Introduction: The physician assistant (PA) profession is one of the least racially and ethnically diverse health professions requiring advanced education. New PA graduates are even less diverse than the current PA workforce and less diverse than professions requiring doctoral degrees. Between 1995 and 2020, the percent of all PA graduates that were Black individuals fell from 7% to 3.1%, while Hispanic representation increased from 4.5% to 7.9%.
Methods: Using the federal Integrated Postsecondary Education Data System, we examine the impact of transitions to master's degrees for PAs on Black and Hispanic representation between 1995 and 2020, using individual universities as the unit of analysis.
Results: After adjusting for state and year effects, PA programs that transitioned from bachelor's to master's degrees experienced a 5.3% point decline in Black representation and a 3.8% point decline in Hispanic representation. Relative to the already low proportions of Black and Hispanic graduates in PA programs, these declines are significant.
Discussion: Steps should be taken to ensure that underrepresented populations have greater access to PA education.
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Background: The Adult Changes in Thought (ACT) study is an ongoing population-based prospective cohort study that began in 1994 and aims to identify risk and preventive factors for dementia. ACT randomly selects and enrolls Kaiser Permanente Washington (KPWA) health plan members age ≥ 65 years. Historically, the cohort make up has been 88% non-Hispanic White participants.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
University of Southern California, Los Angeles, CA, USA.
Background: The lack of inclusion of Latinos/Hispanics in Alzheimer's disease and related dementias (ADRD) clinical trials reduces the generalizability of study findings and hinders our understanding of the mechanisms of dementia, further widening cognitive health disparities. To address this growing public health concern, the purpose of this study is to leverage the national infrastructure of a Consortium between the National Association of Hispanic Nurses (NAHN) and the Alzheimer's Association (ALZ) to increase the representation Latino/Hispanic participants in one clinical trial on dementia.
Methods: The study used a randomized controlled trial design and mixed-method evaluation.
Alzheimers Dement
December 2024
Icahn School of Medicine, Mount Sinai Hospital, New York, NY, USA.
Background: Adverse social exposome (indexed by national Area Deprivation Index [ADI] 80-100 or 'high ADI') is linked to structural inequities and increased risk of Alzheimer's disease neuropathology. Twenty percent of the US population resides within high ADI areas, predominantly in inner cities, tribal reservations and rural areas. The percentage of brain donors from high ADI areas within the Alzheimer's Disease Research Center (ADRC) brain bank system is unknown.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Institute for Memory Impairments and Neurological Disorders, University of California, Irvine, Irvine, CA, USA.
Background: Racial and ethnic minorities, including Hispanic/Latino, Asian American and Pacific Islander individuals, lack adequate representation in preclinical Alzheimer's disease (AD) trials. This study sought to examine the effectiveness of a culturally and linguistically appropriate community-based educational intervention in enhancing knowledge and awareness of the AHEAD 3-45 preclinical AD trial among underrepresented Filipino, Korean, and Hispanic/Latino Americans.
Method: With professional nursing and other partner organizations, we conducted 21 community-based educational sessions for underrepresented older adults of Filipino, Korean, and Hispanic/Latino backgrounds.
Background: Estimating the incidence and prevalence of dementia is challenging. Cohort and brain banking studies can provide very precise estimates of incidence and prevalence in specific populations, but it is not clear how generalizable those estimates are to other populations. Furthermore, diagnoses of dementia made in clinical practice may differ from gold-standard neuropathological diagnoses.
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