Obesity, obesity health risks, resilience, and acculturation in black African immigrants

2015 ◽  
Vol 11 (3) ◽  
pp. 179-193 ◽  
Author(s):  
Dana Frisillo Vander Veen
Keyword(s):  
Health Risk ◽  
Health Risks ◽  
Predictor Variable ◽  
African Immigrants ◽  
Small Sample ◽  
Future Research ◽  
Content Type ◽  
Black African ◽  
Lower Accuracy ◽  
The Usa

Purpose – Obesity and obesity-related health problems are a growing concern for many immigrants in the USA. The literature that examines the linkages between acculturation, resilience, obesity health risks, and obesity outcomes among Black African immigrants is sparse. The purpose of this paper is to ascertain whether the predictor variable of acculturation showed a significant association with two criterion variables, obesity health risk symptoms, and obesity; and whether resilience acted as a moderator between acculturation, obesity health risk symptoms, and obesity among Black African immigrants living in the USA. Design/methodology/approach – The study consisted of a quantitative correlational survey research design. Participants of the study were 55 Black African immigrants residing in three metropolitan areas of the USA. Findings – Higher levels of acculturation were associated with fewer obesity health risks. Higher levels of resilience were associated with the fewest obesity health risks when the participant also had high-acculturation levels. Resilience moderated between acculturation and obesity health risk symptoms. Neither acculturation nor resilience significantly predicted obesity. Furthermore, resilience did not moderate between acculturation and obesity. Research limitations/implications – A primary limitation was the very small sample size of the study. Future research would be needed to examine the overall determinants of obesity among immigrant populations. Furthermore, one limitation is that some of the questions on the Weight-Related Symptom Measure (Patrick et al., 2004) were sensitive in nature, and participants might have felt uncomfortable providing information about their weight. As a result, while self-reporting, they could have underestimated their body mass index status. For example, individuals who were already overweight or obese might have reported their body weights with lower accuracy than those who were of normal weight, thereby creating error in the dependent variable. Practical implications – Results from this study will help to promote health initiatives in Black African immigrant communities to link individuals to needed healthcare services. Originality/value – The literature that examines the linkages between acculturation, resilience, obesity health risks, and obesity outcomes among Black African immigrants is sparse. This study is the first to use the Reserve Capacity Model for a sample of Black African immigrants.

The massive spreads and fatalities of COVID-19 pandemic in the USA: symptoms of leadership failure

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Oluwole Owoye ◽  
Olugbenga A. Onafowora
Keyword(s):  
Health Care ◽  
Health Risks ◽  
Future Research ◽  
Political Leaders ◽  
President Obama ◽  
Conspiracy Theories ◽  
Content Type ◽  
Leadership Failure ◽  
The Usa ◽  
Social Media Platforms

PurposeThe purpose of this paper is to empirically examine whether the massive spreads and fatalities of the COVID-19 pandemic in the USA, the country with the most advanced medical technology in the world, are symptomatic of leadership failure. The authors posit that when political leaders, such as the President of the USA, in conjunction with a group of state governors and city mayors, employed conspiracy theories and disinformation to achieve their political goals, they contributed to the massive spreads and fatalities of the virus, and they also undermined the credibility of the Centers for Disease Control and Prevention (CDC) and the health-care professionals in providing the pertinent control guidelines and true scientific-based medical information.Design/methodology/approachThe authors conducted a review of current studies that address the handling of global infectious diseases to build a better understanding of the issue of pandemics. They then employed a theoretical framework to link the massive spreads and fatalities of the COVID-19 pandemic to political leaders, such as President Trump and the group of obsequious state governors and city mayors, who propagated conspiracy theories and disinformation through social media platforms to downplay the severity of the virus. The authors compared the massive spreads and fatalities of the COVID-19 pandemic in the USA under President Trump to President Obama who handled H1N1, Ebola, Zika and Dengue. More importantly, the authors compared President Trump's handling of the COVID-19 pandemic to other political leaders in advanced countries where there were no concerted efforts to spread conspiracy theories and disinformation about the health risks of COVID-19 pandemic.FindingsThe authors' theoretical analysis alluded to the fact that political leaders, such as President Trump, who are engulfed in self-deceptions, self-projections and self-aggrandizements would engage in self-promotion and avoid accountability for their missteps in handling global pandemic shocks. In contrast, political leaders in other advanced countries did not downplay the severity thus their ability to curtail the spreads and fatalities of the COVID-19 pandemic.Research limitations/implicationsThe theoretical viewpoints presented in this paper along with the derivations of the spreads–fatalities curtailment coefficients and the spread–fatality upsurge coefficients under Presidents Obama and Trump, respectively, may not be replicable. Given this plausible limitation, future research may need to provide a deep analysis of the amplifications of conspiracy theories and disinformation because they are now deeply rooted in the political economy of the USA. Furthermore, since scientists and medical professionals may not be able to forecast future epidemics or pandemics with pin-point accuracy nor predict how political leaders would disseminate health risks information associated with different pathogens, it is imperative that future research addresses the positive or adverse effects of conspiracy theories and disinformation that are now easily propagated simultaneously through different social media platforms, which are currently protected under Section 230 of the Communications Decency Act. The multiplier effects of conspiracy theories and disinformation will continue to amplify the division about the authenticity of COVID-19 pandemic and the emergence or reemergence of other pathogens in the foreseeable future.Originality/valueThe authors derived the unique spreads-fatalities curtailment coefficients to demonstrate how President Obama used effective collaboration and coordination at all levels of government in conjunction with medical experts to curtail the spreads and fatalities associated with H1N1, Ebola, Zika and Dengue. They further derived the spreads-fatalities upsurge coefficients to highlight how President Trump contributed to the spreads and fatalities of COVID-19 pandemic through his inability to collaborate and coordinate with state governors, city mayors and different health-care agencies at the national and international levels.

A systematic review on the health of African immigrants in the United States: synthesizing recommendations for future research

2020 ◽  
Vol 16 (2) ◽  
pp. 121-136
Author(s):  
Jason Semprini
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Systematic Reviews ◽  
Full Text ◽  
African Immigrants ◽  
Future Research ◽  
Primary Study ◽  
Content Type ◽  
The Usa ◽  
Final Synthesis

Purpose The purpose of this paper is to conduct a systematic review of published literature studying the health of African immigrants in the USA and to develop a formal set of recommendations for future researchers aiming to improve the health outcomes in this population. Design/methodology/approach A comprehensive search was initiated on PubMed, Cochrane, ERIC, DOAJ, Prospero and Scopus databases. Final inclusion criteria were: systematic reviews, studying African Immigrants in the USA, measuring a clinical health outcome, since 1999. Articles were screened in four stages by title, abstract, full-text of the review and full-text of the primary studies within each review. Data was abstracted by identifying general information, study population, outcome measurements, conclusions and recommendations of each review. Findings In the initial search, 519 potential reviews were identified. After removing duplicates, 473 articles were excluded by screening the title or abstract. After a full-text review of each article and primary study within each article, nine reviews were included in the final synthesis. Reviews covered Female Genital Cutting and Pregnancy Outcomes, Caesarean Births, Gestational Diabetes, Cancer, HIV/AIDS, Body-weight and Acculturation. Among the primary reports included in the final synthesis, less than 50 per cent studied African immigrants in the USA. African Americans living in the USA made up only 11 per cent of the pooled study sample. Research limitations/implications Immigrants from Africa are one of the fastest-growing populations in the USA. This group has been underrepresented in health research, leading to a poor understanding of the group’s health outcomes. Health researchers must adopt recommendations and prioritize studies that meet the health needs of Africans during this time of demographic transition. Originality/value Systematic reviews represent a bedrock of medical evidence and signify a solid understanding of accepted knowledge in the field. Systematic reviews, however, do not necessarily constitute the end of discovery. Researchers can use existing systematic reviews to critique previous studies or initiate future research. There remain significant research gaps analyzing the health outcomes, behaviors and treatment of subgroups of African immigrants living in the USA. Future research should shift toward the growing needs of the population, leveraging the strengths and diversity of African immigrants now living in the USA.

They did not start the fire: reviewing and resolving the issue of physician stress and burnout

2017 ◽  
Vol 31 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Julie Christine Babyar
Keyword(s):  
Design Methodology ◽  
Intervention Studies ◽  
Future Research ◽  
Organizational Strategies ◽  
Physician Burnout ◽  
Content Type ◽  
Current State ◽  
The Usa ◽  
Research Accountability ◽  
Physician Stress

Purpose Physician stress and burnout is a serious and common concern in healthcare, with over half of physicians in the USA meeting at least one criterion for burnout. The paper aims to discuss these issues. Design/methodology/approach A review on current state of physician stress and burnout research, from 2008 to 2016, was undertaken. A subsequent perspective paper was shaped around these reviews. Findings Findings reveal research strength in prevalence and incidence with opportunities for stronger intervention studies. While descriptive studies on causes and consequences of physician burnout are available, studies on interventions and prevention of physician burnout are lacking. Future research on physician stress and burnout should incorporate intervention studies and take care to avoid limitations found in current research. Accountability and prevention of physician burnout is the responsibility of the healthcare industry as a whole, and organizational strategies must be emphasized in future research. Originality/value The value of this research comes in the original comprehensive review, international inclusion and succinct summary of physician burnout research and strategies.

Accessible tourism: a bibliometric review (2008–2020)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Guanghui Qiao ◽  
Liu Ding ◽  
Linlin Zhang ◽  
Huili Yan
Keyword(s):  
English Language ◽  
Research Literature ◽  
Future Research ◽  
Sampling Frame ◽  
Multiple Sources ◽  
Knowledge Maps ◽  
Tourism Research ◽  
Content Type ◽  
The Usa ◽  
Bibliometric Review

Purpose The purpose of this paper is to reveal the knowledge evolution process, research hotspots and future trends in the accessible tourism research literature from 2008 to 2020. Design/methodology/approach A total of 213 articles on accessible tourism were selected from the core collection database of Web of Science (WoS) and analyzed using CiteSpace. Findings Over the 13-year period between 2008 and 2020, an increasing number of studies have been published concerning accessible tourism, but the overall base is still small. The research content mainly includes six modules. Among institutions, the University of Technology Sydney has published the largest number of papers. Cooperation among countries involves the USA, the United Kingdom, Australia, Portugal and China. Tourism Management is the leading journal for disseminating research on accessible tourism. Definition of “Accessible tourism” and the different scope of this phenomenon are re-discussed. In recent years, “experience” and “participation” have become the “new favorites” in accessible tourism research, which could reveal insights into future research directions. Research limitations/implications The sampling frame was defined in terms of the WoS database and even though this is an important database for global academic information, in the big data era, the authors may have to integrate information from multiple sources to comprehensively reveal and understand knowledge maps. Second, because of the operational constraints of the CiteSpace software, the authors only selected outputs published in peer-reviewed journals, excluding other published works, such as books and conference papers. Finally, because of the language restrictions of the authors, this research is limited to journals published in the English language. Practical implications Practically, the results of this study made a conclusion of accessible tourism research so that the researchers can easily know what has currently been done and what future research can do. Tourism managers can also understand the demands and the constraints of tourism for the people who have barriers to travel. They can supply more specific products for the accessible tourism and further promote the construction of barrier-free travel environments. Originality/value This paper unifies the literature on senior tourism and people with disabilities tourism, and uses CiteSpace to construct data and network visualizations, including a burst and dynamic analysis for the period covered by the sample. Furthermore, this paper proposed a more diversified accessible tourism.

Cultural differences in gift recipients’ attitude and behavior toward disliked gifts

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Theeranuch Pusaksrikit ◽  
Sydney Chinchanachokchai
Keyword(s):  
Cultural Differences ◽  
Future Research ◽  
Content Type ◽  
Relationship Closeness ◽  
Marketing Segmentation ◽  
Self Construal ◽  
The Usa ◽  
And Behavior ◽  
Different Cultures ◽  
The Relationship

Purpose The purpose of this paper is to examine the effects of cultural differences and the types of relationship closeness involved in recipients’ emotional and behavioral reactions after receiving disliked gifts. Design/methodology/approach Collecting data from Thailand and the USA, two experiments were conducted in a 2 (self-construal: independent/interdependent) × 2 (relationship closeness: close/distant) between-subjects design. Study 1 explores the recipients’ feelings and reactions upon receipt of a disliked gift. Study 2 explores the disposition process for a disliked gift. Findings The results show that a recipient’s emotions, reaction and disposition process can be affected by cultural differences and relationship closeness: specifically that close and distant relationships moderate the relationship between self-construal and gift-receiving attitudes and behaviors. Research limitations/implications Future research can investigate representative groups from other countries to broaden the generalizability of the findings. Practical implications This understanding can guide gift-givers when selecting gifts for close or distant recipients across cultures. Additionally, it can help retailers develop and introduce new marketing strategies by applying self-construal as a marketing segmentation tool for gift purchase and disposition. Originality/value This research is among the first studies to offer insights into how individuals in different cultures manage disliked gifts they receive from people in either close or distant relationships.

What women want: the effect of health agency advertising on patient-doctor communication

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cynthia Morton ◽  
Sabrina Habib ◽  
Jon Morris
Keyword(s):  
Sexual Health ◽  
Small Sample Size ◽  
Health Agency ◽  
Small Sample ◽  
Communication Strategy ◽  
Future Research ◽  
Health Communications ◽  
Content Type ◽  
Women’S Sexual Health ◽  
Doctor Communication

Purpose The purpose of this study is to investigate the relationship between women’s sexual health agency and their intent to initiate communications with their doctors. The research questions examined the effect sexual health agency has on patient-doctor communication, women’s emotional responses to health advertisements encouraging patient communication with their doctors, attitude toward the message and behavioral intentions after exposure to the advertising message. Design/methodology/approach An experimental design was implemented via an online questionnaire instrument to test the differences between younger-aged women (25 to 45 years) and mature-aged women (46 to 70 years). It was observed that 188 women who reported their status as single and sexually active in the past 12 months were exposed to a health advertisement that encouraged patient-doctor communication. Analyses were conducted to compare between-group measures on sexual health agency, emotional response and attitude toward the ad and behavioral intention. Findings No statistical difference existed between younger and older women. In general, women expect their doctor to lead conversations about sexual health but are positively reinforced by health messages that encourage their assertiveness as patients. Research limitations/implications The small sample size also may have limited the study’s potential to evaluate differences between age segments. Future research should explore this further. Practical implications The study provides evidence that sexual health advertising can reinforce women’s intent to initiate conversations with doctors regardless of age. Social implications Health communications can bolster women’s sexual health agency and improve patient-initiated conversations with doctors. Originality/value The study is the first to explore advertising messaging’s potential for applying health agency as a communication strategy for encouraging sexual health communications between women and their doctors.

Engagement, inclusion, knowledge sharing, and talent development: is reverse mentoring a panacea to all? Findings from literature review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sanghamitra Chaudhuri ◽  
Sunyoung Park ◽  
Karen R. Johnson
Keyword(s):  
Literature Review ◽  
Social Exchange ◽  
Social Exchange Theory ◽  
English Summary ◽  
Exchange Theory ◽  
Future Research ◽  
Content Type ◽  
The Past ◽  
Member Exchange ◽  
The Usa

Purpose The purpose of this study is to systematically review the practice of reverse mentoring and draw a timeline of the research over the past two decades. Considering the novelty of this intervention, this paper proposed an agenda for future research on this burgeoning topic. Design/methodology/approach By adopting narrative literature review and Gregory and Denniss’ (2018) four-step process, this paper reviewed 54 studies grounded in conceptual, literature review and empirical research published between 1998 and 2020. Findings The articles included in the literature review on reverse mentoring research were summarized according to journal publications, research methodologies, contextual settings, theoretical framework, purpose and outcomes. Reverse mentoring studies are dominantly published in educational journals using primarily qualitative and conceptual approaches to explore both academic and business contexts within the USA and Europe. Theories frequently used to frame and examine the need of reverse mentoring included social exchange theory and leader-member exchange theory. The fundamental purpose of reverse mentoring research is to transfer knowledge and to bridge the technology divide between intergenerational groups. Reverse mentoring has been used to promote inclusivity between multiple generations in relation to gender, ethnicity and culture. Originality/value As per the knowledge, this is the first-ever comprehensive English summary of reverse mentoring research done in the past two decades. Findings from this research can be used to better understand reverse mentoring research trends and directions.

The Cottage: providing medical respite care in a home-like environment for people experiencing homelessness

2018 ◽  
Vol 22 (1) ◽  
pp. 54-64
Author(s):  
Angela Gazey ◽  
Shannen Vallesi ◽  
Karen Martin ◽  
Craig Cumming ◽  
Lisa Wood
Keyword(s):  
Case Studies ◽  
Small Sample Size ◽  
Treatment Compliance ◽  
Small Sample ◽  
Health Conditions ◽  
Hospital Inpatient ◽  
City Hospital ◽  
Post Discharge ◽  
Content Type ◽  
The Usa

Purpose Co-existing health conditions and frequent hospital usage are pervasive in homeless populations. Without a home to be discharged to, appropriate discharge care and treatment compliance are difficult. The Medical Respite Centre (MRC) model has gained traction in the USA, but other international examples are scant. The purpose of this paper is to address this void, presenting findings from an evaluation of The Cottage, a small short-stay respite facility for people experiencing homelessness attached to an inner-city hospital in Melbourne, Australia. Design/methodology/approach This mixed methods study uses case studies, qualitative interview data and hospital administrative data for clients admitted to The Cottage in 2015. Hospital inpatient admissions and emergency department presentations were compared for the 12-month period pre- and post-The Cottage. Findings Clients had multiple health conditions, often compounded by social isolation and homelessness or precarious housing. Qualitative data and case studies illustrate how The Cottage couples medical care and support in a home-like environment. The average stay was 8.8 days. There was a 7 per cent reduction in the number of unplanned inpatient days in the 12-months post support. Research limitations/implications The paper has some limitations including small sample size, data from one hospital only and lack of information on other services accessed by clients (e.g. housing support) limit attribution of causality. Social implications MRCs provide a safe environment for individuals to recuperate at a much lower cost than inpatient admissions. Originality/value There is limited evidence on the MRC model of care outside of the USA, and the findings demonstrate the benefits of even shorter-term respite post-discharge for people who are homeless.

scholarly journals Provision of health care for prisoners during the COVID-19 pandemic: an ethical analysis of challenges and summary of select best practices

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Andrea Berkemeier Brelje ◽  
Debra A. Pinals
Keyword(s):  
Public Health ◽  
Health Care ◽  
Best Practices ◽  
Future Research ◽  
Content Type ◽  
Legal Principles ◽  
The Usa ◽  
Health Care Policies ◽  
Short And Long Term ◽  
Pandemic Response

Purpose This paper aims to analyze the COVID-19 pandemic response in prisons, focusing on the USA, which imprisons a higher percentage of its population than any other country in the world. Design/methodology/approach This paper evaluates the current pandemic response in prisons based on legal and ethical imperatives for providing health care to prisoners. Findings Themes of best practices identified include increasing rapid detection of new cases, reducing transmission and advocating for both short- and long-term ethical health care policies. Halting progress now could risk dire consequences and is unacceptable on legal, ethical and public health grounds. Research limitations/implications This paper does not involve primary research with prisoners; rather it focuses on reviewing the pandemic response in prisons. Although it may be possible to translate findings in this study to similar environments (e.g. jails and detainment centers), there are unique characteristics pertaining to each that deserve separate, focused analyses. Originality/value Outbreaks that occur within prisons are likely to spread to the community and vice versa. Analyses based on ethics, law and public health point to the same conclusion: preventing significant outbreaks within prisons will benefit not only prisoners but also the general public. Furthermore, even though the scientific understanding of the pandemic may change with future research, the ethical and legal principles highlighted in this paper will continue to be foundational when considering just care for prisoners.

Understanding and motivating academic library employees: theoretical implications

2019 ◽  
Vol 40 (3/4) ◽  
pp. 203-214
Author(s):  
Bibi Alajmi ◽  
Hessah Alasousi
Keyword(s):  
Academic Library ◽  
Small Sample ◽  
Future Research ◽  
Full Potential ◽  
Hierarchy Of Needs ◽  
Content Type ◽  
Maslow's Hierarchy Of Needs ◽  
Needs Satisfaction ◽  
Self Actualization ◽  
Maslow’S Hierarchy Of Needs

Purpose The purpose of this paper is to examine the levels of motivation and needs satisfaction of academic library employees, adopting Maslow’s hierarchy of needs to examine individuals’ motivation. Design/methodology/approach The study collects and analyzes quantitative survey data. The research population comprises 108 employees working across eight college libraries at Kuwait University. Findings While participants generally agreed that their needs were being satisfied at each of the five levels of Maslow’s hierarchy, they reported higher levels of satisfaction of their self-actualization and social needs. Self-actualization is the summit of Maslow’s motivation theory representing the quest for reaching one’s full potential as a person. Research limitations/implications One limitation is the relatively small sample size due to Kuwait having only one public university. Future research could overcome this limitation by investigating both private and public universities. Practical implications This research contributes significantly and in various ways to understanding motivation in a library setting. It elucidates many aspects of Maslow’s hierarchy of needs theory criticized in previous literature. Overall, the study’s results should be useful to scholars in the library field interested in motivation, to academic librarians and to managers in academia. Originality/value Though many prior studies have focused on motivation in a library setting, Maslow’s theory has been little considered in the context of academic libraries. This study uses a theoretical framework based on Maslow’s hierarchy of needs to understand and explain the levels of motivation and needs satisfaction of academic library employees.

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