ETHNICITY & DISEASE

A Commentary: Invisibility of Older African-American Adults in Electrophysiological Research on Alzheimer's Disease
Holston EC
Currently, researchers are examining the feasibility of integrating electrophysiological biomarkers in the clinical assessment of older adults (≥65 years of age) with Alzheimer's disease (AD). This research has been executed predominantly in older Caucasian adults. Older African-American adults have not been effectively recruited for this research. This issue has resulted in a significant gap in the literature about electrophysiological biomarkers and potential clinical utility in assessing for and diagnosing AD in older African-American adults.
Sociodemographic and Mental Health Factors Associated with Obesity in Resettled Refugees in Syracuse, New York
Mutambudzi M, Sharma A, Sous W, Shaw AV and Heffernan KS
Resettled refugees have been exposed to stressful and life-threatening events preresettlement and are among the most marginalized and vulnerable groups in society. Postresettlement, they face challenges when assimilating to an unfamiliar host country, which renders them vulnerable to adverse health outcomes including obesity, a major public health burden. This study was conducted to examine the association of mental health and sociodemographic factors, including language proficiency and educational attainment, with obesity in first-generation resettled refugees.
Sleep as a Predictor of Health-Related Quality of Life among Economically Disadvantaged Black Older Adults
Roncoroni J, Tucker CM, Wippold G, Ramchander K, Pirapakaran M and Henry M
Sleep disturbances may partially account for the health-related quality of life (HRQoL) disparities experienced by Black older adults when compared to non-Hispanic White (NHW) adults. The present study examined the role of self-reported sleep duration and the belief that one is not getting enough sleep on physical and mental HRQoL among Black older adults.
Racial Disparities in Foot Examination among People with Diabetes in Brazil: A Nationwide Survey, 2019
Bramante CN, Rizzato JS, Nakamura IB, Galvão TF and Silva MT
To assess the absence of diabetic foot examination in Brazil and how ethnicity affected this outcome.
Acculturation, Perceptions about Seeking Mental Health Care, and Utilization of Mental Health Services among US-based South Asians
Kapur R, Badsa K and Kapadia F
To examine the relationship between acculturation, cultural perceptions surrounding mental health (MH) burden and utilization of MH services among South Asian (SA) adults in the United States.
A Pilot Study Examining Stress and Obesity among Employees at a Historically Black College and University (HBCU): Does Job Satisfaction Matter?
Archibald P, Daniels K, Massenburg R, Simms E and Thorpe RJ
To evaluate the potential of using specific biopsychosocial instruments in capturing data on the relationship between stress and obesity and determine if job satisfaction influences the effect estimate.
"I Have Come Because I See You Care About Me": Recruiting Older Black Americans for Genomic Research
Winship JM, Mackiewicz M, Babar M, Dixon DL, Price ET and Sargent LJ
The lack of diversity in genomic studies is a disparity that influences our understanding of human genomic variation and threatens equity in the benefits of precision medicine. Given our current genomic research with Black older adults, we conducted a qualitative study to elucidate participants' knowledge, attitudes, and beliefs about genomic research and research participation and what factors contribute to their willingness to participate and to gain insights into barriers that researchers may have in recruiting Black Americans. We conducted semistructured interviews (N=16) with previous genomic research participants, and an inductive thematic approach was used to code and interpret the data. The mean age was 70, 82% reported <$15,000 annual income, and 100% participated in genomic research. The results note that genomic research is poorly understood despite participation in prior genomic studies, and cultural beliefs about health and managing health impact an individual's research participation. Although not all participants identified with historical distrust, those who did report health system distrust also contributed distrust in research. Relationship building facilitates research participation, especially when perceived as personally relevant and meaningful. Participant incentives and convenience to engage in the study are less important if the personal benefits or relevance of the research are clear. Our results provide new context into the importance of relationship building and research literacy and highlight new considerations for engaging racially diverse populations in research.
Racial and Ethnic Differences in Emotional Reactions to the Flint Water Crisis among Michigan Women in Communities Outside of Flint
Dokshina D, Roque SK, Berry S, Heard-Garris N, Malone AM, Bauer KW and Needham BL
To determine whether Black women in Michigan communities outside of Flint were more likely than women in other racial and ethnic groups to report negative emotional reactions to the Flint Water Crisis, an ongoing public health disaster that has been widely attributed to anti-Black structural racism.
Associations of Major Lifetime and Everyday Discrimination with Cognitive Function among Middle-Aged and Older Adults
Chen R, Byrd DR, Whitfield KE and Williams DR
We investigated the associations of lifetime and everyday discrimination with cognitive function.
Youth Perspectives on the Flint Water Crisis and Its Health Effects
Woolford SJ, Carrera JS, Key K, Evans L, Lewis EY, Bailey S, Robinson D, McKay A and Calhoun K
While the youth of Flint are at risk from the effects of the water crisis, little is known about their perspective of the impact of the water on their health.
Multilevel Determinants of Long COVID and Potential for Telehealth Intervention
Jacobs M, Ellis C and Estores I
Post-coronavirus disease 2019 (COVID-19) syndrome, or long COVID, has a variety of symptoms, but little is known about the condition. This study evaluated the association between individual factors, social determinants of health, and the likelihood of long COVID by assessing internet usage as an indicator of viable access to telehealth.
Social Vulnerability May Underlie Racial Disparities in Peripartum Cardiomyopathy Outcomes
Robbins LS, Szychowski JM, Nassel A, Bansal A, Oben AG, Armour EK, Walker Z, Rajapreyar IN, Wingate M, Tita AT and Sinkey RG
Black patients have disproportionately more cases of peripartum cardiomyopathy (PPCM) and more severe disease. To better understand these disparities, we examined the geographic distribution of patients with PPCM by race and evaluated associations between race and social vulnerability. We hypothesized that Black patients with PPCM are more likely than White patients to live in socially vulnerable communities.
Associations between Structural Racism, Environmental Burden, and Cancer Rates: An Ecological Study of US Counties
Robinson-Oghogho JN, Alcaraz KI and Thorpe RJ
In this study, we examined associations between county-level measures of structural racism and county-level cancer incidence and mortality rates between race groups while accounting for factors associated with cancer rates and county-level measures of environmental burden.
Physical Activity Engagement among Black Immigrants and African American Adults in the 2010 to 2018 NHIS Study
Ajibewa TA, Turkson Ocran RA, Carnethon MR, Metlock FE, Liu X and Commodore-Mensah Y
High rates of physical inactivity persist in the United States, with higher rates among non-Hispanic Black adults than among their White peers. However, a comparison of physical activity engagement across nativity among Black adults in the United States has yet to be fully documented. The purpose of this cross-sectional study was to examine physical activity engagement rates among African immigrant and Afro-Caribbean immigrant adults compared with native-born African American adults using data from the 2010 to 2018 National Health Interview Survey.
Supporting Underserved Communities for Health Care: US Immigrants' Experiences with Social Support
Sadang KG, Onyeaka HK, Guo M, Daskalakis E, Wolfe ED, Keane EP, Fagbemi S, Leiter RE, Vaughn R and Amonoo HL
Social support is associated with improved clinical outcomes but is understudied among US immigrants. We examined two types of social support, perceived health provider support and community support, and characterized perceptions of social support among US immigrants compared with nonimmigrants.
Everyday Violence: Immigration Enforcement, COVID-19, and Depression among Undocumented Young Adults in California
Nwankwo E, Choi HY, Li S and Sudhinaraset M
The immigration enforcement system has significant effects on the health of immigrants, their families, and society. Exposure to the immigration enforcement system is linked to adverse mental health outcomes, which may have been exacerbated by sustained immigration enforcement activities during the COVID-19 pandemic.
Conducting Community-Based Research in An African Immigrant Population: Lessons Learned
Gona CM, Kieran K, Durning J, O'Brien LM, Gotora R, Gordon T and Gona PN
Although small, the African immigrant population is one of the fastest growing immigrant populations in the United States. Emerging research indicates a high prevalence of noncommunicable preventable chronic conditions in this population. Like other African Americans, African immigrants are mistrustful of the health care system, hampering efforts for prevention and intervention research.
Increasing Emotional Distress and Use of Health Services among Hospitality Industry Workers During and After the COVID-19 Lockdown
Kim PC, Cochran C, Bai B, Bhandari N, Khan B, Keyoung ES and Shen JJ
To examine the emotional distress situation among hospitality industry workers and their access to and use of health care including telehealth services during the COVID-19 pandemic.
Intracranial Volume Is Driven by Both Genetics and Early Life Exposures: The SOL-INCA-MRI Study
Sofer T, Granot-Hershkovitz E, Tarraf W, Filigrana P, Isasi CR, Suglia SF, Kaplan R, Taylor K, Daviglus ML, Testai FD, Zeng D, Cai J, Fornage M, González HM and DeCarli C
Intracranial volume (ICV) reflects maximal brain development and is associated with later-life cognitive abilities. We quantified ICV among first- and second-generation Hispanic and Latino adults from the Study of Latinos-Investigation of Cognitive Aging - MRI (SOL-INCA-MRI), estimated ICV heritability, and tested its associations with previously reported genetic variants, both individually and as a genetic risk score (GRS). We also estimated the association of ICV with early life environmental measures: nativity or age of immigration and parental education. The estimated heritability of ICV was 19% (95% CI, 0.1%-56%) in n=1781 unrelated SOL-INCA-MRI individuals. Four of 10 tested genetic variants were associated with ICV and an increase of 1 SD of the ICV-GRS was associated with an increase of 10.37 cm in the ICV (95% CI, 5.29-15.45). Compared to being born in the continental United States, immigrating to the United States at age 11 years or older was associated with 24 cm smaller ICV (95% CI, -39.97 to -8.06). Compared to both parents having less than high-school education, at least 1 parent completing high-school education was associated with 15.4 cm greater ICV (95% CI, 4.46-26.39). These data confirm the importance of early life health on brain development.
Parkinson's Disease Inequities in Daily Cognitive Activities: An Intersectional Approach
Adkins-Jackson PB, Taikeff N, Akingbulu J, Avila-Rieger JF and Corona-Long CA
Intersectionality approaches to examining differences in Parkinson's disease (PD) based on racialized group, gender identity, and socioeconomic status (SES) are not well covered in the literature. Additionally, the differences in daily cognitive activities for persons diagnosed with PD by racialized group, gender, and SES are undetermined. This study was conducted to explore the differences in PD daily cognitive activities for diverse racialized groups by gender and SES.
Clinic Staff Perceptions of Implementing a Sexual and Reproductive Health Entertainment-Education Program for Young Women of Color
Plant A, Neffa-Creech D, Snow E and Montoya J
Entertainment-education interventions remain underutilized in sexual and reproductive health (SRH) despite evidence that they can be effective and place a low burden on staff. This study explores perceived facilitators and barriers for implementing an entertainment-education video intervention for 18- to 19-year-old African American and Latina women in SRH clinics.