scholarly journals Self-reported racial/ethnic discrimination and bronchodilator response in African American youth with asthma

PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0179091 ◽  
Author(s):  
Sonia Carlson ◽  
Luisa N. Borrell ◽  
Celeste Eng ◽  
Myngoc Nguyen ◽  
Shannon Thyne ◽  
...  
Keyword(s):  
African American ◽  
African American Youth ◽  
Ethnic Discrimination ◽  
Bronchodilator Response ◽  
Racial Ethnic

scholarly journals Associations between Perceived Racial Discrimination and Tobacco Cessation among Diverse Treatment Seekers

2020 ◽  
Vol 30 (3) ◽  
pp. 411-420
Author(s):  
Monica Webb Hooper ◽  
Patricia Calixte-Civil ◽  
Christina Verzijl ◽  
Karen O. Brandon ◽  
Taghrid Asfar ◽  
...  
Keyword(s):  
African American ◽  
African Americans ◽  
Tobacco Cessation ◽  
Perceived Discrimination ◽  
Controlled Trial ◽  
Ethnic Discrimination ◽  
Post Intervention ◽  
American Black ◽  
Prospective Longitudinal ◽  
Racial Ethnic

Objectives: This study investigated a) racial/ethnic differences in past-year discrimination experiences and b) associa­tions between discrimination and smoking abstinence.Design: Prospective, longitudinal analysis of smoking status. Perceived past-year discrimi­nation was assessed at baseline. ANCOVAs and intent-to-treat hierarchical logistic regressions were conducted.Setting: Dual-site (Tampa, FL and Miami, FL) randomized controlled trial testing the effects of a group cessation intervention plus pharmacotherapy.Participants: Treatment-seeking adult smokers (N=347; non-Hispanic White, non-Hispanic African American/Black, or Hispanic).Main Outcome Measures: Biochemically verified 7-day point prevalence abstinence (7-day ppa) was assessed immediately post-intervention and at 6-month follow-up.Results: After controlling for covari­ates, African Americans/Blacks reported greater perceived discrimination compared with non-Hispanic Whites (P=.02), and Hispanics (P=.06). Non-Hispanic Whites and Hispanics did not differ in perceived racial/ethnic discrimination experiences over the past year. Irrespective of race/ ethnicity, past-year perceived discrimina­tion was inversely associated with 7-day ppa, both post-intervention (AOR=.97, CI: .95-.99) and at 6-months (AOR=.98, CI: .96-.99). Among African Americans/Blacks, past-year perceived discrimination was inversely associated with 7-day ppa, both post-intervention (AOR=.95, CI: .92-.97) and at 6-months (AOR=.97, CI: .94-.99). Perceived discrimination was unrelated to 7-day ppa among Hispanics. Among non-Hispanic Whites, past-year perceived discrimination was inversely associated with post-intervention 7-day ppa (AOR=.95, CI: .91-.99), but not 6-months.Conclusions: Perceived racial/ethnic discrimination was greater among African American/Black smokers compared with non-Hispanic Whites. Perceived discrimina­tion was negatively associated with tobacco cessation in the full sample, and for African Americans at 6-months post-intervention. These data have implications for interven­tion delivery and health disparities.Ethn Dis. 2020;30(3):411-420; doi:10.18865/ed.30.3.411

scholarly journals Clinician–Patient Racial/Ethnic Concordance Influences Racial/Ethnic Minority Pain: Evidence from Simulated Clinical Interactions

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3109-3125 ◽  
Author(s):  
Steven R Anderson ◽  
Morgan Gianola ◽  
Jenna M Perry ◽  
Elizabeth A Reynolds Losin
Keyword(s):  
African American ◽  
Pain Treatment ◽  
The United States ◽  
Ethnic Discrimination ◽  
Medical Procedure ◽  
Black African ◽  
Clinical Interactions ◽  
Racial Ethnic ◽  
Hispanic White ◽  
White Patients

Abstract Objective Racial and ethnic minorities in the United States report higher levels of both clinical and experimental pain, yet frequently receive inadequate pain treatment. Although these disparities are well documented, their underlying causes remain largely unknown. Evidence from social psychological and health disparities research suggests that clinician–patient racial/ethnic concordance may improve minority patient health outcomes. Yet whether clinician–patient racial/ethnic concordance influences pain remains poorly understood. Methods Medical trainees and community members/undergraduates played the role of “clinicians” and “patients,” respectively, in simulated clinical interactions. All participants identified as non-Hispanic Black/African American, Hispanic white, or non-Hispanic white. Interactions were randomized to be either racially/ethnically concordant or discordant in a 3 (clinician race/ethnicity) × 2 (clinician–patient racial/ethnic concordance) factorial design. Clinicians took the medical history and vital signs of the patient and administered an analogue of a painful medical procedure. Results As predicted, clinician–patient racial/ethnic concordance reduced self-reported and physiological indicators of pain for non-Hispanic Black/African American patients and did not influence pain for non-Hispanic white patients. Contrary to our prediction, concordance was associated with increased pain report in Hispanic white patients. Finally, the influence of concordance on pain-induced physiological arousal was largest for patients who reported prior experience with or current worry about racial/ethnic discrimination. Conclusions Our findings inform our understanding of the sociocultural factors that influence pain within medical contexts and suggest that increasing minority, particularly non-Hispanic Black/African American, physician numbers may help reduce persistent racial/ethnic pain disparities.

Racial/Ethnic Socialization and Faith

2021 ◽  
Vol 48 (3) ◽  
pp. 259-274
Author(s):  
Stephanie Boddie ◽  
Eric Kyere
Keyword(s):  
African American ◽  
Social Workers ◽  
Liberation Theology ◽  
Black Church ◽  
Sense Of Self ◽  
African American Youth ◽  
Ethnic Socialization ◽  
Positive Development ◽  
Black African ◽  
Racial Ethnic

Although racial-ethnic socialization (RES) within the African American communities includes faith/spirituality, Christian social workers have not explored this relationship in ways that explicitly integrate the two. As a result, we have limited understanding of how Christian social workers can foster a holistic sense of self that integrates Christian and racial/ethnic identities to foster empowerment and liberation possibilities among black/African American youth. Drawing on literature related to RES and faith/spirituality, we argue that Christians social workers can integrate the process of faith development, with an explicit focus on Black liberation theology, with RES to promote psychological and spiritual liberation to foster self-worth and dignity of black youth to promote their positive development. This paper provides a review of the literature on racial/ethnic socialization. A discussion of how the Black church and liberation theology along with black history positively shapes racial identity and preparation to resist racism. We conclude with some practice and research recommendations      

Youth Audience Segmentation Strategies for Smoking-Prevention Mass Media Campaigns Based on Message Appeal

2006 ◽  
Vol 34 (4) ◽  
pp. 578-593 ◽  
Author(s):  
Brian S. Flynn ◽  
John K. Worden ◽  
Janice Yanushka Bunn ◽  
Anne L. Dorwaldt ◽  
Scott W. Connolly ◽  
...  
Keyword(s):  
African American ◽  
Mass Media ◽  
African American Youth ◽  
African American Adolescents ◽  
Smoking Prevention ◽  
Audience Segmentation ◽  
Media Campaigns ◽  
Prevention Messages ◽  
Racial Ethnic ◽  
Media Interventions

Mass media interventions are among the strategies recommended for youth cigarette smoking prevention, but little is known about optimal methods for reaching diverse youth audiences. Grades 4 through 12 samples of youth from four states ( n = 1,230) rated smoking-prevention messages in classroom settings. Similar proportions of African American, Hispanic, and White youth participated. Impact of audience characteristics on message appeal ratings was assessed to provide guidance for audience segmentation strategies. Age had a strong effect on individual message appeal. The effect of gender also was significant. Message ratings were similar among the younger racial/ethnic groups, but differences were found for older African American youth. Lower academic achievement was associated with lower appeal scores for some messages. Age should be a primary consideration in developing and delivering smoking-prevention messages to youth audiences. The unique needs of boys and girls and older African American adolescents should also be considered.

Youth Perceptions of Law Enforcement and Worry About Crime from 1976 to 2016

2020 ◽  
Vol 47 (5) ◽  
pp. 564-581 ◽  
Author(s):  
Adam D. Fine ◽  
Sachiko Donley ◽  
Caitlin Cavanagh ◽  
Elizabeth Cauffman
Keyword(s):  
African American ◽  
Law Enforcement ◽  
African American Youth ◽  
Youth Of Color ◽  
White Youth ◽  
Cross Sectional ◽  
Black African ◽  
American Law ◽  
Youth Perceptions ◽  
Racial Ethnic

Recent unjust interactions between law enforcement and youth of color may have provoked a “crisis” in American law enforcement. Utilizing Monitoring the Future’s data on distinct, cross-sectional cohorts of 12th graders from each year spanning 1976–2016, we examined whether youth perceptions of law enforcement have changed. We also traced youth worry about crime considering declining perceptions of law enforcement may correspond with increasing worry about crime. Across decades, White youth consistently perceived law enforcement the most positively and worried least about crime, followed by Hispanic/Latinx then Black/African American youth. During the 1990s, among all youth, perceptions of law enforcement declined while worry about crime increased. However, recently, such trends were limited to White youth; among youth of color, perceptions of law enforcement declined while worry about crime remained largely stable. Problematically, youth perceptions of law enforcement recently reached a decades-long low and racial/ethnic gaps in perceptions appear to be growing.

scholarly journals School-Related Barriers that might be Impeding Academic Success for African American Girls

2020 ◽  
Vol 2 (3) ◽  
Keyword(s):  
African American ◽  
Academic Success ◽  
Ethnic Discrimination ◽  
African American Girls ◽  
Teachers Perceptions ◽  
White Girls ◽  
Main Effect ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
School Records

This study explored African American girls’ perceived racial/ethnic discrimination and teachers’ perceptions to understand the unique impact of each on educational outcomes for African American girls compared to girls from other racial/ethnic groups. The sample included 2,384 7th grade girls. In this multi-informant study, girls completed a survey that included ratings of perceived teacher discrimination, teachers rated the girls on academic engagement and antisocial behavior, and end-of-the-year GPA for each girl was gathered from school records data. One-way ANOVA revealed a main effect of race/ethnicity, such that African American girls reported higher levels of racial/ethnic discrimination, had a lower GPA, and were rated by their teachers as less engaged and more anti-social compared to Asian, Latinx, and white girls. Regression analysis revealed that, compared to white and Asian girls, low teacher perceived engagement was related to lower achievement for African American girls. These results highlight the need to analyze the educational experiences that African American girls are facing.

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