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Disparities in quality of life by race, gender, and sexual orientation: An intersectional analysis of population-representative data in Gauteng, South Africa.
Soc Sci Med
December 2024
Gauteng City-Region Observatory, University of Johannesburg, University of the Witwatersrand, 11 Jorissen Street, Johannesburg, South Africa; School of Geographical Sciences, University of Bristol, University Road, Bristol, BS8 1SS, UK.
Background: South Africa's history of apartheid has led to persistent inequalities. While progress has been made since 1994, disparities in quality of life (QoL) remain, particularly along racial lines. This study examines how race, gender, and sexual orientation intersect to influence QoL in Gauteng - South Africa's most populous and economically vibrant province.
View Article and Find Full Text PDFThe Association of Race With Outcomes in Hospitalised Patients With Hepatorenal Syndrome: Nationwide Cohort Study.
Liver Int
January 2025
Division of Gastroenterology-Hepatology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Introduction: Racial/ethnic disparities have been previously reported in renal and hepatic disease care; however, acute kidney injury (AKI) in the setting of cirrhosis (hepatorenal syndrome [HRS]-AKI) despite its complexity requiring a multidisciplinary approach, remains understudied.
Methods: To identify unique associations of clinical and sociodemographic factors with mortality and length of stay (LOS) among patients hospitalised with HRS-AKI, hierarchical regression analysis was conducted, along with a mediation analysis to estimate how race-related differences in in-hospital mortality were influenced by payer type, area household income, and clinical severity.
Results: Black patients demonstrated a significantly higher odds of in-hospital mortality, compared to their white counterparts, adjusting for (1) sex and age, (2) sex, age, payer type, and area household income and (3) sex, age, and clinical severity [OR 1.
Timing of Infection as a Key Driver of Racial/Ethnic Disparities in Coronavirus Disease 2019 Mortality Rates During the Prevaccine Period.
Open Forum Infect Dis
January 2025
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Disparities in coronavirus disease 2019 mortality are driven by inequalities in group-specific incidence rates (IRs), case fatality rates (CFRs), and their interaction. For emerging infections, such as severe acute respiratory syndrome coronavirus 2, group-specific IRs and CFRs change on different time scales, and inequities in these measures may reflect different social and medical mechanisms. To be useful tools for public health surveillance and policy, analyses of changing mortality rate disparities must independently address changes in IRs and CFRs.
View Article and Find Full Text PDFReenvisioning ethnic-racial identity: Asian Indian American experiences.
Am Psychol
December 2024
Department of Counseling, Developmental, and Educational Psychology, Boston College.
Identity formation among immigrant communities, particularly for ethnic-racial minorities like Asian Indian Americans, is a multifaceted process. Shaped by preimmigration histories of British colonization and the caste system and the Indian diasporic postimmigration, experiences of physical and psychological displacement alongside racism in the United States contribute to the complexity of identity for this community. Although existing racial and ethnic identity models offer valuable frameworks, they may not fully capture the nuanced in-between spaces created by the intersectionality of ethnicity and race for Asian Indian Americans in the United States.
View Article and Find Full Text PDFHigh Interleukin (IL)-6 is Associated with Lower Lung Function and Increased Likelihood of Metabolic Dysfunction in Asthma.
Pulm Ther
December 2024
Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Introduction: Asthma is a complex condition characterized by airway inflammation. Interleukin-6 (IL-6) plays a significant role in asthma pathogenesis through its effects on T cells and its association with pro-inflammatory responses. Both lung and circulating IL-6 levels are elevated in asthma.
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