scholarly journals Contributions of occupation characteristics and educational attainment to racial/ethnic inequities in COVID-19 mortality

2021 ◽  
Author(s):  
Ellicott C. Matthay ◽  
Kate A. Duchowny ◽  
Alicia R Riley ◽  
Marilyn Thomas ◽  
Yea-Hung Chen ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Black Males ◽  
Bachelor's Degree ◽  
White People ◽  
Occupational Position ◽  
Low Education ◽  
Region Of Residence ◽  
Observational Cohort ◽  
Race Ethnicity ◽  
Racial Ethnic

Background: Racial/ethnic inequities in COVID-19 mortality are hypothesized to be driven by education and occupation, but limited empirical evidence has assessed these mechanisms. Objective: To quantify the extent to which educational attainment and occupation explain racial/ethnic inequities in COVID-19 mortality. Design: Observational cohort. Setting: California. Participants: Californians aged 18-65 years. Measurements: We linked all COVID-19-confirmed deaths in California through February 12, 2021 (N=14,783), to population estimates within strata defined by race/ethnicity, sex, age, USA nativity, region of residence, education, and occupation. We characterized occupations using measures related to COVID-19 exposure including essential sector, telework-ability, and wages. Using sex-stratified regressions, we predicted COVID-19 mortality by race/ethnicity if all races/ethnicities had the same education and occupation distribution as White people and if all people held the safest educational/occupational positions. Results: COVID-19 mortality per 100,000 ranged from 15 for White and Asian females to 139 for Latinx males. Accounting for differences in age, nativity, and region, if all races/ethnicities had the education and occupation distribution of Whites, COVID-19 mortality would be reduced for Latinx males (-22%) and females (-23%), and Black males (-1%) and females (-8%), but increased for Asian males (+22%) and females (+23%). Additionally, if all individuals had the COVID-19 mortality associated with the safest educational and occupational position (Bachelor's degree, non-essential, telework, highest wage quintile), there would have been 57% fewer COVID-19 deaths. Conclusion: Educational and occupational disadvantage are important risk factors for COVID-19 mortality across all racial/ethnic groups, especially Latinx individuals. Eliminating avoidable excess risk associated with low-education, essential, on-site, and low-wage jobs may reduce COVID-19 mortality and inequities, but is unlikely to be sufficient to achieve equity.

scholarly journals The Association Between Educational Attainment and Diabetes Among Men in the United States

2014 ◽  
Vol 8 (4) ◽  
pp. 349-356 ◽  
Author(s):  
Shanta M. Whitaker ◽  
Janice V. Bowie ◽  
Rachael McCleary ◽  
Darrell J. Gaskin ◽  
Thomas A. LaVeist ◽  
...  
Keyword(s):  
United States ◽  
Educational Attainment ◽  
The United States ◽  
Bachelor's Degree ◽  
Logistic Regression Models ◽  
Hispanic Men ◽  
Race Ethnicity ◽  
The Relationship ◽  
Racial Ethnic ◽  
Hispanic White

Few studies have examined the relationship between education and diabetes among men in the United States and whether this relationship differs by race/ethnicity. This study examined whether racial disparities in diabetes existed by educational attainment in 336,746 non-Hispanic White, non-Hispanic Black, and Hispanic men 18 years of age and older in the United States. Logistic regression models were specified to examine the odds of reporting diabetes by educational attainment. Within race/ethnicity, both White and Hispanic men who had less than a high school education (odds ratio [OR] = 1.42, 95% confidence interval [CI] = [1.19, 1.69], and OR = 1.64, 95% CI = [1.22, 2.21], respectively) had consistently higher odds of diabetes than men with a bachelor’s degree or higher level of educational attainment. Educational attainment did not appear to be associated with reporting a diagnosis of diabetes in non-Hispanic Black men. Identifying why educational attainment is associated with diabetes outcomes in some racial/ethnic groups but not others is essential for diabetes treatment and management.

Racial and Ethnic Disparities in School Discipline: The Interactive Effects of Gender and Parental Educational Attainment

2021 ◽  
pp. 001112872110298
Author(s):  
Peter S. Lehmann ◽  
Andia M. Azimi ◽  
Kiarra Fortney ◽  
Kayla Alaniz
Keyword(s):  
Educational Attainment ◽  
Minority Students ◽  
Ethnic Disparities ◽  
Interactive Effects ◽  
Office Referrals ◽  
Race Ethnicity ◽  
Monitoring The Future ◽  
Using Data ◽  
Parental Educational Attainment ◽  
Racial Ethnic

Prior research has provided consistent evidence that minority students are more likely than White youth to experience punitive forms of discipline in schools. Scholars have theorized that these disadvantages are closely connected to gender and socioeconomic status, but little research has explored how these factors independently and jointly might moderate the effects of race/ethnicity. Using data from the 2012 to 2018 8th and 10th grade cohorts of the Monitoring the Future survey ( N = 53,986), these analyses find that minority students are more likely than Whites to experience suspension/expulsion and office referrals, and this pattern is especially prominent among females. Further, racial/ethnic disparities are amplified for youth whose parents have higher levels of educational attainment, though some differences by gender also emerge.

scholarly journals LATER-LIFE LIVING ARRANGEMENTS OF CHILDLESS AMERICANS: A LIFETABLE APPROACH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S625-S625
Author(s):  
James Raymo ◽  
Xiao Xu ◽  
Jersey Liang ◽  
BoRin Kim ◽  
Mary Beth Ofstedal
Keyword(s):  
Life Expectancy ◽  
Educational Attainment ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Large Body ◽  
Later Life ◽  
Older Americans ◽  
Race Ethnicity ◽  
Using Data ◽  
Racial Ethnic

Abstract The large body of research on living arrangements at older ages pays little attention to the growing population of childless men and women. We begin to fill this gap by using data from the Health and Retirement Study (HRS) over a period of 14 years (2000-2014) to describe the number of years between ages 65-90 that childless Americans live in four different living arrangements: alone, with spouse, with others, and in a nursing home. Because the number of childless HRS respondents is not large (n = 835 in 2000), we first estimate sex-specific single decrement life tables by race/ethnicity and by educational attainment. We then use Sullivan’s method to calculate living arrangement-specific life expectancy for each group, thus providing a comprehensive descriptive portrait of sociodemographic differences in living arrangements across older ages for childless Americans. Preliminary results show that differences in living arrangement-specific life expectancy by race/ethnicity and educational attainment primarily reflect group differences in mortality. The proportion of later life spent in different living arrangements is generally similar across racial/ethnic groups and education levels. This stands in contrast to large racial/ethnic and educational differences documented in earlier studies of older Americans with at least one living child. Results also show that the proportion (and years) of later life spent living alone is substantial, especially for women (over 50%). We discuss the potential implications of these findings with reference to both projected trends in the childless population and research on associations between living arrangements and health of childless older Americans.

scholarly journals Parental Educational Attainment, the Superior Temporal Cortical Surface Area and Reading Ability among American Children: A Test of Marginalization-Related Diminished Returns

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 412
Author(s):  
Shervin Assari ◽  
Shanika Boyce ◽  
Mohsen Bazargan ◽  
Alvin Thomas ◽  
Ryon Cobb ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Surface Area ◽  
Reading Ability ◽  
Parental Education ◽  
Cortical Surface ◽  
White Children ◽  
Cortical Surface Area ◽  
Race Ethnicity ◽  
Parental Educational Attainment ◽  
Racial Ethnic

Background: Recent studies have shown that parental educational attainment is associated with a larger superior temporal cortical surface area associated with higher reading ability in children. Simultaneously, the marginalization-related diminished returns (MDRs) framework suggests that, due to structural racism and social stratification, returns of parental education are smaller for black and other racial/ethnic minority children compared to their white counterparts. Purpose: This study used a large national sample of 9–10-year-old American children to investigate associations between parental educational attainment, the right and left superior temporal cortical surface area, and reading ability across diverse racial/ethnic groups. Methods: This was a cross-sectional analysis that included 10,817 9–10-year-old children from the Adolescent Brain Cognitive Development (ABCD) study. Parental educational attainment was treated as a five-level categorical variable. Children’s right and left superior temporal cortical surface area and reading ability were continuous variables. Race/ethnicity was the moderator. To adjust for the nested nature of the ABCD data, mixed-effects regression models were used to test the associations between parental education, superior temporal cortical surface area, and reading ability overall and by race/ethnicity. Results: Overall, high parental educational attainment was associated with greater superior temporal cortical surface area and reading ability in children. In the pooled sample, we found statistically significant interactions between race/ethnicity and parental educational attainment on children’s right and left superior temporal cortical surface area, suggesting that high parental educational attainment has a smaller boosting effect on children’s superior temporal cortical surface area for black than white children. We also found a significant interaction between race and the left superior temporal surface area on reading ability, indicating weaker associations for Alaskan Natives, Native Hawaiians, and Pacific Islanders (AIAN/NHPI) than white children. We also found interactions between race and parental educational attainment on reading ability, indicating more potent effects for black children than white children. Conclusion: While parental educational attainment may improve children’s superior temporal cortical surface area, promoting reading ability, this effect may be unequal across racial/ethnic groups. To minimize the racial/ethnic gap in children’s brain development and school achievement, we need to address societal barriers that diminish parental educational attainment’s marginal returns for middle-class minority families. Social and public policies need to go beyond equal access and address structural and societal barriers that hinder middle-class families of color and their children. Future research should test how racism, social stratification, segregation, and discrimination, which shape the daily lives of non-white individuals, take a toll on children’s brains and academic development.

Re-examining Adult Education and Training Participation by Education, Literacy, Gender, and Race/Ethnicity in the U.S.

2021 ◽  
pp. 147797142110492
Author(s):  
Wonmai Punksungka ◽  
Takashi Yamashita ◽  
Abigail Helsinger ◽  
Rita Karam ◽  
Phyllis Cummins ◽  
...  
Keyword(s):  
Adult Education ◽  
Educational Attainment ◽  
Ethnic Minorities ◽  
Education And Training ◽  
Literacy Skills ◽  
Gender And Race ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
And Training ◽  
The U.S

This study examined the associations between adult education and training (AET) participation, educational attainment, literacy skills, gender, and race/ethnicity among the U.S. adult population aged 25 to 65 years old (n = 5,450). Given the socioeconomic advancements of women and racial/ethnic minorities in the last few decades, including higher educational attainment, increased labor force participation, and greater income, and as new data becomes available, it is important to re-examine AET participation by gender and race/ethnicity in the U.S while controlling for educational attainment and literacy skills. This study employed the 2012/2014 Program for International Assessment of Adult Competencies (PIAAC) public-use file (PUF). Binary logistic regression was used to examine (1) any AET, (2) formal AET, and (3) non-formal AET across all variables of interest. Indeed, educational attainment and literacy skills are associated with greater AET participation. Further analyses showed that more women than men participated in all forms of AET, and there were some variations in AET participation by racial/ethnic minorities. More Black, Hispanic, and other racial/ethnic minority adults participated in formal AET, and more Black adults participated in all forms of AET, compared to their White counterparts. This study also provides within-race/ethnicity group variations.

scholarly journals Description, Health Care Utilization, and Outcomes for Home Health Care (HHC) COVID-19 Patients Early in the Pandemic: A Comparison to the General HHC Population

2021 ◽  
pp. 108482232110013
Author(s):  
Tami M. Videon ◽  
Robert J. Rosati ◽  
Steven H. Landers
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Home Health Care ◽  
Private Insurance ◽  
Health Agency ◽  
Home Health ◽  
Care Utilization ◽  
Observational Cohort ◽  
Racial Ethnic ◽  
Retrospective Observational Cohort Study

COVID-19 patients represent a new and distinct population in home health care. Little is known about health care utilization and incremental improvements in health for recovering COVID-19 patients after admission to home health care. Using a retrospective observational cohort study of 5452 episodes of home health care admitted to a New Jersey Home Health Agency between March 15 and May 31, 2020, this study describes COVID-19 Home Health Care (HHC) patients ( n = 842) and compare them to the general HHC population ( n = 4610). COVID HHC patients differ in significant ways from the typical HHC population. COVID patients were more likely to be 65 years of age and younger (41% vs 26%), be from a racial/ethnic minority (60% vs 31%), live with another person (85% vs 76%), have private insurance (28% vs 16%), and began HHC with greater independence in activities-of-daily-living (ADL/IADLs). COVID patients received fewer overall visits than their non-COVID counterparts (11.7 vs 16.3), although they had significantly more remote visits (1.7 vs 0.3). Multivariate analyses show that COVID patients early in the pandemic were 34% (CI, 28%-40%) less likely to be hospitalized and demonstrated significantly greater improvement in all the outcome measures examined compared to the general home health population.

scholarly journals Racial, ethnic and socioeconomic disparities in patients undergoing left atrial appendage closure

Heart ◽  
2021 ◽  
pp. heartjnl-2020-318650
Author(s):  
Robbie Sparrow ◽  
Shubrandu Sanjoy ◽  
Yun-Hee Choi ◽  
Islam Y Elgendy ◽  
Hani Jneid ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Left Atrial Appendage ◽  
Kidney Injury ◽  
Complication Rates ◽  
Left Atrial Appendage Closure ◽  
Black Patients ◽  
Comorbidity Burden ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
Major Adverse Events

ObjectiveThis manuscript aims to explore the impact of race/ethnicity and socioeconomic status on in-hospital complication rates after left atrial appendage closure (LAAC).MethodsThe US National Inpatient Sample was used to identify hospitalisations for LAAC between 1 October 2015 to 31 December 2018. These patients were stratified by race/ethnicity and quartiles of median neighbourhood income. The primary outcome was the occurrence of in-hospital major adverse events, defined as a composite of postprocedural bleeding, cardiac and vascular complications, acute kidney injury and ischaemic stroke.ResultsOf 6478 unweighted hospitalisations for LAAC, 58% were male and patients of black, Hispanic and ‘other’ race/ethnicity each comprised approximately 5% of the cohort. Adjusted by the older Americans population, the estimated number of LAAC procedures was 69.2/100 000 for white individuals, as compared with 29.5/100 000 for blacks, 47.2/100 000 for Hispanics and 40.7/100 000 for individuals of ‘other’ race/ethnicity. Black patients were ~5 years younger but had a higher comorbidity burden. The primary outcome occurred in 5% of patients and differed significantly between racial/ethnic groups (p<0.001) but not across neighbourhood income quartiles (p=0.88). After multilevel modelling, the overall rate of in-hospital major adverse events was higher in black patients as compared with whites (OR: 1.60, 95% CI 1.22 to 2.10, p<0.001); however, the incidence of acute kidney injury was higher in Hispanics (OR: 2.19, 95% CI 1.52 to 3.17, p<0.001). No significant differences were found in adjusted overall in-hospital complication rates between income quartiles.ConclusionIn this study assessing racial/ethnic disparities in patients undergoing LAAC, minorities are under-represented, specifically patients of black race/ethnicity. Compared with whites, black patients had higher comorbidity burden and higher rates of in-hospital complications. Lower socioeconomic status was not associated with complication rates.

scholarly journals Racial Disparities in Virologic Failure and Tolerability During Firstline HIV Antiretroviral Therapy

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Priya Bhagwat ◽  
Shashi N Kapadia ◽  
Heather J Ribaudo ◽  
Roy M Gulick ◽  
Judith S Currier
Keyword(s):  
Antiretroviral Therapy ◽  
Adverse Events ◽  
Socioeconomic Factors ◽  
Ethnic Groups ◽  
Virologic Failure ◽  
Virologic Suppression ◽  
Factors Associated ◽  
Race Ethnicity ◽  
The Impact ◽  
Racial Ethnic

Abstract Background Racial/ethnic disparities in HIV outcomes have persisted despite effective antiretroviral therapy. In a study of initial regimens, we found viral suppression varied by race/ethnicity. In this exploratory analysis, we use clinical and socioeconomic data to assess factors associated with virologic failure and adverse events within racial/ethnic groups. Methods Data were from AIDS Clinical Trial Group A5257, a randomized trial of initial regimens with either atazanavir/ritonavir, darunavir/ritonavir, or raltegravir (each combined with tenofovir DF and emtricitabine). We grouped participants by race/ethnicity and then used Cox-proportional hazards regression to examine the impact of demographic, clinical, and socioeconomic factors on the time to virologic suppression and time to adverse event reporting within each racial/ethnic group. Results We analyzed data from 1762 participants: 757 self-reported as non-Hispanic black (NHB), 615 as non-Hispanic white (NHW), and 390 as Hispanic. The proportion with virologic failure was higher for NHB (22%) and Hispanic (17%) participants compared with NHWs (9%). Factors associated with virologic failure were poor adherence and higher baseline HIV RNA level. Prior clinical AIDS diagnosis was associated with virologic failure for NHBs only, and unstable housing and illicit drug use for NHWs only. Factors associated with adverse events were female sex in all groups and concurrent use of medications for comorbidities in NHB and Hispanic participants only. Conclusions Clinical and socioeconomic factors that are associated with virologic failure and tolerability of antiretroviral therapy vary between and within racial and ethnic groups. Further research may shed light into mechanisms leading to disparities and targeted strategies to eliminate those disparities.

scholarly journals Racial and Ethnic Disparities in Years of Potential Life Lost Attributable to COVID-19 in the United States: An Analysis of 45 States and the District of Columbia

2021 ◽  
Vol 18 (6) ◽  
pp. 2921
Author(s):  
Jay J. Xu ◽  
Jarvis T. Chen ◽  
Thomas R. Belin ◽  
Ronald S. Brookmeyer ◽  
Marc A. Suchard ◽  
...  
Keyword(s):  
United States ◽  
District Of Columbia ◽  
Ethnic Disparities ◽  
The United States ◽  
Attributable Mortality ◽  
Race Ethnicity ◽  
Using Data ◽  
Rate Ratios ◽  
Degree Of Association ◽  
Racial Ethnic

The coronavirus disease 2019 (COVID-19) epidemic in the United States has disproportionately impacted communities of color across the country. Focusing on COVID-19-attributable mortality, we expand upon a national comparative analysis of years of potential life lost (YPLL) attributable to COVID-19 by race/ethnicity (Bassett et al., 2020), estimating percentages of total YPLL for non-Hispanic Whites, non-Hispanic Blacks, Hispanics, non-Hispanic Asians, and non-Hispanic American Indian or Alaska Natives, contrasting them with their respective percent population shares, as well as age-adjusted YPLL rate ratios—anchoring comparisons to non-Hispanic Whites—in each of 45 states and the District of Columbia using data from the National Center for Health Statistics as of 30 December 2020. Using a novel Monte Carlo simulation procedure to perform estimation, our results reveal substantial racial/ethnic disparities in COVID-19-attributable YPLL across states, with a prevailing pattern of non-Hispanic Blacks and Hispanics experiencing disproportionately high and non-Hispanic Whites experiencing disproportionately low COVID-19-attributable YPLL. Furthermore, estimated disparities are generally more pronounced when measuring mortality in terms of YPLL compared to death counts, reflecting the greater intensity of the disparities at younger ages. We also find substantial state-to-state variability in the magnitudes of the estimated racial/ethnic disparities, suggesting that they are driven in large part by social determinants of health whose degree of association with race/ethnicity varies by state.

Racial/Ethnic Differences in Alcohol and Drug Misuse Among IPV-Victimized Women: Exploring the Role of Difficulties Regulating Positive Emotions

2020 ◽  
pp. 088626052094373
Author(s):  
Nicole H. Weiss ◽  
Melissa R. Schick ◽  
Ateka A. Contractor ◽  
Miranda E. Reyes ◽  
Nazaret C. Suazo ◽  
...  
Keyword(s):  
African American ◽  
Partner Violence ◽  
Positive Emotions ◽  
Past Research ◽  
Drug Misuse ◽  
Emotional Dysfunction ◽  
Culturally Sensitive Interventions ◽  
Race Ethnicity ◽  
Racial Ethnic

Alcohol and drug misuse is prevalent and problematic among women who experience intimate partner violence (IPV). Emotional dysfunction has been identified as a key mechanism in the etiology, maintenance, and treatment of alcohol and drug misuse. However, existing research has not considered the role of race/ethnicity in the relations between emotional dysfunction and alcohol and drug misuse. Furthermore, past research in this area has focused almost exclusively on emotional dysfunction stemming from negative (vs. positive) emotions. The goals of the current study were as follows: (a) to explore whether levels of difficulties regulating positive emotions differ among Latina, African American, and White IPV-victimized women, and (b) to examine the moderating role of race/ethnicity in the relations between difficulties regulating positive emotions and alcohol and drug misuse. Participants were 197 IPV-victimized women recruited through the criminal justice system ( Mage = 36.14; 51.8% African American, 31.5% White, and 16.8% Latina). Difficulties regulating positive emotions did not differ as a function of race/ethnicity. However, relations among difficulties regulating positive emotions and alcohol and drug misuse were significant for Latina and White but not African American IPV-victimized women. Moreover, race/ethnicity moderated an association between difficulties regulating positive emotions and drug misuse; this relation was significant and positive for White (compared with African American) IPV-victimized women. While preliminary, these results may inform culturally sensitive interventions for alcohol and drug misuse that are tailored to the unique needs of Latina, African American, and White IPV-victimized women.

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