Rural Hospitals Closures in the United States : Theoretical Impact Analysis on African Americans Health Care Disparity in the South

Community-based organizations (CBOs) provide HIV prevention services throughout the United States, including the South where HIV/AIDS burden is high. We assessed Southern CBO response to changes in the HIV prevention landscape, including the National HIV/AIDS Strategy, and the Centers for Disease Control and Prevention's (CDC's) High Impact Prevention. Both strategies aim to improve outcomes for people living with or at high risk for HIV. Inductive qualitative analysis of interviews and consultations with CBOs, capacity building assistance providers, and CDC staff revealed CBOs are building clinical service capacity and cross-agency partnerships to adapt, but face inadequate or reduced funding. A holistic approach to HIV prevention and care in the South is critical, where stigma and other socio-structural factors limit health care options for persons affected by HIV. Health care organizations may benefit by partnering with CBOs because CBOs have the skillsets and community rapport to effectively improve health outcomes of persons living with HIV.

Download Full-text

Congenital Cytomegalovirus Infection Incidence is Higher in the African Americans, the Medicaid Insured, and Those Born in the South and West; An Analysis of 1,773 Cases Using a Nationally Representative Database in the United States, 2000–2012

Open Forum Infectious Diseases ◽

10.1093/ofid/ofx163.1849 ◽

2017 ◽

Vol 4 (suppl_1) ◽

pp. S690-S690

Author(s):

Kengo Inagaki ◽

Chad Blackshear ◽

Charlotte V Hobbs ◽

April Palmer

Keyword(s):

United States ◽

African Americans ◽

Cytomegalovirus Infection ◽

The United States ◽

The South ◽

Congenital Cytomegalovirus Infection ◽

Congenital Cytomegalovirus ◽

Infection Incidence ◽

Nationally Representative

Download Full-text

Federalism and the Demise of Prescriptive Racism in the United States

Studies in American Political Development ◽

10.1017/s0898588x00001164 ◽

1995 ◽

Vol 9 (1) ◽

pp. 1-54 ◽

Cited By ~ 3

Author(s):

Richard P. Young ◽

Jerome S. Burstein

Keyword(s):

United States ◽

Twentieth Century ◽

African Americans ◽

Jim Crow ◽

The United States ◽

State Governments ◽

The South ◽

The 1950S ◽

Do So

Not so long ago, nearly all African-Americans living in the United States were subject to a multitude of racial restrictions officially prescribed and enforced by state governments and their local subsidiaries. Most of the Jim Crow system dated from 1890–1910. By the middle of the twentieth century, this system was well established, so much so that many people assumed that it had always existed and that it expressed the timeless folkways of the South. However, in what strikes the historian as an astonishingly brief period during the 1950s and 1960s, the edifice was largely torn down. The puzzle is this: How could any institutional apparatus so deeply embedded, long-standing, and apparently strong be toppled so quickly? Although many scholars have discussed aspects of the puzzle, no one has offered a simple, clear, and compelling explanation. We aim to do so in this essay.

Download Full-text

Why African Americans Are a Potential Target for COVID-19 Infection in the United States (USA). (Preprint)

10.2196/preprints.19934 ◽

2020 ◽

Author(s):

Alireza Hamidian Jahromi ◽

Anahid Hamidianjahromi

Keyword(s):

United States ◽

Health Care ◽

African Americans ◽

Crisis Management ◽

Ethnic Minorities ◽

Risk Groups ◽

The Elderly ◽

The United States ◽

Exponential Phase ◽

The Impact

UNSTRUCTURED While WHO has officially announced that COVID-19 outbreak reaching a pandemic level, things have significantly changed inside USA, as this infection spread has reached its exponential phase. A stringent analysis of the COVID-19 epidemiologic data requires much more time and would generally be expected to happen after the exponential phase of the disease is over and when the focus of the health-care system is diverted away from crisis-management. Although much is said about high-risk groups and the vulnerability of elderly and patients with underlying comorbidities, the impact of race and its implications on susceptibility of ethnic minorities in indigent societies towards COVID-19 has not been discussed. There are currently some data on disparities between African American and Caucasians for COVID-19 infection and mortality. While the health-care authorities are reorganizing their resources and the infrastructure to provide care for the COVID-19 symptomatic patients, they should not shy away from protecting the general public as a whole and specifically the most vulnerable members of society, such as the elderly, ethnic minorities, and people with underlying comorbidities as well as African Americans.

Download Full-text

Challenges in the Delivery of Rural Otolaryngology Care During the COVID-19 Pandemic

Otolaryngology ◽

10.1177/0194599821995146 ◽

2021 ◽

pp. 019459982199514

Author(s):

Tasher Losenegger ◽

Matthew J. Urban ◽

Ashok J. Jagasia

Keyword(s):

United States ◽

Health Care ◽

Rural Areas ◽

The United States ◽

Rural Hospitals ◽

Academic Medical Centers ◽

Rural Populations ◽

Patient Access ◽

Medical Centers ◽

Academic Medical

Though initially spared from the brunt of the COVID-19 pandemic, rural areas in the United States have been ravaged by the disease. With a higher-risk population at baseline and an already strained health care system, rural hospitals face severe challenges in delivering care during the pandemic. In otolaryngology specifically, there has been difficulty in ensuring patient access to care while maintaining safe environments for patients and staff. Partnership between academic medical centers and critical access rural hospitals is urgently needed to help improve care for vulnerable rural populations.

Download Full-text

Mental Health Inequities and Disparities among African American Adults in the United States: The Role of Race

Research in Health Science ◽

10.22158/rhs.v5n3p23 ◽

2020 ◽

Vol 5 (3) ◽

pp. p23

Author(s):

Elizabeth Armstrong-Mensah ◽

Harshita Patel ◽

Priyanka Parekh ◽

Crystal Lee

Keyword(s):

Mental Health ◽

United States ◽

Health Care ◽

African Americans ◽

Mental Health Care ◽

Health Outcomes ◽

Economic Status ◽

The United States ◽

Poor Quality ◽

Mental Health Outcomes

Although the rate of mental illness among African Americans and Whites in the United Sates are similar, African Americans tend to have the worst mental health outcomes in the country. This is due to several inequities, particularly those associated with race such as discrimination, provider bias, stereotyping, weak socio-economic status, limited access to health insurance, poor quality mental health care, treatment gaps, culture, and stigma related to mental health care. Recognizing that the differences in mental health outcomes among minority populations in the United States is also driven by race and not just by brain chemistry, or environmental exposures, and developing strategies that target the issue of race, will not only lead to increased access to mental health services among African Americans, but will generally improve upon their mental health status. This article discusses mental health disparities among African Americans, the inequities that cause them, and strategies for addressing the disparities with a focus on race.

Download Full-text

Prison Mental Health Care can be Improved by Better Management and More Effective Federal Aid: Report to the Congress, By the Comptroller General of the United States

PsycEXTRA Dataset ◽

10.1037/e544922006-001 ◽

1979 ◽

Keyword(s):

Mental Health ◽

United States ◽

Health Care ◽

Mental Health Care ◽

The United States ◽

Federal Aid

Download Full-text