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Social Vulnerability And Trust Associated With African American Secondary Syphilis Cases Reported In Alabama, United States, 2020-2022, Givanta Tribit Jan 2023

Social Vulnerability And Trust Associated With African American Secondary Syphilis Cases Reported In Alabama, United States, 2020-2022, Givanta Tribit

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Introduction: Syphilis is a sexually transmitted infection (STI) that can cause serious health problems, including neurological disorders, blindness, and fetal abnormalities. Routine STI screenings can help prevent its spread. Despite effective treatments, syphilis cases have risen sharply in the last decade, particularly among marginalized communities. Understanding the ecological and contextual factors contributing to syphilis incidence could inform prevention efforts and improve healthcare outcomes for all. Methods: Retrospective secondary data analyses, at the county level, from 2020 to 2022, were conducted to assess for mean differences among social vulnerability index (SVI) scores, SVI scores by four primary categories, Black Belt regional …


Exploring The Relationship Between Chronic Stressors And Protective Factors And Preterm Risk In An African American Pregnant Population, Megan Mileski Jan 2022

Exploring The Relationship Between Chronic Stressors And Protective Factors And Preterm Risk In An African American Pregnant Population, Megan Mileski

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BACKGROUND: In the United States, infant mortality is a serious public health issue, particularly for the African American (AA) population. Despite ample research investigating explanations for the significantly higher infant mortality rate (IMR) for AA infants in the United States, the reason for the racial disparity remains unknown. Reports suggest that chronic, life-course stressors may increase risk of preterm birth (PTB), the leading contributor to the high IMR for AA infants. Adverse childhood experiences and perceived racial discrimination, experienced over the life course, have the potential to increase a stress response in AA women, leading to PTB. Psychosocial resources may …


Dr. Susie Weems Wheeler: A Narrative Case Study Of A Philanthropic Educator During The Civil Rights Era, Alisha D. Wheeler Jan 2022

Dr. Susie Weems Wheeler: A Narrative Case Study Of A Philanthropic Educator During The Civil Rights Era, Alisha D. Wheeler

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The purpose of this narrative case study was to explore the life experiences and contributions of Dr. Susie Weems Wheeler (1917- 2007), a pioneer African American early childhood educator and administrator during and after the Civil Rights Era. There is limited research on Dr. Wheeler’s life and other African American women who were pioneers in Early Childhood Education during the Civil Rights Era. This study is significant because it focused on the contributions of a pioneer who is missing from the available literature. Data was collected using interviews and review historical documents. The researcher implemented thematic analysis and restorying to …


Black Women's Clubs: A Catalyst To The Black Kindergarten Movement, Dessilyn Chappell Jan 2021

Black Women's Clubs: A Catalyst To The Black Kindergarten Movement, Dessilyn Chappell

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e purpose of this narrative inquiry was to describe the Black Kindergarten Movement through efforts of the Black Women’s Clubs and their communities at the time right after the Reconstruction and into the Progressive Era. The common documents that were used in the data collection process included official records, newspapers, magazine articles, journal articles and historical accounts. These documents were used for the “restorying” of events. The key to this type of study is to use stories as data, especially first-person accounts of experience told in story form while having a beginning, middle, and end. The following questions guided this …


Omics Discovery For Cardiometabolic Traits In African Americans, Bre Ashanti Minniefield Jan 2021

Omics Discovery For Cardiometabolic Traits In African Americans, Bre Ashanti Minniefield

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Research shows African Americans are more likely to suffer from a chronic disease compared to other American populations. Due to the fact that African Americans are extremely underrepresented within human health research, the potential biological causes of the racial/ethnic differences are not well understood. Some of these health differences may be due to genomic variations within either the mitochondrial genome, nuclear genome, or both. To aid the revolution of inclusive human health research, we examined genomic factors related to cardiometabolic diseases in African Americans.African Americans have the highest prevalence of hypertension compared to all other American populations. With the majority …


Peace. Love. Youth. (In) Yoga: Development Of A Mental Health Program Among Adolescents Living In The Inner City, Sherilyn Jonnell Garner Jan 2020

Peace. Love. Youth. (In) Yoga: Development Of A Mental Health Program Among Adolescents Living In The Inner City, Sherilyn Jonnell Garner

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Adolescence is a unique developmental stage during which physical, cognitive, social, and emotional changes occur simultaneously and the traumatic effects of adverse childhood experiences (ACEs) can be particularly salient for the emotional and cognitive development of adolescents as they navigate and adjust to the social environment (Blakemore & Mills, 2014). Seventy-seven percent of Black adolescents have unmet mental health needs, and only 13% of those adolescents receive services compared to 31% of White adolescents. Meeting mental health needs of Black adolescents is imperative as their mental health needs continue to grow and resources become increasingly scarce. Innovative, culturally acceptable, accessible …


We Never Considered Teaching: A Critical Narrative Of African American Stem Majors’ Identity As Stem Educators, Paulette Georgina Evans Jan 2019

We Never Considered Teaching: A Critical Narrative Of African American Stem Majors’ Identity As Stem Educators, Paulette Georgina Evans

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The need to diversify and retain non-White STEM teachers in the educator workforce has brought to surface the need to more deeply understand why non-White educators choose teaching as a profession and, equally as important, why they choose to stay. Although there is literature documenting the shortages of African American teachers including how African Americans can be recruited and retained, there is a need to look more closely at how African American undergraduate STEM majors who are in innovative teacher preparation programs articulate their affinity to teaching. The following critical narrative study focuses on how pre-service non-White teachers, particularly African …


African American Caregivers’ Decision To Use Hospice Services For A Loved One: A Grounded Theory Study, Paula M. Gordon Jan 2018

African American Caregivers’ Decision To Use Hospice Services For A Loved One: A Grounded Theory Study, Paula M. Gordon

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This qualitative grounded theory study explored the process of decision making for African American family caregivers in the southeastern United States, as they make hospice decisions for their loved ones, Although hospice use in the United States has grown over the last decade, a disparity continues to exist between African American and Caucasian populations. African Americans represent a small percentage of hospice users in the United States, despite research that has found that patients who use hospice experience improved symptom control, fewer unmet needs, and better end of life care. Research has identified many reasons for this disparity; however, little …


African American Child And Adolescent Obesity: The Parents Perspective, Alice Marie Austin Jan 2017

African American Child And Adolescent Obesity: The Parents Perspective, Alice Marie Austin

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Nearly 36% of African American children ages 2 to 19 are overweight or obese. Childhood obesity results in children with social and psychological disorders, chronic disease, and an increase in morbidity and mortality. Solutions have been offered but none have made a significant impact on African American children living in the Southern United States. Studies that implement life style change produce short-term reductions in African American children but few show life-long change. Parents are responsible for making lifestyle choices for children, it is imperative to understand parental perceptions of child and adolescent obesity and its relationship to lifestyle change. The …


Effect Of Antihypertensive Drugs On Left Ventricular Traits In Africam American, Anh N. Do Jan 2017

Effect Of Antihypertensive Drugs On Left Ventricular Traits In Africam American, Anh N. Do

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The purpose of this dissertation is to evaluate the association of antihypertensive treatment as well genomic variants with left ventricular (LV) hypertrophy (LVH) -related traits among African Americans (AAs) in five cross-sectional epidemiology cohorts from the United States. AAs especially those with hypertension, are overburdened by left ventricular (LV) hypertrophy (LVH) compared to other ethnic groups. LVH is associated with increased risk for cardiovascular morbidity and mortality. Antihypertensive treatments have been found to improve LVH and related echocardiographic measures (i.e. LV traits) among hypertensive patients. However, the effect of antihypertensive treatments on LVH and related traits in AAs has not …


Three-Dimensional Age-Related Changes Of The Adult Male Face, Catherine Haynie Haynie Jan 2016

Three-Dimensional Age-Related Changes Of The Adult Male Face, Catherine Haynie Haynie

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Objectives: The adult population is a fast growing subgroup of orthodontic practices. The facial soft tissues of adults are different from adolescents, and there is significant sexual dimorphism in the aging of facial soft tissue. It is imperative for the orthodontist to understand how aging effects the soft tissues of the face, and to know how male and females differ in this process. The objectives of this study include: 1.) Identification of trends in facial aging among a Caucasian male and African American male sample utilizing three-dimensional surface imaging technology. 2.) Comparison of the aging effects between the Caucasian and …


Three-Dimensional Facial Morphological Changes From Adolescence To Adulthood In Caucasian And African American Populations, Matthew Davis Jan 2016

Three-Dimensional Facial Morphological Changes From Adolescence To Adulthood In Caucasian And African American Populations, Matthew Davis

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The purpose of this cross sectional retrospective study was to use three dimensional surface imaging to determine gender dimorphism and facial morphological changes from adolescence to adulthood in African American and Caucasian populations. Materials and Methods: Three-dimensional images were captured using a laser scanner (Minolta Vivid VI900) and a stereophotogrammatic camera system (3dMDfaceTM). The total sample size included 371 subjects, including the following: 107 African-American adolescents 10–13 years of age, 100 African-American adults 19–30 years of age, 64 Caucasian adolescents 10–13 years of age, and 100 Caucasian adults 18–30 years of age. All subjects had normal body mass index, no …


A Comparison Of Soft Tissue Topographical Norms For The Local Ethnic People Of Zimbabwe And African American Norms Based On 3dmd Soft Tissue Photography, Elvin Bhaskar Jan 2016

A Comparison Of Soft Tissue Topographical Norms For The Local Ethnic People Of Zimbabwe And African American Norms Based On 3dmd Soft Tissue Photography, Elvin Bhaskar

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Introduction: The purpose of this study is to determine the soft tissue topographical norms for the local ethnic people of Zimbabwe and compare them with the African American norms based on 3dMD soft tissue photography. The rationale for the study is to evaluate how the soft tissue drape over the facial skeleton correlates with the different soft tissue analysis widely available today. This study seeks to establish an average base on which clinicians can treat people according to their cultural esthetic perceptions. Previous reported studies only evaluate small numbers of populations and it is well known that different races and …


Volumetric Analysis Of The Lips In Aging African American And Caucasian Females, David William Bowen Jan 2016

Volumetric Analysis Of The Lips In Aging African American And Caucasian Females, David William Bowen

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The objective of this study was to perform a volumetric analysis of the lips at rest and upon smiling in African American and Caucasian females distributed throughout five age groups. Materials and Methods: Three-dimensional surface facial images of 100 African American females and 100 Caucasian females were obtained using the 3dMDTMface system (3dMDface, Atlanta GA). Images were analyzed using the Aging Evaluation Analysis (AEVA) software (Eotech, Paris, France) to assess lip volume at rest and upon smile. The following linear measurements were also calculated upon smiling and non-smiling: subnasale-stomion superius, commissure-commissure, stomion inferius-labiomental sulcus. Gingival display and crown length was …


Exploring The Lived Experience Of Young African American Breast Cancer Survivorship To Inform The Adaptation Of A Psychoeducational Intervention: Y-Ambient, Timiya S. Nolan Jan 2016

Exploring The Lived Experience Of Young African American Breast Cancer Survivorship To Inform The Adaptation Of A Psychoeducational Intervention: Y-Ambient, Timiya S. Nolan

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In the United States, 26,393 young women (≤ 45 years) will be diagnosed with breast cancer in 2016. Though survival rates are improving, there are health disparities among young African American women when compared to young Caucasians (e.g., poorer quality of life). Despite recommendations to provide targeted evidence-based survivorship care, there are about 23,000 young African American breast cancer survivors (YAABCS) in Alabama, Louisiana, and Mississippi for whom this care does not exist. Few studies have examined survivorship experiences and/or tested intervention efficacy among this group. Further study is warranted to understand the experiences of YAABCS and adapt targeted interventions …


Cultural And Gender Differences In Child Abuse Risk In African American And White Expectant Mothers And Fathers, Anjali Gowda Jan 2016

Cultural And Gender Differences In Child Abuse Risk In African American And White Expectant Mothers And Fathers, Anjali Gowda

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Previous maltreatment literature examining child physical abuse risk has not effectively examined cultural nuances in risk and protective factors. Further, research has relied heavily upon maternal only samples, limiting our understanding of paternal risk factors. The current study examined macro-level variables (i.e., racial identification and gender role ideologies) in conjunction with individual-level factors (i.e., attribution of child intent and acceptability of abuse) as they relate to parental abuse risk. The study employed explicit and implicit measures administered to 142 African American and White first-time expectant mother and father dyads. Study hypotheses were partially supported, identifying both consistencies and inconsistencies across …


The Lived Experiences Of African American Students In A Suburban High School: A Qualitative Case Study., Steven Marlon Tarver Jan 2016

The Lived Experiences Of African American Students In A Suburban High School: A Qualitative Case Study., Steven Marlon Tarver

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The purpose of this qualitative case study was to explore the lived experiences of a dozen African American Students in a suburban predominately Caucasian high school located near a major southeastern city. After World War II, in part resulting from the Brown v. Board decision desegregating public schools, many Caucasians migrated from city confines to suburban communities surrounding cities. This migration left decaying cities, including school systems, populated primarily by less well to do minorities. With changing economic conditions, about two decades later, African Americans began to migrate to the same suburbs for a better quality of life including better …


Exploring Body Image And The Association Between Body Image Dissatisfaction And Waist Circumference Among Overweight And Obese Rural African American Women Participating In A Weight Loss Program, Erica Rayshelle Johnson Jan 2015

Exploring Body Image And The Association Between Body Image Dissatisfaction And Waist Circumference Among Overweight And Obese Rural African American Women Participating In A Weight Loss Program, Erica Rayshelle Johnson

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African American (AA) women are disproportionately burdened by obesity, an epidemic with implications that reach beyond physiological consequences. Given that perceptions of body image may impact health-promoting behaviors and weight management efforts, we sought to evaluate the presence and magnitude of body image dissatisfaction (BID) and explore its relationship with waist circumference (WC), independent of weight among overweight and obese treatment-seeking rural AA women. Participants referred to images from the Pulvers Figure Rating Scale that included nine body silhouettes to answer: “How I think I look now” (i.e., current body image) and “How I would like to look” (i.e., desired …


Three-Dimensional Age-Related Changes Of The Adult Face; African American Female Population, Christina Theresa Sutherland Jan 2015

Three-Dimensional Age-Related Changes Of The Adult Face; African American Female Population, Christina Theresa Sutherland

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Objectives: Treatment of older adults is one of the fastest growing areas in orthodontic practice. The objectives of this study are to: 1. Investigate the aging of the female African American face using three-dimensional surface imaging to understand how the soft tissue of the face matures in relation to the teeth and 2.) Compare the effects of aging on African American female faces to aging of Caucasian female faces. Methods: This is a cross-sectional study of 100 African American females with balanced faces. Five age groups (in years) were included: [20-30], [31-40], [41-50], [51-60], [61-70]. Three-dimensional (3D) surface images of …


Print Vs. Pulpit: Representations Of Religion In The Harlem Renaissance, Sondra Bickham Washington Jan 2014

Print Vs. Pulpit: Representations Of Religion In The Harlem Renaissance, Sondra Bickham Washington

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At the turn of the twentieth century, African American race leaders believed that literature and other creative works could strengthen the fight against the social, economic, and political oppression facing members of their race across the country. However, when younger writers began explicitly focusing their narratives and poems on the more taboo and less religious elements of African American life such as heavy drinking, sensual dancing at jazz and blues clubs, and unmarried sexual relationships, black religious leaders often expressed opposition to their creative work. This sometimes harsh disapproval only served to create a larger gap between the religious and …


Southern African American Women's Perception Of Cononary Artery Disease After A Myocardial Infarction: A Phenomenological Inquiry, Loretta Jones Jan 2014

Southern African American Women's Perception Of Cononary Artery Disease After A Myocardial Infarction: A Phenomenological Inquiry, Loretta Jones

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The American Heart Association (AHA) reported that cardiovascular diseases kill nearly 50,000 African-American (AA) women annually. Of AA women ages 20 and older, 49% have heart diseases. Only 52% of AA women are aware of the signs and symptoms of a heart attack and only 36% of AA women know that heart disease is their greatest health risk. The purpose of this phenomenological study was to explore the lived experience of African American women, 50 years and older, who had experienced a myocardial infarction within the past five years. The primary research questions addressed the women's knowledge of risk factors, …


Development And Validation Of A Survey Instrument To Assess Health Information-Seeking Behaviors Among African-Americanyoung Professionals, Shauntice Allen Jan 2013

Development And Validation Of A Survey Instrument To Assess Health Information-Seeking Behaviors Among African-Americanyoung Professionals, Shauntice Allen

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The lay public has had more opportunities than ever before to take an active role in their own health care. Despite these opportunities, many questions remain regarding the basis for barriers relating to seeking preventive health information. Following publication of the report of the Secretary’s Task Force of Black and Minority Health, health education researchers have documented health disparities among populations of color, in particular African Americans (United States Department of Health and Human Services, 1985). Brashers, Goldsmith, and Heish (2002) pointed out the complexity of health information-seeking behaviors (HISB) and highlighted the increasing need to clearly understand the process …


Vote, People, Vote! W.C. Patton, The Naacp, And The Birmingham Black Community, Scott Clifford Kennedy Jan 2012

Vote, People, Vote! W.C. Patton, The Naacp, And The Birmingham Black Community, Scott Clifford Kennedy

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VOTE, PEOPLE, VOTE W.C. PATTON, THE NAACP, AND THE BIRMINGHAM BLACK COMMUNITY HISTORY ABSTRACT With the Civil Rights Movement often portrayed as a movement led from the top down, the career of William C. Patton showed the importance of the efforts of the person on the street. Patton struggled long and hard for voting rights for African Americans, working for the NAACP for years in his efforts to help black Americans gain their civil rights. His lack of national fame does nothing to detract from his untiring efforts on behalf of the rights of black Americans. Born in 1910 in …


Risk Factors For Stroke In Rural African Americans And Factors That Influence Exercise Behaviors To Reduce Stroke Risk, Dawn M. Aycock Jan 2012

Risk Factors For Stroke In Rural African Americans And Factors That Influence Exercise Behaviors To Reduce Stroke Risk, Dawn M. Aycock

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Stroke has increased among young adults, which is concerning for African Americans (AA) who tend to have stroke at an earlier age and an increased risk for mortality and severe disability. Rural dwellers lack resources which may increase their susceptibility to stroke. Regular exercise can reduce stroke; however, physical activity among AA is low. The purpose of this research was to use an Expanded Health Belief Model to examine perceived and actual stroke risk among rural AA 19 to 54 years of age and factors that influence exercise behaviors to reduce stroke risk. A cross-sectional correlational design was used. Participants …


A Phenomenological Study Of Obesity And Its Impact On Functional Status, Life-Space Mobility, And Physical Activity In Southern African American Older Women, Pamela G. Bowen Jan 2012

A Phenomenological Study Of Obesity And Its Impact On Functional Status, Life-Space Mobility, And Physical Activity In Southern African American Older Women, Pamela G. Bowen

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The majority of work on health disparities has focused on public policy and identifying disparate conditions. Obesity is a significant public health problem that has reached epidemic proportions, considered the second leading cause of preventable death, encourages a sedentary lifestyle, and can lead to a higher prevalence of functional impairments. Moreover, obesity increases the risk that persons may develop one or more serious medical conditions, such as cardiovascular disease, hypertension, stroke, Type 2 diabetes, and osteoarthritis, especially among African Americans. In the United States, African American women are more likely to be classified as overweight or obese. In fact, approximately …


Pick It Up, Put It Down: A Grounded Theory Study Of How Low Income African American Patients In The Deep South Start Smoking And Quit Smoking, Jessica Hillman Williams Jan 2011

Pick It Up, Put It Down: A Grounded Theory Study Of How Low Income African American Patients In The Deep South Start Smoking And Quit Smoking, Jessica Hillman Williams

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The purpose of this qualitative was to use data extracted from the narrative stories of African American patients to generate a grounded theory to explain the process and act of initiating and of quitting smoking among low income African American patients in the Deep South. This is important since African Americans are more likely to suffer from smoking-related illnesses, which are the leading cause of death among African Americans. Data were analyzed from interviews conducted in 2005 as part of the Stories Project and supplementary interviews conducted in 2011. Convenience sampling strategies guided participant recruitment for primary interviews and theoretical …


A Qualitative Multiple Case Study Exploring The Factors Influencing Middle Class African American Parental Choice In Education In Central Alabama, Paula G. Boyd Jan 2011

A Qualitative Multiple Case Study Exploring The Factors Influencing Middle Class African American Parental Choice In Education In Central Alabama, Paula G. Boyd

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One key issue facing urban schools is the mass exodus of middle class African American families to peripheral areas of the city center. Current research specific to Central Alabama documents how the creation of small school districts have affected both the out-migration of African Americans and the resegregation of urban schools; however, the analysis does not consider why middle class African American residents choose to live in a certain municipality. This qualitative study attempts to address the "why" aspect by exploring the perceptions of middle class African American parents in Central Alabama in regard to the educational choices they make. …


Mary Church Terrell: A Historical Case Study Of A Pioneer Of Froebelian Kindergartens For African American Children 1896-1901, Vernessa Curry Jan 2011

Mary Church Terrell: A Historical Case Study Of A Pioneer Of Froebelian Kindergartens For African American Children 1896-1901, Vernessa Curry

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MARY CHURCH TERRELL: A HISTORICAL CASE STUDY OF A PIONEER OF FROEBELIAN KINDERGARTENS FOR AFRICAN AMERICAN CHILDREN 1896-1901 VERNESSA ELAINE CURRY EARLY CHILDHOOD EDUCATION ABSTRACT The purpose of this historical case study was to explore the role of Mary Church Terrell in advancing Froebelian kindergartens for African American children 1896-1901. Historical documents, records, photographs, video, and observations were used in the data collection process. The following questions guided this study: "How did the social, political, and economic context of the Progressive Era affect African American women?" "How was Mary Church Terrell's family and educational history essential to her role in …


Radiographic Damage And Functional Disability In African American Patients With Recent-Onset Rheumatoid Arthritis, Jie Zhang Jan 2010

Radiographic Damage And Functional Disability In African American Patients With Recent-Onset Rheumatoid Arthritis, Jie Zhang

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African Americans are under-represented in rheumatoid arthritis (RA) research and factors associated with the two main RA disease outcomes, radiographic damage and functional disability, have been insufficiently studied. The objective of this project was to examine such factors using data from the Consortium for the Longitudinal Evaluation of African Americans with rheumatoid arthritis (CLEAR), a longitudinal cohort of African American patients with recent onset RA. The association between baseline generalized bone mineral density and radiographic damage at 3 years disease duration was examined among 141 subjects. The total radiographic damage score at 3-years of disease duration in subjects with reduced …


The Effect That Intercollegiate Athletic Participation Has On The Grade Point Averages Of African American Male Student Athletes At A Four Year Public Institution In The Black Belt Region Of Alabama, William Earl Brophy Jan 2009

The Effect That Intercollegiate Athletic Participation Has On The Grade Point Averages Of African American Male Student Athletes At A Four Year Public Institution In The Black Belt Region Of Alabama, William Earl Brophy

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ABSTRACT There are many important factors that impact the grade point averages of African-American males at 4-year public institutions. Factors such as race, gender, SES, and ath-letic participation are potential influences that may have an effect on academic achieve-ment in a college setting in Alabama's Black Belt region as well. This study sought to de-termine if such factors coupled with other demands placed on African American male student athletes effected their respective academic achievement. Important questions an-swered in this study included how the variables above impacted the academic plights of the sample group that was examined. Research hypotheses examined the …