Journal of health disparities research and practice最新文献

{"title":"Pili Pono Practice: A Qualitative Study on Reimagining Native Hawaiian Food Sovereignty through MALAMA Backyard Aquaponics.","authors":"Pahonu Coleman, Samantha Keaulana, J Kahaulahilahi Vegas, Phoebe W Hwang, LeShay Keliiholokai, Ikaika Rogerson, Jane J Chung-Do, Ilima Ho-Lastimosa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Living in one of the most remote island chains in the world, Native Hawaiians developed sophisticated food cultivation systems that sustained a thriving and robust population for centuries. These systems were disrupted by colonization, which has contributed to the health disparities that Native Hawaiians face today. MALAMA, a culturally grounded backyard aquaponics program, was developed to promote food sovereignty among Native Hawaiians. This study utilized participant interview and focus group data to identify how participating in the MALAMA program impacts the wellbeing. The findings demonstrate that MALAMA enhanced the participants' pilina (relationship, connection) to traditional foods, land, cultural identity, family, and community, which contributed to the quick adoption of the program into Native Hawaiian communities. To address food insecurity, it is imperative to seek Indigenous-developed, community-based, and culturally grounded programs and solutions like the MALAMA program.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"16 3","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142142197","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":"Prevalence of Central Venous Stenosis among Black and White ESKD Patients with Dysfunctional Dialysis Access.","authors":"Nkiruka Arinze, Jonathan D Ravid, Kristina Yamkovoy, Najia Idrees, Mathew Diamond, Rohit Pillai, Tyler Ryan, Saran Lotfollahzadeh, Janice Weinberg, Nathanael R Fillmore, Alik Farber, Rajendran Vilvendhan, Jean Francis, Vipul Chitalia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the United States, significant racial and ethnic disparities exist in chronic kidney disease (CKD) and its management. Hemodialysis constitutes the main stay of renal replacement therapy for end-stage kidney disease (ESKD), which is initiated using central venous catheters (CVC) in most CKD patients in the United States. Black ESKD patients have higher usage and greater time on CVC for hemodialysis compared to White patients. This trend places Black patients at a potentially higher risk for CVC-related complications such as central venous stenosis (CVS). We posited that Black patients would have a higher prevalence and a greater risk of CVS. A retrospective review was performed of ESKD patients who underwent a fistulogram for dialysis access malfunction. CVS was defined as > 50% stenosis in the central veins. Fistulograms of 428 ESKD patients were adjudicated, and CVS was noted in 167 of these patients. Of the entire cohort, 370 fistulograms belonged to self-reported unique Black and White ESKD patients, of whom 137 patients were noted to have CVS. There was no difference in the of CVS between Black (40%) and White (41%) ESKD patients. However, a higher severity of stenosis (>70%) (P = 0.03) was noted in White ESKD patients. An unadjusted model showed a significant association between CVS and cardiovascular disease and the use of CVCs. The risk-adjusted model showed a significant association between diabetes and CVS. Unlike arterial stenotic lesions, this work for the first time demonstrated higher prevalence of severe venous stenotic lesions in White ESKD patients and linked diabetes to stenotic venous disease. This work paves the way for future studies investigating the risk and influence of race and ethnicity on CVS using a larger and diverse data set.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"16 3","pages":"71-89"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867907","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":"Recruitment of Young Black Men into Trauma and Mental Health Services Research: Recommendations and Lessons Learned.","authors":"Alexandria G Bauer, Jannette Y Berkley-Patton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Young Black/African American men are more likely to experience repeated trauma that escalates throughout young adulthood, compared to young White men. Exposure to trauma has impacts on mental health outcomes, but young Black men face substantial barriers to mental health care. In order to begin to address these disparities, it is imperative to increase understanding of the needs, preferences, and priorities of young Black men for mental health care services following trauma. Yet, young Black men are often underrepresented in mental health services research. The purpose of the current study was to describe strategies for recruitment of young Black men with previous trauma exposure from broad urban community settings in Kansas City, Missouri, for participation in a qualitative study exploring beliefs, attitudes, and norms regarding mental health care. A total of 70 young Black/African American men aged 18-30 completed the initial recruitment process, and 55 of these men were consented as participants who completed the study. The majority of participants were recruited from barbershops (<i>n</i> = 21), followed by community-wide events (<i>n</i> = 11) and referrals (<i>n</i> = 11). Few participants were recruited from faith-based settings. Strategies for facilitation of study recruitment and focus group attendance are discussed. These practices may contribute to development of mental health interventions that are relevant, feasible, and sustainable, as well as restoring and advancing research relationships with racial/ethnic minority populations and contributing to racial equity.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10812841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572393","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":"A Scoping Review of Barriers and Facilitators to Pap Testing in Women with Disabilities and Serious Mental Illnesses: Thirty Years After the Americans with Disabilities Act.","authors":"Michele Sky Lee, Jillian R Peart, Julie S Armin, Heather J Williamson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Thirty years after the Americans with Disabilities Act (ADA) was passed, promising equal access to health services for people with disabilities and serious mental illness, research on Pap testing continues to uncover health disparities among women with disabilities and women with serious mental illnesses, including those that identify as an ethnic/racial minority.</p><p><strong>Aim: </strong>The purpose of this paper is to describe and present the literature on the barriers and facilitators women with disabilities and women with serious mental illnesses face with receiving a Pap test using the social ecological model. We also examined the degree to which racial/ethnic minority women were included in these articles.</p><p><strong>Method: </strong>A scoping review was conducted where the research team searched United States academic literature from 1990 through February 2020 in PubMed, Medline, and CINAHL using general subject headings for disability, mental illness, and Pap testing.</p><p><strong>Results: </strong>Thirty-two articles met inclusion criteria. More barriers than facilitators were mentioned in articles. Barriers and facilitators are organized into three groups according to social ecological model and include individual (e.g., socioeconomic status, anxiety, education), interpersonal (e.g., family, living environment), and organizational factors (health care provider training, health care system). Participant's race/ethnicity were often reported but minoritized populations were often not the focus of articles.</p><p><strong>Conclusions: </strong>More articles discussed the difficulties that women with disabilities and women with serious mental illnesses face with receiving a Pap test than facilitators to Pap testing. Additional research should focus on the intersectionality race/ethnicity and women with disabilities and women with serious mental illnesses in relation to Pap testing.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"14 3","pages":"25-56"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10978025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320286","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":"Risk Factors Associated with Opioid Use Among African American Faith-Based Populations.","authors":"Kelsey Christensen, Jannette Berkley-Patton, Alexandria Bauer, Carole Bowe Thompson, Tacia Burgin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>African Americans (AAs) in the Midwest are more likely to die from an opioid overdose compared to Whites, despite lower rates of use. Little is known about factors related to opioid use among AAs residing in the Midwest, particularly church-affiliated AAs. AAs have the highest rate of church attendance among all racial/ethnic groups, and the Black Church may be an appropriate setting for prevention efforts. The present study sought to better understand factors related to opioid use among Midwestern church-affiliated AAs to inform future faith-based interventions. This study examined predictors of opioid use (ever) using survey data from Taking It to the Pews (TIPS), a faith-based HIV/STD/hepatitis C virus (HCV) education and testing intervention conducted in 4 AA churches (N = 250) in the Kansas City metropolitan area. Participants were predominantly female (71%) and church members (74%), with an average age of 47. Fifty-three percent of participants reported prescription opioid use at some point in their lifetime. Logistic regression analyses indicated that those who reported opioid use in their lifetime attended church more frequently, less likely to be on Medicaid, had a history of severe pain, a history of illicit drug use, and a history of marijuana use. AA churches are in a uniquely positioned to reach church congregants and community members utilizing church outreach services. AA churches may benefit from offering lifestyle interventions, such as exercise classes and stress management programs, for pain management and to prevent misuse of prescription opioids.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"13 4","pages":"18-31"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145807277","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":"Graduating into Lower Risk: Chlamydia and Trichomonas Prevalence among Community College Students and Graduates.","authors":"Janet E Rosenbaum","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Community colleges enable youth from economically disadvantaged and minority populations to access college and may enable social mobility including improved health outcomes. However, educational health disparities studies rarely assess the health outcomes for community college graduates.</p><p><strong>Methods: </strong>Chlamydia and trichomonas prevalence were assessed with nucleic acid based tests in a nationally representative sample of 6233 high school graduates (ages 18-25) from five educational levels: young adults without post-secondary credentials who were not enrolled in college, community college students, 4-year college students, associate's degree, and bachelor's degree. To reduce confounding between educational attainment and STI status, we used full matching to balance on 22 measures of demographics, socioeconomic status, educational factors, and sexual risk-taking. Estimates of associations between educational attainment and STI status were obtained from multivariate regression in the full (n=6233) and matched (n=1655) samples.</p><p><strong>Results: </strong>Four-year college students (adjusted incidence rate ratio (IRR) = 0.41, 95% CI [0.27, 0.61], p<0.001), associate's degree holders (IRR = 0.38 [0.15, 0.98], p=0.05), and bachelor's degree holders (IRR = 0.45 [0.23, 0.90], p=0.02) were less than half as likely to test positive for chlamydia than non-college-enrolled high school graduates in multivariate regression. After full matching, associate's degree holders were also less likely to test positive for chlamydia (IRR 0.46 (0.23, 0.85), p=0.03) than community college students. Four-year college students (IRR = 0.52 [0.24, 1.12], p=0.10) and associate's degree holders (IRR = 0.34 [0.12, 0.97], p=0.04) were half as likely to test positive for trichomonas than nonstudents/non-graduates in multivariate regression but did not differ after full matching.</p><p><strong>Conclusions: </strong>Community college students come from populations with greater health risks than 4-year college students, but community college graduation may reduce the likelihood of chlamydia infection. STI interventions can meet the needs of young adults who access college through community college by partnering with community college health clinics to encourage continued STI prevention, testing, and treatment after the intervention ends. Public health studies that use inclusive educational attainment measures that incorporate sub-baccalaureate credentials will better capture health disparities.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"11 1","pages":"104-121"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6674981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285745","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":"Promoting Community and Population Health in Public Health and Medicine: A Stepwise Guide to Initiating and Conducting Community-engaged Research.","authors":"Scott D Rhodes, Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, Florence M Simán, Eunyoung Y Song, Jonathan Bell, Megan B Irby, Aaron T Vissman, Robert E Aronson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Various methods, approaches, and strategies designed to understand and reduce health disparities, increase health equity, and promote community and population health have emerged within public health and medicine. One such approach is community-engaged research. While the literature describing the theory, principles, and rationale underlying community engagement is broad, few models or frameworks exist to guide its implementation. We abstracted, analyzed, and interpreted data from existing project documentation including proposal documents, project-specific logic models, research team and partnership meeting notes, and other materials from 24 funded community-engaged research projects conducted over the past 17 years. We developed a 15-step process designed to guide the community-engaged research process. The process includes steps such as: networking and partnership establishment and expansion; building and maintaining trust; identifying health priorities; conducting background research, prioritizing \"what to take on\"; building consensus, identifying research goals, and developing research questions; developing a conceptual model; formulating a study design; developing an analysis plan; implementing the study; collecting and analyzing data; reviewing and interpreting results; and disseminating and translating findings broadly through multiple channels. Here, we outline and describe each of these steps.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"11 3","pages":"16-31"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180531","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":"Application of Photovoice with Focus Groups to Explore Dietary Behaviors of Older Filipino Adults with Cardiovascular Disease.","authors":"Jane Jih, Trish La Chica, Luisa M Antonio, Ofelia O Villero, Mary N Roque, Joseph R Domingo, Joshua F Landicho, Anna M Napoles, Celia P Kaplan, Tung T Nguyen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Filipino Americans have high rates of cardiovascular diseases (CVD). This study explored the dietary behaviors, a modifiable risk factor, of Filipinos with CVD. Filipinos with CVD were recruited and trained to do Photovoice. Participants took photos to depict their \"food experience,\" defined as their daily dietary activities. Participants then shared their photos during focus groups. Focus group transcripts were analyzed using an iterative, grounded theory approach. Among 38 Filipino participants, the mean age was 70 years old and all were foreign-born. Major themes included efforts to retain connection to Filipino culture through food, and dietary habits shaped by cultural health beliefs. Many believed that traditional dietary practices increased CVD risk. Receiving a CVD diagnosis and clinician advice changed their dietary behaviors. Household members, the physical environment, and economic constraints also influenced dietary behaviors. Photovoice is feasible among older Filipinos and may enhance understanding of drivers of dietary behaviors.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"11 2","pages":"133-149"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285746","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":"\"I don't want to look sick skinny\": Perceptions of Body Image and Weight Loss in Hispanics Living with HIV in South Texas.","authors":"Jordan W Abel, Omar Allen, Delia Bullock, Erin Finley, Elizabeth A Walter, Phillip W Schnarrs, Barbara S Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Obesity is rising in people with HIV (PLWH) and Hispanics. Both HIV and obesity are associated with cardiovascular disease morbidity and mortality. Our goal is to understand perceptions of body image and lifestyle in Hispanics with HIV to adapt interventions appropriately.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 22 Hispanic PLWH and 6 providers. Purposive sampling selected patient participants across weights and genders. Interviews were coded and analyzed using grounded theory, comparing perspectives between patients with and without obesity, and patients and providers.</p><p><strong>Results: </strong>Participants felt obesity and diabetes were \"normal\" in the community. Patients exhibited understanding of healthy diet and lifestyle but felt incapable of maintaining either. Traditionally Hispanic foods were blamed for local obesity prevalence. Five patients equated weight with health and weight loss with illness, and four expressed concerns that weight loss could lead to unintentional disclosure of HIV status. Participants with overweight or obesity expressed awareness of their weight and felt shamed by providers. Providers found weight loss interventions to be ineffective.</p><p><strong>Conclusion: </strong>Interventions in this population must address identified barriers: overweight/obesity as a normative value, lack of self-efficacy, cultural beliefs surrounding food, fear of HIV-associated weight loss and stigma, and provider perspectives on intervention futility.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201693","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":"Cultural Relevance of the Transtheoretical Model in Activity Promotion: Mexican-American Women's use of the Process of Change.","authors":"Tanya J Benitez, Natasha Tasevska, Kathryn Coe, Coleen Keller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hispanic women in the U.S. have disproportionately high rates of obesity and health disparities related to insufficient physical activity (PA). While the Transtheoretical Model (TTM) is one of the most commonly used behavioral theories in interventions promoting PA, there is a lack of evidence to support the cultural relevance of theoretical constructs for increasing PA in Hispanic women. To learn about Hispanic women's use and interpretation of the construct Processes of Change (POC) for increasing PA, we conducted focus groups with overweight/obese Mexican/Mexican-American females (N=13) ages 27-40 years. Major themes centered on the importance of children and family caretaking, social support, and PA to promote weight loss. Participants identified strategies they use to enact the POC for increasing PA such as <i>retos</i> (challenges), exercise as an alternative to eating, and clothing as a reward/reminder for PA. This study examined culture-specific factors used by Mexican-American women for becoming more physically active as they correspond to the theoretical constructs of the TTM. We showed that the POC examined in our study are culturally relevant and enacted by Mexican-American women for increasing PA, and are poised to be deployed in culturally appropriate PA promotion and weight loss interventions.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793312","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}