Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Feasibility Study of Engaging Barbershops for Prostate Cancer Education in Rural African-American Communities(2015) Luque, J. S.; Siddartha, Roy; Tarasenko, Yelena; Levi, Ross; Johnson, Jarrett; Gwede, Clement K.The barbershop is a promising setting where African-American men might receive information and education about prostate cancer. In this study, we assessed the feasibility of engaging rural barbershops as venues for barbers to deliver a prostate cancer education intervention to increase informed decision-making for prostate cancer screening among customers. Twelve barbershops were recruited from two separate micropolitan areas in Georgia as intervention and control sites. Structured interviews were conducted with 11 barbers in both sites about customer characteristics as well as their willingness to participate in the study. The interviews were audio recorded and transcribed for analysis. In the intervention site, six barbers completed a survey and a pre-/posttest prostate cancer knowledge instrument following training classes. Barbers reported a wide average range of customers served per week (50 to 300). African-American men made up an average of 87 % of customers. Barbers thought prostate cancer was an important discussion topic, felt they would be comfortable discussing it, and supported the participation of their barbershop in the study. For intervention group barbers, there was a statistically significant difference between the average pretest knowledge score of 72 % (mean 12.2, SD = 3.2) and the posttest knowledge score of 89 % (mean 15.2, SD = 1.1) (P = 0.03) on the 17-item prostate cancer knowledge instrument. Based on the multiple interactions with the barbers, there was high receptivity to the topic and consensus about the importance of addressing prostate cancer with their customers. Rural barbershops represent feasible venues for delivering a prostate cancer education intervention.Item A Small-scale Cross-sectional Study for the Assessment of Cardiorespiratory Fitness in Relation to Body Composition and Morphometric Characters in Fishermen of Araku Valley, Andhra Pradesh, India(2014) Sengupta , PBACKGROUND: The people residing in coastal areas of Visakhapatnam are mostly engaged in fishery, which is always been a physically demanding job, and numerous factors have direct or indirect impact on the health of fishermen; but, the data about their physical fitness or health status is quite scanty. Thus, the present study was conducted to assess their cardiorespiratory fitness pattern, as well as morphometric characters, which may be influenced by their occupation. METHODS: In this retrospective cohort study, 25 young fishermen (mean age of 22.8 ± 1.92 years) were randomly selected from Araku valley of Visakhapatnam District, Andhra Pradesh and compared with 25 subjects who were randomly selected from college students (mean age of 21.9 ± 2.25 years) of Kolkata, West Bengal. Some physical and physiological fitness variables including height, weight, body mass index, body surface area, physical fitness index, anaerobic power, and energy expenditure were measured along with their morphometric characters. RESULTS: Analysis of data indicated a significant difference in blood pressure, physical fitness index, energy expenditure, body fat percent and anaerobic power among fishermen compared to controls. However, there were no changes in morphometric characters between the two groups. CONCLUSIONS: Findings of this small-scale population-based study indicated that health and physical fitness of young fishermen is under the influence of both occupational workload and nutritional status, as found by body composition and morphometric characters.Item Evaluation of physical fitness and weight status among fisherwomen in relation to their occupational workload(2014) Sengupta , PBACKGROUND: Fisherwomen contribute significantly to the coastal economy of Eastern India; however, data about their physical fitness and weight status are scant. OBJECTIVES: The present cross-sectional study was designed to investigate cardiorespiratory fitness and weight status of fisherwomen, which may be influenced by their occupational workload, using morphometric and anthropometric measures. METHODS: The study was conducted among young fisherwomen (mean age 23.7 years) randomly selected from Araku, Visakhapatnam, Andhra Pradesh, and among young women who are not engaged in the fishing industry but are residents of Araku, who served as controls (mean age 21.3 years). Measurements of body composition included several anthropometric variables, while physical efficiency parameters included a physical fitness index (PFI), VO2max, total energy expenditure, and anaerobic capacity. RESULTS: A significant difference (p<0.05) in body mass index (BMI), body surface area (BSA), body fat percentage, diastolic blood pressure, fitness index, total energy expenditure, and anaerobic power was found in fisherwomen compared with controls. Analysis of collected data showed that the majority of the fisherwomen studied have a normal range of BMI (42%), but 6% of them were found to be mildly overweight. They also showed lower fat mass (13.5 [ ± 3.87]kg) and lower waist-to-hip ratio (WHR) and conicity index. Additionally, they were found to have a moderate level of physical fitness (64.3 [ ± 1.97]%) and a higher total energy expenditure (4.92 [ ± 0.52]k.cal.min(-2)). CONCLUSION: This study implies that physical fitness and weight status of young fisherwomen in Eastern India are influenced by their occupational workload.Item Approaching Environmental Health Disparities and Green Spaces: An Ecosystem Services Perspective(2015) Jennings, Viniece; Johnson Gaither, CassandraHealth disparities occur when adverse health conditions are unequal across populations due in part to gaps in wealth. These disparities continue to plague global health. Decades of research suggests that the natural environment can play a key role in sustaining the health of the public. However, the influence of the natural environment on health disparities is not well-articulated. Green spaces provide ecosystem services that are vital to public health. This paper discusses the link between green spaces and some of the nation’s leading health issues such as obesity, cardiovascular health, heat-related illness, and psychological health. These associations are discussed in terms of key demographic variables—race, ethnicity, and income. The authors also identify research gaps and recommendations for future research.Item International Compilation of Human Research Standards(U.S. Department of Health and Human Services, 2015) UNSPECIFIEDItem Income and Poverty in the United States: 2013(U.S. Government Printing Office, 2014) DeNavas-Walt, Carmen; Proctor, Bernadette D.Item Consumer Guide to Hospice(2014) Keating, Dan; Tan, ShellyItem Health Care Equity Equity in Health(2014) Hussein, Carlessia A.Item Early Childhood Investments Substantially Boost Adult Health(2014) Campbell, Frances; Conti, Gabriella; Heckman, James; Moon, Seong; Pinto, Rodrigo; Pungello, Elizabeth; Pan, YiItem The Systolic Blood Pressure Difference Between Arms and Cardiovascular Disease in the Framingham Heart Study(2014) Weinberg, Ido; Gona, Philimon; O'Donnell, Christopher; Jaff, Michael; Murabito, JoanneAbstract Background An increased interarm systolic blood pressure difference is an easily determined physical examination finding. The relationship between interarm systolic blood pressure difference and risk of future cardiovascular disease is uncertain. We described the prevalence and risk factor correlates of interarm systolic blood pressure difference in the Framingham Heart Study (FHS) original and offspring cohorts and examined the association between interarm systolic blood pressure difference and incident cardiovascular disease and all-cause mortality. Methods An increased interarm systolic blood pressure difference was defined as ≥10 mm Hg using the average of initial and repeat blood pressure measurements obtained in both arms. Participants were followed through 2010 for incident cardiovascular disease events. Multivariable Cox proportional hazards regression analyses were performed to investigate the effect of interarm systolic blood pressure difference on incident cardiovascular disease. Results We examined 3390 (56.3% female) participants aged 40 years and older, free of cardiovascular disease at baseline, mean age of 61.1 years, who attended a FHS examination between 1991 and 1994 (original cohort) and from 1995 to 1998 (offspring cohort). The mean absolute interarm systolic blood pressure difference was 4.6 mm Hg (range 0-78). Increased interarm systolic blood pressure difference was present in 317 (9.4%) participants. The median follow-up time was 13.3 years, during which time 598 participants (17.6%) experienced a first cardiovascular event, including 83 (26.2%) participants with interarm systolic blood pressure difference ≥10 mm Hg. Compared with those with normal interarm systolic blood pressure difference, participants with an elevated interarm systolic blood pressure difference were older (63.0 years vs 60.9 years), had a greater prevalence of diabetes mellitus (13.3% vs 7.5%,), higher systolic blood pressure (136.3 mm Hg vs 129.3 mm Hg), and a higher total cholesterol level (212.1 mg/dL vs 206.5 mg/dL). Interarm systolic blood pressure difference was associated with a significantly increased hazard of incident cardiovascular events in the multivariable adjusted model (hazard ratio 1.38; 95% CI, 1.09-1.75). For each 1-SD-unit increase in absolute interarm systolic blood pressure difference, the hazard ratio for incident cardiovascular events was 1.07 (95% CI, 1.00-1.14) in the fully adjusted model. There was no such association with mortality (hazard ratio 1.02; 95% CI 0.76-1.38). Conclusions In this community-based cohort, an interarm systolic blood pressure difference is common and associated with a significant increased risk for future cardiovascular events, even when the absolute difference in arm systolic blood pressure is modest. These findings support research to expand clinical use of this simple measurement.