Objective: Previous studies suggest school ethnic density is associated with less internalizing problems in Black and Latine adolescents in high school. Here, we assessed associations between school ethnic density and internalizing, externalizing, and thought problems in Black, Latine, and White pre-adolescent children (mean age=9.9 years) in elementary school. We additionally examined if associations differed by family generational status.
Method: We analyzed baseline data from the Adolescent Brain and Cognitive Development Study (n=10, 076). We operationalized school ethnic density as a measure of racial and/or ethnic concordance. In models stratified by race and ethnicity, we used generalized estimating equation models to assess associations between proportions of school racial and/or ethnic concordance and the internalizing, externalizing, and thought problem subscales of the Child Behavior Checklist. We subsequently adjusted for family and neighborhood socioeconomic factors and tested for interactions with family generational status.
Results: For Black children, a higher proportion of Black students at schools was associated with less internalizing (β=-1.11, 95% Confidence Interval (CI): -2.82, -.13; p =.026) and thought problems (β=-.47, 95% CI: -.78, -.06; p =.026). For Latine children, a higher proportion of Latine students was associated with less thought problems, but only among children from immigrant families (β=-.65, 95% CI: -1.20, -.09; p =.023). For White children, an initial association between a higher proportion of White students and less externalizing problems disappeared after controlling for socioeconomic factors.
Conclusion: We find protective associations between school ethnic density and mental health problems for Black children and Latine children from immigrant families.
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http://dx.doi.org/10.1016/j.jaac.2024.10.019 | DOI Listing |
Genet Med
January 2025
Genomics Ethics, and Translational Research Program, RTI International, Research Triangle Park, NC; Department of Translational and Applied Genomics, Kaiser Permanente Center for Health Research, Portland, OR. Electronic address:
Purpose: Limited evidence evaluates parents' perceptions of their child's clinical genomic sequencing (GS) results, particularly among individuals from medically underserved groups. Five Clinical Sequencing Evidence-Generating Research (CSER) consortium studies performed GS in children with suspected genetic conditions with high proportions of individuals from underserved groups to address this evidence gap.
Methods: Parents completed surveys of perceived understanding, personal utility, and test-related distress after GS result disclosure.
Circ Genom Precis Med
January 2025
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT (A.A., L.S.D., E.K.O., R.K.).
Background: While universal screening for Lp(a; lipoprotein[a]) is increasingly recommended, <0.5% of patients undergo Lp(a) testing. Here, we assessed the feasibility of deploying Algorithmic Risk Inspection for Screening Elevated Lp(a; ARISE), a validated machine learning tool, to health system electronic health records to increase the yield of Lp(a) testing.
View Article and Find Full Text PDFRheumatol Adv Pract
December 2024
Rheumatology Department, King's College Hospital, London, UK.
Objectives: Physical function in RA is largely influenced by multiple clinical factors, however, there is a growing body of evidence that psychological state and other comorbidities also play an essential role. Using data obtained in the COVID-19 Vaccination in Autoimmune Diseases study, an international self-reported e-survey, we aimed to explore the predictive ability of sociodemographic and clinical variables on Patient-Reported Outcomes Measurement Information System Physical Function Short Form 10a (PROMIS PF-10a) in RA and to investigate variation in disease activity and functional outcomes based on country-level socio-economic parameters.
Methods: Patient demographics, disease characteristics including current symptom status, functional status and treatment variables, as well as income level of the country of residence, were extracted from survey responses.
Front Public Health
January 2025
Johns Hopkins University School of Nursing, Baltimore, MD, United States.
Background: Despite increased insurance coverage since 2010, racial and ethnic minorities in the United States still receive less medical care than White counterparts. The Johns Hopkins School of Nursing's Center for Community Programs, Innovation, and Scholarship (COMPASS Center) provides free wellness services, aiming to address healthcare disparities in the neighborhoods.
Objective: To delineate the types and cost of wellness services provided by the COMPASS Center.
Front Public Health
January 2025
School of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Introduction: This study investigated segmented assimilation patterns and factors influencing health education utilization (HEU) among internal migrant populations in China, driven by concerns over their declining health owing to urbanization-related changes.
Methods: Data from the 2017 China Migrants Dynamic Survey were analyzed, focusing on 13,998 rural migrants. Negative binomial regression was used to explore assimilation patterns and determine the factors affecting HEU among internal migrants in China.
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