Academic literature on the topic 'Mortality and race. Men African American men Men, White African American men Men, White'

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Journal articles on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

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Sridhar, Gayathri, Saba W. Masho, Tilahun Adera, Viswanathan Ramakrishnan, and John D. Roberts. "Do African American Men Have Lower Survival From Prostate Cancer Compared With White Men? A Meta-analysis." American Journal of Men's Health 4, no. 3 (May 18, 2010): 189–206. http://dx.doi.org/10.1177/1557988309353934.

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Prostate cancer is the second leading cause of cancer-related mortality in men. This meta-analysis was conducted to investigate the relationship between race and survival from prostate cancer. A systematic review of articles published from 1968 to 2007 assessing survival from prostate cancer was conducted. Analysis of unadjusted studies reported that African American men have an increased risk of all-cause mortality (hazard ratio [HR] = 1.47, 95% confidence interval [CI] = 1.31-1.65, p < .001). However, examination of adjusted studies identified no difference (HR = 1.07, 95% CI = 0.94-1.22, p = .308). No statistically significant difference was observed in prostate cancer—specific survival in both analyses using unadjusted (HR = 1.11, 95% CI = 0.94-1.31, p = .209) and adjusted studies (HR = 1.15, 95% CI = 0.95-1.41, p = .157). This meta-analysis concludes that there are no racial differences in the overall and prostate cancer—specific survival between African American and White men.
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Klebaner, Daniella, Patrick Travis Courtney, and Brent S. Rose. "Effect of healthcare system on prostate cancer-specific mortality in African American and non-Hispanic white men." Journal of Clinical Oncology 39, no. 6_suppl (February 20, 2021): 23. http://dx.doi.org/10.1200/jco.2021.39.6_suppl.23.

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23 Background: Disparities in prostate cancer-specific mortality (PCSM) between African American and non-Hispanic White (White) patients have been attributed to biological differences; however, recent data suggest poorer outcomes may be related to barriers to medical care from the healthcare system in which patients receive care. We sought to evaluate potential drivers of disparities by comparing outcomes between African American and White men in the Surveillance, Epidemiology and End Results (SEER) national cancer registry and a relatively equal-access healthcare system, the Veterans Health Administration (VHA). Methods: We identified African American and White patients diagnosed with prostate cancer between 2004-2015 in the SEER and VHA databases. We analyzed metastatic disease at diagnosis with multivariable logistic regression, and PCSM with cumulative incidence analysis and sequential competing-risks regression adjusting for disease and sociodemographic factors. Results: The SEER cohort included 306,609 men (57,994 [18.9%] African American and 248,615 [81.1%] White) with a median follow-up of 5.3 years (interquartile range [IQR] 2.6-8.1 years), and the VHA cohort included 90,749 men (27,412 [30.2%] African American and 63,337 [69.8%] White) with a median follow-up of 4.7 years (IQR 2.4-7.6 years). In SEER, African American men were significantly more likely to present with metastatic disease (African American 4.3% versus White 3.0%, p< 0.001; multivariable odds ratio [OR] 1.25, 95% confidence interval [CI] 1.19-1.32, p< 0.001), whereas in the VHA, African American men were not significantly more likely to present with metastatic disease (African-American 3.2% versus White 3.3%, p= 0.26; multivariable OR 1.07, 95% CI 0.98-1.17, p= 0.12). In SEER, the 8-year cumulative incidence of PCSM was significantly higher for African American compared with White men (6.9% versus 5.1%, p< 0.001), whereas in the VHA, African American compared with White men did not have a significantly higher 8-year cumulative incidence of PCSM (5.5% versus 5.4%, p= 0.93). African American race was significantly associated with an increased risk of PCSM in SEER (univariable subdistribution hazard ratio [SHR] 1.39, 95% CI 1.33-1.45, p< 0.001), but was not significantly associated with PCSM on uni- and multivariable regression in the VHA. When adjusted for disease characteristics at diagnosis in SEER, disease extent, PSA, and Gleason score contributed to 85% of the risk of PCSM for African American men (adjusted SHR 1.06, 95% CI 1.02-1.12, p= 0.008). Conclusions: Racial disparities in PCSM were present in a national cohort, SEER, but not as pronounced in a relatively equal-access healthcare system, the VHA, potentially due to differences in metastatic disease at diagnosis among African American and White men between cohorts. These findings may be attributable to reduced barriers to care in the VHA.
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Lu-Yao, Grace L., Dirk Moore, Yong Lin, Kitaw Demissie, Weichung Shih, Peter C. Albertsen, Robert S. DiPaola, and Siu-Long Yao. "Racial differences in survival outcomes among men with localized prostate cancer." Journal of Clinical Oncology 31, no. 6_suppl (February 20, 2013): 98. http://dx.doi.org/10.1200/jco.2013.31.6_suppl.98.

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98 Background: This study addresses whether the recent favorable survival trends observed among contemporary prostate cancer patients can be extended to African American men who have historically suffered excess prostate cancer mortality. Methods: The study cohort consisted of men over age 65, who resided in the SEER catchment area and were diagnosed with T1-T2 prostate cancer (ICD-O-3 code C61.9) during the period 1992-2005. In order to quantify race-specific prostate cancer mortality, separate competing risk models were fit separately for Whites and Blacks. Results: This study includes 35,509 white men and 5,256 black men who received conservative management for localized prostate cancer. The median age of the patients is 76 years at diagnosis and the median follow-up is 106 months. Overall, African Americans have slightly higher adjusted prostate cancer mortality than Whites (hazard ratio [HR] =1.16; 95% confidence interval [C.I.] 1.03 – 1.29). The racial difference was more pronounced in men with moderately differentiated cancer (HR=1.24, 95% CI 1.05 – 1.45), compared to poorly differentiated cancer (HR=1.00, 95% C.I. 0.85 – 1.18). Further analyses by comorbidity status and income level revealed that African Americans and Whites have similar excellent prostate cancer survival if they lived in areas with incomes above the median. Conclusions: African Americans diagnosed in the contemporary PSA era have similarly excellent survival outcomes as their white counterparts if they lived in areas with incomes above the median. Further studies should be conducted to confirm these findings and assess care and health habits that may improve cancer control and outcomes among African Americans.
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Parikh, Ravi Bharat, Sumedha Chhatre, S. Bruce Malkowicz, Bingnan Li, and Ravishankar Jayadevappa. "Racial disparities in survivorship care adherence among Medicare beneficiaries with prostate cancer." Journal of Clinical Oncology 37, no. 7_suppl (March 1, 2019): 72. http://dx.doi.org/10.1200/jco.2019.37.7_suppl.72.

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72 Background: African-American men with prostate cancer have higher cancer-related and all-cause mortality than their Caucasian counterparts. Differences in adherence to guideline-based survivorship care may contribute to these disparities. Methods: Using the SEER-Medicare database, we conducted a retrospective cohort study of men ≥66 years old treated for localized prostate cancer between 2008 and 2011 who had at least two visits with a specialist or primary care physician after diagnosis. Patients were followed until 2013. We calculated rates of bone mineral density screening (among men treated with androgen deprivation therapy) and colorectal cancer screening after diagnosis, stratified by race and provider seen. We analyzed the association between continuity of care (CoC) and adherence to colorectal cancer screening after calculating a CoC index. Results: Among 107262 men with localized prostate cancer, adherence to colorectal cancer and bone mineral density screening was higher for Non-Hispanic White and Hispanic men compared to African-American men (Table). Adherence to screening was slightly higher for men who followed with primary care physicians compared to specialists. After adjusting for relevant covariates and number of providers, higher CoC with primary care physicians was associated with improved adherence to colorectal screening among Non-Hispanic Whites (OR = 1.25, 95% CI = 1.11-1.40), African-Americans (OR = 1.39, CI = 1.05-1.84) and Hispanics (OR = 2.74, CI = 1.27-5.90). However, higher CoC with specialists was significantly associated with colon cancer screening only among African Americans (OR 1.59, 95% CI 1.25-2.04). Conclusions: Among a large cohort of men with localized prostate cancer, the association between CoC and guideline-based survivorship care varied by type of provider and by racial and ethnic group. [Table: see text]
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Parikh, Ravi Bharat, Kyle William Robinson, Sumedha Chhatre, Elina Medvedeva, S. Bruce Malkowicz, and Ravishankar Jayadevappa. "Racial disparities in definitive treatment and long-term mortality among US veterans with high-risk localized prostate cancer." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19037-e19037. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19037.

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e19037 Background: Equal access to care may mediate racial disparities among men with localized prostate cancer. We examined the association between African-American race and long-term mortality among men with high-risk prostate cancer in a large equal-access health system. Methods: In this retrospective cohort study, we used the VA Corporate Data Warehouse to identify African-American (AA) and non-Hispanic White Veterans diagnosed with high-risk (prostate-specific antigen [PSA] ≥ 20 ng/mL, Gleason 8-10, or stage ≥ cT2c) localized prostate cancer between January 1st, 2001 and December 31st, 2011 and followed through January 1st, 2019. Veterans who did not receive continuous VA care were excluded. We used descriptive statistics to compare type of therapy received and multivariable Cox proportional hazards regressions to estimate the association between mortality and race. Cox models were adjusted for age, pre-treatment PSA, year of diagnosis, enrollment priority (an individual-level proxy for income and disability need), marital status, Elixhauser comorbidity index, and primary treatment. Results: Among 14,877 Veterans (median age 67 years [interquartile range [IQR] 62-75]), 4,160 (28.0%) were AA. Median followup was 9.0 years (IQR 6.1-11.4). Compared to White men, AA men were more likely to have PSA ≥ 20 (49.9% vs. 40.9%), be unmarried (59.3% vs. 43.3%), have ≥3 comorbidities (46.4% vs. 41.0%), and have high disability and income need (22.0% vs. 18.6%) (all p < 0.001). Over time, AA Veterans were consistently less likely to receive prostatectomy (18.9% vs. 24.9%). Crude mortality rates were 50.6 and 61.6 deaths per 1000 patient-years for AA and White Veterans, respectively. After adjusting for all covariates, AA Veterans had lower all-cause mortality (adjusted hazard ratio [aHR] 0.83, 95% CI 0.79-0.88, p < 0.001) compared to White Veterans. This association was consistent across pre-specified subgroups (Table). Conclusions: Among men with high-risk prostate cancer who received continuous care within a large equal-access health system, African-Americans had lower all-cause mortality compared to Whites. Equal access to care may mitigate or reverse traditional racial disparities in mortality among men with prostate cancer. [Table: see text]
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Hawkins, Jaclynn, Karen Gilcher, Claudia Schwenzer, and Michael Lutz. "Investigating Racial Differences among Men in COVID-19 Diagnosis, and Related Psychosocial and Behavioral Factors: Data from the Michigan Men’s Health Event." International Journal of Environmental Research and Public Health 18, no. 6 (March 22, 2021): 3284. http://dx.doi.org/10.3390/ijerph18063284.

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Extant research is growing in its ability to explain sex differences in novel coronavirus 2019 (COVID-19) diagnosis and mortality. Moving beyond comparisons based on biological sex is now warranted to capture a more nuanced picture of disparities in COVID-19 diagnosis and mortality specifically among men who are more likely to die of the illness. The objective of this study was to investigate racial disparities in COVID-19-related psychosocial, behavior and health variables among men. The present study utilizes a sample of 824 men who participated in a free health event held in a Midwestern state. Chi-square analysis showed that African American men were more likely to report an adverse impact of COVID-19 based on several factors including experiencing more COVID-19-related medical issues (χ2 = 4.60 p = 0.03); higher COVID-19 diagnosis (χ2 = 4.60 p = 0.02); trouble paying for food (χ2 = 8.47, p = 0.00), rent (χ2 = 12.26, p = 0.00), medication (χ2 = 7.10 p = 0.01) and utility bills (χ2 = 19.68, p = 0.00); higher fear of contracting COVID-19 (χ2 = 31.19, p = 0.00); and higher rates of death of close friends and family due to COVID (χ2 = 48.85, p = 0.00). Non-Hispanic white men reported more increased stress levels due to COVID-19 compared to African American men (χ2 = 10.21, p = 0.01). Regression analysis showed that race was a significant predictor of self-reported COVID-19 diagnosis (OR = 2.56, p < 0.05) after controlling for demographic characteristics. The results showed that compared to non-Hispanic White men, African American men were more likely to report an adverse impact of COVID-19 based on several factors including experiencing more COVID-19-related medical issues; higher COVID-19 diagnosis; trouble paying for food, rent, medication and utility bills; higher fear of contracting COVID-19; and higher rates of death of close friends and family due to COVID. Interestingly, non-Hispanic white men reported more increased stress levels due to COVID-19 compared to African American men.
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Singleton, Alyson L., Brandon D. Marshall, Xiao Zang, Amy S. Nunn, and William C. Goedel. "1701. Added Benefits of Pre-exposure Prophylaxis Use on HIV Incidence with Minimal Changes in Efficiency in the Context of High Treatment Engagement among Men Who Have Sex with Men." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S833. http://dx.doi.org/10.1093/ofid/ofaa439.1879.

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Abstract Background Although there is ongoing debate over the need for substantial increases in PrEP use when antiretroviral treatment confers the dual benefits of reducing HIV-related morbidity and mortality and the risk of HIV transmission, no studies to date have quantified the potential added benefits of PrEP use in settings with high treatment engagement across variable sub-epidemics in the United States. Methods We used a previously published agent-based network model to simulate HIV transmission in a dynamic network of 17,440 Black/African American and White MSM in Atlanta, Georgia from 2015 to 2024 to understand how the magnitude of reductions in HIV incidence attributable to varying levels of PrEP use (0–90%) changes in potential futures where high levels of treatment engagement (i.e. the UNAIDS ‘90-90-90’ goals and eventual ‘95-95-95’ goals) are achieved and maintained, as compared to current levels of treatment engagement in Atlanta (Figure 1). Model inputs related to HIV treatment engagement among Black/African American and White men who have sex with men in Atlanta. A comparison of current levels of treatment engagement (Panel A) to treatment engagement at ‘90-90-90’ (Panel B) and ‘95-95-95’ goals (Panel C). Results Even at achievement and maintenance of ‘90-90-90’ goals, 75% PrEP coverage reduced incidence rates by an additional 67.9% and 74.2% to 1.53 (SI: 1.39, 1.70) and 0.355 (SI: 0.316, 0.391) per 100 person-years for Black/African American and White MSM, respectively (Figure 2), compared to the same scenario with no PrEP use. Additionally, an increase from 15% PrEP coverage to 75% under ‘90-90-90’ goals only increased person-years of PrEP use per HIV infection averted, a measure of efficiency of PrEP, by 8.1% and 10.5% to 26.7 (SI: 25.6, 28.0) and 73.3 (SI: 70.6, 75.7) among Black/African American MSM and White MSM, respectively (Figure 3). Overall (Panel A) and race-stratified (Panel B and Panel C) marginal changes in HIV incidence over ten years among Black/African American and White men who have sex with men in Atlanta across scenarios of varied levels of treatment engagement among agents living with HIV infection and levels of pre-exposure prophylaxis use among HIV-uninfected agents. Note: All changes are calculated within each set of treatment scenarios relative to a scenario where no agents use pre-exposure prophylaxis. Person-years of pre-exposure prophylaxis use per HIV infection averted among Black/African American (Panel A) and White (Panel B) men who have sex with men in Atlanta across scenarios of varied levels of treatment engagement among agents living with HIV infection and levels of pre-exposure prophylaxis use among HIV-uninfected agents. Note: The number of HIV infections averted is calculated within each set of treatment scenarios relative to a scenario where no agents use pre-exposure prophylaxis. Conclusion Even in the context of high treatment engagement, substantial expansion of PrEP use still contributes to meaningful decreases in HIV incidence among MSM with minimal changes in person-years of PrEP use per HIV infection averted, particularly for Black/African American MSM. Disclosures All Authors: No reported disclosures
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Walter, Rayford, Jennifer Jordan, Mandeep Takhar, Mohammed Alshalalfa, Darlene Dai, Nicholas Erho, Mark Greenberger, Randy Bradley, and Elai Davicioni. "Genomic variations associated with prostate cancer in large cohort of African American men." Journal of Clinical Oncology 36, no. 6_suppl (February 20, 2018): 20. http://dx.doi.org/10.1200/jco.2018.36.6_suppl.20.

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20 Background: Racial disparities in prostate cancer (PCa) incidence and mortality are well known. PCa is known to be more aggressive in African American men (AAM) in terms of higher incidence and mortality rates. Here we validate a tumor gene expression pan-cancer race model in men with PCa and further characterize genomic differences that may contribute to disparate clinical outcomes Methods: We obtained de-identified genome-wide expression profiles from clinical use of the Decipher RP test in 9,953 men from the GRID registry database. A subset of men (n = 313) had known race status. A pan-cancer race model, developed to predict patient AAM race from analysis of gene expression patterns in 4,162 tumors from retrospective cohorts with known race status was applied to the prospective cohort for race prediction. Gene expression data was used to define genomic differences. Results: The race model has an AUC of 0.98 discriminating EAM from AAM in independent PCa cohort. The model was then applied to the 9,640 GRID patients with unknown race status and classified 6,831 as EAM, 1,058 as AAM with 1,751 as having indeterminate race. Characterizing the molecular subtypes, we found known and predicted AAM to be enriched with SPINK1+ tumors (21% and 24%, respectively) compared to predicted EAM (8%). In contrast, while ERG+ was found 22% and 19% in known and predicted AAM, respectively compared to 46% in predicted EAM. Based on PAM50 prostate cancer classifier, 61% of AAM were classified as basal-like tumors, whereas 41% were basal-like in EAM. Similarly, 28% of AAM had low AR-A while only 11% of EAM had low AR-A. AAM tumors had higher levels of immune infiltration signatures as well as higher scores for inflammatory and interferon gamma responses, and Interleukin 6 (IL6) signaling activity scores. AAM had lower DNA repair and glycolysis pathway activity compared to EAM Conclusions: Known and predicted AAM, were enriched with SPINK1+ tumors, higher immune infiltration and activation but lower ERG+, DNA repair and AR activity tumors. Using such large GRID data with known race, we will further understand the underlying causes associated with prostate cancer racial disparities which could lead to personalized diagnosis and treatment.
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Winkfield, K. M., M. Chen, D. E. Dosoretz, S. A. Salenius, M. J. Katin, R. Ross, and A. V. D’Amico. "Race and survival following brachytherapy-based treatment for men with localized or locally advanced adenocarcinoma of the prostate." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): 5068. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.5068.

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5068 Purpose: We investigated whether race was associated with risk of death following brachytherapy-based treatment for localized prostate cancer. Methods: The study cohort was comprised of 4,880 men with clinical stage T1–3N0M0 prostate cancer and minimum follow-up of 2 years who underwent brachytherapy-based treatment at 20 centers within the 21st Century Oncology consortium. A Cox regression multivariable analysis was used to evaluate the risk of death in African-American (AA) and Hispanic (H) men as compared to Caucasian men adjusting for age, pretreatment PSA, Gleason score, clinical T stage, year and type of treatment, and comorbidity level. Results: After a median follow-up of 5 years, there were 924 deaths. AA and H race were significantly associated with an increased risk of ACM (adjusted hazard ratio [AHR] 1.42 and 1.66, [95% confidence interval (CI): 1.01 to 1.99 and 1.14 to 2.41]; p = 0.045 and 0.008, respectively). As shown in the table , other factors significantly associated with an increased risk of death included age (p<0.001), PSA (p = 0.02), Gleason score 8 to 10 (p = 0.001), year of brachytherapy (p<0.001), and presence of 2 or more significant comorbidities (p = 0.003). The risk of ACM was decreased following trimodality therapy (p = 0.02). Conclusions: African-American and Hispanic race as compared to white race appear to confer a higher risk of mortality following brachytherapy-based treatment in men with localized or locally advanced prostate cancer. [Table: see text] No significant financial relationships to disclose.
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Marar, Mallika, Ronac Mamtani, Vivek Narayan, Neha Vapiwala, and Ravi Bharat Parikh. "Racial disparities in utilization and effectiveness of first-line therapies in metastatic castrate-resistant prostate cancer." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e17541-e17541. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e17541.

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e17541 Background: Prospective evidence suggests that abiraterone use is associated with improved progression-free survival in African-American (AA) men with metastatic castrate-resistant prostate cancer (mCRPC) compared to white men. It is unclear whether race-based differences in treatment utilization and effectiveness exist for men with newly diagnosed mCRPC treated in real-world clinical practice. Methods: In this retrospective cohort study, we used the Flatiron Health electronic health record-derived de-identified database to identify patients with mCRPC who received first-line (1L) systemic therapy between 2012 and 2018. We used multivariable logistic regression analysis to examine differences in utilization of abiraterone, enzalutamide, and docetaxel between AA and white men. We then used Fine-Gray models with death as a competing risk to assess treatment-specific associations between race and time to next therapy (TTNT) – a proxy for progression-free survival. Finally, we used multivariable Cox proportional hazards analyses to assess for treatment-specific racial disparities in all-cause mortality. All analyses were adjusted for age, Elixhauser comorbidity index, baseline steroid or opioid use (a proxy for disease aggressiveness), performance status, insurance status, and (if significant) an interaction term for race and age. Results: Of 3,808 mCRPC patients in the cohort, 2,165 (68.7%) were white and 404 (10.6%) were AA. At time of metastatic diagnosis, AA men were younger (69 vs. 75, p < 0.001) and more likely to have PSA value greater than 50 (57.9% vs. 42.6%, p < 0.001) compared to white men. Median follow up was 15 months. There were no significant racial differences in 1L utilization, TTNT, or all-cause mortality associated with abiraterone, enzalutamide, or docetaxel use (Table). Conclusions: In this large real-world analysis of men with mCRPC who received 1L therapy, we found no significant treatment-specific differences in utilization, TTNT, or all-cause mortality between AA and white men. Long-term prospective evidence is needed to justify differential treatment selection for AA men with mCRPC. [Table: see text]
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Dissertations / Theses on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

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Frazier, Terrence Lanier. "African American college men holding leadership roles in majority white student groups." [Ames, Iowa : Iowa State University], 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3360345.

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Bender, Alexis A. "Rolling Manhood: How Black and White Men Experience Disability." unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-12052006-164005/.

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Thesis (M.A.)--Georgia State University, 2006.
Charles A. Gallaghe, committee chair; Kirk W. Elifson, Mindy Stombler, committee members. Electronic text (142 p.) : digital, PDF file. Description based on contents viewed June 28, 2007. Includes bibliographical references (p. 21-133).
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Matthews, Kimberly. "PERSISTENCE TO DOCTORAL COMPLETION OF AFRICAN AMERICAN MEN AT PREDOMINATELY WHITE UNIVERSITIES IN ONE MID-ATLANTIC STATE." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2732.

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This qualitative study examined the experiences of 20 African American men who graduated from predominately White institutions in one mid-Atlantic state between the years of 2001 and 2011 with doctoral degrees in Education or in a Humanities and Sciences field. Interviews were conducted to gather the lived experiences of the African American men in their own voices. The study addressed the following research questions: 1. Why do African American men persist to doctoral degree completion? 2. How do African American men perceive their doctoral student experience? A descriptive model that presents the internal and external factors revealed in the study is provided. Five main internal factors that contribute to the persistence of African American men in doctoral programs: personal refinement, academic refinement, professional refinement, motivation, and effective coping mechanisms were revealed. Three major external factors, support systems, positive relationships with the advisor/chair and committee, and financial support. In addition, the impact of the participants’ racial identity was explored and yielded both negative and positive effects on the doctoral student experience. Based upon the results, recommendations are offered for universities and departments, advisors and faculty, and future and current African American male doctoral students to aid them in persistence to degree completion.
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Strong, Myron. "Exploring the Gender Role Ideology of Black and White Men Between Ages 18 to 30." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc500185/.

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This research is a qualitative study that explores the gender role ideology of Black and White men between the ages of 18-30. The study found that both groups are moving toward egalitarianism on different pathways. The pathways illustrate the effect of racial identity on gender role ideology. White respondents had a progressive egalitarianism which stemmed from ideas reflected individualism, secularization, and the identification with the grand narrative of the United States. Their respondents also reflected postmodern ideas. Overall their ideas reflect larger White racial identity and shows an overlap between the progressive understanding of modernity and with postmodernist ideas of non-deterministic definitions. Black respondents had a collaborative egalitarianism which stemmed from historical racial and economic deprivation. Subsequently, Blacks gender role ideology illustrates collaboration and communal interdependence between of Black men and women, and the Black church. Blacks tended to view things from a social perspective that was often reactionary. Overall, their ideas reflected the larger Black racial identity which emphasizes collaboration between men and women and a reliance on community based institutions like the Black church.
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Grizzle, Oniffe D. "HOW AFRICAN AMERICAN COLLEGE MEN EXPERIENCED THEIR FIRST YEAR AT A PREDOMINANTLY WHITE, MID-WESTERN, REGIONAL, PUBLIC UNIVERSITY IN THE U.S." OpenSIUC, 2021. https://opensiuc.lib.siu.edu/dissertations/1938.

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African American men’s graduation rates from institutions of higher education are among the lowest of any demographic group in the United States. I interviewed African American men who shared their narratives on how they lived out their manhood on a mid-western public regional four-year university campus. The purpose of the study was to garner insights from their stories, and to see how the lessons learned from their lived experiences could be applied to improve the first year experience for this segment of the student population. The combination of phenomenological and grounded theory research paradigms helped me to analyze the lived experiences of African American men in an institution of higher education milieu. The main themes that I identified after analyzing the collected data, using critical race theory as a key theoretical lens, were Black Masculinity, Being Seen, Brotherhood, Support Groups, and Ideations of Success. African American men’s complex and multi-dimensional masculinities called for a sense of commitment and responsibility to community, family, and brotherhood. The respondents’ goals of graduating are similar to all other student groups, and they are most likely to thrive in their first year of college if their Black masculinities are centered; they most likely will seek assistance when made to feel valued and seen by institutional and familial support systems. Keywords: Black Masculinity, Progressive masculinities, African American college men, African American men’s first year experience, critical race theory, regional campus, PWI
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Arnold, Jason Matthew. "Ethnic Identity and Coping as Factors in Symptoms of Post-Traumatic Stress Disorder in a Sample of White, African American, and Latino Men." OpenSIUC, 2011. https://opensiuc.lib.siu.edu/dissertations/328.

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The focus of this study was to examine ethnic identity and coping style as potential factors in the development of Post-Traumatic Stress symptoms. This study obtained information from 381 undergraduate students at various universities and examined these variables using three instruments: the Brief COPE (Carver, 1997), the PTSD Checklist-Civilian Version (Weathers, Litz, Herman, Huska, & Keane, 1993), and the Multigroup Ethnic Identity Measure (Phinney, 1992). Correlation and multiple regression analyses were used to examine the relationships among these variables. Multivariate analyses of variance (MANOVA) were used to examine differences in ethnic identity, coping style, and Post-Traumatic Stress symptoms between and among the racial groups of the sample. The relevant peer-reviewed literature as well as limitations to this study and future directions for research were discussed.
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Sakyi-Addo, Isaac. "Inequality in Access to, and Utilization of, Health Care - The Case of African American and Non-Hispanic White Males." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2747/.

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Using data from the Household Component of the 1996 Medical Expenditure Panel Survey, the study compares (1) the accessibility, and (2) the predictors of health care services utilization among African American and non-Hispanic White males, 18 to 65 years old in the United States. Using ANOVA procedure in comparing the means for use of physicians, hospitals, doctors, and difficulty obtaining care, seven hypotheses were tested in the study. First, it was hypothesized that African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and be more likely to report having experienced delay or difficulty obtaining care, compared to non-Hispanic white males of working age. Second, it was hypothesized that, controlling for health status, African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and will also be more likely to experience delay or difficulty obtaining care, than non-Hispanic white males. This was followed by the third hypothesis which compared utilization of physicians, hospitals, dentists, and difficulty obtaining care among African American and non-Hispanic white males, controlling for health status and insurance coverage (any insurance, private insurance, any public insurance, and Medicaid). Hypotheses four through six compared the utilization of physicians, hospitals, and dentists, as well as difficulty obtaining care among African American and non-Hispanic white males, controlling for the following variables sequentially: health status and poverty status; health status and having a usual source of care; and health status and employment status, in that order. Finally, it was hypothesized that, controlling for health status, any insurance, poverty status, and employment status, African American men of working age will have less access to physicians, hospitals, and dentists, and experience more difficulty and delay obtaining care, compared to non-Hispanic white males of working age. Results from the study indicated that Hypothesis 1 was supported for use of physicians and dentists. Hypotheses 2, 3a and 3c were supported for use of physicians, hospitals, and dentists. Hypotheses 3b, 3d, and 4 received support for use of physicians, hospitals, dentists, and difficulty obtaining care. Additionally, both Hypotheses 5 and 6 were supported for use of physicians, hospitals, and dentists, with the last hypothesis being confirmed for use of physicians, hospitals, dentists, and difficulty obtaining care. The study calls for a closure of the gap in access to health care between African American and non-Hispanic white adult males in the US. A reform-oriented government-sponsored single-payer plan modeled after the Canadian health care system is recommended for the United States. A national health insurance plan is most likely to ensure equity of access, compared to others, in the sense that it is founded on the premise that everyone will be covered in a similar fashion. Considering the role of Community Health Centers in serving Medicaid and Medicare recipients, low-income uninsured and insured, the underinsured, as well as high-risk populations and the elderly, in the interim, they should be extended to every community in the United States.
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Berry, Marla Diane. "Ethnicity, ethnic identity and emotional dependence on men as predictors of silencing the self." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1717.

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Harris, Phillip D. "The Influence Mentoring Has on the Persistence of Academically Successful African American Males Who Are Juniors or Seniors at a Public, Predominantly White Institution." Connect to resource online, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1198784662.

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Glenn, Daymond. "What can we do? : a critical multicultural response to the college experiences of black males at predominantly white institutions /." dissertation online, 2010. http://pqdtopen.proquest.com/#abstract?dispub=3390251.

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Books on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

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Gan, Li. Mortality risk and educational attainment of black and white men. Cambridge, MA: National Bureau of Economic Research, 2004.

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Gan, Li. Mortality risk and educational attainment of black and white men. Cambridge, Mass: National Bureau of Economic Research, 2004.

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Costa, Dora L. Race and older age mortality: Evidence from Union Army veterans. Cambridge, MA: National Bureau of Economic Research, 2004.

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Wooten, Todd. White men can't hump (as good as black men). Bloomington, IN: AuthorHouse, 2006.

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Rector, Justine J. In fear of African-American men: The four fears of white men. Merion Station, PA: The Author, 1998.

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Blau, Francine D. Race and gender pay differentials. Cambridge, MA: National Bureau of Economic Research, 1992.

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Interracial marriages between Black women and white men. Amherst, NY: Cambria Press, 2008.

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The white boy shuffle. New York: Henry Holt, 1996.

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Bound, John. Race and education differences in disability status and labor force attachment. Cambridge, MA: National Bureau of Economic Research, 1995.

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Fairlie, Robert W. Trends in self-employment among white and black men, 1910-1990. Cambridge, MA: National Bureau of Economic Research, 1999.

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Book chapters on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

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Brawley, Sean, and Chris Dixon. "“Black White Men”: African American Encounters with the Wartime Pacific." In Hollywood’s South Seas and the Pacific War, 125–42. New York: Palgrave Macmillan US, 2012. http://dx.doi.org/10.1057/9781137090676_8.

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Henderson, Loren. "The Sexual Health of African American and White Men: Does Former Incarceration Status Matter?" In Research in Race and Ethnic Relations, 53–71. Emerald Publishing Limited, 2018. http://dx.doi.org/10.1108/s0195-744920180000020004.

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"Racial Disadvantages and Incarceration: Sources of Wage Inequality among African American, Latino, and White Men." In Reinventing Race, Reinventing Racism, 271–97. BRILL, 2013. http://dx.doi.org/10.1163/9789004231559_015.

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Travers, Christopher S. "Mapping Mindset and Academic Success Among Black Men at a Predominantly White Institution." In Overcoming Challenges and Creating Opportunity for African American Male Students, 151–71. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-5990-0.ch009.

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Based on a larger research project, this chapter highlights findings from an exploratory study investigating the link between mindset and academic success among Black college men. Drawing on a self-reported survey instrument designed by the researcher, a regression analysis was conducted to explore the relationship between academic mindset (i.e., growth, fixed) and college grade point average (GPA), controlling for high school GPA and parents' education level. While the final model from a hierarchical linear regression (N = 34) indicates that high school GPA, parents' education level, and mindset accounted for 31% of the variance in Black males' college GPA, mindset did not significantly predict college GPA above and beyond Black males' precollege academic ability and parents' education level. Practical considerations for research and practice are discussed.
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Flowe, Douglas J. "White Women Forced to Live in Negro Dives." In Uncontrollable Blackness, 94–124. University of North Carolina Press, 2020. http://dx.doi.org/10.5149/northcarolina/9781469655734.003.0004.

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This chapter examines the subject of white slavery, interracial sex, and manhood through the 1906 abduction trial of Roosevelt Sharp, an African American man who was arrested for kidnapping white women. It argues that this trial and other accusations of white slavery indicated a contest between white and black men on the conceptual terrain of white women’s bodies, one that signified an attempt by white men to retain racial power.
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Weinstein, Laurie, Diane Hassan, and Samantha Mauro. "The Unfulfilled American Revolution." In Historical Archaeology of the Revolutionary War Encampments of Washington's Army, 191–209. University Press of Florida, 2019. http://dx.doi.org/10.5744/florida/9780813056401.003.0008.

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This chapter uses ethnohistoric research to address history’s failure to recognize the roles that peoples of African descent, Native peoples, and women had in the revolutionary cause. The chapter further describes how white men of privilege were not the only ones who voiced “the spirit of freedom,” as evidenced by Abigail Adams’s inspirational words. The research provides information about camp followers and presents specific biographic accounts of African Descendants and Native peoples who were stationed at the Middle Encampment in Redding, Connecticut.
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Hilde, Libra R. "Mortifications Peculiarly Their Own." In Slavery, Fatherhood, and Paternal Duty in African American Communities over the Long Nineteenth Century, 197–225. University of North Carolina Press, 2020. http://dx.doi.org/10.5149/northcarolina/9781469660677.003.0007.

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This chapter explores the sexual exploitation of slavery and enslaved women’s feelings towards children born of rape and concubinage and their reactions to the white fathers of their children. A white man who sold his own offspring likely sold his daughters into the sex trade, underscoring how deeply imbedded rape was in the market economy and in the role of white planters as fathers.The act of rape connected the private realm of the southern home to the market. Sexual exploitation complicated identity and family formation in the slave South and could strengthen children’s identification with their enslaved mothers, or in the rare cases when white men offered preferential treatment to their mixed-race children, could erase Black mothers.
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Williams, Heather Andrea. "Epilogue." In American Slavery: A Very Short Introduction, 115–18. Oxford University Press, 2014. http://dx.doi.org/10.1093/actrade/9780199922680.003.0007.

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Despite the abolition of slavery with the Thirteenth Amendment to the Constitution, notions of black inferiority and white supremacy still persisted in both the North and the South. The ‘Epilogue’ outlines the profound struggles by African Americans to make their freedom meaningful. In 1868, the Fourteenth Amendment granted citizenship to African Americans and promised equal protection under the law and, in 1870, the Fifteenth Amendment gave black men the right to vote. The modern civil rights movement of the 1940s, 1950s, and 1960s began to impact on the discriminatory Jim Crow laws and practices, but for many African Americans, struggles for equality, justice, and fairness continue into the twenty-first century.
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Hilde, Libra R. "Introduction." In Slavery, Fatherhood, and Paternal Duty in African American Communities over the Long Nineteenth Century, 1–28. University of North Carolina Press, 2020. http://dx.doi.org/10.5149/northcarolina/9781469660677.003.0001.

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The introduction presents an overview of the literature on the family and masculinity within slavery, arguing that in order to appreciate the adaptability and multiplicity of enslaved families, scholars should focus on how kin units functioned rather than on the form of households. To fully understand fatherhood within slavery, it is critical to recognize multilocal kin networks and to assess the contributions of non-resident, but engaged fathers. This book builds on recent scholarship that posits multiple masculinities in enslaved communities and explores the masculine hierarchy of slavery. In the Old South, masculinity took on a public and private dichotomy with public expressions of manhood available only to white men. Enslaved men could at times exhibit masculinity privately and within the bounds of the plantation and slave quarters. One consistent ideal of manhood in African American communities was that of caretaker. The introduction refutes misperceptions of African American families and missing Black fathers, arguing that because enslaved and postwar freedmen lacked access to recognized patriarchal power, their hidden caretaking behavior has long been obscured.
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Friedman, Lawrence M. "The Law of Personal Status: Wives, Paupers, and Slaves." In A History of American Law, 173–212. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190070885.003.0005.

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This chapter discusses the law on marriage and divorce, family property, adoption, poor laws and social welfare, and slavery and African Americans in the United States. In the colonial period, the United States had no courts to handle matters of marriage and divorce. Marriage was a contract—an agreement between a man and a woman. Under the rules of the common law, the country belonged to the whites; and more specifically, it belonged to white men. Women had civil rights but no political rights. There were no formal provisions for adoption. A Massachusetts law, passed in 1851, was one of the earliest, and most significant, general adoption law. The so-called poor laws were the basic welfare laws.
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Conference papers on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

1

Press, David J., Salma Shariff-Marco, Daphne Y. Lichtensztajn, Kirsten Beyer, Yuhong Zhou, Joseph Gibbon, Mindy C. DeRouen, et al. "Abstract C055: Determinants of high-risk prostate cancer among African American and White men in California: The RESPOND study (Research on Prostate Cancer in Men of African Ancestry: Defining the Roles of Genetics, Tumor Markers and Social Stress)." In Abstracts: Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 20-23, 2019; San Francisco, CA. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp19-c055.

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Reports on the topic "Mortality and race. Men African American men Men, White African American men Men, White"

1

Neslund-Dudas, Christine. Residential Segregation, Housing Status, and Prostate Cancer in African American and White Men. Fort Belvoir, VA: Defense Technical Information Center, April 2008. http://dx.doi.org/10.21236/ada494147.

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Powell, Lorrie L. Incontinence Morbidity Following Radical Prostatectomy: Psychosocial Impact on African American and White Men. Fort Belvoir, VA: Defense Technical Information Center, July 2005. http://dx.doi.org/10.21236/ada443551.

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Powel, Lorrie L., and Jack A. Clark. Incontinence Morbidity Following Radical Prostatectomy: Psychosocial Impact on African American and White Men. Fort Belvoir, VA: Defense Technical Information Center, July 2004. http://dx.doi.org/10.21236/ada428527.

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Demissie, Kitaw. Comparison of Efficacy and Frequency of Screening and Selected Treatment Modalities for Prostate Cancer in African American and White Men. Fort Belvoir, VA: Defense Technical Information Center, July 1999. http://dx.doi.org/10.21236/ada390839.

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