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Journal articles on the topic 'African Americans Nursing Race awareness'

Author: Grafiati

Published: 4 June 2021

Last updated: 8 February 2022

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1

Wierenga, Kelly L., Rebecca L. Dekker, Terry A. Lennie, Misook L. Chung, and Kathleen Dracup. "African American Race Is Associated With Poorer Outcomes in Heart Failure Patients." Western Journal of Nursing Research 39, no. 4 (2016): 524–38. http://dx.doi.org/10.1177/0193945916661277.

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Health care disparities associated with African American race may influence event-free survival in patients with heart failure (HF). A secondary data analysis included 863 outpatients enrolled in a multicenter HF registry. Cox regression was used to determine whether African American race was associated with shorter HF event-free survival after controlling for covariates. The multivariable-adjusted hazard ratios (95% confidence intervals [CI]) of older age (1.03, 95% CI = [1.01, 1.04]), New York Heart Association (NYHA) functional class (1.73, 95% CI = [1.29, 2.31]), depressive symptoms (1.05,

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Goode, Rachel W., Mindi A. Styn, Dara D. Mendez, and Tiffany L. Gary-Webb. "African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?" Western Journal of Nursing Research 39, no. 8 (2017): 1045–69. http://dx.doi.org/10.1177/0193945917692115.

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African Americans (AAs) bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. We conducted a narrative review of large ( N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that reported results in the past 15 years (2001-2015) to (a) determine the rates of inclusion and reported results for AAs and (b) further identify strategies that may result in improved outcomes. Of the 23 trials reviewed, 69.6% of the studies met or exceeded population estimates for AAs in the United Stat

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Cohen, Carl I. "Racial Differences in Neuropsychiatric Symptoms Among Dementia Patients: A Comparison of African Americans and Whites." International Psychogeriatrics 12, S1 (2000): 395–402. http://dx.doi.org/10.1017/s1041610200007341.

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Race is a critical sociodemographic variable that may serve as a marker for genetic, clinical, cultural, and socioeconomic factors. There have been several studies that found differences between African Americans and Whites in the neuropsychiatric symptoms of dementia. There have been fairly consistent findings that psychotic symptoms—hallucinations and delusions—are more prevalent among African American patients with dementia (Cohen & Carlin, 1993; Cooper et al., 1991, Deutsch et al., 1991; Fabrega et al., 1988), and that depression is higher among Whites than among African Americans (Fab

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Dillette, Alana K., Stefanie Benjamin, and Chelsea Carpenter. "Tweeting the Black Travel Experience: Social Media Counternarrative Stories as Innovative Insight on #TravelingWhileBlack." Journal of Travel Research 58, no. 8 (2018): 1357–72. http://dx.doi.org/10.1177/0047287518802087.

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African-Americans in the United States have long since been confronted with harassment and discrimination while traveling because of segregated lodging, restaurants, and other leisure activities. However, African-Americans/Blacks are one of the fastest-growing tourist groups. This work builds on previous research on the Black travel experience analyzing over 300 tweets using the trending hashtag #TravelingWhileBlack through a critical race theory lens. By analyzing how Black tourists are traveling, this study reveals how experiential knowledge of Black travelers can contribute to the learning

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Maffly-Kipp, Laurie F. "Mapping the World, Mapping the Race: The Negro Race History, 1874–1915." Church History 64, no. 4 (1995): 610–26. http://dx.doi.org/10.2307/3168841.

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In 1883, the African American Baptist preacher George Washington Williams published hisHistory of the Negro Race in America, 1619–1880. The book, a fundamentally optimistic account of the black presence in the New World, represented an attempt by the well-educated, northern divine to balance his commitments to an American evangelical tradition with an awareness of the ongoing oppression of his fellow African Americans at the hands of whites. “I commit this work to the public, white and black,” he noted in the preface, “to the friends and foes of the Negro in the hope that the obsolete antagoni

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Omenukor, K. "Colorectal Cancer Awareness and Screening Guideline for African American Populations." Journal of Global Oncology 4, Supplement 2 (2018): 147s. http://dx.doi.org/10.1200/jgo.18.72600.

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Background and context: Colorectal cancer is the 3rd leading cause of cancer-related deaths. Early screening provides the best prospects for preventing the morbidity and mortality associated with the disease. Nurses have the duty to promote health and prevent diseases. However, low rates of colorectal cancer screening continue to be reported, especially among African Americans who continue to suffer disproportionately from the disease. A local clinic reports low CRC screening and high incidence of late stage CRC diagnoses. Aim: To develop a culturally-sensitive clinical practice guideline that

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Byrd, W. Michael, Linda A. Clayton, and CARLA SCHISSEL. "An American Health Dilemma: A Medical History of African Americans and the Problem of Race-Beginnings to 1900." Nursing History Review 10, no. 1 (2002): 205–7. http://dx.doi.org/10.1891/1062-8061.10.1.205.

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Wu, Jia-Rong, Eun Kyeung Song, Debra K. Moser, and Terry A. Lennie. "Racial differences in dietary antioxidant intake and cardiac event-free survival in patients with heart failure." European Journal of Cardiovascular Nursing 17, no. 4 (2018): 305–13. http://dx.doi.org/10.1177/1474515118755720.

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Background: Heart failure is a chronic, burdensome condition with higher re-hospitalization rates in African Americans than Whites. Higher dietary antioxidant intake is associated with lower oxidative stress and improved endothelial function. Lower dietary antioxidant intake in African Americans may play a role in the re-hospitalization disparity between African American and White patients with heart failure. Objective: The objective of this study was to examine the associations among race, dietary antioxidant intake, and cardiac event-free survival in patients with heart failure. Methods: In

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JORDAN, JOANNE M., CHARLES G. HELMICK, JORDAN B. RENNER, et al. "Prevalence of Hip Symptoms and Radiographic and Symptomatic Hip Osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis Project." Journal of Rheumatology 36, no. 4 (2009): 809–15. http://dx.doi.org/10.3899/jrheum.080677.

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Objective.To report contemporary estimates of the prevalence of hip-related osteoarthritis (OA) outcomes in African Americans and Caucasians aged ≥ 45 years.Methods.Weighted prevalence estimates and their corresponding 95% confidence intervals for hip symptoms, radiographic hip OA, symptomatic hip OA, and severe radiographic hip OA were calculated using SUDAAN® for age, race, and sex subgroups among 3068 participants (33% African Americans, 38% men) in the baseline examination (1991–97) of The Johnston County Osteoarthritis Project, a population-based study of OA in North Carolina. Radiographi

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Rivera-Hernandez, Maricruz, Amit Kumar, Gary Epstein-Lubow, and Kali S. Thomas. "Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer’s Disease and Related Dementias." Journal of Aging and Health 31, no. 7 (2018): 1259–77. http://dx.doi.org/10.1177/0898264318767778.

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Objective: This article examines differences in nursing home use and quality among Medicare beneficiaries, in both Medicare Advantage and fee-for-service, newly admitted to nursing homes with Alzheimer’s disease and related dementias (ADRD). Method: Retrospective, national, population-based study of Medicare residents newly admitted to nursing homes with ADRD by race and ethnic group. Our analytic sample included 1,302,099 nursing home residents—268,181 with a diagnosis of ADRD—in 13,532 nursing homes from 2014. Results: We found that a larger share of Hispanic Medicare residents that are admi

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Hicks, Nytasia, Katherine Abbott, Allison Heid, Kendall Leser, and Kimberly Van Haitsma. "Patterns of preference importance ratings among African-American and White nursing home residents." Innovation in Aging 4, Supplement_1 (2020): 836. http://dx.doi.org/10.1093/geroni/igaa057.3063.

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Abstract Background: The Preferences for Everyday Living Inventory (PELI) was developed to assess the psychosocial preferences of older adults receiving home care (PELI-HC) and then revised for nursing home residents (PELI-NH). While the PELI-HC has been tested to identify patterns in preference ratings by race, the PELI-NH has not. We sought to explore whether the PELI-NH tool captures differences in preference ratings of African-American and White NH residents. Methods: Preference assessment interviews were conducted with NH residents (n = 317). Analysis via a Mann-Whitney U test, results sh

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Dean, Lorraine T., and Genee S. Smith. "Examining the Role of Family History of US Enslavement in Health Care System Distrust Today." Ethnicity & Disease 31, no. 3 (2021): 417–24. http://dx.doi.org/10.18865/ed.31.3.417.

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Objective: Black/African American people have long reported high, albeit warranted, distrust of the US health care system (HCS); however, Blacks/African Americans are not a homogenous racial/ethnic group. Little information is available on how the subgroup of Black Americans whose families suffered under US chattel slavery, here called Descendants of Africans Enslaved in the United States (DAEUS), view health care institutions. We compared knowledge of unethical treatment and HCS distrust among DAEUS and non-DAEUS.Design and Setting: A cross-sectional random-digit dialing survey was adminis

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Reed, Nia, Christopher A. Taylor, Benjamin Olivari, Karen Wooten, and Lisa C. McGuire. "RACE AND ETHNICITY DISPARITIES IN SUBJECTIVE COGNITIVE DECLINE." Innovation in Aging 3, Supplement_1 (2019): S839. http://dx.doi.org/10.1093/geroni/igz038.3091.

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Abstract Alzheimer’s disease (AD) is the most common form of dementia. Subjective cognitive decline (SCD) is the self-reported experience of worsening or more frequent confusion or memory loss and it is one of the earliest noticeable symptoms of AD. Data from respondents aged 45 years and older to the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System Cognitive Decline module were examined to identify race and ethnicity disparities in SCD. This module was administered by 49 participating states, District of Columbia, and Puerto Rico from 2015-2018. Data wer

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Valandra, Yvette Murphy-Erby, Brandon M. Higgins, and Lucy M. Brown. "African American Perspectives and Experiences of Domestic Violence in a Rural Community." Journal of Interpersonal Violence 34, no. 16 (2016): 3319–43. http://dx.doi.org/10.1177/0886260516669542.

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Relatively few studies have explored domestic violence from a multiplicity of African American perspectives, experiences, and socio-demographic backgrounds within rural African American communities. Community–based participatory action research methods were used to explore domestic violence perceptions of African Americans with heterogeneous backgrounds and experiences of violence. Ten focus groups were held throughout the community with 52 diverse women ( n = 33) and men ( n = 19) living in the northwest region of Arkansas. Demographic data were collected from 47 women ( n = 28) and men ( n =

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Somayaji, Darryl, and Kristin Gates Cloyes. "Uniting Postcolonial, Discourse, and Linguistic Theory to Explore Participation of African Americans in Cancer Research as an Effect of Social and Historical Race Relationships." Advances in Nursing Science 37, no. 1 (2014): 32–47. http://dx.doi.org/10.1097/ans.0000000000000015.

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Branco, Kenneth J. "RACIAL BIAS IN STAFF OPTIMISM ABOUT ADL IMPROVEMENT AMONG NURSING HOME RESIDENTS." Innovation in Aging 3, Supplement_1 (2019): S247. http://dx.doi.org/10.1093/geroni/igz038.928.

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Abstract Research on bias in health care has shown disparity in provision of care to and health outcomes of African Americans. Patient optimism was associated with improved physical and psychosocial outcomes, and nurse optimism was correlated with patient perceptions of care. We estimated effects of race using logistic regression, controlling for ADLs, cognitive impairment, and gender on both staff optimism and resident optimism about capacity for improvement in ADLs in a probability sample (n=2604) of nursing home residents who were evaluated with the resident assessment instrument (RAI). We

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Harris, Paul W. "Racial Identity and the Civilizing Mission: Double-Consciousness at the 1895 Congress on Africa." Religion and American Culture: A Journal of Interpretation 18, no. 2 (2008): 145–76. http://dx.doi.org/10.1525/rac.2008.18.2.145.

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AbstractThe Congress on Africa was held in Atlanta, Georgia, in December 1895 as part of a campaign to promote African American involvement in Methodist missions to Africa. Held in conjunction with the same exposition where Booker T. Washington delivered his famous Atlanta Compromise address, the Congress in some ways shared his accommodationist approach to racial advancement. Yet the diverse and distinguished array of African American speakers at the Congress also developed a complex rationale for connecting the peoples of the African diaspora through missions. At the same time that they affi

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Peters, Jasmine N., Mariel S. Bello, Leigh J. Spera, Justin Gillenwater, and Haig A. Yenikomshian. "594 Racial and Ethnic Disparities in Burn Patient Outcomes: A Review of the Literature." Journal of Burn Care & Research 42, Supplement_1 (2021): S148—S149. http://dx.doi.org/10.1093/jbcr/irab032.244.

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Abstract Introduction Racial and ethnic disparities in outcomes for surgical trauma populations has been an expanding field in recent years. Despite this, disparities in prevention, treatment, and recovery outcomes for burn patients of racial and ethnic minority backgrounds have not been well-studied. Our study aims to review the literature regarding risk factors and burn outcomes among racial and ethnic minority populations to develop culturally-tailored burn care for minority burn patients. Methods A systematic review of literature utilizing PubMed was conducted for articles published betwee

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Rivera-Hernandez, Maricruz, Maricruz Rivera-Hernandez, Momotazur Rahman, Vincent Mor, and Amal N. Trivedi. "RACIAL DISPARITIES IN 30-DAY READMISSION RATES AMONG MEDICARE PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES." Innovation in Aging 3, Supplement_1 (2019): S780. http://dx.doi.org/10.1093/geroni/igz038.2871.

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Abstract The 30-Day All-Cause Readmission Measure is part of the Skilled Nursing Facility Value-Based Purchasing (SNFVBP) beginning 2019. The objective of the study was to characterize racial and ethnic disparities in 30-day rehospitalization rates from SNF among fee-for-service (FFS) and Medicare Advantage (MA) patients using the Minimum Data Set. The American Health Care Association risk-adjusted model was used. The primary independent variables were race/ethnicity and enrollment in FFS and MA. The sample included 1,813,963 patients from 15,412 SNFs across the US in 2015. Readmission rates w

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McFadden, Caitlyn, Coco Victoria Tirambulo, David Lieberman, and Mindy Fain. "The Relationship Between Race and Ethnicity in Post-Surgical Discharge Disposition." Innovation in Aging 4, Supplement_1 (2020): 140. http://dx.doi.org/10.1093/geroni/igaa057.459.

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Abstract Racial and ethnic disparities have been reported regarding outcomes of intermediate or high-risk surgical (IHRS) procedures. This study aimed to assess whether or not these disparities exist with respect to post-procedural discharge disposition (DD). EMR chart reviews of patients (≥65 years old) undergoing IHRS were conducted, 2016-2019 in Tucson, AZ. Race and ethnicity were reported as American Indian/Alaskan Native; Black or African American; More-Than-One-Race; Native Hawaiian/Pacific Islander; White/Caucasian; Unknown/Not Reported, Hispanic/Latino; Non-Hispanic/Latino; or Unknown/

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Qureshi, Adnan, M. Fareed K. Suri, Lee R. Guterman, and L. N. Hopkins. "Ineffective Secondary Prevention in Survivors of Cardiovascular Events in the US Population: A Report from the Third National Health and Nutrition Examination Survey." Stroke 32, suppl_1 (2001): 320. http://dx.doi.org/10.1161/str.32.suppl_1.320-d.

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26 Background and Purpose: Survivors of myocardial infarction (MI) or stroke are at high risk for subsequent cardiovascular events. There is limited assessment of the effectiveness of risk factor modification through current secondary preventive strategies in the US population. Methods: The adequacy of control for hypertension, diabetes mellitus, cigarette smoking, alcohol use and hypercholesterolemia was assessed by personal interview, blood pressure measurements, and serum glycosylated hemoglobin and cholesterol levels in a nationally representative sample of US adults. We also evaluated the

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Yashkin, Arseniy, Igor Akushevich, and Anatoliy Yashin. "Determinants of Adherence to ADA Type II Diabetes Mellitus Guidelines: Implications for Longevity." Innovation in Aging 4, Supplement_1 (2020): 225. http://dx.doi.org/10.1093/geroni/igaa057.725.

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Abstract The aim of this study was to identify the differences in terms of demographics, socioeconomic status and overall levels of morbidity-related health burden between population strata characterized by high levels of adherence to American Diabetes Association screening guidelines and their low-adherence counterparts. Factor analysis was used to create a single continuous measure of adherence which was stratified and analyzed using the Cox proportional hazards model to identify adherence levels associated with protective effects for mortality. Based on the results, the entire population of

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Howard, George, Virginia J. Howard, Charles R. Katholi, and Madan K. OIi. "The decline in stroke mortality: an analysis of temporal patterns by sex, race and geographic region." Stroke 32, suppl_1 (2001): 320. http://dx.doi.org/10.1161/str.32.suppl_1.320-c.

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25 Introduction: While stroke mortality rates have declined rapidly over the past 30 years, the decline has slowed to a plateau. Herein, we: (1) assess if the race-sex-regional groups have participated equally in this decline, (2) assess if there are race-sex-regional groups where stroke mortality rates continue to decline (i.e., regions or groups not at plateau), and (3) predict how stroke mortality rates will differ by race, sex, or region in the future. Methods: Data on stroke mortality between 1968 and 1996 from the Compressed Mortality File were analyzed in a three-step procedure: (1) “cr

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Morman, Edward T. "An American Health Dilemma. Vol. 1, A Medical History of African Americans and the Problem of Race: Beginnings to 1900, and: Dying in the City of the Blues: Sickle Cell Anemia and the Politics of Race and Health (review)." Bulletin of the History of Medicine 76, no. 3 (2002): 630–32. http://dx.doi.org/10.1353/bhm.2002.0137.

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Deitelzweig, Steven B., Jay Lin, Barbara H. Johnson, and Kathy L. Schulman. "Prevalence of Venous Thromboembolism Across Ethnic Groups in the United States." Blood 114, no. 22 (2009): 2492. http://dx.doi.org/10.1182/blood.v114.22.2492.2492.

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Abstract Abstract 2492 Poster Board II-469 Objective: Understanding the overall prevalence of VTE is paramount in estimating the burden of illness associated with this disease. This study aims to assess the number of VTE cases in the United States across ethnic groups based on recent data. Methods: Data from the Marketscan® Medicaid database from Thomson Reuters (Jan 2002–Dec 2005) were extracted for patients aged ≥18 years. Patients were evaluated for VTE in each year, defined by the presence of a VTE diagnosis on an inpatient claim or on ≥1 outpatient claim with evidence of anticoagulant adm

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Rose, Shyanika W., Michael S. Amato, Andrew Anesetti-Rothermel, et al. "Characteristics and Reach Equity of Policies Restricting Flavored Tobacco Product Sales in the United States." Health Promotion Practice 21, no. 1_suppl (2020): 44S—53S. http://dx.doi.org/10.1177/1524839919879928.

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In 2009, flavored cigarettes (except menthol) were banned in the United States, but other flavored tobacco products (FTPs) were allowed. Women, populations of color, youth, sexual minority, and low–socioeconomic status populations disproportionately use FTPs. Localities have passed sales restrictions on FTPs that may reduce disparities if vulnerable populations are reached. This study assessed the extent to which FTP restrictions reached these subgroups (“reach equity”). We identified 189 U.S. jurisdictions with FTP policies as of December 31, 2018. We linked jurisdictions with demographics of

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Smith, Wendy M., Terence M. Davidson, and Claire Murphy. "Regional Variations in Chronic Rhinosinusitis, 2003–2006." Otolaryngology–Head and Neck Surgery 141, no. 3 (2009): 347–52. http://dx.doi.org/10.1016/j.otohns.2009.05.021.

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OBJECTIVES: 1. Characterize patient visits for chronic rhinosinusitis on the basis of age, gender, race, diagnostic services, and medication use. 2. Evaluate regional differences in patient visits for chronic rhinosinusitis. STUDY DESIGN: Analysis of cross-sectional survey data from two national databases of ambulatory medical encounters. SETTING: Not applicable. SUBJECTS AND METHODS: Four years (2003–2006) of data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey were analyzed. Visits involving chronic rhinosinusitis were identified by u

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Singh, Sunny R. K., Sindhu Janarthanam Malapati, Rohit Kumar, Kannan Thanikachalam, and Yaser Alkhatib. "Predictors of transfer to different facility at discharge in patients admitted with metastatic solid malignancy: Five-year National Inpatient Sample (NIS) database analysis." Journal of Clinical Oncology 37, no. 31_suppl (2019): 38. http://dx.doi.org/10.1200/jco.2019.37.31_suppl.38.

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38 Background: Improvement in cancer treatment has led to an increase in prevalence of metastatic malignancy (met-Ca) with a rise in healthcare utilization secondary to this. We aim to identify predictive factors for transfer at discharge to another non-acute facility, such as nursing home and sub-acute rehab. Methods: This is a retrospective cohort analysis of NIS database (from years 2010 to 2014.) Inclusion criteria was any admission of adults (≥18 years) with met-Ca (identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes.) Patients tra

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Bantug, Elissa Thorner, Kimberly S. Peairs, Lillie D. Shockney, et al. "Making it work: Breast cancer survivorship care at Johns Hopkins." Journal of Clinical Oncology 30, no. 27_suppl (2012): 61. http://dx.doi.org/10.1200/jco.2012.30.27_suppl.61.

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61 Background: Breast cancer survivor numbers are increasing due to population aging and improved treatment outcomes but many of their long-term health care needs are unmet. Integrated follow-up care strategies that enhance care coordination, education, and access to survivorship resources are needed to provide patients with evidence-based care that addresses medical and psychosocial needs after cancer treatment. Methods: In 2008, we established the Johns Hopkins Breast Cancer Survivorship Program with representation from the Schools of Nursing, Public Health, and Medicine to address the needs

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Lum, Grande. "The Community Relations Service's Work in Preventing and Responding to Unfounded Racially and Religiously Motivated Violence after 9/11." Texas A&M Journal of Property Law 5, no. 2 (2018): 139–55. http://dx.doi.org/10.37419/jpl.v5.i2.2.

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On the morning of September 11, 2001, New York City-based Community Relations Service (“CRS”) Regional Director Reinaldo Rivera was at a New Jersey summit on racial profiling. At 8:46 a.m., an American Airlines 767 crashed into the North Tower of New York City’s World Trade Center. Because Rivera was with the New Jersey state attorney general, he quickly learned of the attack. Rivera immediately called his staff members, who at that moment were traveling to Long Island, New York, for an unrelated case. Getting into Manhattan had already become difficult, so Rivera instructed his conciliators t

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M Ramos, Delma, and Varaxy Yi. "Doctoral Women of Color Coping with Racism and Sexism in the Academy." International Journal of Doctoral Studies 15 (2020): 135–58. http://dx.doi.org/10.28945/4508.

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Aim/Purpose: This qualitative study examined the racist and sexist experiences of doctoral women of color in the academy. Background: Doctoral women of color (e.g., Asian Americans, Pacific Islanders, African Americans, Latina Americans, and Native Americans) continue to experience racism and sexism in academic spaces. While few studies have explored the experiences of doctoral students of color and doctoral women of color, with a larger emphasis on how they respond to racism, our study sought to further the knowledge and discourse surrounding the intersectionality of racism and sexism in acad

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Jain, Shivi, Andrew Srisuwananukorn, Santosh L. Saraf, et al. "Cancer Incidence in Sickle Cell Disease:an Institutional Experience." Blood 132, Supplement 1 (2018): 1087. http://dx.doi.org/10.1182/blood-2018-99-115508.

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Abstract Background. The incidence of cancer in sickle cell disease (SCD) is of substantial interest since life expectancy of SCD patients has improved with 85-94%SCD patients surviving to adulthood1and the risk of cancer increases with advancing age. A limited number of case reports and surveys have suggested an increased risk of cancer in the SCD population. Two large population based studies have recently examined the incidence of cancer in the SCD population. Goldacre et al. reported an increased incidence of hematologic cancers and some solid tumors among 7512 SCD patients in England comp

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Rosenberg, Aaron Seth, Qian Li, Ann M. Brunson, Joseph Tuscano, Ted Wun, and Theresa H. M. Keegan. "Changing Incidence of Major Cardiovascular Events in Multiple Myeloma Patients over Time." Blood 132, Supplement 1 (2018): 3598. http://dx.doi.org/10.1182/blood-2018-99-117959.

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Abstract Background: While multiple myeloma (MM) comprises only 2% of all cancer diagnoses, the prevalence of the disease in the US has markedly increased from 46,865 patients in 2000 to 124,733 in 2015. New therapeutic classes have led to longer survival, and allowed older patients to undergo life-prolonging therapy. Survivorship issues are now becoming relevant for this population, as ongoing therapy may have as yet unappreciated long term sequelae. MM is a disease of older patients, with a median diagnosis age of 69, and the incidence is greatest among African Americans (AA), populations at

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Ghalehsari, Nima, Pragnan Kancharla, Neil S. Nimkar, et al. "An Institutional Retrospective Study on Recognizing the Delay in Multiple Myeloma Diagnosis." Blood 134, Supplement_1 (2019): 3430. http://dx.doi.org/10.1182/blood-2019-127625.

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Background Multiple myeloma (MM) is the abnormal proliferation of plasma cells in the bone marrow often resulting in debilitating symptoms ranging from ostealgia to pathological fractures from bone destruction. According to American Cancer Society, MM accounts for 1-2% of cancers and approximately 17% of hematological malignancies in the United States each year (1). Fifty percent of patients with symptomatic MM have three or more primary care visits before they are referred to a specialist, which is greater than any other cancer (5). It has been shown that a delay in diagnosing multiple myelom

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Allen, Shauntice, Monika M. Safford, and Virginia J. Howard. "Abstract T P143: Addressing Stroke Disparities through Exploring Health Information-Seeking Behaviors among Young Adult African Americans." Stroke 46, suppl_1 (2015). http://dx.doi.org/10.1161/str.46.suppl_1.tp143.

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Introduction: Health information-seeking behaviors (HISB) are complex, varying by age, race and socioeconomic status. Examination of the process of HISB is critical in addressing the disproportionally high stroke risk in African Americans (AAs), especially in young adults where the stroke risk is greatest. We developed a survey to understand HISB related to stroke knowledge, beliefs, and attitudes, targeted to young AA professionals aged 21-45. Methods: Phase 1 consisted of focus groups in four states, followed by Phase 2: development, pretesting and pilot survey administration of an online su

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Rosenblatt, Andrew M., Deidra C. Crews, Neil R. Powe, Alan B. Zonderman, Michele K. Evans, and Delphine S. Tuot. "Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort." BMC Public Health 21, no. 1 (2021). http://dx.doi.org/10.1186/s12889-021-11633-8.

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Abstract Background Neighborhood social cohesion (NSC) is the network of relationships as well as the shared values and norms of residents in a neighborhood. Higher NSC has been associated with improved cardiovascular health, largely among Whites but not African Americans. In a bi-racial cohort, we aimed to study the association between NSC and chronic disease awareness and engagement in healthy self-management behaviors, two potential mechanisms by which NSC could impact cardiovascular health outcomes. Methods Using the Healthy Aging in Neighborhoods of Diversity Across the Lifespan Study (HA

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Harris, Gabrielle M., J. George Thomas, Vu Nguyen, et al. "Abstract T P129: Depression Differs by Race among Stroke Survivors Receiving Inpatient Rehabilitation." Stroke 46, suppl_1 (2015). http://dx.doi.org/10.1161/str.46.suppl_1.tp129.

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Background: Depression is associated with increased mortality and morbidity post-stroke and can adversely impact functional recovery. To-date, studies of depression among stroke survivors receiving inpatient rehabilitation have not examined whether the prevalence differs by race. Methods: This retrospective cohort study included patients who received inpatient rehabilitation care after an acute stroke in 2009-2011 at one of three facilities that are part of a comprehensive health system. Presence of depressive symptomology either pre- or post-stroke was identified in the neuropsychological ass

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Singh, Harkamal S., Lewis B. Morgenstern, Lesli E. Skolarus, and James F. Burke. "Abstract T P296: Race/Ethnicity Disparities in Access to Inpatient Physical and Occupational Therapy Exist." Stroke 46, suppl_1 (2015). http://dx.doi.org/10.1161/str.46.suppl_1.tp296.

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Introduction: African-Americans and Hispanics have worse functional outcomes after stroke, although the reasons for these disparities are not known. As more intense rehabilitation therapy after stroke is associated with improved outcomes, we hypothesized that decreased access to therapy during stroke hospitalization may contribute to outcome disparities. Methods: The 2008 State Inpatient Databases (SID) for seven states, which include data on all inpatient discharges within a state were used to identify all primary ischemic stroke (ICD-9-CM 433.x1, 434.x1, 436) and intracerebral hemorrhage dis

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Buie, Joy N., Gayenell Magwood, Catrina Sims-Robinson, Daniel Lackland, and Robert Adams. "Abstract WP485: Racial Differences in the Association Between Central Hemodynamic Parameters and Neuropsychological Assessments." Stroke 51, Suppl_1 (2020). http://dx.doi.org/10.1161/str.51.suppl_1.wp485.

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Introduction: Despite a significantly younger at time of stroke, African Americans are at increased risk for post-stroke cognitive impairment compared to whites. Although central arterial stiffness is a well-established correlate of cognitive function in whites, its predictive value in African Americans is not well characterized. We hypothesized that arterial stiffness measures previously associated with declines in cognition may be more robust in African Americans compared to whites. Methods: We administered the Mini Mental State Examination (MMSE), Trail Making Test Part-A (TMTA) and Part-B

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Utych, Stephen M. "Race, Dehumanization, and the NFL National Anthem Protests." Journal of Experimental Political Science, November 20, 2020, 1–16. http://dx.doi.org/10.1017/xps.2020.33.

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Abstract Dehumanizing language, or language used to describe human beings as non-human entities, is increasingly prevalent in political life. This dehumanization also occurs frequently in the world of sports. Sports and politics intersected notably in 2016, when Colin Kaepernick of the NFL’s San Francisco 49ers started protesting the national anthem to raise awareness about police violence against African-Americans. Kaepernick’s protests generated considerable vitriol towards him and other protesters, some of which was dehumanizing. In this study, I examine how dehumanizing language used again

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Bhattacharya, Pratik, Ambooj Tiwari, Sam Watson, Scott Millis, Seemant Chaturvedi, and Kumar Rajamani. "Abstract 3060: Racial Disparities in Early Institution of “Do Not Resuscitate” Orders Influence Survival in Acute Ischemic Strokes." Stroke 43, suppl_1 (2012). http://dx.doi.org/10.1161/str.43.suppl_1.a3060.

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Background: The importance of early institution of “Do Not Resuscitate” (DNR) orders in determining outcomes from intracerebral hemorrhage is established. In the setting of acute ischemic stroke, African Americans tend to utilize critical care interventions more and palliative care options less than Caucasians. Recent epidemiological studies in acute ischemic stroke have shown a somewhat better survival for African Americans compared with Caucasians. Our hypothesis was that racial differences in early institution of DNR orders would influence mortality in acute ischemic stroke. Methods: a retr

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Noorbakhsh-Sabet, Nariman, Georgios Tsivgoulis, Nitin Goyal, Andrei Alexandrov, and Ramin Zand. "Abstract TP49: Racial Difference in Cerebral Microbleed Burden in the Mid-South United States." Stroke 48, suppl_1 (2017). http://dx.doi.org/10.1161/str.48.suppl_1.tp49.

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Introduction: Although intracerebral hemorrhage (ICH) is more common among African Americans, data on the burden of cerebral microbleeds (CMBs) among different racial populations is limited. The purpose of this study is to compare the number, associated factors, and topography of CMBs between African-American and white populations in the Mid-South United States. Methods: We reviewed consecutive patients who had magnetic resonance imaging (MRI) of brain at four tertiary centers in Memphis, Tennessee in a two-year period. T2*-weighted MRIs were assessed for the number, location, and topography o

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Olasoji, Esther, FRED S. SARFO, and Alexis Simpkins. "Abstract P884: Differences in Stroke Type and Stroke Risk Factors Between African Americans and Ghanaian Stroke Patients." Stroke 52, Suppl_1 (2021). http://dx.doi.org/10.1161/str.52.suppl_1.p884.

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Introduction: Ancestral lineage of many African Americans (AA) includes West African descent. Previous research has shown a higher prevalence of cardiovascular risk factors such as hypertension and diabetes mellitus (DM) in AA compared to other racial groups in the United States (US). Some have attributed these differences in the US population to ancestral lineage of the AA population. We sought to compare the stroke type and stroke risk factors between AA and Ghana, a country in West Africa. Methods: Data from the UFHealth institutional stroke database and the Kumasi, Ghana Stroke Survivors R

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Cierny, Marek, Shumei Man, and Ken Uchino. "Abstract MP54: Increase in the Urban-Rural Divide in Cerebrovascular Mortality Among Middle-Aged Adults From 2013 to 2018." Stroke 52, Suppl_1 (2021). http://dx.doi.org/10.1161/str.52.suppl_1.mp54.

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Introduction: Despite observed overall decline cerebrovascular mortality in the United States over the past 2 decades, geographic pockets of increasing cerebrovascular mortality among middle aged adults have been reported on county-level data; and factors driving this regional increase are poorly understood. Methods: We extracted cerebrovascular mortality rates (ICD tenth revision codes I60-I69) in middle aged adults (age 35-64) from Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiological Research database from 1999 to 2018. Variations in annual age-adjusted mor

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Safford, Monika M., Gaurav Parmar, Todd M. Brown, et al. "Abstract P28: Awareness and Management of CVD Risk Factors and Area-Level Mortality Regions in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study." Circulation: Cardiovascular Quality and Outcomes 4, suppl_1 (2011). http://dx.doi.org/10.1161/circoutcomes.4.suppl_1.ap28.

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Background: Federally designated Health Professional Shortage Areas (HPSA) receive extra resources, but recent reports suggest that HPSAs may not consistently identify areas of need. We examined an alternative approach to designating areas of need based on county-level ischemic heart disease (IHD) and stroke mortality rates. Methods: We examined participants in the REGARDS Study, a national cohort of 30,239 US community-dwelling adults (42% African Americans) aged ≥45 recruited 2003-7. “Need” was defined by awareness, treatment or control of hypertension (n=21,118), diabetes (6,355) or hyperli

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Lee, Loretta T., Anne W. Alexandrov, George Howard, and Virginia J. Howard. "Abstract NS5: Pre-diabetes in the Reasons for Geographic and Racial Differences in Stroke Study: A Disregarded Stroke Risk?" Stroke 44, suppl_1 (2013). http://dx.doi.org/10.1161/str.44.suppl_1.ans5.

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Background: Pre-diabetes is a new diagnostic category that is highly associated with a future diagnosis of diabetes. Given the risk for stroke associated with diabetes, we sought to determine bio-behavioral factors associated with pre-diabetes in the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort. Methods: Participants who were normoglycemic (15,121) and pre-diabetic (4,768) were included. Logistic regression was used to assess the association of bio-behavioral factors (smoking, alcohol use, physical activity) and prevalence of pre-diabetes. Results: The analysis coho

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Sene-Harper, Aby, Myron Floyd, and Akiebia Hicks. "Black Philanthropy and National Parks: Giving Green to Give Black." Journal of Park and Recreation Administration, March 25, 2021. http://dx.doi.org/10.18666/jpra-2021-10666.

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Philanthropic partners have always played a critical role in the management and maintenance of national parks in the U.S. Cultivating strong relationships with the communities of color, particularly African Americans, has been a major challenge for the National Park Service (NPS). As ethnic populations increase in share of the U.S. total population, the lack of diversity in NPS partnerships will be increasingly problematic for national parks funding and stewardship. Building philanthropic partnerships with African American audiences will be critical to the long-term sustainability of the NPS.

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Reddy, Sujan Teegala, Tzu-Ching Wu, Xu Zhang, et al. "Abstract WP243: Assessment of Racial and Gender Disparities in Transfer Times During Inter Facility Transfer for Thrombectomy Evaluation." Stroke 51, Suppl_1 (2020). http://dx.doi.org/10.1161/str.51.suppl_1.wp243.

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Introduction: It is known that racial and gender differences exist in incidence of acute ischemic stroke (AIS) presentations. We evaluated racial and gender differences in tele-stroke evaluation and transfer times in AIS patients during inter-facility transfer for potential EVT. Methods: We retrospectively analyzed AIS patients transferred from 13 referring hospitals (RH) to our hub at the University of Texas Health Science Center at Houston, covering the greater Houston area, from September 2015 to April 2018. Tele-stroke consultation (TSC) times were defined as time from RH arrival to tele-s

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Mehndiratta, Prachi, Kathleen Ryan, John W. Cole, et al. "Abstract WP229: Young African Americans With Stroke Have a Greater Burden of Multiple Risk Factors Than Their White Counterparts." Stroke 51, Suppl_1 (2020). http://dx.doi.org/10.1161/str.51.suppl_1.wp229.

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Background: Stroke in young adults accounts for 15-18% of all ischemic stroke (IS) cases and disproportionately affects African Americans (AfrAm). While it is well known that a higher prevalence of vascular risk factors, particularly HTN and DM, contributes to this excess risk, few studies have examined the potential contribution of the synergistic risk from multiple vascular risk factors. Methods: A population-based case-control study with 582 cases and 727 controls ages 15-49 was used to investigate the relationship of multiple risk factors and IS in young adults and compare AfrAM and White

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Somani, Sana, Hely Nanavati, Xiaohua Zhou, and Chen Lin. "Abstract P446: African American Women Have Lower Functional Performance During Acute Inpatient Rehabilitation After Intracerebral Hemorrhagic Strokes." Stroke 52, Suppl_1 (2021). http://dx.doi.org/10.1161/str.52.suppl_1.p446.

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Introduction: Intracerebral hemorrhage (ICH), a subtype of stroke, leads to significant long-term disability. Research in stroke recovery and rehabilitation has focused on ischemic strokes. Identifying factors that impact the recovery of function for patients at an inpatient rehabilitation facility (IRF) following an ICH is necessary. Our purpose is to identify factors, including racial and gender disparities, associated with inpatient rehabilitation after ICH. Methods: We performed a retrospective analysis of a tertiary care academic hospital in the Stroke Belt of the US, the University of Al

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