Laura Bogart, a senior behavioral scientist, studies how discrimination feeds medical mistrust and conspiracy beliefs. Her research on how mistrust became a barrier to treatment for Black Americans during the HIV epidemic sheds light on why some might question the safety of a COVID-19 vaccine.
Black Americans have a high level of vaccine hesitancy and mistrust of COVID-19 vaccines, including among Black health care workers. Those who expressed vaccine hesitancy also showed high levels of overall mistrust in the vaccine, concerns about potential harm and side effects, and lack of confidence in vaccine effectiveness and safety.
Lower vaccination rates among Black Americans would further widen COVID-19 inequities in diagnosis, hospitalization, and mortality. But concerns about vaccine safety, mistrust of the government's transparency around COVID-19, and beliefs about racism in health care are contributing to mistrust of the vaccine.
The number of Americans experiencing food insecurity has increased since the pandemic began. And rates are higher among African Americans, Hispanics, American Indians, and Alaska Natives. Proactive and aggressive policy actions could help reduce the inequities in places like Pittsburgh's Hill District and Homewood neighborhoods.
This study determined potential racial and ethnic disparities in risk for all-cause 30-day readmission among traditional Medicare and Medicare Advantage beneficiaries initially hospitalized for acute myocardial infarction, congestive heart failure, or pneumonia.
In this video conversation, RAND's Anita Chandra and Benjamin Preston discuss RAND's efforts to address the challenges of racial equity from a variety of angles—and options for converting research into action.
Our study highlights that the crime-punishment wave in the 1980s and 1990s created cohort differences in incarceration over the life course that changed the level of incarceration even decades after the wave.
RAND has launched a new research center dedicated to racial equity. The center supports a portfolio of innovative, high-impact racial equity research and analysis, creates a clearinghouse to help coordinate related efforts, and collaborates with organizations dedicated to advancing racial equity.
Low-income African Americans are a high-risk group for obstructive sleep apnea, but remain under-diagnosed and under-treated. The current findings show a high prevalence of OSA in African-American women.
Sleep is a critical contributor to health and well-being. Sleep disturbances may contribute to racial and socioeconomic disparities in health. Understanding socio-environmental determinants of sleep health disparities is a public health imperative.
Implementing a multilevel intervention across diverse congregations resulted in small improvements in obesity outcomes. A longer time line is needed to fully implement and assess effects of community and congregation environmental strategies and to allow for potential larger impacts of the intervention.
This paper utilizes comparative case methods and qualitative case data from a sample of urban congregations, and examines a range of factors to identify case scenarios associated with congregations involved in different levels of HIV activity.
We describe the rationale and design of a 2-arm cluster randomized trial to test a religiously-tailored HIV testing intervention against a standard information arm on HIV testing rates among AA church members and community members they serve.
The present systematic literature review of church-based interventions was conducted to assess their efficacy for addressing obesity across different racial/ethnic groups (eg, African Americans, Latinos).
This study explores the feasibility of using text messaging to send healthy eating and active living messages to congregants from churches whose membership were predominantly AA or Latino that participated in an intervention to address obesity.