Structural racism in the form of racial residential segregation and the series of laws, policies and practices that continue to reinforce it, has robbed generations of African Americans of socioeconomic opportunity, wealth accumulation, safe, secure or energy-efficient housing, and full societal inclusion. Research indicates that African Americans are more likely to live in older, energy inefficient homes with structural deficiencies, outdated appliances and faulty energy systems. These conditions lead to a disproportionate burden of energy insecurity, defined as "the inability to adequately meet household energy needs" among African Americans across the economic spectrum. This, in turn, generates increased costs and decreased comfort, conditions closely linked to adverse physical and mental health outcomes. Persistent income inequality, wealth gaps and entrenched racial residential segregation have disenfranchised African Americans and reduced their ability to escape this pernicious cycle. Weatherization, which is the practice of protecting a building's interior from the elements while enhancing its energy efficiency and reducing costs, could be a catalyst for reducing the disproportionate energy burden affecting low-income individuals and ultimately improve health and social outcomes among African Americans. We argue for investing in policies that provide energy efficiency and weatherization assistance -- and not only energy bill assistance -- to provide a long-term and equitable solution to energy insecurity that is also a critical step toward restorative justice.
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http://dx.doi.org/10.1007/s12053-019-09820-z | DOI Listing |
JAMA Netw Open
January 2025
Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Importance: Determining spectacle-corrected visual acuity (VA) is essential when managing many ophthalmic diseases. If artificial intelligence (AI) evaluations of macular images estimated this VA from a fundus image, AI might provide spectacle-corrected VA without technician costs, reduce visit time, or facilitate home monitoring of VA from fundus images obtained outside of the clinic.
Objective: To estimate spectacle-corrected VA measured on a standard eye chart among patients with diabetic macular edema (DME) in clinical practice settings using previously validated AI algorithms evaluating best-corrected VA from fundus photographs in eyes with DME.
Fam Community Health
January 2025
Author Affiliations: School of Public Health, Georgia State University, Atlanta, Georgia (Dr Tran, Mr Menyongai, Mss Foster, Scheib, and Allen, Drs Spears, Stauber, Owen-Smith, Weaver, and Huang, Prof Arias, Drs Cormier and Popova); Live Health DeKalb Coalition, Georgia (Ms Graham); Urban Studies Institute, Georgia State University, Atlanta, Georgia (Dr Li); and Perimeter College, Georgia State University, Clarkston, Georgia (Drs Dolan and Lynch).
Background And Objectives: This qualitative study explored perceived community strengths and health issues among 3 underserved and under-studied populations in the Atlanta, Georgia-older adults, Black or African American persons, and refugees/immigrants/migrants.
Methods: Eight focus groups were conducted with 92 participants who were members of the 3 populations in Atlanta between November 2022 and March 2023.
Results: Although there were variations among groups, all groups emphasized diversity within their community as the foundation of community strength.
JAMA Netw Open
January 2025
Department of Management, Policy, and Community Health, School of Public Health, The University of Texas Health Science Center, Houston.
Importance: COVID-19 vaccine hesitancy among Black women is a critical public health concern, potentially exacerbating existing health disparities and impacting community-wide vaccination efforts.
Objective: To explore the factors associated with COVID-19 vaccine hesitancy among Black women in the US and identify the specific concerns and experiences shaping hesitant attitudes toward vaccination.
Design, Setting, And Participants: Qualitative study using in-depth, semistructured interviews conducted virtually between June and November 2021.
J Racial Ethn Health Disparities
January 2025
Regenstrief Institute, Indianapolis, IN, USA.
African Americans (AAs) with end-stage kidney disease (ESKD) experience significant barriers to accessing living donor kidney transplantation (LDKT), largely due to individual and systemic factors, including a lack of trust in healthcare systems resulting from a legacy of and continued experiences with medical racism. This cross-sectional study analyzed survey data from 416 AA patients with ESKD undergoing transplant evaluation in 2019-2023 at two kidney transplant centers in the Southeast United States, examining whether trust (specifically trust in kidney doctors, hospitals, and healthcare) modifies the relationship between attitudes towards LDKT and behavioral intentions to discuss LDKT with family and friends. Multivariable analyses revealed significant interactions.
View Article and Find Full Text PDFBackground: Maternal morbidity and mortality in the United States are higher than peer countries. These adverse events disproportionally affect Black women.
Local Problem: Rates of maternal morbidity and mortality among Black childbearing women in West Louisville, Kentucky are higher than rates in Kentucky and the United States.
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