1998 Surgeon General's Report--Tobacco Use Among U.S. Racial/Ethnic Minority Groups: American Indians and Alaska Natives and Tobacco

1998 ◽  
2019 ◽  
Vol 29 (3) ◽  
pp. 495-504 ◽  
Author(s):  
Monica Webb Hooper ◽  
Kelly M. Carpenter ◽  
Erica E. Salmon

Introduction: Internet-based tobacco ces­sation programs have increased in use and popularity in recent years. To examine evi­dence for racial/ethnic digital inequality in web-only tobacco cessation services offered by US tobacco quitlines, we conducted an analysis of quitline enrollees in five states. We hypothesized that racial/ethnic minori­ties would demonstrate lower enrollment and utilization of a web-only tobacco cessa­tion program.Methods: The sample includes enrollees into five state quitlines whose service op­tions included a web-only program in 2015 (N=32,989). Outcomes included web-entry into the quitline, web-only enrollment, establishment of a web account, and the number of times users logged into the pro­gram. Regression models tested associations with race/ethnicity.Results: Compared with Whites, African Americans, Hispanics, American Indians/ Alaska Natives, and “others” were less likely to enter the quitline via the web (Ps<.01) and enroll in a web-only (vs counsel­ing) program (Ps<.01). Among web-only program enrollees, all racial/ethnic minority groups were significantly less likely than Whites to establish an online account (Ps<.03), and African Americans were less likely than Whites to log in to the web-only service (P<.01).Conclusions: This study suggests that digital inequalities exist in web-based tobacco ces­sation services. Findings have implications for the development and implementation of digital tobacco interventions for racial/ethnic minority communities. The proliferation of digital tobacco interventions could increase disparities, as members of racial/ethnic minority groups may not engage in these interventions.Implications: The proliferation of digital interventions has the potential to increase tobacco-related disparities, as members of racial/ethnic minority groups may not enroll in, or engage in, such interventions. As the field moves to digitize tobacco interven­tions, we must remain cognizant of persis­tent digital inequalities and the potential for widening racial/ethnic tobacco cessation disparities. Ethn Dis. 2019;29(3):495-504; doi:10.18865/ed.29.3.495


Author(s):  
Ruban Dhaliwal ◽  
Rocio I Pereira ◽  
Alicia M Diaz-Thomas ◽  
Camille E Powe ◽  
Licy L Yanes Cardozo ◽  
...  

Abstract The Endocrine Society recognizes racism as a root cause of the health disparities that affect racial/ethnic minority communities in the United States and throughout the world. In this policy perspective, we review the sources and impact of racism on endocrine health disparities and propose interventions aimed at promoting an equitable, diverse, and just healthcare system. Racism in the healthcare system perpetuates health disparities through unequal access and quality of health services, inadequate representation of health professionals from racial/ethnic minority groups, and the propagation of the erroneous belief that socially constructed racial/ethnic groups constitute genetically and biologically distinct populations. Unequal care, particularly for common endocrine diseases such as diabetes, obesity, osteoporosis, and thyroid disease, results in high morbidity and mortality for individuals from racial/ethnic minority groups, leading to a high socioeconomic burden on minority communities and all members of our society. As health professionals, researchers, educators, and leaders, we have a responsibility to take action to eradicate racism from the healthcare system. Achieving this goal would result in high-quality health care services that are accessible to all, diverse workforces that are representative of the communities we serve, inclusive and equitable workplaces and educational settings that foster collaborative teamwork, and research systems that ensure that scientific advancements benefit all members of our society. The Endocrine Society will continue to prioritize and invest resources in a multifaceted approach to eradicate racism, focused on educating and engaging current and future health professionals, teachers, researchers, policy makers, and leaders.


Transfusion ◽  
2017 ◽  
Vol 57 (7) ◽  
pp. 1644-1655 ◽  
Author(s):  
Mark H. Yazer ◽  
Ralph Vassallo ◽  
Meghan Delaney ◽  
Marc Germain ◽  
Matthew S. Karafin ◽  
...  

2014 ◽  
Vol 65 (7) ◽  
pp. 888-896 ◽  
Author(s):  
Nicholas J. Carson ◽  
Andrew Vesper ◽  
Chih-nan Chen ◽  
Benjamin Lê Cook

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