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.
Browse
Search Results
Item The Effect of Adverse Housing and Neighborhood Conditions on the Development of Diabetes Mellitus among Middle-aged African Americans(2007) Schootman, Mario; Andresen, Elena M.; Wolinsky, Fredric D.; Malmstrom, Theodore K.; Miller, J. Philip; Yan, Yan; Miller, Douglas K.The authors examined the associations of observed neighborhood (block face) and housing conditions with the incidence of diabetes by using data from 644 subjects in the African-American Health Study (St. Louis area, Missouri). They also investigated five mediating pathways (health behavior, psychosocial, health status, access to medical care, and sociodemographic characteristics) if significant associations were identified. The external appearance of the block the subjects lived on and housing conditions were rated as excellent, good, fair, or poor. Subjects reported about neighborhood desirability. Self-reported diabetes was obtained at baseline and 3 years later. Of 644 subjects without self-reported diabetes, 10.3% reported having diabetes at the 3-year follow-up. Every housing condition rated as fair-poor was associated with an increased risk of diabetes, with odds ratios ranging from 2.53 (95% confidence interval: 1.47, 4.34 for physical condition inside the building) to 1.78 (95% confidence interval: 1.03, 3.07 for cleanliness inside the building) in unadjusted analyses. No association was found between any of the block face conditions or perceived neighborhood conditions and incident diabetes. The odds ratios for the five housing conditions were unaffected when adjusted for the mediating pathways. Poor housing conditions appear to be an independent contributor to the risk of incident diabetes in urban, middle-aged African Americans.Item New Orleans: Where's the money?(2007) Lashinsky, AdamFortune Magazine -- Ask New Orleanians how their city is faring these days, and their responses follow an eerily consistent arc. They begin with gratitude that you bothered asking and then move on to recitations of all the good that's going on. Hurricane Katrina, and the flood that followed, struck two years ago this month, and since then the tourists have returned, basic services are operating, and the city has crafted a comprehensive recovery plan. Linger a bit on the subject, however, and optimism quickly turns to exasperation. Lack of government leadership, the glacial pace of rebuilding, and outright rage at absent neighbors who've yet to demolish blighted homes top the list of gripes.Item The State of Black California(2007) UNSPECIFIEDThe State of Black California reports on the social and economic status of Blacks in California and its major metropolitan areas including the Inland Empire, Los Angeles, Oakland, Sacramento, San Diego, San Francisco, and San Jose. It examines how Black Californians fare in relation to whites and other major ethnic groups along, economic social and health related dimensions. The report uses an Equality Index, an objective tool to compare the degree to which blacks enjoy equal conditions relative to those of whites and other ethnic groups. The Equality Index was developed by Global Insight, Inc., a highly-regarded international consulting firm. The report was prepared for the California Legislative Black Caucus by Steven Raphael, Goldman School of Public Policy University of California, Berkeley and Michael A. Stoll, School of Public Affairs University of California, Los Angeles. The Equality Index provides a summary measure of overall wellbeing using a single index to represent performance on a number of economic, housing, health, education, criminal justice and civic engagement outcomes. Whites are used as the baseline group in calculating the Index, and they have a constant score of 1.00. A score of less than 1.00 means that the racial or ethnic group is faring poorly relative to whites, while a score of greater than 1.00 indicates that the racial or ethnic group is faring relatively better.