scholarly journals Acute Effects of Resistance Exercise in Depressed Black/African American People Living with HIV

2018 ◽  
Vol 50 (5S) ◽  
pp. 251-252
Author(s):  
Sanaz Nosrat ◽  
James W. Whitworth ◽  
Nicholas J. SantaBarbara ◽  
Mark E. Louie ◽  
Joseph T. Ciccolo
Author(s):  
Seth C Kalichman ◽  
Renee El-Krab ◽  
Bruno Shkembi ◽  
Moira O Kalichman ◽  
Lisa A Eaton

Abstract The COVID-19 pandemic has had profound health and social impacts. COVID-19 also affords opportunities to study the emergence of prejudice as a factor in taking protective actions. This study investigated the association of COVID-19 concerns, prejudicial beliefs, and personal actions that involve life disruptions among people not living with and people living with HIV. 338 Black/African American men not living with HIV who reported male sex partners and 148 Black/African American men living with HIV who reported male sex partners completed a confidential survey that measured COVID-19 concern, COVID-19 prejudice, and personal action and institutionally imposed COVID-19 disruptions. Participants reported having experienced multiple social and healthcare disruptions stemming from COVID-19, including reductions in social contacts, canceling medical appointments, and inability to access medications. Mediation analyses demonstrated that COVID-19 concerns and COVID-19 prejudice were associated with personal action disruptions, indicating that these social processes are important for understanding how individuals modified their lives in response to COVID-19. It is imperative that public health efforts combat COVID-19 prejudice as these beliefs undermine investments in developing healthcare infrastructure to address COVID-19 prevention.


2016 ◽  
Vol 28 (3) ◽  
pp. 284-289 ◽  
Author(s):  
C Ilozue ◽  
B Howe ◽  
S Shaw ◽  
K Haigh ◽  
J Hussey ◽  
...  

People living with HIV are surviving longer on successful antiretroviral therapy and obesity rates are increasing. We sought to determine the prevalence of being overweight or obese in a regional population of people living with HIV and to explore the demographic and clinical characteristics associated with obesity or being overweight. Data on patients attending three Northeast England clinics were collected including body mass index and demographics. The prevalence of being overweight (body mass index ≥ 25 kg/m2) or obese (body mass index ≥ 30 kg/m2) was determined and compared with regional population data. Associations between being overweight or obese and demographic and other data were further explored using logistic regression models. In 560 patients studied (median age 45 years, 26% Black-African and 69% male), 65% were overweight/obese and 26% obese, which is similar to the local population. However, 83% and 48% of Black-African women were overweight/obese or obese, respectively, with 11% being morbidly obese (body mass index > 40 kg/m2). In the multivariate analyses, the only factors significantly associated with obesity were Black-African race (adjusted odds ratio 2.78, 95% confidence interval 1.60–4.85) and type 2 diabetes (adjusted odds ratio 4.23, 95% confidence interval 1.81–9.91). Levels of obesity and overweight in people living with HIV are now comparable to the levels in the local population of Northeast England; however, the prevalence is significantly higher in Black-African women. Given the additional risk factors for cardiovascular disease inherent in people living with HIV, better strategies to prevent, identify and manage obesity in this population are needed.


Author(s):  
Christian Schmidt

This chapter provides a reading of three novels – Paul Beatty’s The White Boy Shuffle and Slumberland and Percival Everett’s A History of the African American People [Proposed] by Strom Thurmond as Told to Percival Everett and James Kincaid – that engage in degenerative satire, which complicates the mimetic representation of satiric texts. This chapter argues that these novels satirize not only clichéd tropes of blackness but also the presumption that blackness can or should be represented. Ultimately, this chapter shows how these novels destabilize the very notion of blackness.


10.2196/18064 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e18064
Author(s):  
Jamie M Faro ◽  
Catherine S Nagawa ◽  
Jeroan A Allison ◽  
Stephenie C Lemon ◽  
Kathleen M Mazor ◽  
...  

Background The Patient Experience Recommender System for Persuasive Communication Tailoring (PERSPeCT) is a machine learning recommender system with a database of messages to motivate smoking cessation. PERSPeCT uses the collective intelligence of users (ie, preferences and feedback) and demographic and smoking profiles to select motivating messages. PERSPeCT may be more beneficial for tailoring content to minority groups influenced by complex, personally relevant factors. Objective The objective of this study was to describe and evaluate the use of PERSPeCT in African American people who smoke compared with white people who smoke. Methods Using a quasi-experimental design, we compared African American people who smoke with a historical cohort of white people who smoke, who both received up to 30 emailed tailored messages over 65 days. People who smoke rated the daily message in terms of perceived influence on quitting smoking for 30 days. Our primary analysis compared daily message ratings between the two groups using a t test. We used a logistic model to compare 30-day cessation between the two groups and adjusted for covariates. Results The study included 119 people who smoke (African Americans, 55/119; whites, 64/119). At baseline, African American people who smoke were significantly more likely to report allowing smoking in the home (P=.002); all other characteristics were not significantly different between groups. Daily mean ratings were higher for African American than white people who smoke on 26 of the 30 days (P<.001). Odds of quitting as measured by 30-day cessation were significantly higher for African Americans (odds ratio 2.3, 95% CI 1.04-5.53; P=.03) and did not change after adjusting for allowing smoking at home. Conclusions Our study highlighted the potential of using a recommender system to personalize for African American people who smoke. Trial Registration ClinicalTrials.gov NCT02200432; https://clinicaltrials.gov/ct2/show/NCT02200432 International Registered Report Identifier (IRRID) RR2-10.2196/jmir.6465


2018 ◽  
Author(s):  
Jannat Saini ◽  
Ashley Owen ◽  
Anna Hammer ◽  
William Brown ◽  
Ambar Kulshreshtha

BACKGROUND Internet-based Cognitive Behavioral Therapy (CBT) is effective in the management of several medical conditions such as anxiety and depression. The CBT method addresses the interaction between people’s thoughts, feelings, and behavior, and has also been shown to be an effective strategy for patients with dementia and comorbid anxiety. However, no study has evaluated an internet-based group CBT for prevention of dementia in high risk patient groups such as African American people. African American people have twice the risk of developing dementia compared to white people. Therefore, more targeted and easy-to-access interventions are urgently needed in this group. OBJECTIVE The purpose of this study was to survey participant evaluation of the Web-based CBT program for African American people with mild cognitive impairment. METHODS The LIGHT (Lifestyle Intervention Guidance for a Healthier Tomorrow) study program is a six-month pilot study that aims to test the feasibility and acceptability of CBT in African American people with a diagnosis of MCI through group video conferencing compared with in-person group CBT sessions. Ten participants were randomized to each study arm. An anonymous online survey using Likert scales was administered to study participants to measure the acceptability and feasibility of CBT using Web-based video conferencing via the Zoom application after each session. The survey also included open-ended questions to gauge additional feedback from the participants. RESULTS Eighty-three percent of participants (5 out of 6 respondents) in the Web-based arm rated the ease of use of the Zoom technology positively (ie, either very easy or easy to use on a Likert scale). Sixty-seven percent of participants (4 out of 6 respondents) rated that the computerized CBT can be an effective medium to improve health and healthy behaviors. All respondents rated the helpfulness of the online sessions as “most helpful” (50%), “helpful” (33%), or “neutral” (17%). In response to open-ended questions, participants stated that the online sessions were “on spot, in the moment counseling,” provided “the ability to interact with others of varied backgrounds, experiencing similar issues,” “convenience of being at home versus traveling to a particular location is a tremendous plus,” and that “(the sessions) afford the group a certain level of anonymity with the choice of when and/or whether or not to share in the discussions.” Other key phrases that were stated included saving travel expenses, time, being cost efficient but at the same time allowing a diverse population to participate. Participants mentioned having the occasional technical difficulty, and one respondent mentioned the lack of physical interaction as a disadvantage. Four participants did not complete the survey. CONCLUSIONS African American participants with MCI rated Web-based group CBT interventions as helpful to improve healthy behaviors. Participants noted that that Web sessions are easy to use, as they can interact with each other in a group setting from their own homes. Our survey provides preliminary evidence regarding the potential for a Web-based group CBT protocol as a useful modality for interventions designed to improve lifestyle and reduce the risk of dementia in African American people. Ongoing research will further test the effectiveness of the Web-method of treatment delivery.


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