The Dunbar High School Dilemma: Architecture, Power, and African American Cultural Heritage

Objective: To assess the patient-related barriers to access of some virtual healthcare tools among cancer patients in the USA in a population-based cohort. Materials & methods: National Health Interview Survey datasets (2011–2018) were reviewed and adult participants (≥18 years old) with a history of cancer diagnosis and complete information about virtual healthcare utilization (defined by [a] filling a prescription on the internet in the past 12 months and/or [b] communicating with a healthcare provider through email in the past 12 months) were included. Information about video-conferenced phone calls and telephone calls are not available in the National Health Interview Survey datasets; and thus, they were not examined in this study. Multivariable logistic regression analysis was used to evaluate factors associated with the utilization of virtual care tools. Results: A total of 25,121 participants were included in the current analysis; including 4499 participants (17.9%) who utilized virtual care in the past 12 months and 20,622 participants (82.1%) who did not utilize virtual care in the past 12 months. The following factors were associated with less utilization of virtual healthcare tools in multivariable logistic regression: older age (continuous odds ratio [OR] with increasing age: 0.987; 95% CI: 0.984–0.990), African-American race (OR for African American vs white race: 0.608; 95% CI: 0.517–0.715), unmarried status (OR for unmarried compared with married status: 0.689; 95% CI: 0.642–0.739), lower level of education (OR for education ≤high school vs >high school: 0.284; 95% CI: 0.259–0.311), weaker English proficiency (OR for no proficiency vs very good proficiency: 0.224; 95% CI: 0.091–0.552) and lower yearly earnings (OR for earnings <$45,000 vs earnings >$45,000: 0.582; 95% CI: 0.523–0.647). Conclusion: Older patients, those with African-American race, lower education, lower earnings and weak English proficiency are less likely to access the above studied virtual healthcare tools. Further efforts are needed to tackle disparities in telemedicine access.

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Preserving History for the Persistent Legacy of Our School: A Youth-Led Participatory Heritage Project

Preservation Digital Technology & Culture ◽

10.1515/pdtc-2021-0003 ◽

2021 ◽

Vol 50 (1) ◽

pp. 15-29

Author(s):

Ayana Allen-Handy ◽

Alysha Meloche ◽

Jahyonna Brown ◽

Ayanna Frazier ◽

Karena Escalante ◽

...

Keyword(s):

High School ◽

African American ◽

Community Change ◽

Youth Empowerment ◽

Consciousness Development ◽

Project Report ◽

Community History ◽

Community Institution ◽

The City ◽

Rich History

Abstract This in-process project report describes a critical youth-led participatory heritage project that seeks to document, preserve, and make digitally accessible oral histories, archives, and artifacts of an urban, predominantly African American high school with a rich history and legacy. As a long-standing community institution, the narratives emerging from this high school are intricately connected with the larger story of the city of Philadelphia. This article uses an equity-based lens to demonstrate how youth-led participatory heritage can contribute to youth empowerment, critical consciousness development, and critical digital literacies. Implications for schools and communities experiencing gentrification, displacement, and community change are provided, including how participatory heritage with youth can utilize collaborative, asset-based efforts to foster change that allows youth and communities to have agency over their individual and collective stories, community history and legacy, and their futures.

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