White, Asian and Hispanic managers tend to hire more whites and fewer blacks than black managers do, according to a new study out of the University of Miami School of Business Administration.
Using more than two years of personnel data from a large U.S. retail chain, the study found that when a black manager in a typical store is replaced by a white, Asian or Hispanic manager, the share of newly hired blacks falls from 21 to 17 percent, and the share of whites hired rises from 60 to 64 percent. The effect is even stronger for stores located in the South, where the replacement of a black manager causes the share of newly hired blacks to fall from 29 to 21 percent. In locations with large Hispanic populations, Hispanics hire more Hispanics and fewer whites than white managers. The study is out this month in the Journal of Labor Economics.
The finding is clear evidence that the race or ethnicity of those who make hiring decisions can have a strong impact in the racial makeup of a company's workforce, says Laura Giuliano, an assistant professor of economics at the University of Miami School of Business, who authored the study with David Levine and Jonathan Leonard from the University of California, Berkeley.
How strong is the impact? Consider a typical store with 40 employees located in the Southern U.S. According to the data, replacing a black manager with a non-black manager would result in the replacement of three to four black workers with white workers over the course of one year.
The effect in a non-Southern store would also be significant, if a bit more subtle. Replacing a black manager in a non-Southern store would result in one black worker being replaced by a white worker over a year.
"From the viewpoint of a district manager who is observing just a small sample of stores, this change might go unnoticed or appear insignificant," Giuliano said. "However, the change may appear more significant from the point of view of job seekers -- and especially black job seekers. In fact, the change in non-Southern stores amounts to a proportional decline of 15 percent in the number of blacks employed."
The data used by Giuliano and her colleagues were especially well suited to sorting out the role race plays in hiring. While previous studies have also suggested that manager race plays a role, those studies have been unable to distinguish that role from other factors such as the demographic makeup of the local labor pool. Giuliano and her colleagues were able to isolate the race factor by tracking individual stores that experienced a change of manager.
"This means we can compare the hiring patterns of consecutive managers of different races in the same store," she said. "Hence we can isolate the effect of a manager's race by comparing the hiring patterns of managers when they hire from similar labor pools under similar conditions."
The researchers were also able to use their data to offer some partial explanations for why these differences in hiring patterns exist.
They found that both black and non-black managers tend to hire people who live close to them. So if black managers live in predominantly black neighborhoods, their hiring network is also likely to be predominantly black.
The research also suggests that black managers hire fewer whites because whites may be less willing to work for black managers. The study found that when a white manager is replaced with a black manager, the rate at which white workers quit their jobs increases by 15 percent.
"We interpret this increase in the white quit rate as evidence of discriminatory sorting by white job seekers," the authors write. "It implies that whites who dislike working for black managers often avoid working for black managers in the first place." ###
Laura Giuliano, David I. Levin and Jonathan Leonard, "Manager Race and the Race of News Hires." Journal of Labor Economics 27:4 (October 2009).
Since 1983, the Journal of Labor Economics has presented international research that examines issues affecting the economy as well as social and private behavior. The Journal publishes both theoretical and applied research results relating to the U.S. and international data.
The University of Miami School of Business Administration is a comprehensive business school, offering undergraduate business, full-time MBA, Executive MBA, MS, PhD and non-degree executive education programs. One of 12 colleges and schools at the University of Miami, the School is located in a major hub of international trade and commerce and acclaimed for the global orientation and diversity of its faculty, students and curriculum. The School delivers its programs at its main campus in Coral Gables as well as at locations across Florida and abroad. More information about the University of Miami School of Business can be found at www.bus.miami.edu.
Contact: Kevin Stacey kstacey@press.uchicago.edu 773-834-0386 University of Chicago Press Journals
Sunday, October 18, 2009
Study: Managers' hiring practices vary by race, ethnicity
Friday, October 16, 2009
Continuing racial differences in HIV prevalence in US
HIV prevalence among African Americans is ten times greater than the prevalence among whites. This racial disparity in HIV prevalence has persisted in the face of both governmental and private actions, involving many billions of dollars, to combat HIV. In the November 2009 issue of the American Journal of Preventive Medicine, researchers from the University of North Carolina at Chapel Hill examine factors responsible for the stark racial disparities in HIV infection in the U.S. and the now concentrated epidemic among African Americans.
The Centers for Disease Control and Prevention (CDC) estimates that 45% of new HIV infections in the U.S. in 2006 occurred among non-Hispanic blacks. Among the 13,184 adolescents and young adults in The National Longitudinal Study of Adolescent Health, a nationally representative study, HIV seroprevalence was almost 0.5% among blacks – 20 times that of whites.
According to the authors, the overall impact of these factors constitutes structural violence; a social system characterized by inequalities in power and life chances of sufficient magnitude to restrict a group of people from realizing their full potential and put them "in harm's way." Although the link between social context and disease is increasingly recognized, with a few notable exceptions, the specific role of structural violence in the HIV epidemic among African Americans has received considerably less research attention.
Writing in the article, Adaora A. Adimora, MD, MPH, University of North Carolina at Chapel Hill, School of Medicine, states, "Continuing racial disparities in HIV infection more than 2 decades after the identification of the virus and availability of an accurate test are an indictment of the U.S. response to the epidemic. Existing interventions have failed to control the epidemic in African Americans in part because critical features of the socioeconomic context promote behaviors that transmit HIV and increase the risk of HIV infection even among those who do not have high-risk behaviors. Failure to address these structural determinants has allowed the epidemic to continue in the black community. There is a need for research and interventions that are informed by expertise in public health, medicine, basic science, and social sciences – along with expertise in economics, business and finance, education, criminal justice, political science, and other disciplines…Governments should be held accountable for progress or lack thereof in eliminating inequities." ###
The article is "Ending the Epidemic of Heterosexual HIV Transmission Among African Americans" by Adaora A. Adimora, MD, MPH, Victor J. Schoenbach, PhD, and Michelle A. Floris-Moore, MD. It appears in the American Journal of Preventive Medicine, Volume 37, Issue 5 (November 2009) published by Elsevier.
Contact: AJPM Editorial Office eAJPM@ucsd.edu 858-457-7292 Elsevier Health Sciences
Tuesday, October 13, 2009
Insured African-Americans more likely to use emergency room than other insured groups
Health insurance, and the access it provides to a primary care physician, should reduce the use of a major driver of health care costs: the emergency room.
Yet in a policy brief released today by the UCLA Center for Health Policy Research, researchers found that in California, privately insured African Americans enrolled in HMOs are far more likely to use the ER and to delay getting needed prescription drugs than HMO-insured members of other racial and ethnic groups. The research was funded by the California Office of the Patient Advocate.
It's not that African Americans fail to see their doctors, researchers say. In fact, of all HMO enrollees, African Americans were the most likely to report seeing a doctor in the past year, according to the authors of the brief, "African-Americans in Commercial HMOs Are More Likely to Delay Prescription Drugs and Use the Emergency Room."
Dylan Roby, Ph.D. Assistant Professor, Health Services, Research Scientist, UCLA Center for Health Policy Research, BOX 957143. Los Angeles, CA 90095-7143 (310) 794-3953 Fax: (310) 794-2686 E-mail: droby@.ucla.edu | Patient income and illness did not predict ER or prescription drug use either. Researchers found greater ER use and delays in getting prescription drugs even among African American HMO enrollees who were generally healthy and had higher incomes. While the reasons behind the ER use and drug delays among African Americans are the subject of future research, lead author Dylan Roby, a research scientist with the UCLA Center for Health Policy Research, said the data suggests that the way health maintenance organizations or their contracted physicians provide care — and the way patients respond to that care — may create obstacles to timely primary care, as well as foster excessive use of the emergency room and delays in getting needed medications. African Americans Depend on HMOs |
Using data from the 2007 California Health Interview Survey (CHIS), researchers found that African American patients enrolled in commercial HMO plans were more likely to delay getting needed prescription drugs. Those enrolled in commercial Kaiser Permanente plans were more likely to use the ER, they said.
"It's troubling, because it suggests that even if you are insured and well-off, you still may not be getting the care you need," Roby said. "It also suggests that HMOs that are designed to provide preventive care and to make sure people have their medications are not able to do so."
Kaiser Permanente is the most popular HMO among African Americans, with one-fourth of all insured African Americans enrolled in the Oakland-based insurance carrier. Despite HMO emphasis on preventive care, however, more than a quarter (25.4 percent) of all privately insured African Americans enrolled in a Kaiser Permanente plan used the emergency room in the past year — in contrast to 14 percent of Asian American enrollees and 17.5 percent of Latinos.
The reasons could range from the relative affordability of emergency-room services to the ease of accessing those services, Roby said.
"If it takes days or weeks to get an appointment with your doctor and just hours to be seen in the ER, people might make the easier choice, especially if it is convenient and affordable," he said. "On the other hand, if someone knows their local ER is overcrowded and expensive, they may be more likely to wait and see their own doctor."
Delaying Needed Medicine
Privately insured African American HMO enrollees also were notably more likely to delay getting needed prescription drugs. Prescription drug delays were about 10 percent higher for privately insured African Americans enrolled in non-Kaiser commercial HMO plans than for whites in comparable commercial plans.
Costs, geography and the pharmacy benefits offered by a given HMO may all inhibit the timely purchase of prescription drugs.
"We need to think about how the cost of prescriptions and delays in getting needed medications are compromising health status and quality of life," Roby said.
The research helps health advocates in California identify key health and health care issues for African American HMO members, said Sandra Perez, director of the California Office of the Patient Advocate. "This is the first step in understanding how HMOs can close the gaps in the quality of care and access they provide to their members."
Roby recommended an education campaign for both patient and provider that would address appropriate use of the ER and primary care services, as well as the importance of medication adherence and getting prescribed medications and refills.
"African American HMO members need to be empowered to find a doctor they are comfortable with, while health plans need to make a greater effort to connect patients with that doctor," Roby said. ###
The policy brief was supported by a grant from the California Office of the Patient Advocate as part of a targeted educational outreach program.
The California Health Interview Survey is the nation's largest state health survey and one of the largest health surveys in the United States.
The California Office of the Patient Advocate is a state office established to inform and educate consumers about their rights and responsibilities as health plan enrollees and to teach them how to make best use of the services offered by their health plans.
The UCLA Center for Health Policy Research is one of the nation's leading health policy research centers and the premier source of health-related information on Californians.
For more news, visit the UCLA Newsroom or follow us on Twitter.
Contact: Gwendolyn Driscoll gdriscoll@ucla.edu 310-794-0930 University of California - Los Angeles
Saturday, October 10, 2009
News briefs from the American Sociological Review: Inequalities in education
October issue of flagship journal reports on the black-white achievement gap, socioeconomic desegregation in schools and class inequality in higher education
WASHINGTON, DC — Research published in the October issue of the American Sociological Review puts a spotlight on inequalities in education. The following briefs highlight selected sociological findings.
Racial Segregation Fuels Early Black-White Achievement Gap, Data Suggest
Racial segregation of schools, and thereby segregated neighborhoods, appears to be a leading source of academic achievement disparities between young black and white children, according to research by sociologist Dennis J. Condron of Emory University.
Assistant Professor Department of Sociology Emory University Atlanta, GA 30322 Telephone: 404-727-6272 FAX: 404-727-7532 E-MAIL: dennis.condron@emory.edu OFFICE: 232 Tarbutton Hall | Analyzing data from the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K), Condron examines the perplexing role of schools in narrowing the achievement gap among students of varying social classes while widening the gap between black and white students. He finds that between the fall and spring of first grade, black students' reading and math skills fall almost two months behind those of white students. The data suggest that school factors—especially racial segregation—primarily fuel this early black-white learning disparity, which stands in contrast to the primary role of non-school circumstances (e.g., family, health, social resources) in fueling achievement gaps by social class. The research also indicates that regardless of social class, black students are less often taught by certified teachers than are white students, and black students are far more likely than white students to attend predominantly minority schools, high-poverty schools and schools located in disadvantaged neighborhoods. |
("Social Class, School and Non-School Environments, and Black/White Inequalities in Children's Learning," by Dennis J. Condron, Emory University, in the American Sociological Review, October 2009)
Socioeconomic Desegregation Alone Is Not Effective in Improving Classroom Performance
Although past research has linked academic achievement gains to socioeconomic desegregation in schools, a new analysis reveals some hidden academic and psychological risks of integrating low-income students in schools with predominantly middle- and upper-class student populations that might undercut such achievement gains.
Sociologist Robert Crosnoe of the University of Texas at Austin finds that low-income students were more likely to be enrolled in lower-level math and science courses when they attended schools with mostly middle- and upper-class students, versus schools with low-income student bodies. Likewise, low-income students who attended schools with wealthier student populations were more likely to feel isolated and have negative feelings about themselves. These results were even more pronounced for black and Hispanic students.
Using a sample of low-income public high school students from the National Longitudinal Study of Adolescent Health, Crosnoe finds support for the theory that students' academic success is a function of how they view themselves and how others evaluate them relative to the academic skills and performance of their peers.
Crosnoe argues that achieving statistical representation in schools in not sufficient. He asserts that "desegregation efforts must attend to the social integration of students with lower socioeconomic status, as well as their distribution across courses."
("Low-Income Students and the Socioeconomic Composition of Public High Schools," by Robert Crosnoe, University of Texas at Austin, in the American Sociological Review, October 2009)
Competition for College Admissions Perpetuates Class Divide in Higher Education
Increased competition for college admissions combined with the heightened emphasis on test scores in recent decades has fueled the growth of class inequality in American higher education, according to sociologist Sigal Alon of Tel-Aviv University.
Using data from three nationally representative surveys (National Longitudinal Study of the High School Class of 1972, High School and Beyond, National Education Longitudinal Survey), Alon examines how social class affects college admissions of the high school graduating classes of 1972, 1982 and 1992.
Students from low socioeconomic strata in all three graduating classes were at a marked disadvantage in access to postsecondary education, and this disadvantage increased with college selectivity. Alon finds that the class divide grows during times of high competition in college admissions because privileged high school students are able to adapt to the tightening admissions requirements (i.e., the greater emphasis on test scores), while their underprivileged counterparts are unable to follow suit. This leads to a class-based polarization of test scores, restricting the opportunities of talented underprivileged seniors the most. During periods of declining competition in admissions, Alon finds a convergence in test scores among students of various socioeconomic statuses, leading to a smaller class divide in college enrollment.
"Strides toward equal opportunity in higher education will only be made when the screening tool used in college admissions becomes impervious to training or preparation," said Alon. She predicts that the momentum for going SAT-optional among liberal arts colleges will fall short of equalizing opportunity as long as privileged youth can adapt to the new screening tool used by institutions to sort the influx of applicants. She suggests that class-based affirmative action is one solution to reduce inequality in admissions to four-year colleges.
("The Evolution of Class Inequality in Higher Education: Competition, Exclusion, and Adaptation," by Sigal Alon, Tel-Aviv University, in the American Sociological Review, October 2009) ###
The research articles described above are available by request for members of the media. Contact ASA's Public Information Office at pubinfo@asanet.org or (202) 247-9871.
The American Sociological Review is the flagship journal of the American Sociological Association.
About the American Sociological Association
The American Sociological Association (
Contact: Johanna Olexy pubinfo@asanet.org 202-383-9005 American Sociological Association
Thursday, October 8, 2009
Boston University School of Medicine's black women's health study receives $9.1 million award
(Boston) – The Black Women's Health Study (BWHS) of the Sloan Epidemiology Center at Boston University School of Medicine's (BUSM) has received a five-year continuation of grant funding award from the National Cancer Institute. The $9.1M award will cover years 16-20 of the largest follow-up study of the health of African-American women.
Lynn Rosenberg, Sc.D., an associate director of the Slone Epidemiology Center and professor of epidemiology at BUSM, is the principal investigator of the BWHS, which has followed 59,000 black women from across the United States since 1995.
More information on the BWHS can be found at www.bu.edu/bwhs/. For more information on Boston University School of Medicine, please visit www.bumc.bu.edu/.
Contact: Michelle Roberts michelle.roberts@bmc.org 617-638-8491 Boston University Medical Center>
Tuesday, October 6, 2009
Lung cancer risk increases with expression of specific genes
Possible correlation to increased risk for African-Americans
AURORA, COLO – A recent study published in the October 2009 issue of the Journal of Thoracic Oncology determined that variations of specific genetic markers identified in previous research, or SNPs, may indicate a greater lung cancer risk in African Americans than in whites. The genes CHRNA3 and CHRNA5 may contribute to lung cancer risk due directly or through their association with nicotine dependence. Although their presence is less frequent in African Americans, the risk for lung cancer may be greater when present.
Researchers from the Karmanos Cancer Institute in Detroit, MI and the MD Anderson Cancer Center in Houston, TX evaluated data on 1,508 non-small cell lung cancer(NSCLC) patients (38 percent of which were African American) selected from the Detroit SEER Cancer registry and 1,314 corresponding control patients matched based on age, gender and race. The three case-controlled studies examined family history of lung cancer, smoking history, and age. Using unconditional logistical regression, a type of statistical analysis, researchers identified associations between SNPs and lung cancer risk while controlling for age, sex and smoking behavior.
Journal of Thoracic Oncology (JTO) – (journals.lww.com/jto)
The JTO is rapidly becoming a prized resource for medical specialists and scientists who focus on the detection, prevention, diagnosis and treatment of lung cancer. The JTO is the official monthly journal of the International Association for the Study of Lung Cancer (IASLC.org) and emphasizes a multidisciplinary approach, including original research (clinical trials and translational or basic research), reviews and opinion pieces.
Contact: Megan Richter mrichter@spectrumscience.com 202-587-2556 International Association for the Study of Lung Cancer.
Sunday, October 4, 2009
Ensign Jesse LeRoy Brown, USN, (1926-1950)
Jesse LeRoy Brown was born in Hattiesburg, Mississippi, on 13 October 1926. He enlisted in the Naval Reserve in 1946 and was appointed a Midshipman, USN, the following year. After attending Navy pre-flight school and flight training, he was designated a Naval Aviator in October 1948, the first African-American to achieve this status. Midshipman Brown was then assigned to Fighter Squadron 32. He received his commission as Ensign in April 1949.
During the Korean War, his squadron operated from USS Leyte (CV-32), flying F4U-4 Corsair fighters in support of United Nations forces. On 4 December 1950, while on a close air support mission near the Chosin Reservoir, Ensign Brown's plane was hit by enemy fire and crashed. Despite heroic efforts by other aviators, he could not be rescued and died in his aircraft. Ensign Jesse L. Brown was awarded the Distinguished Flying Cross for his Korean War combat service.
USS Jesse L. Brown (DE-1089) was named in honor of Ensign Jesse LeRoy Brown.
Thursday, October 1, 2009
Demonstrators Protest at Republic of Guinea UN mission VIDEO
Guinea has had a history of authoritarian rule since gaining its independence from France in 1958. Lansana CONTE came to power in 1984 when the military seized the government after the death of the first president, Sekou TOURE. Guinea did not hold democratic elections until 1993 when Gen. CONTE (head of the military government) was elected president of the civilian government. He was reelected in 1998 and again in 2003, though all the polls were marred by irregularities. History repeated itself in December 2008 when following President CONTE's death, Capt. Moussa Dadis CAMARA led a military coup, seizing power and suspending the constitution as well as political and union activity.
Guinea has maintained some semblance of internal stability despite spillover effects from conflict in Sierra Leone and Liberia.
Demonstrators outside the Permanent United Nations Mission of the Republic of Guinea, 140 east 39th street, New York, NY 10016. September 29, 2009. Video courtesy Public Domain Audio Video
As those countries have rebuilt, however, Guinea's own vulnerability to political and economic crisis has increased. Declining economic conditions and popular dissatisfaction with corruption and bad governance prompted two massive strikes in 2006, and a third nationwide strike in early 2007.
TEXT: Central Intelligence Agency
Monday, September 28, 2009
Researchers Identify Gene Variant Linked to Glaucoma
An international team, led by researchers from the University of California, San Diego School of Medicine and the National Eye Institute, has discovered gene variants for glaucoma in a black population. The finding could lead to future treatments or a cure for this disease, which leads to blindness in two million Americans each year.
The study by Kang Zhang, MD, PhD, Director of the Institute for Genomic Medicine and professor of ophthalmology and human genetics at the Shiley Eye Center at UC San Diego and J. Fielding Hejtmancik, MD, PhD, medical officer and chief of the Ophthalmic Molecular Genetics Section at the National Eye Institute, National Institutes of Health, along with the Barbados Family Study Group and colleagues in the United States, China and Barbados, will be published in the early online edition of the Proceedings of the National Academy of Science (PNAS) the week of September 21.
“We have now identified very common gene variants that have a dramatic impact on an individual’s risk for developing glaucoma,” Zhang added. “These gene variants are present in 40 percent of individuals with glaucoma in the Barbados population and explains nearly one-third of their genetic risk for the disease. This study should give us a better handle on earlier diagnoses and new therapies.”
Looking at 249 patients with glaucoma and 128 control subjects, the research built on early studies which scanned the entire human genome. The scientists then homed in on a particular segment of the human genome, and finally localized the gene on chromosome 2.
“Once we understand the specific gene or protein structure that is altered in the disease, we are one step closer to developing gene or stem cell-based therapies to treat glaucoma,” said Zhang. Identifying the gene variants can also provide a more accurate and earlier diagnosis, allowing early intervention to slow glaucoma’s progression.
Additional contributors to the study include researchers at the University of Utah; Yale
University; Stony Brook University; University of the West Indies; Qingdao University, Qingdao, China; Sichuan Provincial People’s Hospital, China; and West China Hospital, Sichuan University.
This work was supported by grants from the National Eye Institute of National Institutes of Health, Research to Prevent Blindness and the Burroughs Wellcome Fund. # # #
Media Contact: Debra Kain, 619-543-6163, ddkain@ucsd.edu
Saturday, September 26, 2009
Vice Admiral Samuel Lee Gravely, Jr.
Vice Admiral Samuel Lee Gravely, Jr. had a distinguished naval career as a surface warfare officer and manager. All leaders, civilian and military, officer or enlisted, government service grade or Senior Executive Service could learn the characteristics of effective leadership from Gravely's thirty-eight years in the Navy. There are several notable achievements to his credit including being the first African-American to command a combatant ship, to be promoted to flag rank, and to command a naval fleet. Gravely's life and naval career, spanning from 1944 to 1982, also reflect the improved status of African-Americans in the Navy and in American Society. As a distinguished veteran of World War II, and the Korean and Vietnam Wars, his military service suggests several qualities that a successful leader should possess.
Despite the difficulties, Gravely enjoyed his naval service. This reminds leaders that it is important to know your job and to do it well but you should not forget to enjoy the work. An effective leader strives to make a positive difference for others and has a genuine concern for others. Good leaders are not born; they are developed and one measure of their success is that they have trained others to be effective leaders.
Finally, where one starts does not necessarily have to guarantee where he ends up. Instead of accepting the odds for failure, one can beat the odds by working and studying hard. Gravely began his career as a seaman apprentice at Great Lakes in 1942 and rose through the ranks to become a three star admiral.
Thursday, September 24, 2009
Heart Healthy Home Cooking African American Style
Heart Healthy Home Cooking African American Style With Every Heartbeat Is Life
Good food is one of life’s great joys. And good meals are a shared pleasure at the heart of African American family life and special celebrations. This recipe book brings together many African American favorite recipes, prepared in a heart healthy way, lower in saturated fat, cholesterol, and sodium! It shows how to prepare dishes in ways that help protect you and your family from heart disease and stroke. This is important because heart disease and stroke are the first and the third leading cause of death for African Americans. By making small changes in the way you and your family eat, you can help reduce your risk for heart disease and stroke.
Tuesday, September 22, 2009
Racial disparities in diabetes prevalence linked to living conditions
The higher incidence of diabetes among African Americans when compared to whites may have more to do with living conditions than genetics, according to a study led by researchers at the Johns Hopkins Bloomberg School of Public Health. The study, available online in advance of publication in the October 2009 edition of the Journal of General Internal Medicine, found that when African Americans and whites live in similar environments and have similar incomes, their diabetes rates are similar, which contrasts with the fact that nationally diabetes is more prevalent among African Americans than whites.
Researchers from the Hopkins Center for Health Disparities Solutions and Case Western Reserve University School of Medicine compared data from the 2003 National Health Interview Survey (NHIS) with the Exploring Health Disparities in Integrated Communities Southwest Baltimore (EHDIC-SWB) Study. The Baltimore study was conducted in a racially integrated urban community without race differences in socioeconomic status.
"I don't mean to suggest that genetics play no role in race differences in health, but before we can conclude that health disparities are mainly a matter of genetics we need to first identify a gene, polymorphism or gene mutation that exists in one race group and not others. And when that gene is found we need to then demonstrate that that gene is also associated with diabetes," LaVeist said. "On the other hand, there is overwhelming evidence that behavior, medical care and the environment are huge drivers of race differences in health. It seems more likely that the answer to health disparities will be found among these factors."
Researchers in this study found that within their sample of racially integrated communities without race differences in socioeconomic and environmental factors, prevalence estimates of diabetes are similar between African Americans and whites. According to the study, "Previous research has demonstrated that when African Americans and whites access similar health care facilities their health care outcomes are more similar."
The study's authors said their findings support the need for future health disparities research and creative approaches to examining health disparities within samples that account for socioeconomic and social environmental factors. ###
Additional authors of "Environmental and Socio-Economic Factors as Contributors to Racial Disparities in Diabetes Prevalence" are Roland J. Thorpe, Jr., PhD; Jessica E. Galarraga, MPH; Kelly M. Bower, MSN, MPH, RN; and Tiffany L. Gary-Webb, PhD.
The study was supported by funding from the National Center on Minority Health and Health Disparities (NCMHD), a center of the National Institutes of Health (NIH).
Contact: Tim Parsons tmparson@jhsph.edu 410-955-7619 Johns Hopkins University Bloomberg School of Public Health
Sunday, September 20, 2009
Young Black Women Prone to Gain More Unhealthy Abdominal Fat than Hispanics, Study Shows
WINSTON-SALEM, N.C. – Black women ages 20 to 29 have increased amounts of unhealthy abdominal and visceral fat than Hispanic women the same age, and young women of both age groups have more as compared to their elders, according to researchers from Wake Forest University Baptist Medical Center and colleagues.
The new research shows that accumulation of abdominal fat that increases risk of type 2 diabetes is greatest in young adulthood for blacks and Hispanics, said endocrinologist Kristen G. Hairston, M.D., M.P.H., lead author of an article published online June 1 by the American Diabetes Association. The study is the first to look at a large minority cohort using computed tomography (CT) scanning to measure longitudinal changes over time in visceral and subcutaneous adipose tissue, which are different types of abdominal fat.
Kristen G. Hairston, M.D., M.P.H. Assistant Professor, Department Name: Endocrinology and Metabolism. Appointments: (336) 713-7251, Office Phone: (336) 713-7251, Night Phone: (336) 713-7251, Fax: (336) 713-7255. Clinic Location: University Internal Medicine at Stratford Executive Park, 500 Shepherd Street, Suite 300, Winston-Salem, NC. Office Address: Medical Center Blvd. Winston Salem, NC 27157-1047. Email Address: kghairs@wfubmc.edu | The study followed 389 blacks and 844 Hispanics ages 20 to 69, men and women, grouped by age in 10-year increments. The researchers took baseline measurements of visceral adipose tissue (VAT) and subcutaneous abdominal tissue (SAT) from 1999 to 2002 with follow-up measurements in 2005-2007. VAT is fat that resides within the abdominal cavity around internal organs and has been linked to metabolic disturbances. SAT is the kind of fat that one can pinch, like “love handles.” The study found that the young adult age group (ages 20 to 29) had the largest five-year increase in measured adiposity, or fat, regardless of race or gender. The increase in VAT averaged 18 and 12 square centimeters (cm2) among young black and Hispanic women, respectively, and 13 and 7 cm2 among young men. The five-year increase in (SAT) was 89 and 53 cm2 among young black and Hispanic women, respectively, and 76 and 30 cm2 among young men. In general, fat accumulation declined in the older age groups. Abdominal fat accumulation, particularly the visceral type, is significant because previous studies show that VAT changes of this magnitude differentiate those who develop diabetes from those who don’t. Until this study, this pattern of excessive abdominal fat accumulation in young adults has not been reported using CT-measured “fat depots.” |
“Our data may help to further identify unique populations at risk for type 2 diabetes and those for whom behavioral intervention might be most effective,” said Hairston, assistant professor of endocrinology and metabolism.
Grants from the National Institutes of Health funded the research. The article, titled “Five-year change in visceral adipose tissue quantity in a minority cohort: The IRAS Family Study,” appears online at care.diabetesjournals.org/content/early/2009/05/28/dc09-0336.abstract. It was published in the August issue of Diabetes Care, a publication of the American Diabetes Association.
Media Relations Contacts: Annette Porter, aporter@wfubmc.edu; (336) 716-2416; or Bonnie Davis, bdavis@wfubmc.edu; or Shannon Koontz, shkoontz@wfubmc.edu, (336) 716-4587.
Saturday, September 19, 2009
New Obesity Data Shows Blacks Have the Highest Rates of Obesity
Blacks had 51 percent higher prevalence of obesity, and Hispanics had 21 percent higher obesity prevalence compared with whites, according to researchers with the Centers for Disease Control and Prevention.
Greater prevalences of obesity for blacks and whites were found in the South and Midwest than in the West and Northeast. Hispanics in the Northeast had lower obesity prevalence than Hispanics in the Midwest, South or West. The study, in CDC′s Morbidity and Mortality Weekly Report, examined data from 2006-2008. “This study highlights that in the United States, blacks and Hispanics are disproportionately affected by obesity,” said Dr. William H. Dietz, Director of CDC′s Division of Nutrition, Physical Activity, and Obesity, “If we have any hope of stemming the rise in obesity, we must intensify our efforts to create an environment for healthy living in these communities.”
For this study analysis, CDC analyzed the 2006−2008 BRFSS data. For more information on obesity trends, tables, including an animated map, visit www.cdc.gov/obesity/data/trends. To learn more about CDC′s efforts in the fight against obesity or for more information about nutrition, physical activity, and maintaining a healthy weight, visit www.cdc.gov/nccdphp/dnpao. ####
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Contact: CDC Division of Media Relations (404) 639-3286
Thursday, September 17, 2009
JEC Chair Maloney Statement on African American Unemployment
Washington, D.C. - Today the Bureau of Labor Statistics (BLS) released its monthly jobs report for August. Congresswoman Carolyn B. Maloney, Chair of the Joint Economic Committee, released the following statement in reaction to the labor market conditions facing the African American community:
“Today's employment numbers show that although the economy shows signs of recovery, employers are still reluctant to hire,” said Rep. Maloney. “I am optimistic that as more stimulus projects get underway in the coming months, more African Americans will be heading back to work."
Some quick facts from the August Jobs Report from the Bureau of Labor Statistics:
· The unemployment rate for African American workers is now at 15.1 percent, up 6.2 percentage points from the start of the recession in December 2007.
· The unemployment rate for African American women age 20 and over has risen 4.8 percentage points since the start of the recession to 11.9 percent.
· Unemployment among minority teens is especially high –1 in 3 African American and Hispanic teens are unemployed. That compares with 1 in 4 for white teens
Tuesday, September 15, 2009
Black patients have lower rate of survival after in-hospital cardiac arrest
Compared with white patients, black patients who have an in-hospital cardiac arrest are significantly less likely to survive to hospital discharge, having lower rates of successful resuscitation and postresuscitation survival, although much of this survival difference was associated with the hospital in which black patients received care, according to a study in the September 16 issue of JAMA.
"Survival following in-hospital cardiac arrest represents a unique opportunity to examine racial disparities in medical care and outcomes. In-hospital cardiac arrest is an emergency condition tightly linked to processes of care and for which there is little debate regarding clinical appropriateness of treatment in eligible patients," according to background information in the article. "Racial differences in survival have not been previously studied after in-hospital cardiac arrest, an event for which access to care is not likely to influence treatment."
The researchers found that black patients had a 27 percent lower overall rate, and a 12 percent lower absolute rate, of survival to hospital discharge, compared with white patients. "These unadjusted survival differences by race were, in large part, attributable to black patients being more likely to receive treatment at hospitals with worse outcomes."
These differences narrowed after adjusting for patient characteristics and for the hospital to which the patient was admitted. "However, further adjustment for hospital process variables did not meaningfully [diminish] residual differences, and black patients remained 10 percent less likely to survive to hospital discharge," the authors note.
"Lower rates of survival to discharge for blacks reflected lower rates of both successful resuscitation (55.8 percent vs. 67.4 percent for whites) and postresuscitation survival (45.2 percent vs. 55.5 percent for whites)," they write. "The racial difference in postresuscitation survival was eliminated after multivariable adjustment, and was largely explained by the hospital site at which patients received postresuscitation care."
"Collectively, these findings suggest that strategies to eliminate racial disparities in survival after in-hospital cardiac arrest are not likely to succeed unless they are accompanied by successful identification and implementation of interventions that improve resuscitation survival in those poorly performing hospitals in which black patients are more likely to receive care." ###
Contact: Kaitlin Staniforth kstaniforth@saint-lukes.org 816-932-2826 JAMA and Archives Journals
Sunday, September 13, 2009
Socio-cultural, genetic data work together to reveal health disparities
GAINESVILLE, Fla. — When it comes to health disparities between different groups, how society sees people in terms of race might play a greater role than genetics, according to a new University of Florida study.
The study also showed that taking stock of socio-cultural factors might improve our understanding of how genes influence individual health — regardless of race.
Consider high blood pressure, a complex disease governed both by genetic and environmental factors. Not only was social classification better than genetic-based ancestry at predicting disease status, it also brought to light a link between a particular gene and blood pressure that was not apparent when only genetic ancestry was considered.
To examine the link between African ancestry and blood pressure, the UF team studied 87 adults in Puerto Rico, using two variables for which "race" is often used as a surrogate: genetic ancestry and social classification.
Genetic ancestry was assessed using gene variants that show large frequency differences among groups from different continents. Social classification was assessed by observers to estimate how people are perceived in everyday life in terms of skin pigmentation, or "color" (pronounced coh-lohr). The researchers found that the three major "color" categories had overlapping genetic ancestry, and that there was a strong link between "color" and blood pressure, but not between genetic ancestry and blood pressure.
Next, they looked at whether taking account of social factors changed our understanding of genes thought to affect hypertension. When only genetic ancestry was considered, no association was evident between candidate genes for hypertension and blood pressure. But when "color" and socio-economic status were included in the analysis, a significant association between the gene variant and blood pressure was uncovered.
"One of the important points here is that you can have an association between two biological variables like genetic ancestry and blood pressure, but it could be that the social and cultural implications of having African ancestry is what is driving this association," Gravlee said.
Health differences could arise from differing stresses people face based on how society sees and treats them.
"There's no doubt about the fact that perceptions matter," Kaufman said. "This article reinforces the idea that if you don't pay attention to how people are perceived you miss a big chunk of the story."
The researchers found that the group of people who carried the associated genetic variant also contained multiple categories of "color" and socio-economic status. When these different socio-cultural categories were separated, the protective effect of the genetic variant became evident.
"What's exciting about our study, is that we can show the value of including socio-cultural data by revealing a genetic association that would otherwise have been missed," Mulligan said. "This is important in convincing other researchers that it is worthwhile to include nongenetic data in a genetic study rather than simply controlling for nongenetic factors." ###
Contact: Czerne M. Reid czerne@ufl.edu 352-273-5814 University of Florida
Friday, September 11, 2009
James Cleveland "Jesse" Owens (September 12, 1913 – March 31, 1980)
James Cleveland "Jesse" Owens (September 12, 1913 – March 31, 1980).
Owens attended The Ohio State University only after employment was found for his father, ensuring the family could be supported. He was affectionately known as the "Buckeye Bullet" and won a record eight individual NCAA championships, four each in 1935 and 1936.
At the 1936 Olympics in Berlin, Germany, Jesse Owens, the son of Lawrence County Alabama sharecroppers, Henry and Emma Owens, achieved international fame by winning four gold medals: one each in the 100 metres, the 200 metres, the long jump, and as part of the 4x100 meter relay team. and shattered Adolph Hitler's claim of Aryan superiority. His victory transcended athletics; the 110,000 Germans in Olympic Stadium cheered him on, and often stopped Owens on the streets of Berlin for an autograph or picture. Four years after his death, a street outside the Olypmic Stadium was named in his honor.
James Cleveland "Jesse" Owens (September 12, 1913 – March 31, 1980) PHOTO: Public Domain Clipart | In 1976, Jesse Owens was awarded the Presidential Medal of Freedom. In 1990, President George H.W. Bush posthumously awarded him the Congressional Medal of Honor for "an unrivaled athletic triumph, but more than that, a triumph for all humanity." Battling Discrimination at the 1936 Olympics--An Unsent Letter. This letter (Page 1) (Page 2) from NAACP leader Walter White to Jesse Owens urges him not to participate in the 1936 Olympic games in Berlin, which was under Nazi rule, but it was never sent. |
The U. S. did send an Olympic team to Berlin, and Owens was its star, winning four gold medals.
Tuesday, September 8, 2009
High school put-downs make it hard for students to learn, study says
URBANA – High-school put-downs are such a staple of teen culture that many educators don't take them seriously. However, a University of Illinois study suggests that classroom disruptions and psychologically hostile school environments can contribute to a climate in which good students have difficulty learning and students who are behind have trouble catching up.
"We need to get away from the idea that bullying is always physical. Bullying can also include verbal harassment, which can be just as damaging and detrimental to student learning," said Christy Lleras, a U of I assistant professor of human and community development.
The study used data from the National Educational Longitudinal Study and included 10,060 African American, Latino, and white tenth graders in 659 U.S. high schools. It is one of the first to look at the national incidence of verbal harassment in public and private high schools, she said.
She speculates that verbal put-downs in these schools may be a coping strategy that students use when they don't have the skills to do the work and have little hope of acquiring them in their academic environment.
"When high-achieving minority kids are put down by their peers, it can contribute to a climate in which lower-achieving kids fall farther and farther behind and must struggle to catch up. This hostile school climate isn't a cause of the racial achievement gap--we see evidence of the achievement gap well before middle school--but it contributes to it," she said.
"Sadly, verbal harassment is just one more thing these students have to deal with, and as long as we accept it because it's not physical bullying, we're doing a grave disservice to the kids who need non-disruptive and focused learning environments the most," she said.
The study was published in the Journal of School Violence. ###
Contact: Phyllis Picklesimer p-pickle@illinois.edu 217-244-2827 University of Illinois at Urbana-Champaign
Sunday, September 6, 2009
Office of Naval Research's Rear Admiral addresses diversity with HBCU presidents
ARLINGTON, Va. - Saying America's future depended on its ability to compete in the global marketplace, the U.S. Navy's Chief of Naval Research addressed a gathering of presidents of historically black colleges and universities on Sept. 1 in Washington, D.C. He told them "in order to maintain the health of the defense science and engineering workforce, we must continue to engage every bright young mind that has the capability to help us invent the future."
Rear Admiral Nevin P. Carr Jr., whose office provides the science and technology needed to maintain the U.S. Navy and Marine Corps' technological war-fighting dominance, was among more than 1,200 participants attending the 2009 National Historically Black Colleges and Universities Week Conference. Held from Aug. 30 to Sept. 2, the White House-sponsored event attracted federal, state and local agencies interested in invigorating the relationship between the surviving 105 HBCUs and the government.
"Today, our HBCU programs include the summer faculty research program, the research and education partnership program, and the research partnership program--all directed towards increasing the participation of HBCU institutions in naval science and technology," Carr said. "We do this because we need to attract every bright young mind we can to a career in science and technology."
According to the National Science Foundation, only 31 percent of U.S. graduate students pursue degrees in science and engineering. As of 2004, only 35 percent of those graduates were from under-represented populations, such as African-American, Hispanic and Asian.
Carr's presence at the event underscored ONR's commitment to building the Navy's future force through investment in the science, technology, engineering and mathematics pipeline. The rear admiral was among distinguished speakers that included CIA Director Leon Panetta, U.S. Secretary of Education Arne Duncan and Environmental Protection Agency Administrator Lisa Jackson.
"Shifting demographics in the U.S. means we must focus our attention on reaching out more to diverse communities," Carr said. "The demographic trends are well established and clear.No single segment of any population can provide the needed capacity. We need to tap the entire crew." ###
About The Office of Naval Research
The Department of the Navy's Office of Naval Research (ONR) provides the science and technology necessary to maintain the Navy and Marine Corps' technological war-fighting dominance. Through its affiliates, ONR is a leader in S&T with engagement in 50 states, 70 countries, 1,035 institutions of higher learning, and nearly 1,000 industry partners. ONR employs approximately 1,400 people, comprising uniformed, civilian and contract personnel.
Contact: Peter Vietti onrcsc@navy.mil 703-588-2167 Office of Naval Research
Friday, September 4, 2009
Pancreatic cancer affects blacks at higher rates
PHILADELPHIA – Regardless of risk factors linked to pancreatic cancer, such as smoking and body mass index (BMI), blacks experienced higher rates of pancreatic cancer death than whites.
"Reducing overweight/obesity and smoking will help reduce pancreatic cancer overall, as well as prevent other diseases," said Lauren D. Arnold, Ph.D., M.P.H., postdoctoral research associate in the department of surgery at Washington University in St. Louis.
"We still have a long way to go towards understanding pancreatic cancer disparities."
Results of this cohort study are published online in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.
Regardless of gender and race, findings showed that smoking was the biggest risk factor for pancreatic cancer. Increasing risk of pancreatic cancer was associated with increasing BMI. When considered by race, blacks had a 42 percent increased risk of pancreatic cancer death compared to whites.
Excess risk of disease remained, even when the researchers eliminated all other risk factors from the calculation.
"We hoped to find that by accounting for known and suspected pancreatic cancer risk factors, such as smoking, diabetes and BMI, and by looking at this in the context of race and gender, we'd be able to explain the higher rates of pancreatic cancer in blacks," Arnold said. "Unfortunately, we were unable to explain these differences."
Maria Elena Martinez, Ph.D., M.P.H., said although differences in risk factor patterns were shown, overall, they did not account for the pancreatic cancer mortality rates evident by race. Martinez is the Richard H. Hollen Professor of Cancer Prevention at the University of Arizona, director of the Cancer Health Disparities Institute at the Arizona Cancer Center, and an editorial board member for Cancer Epidemiology, Biomarkers & Prevention.
"The results most certainly point to the need for additional work to explain these racial disparities in risk of pancreatic cancer," she said. "Factors other than those assessed by the researchers may be responsible for the disparities. These can include unidentified lifestyle and/or environmental factors, genetic factors or unique gene-environment interactions."
What makes this study different from previous studies that explored differences in relationship to risk for pancreatic cancer is that this study comes from a large group of cancer-free individuals and examines their risk of developing pancreatic cancer over a long period of time.
Arnold noted one limitation with this study is that higher death rates from an illness in certain populations may be the result of limited or no access to health care. However, past studies have shown that problems with access to health care might not be causing the higher pancreatic cancer death rates in blacks; blacks and whites are both usually diagnosed in relatively late stages of disease, which makes treatment difficult and survival low.
"Our data do not explain what is causing these disparities, but we hope it encourages researchers to continue looking for reasons why blacks develop and die from pancreatic cancer at higher rates than whites," Arnold said. "Clinicians who have patients with a family history of pancreatic cancer or other risk factors for the disease should communicate the benefits of losing weight and quitting smoking, if anything, to help reduce their risk of pancreatic cancer." ###
The mission of the American Association for Cancer Research is to prevent and cure cancer. Founded in 1907, AACR is the world's oldest and largest professional organization dedicated to advancing cancer research. The membership includes more than 28,000 basic, translational and clinical researchers; health care professionals; and cancer survivors and advocates in the United States and nearly 90 other countries. The AACR marshals the full spectrum of expertise from the cancer community to accelerate progress in the prevention, diagnosis and treatment of cancer through high-quality scientific and educational programs. It funds innovative, meritorious research grants. The AACR Annual Meeting attracts more than 17,000 participants who share the latest discoveries and developments in the field.
Special conferences throughout the year present novel data across a wide variety of topics in cancer research, treatment and patient care. The AACR publishes six major peer-reviewed journals: Cancer Research; Clinical Cancer Research; Molecular Cancer Therapeutics; Molecular Cancer Research; Cancer Epidemiology, Biomarkers & Prevention; and Cancer Prevention Research. The AACR also publishes CR, a magazine for cancer survivors and their families, patient advocates, physicians and scientists. CR provides a forum for sharing essential, evidence-based information and perspectives on progress in cancer research, survivorship and advocacy.
Contact: Tara Yates tara.yates@aacr.org 267-646-0558 American Association for Cancer Research