scholarly journals The Impact of Marginalization on the Continuum of Care Treatment Model on African American Communities in the Southern United States

2019 ◽  
pp. 6-7
Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 476-483
Author(s):  
Elena Cyrus ◽  
Rachel Clarke ◽  
Dexter Hadley ◽  
Zoran Bursac ◽  
Mary Jo Trepka ◽  
...  

Author(s):  
Elena Cyrus ◽  
Rachel Clarke ◽  
Dexter Hadley ◽  
Zoran Bursac ◽  
Mary Jo Trepka ◽  
...  

Importance: The novel Coronavirus Disease 2019 (COVID-19), declared a pandemic in March 2020, may present with disproportionately higher rates in underrepresented racial/ethnic minority populations in the United States, including African American communities who have traditionally been over-represented in negative health outcomes. Study Objective: To understand the impact of the density of African American communities (defined as the percentage of African Americans in a county) on COVID-19 prevalence and death rate within the three most populous counties in each U.S. state and territory (n=152). Design: An ecological study using linear regression was employed for the study. Setting: The top three most populous counties of each U.S. state and territory were included in analyses for a final sample size of n=152 counties. Participants: Confirmed COVID-19 cases and deaths that were accumulated between January 22, 2020 and April 12, 2020 in each of the three most populous counties in each U.S. state and territory were included. Main outcome measures: Linear regression was used to determine the association between African American density and COVID-19 prevalence (defined as the percentage of cases for the county population), and death rate (defined as number of deaths per 100,000 population). The models were adjusted for median age and poverty. Results: There was a direct association between African American density and COVID-19 prevalence; COVID-19 prevalence increased 5% for every 1% increase in county AA density (p<.01). There was also an association between county AA density and COVID-19 deaths, such; the death rate increased 2 per 100,000 for every percentage increase in county AA density (p=.02). Conclusion: These study findings indicate that communities with a high African American density have been disproportionately burdened with COVID-19. Further study is needed to indicate if this burden is related to environmental factors or individual factors such as types of employment or comorbidities that members of these community have.


2018 ◽  
Vol 15 (02) ◽  
pp. 417-439 ◽  
Author(s):  
Brianna Remster ◽  
Rory Kramer

AbstractWhile prisoners cannot vote, they are counted as residents of the often rural legislative districts where they are incarcerated rather than their home districts. We examine the extent to which incarceration shifts the balance of a representative democracy by considering its impact on legislative apportionment. Drawing on data from the Census, Pennsylvania Department of Corrections, and Pennsylvania Redistricting Commission, we develop a counterfactual framework to examine whether removing and returning prisoners to their home districts affects equal representation. Because prisoners are disproportionately African American, we also employ this counterfactual to assess racial differences in the impact of prison gerrymandering. Findings indicate that incarceration shifts political power from urban districts to suburban and rural districts through legislative apportionment. Moreover, non-White communities suffer the most. We conclude by considering how our findings fit a growing literature on the role of mass incarceration in [re]producing racial inequalities in the contemporary United States.


2019 ◽  
Vol 58 (3) ◽  
pp. 194
Author(s):  
Molly Molloy

This last work of author/compiler Craig Martin Gibbs joins his other unique discographies from the same publisher—Black Recording Artists, 1877–1926: An Annotated Discography (2012) and Calypso and Other Music of Trinidad, 1912–1962: An Annotated Discography (2015)—to provide detailed access to the legacy of African American and African music from the earliest years of sound recording. As noted in the front matter, Craig Martin Gibbs died in October 2017.


Author(s):  
Trevor Clark ◽  
Nijee Brown ◽  
Harold Aubrey ◽  
Kwamme Anderson ◽  
Tina Jordan ◽  
...  

Build ◽  
2019 ◽  
pp. 1-24
Author(s):  
Mark Katz

The introduction explains why the partnership between hip hop diplomacy is unlikely and risky but also potentially productive. Hip hop is a powerful platform for US cultural diplomacy because it is globally popular, widely accessible, readily combined with a variety of artistic styles and practices, and immediately and positively associated with the United States. Hip hop diplomacy can serve US foreign policy objectives by enhancing the image of the United States and promoting US interests abroad. The introduction concludes with a reflection on the author’s identity as a white man and considers its implications for working in hip hop, a genre and culture that arose out of African American communities.


BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032161
Author(s):  
Neha Batura ◽  
Jolene Skordis ◽  
Tom Palmer ◽  
Aloyce Odiambo ◽  
Andrew Copas ◽  
...  

IntroductionA wealth of evidence from a range of country settings indicates that antenatal care, facility delivery and postnatal care can reduce maternal and child mortality and morbidity in high-burden settings. However, the utilisation of these services by pregnant women, particularly in low/middle-income country settings, is well below that recommended by the WHO. The Afya trial aims to assess the impact, cost-effectiveness and scalability of conditional cash transfers to promote increased utilisation of these services in rural Kenya and thus retain women in the continuum of care during pregnancy, birth and the postnatal period. This protocol describes the planned economic evaluation of the Afya trial.Methods and analysisThe economic evaluation will be conducted from the provider perspective as a within-trial analysis to evaluate the incremental costs and health outcomes of the cash transfer programme compared with the status quo. Incremental cost-effectiveness ratios will be presented along with a cost-consequence analysis where the incremental costs and all statistically significant outcomes will be listed separately. Sensitivity analyses will be undertaken to explore uncertainty and to ensure that results are robust. A fiscal space assessment will explore the affordability of the intervention. In addition, an analysis of equity impact of the intervention will be conducted.Ethics and disseminationThe study has received ethics approval from the Maseno University Ethics Review Committee, REF MSU/DRPI/MUERC/00294/16. The results of the economic evaluation will be disseminated in a peer-reviewed journal and presented at a relevant international conference.Trial registration numberNCT03021070


Sign in / Sign up

Export Citation Format

Share Document