combinations that included hypertension, diabetes, and obesity. The odds of having multimorbidity compared to no chronic conditions were higher among older immigrants and those who had seen a doctor in the past year. The odds of gaining one chronic condition over a 5-year period increased with age; 45-65 years: OR 2.8[CI 2.3,3.5]; aged ≥65 years: OR 3.2 CI[2.2,4.7].</p><p><strong>Conclusions: </strong>The prevalence of multimorbidity among immigrants was lower than the prevalence in the overall US population of the same age, consistent with studies showing an immigrant health advantage.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 3","pages":"213-222"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311306/pdf/ethndis-32-213.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103835","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":"The Role of Financial Strain and Educational Attainment on Smoking Abstinence of African Americans and Whites Who Smoke.","authors":"Dale Dagar Maglalang,&nbsp;Jaqueline C Avila,&nbsp;Jasjit S Ahluwalia,&nbsp;Cara M Murphy,&nbsp;Adam C Alexander,&nbsp;Nicole L Nollen","doi":"10.18865/ed.32.3.223","DOIUrl":"https://doi.org/10.18865/ed.32.3.223","url":null,"abstract":"<p><strong>Objective: </strong>To examine if reduced financial strain and higher educational attainment would confer less advantage for successful cessation among African Americans than for White individuals.</p><p><strong>Design: </strong>A secondary data analysis of the Quit2Live study, a smoking cessation intervention for individuals who smoke.</p><p><strong>Setting: </strong>Recruited participants from a metropolitan city in the Midwest.</p><p><strong>Participants: </strong>The sample included 224 African American and 225 White individuals who smoke.</p><p><strong>Main outcome measures: </strong>Our outcome variable was cotinine-verified smoking abstinence at the end-of-treatment (week 12). Our explanatory variables were a combination of financial strain (high, low) and educational attainment (high, low).</p><p><strong>Methods: </strong>We implemented a logistic regression analysis and a two-way interaction of the combined financial strain and educational attainment variable and race on smoking abstinence.</p><p><strong>Results: </strong>About 25% of the study participants were low financial strain and high education, 41% high financial strain and high education, 23% high financial strain and low education, and 11% low financial strain and low education. A greater proportion of African Americans vs Whites were in the high financial strain/low educational attainment category (28% vs 18%, P = .01). Participants with high financial strain and low educational attainment had substantially lower odds of abstinence (OR = .29 [95% CI: .12, .68]) compared to participants with low financial strain and high educational attainment. Contrary to our hypothesis, race did not moderate this association.</p><p><strong>Conclusion: </strong>Findings highlight the constraining role of high financial strain and low educational attainment, irrespective of race, on smoking abstinence among smokers actively engaged in a quit attempt.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 3","pages":"223-230"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311309/pdf/ethndis-32-223.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103833","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":"Global and Rural Health Disparities.","authors":"Isabel C Scarinci,&nbsp;Jodie A Dionne","doi":"10.18865/ed.32.4.265","DOIUrl":"https://doi.org/10.18865/ed.32.4.265","url":null,"abstract":"Ethn Dis. 2022;32(4):265-268; doi:10.18865/ed.32.4.265","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 4","pages":"265-268"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590599/pdf/ethndis-32-265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327806","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 Vaccine Attitudes and Barriers among Unvaccinated Residents in Rural Northern/Central Illinois.","authors":"Manorama M Khare,&nbsp;Kristine Zimmermann,&nbsp;Francis K Kazungu,&nbsp;David Pluta,&nbsp;Alexia Ng,&nbsp;Amanda R Mercadante,&nbsp;Anandi V Law","doi":"10.18865/ed.32.4.305","DOIUrl":"https://doi.org/10.18865/ed.32.4.305","url":null,"abstract":"<p><strong>Background: </strong>Rural communities have lower COVID-19 vaccine uptake and poorer health outcomes compared to non-rural communities, including in rural, northern/central Illinois. Understanding community perceptions about vaccination is critical for developing targeted responses to improve vaccine uptake in rural communities and meet global vaccination targets.</p><p><strong>Purpose: </strong>This study examines COVID-19 vaccine attitudes and barriers as well as the impact of COVID-19 on specific health behaviors of residents in rural northern/central Illinois to inform efforts to increase vaccine uptake.</p><p><strong>Methods: </strong>In collaboration with community partners and local health departments, we conducted a 54-item, English-language, online questionnaire from Feb 11 to March 22, 2021; the questionnaire included the COVID behavioral questionnaire scale (CoBQ), as well as questions on intention to vaccinate, vaccination attitudes, and barriers to vaccine access. Descriptive and bivariate analyses assessed participant differences based on intention to vaccinate.</p><p><strong>Results: </strong>Most unvaccinated survey respondents (n = 121) were White (89.3%) and female (78.5%), with an average age of 52.3±14.1 years. Lack of intention to vaccinate was negatively associated with trust in the science behind vaccine development (P = .040), belief in the safety of the vaccine (P = .005) and belief that the vaccine was needed (P=.050). CoBQ scores of respondents who intended to get vaccinated differed significantly from those who did not (P<.001), showing a greater negative impact of COVID-19 on engaging in health behaviors for vaccine-hesitant participants.</p><p><strong>Conclusion: </strong>Study findings show mistrust of science and lack of confidence in vaccine safety are barriers to vaccination in rural northern Illinois residents. Similar results have been reported in low- and middle-income countries.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 4","pages":"305-314"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590596/pdf/ethndis-32-305.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327807","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":"Barely Tweeting and Rarely About Racism: Assessing US State Health Department Twitter Use During the COVID-19 Vaccine Rollout.","authors":"Natalie J Bradford,&nbsp;Bita Amani,&nbsp;Valencia P Walker,&nbsp;Mienah Z Sharif,&nbsp;Chandra L Ford","doi":"10.18865/ed.32.3.257","DOIUrl":"https://doi.org/10.18865/ed.32.3.257","url":null,"abstract":"<p><strong>Introduction: </strong>The general public was discussing racism and potential inequities in COVID-19 vaccinations among African Americans on Twitter before the first COVID-19 vaccine received emergency use authorization, but it is unclear how US state health departments (SHDs) were using Twitter to address the inequities. This study examines the frequency, content and timing of SHD tweets during the US rollout of the first SARS Co-V2 vaccine.</p><p><strong>Methods: </strong>This was a prospective study of tweets posted from the official Twitter accounts of each of the 50 US SHDs and the DC health department from October 19, 2020 to February 28, 2021. We retrieved the content and metadata of 100% of their tweets; calculated frequencies and proportions of tweets containing key terms related to COVID-19 vaccines, equity and racism; stratified the data by region; and charted longitudinal trends.</p><p><strong>Results: </strong>Overall, SHDs tweeted infrequently, and rarely tweeted about inequities, mistrust or racism. Though 55.48% of all SHD tweets were about COVID-19, hardly any tweets contained the terms: race/ethnicity (1.20%); equity (1.09); mistrust (.59%); or racism (.06%). Similar patterns existed among vaccination-related tweets, which accounted for 24.38% of all tweets. Only 21.64% of vaccination-related tweets containing any race/ethnicity, equity, mistrust, or racism terms were posted prior to the first Emergency Use Authorization (EUA). Those about African Americans (70.45%) were posted ≥8 weeks after EUA.</p><p><strong>Conclusions: </strong>Concerns about racism and inequities in COVID-19 vaccination continue on Twitter, but SHDs rarely tweet about them. This strikes a worrisome chord of disconnection from the science linking health inequities to racism.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"32 3","pages":"257-264"},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311300/pdf/ethndis-32-257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103831","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}