America’s New Racial/Ethnic Diversity

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.

Author(s):  
Sumit Mohan ◽  
Kristen King ◽  
S. Ali Husain ◽  
Jesse Schold

Background and Objectives: The COVID-19 pandemic has had a profound impact on transplantation activity in the United States and globally. Several single center reports suggest higher morbidity and mortality among candidates waitlisted for a kidney transplant as well as recipients of a kidney transplant. We aim to describe 2020 mortality patterns during the COVID-19 pandemic in the United States among kidney transplant candidates and recipients. Design, Setting, Participants, and Measurements: Using national registry data for waitlisted candidates and kidney transplant recipients collected through April 23, 2021, we report demographic and clinical factors associated with COVID-19 related mortality in 2020, other deaths in 2020 and deaths in 2019 among waitlisted candidates and transplant recipients . We quantify excess all-cause deaths among candidate and recipient populations in 2020 as well as deaths directly attributed to COVID-19 in relation to pre-pandemic mortality patterns in 2019 and 2018. Results: Among waitlisted patient deaths in 2020, 11% of deaths were attributed to COVID-19, and these candidates were more likely to be male, obese, and belong to a racial/ethnic minority group. Nearly 1 in 6 deaths (16%) among active transplant recipients in the United States in 2020 was attributed to COVID-19. Recipients who died of COVID-19 were younger, more likely to be obese, had lower educational attainment, and were more likely to belong to racial/ethnic minority groups than those who died of other causes in 2020 or 2019. We found higher overall mortality in 2020 among waitlisted candidates (24%) than among kidney transplant recipients (20%) compared to 2019. Conclusions: Our analysis demonstrates higher rates of mortality associated with COVID-19 among waitlisted candidates and kidney transplant recipients in the United States in 2020.


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

2020 ◽  
Vol 6 ◽  
pp. 233372142092041 ◽  
Author(s):  
M. Courtney Hughes ◽  
Erin Vernon

Background: Racial/ethnic minority populations in the United States are less likely to utilize hospice services nearing their end of life, potentially diminishing their quality of care while also increasing medical costs. Objective: Explore the minority hospice utilization gap from the hospice perspective by examining perceived barriers and facilitators as well as practices and policies. Method: Qualitative surveys were conducted with 41 hospices across the United States. Qualitative data analysis included performing a limited content analysis, including the identification of themes and representative quotations. Results: Commonly reported barriers to hospice care for racial/ethnic minorities included culture/beliefs, mistrust of the medical system, and language barriers. A major theme pertaining to successful minority hospice enrollment was an inclusive culture that provided language services, staff cultural training, and a diverse staff. Another major theme was the importance of community outreach activities that extended beyond the medical community and forming relationships with churches, racial/ethnic minority community leaders, and Native American reservations. Conclusion: The importance of incorporating a culture of inclusivity by forming committees, providing language services, and offering culturally competent care emerged in this qualitative study. Building strong external relationships with community groups such as churches is a strategy used to increase racial/ethnic minority utilization of hospice.


2020 ◽  
pp. 194855062096723
Author(s):  
Alex C. Huynh ◽  
Igor Grossmann

We investigate the relationship between ethnic diversity and the rise of individualism in the United States during the 20th and 21st centuries. Tests of the historical rates of ethnic diversity alongside individualistic relational structures (e.g., adults living alone, single-/multi-child families) from the years 1950 to 2018 reveal that societal and regional rates of ethnic diversity accompanied individualistic relational structures. These effects hold above and beyond time-series trends in each variable. Further evidence from experimental studies ( N = 707) suggests that the presence of, and contact with, ethnically diverse others contributes to greater individualistic values (e.g., the importance of uniqueness and personal achievement). Converging evidence across societal-, regional-, and individual-level analyses suggests a systematic link between ethnic diversity and individualism. We discuss the implications of these findings for sociocultural livelihood in light of the rising rates of ethnic diversity across the globe.


2020 ◽  
Author(s):  
Alex Huynh ◽  
Igor Grossmann

We investigate the relationship between ethnic diversity and the rise of individualism in the United States during the 20th-21st centuries. Tests of the historical rates of ethnic diversity alongside individualistic relational structures (e.g., adults living alone, single/multi-child families) from the years 1950-2018 reveal that societal and regional rates of ethnic diversity accompanied individualistic relational structures. These effects hold above and beyond time series trends in each variable. Further evidence from experimental studies (N = 707) suggest that the presence of, and contact with, ethnically diverse others contributes to greater individualistic values (e.g., the importance of uniqueness and personal achievement). Converging evidence across societal, regional, and individual-level analyses suggests a systematic link between ethnic diversity and individualism. We discuss the implications of these findings for socio-cultural livelihood in light of the rising rates of ethnic diversity across the globe.


Urban Studies ◽  
2016 ◽  
Vol 55 (1) ◽  
pp. 116-132 ◽  
Author(s):  
Kyle Walker

Racial and ethnic diversity in the United States is on the rise, as the country is projected to no longer have a racial majority by the mid-2040s. Much of this diversity is found in the United States’ large metropolitan areas, where it manifests itself unevenly. While some metropolitan neighbourhoods are growing highly diverse, others remain segregated by race and ethnicity. This paper introduces a framework for exploring the geography of neighbourhood diversity in US metropolitan areas, and defines the diversity gradient, a visual representation of how diversity varies with distance from the urban core. Analysis of the geography of metropolitan diversity from 1990 to 2010 reveals that the greatest increases in diversity are found in the suburbs and outlying areas, where diversity now peaks in many large metropolitan areas. Additional spatial analyses of neighbourhood diversity in Chicago and Dallas-Fort Worth show that clustering of highly diverse neighbourhoods has shifted to the suburbs from close-in urban areas, where many segregated and low-diversity neighbourhoods persist.


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