Age Differences in Knowledge about HIV Transmission among African-American Men and Women

2007 ◽  
Vol 101 (3_suppl) ◽  
pp. 1133-1140 ◽  
Author(s):  
Ann Kathleen Burlew

To test whether knowledge about HIV transmission may be one contributing factor to the disproportionately high rates of HIV and AIDS cases among older African Americans, this study examined data from 448 African-American men and women, who completed the AIDS Knowledge and Awareness Scale. Overall the findings supported the hypothesis that older African Americans were not as knowledgeable as their younger counterparts. However, the analyses also indicated older (age 61+) African-American women were significantly less knowledgeable about HIV transmission than the younger women. However, the difference between older and younger men was not significant. One implication is that older African Americans, especially women, should be targets of educational efforts.

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251174
Author(s):  
Danielle L. Beatty Moody ◽  
Shari R. Waldstein ◽  
Daniel K. Leibel ◽  
Lori S. Hoggard ◽  
Gilbert C. Gee ◽  
...  

Objectives To examine whether intersections of race with other key sociodemographic categories contribute to variations in multiple dimensions of race- and non-race-related, interpersonal-level discrimination and burden in urban-dwelling African Americans and Whites. Methods Data from 2,958 participants aged 30–64 in the population-based Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study were used to estimate up to four-way interactions of race, age, gender, and poverty status with reports of racial and everyday discrimination, discrimination across multiple social statuses, and related lifetime discrimination burden in multiple regression models. Results We observed that: 1) African Americans experienced all forms of discrimination more frequently than Whites, but this finding was qualified by interactions of race with age, gender, and/or poverty status; 2) older African Americans, particularly African American men, and African American men living in poverty reported the greatest lifetime discrimination burden; 3) older African Americans reported greater racial discrimination and greater frequency of multiple social status-based discrimination than younger African Americans; 4) African American men reported greater racial and everyday discrimination and a greater frequency of social status discrimination than African American women; and, 5) White women reported greater frequency of discrimination than White men. All p’s < .05. Conclusions Within African Americans, older, male individuals with lower SES experienced greater racial, lifetime, and multiple social status-based discrimination, but this pattern was not observed in Whites. Among Whites, women reported greater frequency of discrimination across multiple social statuses and other factors (i.e., gender, income, appearance, and health status) than men. Efforts to reduce discrimination-related health disparities should concurrently assess dimensions of interpersonal-level discrimination across multiple sociodemographic categories, while simultaneously considering the broader socioecological context shaping these factors.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S514-S514
Author(s):  
Danielle L McDuffie ◽  
Rebecca S Allen ◽  
Sheila Black ◽  
Martha R Crowther ◽  
Ryan Whitlow ◽  
...  

Abstract This study sought to investigate the ways recently bereaved African American middle to older aged adults conceptualized both prior and present loss. Fourteen African American men and women aged 46 years and older (M=62.6) completed one time, in-person semi-structured interviews detailing their grief experiences. Interview transcripts were then coded using a content analysis. Four themes were reported during prior loss (Continuing on with Normal Life/ Time, Faith/ Religion, Reminiscing/ Reminiscence, Social Support) along with present loss (Faith/ Religion, Keeping Busy, Reminiscence, Social Support). Men and women in the sample were found to cope in relatively consistent manners despite the timing of the loss, and in manners consistent with literature detailing African American grief outcomes. This information could help inform both bereaved African Americans and those seeking to aid African Americans during times of bereavement in proactively having knowledge of coping mechanisms that have been used historically and found to be beneficial.


Hurtin' Words ◽  
2018 ◽  
pp. 132-160
Author(s):  
Ted Ownby

This chapter describes activists who rejected the idea of a crisis in African American family life. In response to the Moynihan Report of 1965, many African Americans rejected claims about the weakness of family life, offering the strength and creativity embodied in adaptable family definitions. At the same time, many African Americans began using the terms “brother” and “sister” not as arguments about racial integration but to refer to the shared experiences of African American men and women.


2020 ◽  
Vol 42 (2) ◽  
pp. 56-77
Author(s):  
T. DeWayne Moore

Using local newspapers and tracing the origins of several stories about the development of the sobriquet “Yellow Dog,” this essay demonstrates how the heritage trail markers erected in Moorhead, Mississippi, silence the origins of the term in the suffering of African American men and women who worked in the rolling convict lease camp that built the “Yellow Dog” railroad through the Great Swamp. The marker’s text instead forwards a dubious debate over the term’s origins, excluding its true beginnings in the experiences of African Americans. The heritage trail markers at Moorhead are only one of the examples of how professional state consultants and the Delta Center for Culture and Learning promote racial division—not reconciliation—through erasure of the African American past.


Author(s):  
Maggi M. Morehouse

The war years were transformative for people of African descent, particularly in the United States. About 10 percent of the population, or 13 million people out of 130 million Americans, were of African descent in the war years. More African Americans than in previous times were engaged in military operations and defense industry work, and larger numbers were represented in the federal government’s operations. African Americans migrated in larger numbers to different regions for work or military service, they experienced a transformation into a more urban community, and many became foot-soldiers agitating for equality and civil rights. African Americans who experienced the war years either stateside or on the international stage were profoundly affected by their experiences, including the horrors of combat warfare and the opportunities of a booming wartime economy. Having survived the bleakness of the 1930s-era economic depression, World War II America offered more opportunities for employment, better living conditions and life choices, and advancement through military participation. However, all of these opportunities were hampered by the anti-black racism that greatly reduced equality within the military, the government, and defense industries. Two million African American men and women found new employment in war industry jobs. The army’s governing policy called “segregation without discrimination” meant mostly white officers commanding black troops, which limited the opportunities of black soldiers. Still, 2.5 million African American men and women volunteered for military service, with about 1.5 million ultimately selected to serve. Over six thousand African American women formed into segregated units of the Women’s Auxiliary Corps. Two army infantry divisions of black soldiers fought in the war: the 92nd Buffalo Soldier Division in Italy, and the 93rd Blue Helmets Division in the Pacific Islands. While most of the “Greatest (Black) Generation” served in service and support units, some fifty thousand black soldiers served in combat units. Other specialized units included the Tuskegee Airmen, the “Triple Nickle” Parachute Unit, the 761st “Black Panther” Tank Battalion, and the “Red Ball Express” Trucking companies. Black soldiers helped to liberate Nazi concentration camps, they came ashore in the D-Day operations, and they volunteered in the brutal Battle of the Bulge campaign, among many other distinctive operations. Black medical professionals ran international healthcare operations. Specialized service personnel performed engineering feats through difficult terrain. America’s defense industries employed more black workers from ship building to parachute construction, from Victory gardens to government appointments, and in the production of guns and butter. In spite of the prejudicial treatment that constrained their participation, many African Americans resisted segregation and discrimination by engaging in the “Double V” campaign: Victory against America’s enemies abroad, and Victory against racism at home. Because the war years brought about more transformations than before, this is a significant time in African American history.


2009 ◽  
Vol 103 (4) ◽  
pp. 581-584 ◽  
Author(s):  
Eva Erber ◽  
Gertraud Maskarinec ◽  
Unhee Lim ◽  
Laurence N. Kolonel

The present study explored the association between dietary vitamin D and non-Hodgkin's lymphoma (NHL) risk. The multiethnic cohort (MEC) includes more than 215 000 Caucasians, African Americans, Native Hawaiians, Japanese Americans and Latinos, aged 45–75. After 10 years of follow-up, 939 incident NHL cases were identified. Risk was estimated using proportional hazards' models adjusted for possible confounders. Vitamin D intake was not associated with NHL risk in the entire cohort (Ptrend = 0·72 for men and Ptrend = 0·83 for women), but significantly lowered disease risk in African American women (hazard ratio (HR) = 0·50, 95 % CI: 0·28, 0·90, Ptrend = 0·03) and was borderline protective in African American men (HR = 0·68; 95 % CI: 0·39, 1·19; Ptrend = 0·31) when the highest to the lowest tertile was compared. In NHL subtype analyses, a 19, 36 and 32 % lowered risk, although not significant, was observed for diffuse large B-cell lymphoma, follicular lymphoma and small lymphocytic lymphoma/chronic lymphocytic leukemia in women, respectively. High dietary intake of vitamin D did not show a protective effect against NHL within the MEC except among African Americans, possibly because vitamin D production due to sun exposure is limited in this population.


Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Eshan Vasudeva ◽  
Nathalie Moise ◽  
Keane Y Tzong ◽  
Joanne Penko ◽  
Lee Goldman ◽  
...  

Background: Among U.S. ethnic groups, African Americans have the highest prevalence of hypertension and higher rates of hypertension-related morbidity and mortality. We estimated the cost-effectiveness of improved hypertension control in African Americans. Methods: The populations studied were African Americans and all U.S. adults aged 35-74 years. Using the CVD Policy Model, we simulated CVD events and non-CVD deaths, quality-adjusted life years (QALYs), and hypertension and CVD treatment costs, before and after implementing 2014 U.S. guidelines. African American and overall U.S. CVD incidence, mortality, and risk factor levels were obtained from cohort studies, vital statistics, and the NHANES. Hypertension treatment effects were derived from a meta-analysis of clinical trials. Stage 2 hypertension was defined as BP ≥160/100 mmHg; stage 1 as BP ≥140/90 and <160/100 mmHg. Incremental cost-effectiveness ratios (ICERs) were calculated as change in costs divided by change in QALYs. An ICER <50,000 was cost effective, ≥$50,000 and <$150,000 intermediate value, and >$150,000 low value. Results: Treating hypertension in CVD patients and in stage 2 hypertensives without CVD would be cost-saving in all African Americans and in all but the youngest women overall (Table). Treating stage 1 hypertension would be cost-saving in all African American men except for ages 35-44 without diabetes or CKD, and cost-saving in all women ≥45 years old. Treating the youngest women with stage 1 hypertension was of intermediate or low value in both African Americans and the U.S. overall, but of more value in African American women. Discussion: In a computer simulation of hypertension treatment according to 2014 guidelines, we found that controlling hypertension would be cost-saving in all African American adults age 45 or older. These results suggest that investment in effective clinic and community-based interventions aimed at controlling hypertension in African Americans would yield high value to health system payers and to society.


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