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Prior to the Affordable Care Act, one in three young adults aged 19 to 25 years were uninsured, with substantial racial/ethnic disparities in coverage. We analyzed the separate and cumulative changes in racial/ethnic disparities in coverage and access to care among young adults after implementation of the Affordable Care Act's 2010 dependent coverage provision and 2014 Medicaid and Marketplace expansions. We find that the dependent coverage provision was associated with similar gains across racial/ethnic groups, but the 2014 expansion was associated with larger gains in coverage among Hispanics and Blacks relative to Whites. After the 2014 expansion, coverage increased by 11.0 and 10.1 percentage points among Hispanics and Blacks, respectively, compared with a 5.6 percentage point increase among Whites. The percentage with a usual source of care and a recent doctor's visit also increased more for Blacks relative to Whites. Increases in coverage were larger in Medicaid expansion compared with nonexpansion states for most racial/ethnic groups.

<p class="Default">Racial-ethnic disparities in stroke recovery are well-established in the United States but the underlying causes are not well-understood. The typical assumption that racial-ethnic disparities in stroke recov­ery are explained by health care access inequities may be simplistic as access to stroke-related rehabilitation, for example, does not adequately explain the observed disparities. To approach the problem in a more comprehensive fashion, the Wide Spectrum Investigation of Stroke Outcome Disparities on Multiple Levels (WISSDOM) was developed to bring together scientists from Regenerative Medicine, Neurology, Rehabilitation, and Nursing to examine disparities in stroke "recovery." As a result, three related projects (basic science, clinical science and population science) were de­signed utilizing animal modeling, mapping of brain connections, and community-based interventions. In this article we describe: 1) the goals and objectives of the individual projects; and 2) how these projects could provide critical evidence to explain why racial-ethnic minorities traditionally experi­ence recovery trajectories that are worse than Whites.</p><p class="Default"><em>Ethn Dis. </em>2018;28(1):61-68; doi:10.18865/ed.28.1.61.</p>

AbstractThis paper summarizes recent research about several structural influences on racial and ethnic disparities in women's health care. While disparities in women's health care access and quality emanate from a number of sources, this paper focuses on the intersection between race/ethnicity and several structural factors (access to insurance coverage, discrimination, neighborhood characteristics, and social isolation). We identify gaps in the literature and suggest directions for future research. Particularly needed are gender studies of the impact of race/ethnicity that transcend the black–white dichotomy, that attend to location, that examine variation in social networks, and that clarify the impact of discrimination on women's health care.

People of color are overrepresented in our criminal justice system. One in three African American men born today will be incarcerated in his lifetime. In some cities, African Americans are ten times more likely to be arrested when stopped by police. With the national debate national focused on race, crime, and punishment, criminal justice experts are examining how to reduce racial disparities in our prisons and jails, which often serve as initial entry points for those who become entangled in the criminal justice system.This report, which relies on input from 25 criminal justice leaders, pinpoints the drivers of racial disparities in our jails, lays out common sense reforms to reduce this disparity, including increasing public defense representation for misdemeanor offenses, encouraging prosecutors to prioritize serious and violent offenses, limiting the use of pretrial detention, and requiring training to reduce racial bias for all those involved in running our justice system.

AbstractHealth researchers have investigated the association between racial segregation and racial health disparities with multilevel approaches. This study systematically reviews these multilevel studies and identifies broad trends and potential directions for future research on racial segregation and health disparities in the US. After searching databases including CINAHL and MEDLINE, we systematically reviewed 66 articles published between 2003 and 2019 and found four major gaps in racial/ethnic segregation and health disparities: (a) the concept of segregation was rarely operationalized at the neighborhood level, (b) except for the evenness and exposure dimension, other dimensions of segregation are overlooked, (c) little attention was paid to the segregation between whites and non‐black minorities, particularly Hispanics and Asians, and (d) mental health outcomes were largely absent. Future directions and opportunities include: First, other segregation dimensions should be explored. Second, the spatial scales for segregation measures should be clarified. Third, the theoretical frameworks for black and non‐black minorities should be tested. Fourth, mental health, substance use, and the use of mental health care should be examined. Fifth, the long‐term health effect of segregation has to be investigated, and finally, other competing explanations for why segregation matters at the neighborhood level should be answered.

Are there racial/ethnic disparities in local public meeting participation? To date, very few studies investigating this question centrally or peripherally have relied on nationally representative data. Thus, in this research note, I discuss some of the limitations associated with previous studies that have examined the characteristics of public meeting participants. More importantly, I analyze data provided by the American National Election Studies (ANES) to investigate the extent to which group disparities, especially racial/ethnic disparities, exist in public meeting participation. The analysis of pooled data from the ANES does not reveal, on a general level, racial/ethnic group differences in public meeting participation, but it does suggest that such differences may exist among the economically vulnerable. I conclude with proposals of how to move forward with conducting research on public meeting participation.

Despite the advances and spread of palliative care programs, communities of color remain significantly underserved. Although these disparities are widely known, there is a marked lack of empirical evidence. The authors conducted a systematic scoping review that synthesized the literature since 2000 about racial and ethnic disparities in palliative and end-of-life care. We searched PubMed, Medline, SocIndex, CINAHL, Social Work Abstracts, and PsycINFO, using search terms including palliative care or end-of-life care, disparities or barriers or utilization, and race or ethnicity or African American or Hispanic. Findings lend support to extant literature that social-environmental barriers and disparities distinctly affect access to care for these populations. The review expands upon understanding of how social determinants drive disparities in palliative and end-of-life care and suggests implications for practice, policy, and research in promoting health equity in serious illness.

School-based discipline can negatively shape the educational outcomes of students, particularly for racial and ethnic minorities. Because racial and ethnic minority youth are at risk for educational failure and marginalized within schools, academic and sport extracurricular activities are often presented as a means to ameliorate educational risk factors. Little is known, however, about the relationship between involvement in these activities and school-based discipline, particularly for racial and ethnic minority youth. This study uses data from the Education Longitudinal Study of 2002 and incorporates multilevel modeling techniques to examine whether the relationship between academic and sport extracurricular activities, misbehavior, and school-based discipline varies by race and ethnicity. This study suggests that while academic and sport extracurricular activities reduce the likelihood of school-based discipline for White students, the relationships for racial and ethnic minority are complex. The implications of the racial and ethnic disparity in school-based discipline in the United States are discussed.

Anti-immigrant rhetoric and political actions gained prominence and public support before, during, and after the 2016 presidential election. This anti-immigrant political environment threatens to increase health disparities among undocumented persons, immigrant groups, and people of color. I discuss the mechanisms by which anti-immigrant stigma exacerbates racial/ethnic health disparities through increasing multilevel discrimination and stress, deportation and detention, and policies that limit health resources. I argue that the anti-immigrant sociopolitical context is a social determinant of health that affects mostly communities of color, both immigrants and nonimmigrants. Public health has a moral obligation to consider how immigration policy is health policy and to be prepared to respond to worsening health disparities as a result of anti-immigrant racism.

ObjectivesThis study focuses on the impact of race and ethnicity on intergenerational mobility between mothers and children.BackgroundMost studies have examined intergenerational mobility between fathers and their children. Racial and ethnic disparities might explain the high rates of intergenerational inequality in mobility.MethodsThe current study used data from the National Longitudinal Survey of Youth 1979 and the National Longitudinal Survey of Youth 1979 for Children and Young Adults. The two data sets were merged based on mother and child's identification number. The final sample consisted of 1,245 non‐Black/non‐Hispanic, 740 Black, and 538 Hispanic dyads. Multiple linear regression and logistic regression analyses were conducted.ResultsThere are ethnic and racial disparities in net worth and poverty among mothers. Black and Hispanic mothers were less likely to accumulate net worth compared with non‐Black/non‐Hispanic mothers, and they were also at greater risk of being in poverty compared with non‐Black/non‐Hispanic mothers. For intergenerational economic mobility, net worth and not living in poverty across mothers were associated with higher income among young adult children. Black race moderated the relationship between maternal net worth and young adult children's income.ConclusionA new perspective is necessary to explore intergenerational economic mobility, considering relations between mothers and children rather than fathers and children.ImplicationsEliminating discrimination in the labor market is critical to addressing racial and ethnic disparities in economic resources. Service programs to help Black women with children to save money or increase their job opportunities should be in place to improve their potential for upward economic mobility across generations.

Anti-immigrant rhetoric and political actions gained prominence and public support before, during, and after the 2016 presidential election. This anti-immigrant political environment threatens to increase health disparities among undocumented persons, immigrant groups, and people of color. I discuss the mechanisms by which anti-immigrant stigma exacerbates racial/ethnic health disparities through increasing multilevel discrimination and stress, deportation and detention, and policies that limit health resources. I argue that the anti-immigrant sociopolitical context is a social determinant of health that affects mostly communities of color, both immigrants and nonimmigrants. Public health has a moral obligation to consider how immigration policy is health policy and to be prepared to respond to worsening health disparities as a result of anti-immigrant racism.