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  1. Article ; Online: The Pillars of Health Disparities Science-Race, Ethnicity, and Socioeconomic Status.

    Pérez-Stable, Eliseo J / Webb Hooper, Monica

    JAMA health forum

    2023  Volume 4, Issue 12, Page(s) e234463

    MeSH term(s) Humans ; Ethnicity ; Social Class ; Socioeconomic Factors ; Health Inequities
    Language English
    Publishing date 2023-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.4463
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  2. Article ; Online: Achieving Health Equity through Science, Policy, and Partnerships.

    Webb Hooper, Monica

    Ethnicity & disease

    2019  Volume 29, Issue Suppl 2, Page(s) 317–320

    Language English
    Publishing date 2019-06-13
    Publishing country United States
    Document type Editorial
    ZDB-ID 1274267-3
    ISSN 1945-0826 ; 1049-510X
    ISSN (online) 1945-0826
    ISSN 1049-510X
    DOI 10.18865/ed.29.S2.317
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  3. Article ; Online: Health equity is not possible without addressing disparities.

    Webb Hooper, Monica / Pérez-Stable, Eliseo J

    Health psychology : official journal of the Division of Health Psychology, American Psychological Association

    2023  Volume 42, Issue 9, Page(s) 625–627

    Abstract: Health equity is the aspirational assurance of optimal health for all. Synonymous with fair and just opportunities for physical and mental health, equity work reflects intentional efforts to remove access barriers and allocate high-quality, need-based ... ...

    Abstract Health equity is the aspirational assurance of optimal health for all. Synonymous with fair and just opportunities for physical and mental health, equity work reflects intentional efforts to remove access barriers and allocate high-quality, need-based resources. Health equity is not possible without meaningful reductions in disparities-and evaluating progress goes further to describe, assess, and continuously evaluate fairness and social justice within structures, community contexts, and healthcare. The National Institute on Minority Health and Health Disparities (NIMHD) has a longstanding and deep commitment to advancing health equity. This article describes efforts in two specific areas: workforce diversity, equity, and inclusion (DEI) and scientific initiatives. We also summarize five actionable strategies for health equity promotion in health psychology-relevant research and practice, including increasing workforce DEI, inclusive research participation, cultural competence and humility, applying community-engaged research principles, and going beyond "do no harm." Meaningful equity work often requires major shifts in approaches, dedicated resources, and targeted efforts toward social justice. The current emphasis on addressing health disparities and understanding the structural factors underlying them presents unequivocal opportunities for changes in clinical practice and research. NIMHD seeks to support innovative health psychology and behavioral medicine research with the potential to transform health via effective and equitable interventions/treatments, systems changes, and policies. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    MeSH term(s) Humans ; Health Equity ; Behavioral Medicine ; Behavior Therapy ; Behavioral Research ; Cultural Competency
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 226369-5
    ISSN 1930-7810 ; 0278-6133
    ISSN (online) 1930-7810
    ISSN 0278-6133
    DOI 10.1037/hea0001306
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  4. Article: Editorial: Preventing Tobacco-Related Cancer Disparities: A Focus on Racial/Ethnic Minority Populations.

    Webb Hooper, Monica

    Ethnicity & disease

    2018  Volume 28, Issue 3, Page(s) 129–132

    Language English
    Publishing date 2018-07-12
    Publishing country United States
    Document type Editorial
    ZDB-ID 1274267-3
    ISSN 1945-0826 ; 1049-510X
    ISSN (online) 1945-0826
    ISSN 1049-510X
    DOI 10.18865/ed.28.3.129
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  5. Article ; Online: Acknowledgment of the Legacy of Racism and Discrimination.

    Pérez-Stable, Eliseo J / Webb Hooper, Monica

    Ethnicity & disease

    2021  Volume 31, Issue Suppl 1, Page(s) 289–292

    MeSH term(s) Black or African American ; Humans ; Racism
    Language English
    Publishing date 2021-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1274267-3
    ISSN 1945-0826 ; 1049-510X
    ISSN (online) 1945-0826
    ISSN 1049-510X
    DOI 10.18865/ed.31.S1.289
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  6. Article ; Online: Enhancing Tobacco Quitline Outcomes for African American Adults: An RCT of a Culturally Specific Intervention.

    Webb Hooper, Monica / Carpenter, Kelly M / Salmon, Erica E / Resnicow, Ken

    American journal of preventive medicine

    2023  Volume 65, Issue 6, Page(s) 964–972

    Abstract: Introduction: This study tested the effectiveness of a culturally specific tobacco cessation video intervention among African American quitline enrollees.: Study design: This was a 3-arm semipragmatic RCT.: Setting/participants: African American ... ...

    Abstract Introduction: This study tested the effectiveness of a culturally specific tobacco cessation video intervention among African American quitline enrollees.
    Study design: This was a 3-arm semipragmatic RCT.
    Setting/participants: African American adults (N=1,053) were recruited from the North Carolina tobacco quitline and data were collected between 2017 and 2020.
    Intervention: Participants were randomized to receive (1) quitline services only; (2) quitline services plus a standard, general audience video intervention; or (3) quitline services plus Pathways to Freedom (PTF), a culturally specific video intervention designed to promote cessation among African American persons.
    Main outcome measures: The primary outcome was self-reported 7-day point prevalence smoking abstinence at 6 months. Secondary outcomes included 7-day and 24-hour point prevalence abstinence at 3 months, 28-day continuous abstinence, and intervention engagement. Data analyses occurred in 2020 and 2022.
    Results: At 6 months, 7-day point prevalence abstinence was significantly greater in the Pathways to Freedom Video arm compared with quitline-only (OR=1.5, CI=1.11, 2.07). Twenty four-hour point prevalence abstinence was significantly greater in the Pathways to Freedom (than in quitline-only) group at 3 (OR=1.49, 95% CI=1.03, 2.15) and 6 (OR=1.58, 95% CI=1.10, 2.28) months. At 6 months, 28-day continuous abstinence (OR=1.60, 95% CI=1.17, 2.20) was significantly greater in the Pathways to Freedom Video arm than in the quitline-only arm. Views of the Pathways to Freedom Video were 76% higher than views of the standard video.
    Conclusions: Culturally specific tobacco interventions delivered through state quitlines can increase cessation and thus have the potential to decrease health disparities among African American adults.
    Trial registration: This study is registered at www.
    Clinicaltrials: gov NCT03064971.
    MeSH term(s) Humans ; Adult ; Smoking Cessation ; Black or African American ; Tobacco Use Cessation ; Smoking ; Counseling
    Language English
    Publishing date 2023-06-10
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2023.06.005
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    Zs.A 2096: Show issues Location:
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  7. Article ; Online: Racial/Ethnic Differences in Physiological Stress and Relapse among Treatment Seeking Tobacco Smokers.

    Webb Hooper, Monica

    International journal of environmental research and public health

    2019  Volume 16, Issue 17

    Abstract: Stress is robustly associated with tobacco smoking and relapse. African Americans experience greater difficulty quitting compared to whites, yet no studies have examined race differences in physiological stress biomarkers during a quit attempt. This ... ...

    Abstract Stress is robustly associated with tobacco smoking and relapse. African Americans experience greater difficulty quitting compared to whites, yet no studies have examined race differences in physiological stress biomarkers during a quit attempt. This pilot study compared cortisol levels among treatment-seeking African American and white smokers, and relapse rates. Adult smokers (N = 115; n = 72 African American, n = 43 White) received eight sessions of group cognitive behavioral therapy plus transdermal nicotine patches. Assessments included demographics, salivary cortisol (collected at session 1, the end-of-therapy [EOT], and one-month post-therapy), and carbon monoxide-verified smoking relapse. Overall, cortisol levels declined over the course of the day at baseline, the EOT, and the one-month follow-up. African Americans exhibited lower cortisol levels compared to Whites at baseline and the EOT, but not at the one-month follow-up. In addition, African American smokers exhibited flatter slopes compared to Whites at each time point. Relapse rates were greater among African Americans at the EOT and one-month follow-up. The attenuated cortisol pattern observed in African Americans may indicate hypothalamic-pituitary-adrenal axis (HPA) exhaustion and aid our understanding of tobacco-related disparities. There is a need to focus on stress mechanisms and specific intervention approaches in order to eliminate racial/ethnic differences.
    MeSH term(s) Adult ; Cognitive Behavioral Therapy ; Ethnicity ; Female ; Humans ; Hydrocortisone/blood ; Male ; Middle Aged ; Racial Groups ; Recurrence ; Smokers/psychology ; Smoking Cessation/ethnology ; Smoking Cessation/psychology ; Stress, Physiological ; Tobacco Smoking/blood ; Tobacco Smoking/ethnology ; Tobacco Smoking/psychology ; Tobacco Smoking/therapy ; Tobacco Use Cessation Devices ; Tobacco Use Disorder/blood ; Tobacco Use Disorder/ethnology ; Tobacco Use Disorder/psychology ; Tobacco Use Disorder/therapy
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2019-08-25
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph16173090
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  8. Article ; Online: Harnessing the Power of Community-Engaged Science to Facilitate Access and Uptake of COVID-19 Testing: RADx-UP.

    Webb Hooper, Monica / Compton, Wilson M / Walsh, Elizabeth R / Hodes, Richard J / Pérez-Stable, Eliseo J

    American journal of public health

    2022  Volume 112, Issue S9, Page(s) S854–S857

    MeSH term(s) Humans ; COVID-19/diagnosis
    Language English
    Publishing date 2022-11-29
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2022.307105
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  9. Article ; Online: Cultural Sensitivity and Cultural Tailoring: Lessons Learned and Refinements After Two Decades of Incorporating Culture in Health Communication Research.

    Griffith, Derek M / Efird, Caroline R / Baskin, Monica L / Webb Hooper, Monica / Davis, Rachel E / Resnicow, Ken

    Annual review of public health

    2023  

    Abstract: In this article, we examine progress and challenges in designing, implementing, and evaluating culturally sensitive behavioral interventions by tailoring health communication to groups or individuals. After defining common tailoring constructs (i.e., ... ...

    Abstract In this article, we examine progress and challenges in designing, implementing, and evaluating culturally sensitive behavioral interventions by tailoring health communication to groups or individuals. After defining common tailoring constructs (i.e., culture, race, and ethnicity), cultural sensitivity, and cultural tailoring, we examine when it is useful to culturally tailor and address cultural sensitivity in health communication by group tailoring or individual tailoring and when tailoring health communication may not be necessary or appropriate for achieving behavior change. After reviewing selected approaches to cultural tailoring, we critique the quality of research in this domain with a focus on the internal validity of empirical findings. Then we explore the ways in which cultural sensitivity, group targeting, and individual tailoring have incorporated culture in health promotion and health communication. We conclude by articulating yet unanswered questions and suggesting future directions to move the field forward. Expected final online publication date for the
    Language English
    Publishing date 2023-11-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 760917-6
    ISSN 1545-2093 ; 0163-7525
    ISSN (online) 1545-2093
    ISSN 0163-7525
    DOI 10.1146/annurev-publhealth-060722-031158
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  10. Article: COVID-19 Health Disparities and Adverse Social Determinants of Health.

    Webb Hooper, Monica / Marshall, Vanessa / Pérez-Stable, Eliseo J

    Behavioral medicine (Washington, D.C.)

    2022  Volume 48, Issue 2, Page(s) 133–140

    Abstract: Racial and ethnic disparities in healthcare and health outcomes are longstanding. The real-time emergence of COVID-19 disparities has heightened the public and scientific discourse about structural inequities contributing to the greater risk of morbidity ...

    Abstract Racial and ethnic disparities in healthcare and health outcomes are longstanding. The real-time emergence of COVID-19 disparities has heightened the public and scientific discourse about structural inequities contributing to the greater risk of morbidity and mortality among racial and ethnic minority populations and other underserved groups. A key aspect of assuring health equity is addressing social determinants that lead to adverse health outcomes among minoritized groups. This article presents an exploratory social determinants of health (SDOH) conceptual framework for understanding racial and ethnic COVID-19 disparities, including factors related to health and healthcare, socioeconomics, and environmental determinants. The model also illustrates the backdrop of structural racism and discrimination, which directly affect health and COVID-19 exposure risk, and thus transmission, infection, and death. We also describe a special SDOH collection in the PhenX Toolkit (consensus measures for Phenotypes and eXposures), which includes established measures to promote standardization of assessment and the use of common data elements in research contexts. The use of common constructs, measures, and data elements are important for data integration, understanding the causes of health disparities, and evaluating interventions to reduce them. Substandard SDOH are among the primary drivers of health disparities-and scientific approaches to address these key concerns require identification and leveled alignment with the root causes. The overarching goal of this discussion is to broaden the consideration of mechanisms by which populations with health disparities face additional SARS-CoV-2 exposure risks, and to encourage research to develop interventions to reduce SDOH-associated disparities in COVID-19 and other conditions and behaviors.
    MeSH term(s) COVID-19 ; Ethnicity ; Humans ; Minority Groups ; SARS-CoV-2 ; Social Determinants of Health
    Language English
    Publishing date 2022-03-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 623101-9
    ISSN 0896-4289
    ISSN 0896-4289
    DOI 10.1080/08964289.2021.1990007
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