Suchergebnisse

There are a growing number of U. S. women veterans. The goal of this study was to examine the frequency of reproductive health conditions, as well as racial/ethnic disparities within reproductive health concerns, among a sample of women veterans who were referred by their primary care providers for a psychiatric evaluation. Cross-sectional data were collected from 701 women veterans in a Women's Health Clinic at a VA Medical Center. The most commonly reported reproductive health conditions were dyspareunia, pelvic pain, and sexually transmitted infections (STIs). Other reproductive health conditions reported by women veterans included endometriosis, polycystic ovary syndrome (PCOS), and osteoporosis. Black women veterans had significantly higher rates of endometriosis compared with the other racial/ethnic groups. Prevalence of PCOS, dyspareunia, osteoporosis, STIs, pelvic pain, perinatal loss, and infertility treatment did not differ across race/ethnicity. Health care providers working with women veterans should engage in regular screening of reproductive health conditions for women across all demographic groups.

ObjectivesThe objective of this study is to advance knowledge on racial/ethnic disparities in violence and the structural sources of those disparities. We do so by extending scarce and limited research exploring the relationship between race/ethnic gaps in disadvantage and differences in violent crime across groups.MethodsUsing census place‐level data from California and New York, we construct white, black, and Hispanic "gap" measures that take as a given the existence of disparities across race/ethnic groups in structural disadvantage and crime and subsequently utilize seemingly unrelated regression models to assess the extent to which gaps in disadvantage are predictive of gaps in homicide and index violence.ResultsOur results suggest that (1) there is considerable heterogeneity in the size of white–black, white–Hispanic, and black–Hispanic gaps in structural disadvantage and crime and (2) that race/ethnic disparities in structural disadvantage, particularly poverty and female headship, are positively associated with race/ethnic gaps in homicide and index violence.ConclusionIn light of recent scholarship on the racial invariance hypothesis and on the relationship between structural inequality and crime, the current study demonstrates that disparities in disadvantage, particularly family structure and poverty, are important in driving racial and ethnic disparities in crime.

FrontMatter -- Contents -- Summary -- 1 Introduction and Literature Review -- 2 The Healthcare Environment and Its Relation to Disparities -- 3 Assessing Potential Sources of Racial and Ethnic Disparities in Care: Patient- and System-Level Factors -- 4 Assessing Potential Sources of Racial and Ethnic Disparities in Care: The Clinical Encounter -- 5 Interventions: Systemic Strategies -- 6 Interventions: Cross-Cultural Education in the Health Professions -- 7 Data Collection and Monitoring -- 8 Needed Research -- References -- Appendixes -- A Data Sources and Methods -- B Literature Review -- C Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare -- D Racial Disparities in Healthcare: Highlights from Focus Group Findings -- E Committee and Staff Biographies -- Paper Contributions -- Racial and Ethnic Disparities in Diagnosis and Treatment: A Review of the Evidence and a Consideration of Causes-H. Jack Geiger -- Racial and Ethnic Disparities in Healthcare: A Background and History-W. Michael Byrd and Linda A. Clayton -- The Rationing of Healthcare and Health Disparity for the American Indians/Alaska Natives-Jennie R. Joe -- Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare-Lisa A. Cooper and Debra L. Roter -- The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare-Mary-Jo DelVecchio Good, Cara James, Byron J. Good, and Anne E. Becker -- The Civil Rights Dimension of Racial and Ethnic Disparities in Health Status-Thomas E. Perez -- Racial and Ethnic Disparities in Healthcare: Issues in the Design, Structure, and Administration of Federal Healthcare Financing Programs Supported Through Direct Public Funding-Sara Rosenbaum

The research on residential mobility and residential displacement offers insight into racial and ethnic disparities in housing quality; however, scholars would benefit from contextualizing mobility and displacement within the overall housing picture. We expand the residential attainment framework by examining whether there are racial and ethnic differences in who makes residential moves and whether a higher immobility among Black and Hispanic households helps explain housing quality disparities. Using data from the Survey of Income and Program Participation, we find that Black and Hispanic households are more likely to be immobile than White and Asian households. Among the immobile population, Black and Hispanic households have higher probabilities of living in lower quality housing than White households. However, we find when Black households make residential moves, they translate those moves into housing quality that is on par with White households. Hence, we suggest that residential immobility offers a key explanation for persistent trends in racial and ethnic housing quality disparities. Paired with a declining trend in residential mobility, our findings may signal a greater phenomenon of marginalized households becoming increasingly stuck in place.

Abstract

Aims
To analyze racial/ethnic disparities in risk of two alcohol-related events, alcohol-related injury and self-reported perceived driving under the influence (DUI) from hours of exposure to an elevated blood alcohol concentration (BAC).


Methods
Risk curves for the predicted probability of these two outcomes from the number of hours of exposure to a BAC ≥ 0.08 mg% in the past year were analyzed separately for whites, blacks and Hispanics in a merged sample of respondents from four US National Alcohol Surveys (2000–2015).


Results
Hours of exposure to a BAC ≥ 0.08 showed a stronger association with perceived DUI than with alcohol-related injury for all racial/ethnic groups. Greater risk was found for whites than blacks or Hispanics for outcomes at nearly all BAC exposure levels, and most marked at the highest level of exposure. Risk of both outcomes was significant for whites at all exposure levels, but small for alcohol-related injury. Little association was found for alcohol-related injury for blacks or Hispanics. For perceived DUI, risk for blacks was significantly elevated at lower levels of exposure, while risk for Hispanics was significantly elevated beginning at 30 h of exposure.


Conclusions
Findings showed racial/ethnic differences in risk of alcohol-related injury and perceived DUI from hours of exposure to elevated BAC. Risk increased at relatively low levels of exposure to a BAC ≥ 0.08, especially for whites, highlighting the importance of preventive efforts to reduce harmful outcomes for moderate drinkers.

We review select literature on racial and ethnic disparities in retirement outcomes in the United States and the impact of outreach on such outcomes. First, there are significant disparities in retirement outcomes, reflecting a long history of racism and structural barriers. Second, there is comparatively little work on the differential impact of retirement outreach across race and ethnicity. Future work should consider designing interventions that cater to the needs of specific demographic groups, for example, by embracing the fact that Blacks, Hispanics, and Whites acquire retirement information from different sources. Future work should also incorporate behavioral insights, particularly from prior interventions, and innovate on methodologies for data collection, linking, and analysis.

In 2005, the Robert Wood Johnson Foundation created Finding Answers: Disparities Research for Change, a program to identify, evaluate, and disseminate interventions to reduce racial and ethnic disparities in the care and outcomes of patients with cardiovascular disease, depression, and diabetes. In this introductory paper, we present a conceptual model for interventions that aim to reduce disparities. With this model as a framework, we summarize the key findings from the six other papers in this supplement on cardiovascular disease, diabetes, depression, breast cancer, interventions using cultural leverage, and pay-for-performance and public reporting of performance measures. Based on these findings, we present global conclusions regarding the current state of health disparities interventions and make recommendations for future interventions to reduce disparities. Multifactorial, culturally tailored interventions that target different causes of disparities hold the most promise, but much more research is needed to investigate potential solutions and their implementation.

Increasing minority representation in law enforcement has long been viewed as a means of improving police-citizen relations. Yet, little scholarly attention has examined whether racial/ethnic diversity translates into desired outcomes. These studies largely measure the racial/ethnic composition of the agency in general—not in positions of power where they are most likely to make an impact on department policy/practice (i.e., 'active representation'). Using data from the 2016 Law Enforcement Management and Administrative Statistics (LEMAS) survey, the current study 1) provides an overview of Black and Hispanic representation in chief executive, mid-level management, and supervisory roles and 2) explores the impact that diversity in these positions has on racial/ethnic disparities in vehicle stops in Illinois and Missouri. Minority officers are more underrepresented in these positions of power compared to their composition in agencies in general, and higher levels of representation are not significantly associated with reductions in disparities in stops.