Ethnicity & Disease最新文献

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Parkinson's Disease Inequities in Daily Cognitive Activities: An Intersectional Approach. 帕金森病患者在日常认知活动中的不平等:交叉方法。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.113
Paris B Adkins-Jackson, Nicole Taikeff, Josephine Akingbulu, Justina F Avila-Rieger, Caitlin A Corona-Long
{"title":"Parkinson's Disease Inequities in Daily Cognitive Activities: An Intersectional Approach.","authors":"Paris B Adkins-Jackson, Nicole Taikeff, Josephine Akingbulu, Justina F Avila-Rieger, Caitlin A Corona-Long","doi":"10.18865/ed.34.2.113","DOIUrl":"10.18865/ed.34.2.113","url":null,"abstract":"<p><strong>Objective: </strong>Intersectionality approaches to examining differences in Parkinson's disease (PD) based on racialized group, gender identity, and socioeconomic status (SES) are not well covered in the literature. Additionally, the differences in daily cognitive activities for persons diagnosed with PD by racialized group, gender, and SES are undetermined. This study was conducted to explore the differences in PD daily cognitive activities for diverse racialized groups by gender and SES.</p><p><strong>Methods: </strong>This study was a secondary analysis of the Michael J. Fox Foundation's Fox Insight online clinical dataset. Persons with PD were partitioned into 16 racialized by gender groups (Black women, Indigenous men, Latina/x women, Asian men, etc.) that were used in within-group comparisons of low-, middle-, and high-SES-a new variable comprising education and income.</p><p><strong>Results: </strong>Intersectional analyses revealed most items differed between low-SES and high-SES except for items associated with Black and Indigenous men, for whom significant differential item functioning was found between mid-SES and high-SES.</p><p><strong>Conclusions: </strong>These findings revealed that within-group differences exist and may be missed in research in which social factors are adjusted for instead of included in the model.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"113-122"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555875","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}
引用次数: 0
Supporting Underserved Communities for Health Care: US Immigrants' Experiences with Social Support. 支持医疗服务不足的社区:美国移民的社会支持经历。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.66
Katrina Grace Sadang, Henry K Onyeaka, Michelle Guo, Elizabeth Daskalakis, Emma D Wolfe, Emma P Keane, Stephanie Fagbemi, Richard E Leiter, Rubiahna Vaughn, Hermioni L Amonoo
{"title":"Supporting Underserved Communities for Health Care: US Immigrants' Experiences with Social Support.","authors":"Katrina Grace Sadang, Henry K Onyeaka, Michelle Guo, Elizabeth Daskalakis, Emma D Wolfe, Emma P Keane, Stephanie Fagbemi, Richard E Leiter, Rubiahna Vaughn, Hermioni L Amonoo","doi":"10.18865/ed.34.2.66","DOIUrl":"10.18865/ed.34.2.66","url":null,"abstract":"<p><strong>Background: </strong>Social support is associated with improved clinical outcomes but is understudied among US immigrants. We examined two types of social support, perceived health provider support and community support, and characterized perceptions of social support among US immigrants compared with nonimmigrants.</p><p><strong>Methods: </strong>We conducted cross-sectional data analysis on self-reported data from Health Information National Trends Survey 5, Cycle 2. Population-level estimates were obtained using jack-knife replicate weights.</p><p><strong>Results: </strong>Immigrant status was not associated with perceived health care provider support or community support. However, compared with nonimmigrants, US immigrants were more likely to report rarely (adjusted odds ratio [aOR]=3.07) or never (aOR=3.18) having access to emotional support.</p><p><strong>Conclusions: </strong>Further research that incorporates nuanced factors (eg, time since arrival) that may influence social support in diverse US immigrant groups is needed to determine the impact of social support on health outcomes in an underserved and often overlooked population.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"66-74"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555876","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}
引用次数: 0
Increasing Emotional Distress and Use of Health Services among Hospitality Industry Workers During and After the COVID-19 Lockdown. 在 COVID-19 封锁期间和之后,酒店业工人的情绪困扰和使用医疗服务的情况不断增加。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.75
Pearl C Kim, Christopher Cochran, Billy Bai, Neeraj Bhandari, Bethany Khan, Estella Sky Keyoung, Jay J Shen
{"title":"Increasing Emotional Distress and Use of Health Services among Hospitality Industry Workers During and After the COVID-19 Lockdown.","authors":"Pearl C Kim, Christopher Cochran, Billy Bai, Neeraj Bhandari, Bethany Khan, Estella Sky Keyoung, Jay J Shen","doi":"10.18865/ed.34.2.75","DOIUrl":"10.18865/ed.34.2.75","url":null,"abstract":"<p><strong>Objective: </strong>To examine the emotional distress situation among hospitality industry workers and their access to and use of health care including telehealth services during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A survey was administered on the Qualtrics platform both in English and Spanish from November 18, 2020, to November 30, 2020, through the Culinary Workers Union in Nevada. A total of 1182 union members participated in the survey, of whom 892 completed the survey. Descriptive and multivariable regression analyses were conducted.</p><p><strong>Results: </strong>Among 892 respondents, 78% were people of color; 71% were laid off or furloughed during the COVID-related shutdown, but most had access to health care. Further, 78.8% experienced at least 2 or more signs of emotional distress during the pandemic. Females and unemployment status were positively associated with experiencing emotional distress. About 43.5% received care through telehealth, although most did not prefer telehealth (74.2%). Only 18.3% of non-telehealth users were interested in telehealth and 15.0% had never heard about telehealth.</p><p><strong>Conclusions: </strong>Health insurance coverage is essential for access to health services regardless of employment status. Strengthening mental health services, including psychological counselling for hospitality workers, is needed in such public health emergency situations as the ongoing COVID-19 pandemic.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"75-83"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555874","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}
引用次数: 0
Everyday Violence: Immigration Enforcement, COVID-19, and Depression among Undocumented Young Adults in California. 日常暴力:移民执法、COVID-19 和加州无证青年中的抑郁症。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.84
Ezinne Nwankwo, Hye Young Choi, Steve Li, May Sudhinaraset
{"title":"Everyday Violence: Immigration Enforcement, COVID-19, and Depression among Undocumented Young Adults in California.","authors":"Ezinne Nwankwo, Hye Young Choi, Steve Li, May Sudhinaraset","doi":"10.18865/ed.34.2.84","DOIUrl":"10.18865/ed.34.2.84","url":null,"abstract":"<p><strong>Background: </strong>The immigration enforcement system has significant effects on the health of immigrants, their families, and society. Exposure to the immigration enforcement system is linked to adverse mental health outcomes, which may have been exacerbated by sustained immigration enforcement activities during the COVID-19 pandemic.</p><p><strong>Objectives: </strong>This study was conducted to investigate the association between exposure to immigration enforcement and the mental health of undocumented young adults in California during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Data are from the COVID-19 BRAVE (Building Community Raising All Immigrant Voices for Health Equity) Study, a community-engaged cross-sectional survey of the impacts of the COVID-19 pandemic on undocumented immigrants in California. A total of 366 undocumented immigrants between 18 and 39 years of age completed the online survey, which was conducted between September 2020 and February 2021. Multivariable logistic regression models were fit to examine the association between immigration enforcement exposure and depression.</p><p><strong>Results: </strong>Almost all participants (91.4%) disclosed exposure to the immigration enforcement system, with most reporting an average of 3.52 (SD=2.06) experiences. Multivariate analyses revealed that an increase in the immigration enforcement exposure score was significantly associated with higher odds of depression (adjusted odds ratio [aOR]=1.24; 95% confidence interval [CI]: 1.10, 1.40), and women were 92% more likely to report depression than were men (aOR=1.92; 95% CI: 1.12, 3.31). Those who reported deportation fears were significantly more likely to be depressed (aOR=1.24; 95% CI: 1.10, 1.40).</p><p><strong>Conclusions: </strong>Researchers should consider the mental health implications of a punitive immigration enforcement system, and policymakers should examine the impacts of immigration policies on local communities.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"84-92"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555873","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}
引用次数: 0
Conducting Community-Based Research in An African Immigrant Population: Lessons Learned. 在非洲移民群体中开展基于社区的研究:经验教训。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.60
Clara M Gona, Kathryn Kieran, Jennifer Durning, Lisa-Marie O'Brien, Rosalia Gotora, Tricia Gordon, Philimon N Gona
{"title":"Conducting Community-Based Research in An African Immigrant Population: Lessons Learned.","authors":"Clara M Gona, Kathryn Kieran, Jennifer Durning, Lisa-Marie O'Brien, Rosalia Gotora, Tricia Gordon, Philimon N Gona","doi":"10.18865/ed.34.2.60","DOIUrl":"10.18865/ed.34.2.60","url":null,"abstract":"<p><strong>Background: </strong>Although small, the African immigrant population is one of the fastest growing immigrant populations in the United States. Emerging research indicates a high prevalence of noncommunicable preventable chronic conditions in this population. Like other African Americans, African immigrants are mistrustful of the health care system, hampering efforts for prevention and intervention research.</p><p><strong>Purpose: </strong>To describe our experiences conducting 2 studies in an African immigrant community, discuss the lessons learned, and provide advice to researchers interested in conducting research in similar populations.</p><p><strong>Design: </strong>The 2 published studies for which we derive lessons learned for this paper were a cross-sectional study and a qualitative study using focus group interviews. Participants included Zimbabwean immigrants in the Eastern United States recruited at religious festivals and community events. The 2 studies enrolled a total of 135 participants.</p><p><strong>Results: </strong>Of our recruitment goal of 120 in the first study, we enrolled only 98 despite numerous efforts. However, after strategically partnering with a community advisory board (CAB), in the second study, we met our recruitment goal within 4 months. With the CAB, we recruited a larger proportion of men (38% versus 24%). Without the CAB, 350 individuals agreed to participate, but only 98 (28%) returned the questionnaire, whereas with the CAB, 40 agreed to participate, and 37 (93%) successfully completed the study.</p><p><strong>Conclusion: </strong>Conducting health-related research in immigrants requires strategic partnerships with the community to build strong relationships between the research team and the target community. By nurturing these relationships, research teams can effectively access this hard-to-reach population and achieve high participation.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"60-65"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555872","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}
引用次数: 0
Intracranial Volume Is Driven by Both Genetics and Early Life Exposures: The SOL-INCA-MRI Study. 颅内容积由遗传和生命早期暴露共同驱动:SOL-INCA-MRI 研究。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.103
Tamar Sofer, Einat Granot-Hershkovitz, Wassim Tarraf, Paola Filigrana, Carmen R Isasi, Shakira F Suglia, Robert Kaplan, Kent Taylor, Martha L Daviglus, Fernando D Testai, Donglin Zeng, Jianwen Cai, Myriam Fornage, Hector M González, Charles DeCarli
{"title":"Intracranial Volume Is Driven by Both Genetics and Early Life Exposures: The SOL-INCA-MRI Study.","authors":"Tamar Sofer, Einat Granot-Hershkovitz, Wassim Tarraf, Paola Filigrana, Carmen R Isasi, Shakira F Suglia, Robert Kaplan, Kent Taylor, Martha L Daviglus, Fernando D Testai, Donglin Zeng, Jianwen Cai, Myriam Fornage, Hector M González, Charles DeCarli","doi":"10.18865/ed.34.2.103","DOIUrl":"10.18865/ed.34.2.103","url":null,"abstract":"<p><p>Intracranial volume (ICV) reflects maximal brain development and is associated with later-life cognitive abilities. We quantified ICV among first- and second-generation Hispanic and Latino adults from the Study of Latinos-Investigation of Cognitive Aging - MRI (SOL-INCA-MRI), estimated ICV heritability, and tested its associations with previously reported genetic variants, both individually and as a genetic risk score (GRS). We also estimated the association of ICV with early life environmental measures: nativity or age of immigration and parental education. The estimated heritability of ICV was 19% (95% CI, 0.1%-56%) in n=1781 unrelated SOL-INCA-MRI individuals. Four of 10 tested genetic variants were associated with ICV and an increase of 1 SD of the ICV-GRS was associated with an increase of 10.37 cm<sup>3</sup> in the ICV (95% CI, 5.29-15.45). Compared to being born in the continental United States, immigrating to the United States at age 11 years or older was associated with 24 cm<sup>3</sup> smaller ICV (95% CI, -39.97 to -8.06). Compared to both parents having less than high-school education, at least 1 parent completing high-school education was associated with 15.4 cm<sup>3</sup> greater ICV (95% CI, 4.46-26.39). These data confirm the importance of early life health on brain development.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"103-112"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556478","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}
引用次数: 0
Clinic Staff Perceptions of Implementing a Sexual and Reproductive Health Entertainment-Education Program for Young Women of Color. 诊所工作人员对实施针对有色人种年轻女性的性与生殖健康娱乐教育计划的看法。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.93
Aaron Plant, Deborah Neffa-Creech, Emerald Snow, Jorge Montoya
{"title":"Clinic Staff Perceptions of Implementing a Sexual and Reproductive Health Entertainment-Education Program for Young Women of Color.","authors":"Aaron Plant, Deborah Neffa-Creech, Emerald Snow, Jorge Montoya","doi":"10.18865/ed.34.2.93","DOIUrl":"10.18865/ed.34.2.93","url":null,"abstract":"<p><strong>Objective: </strong>Entertainment-education interventions remain underutilized in sexual and reproductive health (SRH) despite evidence that they can be effective and place a low burden on staff. This study explores perceived facilitators and barriers for implementing an entertainment-education video intervention for 18- to 19-year-old African American and Latina women in SRH clinics.</p><p><strong>Design: </strong>Cross-sectional online survey (n=100) and telephone interviews (n=19) were completed May through August 2018.</p><p><strong>Setting: </strong>SRH clinics were located across 32 US states and 1 Canadian province.</p><p><strong>Participants: </strong>SRH clinic staff were diverse in type of clinic, role, and geography and were recruited using purposive sampling.</p><p><strong>Methods: </strong>Bivariate analyses were used for quantitative data, and thematic analysis was used for qualitative data.</p><p><strong>Main outcome measures: </strong>Intervention acceptability, perceived feasibility, and likely uptake were assessed using agreement statements (survey) and open-ended questions (interviews and survey).</p><p><strong>Results: </strong>Interviewed clinic staff described the intervention as engaging, educational, and promising for improving client SRH knowledge and behaviors. Nearly all (95%) survey respondents said showing the video would be feasible. Most (56%) indicated likely uptake, which was significantly associated with perceived feasibility (P=.000), acceptability (P≤.001), and working at a public health clinic (P=.023). Implementation barriers included the video's potential relevance to only certain clients and the need for additional information or staff and/or management buy-in.</p><p><strong>Conclusions: </strong>This is the first study to assess perceived implementation facilitators and barriers of an entertainment-education video intervention among SRH clinic staff. The intervention was well received, with certain barriers potentially alleviated by offering information about entertainment-education and multiple implementation methods. These findings can help improve dissemination efforts for video-based entertainment-education interventions in clinics serving young women of color.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"93-102"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555845","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}
引用次数: 0
Community-Academic Partnerships for Health Research: An Iterative and Transparent Process of Patient Engagement Before the Research Begins. 社区与学术界合作开展健康研究:研究开始前患者参与的迭代和透明过程。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI: 10.18865/ed.34.2.53
T Joseph Mattingly, Claudia Rose Baquet, Franklin Lance, Michelle Medeiros, C Daniel Mullins
{"title":"Community-Academic Partnerships for Health Research: An Iterative and Transparent Process of Patient Engagement Before the Research Begins.","authors":"T Joseph Mattingly, Claudia Rose Baquet, Franklin Lance, Michelle Medeiros, C Daniel Mullins","doi":"10.18865/ed.34.2.53","DOIUrl":"10.18865/ed.34.2.53","url":null,"abstract":"<p><strong>Background: </strong>The root causes of coronavirus disease 2019 (COVID-19) disparities include longstanding systemic racial bias in economic advancement and care delivery, discrimination, lack of access, and social determinants of health. To address these causes, research institutions and health care systems must shift their lens from one that focuses solely on changing behaviors among underserved and vulnerable populations to one that is inward facing.</p><p><strong>Methods: </strong>We worked with a community advisory board and an African American church that has partnered on research for more than a decade to identify community norms, needs, and key resources needed for establishing community-academic partnerships for COVID-19 testing. Participants were purposefully sampled with equal representation from 3 groups: (1) church members and leaders, (2) academic or organization researchers with experience in community-engaged research, and (3) community members with experience participating in community-engaged research. Participants engaged in a hands-on exercise in the church basement as part of a town hall-style meeting.</p><p><strong>Results: </strong>Active discussion led to the identification of business model components salient to COVID-19 testing in an underserved Baltimore community, predominantly made up of African Americans. Our discussion identified key partners, activities, resources, costs, value propositions, community relationships, community groups, communication channels, and outputs for community buy-in.</p><p><strong>Conclusion: </strong>Developing the business case for mutual trustworthiness to be better prepared for future pandemics and public health crises may foster more sustainable community-academic partnerships. Using a Business Model Canvas, we delineate the major components, activities, and value propositions that are needed to achieve authentic community-academic partnerships to advance health equity.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 2","pages":"53-59"},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555871","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}
引用次数: 0
Contextualizing Inequities in COVID Vaccination Trends Among Project REFOCUS Pilot Sites: Racism-Related Determinants of Health. REFOCUS 项目试点地区 COVID 疫苗接种趋势不平等的背景分析:与种族主义有关的健康决定因素。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.18865/ed.34.1.1
Ezinne Nwankwo, Cindy Le, Natalie J Bradford, Dillon Trujillo, Aisha D Fletcher, Chandra L Ford
{"title":"Contextualizing Inequities in COVID Vaccination Trends Among Project REFOCUS Pilot Sites: Racism-Related Determinants of Health.","authors":"Ezinne Nwankwo, Cindy Le, Natalie J Bradford, Dillon Trujillo, Aisha D Fletcher, Chandra L Ford","doi":"10.18865/ed.34.1.1","DOIUrl":"10.18865/ed.34.1.1","url":null,"abstract":"<p><strong>Introduction: </strong>Coronavirus disease (COVID) dashboards rarely provide insights about the racialized contexts in which vaccination inequities occur.</p><p><strong>Objective: </strong>The purpose of this study was to use the emerging Project REFOCUS dashboard to contextualize COVID vaccination patterns among 6 diverse communities.</p><p><strong>Methods: </strong>We queried the dashboard to generate descriptive statistics on vaccination trends and racism-related contextual factors among the 6 Project REFOCUS pilot sites (Albany, Georgia, Bronx, New York, Detroit, Michigan, Helena-West Helena, Arkansas, San Antonio, Texas, and Wake County, North Carolina).</p><p><strong>Results: </strong>Vaccination rates, demographic indicators, and contextual factors differed across sites. As of October 17, 2022, the proportion of people who had received at least 1 COVID vaccine dose ranged from 58.4% (Wayne County, Michigan) to 95.0% (Wake County, North Carolina). The pilot sites with the greatest percentage of Black residents (Dougherty County, Georgia, Wayne County, Michigan, and Phillips County, Arkansas) had lower proportions of fully vaccinated people. Wayne County, Michigan, had the highest level of residential segregation between Black and White residents (78.5%) and non-White and White residents (68.8%), whereas Phillips County, Arkansas, had the highest overall mortgage denial rates (38.9%). Both counties represent settings where over 75.0% of residents report Black race and over 30.0% of the population live in poverty.</p><p><strong>Discussion: </strong>The dashboard integrates racism-related factors with COVID vaccination visualizations and provides a fuller picture of the context in which COVID trends are occurring.</p><p><strong>Conclusions: </strong>Community organizers, researchers, policymakers, and practitioners can track racism-related factors and other social determinants of health as part of the contexts in which COVID-related inequities occur.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 1","pages":"1-7"},"PeriodicalIF":3.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11156167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297204","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}
引用次数: 0
Let Us Just Ask People What They Think: Community Perceptions and Recommendations about Coronavirus Vaccination. 让我们问问人们的想法:社区对冠状病毒疫苗接种的看法和建议。
IF 3.4 3区 医学
Ethnicity & Disease Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.18865/ed.34.1.33
Christopher Payette, Charlotte Hanby, Maria Cerezo, Seamus Moran, Janice Blanchard
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