Racial, ethnic, and gender diversity of applicants and matriculants to neurological surgery residency programs

2021 ◽  
pp. 1-7
Author(s):  
Edwin Nieblas-Bedolla ◽  
Fatima El-ghazali ◽  
Saman Qadri ◽  
John R. Williams ◽  
Nabiha Quadri ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
White Women ◽  
African American Men ◽  
White Men ◽  
Residency Programs ◽  
Asian Men ◽  
And Gender ◽  
Neurological Surgery ◽  
Ethnicity And Gender

OBJECTIVE The aim of this study was to identify trends in the demographic constitution of applicants and matriculants to neurological surgery based on race, ethnicity, and gender. METHODS The authors conducted a cross-sectional study using compiled demographic data obtained from the Association of American Medical Colleges. Trends analyzed included proportional changes in race, ethnicity, and gender of applicants and matriculants to neurosurgical residency programs from academic years 2010–2011 to 2018–2019. RESULTS A total of 5100 applicants and 2104 matriculants to neurosurgical residency programs were analyzed. No significant change in the percentage of overall women applicants (+0.3%, 95% CI −0.7% to 1.3%; p = 0.77) or in the percentage of women matriculants (+0.3%, 95% CI −2.2% to 2.9%; p = 0.71) was observed. For applicants, no change over time was observed in the percentages of American Indian or Alaska Native (AI/AN) men (0.0%, 95% CI −0.3% to 0.3%; p = 0.65); Asian men (−0.1%, 95% CI −1.2% to 1.1%; p = 0.97); Black or African American men (−0.2%, 95% CI −0.7% to 0.4%; p = 0.91); Hispanic, Latino, or of Spanish Origin men (+0.4%, 95% CI −0.8% to 1.7%; p = 0.26); White men (+0.5%, 95% CI −2.1% to 3.0%; p = 0.27); Asian women (+0.1,% 95% CI −0.9% to 1.1%; p = 0.73); Black or African American women (0.0%, 95% CI −0.6% to 0.5%; p = 0.30); Hispanic, Latino, or of Spanish Origin women (0.0%, 95% CI −0.4% to 0.4%; p = 0.71); and White women (+0.3%, 95% CI −1.1% to 1.7%; p = 0.34). For matriculants, no change over time was observed in the percentages of AI/AN men (0.0%, 95% CI −0.6% to 0.6%; p = 0.56); Asian men (0.0%, 95% CI −2.7% to 2.7%; p = 0.45); Black or African American men (−0.3%, 95% CI −1.4% to 0.8%; p = 0.52); Hispanic, Latino, or of Spanish Origin men (+0.6%, 95% CI −0.8 to 2.0%; p = 0.12); White men (−1.0%, 95% CI −5.3% to 3.3%; p = 0.92); Asian women (+0.1%, 95% CI −1.3% to 1.5%; p = 0.85); Black or African American women (0.0%, 95% CI −0.6% to 0.7%; p = 0.38); Hispanic, Latino, or of Spanish Origin women (−0.1%, 95% CI −0.7% to 0.5%; p = 0.46); and White women (+0.3%, 95% CI −2.4% to 3.0%; p = 0.70). CONCLUSIONS Despite efforts to diversify the demographic constitution of incoming neurosurgical trainees, few significant advances have been made in recent years. This study suggests that improved strategies for recruitment and cultivating early interest in neurological surgery are required to further increase the diversification of future cohorts of neurosurgical trainees.

Abstract P080: Self-reported Experiences of Everyday Discrimination are Associated With Shorter Leukocyte Telomeres in African-American Women With Coronary Heart Disease

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Samaah Sullivan ◽  
Viola Vaccarino ◽  
Muhammad Hammadah ◽  
Ibhar Al Mheid ◽  
Kobina Wilmot ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Telomere Length ◽  
White Women ◽  
African American Men ◽  
White Men ◽  
Cellular Aging ◽  
Telomere Shortening ◽  
American Women ◽  
And Gender

Rationale: Leukocyte telomere length (LTL) is an indicator of biological aging. Telomere shortening may be sensitive to social stressors such as discrimination, but this has not been previously examined in a biracial cohort of patients with coronary heart disease (CHD). Objective: To explore differences in LTL by race and gender and examine whether discrimination was associated with accelerated cellular aging (shorter telomere length). Methods: Data were from 367 White and African American patients in the Mental Stress Ischemia Mechanisms and Prognosis Study (MIPS) which enrolled patients with a diagnosis of stable CHD from Emory University-affiliated hospitals and clinics. LTL was measured by quantitative polymerase chain reaction (qPCR) and expressed as a ratio of the amount of telomeric DNA to the amount of single-copy control gene (T/S). The T/S ratios were then converted to kilobase pairs. Discrimination was measured using the 10-item Everyday Discrimination Scale (EDS), where participants reported their experiences of everyday mistreatment during the previous 12 months. Responses were rated using 4-point Likert scales ranging from never = 1 to often = 4 which were summed. Due to the potential batch effect in telomere length, we modeled telomere plate as a random effect. Multiple linear regression models were stratified by race/ethnicity and gender to estimate differences in mean LTL and associations with discrimination, adjusted for potential confounding factors. Results: African American women had longer mean LTL (5.58; SD: 0.05) compared to African American men (5.28; SD: 0.04), White women (5.22; SD: 0.05) and White men (5.24; SD: 0.03). Reports of discrimination were higher among African American men (16.1; SD: 6.5) compared to African American women (15.4; SD: 4.9), White women (14.9; SD: 4.4), and White men (13.5; SD: 3.8). The association between discrimination and accelerated cellular aging was statistically significant among African American women [β = -0.02; 95% CI: (-0.04, -0.001); p=0.0377] after models were adjusted for demographics, smoking history, BMI, and disease history. Discrimination was not significantly associated with accelerated cellular aging among African American men [β = -0.01; 95% CI: (-0.02, 0.01)], White men β = [-0.003; 95% CI: (-0.02, 0.01)], or White women [β = -0.01; 95% CI: (-0.03, 0.01)]. The association between discrimination and accelerated cellular aging remained statistically significant for African American women after further adjusting for depression and perceived stress. Conclusions: Although African American women with CHD have longer telomere length, they may experience greater telomere shortening in relation to discrimination. Accelerated telomere shortening secondary to discrimination stress may be a potential mechanism of health related disparities among African American women with CHD.

Residential Location and the Earnings of African American Women

1995 ◽  
Vol 23 (3) ◽  
pp. 103-111 ◽  
Author(s):  
Emily Hoffnar ◽  
Michael Greene
Keyword(s):  
Socioeconomic Status ◽  
African American ◽  
African American Women ◽  
White Women ◽  
African American Men ◽  
Central City ◽  
Residential Location ◽  
White Men ◽  
Reference Groups ◽  
American Women

In comparing the earnings of African American women to three reference groups—white women, African American men, and white men—three principal findings emerge. First, African American women residing in the suburbs are worse off than any other suburban group. Second, central city African American women are worse off than any other group of central city residents. Third, while central city residence imposes a statistically significant earnings penalty on men of both races, no such penalty is found for African American or white women. Therefore, African American women will enjoy no earnings advantage if they move to the suburbs. This finding underscores the importance of including women in studies of residential location and the socioeconomic status of African Americans. A narrow focus on male data to inform policy is clearly insufficient.

Parsing out the “Hispanic Effect” in Disaggregated Homicide Trends at the Intersection of Race, Ethnicity, and Gender from 1990 to 2016

2020 ◽  
pp. 108876792093931
Author(s):  
Shytierra Gaston ◽  
CheyOnna Sewell
Keyword(s):  
Black Women ◽  
White Women ◽  
White Men ◽  
Policy Implications ◽  
Mortality Data ◽  
Homicide Victimization ◽  
Hispanic Men ◽  
Race Ethnicity ◽  
And Gender ◽  
Ethnicity And Gender

This study contributes to homicide research by parsing out the Hispanic Effect and applying an intersectional approach to examining U.S. homicide victimization trends by race, ethnicity, and gender, jointly. Drawing on mortality data, we document and describe total, firearm, and non-firearm homicide victimization rates from 1990 to 2016 for six subgroups: Black women, Black men, Hispanic women, Hispanic men, White women, and White men. The analysis of within- and between-group homicide trends reveals important subgroup-specific patterns that prior studies using aggregate or confounded data have masked. The findings have important research, theory, and policy implications and advocate for an intersectional approach to studying homicide.

scholarly journals Gender Differences in Negative Affect During Acute Tobacco Abstinence Differ Between African American and White Adult Cigarette Smokers

2018 ◽  
Vol 21 (8) ◽  
pp. 1072-1078 ◽  
Author(s):  
Raina D Pang ◽  
Mariel S Bello ◽  
Madalyn M Liautaud ◽  
Andrea H Weinberger ◽  
Adam M Leventhal
Keyword(s):  
Gender Differences ◽  
African American ◽  
Negative Affect ◽  
African American Women ◽  
White Women ◽  
African American Men ◽  
Self Report ◽  
Women Smokers ◽  
Tobacco Withdrawal ◽  
Hispanic White

Abstract Introduction Prior studies have found heightened negative affect following tobacco abstinence in women compared to men. However, experimental work addressing whether these findings generalize across racial groups is scarce. This study investigated whether race (non-Hispanic White vs. non-Hispanic African American) moderated gender differences in abstinence-induced negative affect and smoking behavior. Methods Data were collected from 2010 to 2017 from two separate laboratory studies investigating experimentally manipulated tobacco abstinence. Following a baseline session, adult daily smokers (≥10 cigarettes/day; women: n = 297, 83.8% non-Hispanic African American; men: n = 492, 86.2% non-Hispanic African American) attended two counterbalanced lab sessions (16 hours abstinent vs. non-abstinent) and completed self-report measures of negative affect followed by a laboratory analogue smoking reinstatement task. Results We found a gender × race interaction for several negative affect states and composite negative affect (βs = −.12 to −.16, Ps < .05). Analyses stratified by race showed that non-Hispanic White women compared to non-Hispanic White men exhibited greater abstinence-induced increases in anger, anxiety, and composite negative affect (βs = −.20 to −.29, Ps < .05). No significant gender differences in abstinence-induced negative affect were found for non-Hispanic African American smokers (βs = .00 to − .04, Ps > .05). Conclusion These findings suggest that negative affect during acute tobacco abstinence may be a clinically important and intervenable factor that can inform cessation interventions specifically for non-Hispanic White women smokers. Further empirical exploration of mechanisms underlying interactions of gender and race in tobacco addiction may benefit smoking cessation efforts in non-Hispanic African American women smokers. Implications This study contributes to a scant body of research examining the intersectional influence of race and gender on abstinence-induced negative affect—a central, motivationally prepotent feature of tobacco withdrawal. Using a laboratory-based design to experimentally manipulate abstinence, we provide evidence of a gender × race interaction on negative affect–related withdrawal. Our findings suggest that gender differences in abstinence-induced negative affect observed among non-Hispanic White smokers may not generalize to non-Hispanic African American smokers, highlighting the need for future work to address potential mechanisms underlying the racially discrepant impact of gender on affective tobacco withdrawal.

Michelle Obama as a Political Symbol: Race, Gender, and Public Opinion toward the First Lady

2019 ◽  
Vol 15 (03) ◽  
pp. 431-459 ◽  
Author(s):  
Alex Badas ◽  
Katelyn E. Stauffer
Keyword(s):  
African American ◽  
Public Opinion ◽  
Black Women ◽  
African American Women ◽  
White Women ◽  
First Lady ◽  
Race And Gender ◽  
Michelle Obama ◽  
Political Symbol ◽  
And Gender

AbstractPopular commentary surrounding Michelle Obama focuses on the symbolic importance of her tenure as the nation's first African American first lady. Despite these assertions, relatively few studies have examined public opinion toward Michelle Obama and the extent to which race and gender influenced public evaluations of her. Even fewer studies have examined how the intersection of race and gender influenced political attitudes toward Michelle Obama and her ability to serve as a meaningful political symbol. Using public opinion polls from 2008 to 2017 and data from the Black Women in America survey, we examine public opinion toward Michelle Obama as a function of respondents’ race, gender, and the intersection between the two. We find that African Americans were generally more favorable toward Michelle Obama than white Americans, with minimal differences between men and women. Although white women were no more likely than white men to view Michelle Obama favorably, we find that they were more likely to have information on Michelle Obama's “Let's Move” initiative. Most importantly, we find that Michelle Obama served as a unique political symbol for African American women and that her presence in politics significantly increased black women's evaluation of their race-gender group.

scholarly journals Racial Disparities in Disability Among Older Adults

2014 ◽  
Vol 26 (8) ◽  
pp. 1261-1279 ◽  
Author(s):  
Roland J. Thorpe ◽  
Rachael McCleary ◽  
Jenny R. Smolen ◽  
Keith E. Whitfield ◽  
Eleanor M. Simonsick ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Racial Disparities ◽  
African American Women ◽  
Racial Differences ◽  
Low Income ◽  
White Women ◽  
African American Men ◽  
Urban Sample ◽  
Functional Advantage

Objective: Persistent and consistently observed racial disparities in physical functioning likely stem from racial differences in social resources and environmental conditions. Method: We examined the association between race and reported difficulty performing instrumental activities of daily living (IADL) in 347 African American (45.5%) and Whites aged 50 or above in the Exploring Health Disparities in Integrated Communities–Southwest Baltimore, Maryland Study (EHDIC-SWB). Results: Contrary to previous studies, African Americans had lower rates of disability (women: 25.6% vs. 44.6%, p = .006; men: 15.7% vs. 32.9%; p = .017) than Whites. After adjusting for sociodemographics, health behaviors, and comorbidities, African American women (odds ratio [OR] = 0.32, 95% confidence interval [CI] = [0.14, 0.70]) and African American men (OR = 0.34, 95% CI = [0.13, 0.90]) retained their functional advantage compared with White women and men, respectively. Conclusion: These findings within an integrated, low-income urban sample support efforts to ameliorate health disparities by focusing on the social context in which people live.

Writing and “Righting”

2020 ◽  
pp. 78-97
Author(s):  
Robin Mazyck Sundaramoorthy ◽  
Jinx Coleman Broussard
Keyword(s):  
African American ◽  
African American Women ◽  
White Women ◽  
Black Press ◽  
Frances Ellen Watkins Harper ◽  
Race And Gender ◽  
The Public ◽  
Suffrage Movement ◽  
Public Lives ◽  
And Gender

While the suffrage movement has largely been viewed through the lens of white women fighting for the vote, African American women were very much a part of the movement. Some of these women were suffrage advocates and journalists; others were activists in other arenas. Many black suffragists viewed the vote as a way of elevating their race, and the black press helped these women spread their message. Although it provided lackluster support for the suffrage movement, the black press gave considerable attention to the topic. It gave voice to those who supported the cause and those who were adamantly against it. This chapter focuses on the contributions and writings of prosuffrage journalists such as Ida B. Wells, Mary Church Terrell, Frances Ellen Watkins Harper, Bettiola Fortson, and others covered by the black press. It assesses the public lives and work of these women who had to consider both race and gender as they spoke up and out for those who could not speak for themselves.

A Macrolevel Study of Police Killings at the Intersection of Race, Ethnicity, and Gender

2020 ◽  
pp. 001112872097744
Author(s):  
Shytierra Gaston ◽  
April D. Fernandes ◽  
Rashaan A. DeShay
Keyword(s):  
Violent Crime ◽  
Social Disorganization ◽  
White Women ◽  
White Men ◽  
Racial Conflict ◽  
Race Ethnicity ◽  
And Gender ◽  
Ethnicity And Gender ◽  
Racial Ethnic ◽  
Unique Dataset

We investigate macrolevel sources of police use of fatal force at the intersection of race, ethnicity, and gender. Focusing on 580 U.S. counties from 2013 to 2018, we build a unique dataset and analyze whether violent crime, social disorganization, and racial conflict indicators predict police killings among six victim subgroups of Black, Hispanic, and White men and women. Regression results show that violent crime—and social disorganization, albeit less consistently—is positively associated with police killings of men, irrespective of race/ethnicity, and Hispanic women while having no significant impact on Black or White women. We find nuanced evidence that racial conflict shapes police use of fatal force across all six racial-ethnic-gender subgroups. We conclude by discussing the implications of our findings.

scholarly journals An Intersectional Approach to Social Determinants of Stress for African American Men

2013 ◽  
Vol 7 (4_suppl) ◽  
pp. 19S-30S ◽  
Author(s):  
Derek M. Griffith ◽  
Katrina R. Ellis ◽  
Julie Ober Allen
Keyword(s):  
African American ◽  
African American Women ◽  
African American Men ◽  
Primary Sources ◽  
Social Stressors ◽  
Daily Lives ◽  
Roles And Responsibilities ◽  
Key Factor ◽  
Men Health ◽  
And Gender

Stress is a key factor that helps explain racial and gender differences in health, but few studies have examined gendered stressors that affect men. This study uses an intersectional approach to examine the sources of stress in African American men’s lives from the perspectives of African American men and important women in their lives. Phenomenological analysis was used to examine data from 18 exploratory focus groups with 150 African American men, ages 30 years and older, and eight groups with 77 African American women. The two primary sources of stress identified were seeking to fulfill socially and culturally important gender roles and being an African American man in a racially stratified society. A central focus of African American men’s daily lives was trying to navigate chronic stressors at home and at work and a lack of time to fulfill roles and responsibilities in different life domains that are traditionally the responsibility of men. Health was rarely mentioned by men as a source of stress, though women noted that men’s aging and weathering bodies were a source of stress for men. Because of the intersection of racism and economic and social stressors, men and women reported that the stress that African American men experienced was shaped by the intersection of race, ethnicity, age, marital status, and other factors that combined in unique ways. The intersection of these identities and characteristics led to stressors that were perceived to be of greater quantity and qualitatively different than the stress experienced by men of other races.

scholarly journals Does School Racial Composition Explain Why High Income Black Youth Perceive More Discrimination? A Gender Analysis

2018 ◽  
Vol 8 (8) ◽  
pp. 140 ◽  
Author(s):  
Shervin Assari
Keyword(s):  
Mental Health ◽  
African American ◽  
African American Males ◽  
Black Youth ◽  
Perceived Discrimination ◽  
Poor Mental Health ◽  
Racial Composition ◽  
And Gender ◽  
Ethnicity And Gender

Recent research has documented poor mental health among high socioeconomic status (SES) Blacks, particularly African American males. The literature has also shown a positive link between SES and perceived discrimination, suggesting that perceived discrimination may explain why high SES Black males report poor mental health. To better understand the role of contextual factors in explaining this pattern, we aimed to test whether school racial composition explains why high income Black youth perceive more discrimination. We explored these associations by ethnicity and gender. Using data from the National Survey of American Life-Adolescent supplement (NSAL-A), the current study included 810 African American and 360 Caribbean Black youth, with a mean age of 15. Ethnicity, age, gender, income-to-needs ratio (SES), skin color, school racial composition, and perceived (daily) discrimination were measured. Using Stata 15.0 (Stata Corp., College Station, TX, USA), we fitted seven structural equation models (SEMs) for data analysis in the pooled sample based on the intersection of ethnicity and gender. Considerable gender by ethnicity variations were found in the associations between SES, school racial composition, and perceived discrimination. For African American males but not African American females or Caribbean Black males or females, school racial composition fully mediated the effect of SES on perceived discrimination. The role of inter-racial contact as a mechanism for high discrimination and poor mental health of Black American adolescents may depend on their intersection of ethnicity and gender. School racial composition may be a mechanism for increased perceived discrimination among high SES African American males.

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