Racial Regard and Physical Health Among Low-Income Black Caregivers of Children With and Without Asthma

2021 ◽  
pp. 009579842110596
Author(s):  
Rachel L. Holder ◽  
Marcia A. Winter ◽  
Jessica Greenlee ◽  
Akea Robinson ◽  
Katherine W. Dempster ◽  
...  
Keyword(s):  
African American ◽  
Physical Health ◽  
Low Income ◽  
Short Form ◽  
Black Parents ◽  
Public And Private ◽  
Black Caregivers ◽  
Children With Asthma ◽  
Private And Public ◽  
Public Regard

The purpose of this study was to examine the associations between child health, parent racial regard, and parent physical health in 87 African American and Black parents/caregivers of children with and without asthma from a low-income, under-resourced urban area. Participants completed the Private and Public Regard subscales of the Multidimensional Inventory of Black Identity (MIBI) and 12-item Short Form Health Survey (SF-12). Parents of children with asthma reported having poorer physical health, while those with higher public and private racial regard reported better physical health. The association between public regard and physical health was surpassed by an interaction of child asthma status and public regard: as public regard decreased, so did physical health, but only for parents raising a child with asthma. Findings suggest that the stresses associated with raising a child with chronic illness and perceiving lower public racial regard may together confer additional risk for poor physical health in African American and Black parents.

A Pilot Study of a Culturally Grounded Breastfeeding Intervention for Pregnant, Low-Income African American Women

2018 ◽  
Vol 34 (3) ◽  
pp. 478-484
Author(s):  
Rebecca Reno
Keyword(s):  
African American ◽  
Pilot Study ◽  
African American Women ◽  
Health Equity ◽  
Low Income ◽  
Self Efficacy ◽  
Short Form ◽  
Assessment Process ◽  
American Women ◽  
Significant Difference

Background: Increasing breastfeeding rates among low-income African American women may work toward the achievement of health equity. The dynamic breastfeeding assessment process (D-BAP) is a community-grounded, equity-focused intervention designed to increase prenatal breastfeeding self-efficacy. Research aim: The aims of the pilot study were (a) to determine the effect of the D-BAP on breastfeeding self-efficacy among pregnant, low-income African American women, (b) to examine the findings among women with no previous breastfeeding experience, and (c) to compare the findings between women with prior breastfeeding experience and those without it. Methods: A pre/post, paired-samples design was utilized. Convenience sampling was used to recruit pregnant, low-income African American women ( N = 25). Participants completed the Breastfeeding Self-Efficacy Scale–Short Form prior to and following the D-BAP. Results: The Wilcoxon signed rank test indicated that participation in the D-BAP had a statistically significant influence on breastfeeding self-efficacy ( z = −2.01, p = .04). Among a subsample of participants with no previous breastfeeding experience ( n = 12), completion of the D-BAP resulted in a statistically significant increase in breastfeeding self-efficacy ( z = −2.36, p = .02). There was no statistically significant difference between those with prior breastfeeding experience and those without it. Conclusion: Breastfeeding among low-income African American women is a health equity issue for which culturally responsive, effective breastfeeding interventions are needed. This research demonstrates an association between completion of the D-BAP and an increase in prenatal breastfeeding self-efficacy.

Racial Identity Profiles Among Suicidal Black Women: A Replication and Extension Study

2020 ◽  
Vol 51 (7) ◽  
pp. 685-704
Author(s):  
Yara Mekawi ◽  
Ciera B. Lewis ◽  
Natalie N. Watson-Singleton ◽  
Isatou F. Jatta ◽  
llana Ander ◽  
...  
Keyword(s):  
African American ◽  
Racial Identity ◽  
Suicidal Ideation ◽  
African American Women ◽  
Low Income ◽  
Latent Profile Analysis ◽  
Clinical Sample ◽  
Group Identification ◽  
American Women ◽  
Public Regard

Despite increasing rates of suicidality among African American women, relatively little is known about culturally-specific factors relevant to their suicidality. Thus, our objectives were to: (1) determine whether previously-identified racial identity profiles replicated in a clinical sample of African American women and (2) examine whether profiles differed on suicidal ideation, hopelessness, and depressive symptoms. In a sample of 198 low-income, African American women ( Mage = 36), latent profile analysis supported a 5-class solution: Undifferentiated (average on all subscales), Detached (lower than the average on most subscales), Afrocentric (low public regard, high nationalism), Multiculturalist (high public regard, private regard, centrality), and Alienated (markedly lower than average on all subscales). Subgroups with higher racial group identification and more positive feelings about being African American endorsed less suicidal ideation and hopelessness than other subgroups. This study characterizes patterns of racial identity among a clinical sample and offers insights into how subgroups of individuals with different combinations of racial identity may be more likely to experience suicidality.

Social interactions and children with asthma

2016 ◽  
Vol 20 (4) ◽  
pp. 512-520 ◽  
Author(s):  
Jo A Dowell
Keyword(s):  
African American ◽  
Social Network ◽  
Health Outcomes ◽  
Social Integration ◽  
Social Interactions ◽  
Low Income ◽  
Cultural Resources ◽  
Children With Asthma ◽  
American Children ◽  
Negative Health Outcomes

This article reviews the literature on the effects of living in a disenfranchised community for low-income African American children who have asthma. The review focuses on social integration, social network, interactions with parents, and limited cultural resources, which lead to negative health outcomes among these children.

scholarly journals Memory Problems During COVID in Low-income Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 741-741
Author(s):  
Faika Zanjani ◽  
Annie Rhodes
Keyword(s):  
Older Adults ◽  
African American ◽  
Physical Health ◽  
Low Income ◽  
Large Scale ◽  
Poor Mental Health ◽  
Health Coaching ◽  
Memory Problems ◽  
American Black ◽  
Lifestyle Risk

Abstract Prevention, with widespread lifestyle risk reduction at the community-level, is currently considered an effective method to decrease Alzheimer’s disease (AD). As part of the Virginia Commonwealth University iCubed Health and Wellness in Aging Core, diverse older adults (60+) living in Richmond, VA, with incomes below $12,000/year and managing either diabetes/cardiovascular symptoms, were offered weekly lifestyle telephone-health coaching for 12-weeks, providing education, motivations, self-efficacy, and referral services for AD lifestyle risk. The study sample (n=40, mean age 68 years (range: 60-77 years) was 88% African American/Black (n=35), 100% Non-Hispanic, and 45% males (n=18)). Thirty-nine (95%) of subjects successfully participated in coaching sessions; on average 91.9% (11) sessions/subject were completed. Participants provided positive anecdotal feedback and the need for continued health coaching during COVID. N=30 (75%) of the original sample consented for continued health coaching during the Covid pandemic, 63% female, 88% African American/Black, 60-77 age range (mean age 69 years), and 47% reporting memory problems. Baseline Covid interviews indicated poorer health status associated with reporting memory problems for poor physical health days (F=7.03;p=.01); poor mental health days (F=6.88;p=.01); total mental/physical health poor days (F=2.76;p=.11); sad days (F=15.52;p=.001); worried days (F=6.27;p=.02); tired days (F=9.77;p=.004); feelings of emptiness (F=10.09;p=.004); feelings of rejection (F=3.382;p=.08); feelings of failure (F=7.58;p=.01); little interest/pleasure (F=7.84;p=.009); and feeling down (F=6.75;p=.02). In conclusion, this preliminary work creates the impetus for future large-scale AD prevention investigations to improve the lives of AD-risk, low-income, diverse older adults reporting memory problems. This research indicates the subjective reporting of memory problems requires health intervention.

scholarly journals Primary Healthcare Seeking Behaviour of Low-income, Uninsured Patients Across the Public and Private Health Sectors in South Africa

2020 ◽  
Author(s):  
Kerensa Govender ◽  
Sarah Girdwood ◽  
Daniel Letswalo ◽  
Lawrence Long ◽  
G Meyer-Rath ◽  
...  
Keyword(s):  
South Africa ◽  
Health Insurance ◽  
Private Sector ◽  
Low Income ◽  
Primary Healthcare ◽  
Uninsured Patients ◽  
Public And Private ◽  
The Public ◽  
Factors Influencing ◽  
Private And Public

Abstract Background: The proposed National Health Insurance (NHI) system aims to re-engineer primary healthcare (PHC) in South Africa, envisioning both private sector providers and public sector clinics as independent contracting units to the NHI Fund. In 2017, 16% of the South African population had private medical insurance and predominately utilised private providers. However, it is estimated that up to 28% of the population access private PHC services, with a meaningful segment of the low-income, uninsured population paying for these services out-of-pocket. The study objective was to characterise the health seeking behaviour of low-income, uninsured patients accessing PHC services in both the public and private sectors, patient movement between sectors, and factors influencing their facility choice. Methods: We conducted once-off patient interviews on a random sample of 153 patients at 7 private PHC providers (primarily providing services to the low-income uninsured patient population) and their matched public PHC clinic (7 facilities). Results: The majority of participants were economically active (96/153, 63%), 139/153 (91%) did not have health insurance, and 104/153 (68%) earned up to $621/month. A multiple response question found affordability (67%) and convenience (60%) were ranked as the most important reasons for choosing to usually access care at public clinics (48%); whilst convenience (71%) and quality of care (59%) were key reasons for choosing the private sector (32%). There is movement between sectors: 23/76 (30%) of those interviewed at a private facility and 8/77 (10%) of those interviewed at a public facility indicated usually accessing PHC services at a mix of private and public facilities. Results indicate cycling between the private and public sectors with different factors influencing facility choice. Conclusions: It is imperative to understand the potential impact on where PHC services are accessed once affordability is mitigated through the NHI as this has implications on planning and contracting of services under the NHI.

scholarly journals Primary healthcare seeking behaviour of low-income patients across the public and private health sectors in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kerensa Govender ◽  
Sarah Girdwood ◽  
Daniel Letswalo ◽  
Lawrence Long ◽  
G. Meyer-Rath ◽  
...  
Keyword(s):  
South Africa ◽  
Health Insurance ◽  
Private Sector ◽  
Low Income ◽  
Primary Healthcare ◽  
Public Facility ◽  
Public And Private ◽  
The Public ◽  
Factors Influencing ◽  
Private And Public

Abstract Background The proposed National Health Insurance (NHI) system aims to re-engineer primary healthcare (PHC) in South Africa, envisioning both private sector providers and public sector clinics as independent contracting units to the NHI Fund. In 2017, 16% of the South African population had private medical insurance and predominately utilised private providers. However, it is estimated that up to 28% of the population access private PHC services, with a meaningful segment of the low-income, uninsured population paying for these services out-of-pocket. The study objective was to characterise the health seeking behaviour of low-income, patients accessing PHC services in both the public and private sectors, patient movement between sectors, and factors influencing their facility choice. Methods We conducted once-off patient interviews on a random sample of 153 patients at 7 private PHC providers (primarily providing services to the low-income mostly uninsured patient population) and their matched public PHC clinic (7 facilities). Results The majority of participants were economically active (96/153, 63%), 139/153 (91%) did not have health insurance, and 104/153 (68%) earned up to $621/month. A multiple response question found affordability (67%) and convenience (60%) were ranked as the most important reasons for choosing to usually access care at public clinics (48%); whilst convenience (71%) and quality of care (59%) were key reasons for choosing the private sector (32%). There is movement between sectors: 23/76 (30%) of those interviewed at a private facility and 8/77 (10%) of those interviewed at a public facility indicated usually accessing PHC services at a mix of private and public facilities. Results indicate cycling between the private and public sectors with different factors influencing facility choice. Conclusions It is imperative to understand the potential impact on where PHC services are accessed once affordability is mitigated through the NHI as this has implications on planning and contracting of services under the NHI.

Sign in / Sign up

Export Citation Format

Share Document