Sex and Racial/Ethnic Diversity in Accredited Obstetrics and Gynecology Specialty and Subspecialty Training in the United States

Author(s):  
Jennifer M.V. Talbott ◽  
Megan N. Wasson
Author(s):  
Jennifer Lee ◽  
Frank D. Bean

The United States is more racially/ethnically diverse than at any point in the country’s history as a result of immigration, intermarriage, and multiracial identification. The Latino and Asian populations have more than tripled in size since 1970; Latinos are now the largest racial/ethnic minority group, and Asians, the fastest growing group in the country. Also contributing to America’s new diversity is increasing intermarriage and a growing multiracial population. Intermarriage soared more than twenty-fold between 1960 and 2000, and the multiracial population is poised to account for one in five Americans by 2050, and one in three by 2100. However, this new diversity is not evenly apparent across the country. Some states—like California—reflect the new diversity, which is also evident at the metropolitan level. In other states, the new diversity is nearly invisible. The pattern of high and low diversity in the United States reflects the country’s vast heterogeneity.


2021 ◽  
Vol 66 ◽  
Author(s):  
Cindy Im ◽  
Lalani L. Munasinghe ◽  
José M. Martínez ◽  
William Letsou ◽  
Farideh Bagherzadeh-Khiabani ◽  
...  

Objectives: To quantify the Black/Hispanic disparity in COVID-19 mortality in the United States (US).Methods: COVID-19 deaths in all US counties nationwide were analyzed to estimate COVID-19 mortality rate ratios by county-level proportions of Black/Hispanic residents, using mixed-effects Poisson regression. Excess COVID-19 mortality counts, relative to predicted under a counterfactual scenario of no racial/ethnic disparity gradient, were estimated.Results: County-level COVID-19 mortality rates increased monotonically with county-level proportions of Black and Hispanic residents, up to 5.4-fold (≥43% Black) and 11.6-fold (≥55% Hispanic) higher compared to counties with <5% Black and <15% Hispanic residents, respectively, controlling for county-level poverty, age, and urbanization level. Had this disparity gradient not existed, the US COVID-19 death count would have been 92.1% lower (177,672 fewer deaths), making the rate comparable to other high-income countries with substantially lower COVID-19 death counts.Conclusion: During the first 8 months of the SARS-CoV-2 pandemic, the US experienced the highest number of COVID-19 deaths. This COVID-19 mortality burden is strongly associated with county-level racial/ethnic diversity, explaining most US COVID-19 deaths.


2015 ◽  
Author(s):  
Metin Bulus ◽  
Chad A. Rose ◽  
Ze Wang ◽  
En Khee Chong ◽  
Irene Y.Q. Wan ◽  
...  

2007 ◽  
Vol 70 (3) ◽  
pp. 290-304 ◽  
Author(s):  
Krysia N. Mossakowski

Immigration has fundamentally changed American society by increasing racial and ethnic diversity. Yet, our knowledge of the relationship between immigrant status and mental health remains limited. This study provides evidence that Filipino American immigrants have significantly lower levels of depressive symptoms than Filipinos born in the United States, net of gender, age, marital status, socioeconomic status, and place of residence. I also examine the mediating effects of individualism, collectivism, ethnic identification, and perceived racial/ethnic discrimination to understand why immigrants are healthier. Furthermore, my results suggest that age at immigration warrants more attention. Immigrating during childhood predicts significantly higher levels of depressive symptoms in adulthood than immigrating after childhood, independent of the duration of residence in the United States. Although this study is specific to Filipino Americans, it has implications for theories about selective migration and the social psychological ramifications of adapting to American culture as a racial/ethnic minority.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 239-239
Author(s):  
Julie Miller ◽  
Taylor Patskanick ◽  
Lisa D'Ambrosio ◽  
Joseph Coughlin

Abstract Looking ahead to 2030 and beyond, the United States will be both older and more multicultural than presently. To explore the impacts and characteristics of an increasingly diverse population beginning to age, the MIT AgeLab conducted online focus groups in August 2020 (n=92) with ethnically diverse participants ages 40-69 on topics related to household composition, use of technology and digital engagement. Regarding household composition, Black and Latinx participants were more likely to report living with grandchild(ren), and Asian, Latinx, and White participants were more likely to report living with a parent(s) or parent(s)-in- law. Latinx participants often described ways in which caregiving for aging parents was a cultural value, but many participants who had raised children in the United States but who were not born in the United States themselves described cultural gaps in family attitudes that had sometimes widened across the generations. While all participants were using some technology, due to the coronavirus pandemic, digital tools were being used more widely than ever before. Racial/ethnic identity groups were more similar than different in terms of their responses to questions around consumer digital engagement. There were notable differences in overall trust in technology across racial/ethnic groups, with Asian participants reporting the highest average overall level of trust in technology and Multiracial participants reporting the lowest. Looking ahead, the intersection of aging and growing racial/ethnic diversity in the United States will yield a wider array of consumer needs and expectations.


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1488-P
Author(s):  
NILKA RIOS BURROWS ◽  
YAN ZHANG ◽  
ISRAEL A. HORA ◽  
MEDA E. PAVKOV ◽  
GIUSEPPINA IMPERATORE

Author(s):  
Ramón J. Guerra

This chapter examines the development of Latino literature in the United States during the time when realism emerged as a dominant aesthetic representation. Beginning with the Treaty of Guadalupe Hidalgo (1848) and including the migrations resulting from the Spanish-American War (1898) and the Mexican Revolution (1910), Latinos in the United States began to realistically craft an identity served by a sense of displacement. Latinos living in the United States as a result of migration or exile were concerned with similar issues, including but not limited to their predominant status as working-class, loss of homeland and culture, social justice, and racial/ethnic profiling or discrimination. The literature produced during the latter part of the nineteenth century by some Latinos began to merge the influence of romantic style with a more socially conscious manner to reproduce the lives of ordinary men and women, draw out the specifics of their existence, characterize their dialects, and connect larger issues to the concerns of the common man, among other realist techniques.


2021 ◽  
Vol 77 (18) ◽  
pp. 1475
Author(s):  
Rahul Aggarwal ◽  
Nicholas Chiu ◽  
Rishi Wadhera ◽  
Andrew Moran ◽  
Changyu Shen ◽  
...  

2021 ◽  
Vol 7 (18) ◽  
pp. eabf4491
Author(s):  
Christopher W. Tessum ◽  
David A. Paolella ◽  
Sarah E. Chambliss ◽  
Joshua S. Apte ◽  
Jason D. Hill ◽  
...  

Racial-ethnic minorities in the United States are exposed to disproportionately high levels of ambient fine particulate air pollution (PM2.5), the largest environmental cause of human mortality. However, it is unknown which emission sources drive this disparity and whether differences exist by emission sector, geography, or demographics. Quantifying the PM2.5 exposure caused by each emitter type, we show that nearly all major emission categories—consistently across states, urban and rural areas, income levels, and exposure levels—contribute to the systemic PM2.5 exposure disparity experienced by people of color. We identify the most inequitable emission source types by state and city, thereby highlighting potential opportunities for addressing this persistent environmental inequity.


2012 ◽  
Vol 4 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Diana S. Curran ◽  
Pamela B. Andreatta ◽  
Xiao Xu ◽  
Clark E. Nugent ◽  
Samantha R. Dewald ◽  
...  

Abstract Introduction Residency programs seek to match the best candidates with their positions. To avoid ethical conflicts in this process, the National Residency Matching Program (NRMP or Match) has rules regarding appropriate conduct, including guidelines on contact between candidates and programs. Our study examined communication between obstetrics and gynecology (Ob-Gyn) programs and residency candidates after interviewing and prior to ranking. Methods Ob-Gyn program directors in the United States were sent a self-administered survey via e-mail. Data were collected and analyzed using descriptive methods to examine communication practices of these programs. Results The response rate was 40%. The findings showed that respondents had variable interpretations of the NRMP rules and suggest that programs may be communicating their match intentions especially to favored candidates. Respondents' open text comments highlighted program directors' frustrations with current NRMP rules. Discussion NRMP communication rules are intended to minimize pressure on residency candidates. Our findings suggest they may be leading to unforeseen stresses on program directors and candidates. Conclusions As educational leaders in medicine, we must consider what professional communications are acceptable without increasing the pressure on candidates during the ranking and match process.


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