Suchergebnisse

The core of evidenced-based maternal and child health is about using the best research about the safety and effectiveness of specific tests, treatments, and other interventions to help guide MCH decisions. Females of child-bearing age especially need to be informed about the best strategies to ensure and protect their health. Evidenced-Based Maternal and Child Health: Reproductive and Perinatal Health takes several key topics on reproductive outcomes and approaches them from a population-based standpoint. Chapters include sexually transmitted infections (STIs), infertility, pregnancy and birth

AbstractDespite shared colonization histories between the United States and Latin America, research examining racial disparities in health in the United States has often neglected Latinos. Additionally, descendants from Latin America residing in the United States are often categorized under the pan-ethnic label of Hispanic or Latino. This categorization obscures the group's heterogeneity, which is illuminated by research showing consistent differences in health for the three largest segments of the Latino population—Mexicans, Puerto Ricans, and Cubans. We examine whether the patterns of infant mortality associated with race in the non-Latino population also follow for Latinos. We also examine whether we can attribute patterns of infant mortality between the three largest Latino sub-groups to a process we termsegmented racialization. We find that race operates for Latinos the same way it does for the non-Latino population and that there seems to be some evidence to support our segmented racialization hypothesis. The results point to the need to abandon the practices of combining Latino sub-groups as well as ignoring the racial diversity within the Latino population in health research.

This study aims to compare different approaches to measuring racial/ethnic disparities in mental health (MH) service use among a nationwide representative sample of children referred to the child welfare system and compare the magnitude and direction of potential disparities in MH service use over time. Using data from the National Survey of Child and Adolescent Well-Being, six summary measures of disparity were implemented to quantify racial/ethnic disparities in MH service use. This study found that youth of color were less likely than their White counterparts to receive MH services. This racial/ethnic disparity was found to increase over time; however, the magnitude of the increase varied considerably across disparity measures. In addition, the estimated increases in disparity were even greater when the sample was limited to youth in need of MH services. This study shows that the same data may produce different magnitudes of disparity, depending on which metric is implemented and whether MH need is accounted for. A greater understanding of and justification for selection of methods to examine MH disparities among child welfare researchers and policy makers is warranted.

This study was part of a larger study of Partnering for Success, a federally funded initiative focused on providing evidence-based outpatient mental health treatment to children involved with or at risk for involvement with the child welfare system. With a sample of 782 children, the study explored strategies that therapists can use to reduce racial and ethnic disparities in treatment for behavioral problems in children. The results provide promising evidence that racial and ethnic disparities in treatment receipt for behavioral problems are reduced when therapists administer and adhere to the results of standardized screening instruments and participate in clinical consultation.

Despite the rapid expansion of higher education, many young adults still enter the labor market without a college education. However, little research has focused on racial/ethnic earnings disadvantages faced by non-college-educated youth. We analyze the restricted-use data from the High School Longitudinal Study of 2009 to examine racial/ethnic earnings disparities among non-college-educated young men and women in their early 20s as of 2016, accounting for differences in premarket factors and occupation with an extensive set of controls. Results suggest striking earnings disadvantages for Black men relative to white, Latinx, and Asian men. Compared to white men, Latinx and Asian men do not earn significantly less, yet their earnings likely differ substantially by ethnic origin. While racial/ethnic earnings gaps are less prominent among women than men, women of all racial/ethnic groups have earnings disadvantages compared to white men. The results call for future studies into the heterogeneity within racial/ethnic groups and the intersectionality of race/ethnicity and gender among non-college-educated young adults.