scholarly journals A Systematic Review of Literature on Representation of Racial and Ethnic Minority Groups in Clinical Nutrition Interventions

Author(s):  
Jaapna Dhillon ◽  
Ashley Jacobs ◽  
Sigry Ortiz ◽  
Karina Diaz Rios

There is a disproportionate increase in the incidence of diet-related cardiometabolic disorders in racial and ethnic minority groups. This systematic review examines the extent to which diet-induced changes in health outcomes have been discussed by race or ethnicity in randomized controlled trials recruiting both minority and non-Hispanic White groups. Databases i.e. PubMed, Cochrane library and Web of Science were searched up to November 2019. Studies that discussed effects of defined dietary interventions on health outcomes by racial or ethnic minority group vs. non-Hispanic Whites (n=29) were included in the review. Most studies were conducted in Black vs. White people testing effects of energy restriction, macronutrient modification, sodium reduction, or variations of the Dietary Approaches to Stop Hypertension (DASH) diet on cardiometabolic outcomes. There was limited focus on other minority groups. Evidence suggests greater blood pressure reduction for Black people compared to Whites particularly on DASH (or similar) diets. Overall, there was limited consideration for group-specific eating patterns and diet acceptability in most studies. Adequately powered studies are needed for accurate interpretation of race by diet effects. With emerging precision nutrition initiatives, it is imperative to ensure adequate representation of racial and ethnic subgroups for addressing nutrition-related health disparities.

2016 ◽  
Vol 54 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Charlene Harrington ◽  
Taewoon Kang

Abstract This study examined service use and expenditures for people with intellectual and developmental disabilities (IDD) living at home and in the community in California in 2005 and 2013. The number of people assessed for IDD services increased, along with the percentage of individuals who did not receive any services between 2005 and 2013. Controlling for client needs, children age 3–21 were less likely than other age groups to receive any services using logistic regressions. All racial and ethnic minority groups were less likely to receive any services than were white populations. Females, younger people, and all racial and ethnic minority groups who received services had significantly lower expenditures, with wide geographic variations. The disparities by age, gender, race/ethnicity, and geography have persisted over time in California.


2010 ◽  
Vol 33 (1) ◽  
pp. 65-75 ◽  
Author(s):  
Kelli W. Gary ◽  
Jessica M. Ketchum ◽  
Juan Carlos Arango-Lasprilla ◽  
Jeffrey S. Kreutzer ◽  
Thomas Novack ◽  
...  

1997 ◽  
Vol 57 ◽  
pp. 93-103
Author(s):  
Jetske Klatter-Folmer ◽  
Piet Van Avermaet

In this research project, the model of social determination of language shift will be expanded. An attempt is made to fill the gap that still exists regarding the effects on language shift of an ethnic minority group member's confidence in his ability to comply with the linguistic demands of the dominant majority culture. To that end, we investigate the confidence of members of ethnic minority groups and how it is built up, its place in the hierarchy of relevant factors, and their interaction. We detail how this confidence relates to language choice behaviour and language shift. This paper focuses mainly on the theoretical outline and design of the project.


2013 ◽  
Vol 57 (6) ◽  
pp. 765-775 ◽  
Author(s):  
Jing Jing Liu ◽  
Cecile Wabnitz ◽  
Emma Davidson ◽  
Raj S. Bhopal ◽  
Martin White ◽  
...  

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