Academic literature on the topic 'Accounting|Clinical psychology|Ethnic studies'

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Journal articles on the topic "Accounting|Clinical psychology|Ethnic studies"

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Shiekh, Suhail Ismail, Sharon Louise Cadogan, Liang-Yu Lin, Rohini Mathur, Liam Smeeth, and Charlotte Warren-Gash. "Ethnic Differences in Dementia Risk: A Systematic Review and Meta-Analysis." Journal of Alzheimer's Disease 80, no. 1 (March 9, 2021): 337–55. http://dx.doi.org/10.3233/jad-201209.

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Background: Globally around 50 million people have dementia. Risk factors for dementia such as hypertension and diabetes are more common in Black, Asian, and other ethnic minorities. There are also marked ethnic inequalities in care seeking, likelihood of diagnosis, and uptake of treatments for dementia. Nevertheless, ethnic differences in dementia incidence and prevalence remain under-explored. Objective: To examine published peer-reviewed observational studies comparing age-specific or age-adjusted incidence or prevalence rates of dementia between at least two ethnic groups. Methods: We searched seven databases on 1 September 2019 using search terms for ethnicity, dementia, and incidence or prevalence. We included population-based studies comparing incidence or prevalence of dementia after accounting for age of at least two ethnic groups in adults aged 18 or more. Meta-analysis was conducted for eligible ethnic comparisons. Results: We included 12 cohort studies and seven cross-sectional studies. Thirteen were from the US, and two studies each from the UK, Singapore, and Xinjiang Uyghur Autonomous Region in China. The pooled risk ratio for dementia incidence obtained from four studies comparing Black and White ethnic groups was 1.33 (95% CI 1.07–1.65; I-squared = 58.0%). The pooled risk ratio for dementia incidence comparing the Asian and White ethnic groups was 0.86 (95% CI 0.728–1.01; I-squared = 43.9%). There was no difference in the incidence of dementia for Latino ethnic group compared to the White ethnic group. Conclusion: Evidence to date suggest there are ethnic differences in risk of dementia. Better understanding of the drivers of these differences may inform efforts to prevent or treat dementia.
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MANLY, JENNIFER J., S. WALDEN MILLER, ROBERT K. HEATON, DESIREE BYRD, JUDY REILLY, ROBERTO J. VELASQUEZ, DENNIS P. SACCUZZO, IGOR GRANT, and THE HIV NEUROBEHAVIORAL RESEARCH CENTER (HNRC) GROUP. "The effect of African-American acculturation on neuropsychological test performance in normal and HIV-positive individuals." Journal of the International Neuropsychological Society 4, no. 3 (May 1998): 291–302. http://dx.doi.org/10.1017/s1355617798002914.

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Two studies were conducted to examine the relationship of acculturation to neuropsychological test performance among (1) medically healthy, neurologically normal African Americans (N = 170); and (2) HIV positive (HIV+) subgroups of African Americans and Whites (Ns = 20) matched on age, education, sex, and HIV disease stage. Acculturation was measured through self report for all participants, and linguistic behavior (Black English use) was assessed in a subset of medically healthy individuals (N = 25). After controlling for the effects of age, education, and sex, medically healthy African Americans who reported less acculturation obtained lower scores on the WAIS–R Information subtest and the Boston Naming Test than did more acculturated individuals. Black English use was associated with poor performance on Trails B and the WAIS–R Information subtest. HIV+ African Americans scored significantly lower than their HIV+ White counterparts on the Category Test, Trails B, WAIS–R Block Design and Vocabulary subtests, and the learning components of the Story and Figure Memory Tests. However, after accounting for acculturation, ethnic group differences on all measures but Story Learning became nonsignificant. These results suggest that there are cultural differences within ethnic groups that relate to neuropsychological test performance, and that accounting for acculturation may improve the diagnostic accuracy of certain neuropsychological tests. (JINS, 1998, 4, 291–302.)
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Wright, Clinton B., Janet T. DeRosa, Michelle P. Moon, Kevin Strobino, Charles DeCarli, Ying Kuen Cheung, Stephanie Assuras, et al. "Race/Ethnic Disparities in Mild Cognitive Impairment and Dementia: The Northern Manhattan Study." Journal of Alzheimer's Disease 80, no. 3 (April 6, 2021): 1129–38. http://dx.doi.org/10.3233/jad-201370.

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Background: Variability in dementia rates across racial and ethnic groups has been estimated at 60%. Studies suggest disparities in Caribbean Hispanic and Black populations, but community-based data are limited. Objective: Estimate the prevalence of mild cognitive impairment (MCI) and dementia in the racially and ethnically diverse community-based Northern Manhattan Study cohort and examine sociodemographic, vascular risk factor, and brain imaging correlates. Methods: Cases of MCI and dementia were adjudicated by a team of neuropsychologists and neurologists and prevalence was estimated across race/ethnic groups. Ordinal proportional odds models were used to estimate race/ethnic differences in the prevalence of MCI or dementia adjusting for sociodemographic variables (model 1), model 1 plus potentially modifiable vascular risk factors (model 2), and model 1 plus structural imaging markers of brain integrity (model 3). Results: There were 989 participants with cognitive outcome determinations (mean age 69±9 years; 68% Hispanic, 16% Black, 14% White; 62% women; mean (±SD) follow-up five (±0.6) years). Hispanic and Black participants had greater likelihood of MCI (20%) and dementia (5%) than White participants accounting for age and education differences. Hispanic participants had greater odds of MCI or dementia than both White and Black participants adjusting for sociodemographic variables, vascular risk factors, and brain imaging factors. White matter hyperintensity burden was significantly associated with greater odds of MCI or dementia (OR = 1.3, 1.1 to 1.6), but there was no significant interaction by race/ethnicity. Conclusion: In this diverse community-based cohort, cross-sectional data revealed significant race/ethnic disparities in the prevalence of MCI and dementia. Longer follow-up and incidence data are needed to further clarify these relationships.
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Quebles, Irina, Olga Solomon, Kathryn A. Smith, Sowmya R. Rao, Frances Lu, Colleen Azen, Grace Anaya, and Larry Yin. "Racial and Ethnic Differences in Behavioral Problems and Medication Use Among Children With Autism Spectrum Disorders." American Journal on Intellectual and Developmental Disabilities 125, no. 5 (September 1, 2020): 369–88. http://dx.doi.org/10.1352/1944-7558-125.5.369.

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Abstract We examined racial and ethnic differences in the prevalence of behavioral problems measured by the Child Behavioral Checklist (CBCL), sleep disturbances measured by the Child Sleep Habits Questionnaire (CSHQ), and medication use among children with Autism Spectrum Disorders (ASD). We analyzed data from the Autism Treatment Network (ATN) dataset for 2,576 children ages 6 to 18 years of age diagnosed with ASD. Multivariable logistic regression accounting for age, gender, Diagnostic and Statistical Manual of Mental Disorders (4th Edition – Text Revision), diagnosis (Autistic Disorder, PDD-NOS, Asperger's Disorder), and parents' education did not show any racial or ethnic differences in behavioral challenges, conduct problems, or sleep disturbances for any of the groups, but Black children had lower odds of Total Problem Behaviors and Asian children had lower odds of Hyperactivity compared to White children. As a group, children from racial and ethnic minorities had lower odds of Total Problem Behaviors and Conduct Problems compared to White children. Hispanic children had lower odds of medication use for Behavioral Challenges, Total Problem Behaviors, Hyperactivity, and Conduct Problems. Asian children had lower odds of medication use for Behavioral Challenges, Total Problem Behaviors, and Hyperactivity; and had close to lower odds in medication use for Conduct Problems. Black children had lower odds for medication use for Total Problem Behaviors only. As a group, children from racial and ethnic minorities had lower odds for medication use for Behavioral Challenges, Total Problem Behaviors, Hyperactivity, and Conduct problems, but not for Sleep Disturbances. While these results are consistent with previous studies showing that White children are significantly more likely to receive psychotropic medication compared to children from racial and ethnic minority groups, we found no such differences for sleep challenges, suggesting that they are more consistently identified and equitably treated than other behavioral problems associated with ASD. We draw upon Andersen's (1995) Behavioral Model of Healthcare Use to suggest predisposing, enabling, and needs factors that may contribute to this pattern of racial and ethnic differences in the use of medications among children ASD.
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Zhang, Yun, Ginny Natale, and Sean Clouston. "Incidence of Mild Cognitive Impairment, Conversion to Probable Dementia, and Mortality." American Journal of Alzheimer's Disease & Other Dementiasr 36 (January 1, 2021): 153331752110122. http://dx.doi.org/10.1177/15333175211012235.

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Background: Few studies have jointly estimated incidence of MCI, conversion to probable dementia, and mortality in a nationally representatie sample. Methods: We used data from six waves of the National Health and Aging Trends Study (2011-2016). Multivariable-adjusted multi-state survival models (MSMs) were used to model incidence upon accounting for misclassification. Results: A total of 6,078 eligible NHATS participants were included (average age: 77.49 ± 7.79 years; 58.42% females; 68.99% non-Hispanic white). The incidence of MCI was estimated to be 41.0 [35.5, 47.3]/1,000 person-years (PY). Participants converted to probable dementia at a high rate of 241.3 [189.6, 307.0]/1,000 PY, though a small number also reverted from MCI to cognitively normal. Education was associated with lower incidence of MCI and conversion to probable dementia, but increased mortality in those with MCI. There were also substantial racial and ethnic disparities in the incidence of MCI and dementia. Conclusions: Our results underscore the relatively common incidence of and conversions between MCI and dementia in community-dwelling older Americans and uncover the beneficial impact of education to withstand cognitive impairment before death.
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Mendez, Lucybel, Michaela M. Mozley, and Patricia K. Kerig. "Beyond Trauma Exposure: Discrimination and Posttraumatic Stress, Internalizing, and Externalizing Problems Among Detained Youth." Journal of Interpersonal Violence, June 9, 2020, 088626052092631. http://dx.doi.org/10.1177/0886260520926314.

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According to the race-based traumatic stress model, racial discrimination is proposed to comprise a traumatic experience that results in posttraumatic stress symptoms, as well as internalizing and externalizing problems among youth. Accordingly, a significant body of research has emerged that supports the associations among these constructs. However, the majority of these empirical studies have not accounted for the potential role of traditionally defined traumatic events in these associations. This study investigated whether self-reported racial discrimination was related to posttraumatic stress symptoms, internalizing, and externalizing symptoms above and beyond the impact of other trauma exposures in a sample of 266 detained youth (79% boys, 60% identified as an ethnic minority). Results of hierarchical linear regressions demonstrated that, after accounting for youths’ other trauma exposures, racial discrimination accounted for significant variance in the models predicting delinquency and risk-taking but no other externalizing and internalizing problems, or posttraumatic stress symptoms. These findings indicate that racial discrimination may be particularly important for understanding offending behavior among detained youth.
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Williams, Monnica T., Terence H. W. Ching, and Jade Gallo. "Understanding aggression and microaggressions by and against people of colour." Cognitive Behaviour Therapist 14 (2021). http://dx.doi.org/10.1017/s1754470x21000234.

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Abstract Efforts to understand racial microaggressions have focused on the impact on targets, but few studies have examined the motivations and characteristics of offenders, and none has examined microaggressions committed by members of racialized groups. The purpose of this study is to determine if racial microaggressions should be conceptualized as a form of aggression when committed by racialized individuals by examining the relationship between propensity to commit microaggressions and aggressive tendencies to help inform interventions. This nationwide survey recruited 356 Asian, Black and Hispanic American adults. Participants completed measures of likelihood of committing anti-Black microaggressions, aggression, negative affect, and ethnic identity. There was a significant negative correlation between ratings by diversity experts of microaggressive interactions being racist and participants’ likelihood of engaging in those same interactions. For each ethnoracial group, likelihood of committing anti-Black microaggressions was significantly positively correlated with all measures of aggression examined. The correlation between microaggressions and aggression was strongest for non-White Hispanic participants and weakest among Asian participants. A linear regression showed that aggression uniquely predicted microaggression likelihood, after controlling for respective co-variates within groups. Among non-White Hispanic participants, there was a significant positive correlation between negative affect and propensity to commit microaggressions, but this association disappeared in the regression analysis after accounting for aggression. A positive ethnic identity was not correlated with microaggression likelihood among Black participants. Findings indicate that microaggressions represent aggression on the part of offenders and constitute a form of behaviour that is generally socially unacceptable. Implications and cognitive behavioural treatment approaches are discussed. Key learning aims (1) People of colour generally recognize that racial microaggressions are unacceptable. (2) People of colour may commit microaggressions against other people of colour. (3) Anti-Black microaggressions are correlated to aggression in perpetrators. (4) Microaggressions are not solely attributable to negative affect or low ethnic identity. (5) Therapists should address microaggressions, even when committed by people of colour.
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Briceño, Emily M., Alden L. Gross, Bruno J. Giordani, Jennifer J. Manly, Rebecca F. Gottesman, Mitchell S. V. Elkind, Stephen Sidney, et al. "Pre-Statistical Considerations for Harmonization of Cognitive Instruments: Harmonization of ARIC, CARDIA, CHS, FHS, MESA, and NOMAS." Journal of Alzheimer's Disease, August 24, 2021, 1–11. http://dx.doi.org/10.3233/jad-210459.

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Background: Meta-analyses of individuals’ cognitive data are increasing to investigate the biomedical, lifestyle, and sociocultural factors that influence cognitive decline and dementia risk. Pre-statistical harmonization of cognitive instruments is a critical methodological step for accurate cognitive data harmonization, yet specific approaches for this process are unclear. Objective: To describe pre-statistical harmonization of cognitive instruments for an individual-level meta-analysis in the blood pressure and cognition (BP COG) study. Methods: We identified cognitive instruments from six cohorts (the Atherosclerosis Risk in Communities Study, Cardiovascular Health Study, Coronary Artery Risk Development in Young Adults study, Framingham Offspring Study, Multi-Ethnic Study of Atherosclerosis, and Northern Manhattan Study) and conducted an extensive review of each item’s administration and scoring procedures, and score distributions. Results: We included 153 cognitive instrument items from 34 instruments across the six cohorts. Of these items, 42%were common across ≥2 cohorts. 86%of common items showed differences across cohorts. We found administration, scoring, and coding differences for seemingly equivalent items. These differences corresponded to variability across cohorts in score distributions and ranges. We performed data augmentation to adjust for differences. Conclusion: Cross-cohort administration, scoring, and procedural differences for cognitive instruments are frequent and need to be assessed to address potential impact on meta-analyses and cognitive data interpretation. Detecting and accounting for these differences is critical for accurate attributions of cognitive health across cohort studies.
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Dissertations / Theses on the topic "Accounting|Clinical psychology|Ethnic studies"

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Afshar, Melanie. "Evaluating Change in Depression and Well-Being in a Multiethnic Sample Receiving Services Through a Community-Based Outreach and Engagement Program." Thesis, Pepperdine University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10266059.

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The experience of depression and overall well-being for multi-ethnic individuals is influenced by numerous factors including immigration experience, acculturative stress, English language proficiency, perceived discrimination, and ethnic identity. Multi-ethnic individuals are at a heightened risk for mental health difficulties due to limited access to resources within the community and mental health stigma. Lack of social support and culturally appropriate services magnify this disparity for this population. This study evaluates the impact of the Multi-ethnic Collaborative of Community Agencies (MECCA) Outreach & Engagement (O&E) program, a community-based program that provides culturally-responsive services, support, and resources for marginalized ethnic specific communities. Services of the program include case management, life coaching, skill building classes and groups, and referrals to services within the community. Using a pre and posttest design, outcomes related to depression symptoms and overall well-being were assessed for participants in the program for 2 fiscal years. For the 1st fiscal year, participants reported an improvement in well-being and no significant decrease in depression symptoms. For the 2nd fiscal year, participants reported both a decrease in depression symptoms and in increase in overall well-being. These findings suggest that culturally responsive community-based interventions focused on increasing social support, providing resources, and addressing mental health stigma can be valuable in addressing depression and well-being in multi-ethnic communities. In addition, the results also suggest that ethnic-specific services conducted in an individual’s native language may have a positive impact on depression and well-being.

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