scholarly journals Patterns and Predictors of ADRD Among Racial and Ethnic Minority Groups

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 612-612
Author(s):  
Laura Zahodne ◽  
Cerise Elliott

Abstract This symposium addresses issues surrounding Alzheimer’s disease and related dementia (ADRD) across multiple racial/ethnic minority groups, including African Americans, Latinos, and Arab Americans. Using US national data, Kindratt and colleagues challenge the universality of the healthy migrant effect by comparing patterns of cognitive disability across US- and foreign-born Arab Americans. Arab Americans represent an increasingly visible ethnic minority group whose unique history has the potential to clarify knowledge about sociocultural influences on ADRD. Also using US national data, Garcia and colleagues examine within-group heterogeneity among Latinos. They conclude that the number of years and proportion of life spent with and without subjective cognitive impairment differ as a function of ancestry and nativity. Using data from two local communities, Diminich and colleagues investigate mechanisms underlying ADRD risk among Latinos by considering both stress responding and plasma-based AD biomarkers as predictors of Latino cognitive health. Lee and colleagues focus on social relationships and cognitive aging in a diverse, national cohort. They suggest that the quality of social support from social network members may uniquely affect the cognitive functioning of African Americans older adults. Finally, Cerise Elliott from the National Institute on Aging (NIA) will offer perspectives on how racial/ethnic minority group focused research can advance NIA’s goals related to understanding and eliminating ADRD inequalities. In total, this symposium highlights the need to disaggregate racial/ethnic groups, as well as the importance of incorporating both individual and contextual factors in order to fully understand patterns of ADRD risk and resilience.

2017 ◽  
Vol 8 (3) ◽  
pp. 221-228 ◽  
Author(s):  
Nga Thi Nguyen ◽  
Kanokwan Sanchaisuriya ◽  
Pattara Sanchaisuriya ◽  
Hoa Van Nguyen ◽  
Hoa Thi Thuy Phan ◽  
...  

2017 ◽  
Vol 22 (4) ◽  
pp. 289-299 ◽  
Author(s):  
Lynn Tang ◽  
David Pilgrim

Purpose The purpose of this paper is to provide qualitative evidence from the experience of Chinese service users in the UK to expand the literature on the use of intersectionality analysis in research on the mental health of ethnic minority groups. Design/methodology/approach Repeated in-depth life-history interviews were carried out with 22 participants. Interviews were analysed using the constant comparative method. Findings Four areas of life are identified for their possible negative impact on mental health for this minority group: labour market and work conditions, marriage and family, education, and ageing. The findings illustrate how these intersecting variables may shape the social conditions this ethnic minority group face. For this ethnic minority group in the UK, inequalities can intersect at national as well as transnational level. Originality/value This paper highlights how power relations and structural inequalities including class, gender, age and ethnicity could be drawn upon to understand the interplay of determinants of mental health for ethnic minority groups. As the multi-factorial social forces are closely related to the emergence of poor mental health, it is suggested that interventions to reduce mental health problems in ethnic minority communities should be multi-level and not limited to individualised service responses.


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 ◽  
...  

1997 ◽  
Vol 57 ◽  
pp. 93-103
Author(s):  
Jetske Klatter-Folmer ◽  
Piet Van Avermaet

In this research project, the model of social determination of language shift will be expanded. An attempt is made to fill the gap that still exists regarding the effects on language shift of an ethnic minority group member's confidence in his ability to comply with the linguistic demands of the dominant majority culture. To that end, we investigate the confidence of members of ethnic minority groups and how it is built up, its place in the hierarchy of relevant factors, and their interaction. We detail how this confidence relates to language choice behaviour and language shift. This paper focuses mainly on the theoretical outline and design of the project.


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