Social and Behavioral Sciences Commons^™

The Role Of Feature-Based Discrimination In Driving Health Disparities Among Black Americans, Randl B. Dent, Nao Hagiwara, Elena V. Stepanova, Tiffany L. Green

Faculty Publications

Objective: A growing body of research finds that darker skin tone is often associated with poorer physical and mental health in Blacks. However, the psychosocial mechanisms underlying the skin tone-health link remain elusive. The present study seeks to address this knowledge gap by investigating the direct and indirect (through perceived discrimination, socioeconomic status, and self-esteem) effects of skin tone on self-reported physical and mental health.

Design: An urban sample of 130 Blacks aged 35 and above completed a self-administered computerized survey as a part of larger cross-sectional study.

Results: Self-esteem played a particularly important role in mediating the associations between …

Transgender And Gender Nonconforming Youths’ Public Facilities Use And Psychological Well-Being: A Mixed-Method Study, Lance S. Weinhardt, Patricia Stevens, Hui Xie, Linda M. Wesp, Steven A. John, Immaculate Apchemengich, David Kioko, Shannon Chavez-Korell, Katherine M. Cochran, Jennifer M. Watjen, Nickolas H. Lambrou

Publications and Research

Purpose: In this study, we explored experiences and feelings of safety in public facilities in relation to psychological well-being among transgender and gender nonconforming (TGNC) youth in the Midwest in the summer of 2016, in the context of ongoing legislative proposals and regulations regarding school and public bathroom use in the United States.

Methods: We used a mixed-method approach, with (1) a self-administered, paper-and-pencil survey of 120 TGNC youth, focusing on differences of self-esteem, resilience, quality of life (QoL), perceived stigma, feelings of safety, and experiences of public facility use and (2) two focus group interviews (n = 9) in …

Mapping The Alignment Of Programmatic Mission, Functions And Outcomes With The Attainment Of Health Equity: An Overview Of The Approach And Initial Outcomes Through The Lens Of The Usda’S Cyfar Scp Program, Onyemaechi Nweke, Kara Ryan, Mpp, Bonita Williams, Phd

Journal of Health Disparities Research and Practice

Eliminating health disparities is a priority across national agenda and initiatives such as the National Partnership for Action to End Health Disparities (NPA), the National Prevention Strategy, and Healthy People 2020. To advance this priority under the NPA, the Federal Interagency Health Equity Team (FIHET), which is an NPA federal cross-sector and collaborative platform, initiated a voluntary pilot “health equity mapping” exercise in 2014. This exercise served as a strategy to clarify the strategic alignment between participant federal partner program missions, goals, and activities, and the goal to end health disparities and promote health equity. The mapping process included an …

Improving Access And Utilization Of Data To Support Research And Programs Intended To Eliminate Disparities And Promote Health Equity, Rosaly Correa-De-Araujo

Journal of Health Disparities Research and Practice

Numerous Federal initiatives are addressing health and health care disparities. The ultimate goal is to achieve “a nation free of disparities in health and health care.” Social determinants of health remain mostly responsible for health/health care disparities among population groups within and between countries. In the United States, there is little evidence that disparities associated with such determinants are decreasing, with only 10% of those associated with race/ethnicity and income having demonstrated improvement in recent years. A variety of data sources are available from the Federal and private sectors to support research on disparities, but no single national survey seems …

Utilizing Title Vi As A Means To Eradicate Health Discrimination, Adrian D. Samuels, Mariah L. Cole

Journal of Health Disparities Research and Practice

Health disparities among people of color are persistent and detrimental to the overall wellness of these groups. Discrimination in the provision of health care services is one of the primary causes of health disparities. Title VI of the Civil Rights Act of 1964’s availability as a tool to prevent discrimination and, in turn, disparities among these groups is underdocumented. The legislative intent of Title VI and the historical context of the law have been helpful in its use outside of the health care arena to prevent discrimination. This sheds light on the ways that the law can influence the health …

Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King

Journal of Health Disparities Research and Practice

Objectives: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States.

Methods: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care.

Results: HBV infected persons with insurance were more likely to see a physician than those without. Respondents worried about money to pay rent or mortgage were more likely to report HBV infection than …

Understanding Appointment Breaking: Dissecting Structural Violence And Barriers To Healthcare Access At A Central Florida Community Health Center, Paula Mead

USF Tampa Graduate Theses and Dissertations

Access to healthcare is an important topic within medical anthropology, in part because access is denied or complicated through structural forces for many populations in the United States. Anthropological research explores the impact of lack of access to healthcare on the lives of at-risk populations, as well as the differing and unexpected ways that access is denied or limited (Adler and Newman 2002; Becker 2004; Becker 2007; Horton 2004; Horton, McCloskey, Todd, and Henricksen 2001; O'Daniel 2008). For low-income, rural and minority populations, research shows that access to healthcare is further complicated by a higher propensity to break appointments (Bean …

The Role Of Socioeconomic Context In The Association Between Educational Attainment And Morbidity And Mortality, Jennifer Brite

Dissertations and Theses

Although the association between educational attainment and health is one of the most studied in the social science, little is known about the role of social and economic context. Fundamental Cause Theory suggests that the education-health gradient will be weakest in contexts where the better educated are unable to leverage their resources to achieve better health. This dissertation tests several different factors that may moderate the association between educational attainment and morbidity and mortality: 1. Demographic characteristics, including race, immigration status, and gender, 2. Status consistency (defined as education equivalent to that required for current occupation), 3. Unemployment rates at …

Risks, Protections, And Weight Status Among Springdale High School Students, Leanna Christine Gavin

Graduate Theses and Dissertations

This study examined the role of sociodemographic characteristics and various Social factors in determining BMI among adolescent high school students. In a sample of 1,493 students at a public high school in Springdale, Arkansas, disparities in body mass index across race/ethnicity, gender, and Social class were assessed. This project also examined risk and protective factors in the individual, peer, and family domains as they contributed to weight status outcomes and disparities. Using a quantitative approach, BMI outcomes were examined in a four-step multiple regression model, considering both main effects and interactions of race/ethnicity, class, and gender, as well as risk …

Examining The Impact Of Institutional Racism In Black Residentially Segregated Communities, Brandi Blessett, Vanessa Littleton

Ralph Bunche Journal of Public Affairs

This article examines the impact of public policies in inner city communities. Using Ferguson, MO as an exemplar, the authors offer a contextual analysis of a community recently in the spotlight for the killing of an unarmed black man by a law enforcement officer. Through the lens of the social determinants of health, we examine “place” as a powerful determinant of health and community outcomes. We consider the implications of public policies and the subsequent impact on social and economic context. The authors highlight the existence of social, economic, environmental, political, and cultural factors experienced by Blacks in Ferguson, MO …

Minority Health Disparities: The Case Of The American Indians, Lawrence M. Schell

Campus Conversations in Standish

In this presentation, Dr. Lawrence Schell talks about how globally, aboriginal populations have been in great decline, demographically and culturally. American Indians continue to be the poorest and the least healthy population within the borders of the United States. They are the most severe victims of health disparities in the US. Health disparities are preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations (https://www.cdc.gov/healthyyouth/disparities/). Health disparities result from multiple factors, including poverty, environmental threats, inadequate access to health care, individual and behavioral factors, educational inequalities, …

Are Our Policy Makers On Board? What Policy Makers Think Of The Social Determinants, Health Disparities, And Health In All Policies, M. Lelinneth B. Novilla, Michael C. Goates, Spencer Calder, Tabetha Ellis, Kraymer Eppich, Laura A. Galvao, Noyra Melissa Quintana, David Mateos

Faculty Publications

BACKGROUND: We impact our health by “how we manage our affairs in society.”¹ The unequal distribution of power, money, and resources creates a collective social milieu with disparities in health between and within countries. Tackling health inequities require addressing the health implications of the “toxic combination of poor social policies and bad politics.”¹ But how do U.S. policy makers view the social determinants of health?

OBJECTIVE: Determine U.S. policy makers’ awareness for the social determinants of health, health inequities, and health in all policies; identify the social determinants of health perceived as legislative priorities; list factors identified/perceived …

Each Medium Tells A Different Story: The Effect Of Message Channel On Narrative Persuasion, Nathan Walter, Sheila T. Murphy, Lauren B. Frank, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

Limited attention has been given to the medium of story presentation in this process of narrative persuasion. The present study (N = 243) fills this gap by directly comparing narrative involvement across print and audiovisual versions of the same cervical cancer-related story. The mediation analysis revealed that exposure to an audiovisual narrative was associated with higher levels of cognitive and emotional involvement than exposure to the exact same narrative in its printed form. Yet the higher levels of transportation in the audiovisual condition came at a price of enhancing psychological reactance, eliminating the relative advantage of the film narrative.

Toward A Socio-Territorial Approach To Health: Health Equity In West Africa, Lucie Vialard, Clara Squiban, Florence Fournet, Gérard Salem, Ellen Foley

Sustainability and Social Justice

This study contributes to the literature about the effects of space and place on health by introducing a socio-territorial approach to urban health disparities in West Africa. It explores how urban spaces, specifically neighbourhoods, are shaped by social and economic relations and strategies of territorial control. We examine the potential influence of socio-territorial processes on vulnerability to disease, access to medical care, healthscapes, and illness experiences. Our research was conducted in Senegal and relied on a mixed methods design. We identified four neighbourhoods that represent the socio-spatial heterogeneity of the city of Saint-Louis and utilized the following methods: geographic and …

Child-Mediated Health Communication: A Conceptual Framework For Increasing Stroke Literacy In Hard To Reach Populations, Olajide Williams, Ellyn Leighton-Herrmann, Mindy F. Hecht, Alexandra Desorbo, William Gerin, Monique Hedmann, Rachel Shelton, Benjamin Tolchin, James Noble

Journal of Health Disparities Research and Practice

Effectively engaging economically-disadvantaged ethnic minority communities for promoting health has proved to be challenging for a variety of reasons, including factors related to healthcare access, literacy, inadequate or ineffective cultural appropriateness of materials, and the relatively low priority for health due to competing demands related to economic hardship. We have developed a framework of Child-Mediated Health Communication (CMHC), which focuses on children as channels for carrying out health promotion interventions to parents and other caregivers. CMHC is an innovative, alternative strategy for engaging this underserved population, where traditional methods of health promotion have not been successful. We discuss the theoretical …

Hiv Treatment Outcome Disparities: Using Web-Based Technology To Promote Adherence And Engagement With Care Among African American Patients, Eric Houston, Brenda Wolfe, Alexander K. Tatum, Monique Rucker, Norma Rolfsen, Maryanne Williams, Nancy Glick

Journal of Health Disparities Research and Practice

Ethnic minorities continue to be disproportionately affected by the HIV epidemic and those individuals living with the virus experience differential outcomes in treatment. Technology-based approaches have been used to address a variety of health problems, but few studies have focused on the application of these approaches in addressing HIV treatment disparities. Using a sample of African-American patients identified as lost to follow-up for HIV treatment (n=33), this study examined the feasibility and acceptability of a web-based program designed to assess and improve treatment engagement. Participants were randomly assigned to either the web-based assessment program or the control group. Measures of …

Race, Age, And Neighborhood Socioeconomic Status In Low Birth Weight Disparities Among Adolescent Mothers: An Intersectional Inquiry, Sheryl L. Coley, Tracy R. Nichols

Journal of Health Disparities Research and Practice

Introduction: Few studies examined socioeconomic contributors to racial disparities in low birth weight outcomes between African-American and Caucasian adolescent mothers. This cross-sectional study examined the intersections of maternal racial status, age, and neighborhood socioeconomic status in explaining these disparities in low birth weight outcomes across a statewide sample of adolescent mothers.

Methods: Using data from the North Carolina State Center of Health Statistics for 2010-2011, birth cases for 16,472 adolescents were geocoded by street address and linked to census-tract information from the 2010 United States Census. Multilevel models with interaction terms were used to identify significant associations between maternal racial …

Comm 454: Communication And Health Disparities—A Peer Review Of Teaching Project Benchmark Portfolio, Angela L. Palmer-Wackerly

UNL Faculty Course Portfolios

The current portfolio examines the second iteration of a new course in the Department of Communication Studies, Comm 454: Communication and Health Disparities. The primary goal of the course is for students to understand what health disparities are and how communication (on micro, meso, and macro levels) helps to create, reinforce, and improve these health disparities. Student learning was measured through the evaluation of the above course objective through four assignments: a short reflection paper, 2 teaching lessons, a research paper, and a health disparities communication campaign/intervention. The short reflection paper was examined through thematic analysis, while the latter three …

Trauma In Veterans With Substance Use Disorder: Similar Treatment Need Among Urban And Rural Residents, Lance Brendan Young, Christine Timko, Kimberly A. Tyler, Kathleen M. Grant

Department of Sociology: Faculty Publications

Purpose: The objective of this study is to determine whether rural residence is associated with trauma exposure or posttraumatic stress disorder symptoms among military veterans seeking treatment for substance use disorder (SUD) through the Department of Veterans Affairs (VA). Delivering mental health services to veterans in rural areas is a challenge, so identifying differences in the causes and outcomes of trauma exposure would assist in effectively targeting service delivery.

Methods: Veterans (N = 196) entering SUD treatment at 3 Midwestern VA treatment centers were designated as either urban or rural, based on rural-urban commuting area (RUCA) codes. The …

Immigrant Health Disparities: Does Neighborliness Improve Health?, Kofi Danso

The Journal of Sociology & Social Welfare

Using data from the California Health Interview Survey, this cross-sectional study examined the differential role of neighborhood social capital and other socio-demographic variables in predicting the health of immigrants and native-born Americans. The results revealed a statistically significant association between age, marital status, and poverty level, English proficiency, education and employment, self-reported health, and immigrant and non-immigrant status. With the exception of neighborhood trust, neighborhood social capital indicators such as social cohesion, neighborhood safety, and civic participation were found to significantly predict both immigrant and non-immigrant health. Neighborhood trust was significant for non-immigrants, but was not predictive of immigrant health. …