An Investigation of Associations Between Race, Ethnicity, and Past Experiences of Discrimination with Medical Mistrust and COVID-19 Protective Strategies

Journal of Racial and Ethnic Health Disparities, Journal Year: 2021, Volume and Issue: 9(4), P. 1430 - 1442

Published: June 11, 2021

Language: Английский

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Alcohol and Other Substance Use Before and During the COVID-19 Pandemic Among High School Students — Youth Risk Behavior Survey, United States, 2021

MMWR Supplements, Journal Year: 2023, Volume and Issue: 72(1), P. 84 - 92

Published: April 27, 2023

Adolescence is a critical phase of development and frequently period initiating engaging in risky behaviors, including alcohol other substance use. The COVID-19 pandemic associated stressors might have affected adolescent involvement these behaviors. To examine use patterns understand how among high school students changed before during the pandemic, CDC analyzed data from nationally representative Youth Risk Behavior Survey. This report presents estimated prevalences current (i.e., previous 30 days) use, marijuana binge drinking, prescription opioid misuse lifetime alcohol, marijuana, synthetic inhalants, ecstasy, cocaine, methamphetamine, heroin, injection drug misuse. Trends 2009-2021 were assessed using logistic regression joinpoint analyses. Changes 2019 to 2021 prevalence differences ratios, stratified by demographic characteristics. Prevalence measures sexual identity co-occurring data. Substance declined 2009-2021. From 2021, drinking cocaine decreased; inhalant increased. In varied sex, race ethnicity, identity. Approximately one third (29%) reported or misuse; those reporting approximately 34% used two more substances. Widespread implementation tailored evidence-based policies, programs, practices likely reduce risk factors for promote protective further decrease U.S. urgently needed context changing marketplaces beverage products drugs (e.g., release high-alcohol increased availability counterfeit pills containing fentanyl).

Language: Английский

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Lived experience of patients with Long COVID: a qualitative study in the UK

BMJ Open, Journal Year: 2023, Volume and Issue: 13(4), P. e068481 - e068481

Published: April 1, 2023

Background Long COVID is a rapidly evolving global health crisis requiring interdisciplinary support strategies that incorporate the lived experience of patients. Currently, there paucity research documenting day-to-day experiences patients living with COVID. Objective To explore Study design Longitudinal, observation study. Setting An inductive, data-driven, qualitative approach was used to evaluate hand-written diaries obtained from individuals who had been referred Derbyshire clinic. Participants 12 participants (11 females, age 49±10 years, 11 Caucasians) were recruited. included if they previous confirmed or suspected COVID-19 infection ongoing recovery, >18 years old, understood study requirements and provided informed consent. Method directed complete self-report over 16 weeks. Responses transcribed verbatim analysed using thematic analysis. Results Three key themes highlighted: (1) understanding helps manage symptoms, (2) daily activities impact on quality life status (3) effect turbulent episodic symptom profiles personal identity recovery. Conclusions The novel challenges presented by are complex varying inter-related factors broadly impacting functional life. Support mechanisms must foster true collaborations between professionals, researchers improve patient outcomes. Trial registration number NCT04649957 .

Language: Английский

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Racism and Health: Three Core Principles

Milbank Quarterly, Journal Year: 2023, Volume and Issue: 101(S1), P. 333 - 355

Published: April 1, 2023

Policy Points Racism operates in conjunction with interlocking forms of oppression, so it must be addressed relationally. catalyzes processes cumulative disadvantage as extends across multiple policy domains along the life course, necessitates multifaceted solutions. is a function power relations, redistribution necessary precursor to health equity.

Language: Английский

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Predictors of Persistent COVID-19 Vaccine Refusal Among Previously Infected Patients in Nebraska

American Journal of Public Health, Journal Year: 2025, Volume and Issue: 115(3), P. 414 - 424

Published: Feb. 12, 2025

Objectives. To identify factors associated with persistent COVID-19 vaccine refusal among Nebraska residents 6 months after an initial diagnosis. Methods. Using case investigation surveillance data and vaccination records from the Department of Health Human Services, a cohort 16 344 unvaccinated, COVID-19‒confirmed individuals (May 2021‒February 2023) were asked for their reason nonvaccination (RNV), then followed to assess subsequent status. We used modified Poisson regression estimate risk unvaccinated status at follow-up against predictors, including RNV, demographic characteristics, adherence mitigation measures, hospitalization, rurality. Results. Compared those whose RNV was missed opportunity/lack convenience, who cited religious exemption (adjusted incidence ratio [AIRR = 1.36; 95% confidence interval [CI] 1.31, 1.41), philosophical objection (AIRR 1.28; CI 1.24, 1.34), or institutional confidence/complacency concerns 1.26; 1.19, 1.33) showed greatest nonvaccination. Older age, nonadherence higher rurality are positively Minority hospitalization correlated vaccination. Conclusions. Ideology-centered objections held significant weight previously infected displayed sustained reluctance toward Distinguishing sources misinformation ideologically similar communities could instigate reconsideration ( Am J Public Health. 2025;115(3):414–424. https://doi.org/10.2105/AJPH.2024.307921 )

Language: Английский

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Maternal Mental Health and Infant Development During the COVID-19 Pandemic

JAMA Psychiatry, Journal Year: 2022, Volume and Issue: 79(10), P. 1040 - 1040

Published: Aug. 31, 2022

The COVID-19 pandemic has prompted an unprecedented need to rapidly investigate the potential consequences for maternal mental health, infant and child development, mother-infant relationship.

Language: Английский

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Persisting Shadows: Unraveling the Impact of Long COVID-19 on Respiratory, Cardiovascular, and Nervous Systems

Infectious Disease Reports, Journal Year: 2023, Volume and Issue: 15(6), P. 806 - 830

Published: Dec. 15, 2023

The coronavirus disease 2019 (COVID-19), instigated by the zoonotic Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), rapidly transformed from an outbreak in Wuhan, China, into a widespread global pandemic. A significant post-infection condition, known as 'long- COVID-19' (or simply COVID'), emerges substantial subset of patients, manifesting with constellation over 200 reported symptoms that span multiple organ systems. This also 'post-acute sequelae SARS-CoV-2 infection' (PASC), presents perplexing clinical picture far-reaching implications, often persisting long after acute phase. While initial research focused on immediate pulmonary impact virus, recognition COVID-19 multiorgan disruptor has unveiled gamut protracted and severe health issues. review summarizes primary effects COVID respiratory, cardiovascular, nervous It delves mechanisms underlying these impacts underscores critical need for comprehensive understanding COVID's pathogenesis.

Language: Английский

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Toward standardization, harmonization, and integration of social determinants of health data: A Texas Clinical and Translational Science Award institutions collaboration

Journal of Clinical and Translational Science, Journal Year: 2024, Volume and Issue: 8(1)

Published: Jan. 1, 2024

Abstract Introduction: The focus on social determinants of health (SDOH) and their impact outcomes is evident in U.S. federal actions by Centers for Medicare & Medicaid Services Office National Coordinator Health Information Technology. disproportionate COVID-19 minorities communities color heightened awareness inequities the need more robust SDOH data collection. Four Clinical Translational Science Award (CTSA) hubs comprising Texas Regional CTSA Consortium (TRCC) undertook an inventory to understand what contextual-level datasets are offered centrally which individual-level collected structured fields each electronic record (EHR) system potentially all patients. Methods: Hub teams identified American Community Survey (ACS) available via enterprise warehouses research. Each hub’s EHR analyst team using a collection instrument based 2021 PCORnet survey conducted field completion rate analysis. Results: One hub ACS centrally. All eleven elements fields. Two Homeless Veteran statuses. Completeness at four was 80%–98%: Ethnicity, Race; < 10%: Education, Financial Strain, Food Insecurity, Housing Security/Stability, Interpersonal Violence, Social Isolation, Stress, Transportation. Conclusion: levels TRCC varied were low most measures. Multiple system-level discussions may be necessary increase standardized EHR-based harmonization drive effective value-based care, disparities research, translational interventions, evidence-based policy.

Language: Английский

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The Impact of the COVID-19 Pandemic on Children’s Conduct Problems and Callous-Unemotional Traits

Child Psychiatry & Human Development, Journal Year: 2021, Volume and Issue: 52(6), P. 1012 - 1023

Published: Jan. 6, 2021

Language: Английский

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Exploring COVID-19 Vaccine Attitudes among Racially and Ethnically Minoritized Communities: Community Partners’ and Residents’ Perspectives

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(4), P. 3372 - 3372

Published: Feb. 14, 2023

COVID-19 has disproportionately affected Black, Indigenous, and People of Color (BIPOC) communities, yet rates vaccination remain low among these groups. A qualitative study was undertaken to better understand the factors contributing vaccine acceptance communities. Seventeen focus groups were conducted in English Spanish from 8/21 9/22, with representatives five critical community sectors: (1) public health departments (n = 1); (2) Federally Qualified Health Centers 2); (3) community-based organizations (4) faith-based (5) BIPOC residents six high-risk, underserved communities metropolitan Houston 11), for a total 79 participants, comprising 22 partners 57 residents. social-ecological model anti-racism framework adopted guide data analysis using thematic constant comparison, which yielded key themes: legacy structural racism: distrust threat; media misinformation: mass social; listening adapting needs; evolving attitudes towards vaccination; understanding alternative belief systems. Although racism driver uptake, notable finding indicated residents’ can be changed once they are confident protective benefits vaccination. Study recommendations include adopting an explicitly anti-racist lens to: listen members’ needs concerns, acknowledge their justified institutional concerning vaccines, learn healthcare priorities inform initiatives built on local data; address misinformation via culturally informed, consistent messaging tailored communal concerns delivered by trusted leaders through multimodal forums; take vaccines where people live pop-up clinics, churches, centers distribution members, educational campaigns distinct communities; establish equity task forces continue developing sustainable policies, structures, programs practices issues driving inequities within investing effective infrastructure education delivery, essential competently responding ongoing other emergency crises that impact achieve racial justice US. Findings underscore crucial need provide initiatives, focused cultural humility, bidirectionality, mutual respect support re-evaluation.

Language: Английский

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