Background: The E.U.'s lack of racially disaggregated data impedes the formulation of effective interventions, and crises such as Covid-19 may continue to impact minorities more severely.
View Article and Find Full Text PDFFront Public Health
July 2021
The 400 Years of Inequality Project was created to call organizations to observe the 400th anniversary of the first Africans landing in Jamestown in 1619. The project focused on the broad ramifications of inequality. Used as a justification of chattel slavery, structures of inequality continue to condition the lives of many groups in the US.
View Article and Find Full Text PDFBlack men in the USA experience disproportionate cardiovascular disease mortality compared to their white counterparts, in part due to an excess of uncontrolled hypertension. A promising intervention to address these disparities involves the direct pharmacologic management of hypertension by clinical pharmacists in Black male patrons of barbershops, as demonstrated in the Los Angeles Barbershop Blood Pressure Study (LABBPS). Despite the observed reduction in systolic blood pressure of > 20 mmHg after 1 year, the feasibility of scaling up such an intervention to a regional or national platform remains uncertain.
View Article and Find Full Text PDFBlack men are incarcerated at higher rates than men from other racial groups, and there are significant health disparities disfavoring Black men overall. Reentry from incarceration is an important time period for health risks. However, health studies among recently released Black male youth populations are limited.
View Article and Find Full Text PDFObjectives: We assessed the effectiveness of various systems of community participation in ethical review of environmental health research.
Methods: We used situation analysis methods and a global workspace theoretical framework to conduct comparative case studies of 3 research organizations at 1 medical center.
Results: We found a general institutional commitment to community review as well as personal commitment from some participants in the process.
Although gender-specific theories are often deployed in interventions to reduce women's HIV risks, the same is often not true for interventions among men. Theories of masculinity are not guiding most US research on the risky sexual behavior of heterosexual men or on what can be done to intervene. We first assess the extent to which evidence-based HIV-prevention interventions among heterosexually active men in the United States draw upon relevant theories of masculinity.
View Article and Find Full Text PDFObjectives: Human immunodeficiency virus (HIV) is associated with cardiovascular (CV) and autonomic dysfunction, however the effects of fitness on vascular and autonomic mechanisms in HIV disease are unknown.
Methods: We studied forty-eight subjects (40.4 +/- 4.
We address themes of distributed cognition by extending recent formal developments in the theory of individual consciousness. While single minds appear biologically limited to one dynamic structure of linked cognitive submodules instantiating consciousness, organizations, by contrast, can support several, sometimes many, such constructs simultaneously, although these usually operate relatively slowly. System behavior remains, however, constrained not only by culture, but by a developmental path dependence generated by organizational history, in the context of market selection pressures.
View Article and Find Full Text PDFThe findings of health disparities research will have to be disseminated to a broad public in order to influence health outcomes. Some strategies for dissemination are obvious, and these generally work for ideas that are within the mainstream of current paradigms. However, ideas that challenge existing theories and assumptions may require different, and not-so-obvious, strategies.
View Article and Find Full Text PDFContext: Rates of heterosexually transmitted HIV infection among African Americans in the southeastern United States greatly exceed those for whites.
Objective: Determine risk factors for heterosexually transmitted HIV infection among African Americans.
Methods: Population-based case-control study of black men and women, aged 18-61 years, reported to the North Carolina state health department with a recent diagnosis of heterosexually transmitted HIV infection and age- and gender-matched controls randomly selected from the state driver's license file.
The crack epidemic was devastating to poor American communities in part because of the destruction wrought by the system of exchanging sex for drugs, which was a key feature of the crack-use culture. Sex-for-drugs exchanges were often conducted under unsafe circumstances and were linked to the spread of AIDS and other STDs, as well as unplanned pregnancies. The existence of this alternative system of sexual relationships threatened the economic viability of established commercial sex work and undermined the status and power of women.
View Article and Find Full Text PDFPurpose: This study examined whether nurse practitioners (NPs) had any impact on the type and amount of health counseling provided during patient visits to hospital outpatient departments (OPDs).
Data Sources: This is a secondary data analysis of the National Hospital Ambulatory Medical Care Survey from 1997 to 2000. Only patient visits to hospital OPDs were included.
NYC RECOVERS, an alliance of organizations concerned with New York City's social and emotional recovery post-9/11, was formed to meet the need to rebuild social bonds strained or ruptured by the trauma to the regional system caused by the destruction of the Twin Towers. NYC RECOVERS, with minimal funding, was able to create a network of 1000 organizations spanning the five boroughs, carrying out recovery events throughout the 'Year of Recovery', September 2001 to December 2002. This paper describes the concepts, techniques and accomplishments of NYC RECOVERS, and discusses potentials of the model, as well as obstacles to its implementation.
View Article and Find Full Text PDFPurpose: To investigate concurrent sexual partnerships among heterosexual African Americans, 18 to 59 years old, in rural North Carolina.
Methods: Household interviews with persons randomly selected from the NC driver's license file were conducted to identify overlap among the 3 most recent sexual partnerships.
Results: Concurrency prevalence in the past 5 years was 53% (men) and 31% (women).
The authors administered the National College Health Risk Behavior Survey to 1,219 college students who were attending a historically Black college located in New York City. They assessed the US-born Black students and Black students who emigrated to the United States for differences in risky sexual behaviors, risky dietary behaviors, and physical inactivity. They used bivariate and multiple regression analyses to analyze the data and observed significant differences between the US-born and non-US-born students in the behavioral domains of risky sexual behaviors (p = .
View Article and Find Full Text PDFBlack men who have sex with men (BMSM) in the United States are disproportionately affected by HIV. Using a qualitative approach, the authors describe the healthcare experiences of BMSM in New York State and Atlanta, GA, exploring the social issues that influence barriers to care, communication, and adherence in medical settings. Racial and sexual discrimination socially displace BMSM, and are often compounded by negative encounters within medical institutions.
View Article and Find Full Text PDF