Race and Ethnicity Commons^™

Racial Differences In The Use Of Most Commonly Performed Medical Procedures In The United States, Syed S. Haque, Mohammad A. Faysel, Hafiz M. R. Khan

Journal of Health Disparities Research and Practice

Objective: This study investigates racial disparities in the use of commonly performed medical procedures in U.S. hospitals. Methods: To examine racial disparities, we calculated age-adjusted rate of procedures used by all Whites, Blacks, Hispanics, Asians or Pacific Islanders and Native Americans and calculated corresponding Relative Risks(RRs) of White vs. all other races based on procedure utilizations and insurance types using 20% random sample of Nationwide Inpatient Sample (NIS) data between 2001 and2003. Results: Whites were significantly more likely to receive 3 of the study procedures than Blacks, 3 of the procedures than Hispanics, 2 of the procedures than Asians or …

Racial Disparities In Cancer Screening Among Women With Chronic Joint Pain, Edith M. Williams, Laurene Tumiel-Berhalter, Christopher Purdy, Adrianne Ransom, Judith Anderson

Journal of Health Disparities Research and Practice

Chronic pain related disorders and breast and cervical cancer are more prevalent among African-American women compared with non-Hispanic White women. However, few studies address how racial differences in the context of comorbidity may compound these disparities. This study used secondary analysis of the National Health Interview Survey (NHIS) to assess racial differences in breast and cervical cancer screening and patient education among adult women with chronic joint pain conditions. Statistical analyses included chi-square and independent samples t-tests. African-American women compared with non-Hispanic White women were less likely to receive a pap smear or mammogram within the last two years and …

Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons

Journal of Health Disparities Research and Practice

Prostate and colorectal cancer are two of the leading causes of cancer deaths among African American men. This study describes lessons learned from the development, implementation and evaluation of a culturally appropriate, barbershop-based intervention to improve prostate and colorectal cancer screening awareness among African American men. Working with an Advisory Panel of shop owners, barbers, and cancer survivors, local barbers were recruited and trained as Community Health Advisors to educate, motivate, and assist their clients in becoming more knowledgeable about prostate and colorectal cancer. Survey results reveal increases in prostate and colorectal cancer knowledge and self-reported screening among participants. Lessons …

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 …

Perceptions Of Healthcare, Health Status, And Discrimination Among African-American Veterans, Nathaniel Rickles, Silvia Dominguez, Hortensia Amaro

Journal of Health Disparities Research and Practice

The Institute of Medicine identified access to healthcare and race-based discrimination as important barriers to quality healthcare that contributes to health disparities. This study (1) describes African-American veterans’ perceptions of healthcare services and perceived discrimination in healthcare and (2) investigates the relationship between perceived discrimination and patient perceptions of care, satisfaction with healthcare, and health status. A convenience sample of 141 African-American veterans in Boston completed surveys from May to June 2006.

Respondents reported an average of 16 lifetime experiences of discrimination and over half recalled a situation when they experienced discrimination in healthcare. Modest ratings of perceived quality of …

Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi

Journal of Health Disparities Research and Practice

Colorectal cancer is the second most diagnosed cancer among American Indians and is also the second leading cause of cancer death. We used a community-based participatory approach to conduct a mixed methods study to examine colorectal cancer screening behaviors. Here we report on the screening behaviors of our focus group participants (n=153). There were significant gender differences in the colorectal cancer screening rates for FOBT and colonoscopy. Although over 80% of participants reported having health insurance, only 35% of males over 50 years old and 57% of females reported ever having a colonoscopy. More research is needed to identify the …

Social Capital And Violence Across Racial And Ethnic Samples Of Adolescents, Darlene R. Haff, Kevin M. Fitzpatrick, H. H. Floyd

Journal of Health Disparities Research and Practice

Using a national sample of adolescents, results of this study demonstrate the important role family and school social capital plays in protecting both White and selected non- White students against violent outcomes. For example, parent-child relationship was associated with reduced violence for Black and White adolescents but not for Hispanics. School affiliation was significant in models for Hispanic and White adolescents but not in models for Black students. Sports participation was associated with greater violence among Hispanics and Whites, but not Blacks. Interestingly, club participation was significant for Whites, but, like sports, it was associated with greater violence. Parental monitoring …

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. …

A Su Salud En Acción: Replicating A Model To Increase Utilization Of Cancer Screening Among Low Income Latinas, Amelie G. Ramirez Drph, Patricia Chalela, Lucina Suarez, Kipling J. Gallion

Journal of Health Disparities Research and Practice

Latinas suffer longstanding disparities in breast cancer survival and cervical cancer incidence and mortality compared to non-Hispanic white women. This study assessed the feasibility of replicating the theory-based A Su Salud En Acción communication model to impact cancer screening behaviors in two at-need Nevada clinics. The intervention significantly increased the number of mammograms and Pap smears among Latinas. Mammograms and Pap smear rates increased by 58.7‰ and 51.8‰ respectively in the pilot site (95% CI 40.1-49.1 and 47.1-56.5 respectively) and by 33.7‰ and 7.5‰ respectively (95% CI 15.6-51.9 and 4.3-10.6) in the replication site, among women ages 50-64.

This study …

Participant Recruitment Of African American College Students At An Historically Black College And University (Hbcu): Challenges And Strategies For Health-Related Research, Cecile N. Yancu, Anna K. Lee, Daphne D. Witherspoon, Correll D. Mcrae

Journal of Health Disparities Research and Practice

Lack of research participation among African Americans is problematic for population relevant health disparity research. The purpose of this paper is to identify and describe challenges and strategies in recruitment of African American college students for health related research being conducted at a small Historically Black College or University (HBCU). Upon completion of a recruitment and retention literature review, study investigators constructed and tested a culturally-specific, direct-appeal protocol to recruit participants. Major barriers to recruitment of African American college students included discrete sources of distrust, lack of understanding of the research process, and logistical concerns. Implementation of a culturally-specific, direct …

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 …

Breast Cancer Screening Practices Among American Indians And Alaska Natives In The Midwest, Christine M. Daley, Melissa Filippi, Aimee S. James, Sarah Brokenleg, Stacy Braiuca, K. A. Greiner, Won S. Choi

Journal of Health Disparities Research and Practice

American Indian and Alaska Native (AI/AN) women currently have some of the highest mortality rates from breast cancer for any racial/ethnic group in the United States and some of the lowest screening rates. However, current data are not available for regional differences in screening, which can result in dramatically different stage at diagnosis and mortality. We conducted surveys with 120 focus group participants in a needs assessment of mammography among AI/AN in the greater Kansas City metropolitan area and parts of Northeast Kansas. We found that among women under age 40, for whom recommended screenings include only annual clinical breast …

Race And Hepatitis C Management Within The Veterans Administration, Joahd Toure, Joshua Metlay, Sandford Schwartz, Knashawn Morales, David Kaplan, Peter Groeneveld

Journal of Health Disparities Research and Practice

Objective: To examine black-white differences in hepatitis C treatment within the Veterans Administration (VA) and determine whether racial variation in specialty consultation explains differences in hepatitis C treatment between blacks and whites.

Methods: We performed a retrospective cohort study of 1040 veterans meeting VA eligibility criteria for hepatitis C treatment. We used multiple imputation to handle missing race data. Specialty consultation was determined from the VA outpatient medical dataset and hepatitis C treatment was determined from the VA decision support system. Conditional logistic regression was used to examine the association between race and hepatitis C treatment as well as race …

Type 2 Diabetes Science And American Indian / Alaska Native Culture: Creating A National K-12 Curriculum Prevention Strategy For Native Youth, Carolee Dodge Francis, Michelle Chino

Environmental & Global Health Faculty Research

Preventing and reducing the onset of type 2 diabetes among American Indian/Alaska Native youth requires educational strategies to affect knowledge, attitudes, and cognitive decision-making skills. In an unparalleled effort to address the growing epidemic of type 2 diabetes in tribal communities, eight tribal colleges and three federal agencies collaborated to develop and implement a kindergarten-through-twelfth-grade (K–12) Diabetes Education in Tribal Schools curriculum. This article outlines the scientific and cultural development of a comprehensive K–12 science curriculum as a targeted health prevention strategy.

Immigration And Ethnic Diversity In Nevada, Thomas Wright, John P. Tuman, Maryam T. Stevenson

Social Health of Nevada Reports

In a few decades, non-Hispanic whites will constitute a bare majority in the United States. If current demographic trends continue, the Hispanic population will double or even triple in size by 2050, the Asian population will double, and the African-American population will grow at a faster pace than non-Hispanic whites, which are actually expected to begin declining by 2025. These developments promise to bring profound changes in the country’s ethnic and racial landscape.

Smyrna's Ashes: Humanitarianism, Genocide And The Birth Of The Middle East, Michelle Tusan

History Faculty Research

Today the West tends to understand the Middle East primarily in terms of geopolitics: Islam, oil, and nuclear weapons. But in the nineteenth century it was imagined differently. The interplay of geography and politics found definition in a broader set of concerns that understood the region in terms of the moral, humanitarian, and religious commitments of the British empire. Smyrna’s Ashes reevaluates how this story of the “Eastern Question” shaped the cultural politics of geography, war, and genocide in the mapping of a larger Middle East after World War I.

Predictors Of Parental Involvement In Immigrant Chinese American Families, Pamela Cornejo, Cathy Anicama, Qing Zhou

McNair Poster Presentations

Parental involvement (PI) relates to children’s positive outcomes but few studies have examined factors of PI, particularly among immigrant families. The current study examines how contextual characteristics influence PI behaviors within Chinese immigrant families and potential mediating factors. Percentage of Asian students in schools and Parents’ report of education. English and Chinese proficiency, employment status and income were analyzed as predictors of PI behavior (i.e., parental involvement- home (PIH), parental involvement- School (PIS), parent-teacher contact (PTC)), based on parent and teacher report. Parental beliefs such as parent and teacher roles, perception of impact and ability, and endorsement of school were …

An American Mess: How Colorblind Racism Prevents An Enlightened Conversation On Race In Television Media, Nathaniel Phillipps

McNair Poster Presentations

This project aims to demonstrate how the current racial ideology in America is portrayed through television media. It is primarily guided by the work of Eduardo Bonita-Silva and his masterful examination of post-civil rights racism in the United States in his book Racism Without Racists. From a firm understanding of the ideology of this new racism -- its frames, styles, and storylines -- the content of two televisions shows are analyzed to identify the racial ideology and the representations of people of color within.

Scandal (ABC) is progressive in the sense that it has a Black female lead, and two …

The Influence Of Ethnic Identity And Family Support On Posttraumatic Symptoms In Maltreated Youth, Harpreet Kaur

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated children are at greater risk of developing PTSD than nonmaltreated children (Ackerman et al., 1998; Epstein et al., 1997; Famularo et al., 1996; Kilpatrick et al., 2003; Widom, 1999). This study sought to assess the role of ethnicity, ethnic identity, and family support on the effects of maltreatment and trauma in adolescents. Participants (n=145) included adolescents from Child Haven, a Department of Family Services (DFS)-related site in Las Vegas, and youths in foster care assessed at the offices of Dr. Stephanie Holland. The first hypothesis was that non-Caucasian youth would have higher levels of PTSD-related symptoms than Caucasian youth. …

In Quest Of A Dropout Theory: Examining The Utility Of An Ecological Approach Through Survey Research, Tiffany G. Tyler

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examined the utility of Bronfenbrenner's Ecological Theory as a metatheory of dropout. Using the NELS: 1988 dataset, the present study examined the relationship between dropout attributions and Bronfenbrenner's construct, the microsystem. Attention was given to accounting for students' attributions regarding their identity (e.g., demographic and profile characteristics) with environmental and regional contexts as possible moderators. In particular, the present study examined the responses given as reasons for dropout in view of how those responses could be categorized with Bronfenbrenner's theoretical structure and the extent to which the resulting categorization could predict dropout, considering related demographic variable.

This study …

The Emergence Of Latin America: A Break With History?, Mauricio Cardenas

Brookings Scholar Lecture Series

The idea is to discuss recent economic and social trends in Latin America, many of which defy the conventional wisdom in the U.S. about the region. At the same time, the region is divided between two ideological camps, so progress will not be uniform between countries. Understanding the origins and implications of the ideological divide is crucial.

Political And Civic Engagement Attitudes Among Asian American College Students, Matthew Vanada

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study explored the attitudes of political and civic engagement among Asian American college students. Previous research suggests that young people are increasingly more inclined to participate in civic activities over traditional forms of political participation. The researcher considered this trend by examining the views of Asian American students, a group whose political behavior has not been largely investigated.

This study employed a qualitative research design. Students from public institutions of higher education in Las Vegas were interviewed using an in-depth and semi-structured format. Findings suggest that there is a general willingness to become involved in civic activity such as …

Bordered Identities: Class, Ethnicity, And Transnational Social Networks, Rayette Ellen Martin

UNLV Theses, Dissertations, Professional Papers, and Capstones

This thesis looks at the bordered identities of middle class second generation Mexican Americans in Las Vegas, Nevada. Through an analysis of the borderlands or gray spaces that occur at the intersections of class practices, transnational relationships and ethnic identities, participants’ bordered identities were found to be reinforced, contested, and generally negotiated. Participants’ identities are flexible; their expressed identities change in relation to context or situation. In the United States, Mexicans and Latinos more generally have been subjected to racial and ethnic oppression since the Mexican American war ended in 1848.This long history of discrimination has maintained perceptions that all …

Altering Explicit And Implicit Racial Prejudice Towards African American Males, Veronica A. Glover

UNLV Theses, Dissertations, Professional Papers, and Capstones

Researchers tested 281 undergraduates to determine if positive behavior messages about African American males presented during a learning task affected scores on explicit and implicit racial prejudice measures. During the learning task, we manipulated how many positive messages the participant viewed (100 vs. 150 or none) and the amount of African American males these messages applied to (1 vs. 3). Participants who viewed 150 positive messages about one African American male displayed more explicit prejudice than participants in control groups or participants learning 100 messages about one person. Results for the implicit measure indicated that participants who learned about three …

African American And Caucasian Males' Evaluation Of Racialized Female Facial Averages, Rhea M. Watson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The answer to what makes a face attractive has been debated for generations and studied in different disciplines. The current study investigated African American and Caucasian males' evaluation (attraction) to racialized female faces. Faces varied from 100% African American to 100% Caucasian (and included variations that were 25% of either group, or 50% of both groups). Twenty African American and 30 Caucasian men each viewed ten faces, and evaluated them in terms of their appearance and the likelihood that the men would interact with (befriend, date, or marry) the person pictured. Findings revealed that African American men found the 100% …

Cultural Identity And Ethnic Newspapers In Las Vegas, Paul J. Traudt, Michele A. Ferm

Graduate Research Symposium (2010 - 2017)

Research suggests cultural identity is a fluid process characterized by individuals’ unique cultural, ethnic, and racial needs. Media are now known to reinforce ethnic group identity, language, beliefs, and customs. What are these relationships for ethnic groups living in Southern Nevada? Do media provide opportunities for cultural pluralism or for cultural assimilation? First phase results, reported last year, found ethnic radio and television in Las Vegas assimilated into larger, Anglo media business models despite programming that reinforced some aspects of ethnic cultures. This year we present second-phase results, assessing the role played by ethnic newspapers in the region. Analysis is …

Participatory Evaluation Of The Tribal Victim Assistance Programs At The Lummi Nation And Passamaquoddy Tribe, Ada Pecos Melton, Michelle Chino

School of Public Health Faculty Research

The high rate of crime in American Indian/Alaska Native (AI/AN) communities and/or against AI/AN people reflected in numerous studies in the last three decades, demonstrates the need for victim assistance programs in Indian Country to help victims cope with and heal from violent crime (Wolk 1982; Allen 1985; Sacred Shawl Women’s Society, no date; McIntire 1988; DeBruyn, Lujan & May 1995; Norton & Manson 1995; Fairchild et. al 1998; Greenfield & Smith 1999; Alba, Zieseniss, et al 2003; Perry 2004). The U.S. Department of Justice, Office for Victims of Crime (OVC) became aware of the lack of resources available to …

Gray Zones Of Modern Genocide, Megan Dale Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Italian-Jewish chemist and Holocaust survivor Primo Levi wrote in his work The Drowned and the Saved about the "Gray Zone," or holding place for all things difficult to categorize about his experiences in the Nazi camp Auschwitz. Because human tendency is to divide things in a rigid dichotomy, he argued, anything without a set role is brushed aside. I have extended this Gray Zone to include mutually shared situations from modern genocide including: the relationship of race/land to genocide, the "Forced Victim-Perpetrator" (victim forced to commit atrocities against his or her own people), and the complex international reaction to genocidal …

An Evaluation Of Group Differences In Mentoring Programs' Perceived Outcomes, Jennifer Sue Anderson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Mentoring programs, like Big Brothers/Big Sisters (BBBS), focus on targeting at-risk youth in a preventative effort to increase pro-social behaviors as well as improving one's confidence, competence, and caring. These factors are important as they are indicative of the types of attachment bonds that insulate juveniles from delinquent behavior. Using data from a BBBS located in the Southeast part of the United States, the current study examined whether different groups of juveniles in mentoring programs are considered to be equally successful in promoting feelings of confidence, competence, and caring. Employing a series of one-way ANOVAs, no significant relationships were found …