Demography, Population, and Ecology Commons^™

Examination Of Racial Disparities In Childhood Asthma Management Practices, Crystal N. Piper, Saundra Glover, Kieth Elder, Jong-Deuk Baek

Journal of Health Disparities Research and Practice

Objective: To analyze asthma management plan practices for children with asthma in the United States considering race and other demographic and person-level characteristics.

Methods: Univariate/Bivariate/Multivariate analysis was performed to examine asthma management plan physician recommendations among children in the United States utilizing secondary data analysis of the 2002 and 2003 National Health Interview Survey.

Results: The majority of the study participants reported not having an asthma management plan at (59.00%). In multivariate analysis using SAS callable SUDAAN, Whites were significantly more likely to have an asthma management plan (OR=1.66, p=.0031).

Conclusion: Findings from this study indicate that Black and Hispanic …

Promoting Physical Activity In Low Income African Americans: Project Laps, Dorothy W. Pekmezi, Brooke L. Barbera, Jamie S. Bodenlos, Glenn N. Jones, Phillip J. Brantley

Journal of Health Disparities Research and Practice

Low income African Americans are at increased risk for physical inactivity and related chronic illnesses. Thus, effective interventions are needed to address these health disparities. The current study examined the efficacy of a home-based physical activity intervention among a low income African American sample with high rates of chronic illnesses (obesity, hypertension, diabetes, high cholesterol). Participants (n=214) were randomly assigned to either the home-based physical activity intervention (self-help print materials, five monthly newsletters, two telephone counseling sessions) or an attention control condition, which promoted healthy diet. Results indicated that the intervention did not produce significantly greater increases in physical activity …

Hepatitis C Diagnoses In An American Indian Primary Care Population, Hillary E. Norton, John T. Redd, Ralph T. Bryan

Journal of Health Disparities Research and Practice

BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients.

MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use …

Tribally-Driven Participatory Research: State Of The Practice And Potential Strategies For The Future, Patricia Mariella, Eddie Brown, Michael Carter, Vanessa Verri

Journal of Health Disparities Research and Practice

This paper discusses current practice of research with and by American Indian tribal governments in the United States. It begins with a brief overview of Community-Based Participatory Research and compares and contrasts its principles and methods with what this paper terms Tribally-Driven Participatory Research. The paper analyzes current challenges and offers concepts for continuing to improve the effectiveness of Tribally-Driven Participatory Research.

Talking Glossary Of Genomics Terminology: A Genomics Education Module For American Indian Communities, Jill Peters, Pauline Davies, Naomi Lane, Kathryn Coe

Journal of Health Disparities Research and Practice

This paper describes the development of an audio visual genomics glossary that was designed as an education tool for American Indian communities. This “Talking Glossary of Genomics Terminology” is a multimedia DVD that was modeled on the “Talking Glossary of Genetics,” which was developed by the National Human Genome Research Institute (NHGRI). The NHGRI Glossary was modified and expanded with content designed to increase awareness among American Indians about cancer, genomics, and personalized medicine. Partners on the project include the Inter Tribal Council of Arizona, Inc., Phoenix Indian Medical Center, Arizona Cancer Center at the University of Arizona, the Translational …

Beyond The It Magic Bullet: Hiv Prevention Education And Public Policy, Fay C. Payton

Journal of Health Disparities Research and Practice

Analytic applications are vital in the assessments of public health and surveillance as these applications can drive resource allocation, community assessment and public policy. Using a dataset of nearly 90,000 patient hospital encounters, the number of instances with an ICD code of HIV and co-morbidities was identified. Blacks accounted for 75 percent of HIV hospital encounters in the dataset. While business analytic applications informed this study of cross-tabulations and interaction effects among race, age and gender, there appears to be a significant relationship among HIV diagnoses and substance abuse. Payer data is informed by the Healthcare Cost and Utilization Project …

Health Disparities In Kidney Transplantation: An Equity Analysis, Shirley A. Wells

Journal of Health Disparities Research and Practice

The growing incidence of end stage renal disease along with advances of the past 40 years that have improved the success rate of kidney transplantation have created an unprecedented demand for kidney transplant. Yet, certain racial and ethnic groups and women consistently have longer waiting times and lower rates of transplantation which makes a review of the kidney procurement and transplantation system in view of its equity imperative. Reasons given for these disparities have varied from cultural attitudes and beliefs on the part of patients and health care providers, socioeconomic status, rates of organ donation, and geographic location. The equity …

A Review Of Smoking Among Rural African Americans: Recommendations For Research And Cessation Interventions, Susan Hedgecock, Anita Fernander

Journal of Health Disparities Research and Practice

Objective: The purpose of this review is to synthesize the available literature on smoking among rural African Americans.

Methods: Using search terms “rural” “African American” “Black” and “smoking” 19 relevant articles were identified in the Medline data base. Findings gleaned from the 19 articles are presented in four categories: a) smoking prevalence, b) smoking behavior and patterns, c) smoking cessation interventions and quitting, and d) smoking-related outcomes.

Results: There may be gender differences, a pattern of late onset of smoking, and a preference for mentholated brands among rural African American smokers. There is no evidence that rural African Americans are …

Differential Effects Of Race And Poverty On Ambulatory Care Sensitive Conditions, Farrukh B. Hakeem, Daniel L. Howard, Timothy S. Carey, Yhenneko J. Taylor

Journal of Health Disparities Research and Practice

This study is a continuation of an earlier study that examined hospitalization rates for ambulatory care sensitive (ACS) conditions, as a proxy for quality of care, and found evidence of a racial disparity among African American and White Medicare beneficiaries. The current study sought to determine whether neighborhood socioeconomic status (SES) explained this disparity. Differences in rates of ACS hospitalizations by race were assessed using Cochran-Mantel Haenszel tests and Poisson regression. Unadjusted rate ratios for ACS hospitalization for African Americans vs. Whites were found to be higher in low poverty areas (rate ratio (RR)=1.13; 95% CI (1.08, 1.17)) than in …

Inflammatory Biomarkers And Subclinical Atherosclerosis In African-American Women With Systemic Lupus Erythematosus (Sle), Edith Williams, Carlos Crespo, Joan Dorn

Journal of Health Disparities Research and Practice

Women with lupus are at increased risk for developing cardiovascular disease (CVD). Previous studies of atherosclerosis in SLE have not been representative of the minority groups most affected by lupus and its complications. Therefore, a study of 41 lupus cases and 83 controls was conducted to investigate the relationship between carotid atherosclerosis and inflammation in African-American women. Participation consisted of a questionnaire, physical examination, fasting blood draw, and ultrasound of the carotid arteries. There were observed differences between cases and controls with regard to carotid intima media thickness (IMT) and traditional cardiovascular risk factors, although few reached statistical significance. Tumor …

A Human Capital Approach To Reduce Health Disparities, Saundra Glover, Sudha Xirasagar, Yunho Jeon, Keith Elder, Crystal N. Piper, Harris Pastides

Journal of Health Disparities Research and Practice

Objective: To introduce a human capital approach to reduce health disparities in South Carolina by increasing the number and quality of trained minority professionals in public health practice and research.

Methods: The conceptual basis and elements of Project EXPORT in South Carolina are described. Project EXPORT is a community based participatory research (CBPR) translational project designed to build human capital in public health practice and research. This project involves Claflin University (CU), a Historically Black College University (HBCU) and the African American community of Orangeburg, South Carolina to reduce health disparities, utilizing resources from the University of South Carolina (USC), …

Environmental Justice & Sociology, Brenna E. Regan

Honors Scholar Theses

This thesis compared the patterns influencing the creation of Native American reservations and the prison industrial complex in the United States. I argue that the country is controlled by people who create a physical and socio-political environment that caters to their certain positionality, adversely effecting and pushing marginalized groups into confined, controlled spaces in their own home. Ultimately, environmental justice, or equal control of people over their environment, is a vital factor in ending structural and physical violence against marginalized groups in the United States.

The Gastón Institute’S Partnership With The Puerto Rican Cultural Center In Springfield, Ma, Maria Idali Torres, Ivette Cruz, Anjuli Manrique, Phillip Granberry, Gaston Institute, University Of Massachusetts Boston

Office of Community Partnerships Posters

The Gastón Institute responds to requests from government and foundations for CBPR studies seeking to test theories and methods for addressing disparities in educational, health, and economic outcomes in U.S. Latino and Latin American communities. Our future research in this area seeks to answer questions about the factors that contribute to the production of disparities in health, educational, and economic outcomes. Our current CBPR projects seek to test the feasibility of a variety of intervention strategies.

The Gastón Institute’S Response To Requests For Descriptive Socio-Demographic Profiles Of Latinos In Massachusetts, Maria Idali Torres, Phillip Granberry, Gaston Institute, University Of Massachusetts Boston

Office of Community Partnerships Posters

The Gastón Institute responds to requests for periodic demographic updates on the Latino population in Massachusetts and other New England states. The rapidly changing makeup of the Latino population of Massachusetts calls for a deep understanding of the characteristics and situations of the different sectors of the community. While the non-Latino white population from Massachusetts declined around 4% over the last decade, the Latino population grew approximately 45%. This fact highlights the importance of Latino population to the State’s economic, political and social growth and stability.

The Subtleties Of Social Exclusion: Race, Social Class, And The Exclusion Of Blacks In A Racially Mixed Neighborhood, Daniel Monroe Sullivan, Jonathan Picarsic

Sociology Faculty Publications and Presentations

We use interviews, content analysis, and surveys to describe how a neighborhood association in a racially mixed neighborhood in Portland, Oregon (USA) subtly excludes many blacks from being full members of the neighborhood. In contrast to explicit cases of social exclusion, this neighborhood association excludes blacks without ever referring to race. They instead justify their actions—e.g., helping close down a black social club and discouraging more affordable housing—based on such nonracial goals as increasing homeownership, minimizing crime, and maximizing “economic diversity.” We argue that without the inclusion of black residents and their neighborhood organizations (e.g., churches) in the decision-making process, …

Take Back Rondebosch Common: A Case Study On Discontent With The Da And Urban Land Reform In Rondebosch, Cape Town., Kyle Dallman

Independent Study Project (ISP) Collection

In late January of 2012, undercurrents of dissatisfaction with Cape Town’s ruling political party, the Democratic Alliance, and their pace of development and service delivery came to a head as aggrieved citizens marched through the southern suburbs of the city to a green known as Rondebosch Common. The citizens had planned on protesting the lack of opportunities for Cape Town’s non-white citizens while at the Common in a “Land, Housing and Jobs Summit,” but were met with police batons and armored vans that quelled the movement in an astonishing show of force. This paper will investigate the motivations of the …

Physical Activity Effects On Depressive Symptoms In Black Adults, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

Journal of Health Disparities Research and Practice

Objectives: Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults. Methods: Articles were abstracted by conducting a computer and hand search of eligible studies. Results: Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored. Conclusion: Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …

Not Always Black And White: Racial Bias For Birth Disparities From Excluding Hispanic Identification, Barbara L. Wilson, Cristi Coursen, Matthew Butler

Journal of Health Disparities Research and Practice

Despite gains in prenatal care (PNC) usage and birth outcomes for minority women during the past few decades, observed disparities between non-Hispanic Whites, Blacks, and Hispanics persist. Using the National Center for Health Statistics’ (NCHS) natality files from 1981 through 1998, Alexander, Kogan, & Nabukera (2002) examined live births of U.S. residents by trimester in which PNC was initiated and the appropriateness of that care based on the Adequacy of Prenatal Care Utilization Index (APNCU) (Kotelchuck, 1994). They found racial disparities between White and Black women in both the trimester of PNC initiation and the number of PNC visits made. …

Self-Stigma, Stress, And Smoking Among African American And American Indian Female Smokers: An Exploratory Qualitative Study, Diana Burgess, Rachel Widome, Michelle Van Ryn, Sean Phelan, Steven Fu

Journal of Health Disparities Research and Practice

Research suggests that negative emotions and difficulty coping with stressful events might impede women’s ability to quit smoking. This study uses qualitative methods to explore interrelationships between smoking behavior and negative emotions among a sample of racial/ethnic minority female smokers with the aims of theory-building and hypothesis generation. Data were derived from a larger study involving sixteen focus groups with current and former smokers from ethnic minority communities. The present study consisted of three focus groups of female African American and American Indian smokers (N = 16). Data was analyzed following standard methods for in vivo coding of qualitative data. …

Asthma Management: An Ecosocial Framework For Disparity Research, Robin A. Evans-Agnew

Journal of Health Disparities Research and Practice

Background: Asthma management disparities (AMD) between African and White Americans are significant and alarming. Various determinants have been suggested by research frameworks that affect the unfair distribution of resources for asthma management to groups who are more or less advantaged socially. Ecosocial models organize determinants into individual/family, healthcare, community, and sociocultural levels. Multilevel interventions can affect AMD through simultaneous actions on different levels and pathways between determinants.

Objective: Provide a comprehensive summary of the known determinants of AMD.

Method: Peer reviewed research frameworks of AMD from 1998-2009 were retrieved from PubMed/ Web of Science databases using (“Socioeconomic Factors”[Mesh] OR (“Healthcare …

Does Race And National Origin Influence The Hourly Wages That Latino Males Receive?, Clara E. Rodriguez, Grigoris Argeros, Michael Hajime Miyawaki

Sociology Faculty Publications

No abstract provided.

The Sociological Impact Of Cancer: Cancer Among The World, Jenna Kooy

A with Honors Projects

Cancer among ethnic groups and in high income/low income regions.

Study Guide For United In Anger: A History Of Act Up, Matt Brim

Open Educational Resources

The United in Anger Study Guide facilitates classroom and activist engagement with Jim Hubbard’s 2012 documentary, United in Anger: A History of ACT UP. The Study Guide contains discussion sections, projects and exercises, and resources for further research about the activism of the New York chapter of ACT UP (AIDS Coalition to Unleash Power). The Study Guide is a free, interactive, multimedia resource for understanding the legacy of ACT UP, the film’s role in preserving that legacy, and its meaning for viewers' lives.

An Analysis Of Burmese And Iraqi Resettlement Location And Assimilation In A Midsized City: Implications For Educational And Other Community Leaders, Donna Schiess Renaud

Dissertations

Refugees face different circumstances than other immigrants regarding housing in initial resettlement in the U.S. Refugees have no choice of their initial residence as this is determined in advance by the resettlement agency. Refugees who belong to minority ethnic groups and who have little education or skills may experience discrimination and hostility from local citizens. Resettlement areas that are high in population density, rental units, minorities, crime, unemployment, inadequate transportation, and low income may present additional barriers to cultural and economic assimilation.

This mixed-method study had a twofold purpose. The first was to describe quantitatively how the initial resettlement address …

Hyphenated Identities As A Challenge To Nation-State School Practice?, Edmund T. Hamann, William England

Department of Teaching, Learning, and Teacher Education: Faculty Publications

This chapter concludes the edited volume Hyphenated Identities and affords a chance to juxtapose how transnational students negotiate school and identity with how school systems in turn view such students, and then it allows the examination of two different strategies -- situational ethnicity versus the assertion of hyphenated identity -- as a glimpse into the cosmology of transnationally mobile students as they come into adulthood.

Everybody’S Doin’ It (Right?): Neighborhood Norms And Sexual Activity In Adolescence, Tara D. Warner, Peggy C. Giordano, Wendy D. Manning, Monica A. Longmore

Department of Sociology: Faculty Publications

A neighborhood’s normative climate is linked to, but conceptually distinct from, its structural characteristics such as poverty and racial/ethnic composition. Given the deleterious consequences of early sexual activity for adolescent health and well-being, it is important to assess normative influences on youth behaviors such as sexual debut, number of sex partners, and involvement in casual sexual experiences. The current study moves beyond prior research by constructing a measure of normative climate that more fully captures neighborhood norms, and analyzing the influence of normative climate on behavior in a longitudinal framework. Using recently geo-coded data from the Toledo Adolescent Relationships Study …

The Latino Population Of New York City, 1990—2010, Laird W. Bergad

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report examines demographic and socioeconomic factors concerning the Latino population of New York City between 1990 and 2010.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: The City’s Latino population continued its steady increase from 1.7 million people and 24% of the total population in 1990 to nearly 2.4 million and 29% of all New Yorkers in 2010. Within the Latino population …

Ghanaians In Amsterdam, Their "Good Work Back Home" And The Importance Of Reciprocity, Ton Dietz, Valentina Mazzucato, Mirjam Kabki, Lothar Smith

Journal of Global Initiatives: Policy, Pedagogy, Perspective

This paper discusses the particular and strategic roles, which migrants play in the development of their country of origin, notably their rural "hometowns." It is based on a multi-sited, contemporaneous study in cultural economics that explores the influence of transnational ties between Ghanaian migrants in Amsterdam with individual and collective actors in Ghana, notably in rural Ashanti communities. This paper highlights the role of institutions, linking communities living abroad to their people back home, or broader: in the home country. In this contribution two of these, inter-linked institutions get special attention: community development, and funerals.

Review Of Immigrants In Prairie Cities: Ethnic Diversity In Twentieth-Century Canada. By Royden Loewen And Gerald Friesen., Lori Wilkinson

Great Plains Research: A Journal of Natural and Social Sciences (through 2013)

Loewen and Friesen trace the origins of public concern about the adverse influence of immigrants in terms of increased competition for jobs, threats to social cohesion, questioning the loyalties of newcomers at the beginning of the 20th century--issues remarkably similar to the mythology describing immigrants in western societies today. Readers may be tempted to ask, "If the situation in the 1900s is so similar to today's, why read this book?" Not only will readers get a sense of the longevity of these and other myths surrounding migration, they will learn about the creation of ethnic culture in the prairies and …

The Latino Population Of New York City, 2009, Laird W. Bergad

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report examines demographic and socioeconomic factors concerning the Latino population of New York City in 2009.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: The City’s Latino population continued its steady increase from 1.7 million people and 24% of the total population in 1990 to nearly 2.4 million and 28% of all New Yorkers in 2009. Within the Latino population Puerto Ricans …