Empirically Derived Components of Hostility in a Community-Based Sample of African Americans

Using a narrative approach, this study explored how African American men became mental health advocates. This ancillary study is part of a formative within an ongoing community based intervention program that was designed to promote mental health of African Americans (AMEN) project within an ongoing community based intervention program that was designed to promote mental health of African Americans (AMEN) project. Narrative research techniques were used to analyze and synthesize the data. Analysis generated one major theme (interdependence) with four supporting sub-themes (credibility, social depression, stigma, and calling). These findings and insights through this qualitative study guided the AMEN project team to formulate effective communication strategies in establishing working relationships with community partners and wider stakeholders as well as crafting culturally tailored messages for African American participants.

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Preventing cardiovascular disease: Participant perspectives of the FAITH! Program

Journal of Health Psychology ◽

10.1177/1359105317695878 ◽

2017 ◽

Vol 24 (12) ◽

pp. 1710-1723 ◽

Cited By ~ 5

Author(s):

LaPrincess C Brewer ◽

Eleshia J Morrison ◽

Joyce E Balls-Berry ◽

Patrick Dean ◽

Kandace Lackore ◽

...

Keyword(s):

Cardiovascular Disease ◽

African Americans ◽

Participatory Research ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Community Based Participatory Research ◽

Research Process ◽

Community Based Interventions ◽

Community Based ◽

Behavior Change Interventions

Striking cardiovascular health disparities exist among African-Americans in Minnesota compared to Whites; however, community-based interventions to address cardiovascular disease risk are lacking. This study explored participant perceptions of a culturally tailored, cardiovascular disease prevention program developed using a community-based participatory research process. Research participation perceptions, program benefits, and program satisfaction/acceptability were analyzed using a mixed-methods approach. Overall, acceptability was high. Findings highlight the favorable inclusion of African-Americans (research perception), knowledge gained about healthy lifestyle practices (benefits), and quality of the curriculum/speakers (satisfaction). Community-based participatory research may be useful in fostering the acceptability of behavior change interventions among marginalized African-American communities.

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Outcomes of triple negative breast cancer in African-Americans vs. Caucasians: a community-based study.

10.1158/0008-5472.sabcs-3043 ◽

2009 ◽

Author(s):

MM Shah ◽

JK Patel ◽

NA Fischbach

Keyword(s):

Breast Cancer ◽

African Americans ◽

Triple Negative Breast Cancer ◽

Triple Negative ◽

Community Based

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Abstract 4691: Evaluating the effectiveness of community based breast cancer and prostate cancer interventions among African Americans

10.1158/1538-7445.am10-4691 ◽

2010 ◽

Author(s):

Judithe Louis ◽

Camille Brown ◽

Crystal Cannon ◽

Jeffrey Wilkins ◽

Amura Cameron ◽

...

Keyword(s):

Breast Cancer ◽

Prostate Cancer ◽

African Americans ◽

Community Based

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Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review

Nutrition Reviews ◽

10.1093/nutrit/nuz046 ◽

2019 ◽

Cited By ~ 3

Author(s):

Karen R Flórez ◽

Denise D Payán ◽

Kartika Palar ◽

Malcolm V Williams ◽

Bozena Katic ◽

...

Keyword(s):

United States ◽

Systematic Review ◽

African Americans ◽

Ethnic Disparities ◽

The United States ◽

Effect Sizes ◽

Community Based ◽

Vulnerable Communities ◽

Racial Ethnic ◽

The Church

Abstract Context Multilevel church-based interventions may help address racial/ethnic disparities in obesity in the United States since churches are often trusted institutions in vulnerable communities. These types of interventions affect at least two levels of socio-ecological influence which could mean an intervention that targets individual congregants as well as the congregation as a whole. However, the extent to which such interventions are developed using a collaborative partnership approach and are effective with diverse racial/ethnic populations is unclear, and these crucial features of well-designed community-based interventions. Objective The present systematic literature review of church-based interventions was conducted to assess their efficacy for addressing obesity across different racial/ethnic groups (eg, African Americans, Latinos). Data Sources and Extraction In total, 43 relevant articles were identified using systematic review methods developed by the Center for Disease Control and Prevention (CDC)’s Task Force on Community Preventive Services. The extent to which each intervention was developed using community-based participatory research principles, was tailored to the particular community in question, and involved the church in the study development and implementation were also assessed. Data Analysis Although 81% of the studies reported significant results for between- or within-group differences according to the study design, effect sizes were reported or could only be calculated in 56% of cases, and most were small. There was also a lack of diversity among samples (eg, few studies involved Latinos, men, young adults, or children), which limits knowledge about the ability of church-based interventions to reduce the burden of obesity more broadly among vulnerable communities of color. Further, few interventions were multilevel in nature, or incorporated strategies at the church or community level. Conclusions Church-based interventions to address obesity will have greater impact if they consider the diversity among populations burdened by this condition and develop programs that are tailored to these different populations (eg, men of color, Latinos). Programs could also benefit from employing multilevel approaches to move the field away from behavioral modifications at the individual level and into a more systems-based framework. However, effect sizes will likely remain small, especially since individuals only spend a limited amount of time in this particular setting.

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The Association Between Vascular Risk Factor-Mediating Medications and Cognition and Dementia Diagnosis in a Community-Based Sample of African-Americans

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2000.tb04777.x ◽

2000 ◽

Vol 48 (9) ◽

pp. 1035-1041 ◽

Cited By ~ 42

Author(s):

Stephanie S. Richards ◽

Christine L. Emsley ◽

John Roberts ◽

Michael D. Murray ◽

Kathleen Hall ◽

...

Keyword(s):

Risk Factor ◽

African Americans ◽

Vascular Risk Factor ◽

Vascular Risk ◽

Dementia Diagnosis ◽

Community Based

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Prevalence estimates of depression in elderly community-dwelling African Americans in Indianapolis and Yoruba in Ibadan, Nigeria

International Psychogeriatrics ◽

10.1017/s1041610207005480 ◽

2007 ◽

Vol 19 (4) ◽

pp. 679-689 ◽

Cited By ~ 26

Author(s):

Olusegun Baiyewu ◽

Valerie Smith-Gamble ◽

Kathleen A. Lane ◽

Oye Gureje ◽

Sujuan Gao ◽

...

Keyword(s):

African Americans ◽

Clinical Assessment ◽

Severe Depression ◽

Community Dwelling ◽

Mild Depression ◽

Community Based ◽

Prevalence Estimates ◽

Prevalence Of Depression ◽

Screening Interview ◽

Ibadan Nigeria

Background: This is a community-based longitudinal epidemiological comparative study of elderly African Americans in Indianapolis and elderly Yoruba in Ibadan, Nigeria.Method: A two-stage study was designed in which community-based individuals were first screened using the Community Screening Interview for Dementia. The second stage was a full clinical assessment, which included use of the Geriatric Depression Scale, of a smaller sub-sample of individuals selected on the basis of their performance in the screening interview. Prevalence of depression was estimated using sampling weights according to the sampling stratification scheme for clinical assessment.Results: Some 2627 individuals were evaluated at the first stage in Indianapolis and 2806 in Ibadan. All were aged 69 years and over. Of these, 451 (17.2%) underwent clinical assessment in Indianapolis, while 605 (21.6%) were assessed in Ibadan. The prevalence estimates of both mild and severe depression were similar for the two sites (p = 0.1273 and p = 0.7093): 12.3% (mild depression) and 2.2% (severe depression) in Indianapolis and 19.8% and 1.6% respectively in Ibadan. Some differences were identified in association with demographic characteristics; for example, Ibadan men had a significantly higher prevalence of mild depression than Indianapolis men (p < 0.0001). Poor cognitive performance was associated with significantly higher rates of depression in Yoruba (p = 0.0039).Conclusion: Prevalence of depression was similar for elderly African Americans and Yoruba despite considerable socioeconomic and cultural differences between these populations.

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Survival disparities of diffuse large B-cell lymphoma in a community-based cancer center.

Journal of Clinical Oncology ◽

10.1200/jco.2019.37.15_suppl.7541 ◽

2019 ◽

Vol 37 (15_suppl) ◽

pp. 7541-7541

Author(s):

Vinicius Machado Jorge ◽

Andrew Chua Tiu ◽

Peter Moussa ◽

Sorab Gupta ◽

Djeneba Audrey Djibo ◽

...

Keyword(s):

African Americans ◽

B Cell ◽

Cell Lymphoma ◽

International Prognostic Index ◽

Prognostic Index ◽

B Cell Lymphoma ◽

Cancer Center ◽

Community Based ◽

Large B Cell Lymphoma ◽

Large B Cell

7541 Background: Non-Hodgkin’s Lymphoma (NHL) is a heterogeneous group of hematologic malignancy from immature or mature lymphocytes or natural killer cells. It is the 9th leading cause of death for both sexes. Diffuse Large B Cell Lymphoma (DLBCL), a subset of NHL, comprises 30 – 40% of all NHL. The etiology for the racial disparities in survival among patients with DLBCL is still unknown. The Revised International Prognostic Index (R-IPI), a tool which predicts the outcome of DLBCL patients, has not yet been fully validated in African Americans (AA). Methods: We conducted a single cohort study of patients diagnosed with DLBCL from January 1, 2007 to December 31, 2017 from our tumor registry in a single community-based cancer center. We abstracted demographic, clinical, histopathologic, treatment, and R-IPI variables. Our primary endpoint was overall survival (OS). Our secondary endpoints were factors that determine mortality through Cox multivariate analysis. Results: Among 381 patients with NHL, 181 (47.5%) patients had biopsy-proven DLBCL. Median age was 65 years old, 47% were males, 41% were AA, 44% were Caucasians, 46% were stage IV by Ann-Arbor staging. African-Americans (AA) had a median OS of 15.7 months (95% CI, 10.31 to 23.90) compared to non-AA 93.6 months (95% CI, 61.48 to 142.57). Even after adjusting for race, R-IPI was correlated with mortality on all patients. Lactate dehydrogenase levels were significantly higher in AA (P<0.001) but there was no difference in the interval from diagnosis to initiation of treatment in all groups. The presence of B symptoms HR 1.80 (95% CI, 1.17 to 2.77), African-American race HR 2.19 (95% CI, 1.38 to 3.52), positive HIV HR 2.16 (95% CI, 1.15 to 4.05), chronic liver disease HR 1.87 (95% CI, 1.09 to 3.23), and malnutrition HR 2.46 (95% CI, 1.30 to 4.65) were all independently associated with increased mortality. Histopathologic features such as the cell of origin, BCL6, and BCL2 rearrangements were not independently associated with increased mortality. Conclusions: There is an overwhelming disparity in survival among AA with DLBCL. The R-IPI is a reliable tool for predicting mortality in AA with DLBCL.

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