Journal of healthcare, science and the humanities最新文献

{"title":"The Effects of Covid-19 Vaccination on Menstruation: Are women with underlying reproductive health conditions, particularly black women at a higher risk for vaccine-related menstruation complications?","authors":"Avia Sutton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study investigates the potential impact of COVID-19 vaccines on menstrual cycles, with a particular focus on Black women and those with underlying reproductive health conditions. Despite numerous reports of menstrual irregularities post-vaccination, research on this subject remains limited. The study aims to explore whether these irregular cycles could indicate broader reproductive health concerns, such as reduced ovarian reserve, and whether certain vaccines are more likely to cause these changes. It also examines the concept of «contraceptive masking,» where hormonal contraceptives may mask the true extent of underlying reproductive health issues. A survey was conducted among women of diverse racial and geographical backgrounds to assess changes in menstruation following COVID-19 vaccination. The findings revealed that Pfizer's vaccine was most associated with menstrual changes, including heavier and longer periods, particularly after the second dose. In some cases, women who rarely menstruated before vaccination began to experience cycles post-vaccination. The study also suggests that vaccination timing relative to the menstrual cycle may influence these changes. Women of color, especially Black women, may be at higher risk for vaccine-related menstrual disturbances due to a higher prevalence of conditions like fibroids. The research emphasizes the need for further studies on the effects of COVID-19 vaccines on menstruation, particularly among women of color and those with reproductive health conditions. It also calls for individualized treatment plans to address these potential side effects and prevent serious conditions, such as premature ovarian failure, from being overlooked.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"14 1","pages":"31-61"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial disparities in COVID-19 deaths in Georgia.","authors":"William T Hu, Aimee P Hu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The 2019 novel coronavirus disease (COVID-19) has brought to the forefront racial disparities in health outcomes across the US, but there is limited formal analysis into factors associated with these disparities. In-depth examination of COVID-19 disparities has been challenging due to inconsistent case definition, isolation procedures, and incomplete racial and medical information. As of June 2020, over 14,000 (25%) confirmed COVID-19 cases in Georgia did not have racial information. However, nearly all COVID-19 deaths had racial and ethnic information for analysis. Using county-level information from the Georgia Department of Public Health and the national County Health Rankings & Roadmaps, we found that Black Americans represented 31.5% of all Georgia residents but 46% of COVID-19 deaths. In the metropolitan Atlanta area, this over-representation was most pronounced in Fulton County which houses the City of Atlanta. The opposite pattern - worse disparity in counties surrounding the central city-bearing county - was instead observed in Albany, Columbus, and Macon, with no significant disparity difference in counties surrounding Savannah. Principal component analysis of health-related outcomes and social determinants of health from these 46 counties identified 17 themes, with greater racial disparities in COVID-19 deaths associated with worse air pollution, more rural communities, and paradoxically greater adherence to guidelines for screening mammography. We conclude that factors associated with the virus responsible for COVID-19 and healthcare disproportionately impact Black Americans.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"14 1","pages":"109-125"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Pandemic and Transition to Online/Remote Learning: Undergraduate Students' Perceptions of Online Learning at a Traditionally Black University.","authors":"Andrew A Zekeri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this paper is to understand the perceptions held by undergraduate students enrolled in four sociology courses regarding their online learning experiences as many institutions looked to online learning in the wake of the 2020 COVID-19 pandemic. Forty-nine students completed 30-minute semi-structured interviews. Findings indicate that that lack of access to the internet was detrimental in regard to their role in acquiring knowledge in an online environment. The quantity and quality of interactions through the online courses were not meaningful. Online learning was detrimental. Assignments were easily overlooked/forgotten. Overall, students did not perceive their online educational experiences as beneficial in comparison to their classroom experiences.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"14 1","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HIV-Related Mistrust (or HIV Genocidal Conspiracy Theories) among African Americans Living with HIV in Rural Alabama.","authors":"Andrew A Zekeri,&nbsp;Pauline Baba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We sought to determine the association between HIV-related medical mistrust (or belief in HIV conspiracy theories) and educational attainment among Blacks that are living with HIV. We analyzed data from the regional Survey on HIV in the Black Community in Alabama. HIV-related medical mistrust w or HIV Genocidal Conspiracy Theories were reported by majority of the patients. In multivariable analysis, controlling for income, education, and marital status, belief in conspiracy theories or HIV Genocidal Conspiracy Theories were significantly associated with higher education. The HIV-Related Medical Mistrust Scale item was independently associated with higher education. This finding speaks to the need for an improved understanding of the role of HIV related medical mistrust among African Americans to improve uptake of biomedical HIV prevention.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351481/pdf/jhsh-12-93.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural Hospital Closures in Tennessee: Centering Community Residents' Voices to Identify Public Health Ethical Issues and Inform Policy Strategies.","authors":"Leah Scholma Branam,&nbsp;Catherine Gonzalez,&nbsp;Tracey Stansberry,&nbsp;Randall Rice","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The US is witnessing rapid hospital closures in rural communities, with devastating consequences for community residents beyond decreased access to health care services. Hospital closures have been associated with outmigration of younger generations due to loss of employment opportunities and economic decline, and with creating uncertainty and a sense of powerlessness among residents. While great efforts have been undertaken to document the effects of hospital closures on health care access, particularly during the COVID-19 epidemic, limited attention has been given to the public health ethics associated with dismantling health care for populations in greatest need. Drawing on the narratives of community stakeholders and residents, several themes evolved around processes, structures, and spillover effects of hospital closures on their daily lives, including decision making processes of when and how to close hospitals. Concerns arose regarding lack of transparency and disregard for alternative health care services to meet the needs of rural communities. The researchers analyzed participants' stories using the six core values of the American Public Health Association's code of ethics to determine the extent to which the multilevel crisis emerging from rural hospital closures contradicts the public health ethical responsibility of ensuring access to health care in rural communities. Centering the voices of rural community stakeholders and residents is critical to inform and guide public health strategies and in turn address health care needs of rural communities.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"59-79"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351482/pdf/jhsh-12-59.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10194794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Frequency of Religious Practices among Hypertensive and Non-Hypertensive Black Men.","authors":"Antonius D Skipper,&nbsp;Tangela Towns,&nbsp;Richard G Moye,&nbsp;Daniel Rose","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although Black men in the United States face high rates of hypertension, the nexus of health and religion remain understudied for this population. The present study analyzes religious variables, such as prayer, Bible reading, and religious meditation, to describe the frequency of these practices among hypertensive and non-hypertensive Black men. This study utilizes data from the Midlife in the United States (MIDUS) 3 - Milwaukee African American Sample series, with 135 Black men (51.1% stating that they had experienced hypertension in the past 12 months). Findings suggest that Black men with a diagnosis of hypertension were significantly more likely to report that they prayed and read religious literature more often than their non-hypertensive counterparts. The results of the present study demonstrate key religious practices that hypertensive Black men might use as a potential coping response to their health condition.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"41-58"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351480/pdf/jhsh-12-41.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10194796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Message from the Editor.","authors":"Rueben C Warren","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351485/pdf/jhsh-12-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10456094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"White Reprieves and Black Rage: The Augmentation of Educational Policy and Racial Protests in the Era of COVID-19.","authors":"Brandon R Isome","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>COVID-19 imploded the notion of educational equity, as school closures forced educational institutions to grapple with the equity of specific policies, subsequently reigniting a national and international discourse on systemic racism. Due to the uncertainty and debilitating impact of COVID-19 on schools, testing facilities, students, and the American economy, educational institutions temporarily suspended, staunch rules and institutional norms. Entry and exit exams that would otherwise serve as systemic barricades, historically precluding Black Americans from gaining entrance into the bastions of white privilege, became subject to white reprieves.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"80-92"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351479/pdf/jhsh-12-80.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The United States Constitution and The Hypocrisy of the American Oath: January 6^th Raid on The Capital.","authors":"Charlene Bryant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to discuss the hypocrisy of American ethics. This hypocrisy allows certain members of our society to breach their ethical duties and responsibilities without concern for the collective or regard for the oaths they pledge. This hypocrisy wields great power that continues to support the systemic discrimination that will be the downfall of this Country. By analyzing the January 6, 2021, raid on the Capital, we will examine how government officials and American citizens disregarded their oaths and committed unethical acts to overthrow the government. They used the American flag, that they pledge their lives in the name of Democracy, as a tool to incite violence and insurrection. Analysis of this incident clearly reflects that this selective application of ethical responsibility allows some government officials and members of society to commit violent acts against the government officials, institutions, and its citizenry, without the same criminal reprisal other Americans endure.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"97-106"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351484/pdf/jhsh-12-97.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Awareness about Cervical Cancer and Human Papillomavirus among Women Living in Macon County, Alabama.","authors":"Kellon S Banks, Crystal M James, David Nganwa, John Heath, Lloyd Webb, Isra Elhussin, Rawah Faraj, Ehsan Abdalla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Alabama, despite the high screening rates for cervical cancer in Blacks, they still have higher mortality rates compared to Whites. Our objective was to increase knowledge and awareness of cervical cancer with the intention to encourage more women to have Pap tests, Human Papillomavirus (HPV) tests and HPV vaccinations after a short-term educational-based intervention. Pre and post questionnaires were administered to collect data before and after a primary educational intervention in Macon County was taught by a team of experts in the subject area. Descriptive statistics were done using SAS software to generate frequency and chi-square tests. Out of the 100 participants: 9% had cervical cancer; 86% were Blacks; about 65% were over the age of 35 and earned less than $50,000/year; 62% lived in the Tuskegee community; 34% were students, staff or faculty of Tuskegee University; about 25% were either married or living with their partner; leaving about 75% of the women as single, divorced or widowed; and more than 80% were students between their first year of college and graduate school with only 40% working for pay. The short-term educational intervention increased participants' knowledge of: who knew what cervical cancer was; ever heard of HPV; and ever had an HPV-test by margins of 9%, 23% and 4% respectively. Participants who had ever heard of Pap test had the same knowledge of 97% before and after the intervention. There was a significant knowledge level increased: in understanding that cervical cancer was caused by 38% HPV infection; 39% of all HPV infections lead to cervical cancer; and cervical cancer has decreased in recent years by 50%. Significant differences were observed only among participants who had ever heard of Pap test before and after the educational intervention with p-values of 0.004 and 0.03 respectively, compared to participants who knew what cervical cancer was and who had ever heard of HPV test. Although some participants lacked knowledge in certain areas, this study showed an apparent increase in their knowledge and awareness following the educational intervention.</p>","PeriodicalId":73773,"journal":{"name":"Journal of healthcare, science and the humanities","volume":"12 1","pages":"13-40"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351483/pdf/jhsh-12-13.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10213591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}