Purpose: The US medical education system has a long-standing history of omitting evidence and perpetuating false pseudo-scientific beliefs on the complex and nuanced relationships between race, racism, and health disparities. There is an urgent need to identify and address the historical influence of systemic racism on the current curriculum, organization, and culture of US medical education. The goal of this study was to understand Black women medical student perspectives on race and racism in current medical school training and their recommendations to inform anti-racist action in US medical education.
View Article and Find Full Text PDFObjective: The objective of this formative study was to gather women's perspectives in the design and communication modalities of a health kiosk set within a Planned Parenthood setting to promote patient education about the Human papillomavirus (HPV) and to motivate uptake of the HPV vaccine.
Methods: Twenty-four women aged 18-35 participated in in-depth one-on-one interviews at a Planned Parenthood health center, which were analyzed in code-associated categories using NVivo11 Pro.
Results: Most women showed receptivity to using an on-site health kiosk, as well as QR codes linked to text messages, to receive HPV-related health information outside of the clinic setting and reminders.
Human papilloma virus (HPV) is the most common sexually transmitted infection in the United States. Disease-associated strains of HPV can cause genital warts and six cancer types. HPV-associated cervical cancer disproportionately impacts medically underserved women including Black and Latina women with respect to incidence, prevalence, and mortality rates.
View Article and Find Full Text PDFJ Womens Health (Larchmt)
July 2020
African American (AA) women bear a disproportionate burden of cardiovascular disease. Promoting ideal cardiovascular health is one strategy to promote health equity for this disparate population. The goal of this integrative review was to summarize and evaluate the research evidence for cardiovascular risk reduction interventions specifically targeting, tailored, or adapted for AA women.
View Article and Find Full Text PDFInt J Environ Res Public Health
October 2018
Ensuring equitable access to health information is one strategy to promote health equity for underserved communities, especially for low-income African Americans (AAs). Childcare centers are one viable site to deliver health information to address this disparity. This paper describes the methods used in a community-based participatory research project with a childcare facility that aimed to reduce environmental tobacco smoke (ETS) exposure among low-income AA children.
View Article and Find Full Text PDFJ Health Care Poor Underserved
August 2013
Nine focus groups (N = 57), which included a demographic survey, were conducted to evaluate urban, low-income, African American light smokers' experiences of cessation counseling. Chi-squared and independent t-tests were run to analyze survey data. Participants with a self-reported co-morbidity were more likely than participants without a co-morbidity to have been asked about quitting, and advised to quit.
View Article and Find Full Text PDFBackground: Exposure to secondhand smoke (SHS) is a contributor to the increased morbidity and mortality experienced by inner-city African-American children. Limited evidence-based programming exists regarding how to address the negative effects of SHS in this community.
Purpose: A collaboration with an early child care center provided an opportunity to explore factors related to young children's SHS exposure as the first step in developing strategies to reduce exposure.
Unlabelled: The complete Multidimensional Measure of Stress (MMOS) measure may be made available to interested persons by contacting the corresponding author.
Context: Smoking rates are higher among inner-city and lower-income African Americans, perhaps due to psychosocial barriers to cessation efforts, including stress.
Objective: To describe the development of the MMOS and examine the psychometric properties of the MMOS among African American light smokers.
Objective: To determine home smoking restrictions (HSR) predictors among African American light smokers (smoke
Methods: Data were obtained from a clinical trial testing the efficacy of nicotine gum and counseling among 755 African American light smokers.
Results: Forty percent reported adopting HSR at week 26.
This article presents three perspectives on health discrimination and disparities, organized around different conceptualizations of the way "space" perpetuates health disparities. The first two perspectives are grounded in conceptualizing space in a physical sense by exploring the manifestation of discrimination as a problem both among and within nations. The third perspective juxtaposes geographical space with cyberspace.
View Article and Find Full Text PDFThis article examines the relationships among resistance skills, refusal efficacy, decision-making skills, and substance use for a sample of Mexican and Mexican American 5th grade students who were attending public schools in Phoenix, Arizona. An analysis of self-report questionnaire data indicated that the likelihood that male students reported ever having used one or more substances increased as they reported a greater willingness to use passive decision-making (e.g.
View Article and Find Full Text PDFSubstance use among Mexican origin, low-income youths is a serious, but under-studied problem. This study examines the relationship between the structure of Mexican origin families (i.e.
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