Diversity and Health
2011
The Association Between Care Experiences and Parent Ratings of Care for Different Racial, Ethnic, and Language Groups in a Medicaid Population — 2011
Communication-based interventions may improve experiences and ratings of care for all subgroups, although implementation of these interventions may need to consider preferences associated with race, ethnicity, and language.
Differential Item Functioning By Survey Language Among Older Hispanics Enrolled in Medicare Managed Care — 2011
Failure to account for language differences in CAHPS survey items may result in misleading conclusions about disparities in health care experiences between Spanish and English speakers.
Discrimination as a Key Mediator of the Relationship Between Posttraumatic Stress and HIV Treatment Adherence Among African American Men — 2011
This study highlights the critical role that discrimination plays in adherence to antiretroviral therapy among African American men experiencing posttraumatic stress.
HIV Risk and Perceptions of Masculinity Among Young Black Men Who Have Sex with Men — 2011
These interviews with young black men who have sex with men showed that perception of masculinity was the primary contextual factor influencing partner selection, risk assessment, and decision-making with regard to condom usage.
HIV Risks and Seroprevalence Among Mexican American Injection Drug Users in California — 2011
Mexican American injection drug users reported fewer sex-related risks than Whites and African Americans. Mexican Americans were more likely to participate in drug treatment during a 6 month period, but less likely to receive any health care.
How Do the Experiences of Medicare Beneficiary Subgroups Differ Between Managed Care and Original Medicare? — 2011
Quality improvement in Medicare managed care plans should target care for particular subgroups such as beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school.
Immunization Disparities By Hispanic Ethnicity and Language Preference — 2011
Hispanic seniors, especially if Spanish-preferring and in linguistically isolated areas, are immunized at lower rates than non-Hispanic whites. Physicians and policymakers may be able to help by addressing cultural and linguistic barriers to immunization.
The In Vivo Adherence Intervention for at Risk Adolescents with Asthma: Report of a Randomized Pilot Trial — 2011
The authors tested acceptability, feasibility, and effect sizes of an adherence intervention for low socioeconomic status (SES) minority youth with moderate- and severe-persistent asthma.
Neighborhood Socioeconomic Status and Cognitive Function in Women — 2011
Neighborhood socioeconomic status (NSES) is associated with cognitive functioning in older US women. Future research is needed on the longitudinal relationships between NSES, cognitive impairment, and cognitive decline.
Racial and ethnic disparities in hospital care resulting from air pollution in excess of federal standards — 2011
This study investigates racial and ethnic disparities in hospital admission and emergency room visit rates resulting from exposure to ozone and fine particulate matter levels in excess of federal standards (
Racial and Ethnic Service Use Disparities Among Homeless Adults with Severe Mental Illnesses Receiving ACT — 2011
Case management of community interventions is intended to narrow racial and ethnic disparities, but this study of homeless individuals with severe mental illness found that it reduced disparities for blacks, but not for Latinos.
Social Networks of Homeless Youth in Emerging Adulthood — 2011
Interventions need to recognize the importance of social networks of homeless youth in emerging adulthood by enhancing supportive bonds and reducing substance use and risky sex.
Substance Use and Other Risk Factors for Unprotected Sex: Results from an Event-Based Study of Homeless Youth — 2011
This study of condom use among homeless youth in Los Angeles County found that a broad range of individual, relationship, and contexual factors play a role in condom use.
Understanding Disparities in Health Care Access – and Reducing Them – Through a Focus on Public Health — 2011
Approaching disparities through a public health framework can provide the foundation for developing more robust evidence to inform additional policies for improving access and reducing disparities.
Use of Human Papillomavirus Vaccines Among Young Adult Women in the United States: An Analysis of the 2008 National Health Interview Survey — 2011
The study found that HPV vaccine coverage among young adult women was low overall, and lower among the uninsured. Public financing and care provision programs are needed to expand vaccine coverage among uninsured women.
Why Are Many Emergency Departments in the United States Closing? — 2011
Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER's ability to remain open.
2010
Effectiveness of Collaborative Care in Addressing Depression Treatment Preferences Among Low-Income Latinos — 2010
Depressed Latino patients receiving care in public-sector clinics preferred counseling or counseling/medication over medication alone. Compared to usual care, those receiving collaborative care were 21 times as likely to receive preferred treatment.
Financial Barriers to the Adoption of Combination Vaccines By Pediatricians — 2010
One in 5 pediatricians reported that inadequate reimbursement prevented their using 1 or more combination vaccines. Vaccination was less likely in smaller practices, and those with a lower proportion of publicly insured patients.
Hospital Executives' Perspectives on Pay-for-Performance and Racial/Ethnic Disparities in Care — 2010
Hospitals executives hesitant about using pay-for-performance programs to reduce racial/ethnic disparities in care.
Housing Affordability and Health Among Homeowners and Renters — 2010
People living in unaffordable housing are more likely to rate their health as poor.
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