Archives of Gerontology and Geriatrics Plus, Год журнала: 2024, Номер unknown, С. 100114 - 100114
Опубликована: Дек. 1, 2024
Язык: Английский
The American Journal of Surgery, Год журнала: 2025, Номер 248, С. 116287 - 116287
Опубликована: Март 4, 2025
Interpersonal firearm violence (IFV) has been connected to the structural racism of redlining. We explored relationship between historic redlining and IFV with population-level factors. A cross-sectional study within historically graded neighborhoods was performed, incidence rate ratios (IRRs) these were modeled a Poisson regression model. Comparing redlined non-redlined neighborhoods, IRRs adjusted for income 14.9 (p < 0.0001), poverty 14.4 uninsured 15.6 IFV-related mortality 26.05 0.0001). After county adjustment, every one unit increase in logarithm decreases by 64.7 % whereas percent uninsured, increases rates 4.1 0.0001) 3.05 0.0002), respectively. Historically communities have higher Kansas City, Kansas.
Язык: Английский
Процитировано
0
Drug and Alcohol Dependence, Год журнала: 2024, Номер 263, С. 112430 - 112430
Опубликована: Авг. 28, 2024
Язык: Английский
Процитировано
1
JAMA Health Forum, Год журнала: 2024, Номер 5(10), С. e243669 - e243669
Опубликована: Окт. 25, 2024
Importance Research suggests the social, physical, and socioeconomic contexts of residing in segregated neighborhoods may negatively affect mental health. Objective To assess association between racial residential segregation prenatal health among Asian, Black, Hispanic, White individuals. Design, Setting, Participants This population-based cross-sectional study was conducted Kaiser Permanente Northern California (KPNC), an integrated care delivery system. included self-identified pregnant individuals who attended at least 1 visit KPNC January 1, 2014, December 31, 2019. Data were analyzed from 14, 2023, to August 15, 2024. Exposures Racial segregation, defined by local Getis-Ord Gi* statistic, calculated each ethnic group categorized as low (&lt;0), medium (0-1.96), or high (&gt;1.96). A positive statistic indicates overrepresentation (greater clustering segregation) index census tract neighboring tracts compared with larger surrounding geographic area. Main Outcomes Measures Prenatal depression anxiety diagnoses codes documented electronic record first day last menstrual period prior birth. Results Among 201 115 participants analysis (mean [SD] age, 30.8 [5.3] years; 26.8% 6.6% 28.0% 38.6% White), highest Black (18.3% 18.4%, respectively), followed (16.0% 18.2%, Hispanic (13.0% 14.4%, Asian (5.7% 6.4%, respectively) (40.8% vs 31.1%) (43.3% 22.6%) more likely live while equally (34.3% 34.7%). High associated greater odds (adjusted ratio [AOR], 1.25 [95% CI, 1.10-1.42]) (AOR, 1.14 1.00-1.29]) lower 0.75 0.69-0.82]), 0.88 0.82-0.94]), 0.91 0.86-0.96]) Similar associations found for 0.80 0.73-0.87]) 0.82-0.93]) but not 0.95 0.90-1.00]) Conclusions Relevance In this study, worse better Policies reducing its impact improve outcomes
Язык: Английский
Процитировано
1
Journal of the National Comprehensive Cancer Network, Год журнала: 2024, Номер 22(2), С. 137 - 138
Опубликована: Март 1, 2024
A lthough a social construct and, in modern times, based on self-identification, race and its concomitant legacy of racism continue to exert significant influence almost every aspect the lives people diverse countries such as United States.Although serves only poor proxy for genetic ancestry, deleterious effects structural racism, including poverty, differential exposure environmental carcinogens, unequal access resources screening, prevention, treatment cancer contribute uneven burden incidence mortality States.The study elsewhere this issue by Balanean et al 1 titled "Oncologists' Perceptions Racial Disparity, Anxiety, Unconscious Bias Clinical Interactions, Treatment, Outcomes" elucidates 2 root causes racial disparity oncology-racial anxiety unconscious bias interracial clinical interactions decision-making.Every year, disparities outcomes persist despite continued advances oncology.Per latest report Cancer Statistics from American Society (ACS), 4 million deaths have been averted since 1991. However, although is excellent news be celebrated, it also case that Black with prostate, gastric, uterine corpus 2-fold higher compared White people, do Native Americans liver, kidney cancer. 2s oncologists (medical, radiation, surgical), we meet take care at most vulnerable moments their lives, goal providing cure whenever possible or palliating symptoms when not possible.Effective engagement shared decision-making personalized our patients requires engage them discussion build trust.However, trust harder opportunities interact unlike oneself are rare both within outside medical context.Historic redlining which neighborhoods individuals were given worst appraisal rating regard risks housing loans, led segregation remains problem across many cities today. 3Without organic, cross-racial interactions, some providers may experience anxiety, defined "discomfort consequences interactions," occasions becomes necessary different race.The feeling during these encounters felt patients, providers, both, detrimental all parties involved.Racial has associated decreased information-sharing, shorter interaction time, perception empathy. 4ue lack opportunity structural, self-imposed, socioeconomic segregation, stereotypes biases borne out few negative role models emerge perpetuate vicious cycle minoritized offered potentially beneficial opportunities, chance enroll trials, receive palliative consultation, referred counseling. 5Although can actively mitigate conscious biases, implicit "attitudes beliefs about race, ethnicity, age, ability,
Язык: Английский
Процитировано
0
American Journal of Respiratory and Critical Care Medicine, Год журнала: 2024, Номер 210(10), С. 1171 - 1173
Опубликована: Июль 30, 2024
Язык: Английский
Процитировано
0
Ethnicity & Disease, Год журнала: 2024, Номер 34(3), С. 145 - 154
Опубликована: Авг. 1, 2024
Objective In this study, we examined associations between county-level measures of structural racism and cancer incidence mortality rates race groups while accounting for factors associated with environmental burden. Methods To explore relationship, conducted multiple linear regression analyses. Data these analyses came from an index publicly available data on 2015 to 2019 age-adjusted the US Cancer Statistics Visualization Tool, County Health Rankings Roadmaps, Environmental Protection Agency’s 2006 2010 Quality Index, estimates Census American Community Survey. Results County-level was higher county among Black (adjusted rate: 17.4, 95% confidence interval [95% CI]: 9.3, 25.5) Asian/Pacific Islander populations CI: 1.8, 16.9) Indian/Alaskan Native rate [AMR]: 4.2, 30.6), (AMR: 11.9, 8.9, 14.8), 4.7, 1.3, 8.1) than White populations. Conclusion Our findings highlight detrimental impact outcomes minoritized Strategies aiming mitigate disparities must embed processes recognize address systems, policies, laws, norms that create reproduce patterns discrimination.
Язык: Английский
Процитировано
0
Journal of Racial and Ethnic Health Disparities, Год журнала: 2024, Номер unknown
Опубликована: Окт. 28, 2024
Язык: Английский
Процитировано
0
Journal of Epidemiology & Community Health, Год журнала: 2024, Номер unknown, С. jech - 223202
Опубликована: Дек. 25, 2024
Background This study examines the longitudinal patterns of dental care use from adolescence to middle adulthood (ages 11–43) and investigates racial ethnic disparities in these patterns. Methods Data Waves I through V National Longitudinal Study Adolescent Adult Health (1993–2018; ages 11–43). Semiparametric group-based trajectory model identified distinct trajectories. Multinomial logistic regression was used estimate membership groups by race/ethnicity while accounting for covariates, including socioeconomic status, biological sex, nativity unmet healthcare needs. Results The analysis four trajectories (1): Intermittent decreasing (37.9%), (2) intermittent increasing (22.5%), (3) high (22.5%) (4) low (17.0%). Non-Hispanic black Hispanic respondents were more likely than non-Hispanic white belong relative use. Additionally, Increasing Dental Use group. Higher status inversely associated with group membership. Males those needs at Wave also Conclusions Findings reveal persistent into adulthood. Further research is needed understand individual structural factors perpetuating over life course.
Язык: Английский
Процитировано
0
Archives of Gerontology and Geriatrics Plus, Год журнала: 2024, Номер unknown, С. 100114 - 100114
Опубликована: Дек. 1, 2024
Язык: Английский
Процитировано
0