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Book ; Online ; E-Book: The science of health disparities research

Dankwa-Mullan, Irene / Perez-Stable, Eliseo J. / Gardner, Kevin / Zhang, Xinzhi / Rosario, Adelaida M.

2021

Abstract: ... in racial and ethnic minority populations, socially disadvantaged communities (e.g. low education, low ...

Author's details	edited by Irene Dankwa-Mullan, Eliseo J. Pérez-Stable, Kevin L. Gardner, Xinzhi Zhang, Adelaida M. Rosario
Abstract	"Health disparities research is a multi-faceted field that includes basic biological, clinical, social and behavioral sciences with the goal of identifying, understanding, preventing, diagnosing and treating or intervening on diseases, disorders and other conditions that are unique to, or more prevalent in racial and ethnic minority populations, socially disadvantaged communities (e.g. low education, low income) and rural communities. In the past decade, there has been growing interest in understanding and addressing disparities in health and outcomes that persist among various population subgroups. Addressing health disparities is of increasing importance nationally and globally. This has resulted in various efforts focused on promoting action to reduce and eventually eliminate avoidable inequalities, by addressing social, historical and contemporary injustices. This textbook will serve as the primary source of new knowledge on clinical and translational health disparities science. The overall purpose is to provide a comprehensive and cohesive framework on the principles and applications of health disparities research, which requires an interdisciplinary approach and inclusion of the community in a participatory manner"--
MeSH term(s)	Health Disparities. ; Translational Research, Biomedical. ; Socioeconomic Factors. ; Social Determinants of Health. ; Minority Health.
Keywords	Medical care/Research ; Medically underserved areas
Subject code	362.1089
Language	English
Size	1 online resource :, color illustrations, color maps
Publisher	John Wiley & Sons
Publishing place	Hoboken, New Jersey
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	1-119-37484-7 ; 1-119-37483-9 ; 1-119-37485-5 ; 1-119-37481-2 ; 978-1-119-37484-8 ; 978-1-119-37483-1 ; 978-1-119-37485-5 ; 978-1-119-37481-7
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Innovative Directions to Advance Mental Health Disparities Research.

Barksdale, Crystal L / Pérez-Stable, Eliseo / Gordon, Joshua

The American journal of psychiatry

2022 Volume 179, Issue 6, Page(s) 397–401

Abstract: Disparities in mental health have persisted or worsened despite our awareness of their existence, increased understanding of their causes, and efforts at reduction and mitigation. Although much is known, there is still much to be done in mental health ... ...

Abstract	Disparities in mental health have persisted or worsened despite our awareness of their existence, increased understanding of their causes, and efforts at reduction and mitigation. Although much is known, there is still much to be done in mental health research to meaningfully impact disparities. In November 2020, the National Institute of Mental Health (NIMH) and the National Institute of Minority Health and Health Disparities (NIMHD) co-sponsored a virtual workshop to explore the complexities of mental health disparities, which revealed several gaps and opportunities for the field to pursue to advance mental health disparities research. This article, the introduction to a Special Issue on Mental Health Disparities, provides a frame for four articles that stem from and are inspired by the virtual NIMH/NIMHD workshop, all of which illustrate innovative research on understanding the complex mechanisms of disparities and how this knowledge can be translated into effective intervention development that advances mental health equity.
MeSH term(s)	Health Equity ; Healthcare Disparities ; Humans ; Mental Health ; Minority Groups
Language	English
Publishing date	2022-05-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	280045-7
ISSN	1535-7228 ; 0002-953X
ISSN (online)	1535-7228
ISSN	0002-953X
DOI	10.1176/appi.ajp.21100972
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Article ; Online: Racial and ethnic disparities in the association between financial hardship and self-reported weight change during the first year of the pandemic in the U.S.

Mendez, Izabelle / Strassle, Paula D / Rodriquez, Erik J / Ponce, Stephanie / Le, Randy / Green, Alexis / Martinez, Emma / Pérez-Stable, Eliseo J / Nápoles, Anna M

International journal for equity in health

2024 Volume 23, Issue 1, Page(s) 12

Abstract: Studies have shown that financial hardship can impact weight change; however, it is unclear what the economic impact of the COVID-19 pandemic has had on weight change in U.S. adults, or whether racial-ethnic groups were impacted differentially. We ... ...

Abstract	Studies have shown that financial hardship can impact weight change; however, it is unclear what the economic impact of the COVID-19 pandemic has had on weight change in U.S. adults, or whether racial-ethnic groups were impacted differentially. We estimated the association between financial hardship and self-reported weight change using data from the cross-sectional COVID-19's Unequal Racial Burden (CURB) survey, a nationally representative online survey of 5,500 American Indian/Alaska Native, Asian, Black/African American, Latino (English- and Spanish-speaking), Native Hawaiian/Pacific Islander, White, and multiracial adults conducted from 12/2020 to 2/2021. Financial hardship was measured over six domains (lost income, debt, unmet general expenses, unmet healthcare expenses, housing insecurity, and food insecurity). The association between each financial hardship domain and self-reported 3-level weight change variable were estimated using multinomial logistic regression, adjusting for sociodemographic and self-reported health. After adjustment, food insecurity was strongly associated with weight loss among American Indian/Alaska Native (aOR = 2.18, 95% CI = 1.05-4.77), Black/African American (aOR = 1.77, 95% CI = 1.02-3.11), and Spanish-speaking Latino adults (aOR = 2.32, 95% CI = 1.01-5.35). Unmet healthcare expenses were also strongly associated with weight loss among Black/African American, English-speaking Latino, Spanish-speaking Latino, and Native Hawaiian/Pacific Islander adults (aORs = 2.00-2.14). Other domains were associated with weight loss and/or weight gain, but associations were not as strong and less consistent across race-ethnicity. In conclusion, food insecurity and unmet healthcare expenses during the pandemic were strongly associated with weight loss among racial-ethnic minority groups. Using multi-dimensional measures of financial hardship provides a comprehensive assessment of the effects of specific financial hardship domains on weight change among diverse racial-ethnic groups.
MeSH term(s)	Adult ; Humans ; Self Report ; Pandemics ; Cross-Sectional Studies ; Ethnicity ; Financial Stress ; Minority Groups ; Weight Loss
Language	English
Publishing date	2024-01-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2092056-8
ISSN	1475-9276 ; 1475-9276
ISSN (online)	1475-9276
ISSN	1475-9276
DOI	10.1186/s12939-023-02093-0
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Article ; Online: Emerging themes in food security: environmental justice, extended families and the multiple roles of grandmothers.

Alderete, Ethel / Sonderegger, Lauren / Pérez-Stable, Eliseo J

International journal for equity in health

2018 Volume 17, Issue 1, Page(s) 139

Abstract: Background: Pre- and perinatal nutritional status defines the development of adult metabolism and energy balance in humans. Young children in poor households are disproportionately more vulnerable to food insecurity given the cumulative impact of ... ...

Abstract	Background: Pre- and perinatal nutritional status defines the development of adult metabolism and energy balance in humans. Young children in poor households are disproportionately more vulnerable to food insecurity given the cumulative impact of chronic stress on susceptibility to chronic diseases as an adult. Qualitative studies focusing on the experience of food insecurity in Latin America are scarce. In Argentina, although socioeconomic indicators improved in the aftermath of the 2001ecomomic crisis, the disadvantaged provinces in the north continue to bear the burden of historical inequities. The study was conducted among Primary Health Care patients in the city of San Salvador de Jujuy, Argentina. It analyzes environmental and household level stressors through the narratives of mothers with young children living with food insecurity, from the perspectives of eco-developmental conceptual frameworks. Methods: We conducted 11 semi-structured interviews with mothers of children < 1 to 6 years of age who participated in maternal-child health programs in Primary Health Care clinics and lived in food insecure households. Interviews focused on the environmental context and the resources and processes for obtaining and preparing daily meals. Results: The Eco-bio-developmental (EBD) framework and the vulnerability-assets approach, provided a basis for conceptualizing the significance of findings. Our results indicated the need to understand pathways in the association of stressors, vulnerability and ill health, as well as the mitigating role of social relationships. For example, understanding the link between the stress of being exposed to environmental contaminants and the capacity to overcome food insecurity, or developing strategies to integrate the support provided by kinship networks like extended families into food security programs. The results also indicate the importance of developing support mechanisms for vulnerable family members like grandmothers in food insecure households who play instrumental roles as providers and caretakers of younger relatives. Conclusion: The empirical evidence generated by this study may inform community based strategies and public health policies to address food insecurity in vulnerable population groups who face health effects from multiple stressors.
MeSH term(s)	Adult ; Argentina ; Child ; Child, Preschool ; Family Characteristics ; Female ; Food Supply ; Grandparents ; Humans ; Mothers ; Nutritional Status ; Pregnancy ; Socioeconomic Factors ; Vulnerable Populations
Language	English
Publishing date	2018-09-12
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2092056-8
ISSN	1475-9276 ; 1475-9276
ISSN (online)	1475-9276
ISSN	1475-9276
DOI	10.1186/s12939-018-0856-3
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Article ; Online: Racial and ethnic disparities in inferior vena cava filter placement for deep vein thrombosis in the United States.

Juarez, Jordan J / Khalid, Muhammad U / Ulloa, Bianca A / Romero, Carlos M / Maruthi, Rohit / Shah, Devrat / Chang, Eric / Shafi, Irfan / Lakhter, Vladimir / Zhao, Huaqing / Rodriquez, Erik J / Pérez-Stable, Eliseo J / Bashir, Riyaz

Journal of vascular surgery. Venous and lymphatic disorders

2023 Volume 12, Issue 1, Page(s) 101683

Abstract: Objective: We sought to determine whether racial and ethnic disparities existed in inferior vena cava (IVC) filter (IVCF) placement rates among Black and Latino patients for the treatment of acute proximal lower extremity (LE) deep vein thrombosis (DVT) ...

Abstract	Objective: We sought to determine whether racial and ethnic disparities existed in inferior vena cava (IVC) filter (IVCF) placement rates among Black and Latino patients for the treatment of acute proximal lower extremity (LE) deep vein thrombosis (DVT) in the United States from 2016 to 2019. Methods: We performed a retrospective review of National Inpatient Sample data to identify adult patients with a primary discharge diagnosis of acute proximal LE DVT from January 2016 to December 2019, including self-reported patient race and ethnicity. IVCF placement rates were identified using International Classification of Diseases, 10th revision, codes. Weighted multivariable logistic regression was used to compare IVCF use by race and ethnicity. The regression model was adjusted for patient demographics (ie, sex, primary payer, quartile classification of household income), hospital information (ie, region, location, teaching status, bed size), weekend admission, and clinical characteristics (ie, modified Charlson comorbidity index, hypertension, atrial fibrillation, diabetes mellitus type 2, congestive heart failure, dyslipidemia, coronary artery disease, smoking, obesity, alcohol abuse, chronic kidney disease, pulmonary embolism, malignancy, contraindications to anticoagulation, including other major bleeding). Results: Of 134,499 acute proximal LE DVT patients, 18,909 (14.1%) received an IVCF. Of the patients who received an IVCF, 12,733 were White (67.3%), 3563 were Black (18.8%), and 1679 were Latino (8.9%). IVCF placement decreased for all patient groups between 2016 and 2019. After adjusting for the U.S. population distribution, the IVCF placement rates were 11 to 12/100,000 persons for Black patients, 7 to 8/100,000 persons for White patients, and 4 to 5/100,000 persons for Latino patients. The difference in IVCF placement rates was statistically significant between patient groups (Black patients vs White patients, P < .05; Black patients vs Latino patients, P < .05; Latino patients vs White patients, P < .05). Conclusions: This nationwide study showed that Black patients have higher IVCF placement rates compared with White and Latino patients. Given the known long-term complications and uncertain benefits of IVCFs, coupled with the 2010 U.S. Food and Drug Administration safety warning regarding adverse patient events for these devices, proactive measures should be taken to address this disparity among the Black patient population to promote health equity. Future work should assess whether clinician bias might be perpetuating this disparity.
MeSH term(s)	Adult ; Humans ; United States ; Vena Cava Filters/adverse effects ; Health Promotion ; Treatment Outcome ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/therapy ; Venous Thrombosis/complications ; Pulmonary Embolism/etiology ; Retrospective Studies ; Vena Cava, Inferior
Language	English
Publishing date	2023-09-12
Publishing country	United States
Document type	Journal Article
ISSN	2213-3348
ISSN (online)	2213-3348
DOI	10.1016/j.jvsv.2023.08.022
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Article ; Online: Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos.

Lee, Adrienne R S / Rodriquez, Erik J / Gallo, Linda C / Giachello, Aida L / Isasi, Carmen R / Perreira, Krista M / Daviglus, Martha L / Kaplan, Robert C / Talavera, Gregory A / Pérez-Stable, Eliseo J / Oren, Eyal

Annals of epidemiology

2023 Volume 84, Page(s) 33–40

Abstract: Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies.: ... ...

Abstract	Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies. Methods: In the Hispanic Community Health Survey/Study of Latinos cohort, we used cigarette consumption behaviors at baseline (2008-2011) and follow-up (2014-2017) and a modified Short Acculturation Scale for Hispanics (SASH) language subscale to measure associations of language acculturation (unidimensional) with changes in cigarette consumption and quitting rates. Weighted multivariable linear and logistic regressions were stratified by daily (n = 1397) and nondaily (n = 633) smoking, and either sex, educational attainment, or migration status. Results: Smokers at baseline (n = 2030) on average were aged 42 years old (SE = 0.5) with a mean SASH-language score of 2.3 (SE = 0.1; range = 1-5), indicating more Spanish language use. Among male daily smokers, we observed increases in smoked cigarettes-per-day (CPD) with unit increases in SASH-language score (1.08, 95% CI: 0.24-1.92). Associations with acculturation trended toward greater increases in CPD and lower odds of quitting as educational attainment increased. Conclusions: Language acculturation level is an important determinant for increased smoking behaviors, particularly among men. Our findings are significant in informing smoking reduction programs for the Hispanic/Latino population.
MeSH term(s)	Adult ; Humans ; Male ; Acculturation ; Hispanic or Latino ; Public Health ; Smoking/epidemiology ; Tobacco Products ; United States/epidemiology ; Cigarette Smoking/epidemiology ; Cigarette Smoking/ethnology
Language	English
Publishing date	2023-05-08
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural ; Research Support, Non-U.S. Gov't
ZDB-ID	1074355-8
ISSN	1873-2585 ; 1047-2797
ISSN (online)	1873-2585
ISSN	1047-2797
DOI	10.1016/j.annepidem.2023.05.005
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Article ; Online: Disparities in multiple sleep characteristics among non-Hispanic White and Hispanic/Latino adults by birthplace and language preference: cross-sectional results from the US National Health Interview Survey.

Gaston, Symielle A / Martinez-Miller, Erline E / McGrath, John / Jackson Ii, W Braxton / Napoles, Anna / Pérez-Stable, Eliseo / Jackson, Chandra L

BMJ open

2021 Volume 11, Issue 9, Page(s) e047834

Abstract: Objective: To investigate whether sleep disparities vary by birthplace among non-Hispanic White (NHW) and Hispanic/Latino adults in the USA and to investigate language preference as an effect modifier.: Design: Cross-sectional.: Setting: USA.: ... ...

Abstract	Objective: To investigate whether sleep disparities vary by birthplace among non-Hispanic White (NHW) and Hispanic/Latino adults in the USA and to investigate language preference as an effect modifier. Design: Cross-sectional. Setting: USA. Participants: 254 699 men and women. Methods: We used pooled 2004-2017 National Health Interview Survey data. Adjusting for sociodemographic and behavioural/clinical characteristics, survey-weighted Poisson regressions with robust variance estimated prevalence ratios (PRs) and 95% CIs of self-reported sleep characteristics (eg, sleep duration, trouble staying asleep) among (1) foreign-born NHW adults and Hispanic/Latino heritage groups versus US-born NHW adults and (2) Hispanic/Latino heritage groups versus foreign-born NHW adults. We further stratified by language preference in comparisons of Hispanic/Latino heritage groups with the US-born NHW group. Results: Among 254 699 participants with a mean age±SE 47±0.9 years, 81% self-identified their race/ethnicity as NHW, 12% Mexican, 2% Puerto Rican, 1% Cuban, 1% Dominican and 3% Central/South American. Compared with US-born NHW adults, foreign-born NHW adults were more likely to report poor sleep quality (eg, PR Conclusion: Sleep disparities varied by birthplace, Hispanic/Latino heritage and language preference, and each characteristic should be considered in sleep disparities research.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Ethnic Groups ; Female ; Hispanic Americans ; Humans ; Language ; Male ; Middle Aged ; Sleep ; United States/epidemiology
Language	English
Publishing date	2021-09-02
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Intramural
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2020-047834
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Article ; Online: Allostatic Load: Importance, Markers, and Score Determination in Minority and Disparity Populations.

Rodriquez, Erik J / Kim, Edward N / Sumner, Anne E / Nápoles, Anna M / Pérez-Stable, Eliseo J

Journal of urban health : bulletin of the New York Academy of Medicine

2019 Volume 96, Issue Suppl 1, Page(s) 3–11

Abstract: Allostatic load is a physiological measure of the cumulative burden of stress on the body assessed by markers of physiological dysregulation. It is a multisystem construct that quantifies biological risk which leads to poor health and maladaptive ... ...

Abstract	Allostatic load is a physiological measure of the cumulative burden of stress on the body assessed by markers of physiological dysregulation. It is a multisystem construct that quantifies biological risk which leads to poor health and maladaptive trajectories. In this overview, which is based on a presentation made at the Flip the Script: Understanding African American Women's Resilience in the Face of Allostatic Load meeting at Ohio State University in August 2018, we build upon previous reviews by discussing four key aspects of allostatic load, specifically its: (1) importance, (2) operationalization, (3) use in minority health and health disparities research, and (4) value in such research. Operationalized in various ways, allostatic load is composed of 10 original markers and additional markers deriving from research among minority and disparity populations. The markers represent four biological systems: (1) cardiovascular, (2) metabolic, (3) inflammatory, and (4) neuroendocrine. System-specific racial/ethnic and sex-based differences have been observed. An overall score can be determined using sample-generated or empirically derived clinically relevant cut points. In summary, allostatic load provides an overall and a body system-specific mechanistic link between exposures to stressors and health outcomes that may help explain health disparities among minority populations.
MeSH term(s)	Adult ; African Americans/statistics & numerical data ; Aged ; Aged, 80 and over ; Allostasis/physiology ; Biomarkers/analysis ; Ethnic Groups/statistics & numerical data ; Female ; Health Status Disparities ; Humans ; Middle Aged ; Minority Groups/statistics & numerical data ; Ohio ; Stress, Psychological/physiopathology ; United States
Chemical Substances	Biomarkers
Language	English
Publishing date	2019-01-30
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Intramural
ZDB-ID	1435288-6
ISSN	1468-2869 ; 1099-3460
ISSN (online)	1468-2869
ISSN	1099-3460
DOI	10.1007/s11524-019-00345-5
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Article ; Online: Corrigendum to "Perceived neighborhood factors, health behaviors, and related outcomes in the Hispanic Community Health Study/Study of Latinos" [Preventive Medicine 2022 Nov;164:107267. Epub 2022 Sep 20].

Bayly, Jennifer E / Panigrahi, Asmi / Rodriquez, Erik J / Gallo, Linda C / Perreira, Krista M / Talavera, Gregory A / Estrella, Mayra L / Daviglus, Martha L / Castaneda, Sheila F / Bainter, Sierra A / Chambers, Earle C / Savin, Kimberly L / Loop, Matthew / Pérez-Stable, Eliseo J

Preventive medicine

2023 Volume 169, Page(s) 107470

Language	English
Publishing date	2023-03-06
Publishing country	United States
Document type	Published Erratum
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2023.107470
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Article ; Online: Economic and Psychosocial Impact of COVID-19 in the Hispanic Community Health Study/Study of Latinos.

Isasi, Carmen R / Gallo, Linda C / Cai, Jianwen / Gellman, Marc D / Xie, Wenyi / Heiss, Gerardo / Kaplan, Robert C / Talavera, Gregory A / Daviglus, Martha L / Pirzada, Amber / Wassertheil-Smoller, Sylvia / Llabre, Maria M / Youngblood, Marston E / Schneiderman, Neil / Pérez-Stable, Eliseo J / Napoles, Anna M / Perreira, Krista M

Health equity

2023 Volume 7, Issue 1, Page(s) 206–215

Abstract: Objectives: To examine the prevalence and correlates of economic hardship and psychosocial distress experienced during the initial phase of the coronavirus disease 2019 (COVID-19) pandemic in a large cohort of Hispanic/Latino adults.: Methods: The ... ...

Abstract	Objectives: To examine the prevalence and correlates of economic hardship and psychosocial distress experienced during the initial phase of the coronavirus disease 2019 (COVID-19) pandemic in a large cohort of Hispanic/Latino adults. Methods: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL), an ongoing multicenter study of Hispanic/Latino adults, collected information about COVID-19 illness and psychosocial and economic distress that occurred during the pandemic ( Results: Almost half of the households reported job losses and a third reported economic hardship during the first year of the pandemic. Pandemic-related household job losses and economic hardship were more pronounced among noncitizens who are likely to be undocumented. Pandemic-related economic hardship and psychosocial distress varied by age group and sex. Contrary to the economic hardship findings, noncitizens were less likely to report pandemic-related psychosocial distress. Prepandemic social resources were inversely related to psychosocial distress. Conclusions: The study findings underscore the economic vulnerability that the pandemic has brought to ethnic minoritized and immigrant populations in the United States, in particular noncitizens. The study also highlights the need to incorporate documentation status as a social determinant of health. Characterizing the initial economic and mental health impact of the pandemic is important for understanding the pandemic consequences on future health. Clinical Trial Registration Number: NCT02060344.
Language	English
Publishing date	2023-03-27
Publishing country	United States
Document type	Journal Article
ISSN	2473-1242
ISSN (online)	2473-1242
DOI	10.1089/heq.2022.0211
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