Disparities in Health Between Black and White Americans: Current Knowledge and Directions for Future Research

2018 ◽  
pp. 456-478
Author(s):  
Thomas E. Fuller-Rowell ◽  
David S. Curtis ◽  
Adrienne M. Duke
Keyword(s):  
Health Disparities ◽  
Current Knowledge ◽  
Public Investment ◽  
The United States ◽  
Future Research ◽  
Sociocultural Factors ◽  
White Americans ◽  
Biological Mechanisms ◽  
Black And White ◽  
Racial Ethnic

Conceptual frameworks for racial/ethnic health disparities are abundant, but many have received insufficient empirical attention. As a result, there are substantial gaps in scientific knowledge and a range of untested hypotheses. Particularly lacking is specificity in behavioral and biological mechanisms for such disparities and their underlying social determinants. Alongside lack of political will and public investment, insufficient clarity in mechanisms has stymied efforts to address racial health disparities. Capitalizing on emergent findings from the Midlife in the United States (MIDUS) study and other longitudinal studies of aging, this chapter evaluates research on health disparities between black and white US adults. Attention is given to candidate behavioral and biological mechanisms as precursors to group differences in morbidity and mortality and to environmental and sociocultural factors that may underlie these mechanisms. Future research topics are discussed, emphasizing those that offer promise with respect to illuminating practical solutions to racial/ethnic health disparities.

Black and White Homicide Differentials

1983 ◽  
Vol 10 (4) ◽  
pp. 407-440 ◽  
Author(s):  
DARNELL F. HAWKINS
Keyword(s):  
United States ◽  
Justice System ◽  
The United States ◽  
Future Research ◽  
Economic Factors ◽  
White Americans ◽  
Direct Effects ◽  
Causal Factors ◽  
Black And White ◽  
Black Life

Rates of homicide among blacks in the United States have been consistently higher than those of white Americans and of other American nonwhites. Subculture of violence theory has been the most widely accepted explanation for these differences. In this article, I argue that subculture theory ignores or underemphasizes a variety of historical-structural, situational, and economic factors that might explain high rates of black homicide. Seldom examined is the behavior of the law. Three theoretical propositions are offered as guides for future research. These propositions suggest that (1) the historical devaluing of black life, (2) official responses of the criminal justice system to prehomicide behavior among blacks, and (3) the direct effects of economic deprivation are important causal factors.

scholarly journals Testing DNA-methylation and blood-chemistry measures of biological aging in models of Black-White disparities in healthspan characteristics

2021 ◽  
Author(s):  
GH Graf ◽  
CL Crowe ◽  
M Kothari ◽  
D Kwon ◽  
JJ Manly ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Health Disparities ◽  
Daily Living ◽  
Blood Chemistry ◽  
The United States ◽  
Biological Aging ◽  
White Americans ◽  
Proof Of Concept ◽  
Black And White ◽  
Retirement Study

ABSTRACTBiological aging is a proposed mechanism through which social determinants drive health disparities. We conducted proof-of-concept testing of eight DNA-methylation and blood-chemistry quantifications of biological aging as mediators of disparities in healthspan between Black and White participants in the United States Health and Retirement Study (HRS; n=8231). We quantified biological aging from four DNA-methylation “clocks” (Horvath, Hannum, PhenoAge, and GrimAge), a DNA-methylation Pace of Aging (DunedinPoAm), and three blood-chemistry measures (PhenoAge, Klemera-Doubal method Biological Age, and homeostatic dysregulation). We quantified Black-White disparities in healthspan from tests of physical-performance, self-reported limitations to activities of daily living (ADLs), and physician-diagnosed chronic diseases. DNA-methylation and blood-chemistry quantifications of biological aging were moderately correlated (Pearson-r range 0.1-0.4). GrimAge, DunedinPoAm and all three blood-chemistry measures were associated with healthspan characteristics (10-25% increase in risk per SD of biological aging) and showed evidence of more advanced/faster biological aging in Black compared with White participants (Cohen’s d=.3-.5). In mediation analysis, these measures accounted for 19-48% of Black-White differences in healthspan-related characteristics. Evidence that Black Americans are both biologically older and aging more rapidly than White Americans of the same chronological age suggests that differences in aging may represent a novel pathway to understand and eliminate health disparities.

The Complexity of Health Disparities: More Than Just Black–White Differences

2021 ◽  
pp. 1-10
Author(s):  
Charles Ellis ◽  
Molly Jacobs
Keyword(s):  
Health Disparities ◽  
Clinical Outcomes ◽  
The United States ◽  
Careful Examination ◽  
White Americans ◽  
Speech Language Pathology ◽  
Death Rates ◽  
The Social ◽  
Health Related ◽  
Language Pathology

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.

Questions

2018 ◽  
Author(s):  
James L. Gibson ◽  
Michael J. Nelson
Keyword(s):  
United States ◽  
African Americans ◽  
Supreme Court ◽  
Legal System ◽  
Public Support ◽  
The United States ◽  
Future Research ◽  
White Americans ◽  
Two Factors ◽  
The U.S

We have investigated the differences in support for the U.S. Supreme Court among black, Hispanic, and white Americans, catalogued the variation in African Americans’ group attachments and experiences with legal authorities, and examined how those latter two factors shape individuals’ support for the U.S. Supreme Court, that Court’s decisions, and for their local legal system. We take this opportunity to weave our findings together, taking stock of what we have learned from our analyses and what seem like fruitful paths for future research. In the process, we revisit Positivity Theory. We present a modified version of the theory that we hope will guide future inquiry on public support for courts, both in the United States and abroad.

scholarly journals Optimising neurodevelopmental and psychosocial outcomes for survivors with CHD: a research agenda for the next decade

2021 ◽  
pp. 1-3
Author(s):  
Erica Sood ◽  
Jeffrey P Jacobs ◽  
Bradley S Marino
Keyword(s):  
Health Disparities ◽  
Outcomes Research ◽  
Research Agenda ◽  
Clinical Care ◽  
Neurodevelopmental Outcome ◽  
Psychosocial Outcomes ◽  
The United States ◽  
Future Research ◽  
Neurodevelopmental Outcomes ◽  
Working Groups

Abstract Neurodevelopmental and psychosocial impairments negatively impact health-related quality of life for survivors with CHD and complicate the transition to independent adulthood. Risk for neurodevelopmental and psychosocial impairments is influenced by a complex interplay among genetic, foetal, surgical, perioperative, family, and social factors, requiring a multi-pronged approach to neuroprotection and intervention. To ensure future research can ultimately reduce the burden of CHD for individuals, families, and society, the most pressing issues in cardiac neurodevelopment requiring scientific investigation must be identified. Through funding from an R13 Grant from the National Heart, Lung, and Blood Institute of the National Institutes of Health of the United States of America, the Cardiac Neurodevelopmental Outcome Collaborative convened a two-day meeting of international experts in cardiac neurodevelopmental and psychosocial research, clinical care, and health disparities, including patient and family stakeholders, to define the cardiac neurodevelopmental and psychosocial outcomes research agenda for the next decade. Seven multidisciplinary working groups were formed to address key domains crucial to the advancement of cardiac neurodevelopmental and psychosocial outcomes research: 1) Foetal Brain Development and Neuroprotection, 2) Surgical/Perioperative Neuroprotection and Neurodevelopment, 3) Characterization of Neurodevelopmental and Psychological Outcomes, 4) Neurodevelopmental and Psychosocial Intervention, 5) Parent Mental Health and Family Functioning, 6) Neurodevelopmental Education, Outreach and Advocacy, and 7) Health Disparities and Neurodevelopmental Outcomes. Working groups identified significant gaps in knowledge and critical questions that must be answered to further knowledge, policy, care, and outcomes. The development of a research agenda in cardiac neurodevelopmental and psychosocial outcomes is critical for informing collaborative initiatives and allocation of funding for research to scientific inquiries of highest value to key stakeholders.

Racial and Political Dynamics of an Approaching “Majority-Minority” United States

2018 ◽  
Vol 677 (1) ◽  
pp. 204-214 ◽  
Author(s):  
Maureen A. Craig ◽  
Julian M. Rucker ◽  
Jennifer A. Richeson
Keyword(s):  
United States ◽  
The United States ◽  
Future Research ◽  
White Americans ◽  
Psychological Mechanisms ◽  
Political Outcomes ◽  
Essential Questions ◽  
Social Scientific ◽  
Demographic Shifts ◽  
Projected Changes

Do demographic shifts in the racial composition of the United States promote positive changes in the nation’s racial dynamics? Change in response to the nation’s growing diversity is likely, but its direction and scope are less clear. This review integrates emerging social-scientific research that examines how Americans are responding to the projected changes in the racial/ethnic demographics of the United States. Specifically, we review recent empirical research that examines how exposure to information that the United States is becoming a “majority-minority” nation affects racial attitudes and several political outcomes (e.g., ideology, policy preferences), and the psychological mechanisms that give rise to those attitudes. We focus primarily on the reactions of members of the current dominant racial group (i.e., white Americans). We then consider important implications of these findings and propose essential questions for future research.

scholarly journals Will 'Deaths of Despair' among Whites Change How We Talk about Racial/Ethnic Health Disparities?

2018 ◽  
Vol 28 (2) ◽  
pp. 123 ◽  
Author(s):  
Lauren Brown ◽  
Reginald Tucker-Seeley
Keyword(s):  
Health Disparities ◽  
Population Health ◽  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Minority Groups ◽  
Premature Death ◽  
Popular Literature ◽  
The United States ◽  
Deaths Of Despair ◽  
Racial Ethnic

<p>The recent trend of premature death among Whites in the United States has garnered attention in both the popular and academic literature. This attention has focused on the plight of low socioeconomic status Whites in non-urban areas. The population health lit­erature in general and the health disparities literature more specifically has struggled to describe differences in health when White groups present worse health outcomes or worsening trends compared with racial/ ethnic minority groups. There remain many open questions as population health/health disparities research attempts to explain the increasing mortality rates for low socioeco­nomic status Whites in non-urban areas in relationship to other racial/ethnic groups. As the conversation in the academic and popular literature continues to unfold, a key question for population health research and practice is how will the ‘deaths of despair’ phenomenon among Whites influence our measuring of, and reporting and interven­ing on, race/ethnic health disparities? <em></em></p><p><em>Ethn Dis. </em>2018;28(2):123-128; doi:10.18865/ ed.28.2.123.</p>

scholarly journals Aging and Disability Among Hispanics in the United States: Current Knowledge and Future Directions

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Marc A Garcia ◽  
Brian Downer ◽  
Michael Crowe ◽  
Kyriakos S Markides
Keyword(s):  
United States ◽  
Risk Factors ◽  
Life Expectancy ◽  
Literature Review ◽  
Old Age ◽  
Current Knowledge ◽  
The United States ◽  
Life Course Perspective ◽  
Future Research ◽  
Minority Population

Abstract Background and Objectives Hispanics are the most rapidly aging minority population in the United States. Our objective is to provide a summary of current knowledge regarding disability among Hispanics, and to propose an agenda for future research. Research Design and Methods A literature review was conducted to identify major areas of research. A life course perspective and the Hispanic Paradox were used as frameworks for the literature review and for identifying future areas of research. Results Four research areas were identified: (1) Ethnic disparities in disability; (2) Heterogeneity of the U.S. older Hispanic population; (3) Risk factors for disability; and (4) Disabled life expectancy. Older Hispanics are more likely than non-Hispanic whites to be disabled or to become disabled. Disability varied by country of origin, nativity, age of migration, and duration in the United States. Important risk factors for disability included chronic health conditions, depression, and cognitive impairment. Protective factors included positive affect and physical activity. Older Hispanics have longer life expectancy than non-Hispanic whites but spend a greater proportion of old age disabled. Future research should continue to monitor trends in disability as younger generations of Hispanics reach old age. Attention needs to be given to regional variation within the United States for disability prevalence, early-life risk factors, and factors that may contribute to variation in disabled life expectancy. There is also an urgent need for interventions that can effectively prevent or delay the onset of disability in older Hispanics. Discussion and Implications Considerable research has examined disability among older Hispanics, but continued research is needed. It is important that research findings be used to inform public policies that can address the burden of disability for older Hispanic populations.

scholarly journals NIA HEALTH DISPARITIES RESEARCH NETWORK: APPROACHES AND FINDINGS FROM GERIATRICS AND CLINICAL GERONTOLOGY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S13-S13
Author(s):  
Lyndon Joseph ◽  
CarlV Hill
Keyword(s):  
Health Disparities ◽  
Life Expectancy ◽  
Research Network ◽  
Imaging Biomarkers ◽  
Sociocultural Factors ◽  
Multiple Chronic Conditions ◽  
Structural Level ◽  
Biological Mechanisms ◽  
Age Related ◽  
Reduce Life Expectancy

Abstract Health disparities are differences in the incidence, prevalence and burden of diseases, mortality rates and causes of death that exist among population groups. Health disparities are associated with a broad, complex, and interrelated array of factors that influence health, accelerate aging and reduce life expectancy. NIA’s health disparities research goals are to understand environmental and sociocultural factors and related behavioral and biological mechanisms that diminish health and reduce life expectancy for vulnerable populations, explore the biological mechanisms through which disparities influence age-related change, and identify where disparities emerge in diagnosis, prognosis or treatment in geriatric conditions. Presentations will focus on whether structural-level discrimination may be a key factor in potentiating well known race-related health disparities especially those with an accelerated onset and may be associated with MRI-indicators of subclinical brain pathology; identifying biomarkers for early detection of cognitive and functional decline in high risk subpopulations and how ethnicity influences cerebral spinal fluid and imaging biomarkers link to early identification of cognitive and functional impairment ; effects of medication management and deprescribing among African American and Hispanic older adults with Alzheimer’s disease and related dementias and multiple chronic conditions; examine the use of multi-level factors and technology to overcome the barriers to urban-rural health disparities in managing many chronic diseases such as hepatitis C virus infection and delivery of appropriate medical services; and understanding the racial and ethnic differences in the link between environmental exposures and auto-immune comorbid asthma.

Differential Item and Test Functioning of the Autism Spectrum Rating Scales: A Follow-Up Evaluation in a Diverse, Nonclinical Sample

2020 ◽  
pp. 073428292094552
Author(s):  
Maryellen Brunson McClain ◽  
Bryn Harris ◽  
Sarah E. Schwartz ◽  
Megan E. Golson
Keyword(s):  
Rating Scales ◽  
Ethnically Diverse ◽  
The United States ◽  
Autism Spectrum ◽  
Future Research ◽  
Differential Test Functioning ◽  
Item Functioning ◽  
Racial Ethnic ◽  
Differential Test

Although the racial/ethnic demographics in the United States are changing, few studies evaluate the cultural and linguistic responsiveness of commonly used autism spectrum disorder screening and diagnostic assessment measures. The purpose of this study is to evaluate item and test functioning of the Autism Spectrum Rating Scales (ASRS) in a sample of racially/ethnically diverse parents of children (nonclinical) between the ages of 6–18 ( N = 806). This study is a follow-up to a prior publication examining the factor structure of the ASRS among a similar sample. The present study furthers the examination of measurement invariance of the ASRS in racially/ethnically diverse populations by conducting differential item functioning and differential test functioning with a larger sample. Results indicate test-level invariance; however, five items are noninvariant across parent reporters from different racial/ethnic groups. Implications for practice and directions for future research are discussed.

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