Ethnic Differences Research Articles

Descriptive Epidemiology of New York City Older Adult Patients With Multiple Chronic Conditions.

We characterized comorbidity profiles and cardiometabolic risk factors among older adults with multiple chronic conditions (MCCs) in New York City using an intersectionality approach. Electronic health record data were obtained from the INSIGHT Clinical Research Network on 367,901 New York City residents aged 50 years or older with MCCs. Comorbidity profiles were heterogeneous. The most common profile across sex and racial and ethnic groups was co-occurring hypertension and hyperlipidemia; prevalence of these 2 conditions differed across groups (4.7%-7.3% co-occurrence alone, 65.1%-88.0% with other conditions). Significant sex and racial and ethnic differences were observed, which may reflect accumulated disparities in risk factors and health care access across the life course.

ANALISIS BAHAN AJAR KEBERAGAMAN SUKU BANGSA BUDAYA DALAM MEMBENTUK KARAKTER TOLERANSI DI SEKOLAH DASAR

This research aims to ensure that the character of tolerance can be formed in students, so through the Pancasila and Citizenship Education subjects students can learn about the study of cultural diversity, the environment and community life which can be used as a forum for forming the character of tolerance in everyday life. This research method uses descriptive qualitative to explain real conditions as they are and the data obtained is in the form of sentences and other images. The data sources for this research are class IV A teachers, class IV B teachers and class IV A students. Based on the research results, it can be concluded that teaching materials for ethnic and cultural diversity are very important for forming students' tolerant character in understanding ethnic, cultural and religious differences through the character of tolerance that respects, respects, works together and does not differentiate between friends. However, there is still a lack of teaching materials that only focus on books, in this case there are some students who do not understand differences in ethnicity, culture and religion because the teacher does not pay attention when explaining because he feels bored only focusing on one teaching material. The lack of tolerance character of class IV A students can be seen by the students still chatting and playing when the teacher explains the material.

IDENTITY IN THE CONTEXT OF SPECTACULAR FORMS OF MASS COMMUNICATION

The modern era is characterised by global changes based on the acceleration and continuous «incitement» of civilisational processes. The complex collisions of life were reflected in the public consciousness by the actualisation of the identity problem, which acquired special significance. Therefore, many reasons can be given, but we will emphasise only such. First, the existing anthropological situation is marked by all the signs of novelty and unusualness; social life reveals a steady tendency to weaken individual identifications with traditional (ethnos) and modern (nation) communities. Secondly, in a situation where ethnic and national factors of identification are blurred, society becomes quite fragmented; under such conditions, a person exists at the intersection of local cultures, in an open cultural space, surrounded by a multitude of cultural forms, lifestyles, and traditions; all these forms become significant for a person at the same time and require ordering. Thirdly, the cultural self-determination of a modern person requires the interpretation of those models of cultural existence that represent other communities and the establishment of an individual relationship with them. Thus, identification processes in modern society, on the one hand, become problematic; on the other hand, they act as a driving force of cultural development. The purpose and task of the article are to study identity issues in the context of spectacular forms of mass communication. The research task is to analyse specific forms of mass visual production, ready-made visual images (images, brands, lifestyles) associated with the production of the phenomenon of «partial» identity. Research methodology. The application of the phenomenological method for revealing the content of human identity and the specificity of the phenomenon of human identification in modern society was important for this article. The theoretical basis of the article is also made up of approaches that emphasise the ontological openness of human existence, the universal significance of communicative interaction about human subjectivity, and the influence of spectacular forms on the construction of human identity. The results.In modern scientific discourse, the key term «identity» denotes a set of phenomena that cannot be reduced exclusively to psychological or socio-psychological forms; therefore, the following components are inherent in the phenomena of identity: a). – complex cognitive and figurative content; b). – a variable cultural component that changes due to many life factors, such as ethnic, speech, religious, political, professional, informational, gender, and virtual differences. We propose to consider «hyper-real reality» from the point of view of a special spectacular form of mass communication; the entire set of modern media resources is aimed at creating this form. In the conditions of the spread of spectacular forms of mass communication to all spheres of human life, popular images, lifestyles, and well-known brands become effective identification factors. At the same time, these factors are closely related. For example, acquiring a popular image and desired lifestyle by a person requires the consumption of positional goods and services. The production of such positional goods and services is aimed at meeting the needs of those groups of consumers who strive to be different from others in terms of level and quality of life.Many positional goods and services offered by global manufacturers and actively promoted on the market with the help of brands are created to meet urgent life needs and satisfy a certain human dream. Modern marketing strategies, represented in brands, contain certain signs of spectacular models of mass communication.Appealing to human feelings and inciting imagination, brands present the worlds of high fashion, entertainment and leisure as those that imitate the signs of the real world, creating the illusion of fulfilling desires. Therefore, the task of well-known brands as identification factors consists of the unification of personal meanings, goals, and desires, with the further transformation into one artificially narrowed meaning and one general need for material consumption. Conclusions.The article analyses specific forms of mass visual production, visual images, such as images, lifestyles, brands; in the conditions of the spread of spectacular forms of mass communication to all spheres of human life, these images become effective factors of «partial» identification; their task consists in the unification of personal meanings, goals and desires, followed by their transformation into one artificially narrowed meaning, into one general need for material consumption; it is believed that the conducted research on identity issues in the context of spectacular forms of mass communication will contribute to the development of scientific strategies and concepts of identity formation, will help to work out philosophical problems related to personal existence, creativity, and self-development.

Lifelong medical challenges and immunogenetics of turner syndrome.

Turner syndrome (TS) is a female phenotypic condition characterized by one or more typical clinical features and the partial or complete absence of a second X chromosome as determined by karyotype analysis. TS, among the most common chromosomal abnormalities, has an estimated prevalence of approximately 1 in 2,500 live-born females, with ethnic and racial differences. TS encompasses a wide array of medical challenges, including cardiovascular, endocrine, autoimmune, and mental health issues, as well as a heightened cancer risk. The somatic stigmata of TS are thought to arise from haploinsufficiency of the X chromosomes. This review explores the lifelong medical challenges and immunogenetics of individuals with TS and aimed to investigate strategies for preventing and managing TS while considering the implications of immunogenetics.

Lifestyle Intervention in Reducing Insulin Resistance and Preventing type 2 Diabetes in Asia Pacific Region: A Systematic Review and Meta-Analysis.

To update the evidence of lifestyle interventions for the prevention of type 2 diabetes mellites (T2DM) in adults, particularly in the Asia Pacific region. The key questions to ask are: 1) How effective are lifestyle interventions in preventing T2DM among at-risk adults in the Asia Pacific Region? 2)What are the key characteristics of the implementation of lifestyle interventions for diabetes prevention? Lifestyle interventions for the prevention of T2DM have been suggested to be effective. There is evidence of ethnic differences in some glycaemic and anthropometric outcomes. The meta-analysis suggested a significant result in reducing waist circumference (standardised mean difference - 019, 95%CI ( -0.31, -0.06)), and no significant effects in other outcomes. However, the implementation outcomes suggested lifestyle intervention might be a cost-effective and sustainable approach in T2DM particularly in countries in the Asia Pacific Region. The focus of lifestyle intervention in the Asia Pacific Region should not only lie in the effectiveness of the trial but a thorough evaluation of the implementation outcomes, as well as cultural adaptations, with the support of all stakeholders through all stages of the implementation.

Lipid Levels of Healthy Adults in Jaffna district, Northern Province of Sri Lanka: An Analysis of Secondary Data

Abnormal lipid profile is considered as an important contributor to cardiovascular diseases among South Asians. Sri Lanka is a multiethnic South Asian nation and differences in ethnicity may influence the pattern of lipid profile. The aim of this paper is to analyse the lipid levels of healthy adults of a predominantly Sri Lankan Tamil population in the Northern Sri Lanka and compare it with the lipid levels of different ethnic groups reported in the literature. It was a cross-sectional analysis of secondary data of 500 healthy adults who were the controls of a larger study on the lipid profile of diabetic and non-diabetic patients. Cut-off values for desirable lipid levels used in this study were determined according to national and international guidelines. Chi-squared test, independent t-test/ Mann–Whitney U-test and one-way analysis of variance were used to determine the statistical significance and a p-value <0.05 was considered significant.The majority (61.4%) were women and the mean age was 54.8±12.6 years. Mean lipid levels were within normal range except HDL cholesterol (HDL-C) in women (46.6± ±10.6 mg/dL). Desirable lipid levels were observed in majority of the participants (58%-80%) except HDL-C among women (32%). Half of the study population had a desirable total cholesterol: HDL-C ratio (50.8%). Significant difference between men and women was observed for HDL-C (p<0.05). The HDL-C levels and total cholesterol: HDL-C ratio of Jaffna population were comparable to those of South Asian populations. Further studies are needed to determine the clinical implication of these observations.

Myth and epic as a non-religious revival of national identity; the role of Ferdowsi’s Shahnameh in the development of secular national identity among Iranian minorities; studying Persian Twitter

ABSTRACT Ferdowsi's Shahnameh has played a significant role in shaping the national identity of Iranians, transcending linguistic, religious, cultural, and ethnic differences. This paper examines the perceptions of Iranian Sunni Muslims, and non-Muslim minorities regarding Ferdowsi and Shahnameh. A survey was conducted on Persian Twitter using simple items, and the questionnaire was also distributed among Shia Muslims, who form the majority in Iran. The findings demonstrate unanimous agreement among participants regarding the role of Ferdowsi and Shahnameh in unifying Iran geographically and shaping its cultural and secular national identity against Islamic anti-nationalism identity.

Racial and Ethnic Differences in the Prevalence of Severe Aortic Stenosis by Echocardiography.

Understanding the burden of aortic stenosis (AS) across diverse racial and ethnic populations is important to ensure equitable resource allocation. This study explored whether severe AS rate varies by race and ethnicity. The rates of severe AS, stratified by race and ethnicity, were calculated among 615,038 adults with a transthoracic echocardiogram. Logistic regression analysis was performed to identify factors associated with severe AS. Severe AS rates ranged from 0.08% in adults < 50 years old to 3.8% in those ≥ 90 years old. Compared to non-Hispanic White and Asian American [adjusted odds ratio (aOR) = 0.47, 95% confidence interval (CI): 0.42-0.53] and non-Hispanic Black (aOR = 0.44, 95% CI: 0.39-0.50) patients were less likely to have severe AS, whereas Hispanic patients (aOR = 0.91, 95% CI: 0.87-0.98) had near similar likelihood. Age was the strongest risk factor for severe AS (compared to age < 50 years, aOR = 21.8, 95% CI: 17.8-26.6 for age 80-89 years, and aOR = 43.8, 95% 35.5-54.0 for age ≥ 90 years). Additional factors associated with severe AS included male sex (aOR = 1.38, 95% CI: 1.30-1.46) and diabetes (aOR = 1.23, 95% CI: 1.15-1.31). Asian American and non-Hispanic Black adults had lower rates of severe AS compared to White and Hispanic patients. The rate of severe AS progressively increases with age in all racial and ethnic groups, with higher rates in men compared with women. With a demographic shift toward an aging and more diverse population, the burden of AS is anticipated to rise. Ensuring adequate allocation of resources to meet the evolving needs of a diverse population remains a shared health care imperative.

Using the Electronic Health Record to Implement Expedited Partner Therapy in the Pediatric Emergency Department.

Expedited partner therapy (EPT) is a partner treatment strategy for sexually transmitted infections (STIs) including gonorrhea and chlamydia as well as trichomoniasis in some states. The process allows healthcare providers to write prescriptions for STI treatment among partners of infected patients without a previous medical evaluation. The Centers for Disease Control (CDC) has recommended EPT as a useful option to facilitate partner treatment, particularly male partners of women with chlamydia or gonorrhea infections. Our institution implemented EPT in 2016 after Ohio legislation was passed to authorize its use. We aim to describe the implementation process and descriptive outcomes of EPT adoption in a pediatric emergency department. This study describes use of the electronic health record for implementation of EPT in our institution. We conducted a retrospective review of EPT utilization from implementation. Electronic records from the implementation date of January 1, 2017, through December 31, 2021, were reviewed. We describe basic demographics and overall uptake of the intervention. Fisher exact tests were used for categorical variables and two-sample t-tests for continuous variables. There was a total of 3275 positive test results and 739 EPT prescriptions written. Adolescent patients who received prescriptions for EPT were more likely to be female (78.7% of all EPT prescriptions, P = 0.007) and older than other patients (average age 17.7 vs 17.4 years, P = 0.004). There was no significant difference in race, insurance, or ethnicity among adolescent patients receiving and not receiving EPT. The percentage of positive STI tests associated with an EPT prescription ranged between 11.4% and 18.2%. Metronidazole was the most prescribed EPT medication. The use of the electronic health record provides a platform for implementation of EPT. Our study highlights a potential strategy for increasing treatments of STIs through EPT prescribing in the emergency department setting.

Prevalence of Osteosarcopenic Adiposity in Apparently Healthy Adults and Appraisal of Age, Sex, and Ethnic Differences

Osteosarcopenic adiposity (OSA) syndrome, the coexistence of osteoporosis, sarcopenia, and adiposity (either excess or redistributed/infiltrated), has been studied globally in different populations and regions (mostly in East Asia, less in Europe and North America), resulting in varied prevalence. We aimed to determine the prevalence of OSA in a large population of apparently healthy Caucasian adults (18–90 years) and to compare it with the prevalence reported in other studies and other ethnicities. This study included 9719 participants (6412 women and 3307 men), stratified into four age-group categories, and recruited from the general medical practices in Italy. OSA was defined based on body composition measurements using bioelectrical impedance BIA-ACC®, which enables assessment of total bone mass, muscle/lean, and adipose tissues. The overall prevalence of OSA was 21.9% in women and 14.0% in men, and it significantly increased in every subsequent age group for both women and men (p &lt; 0.001). The OSA prevalence was not significantly different between men and women below 40 years; however, it was considerably higher in women over 40 years. Participants with OSA had a significantly lower BMI compared to those without OSA, indicating OSA is a separate disorder not necessarily related to physiological fluctuations of BMI. The prevalence in Asian populations was lower than in our sample, indicating ethnic specificity. The relatively high prevalence of OSA detected in this study’s population across the age groups suggests the necessity for its appropriate and timely identification to prevent possible clinical outcomes, including fracture, dismobility, frailty, or chronic diseases.

Disparities in COVID-19-Related Mortality Among Older Adults With Alzheimer's Disease and Related Dementias: Variations Over Time.

Older adults with Alzheimer's disease and related dementias (ADRD) had a high risk of COVID-19-related mortality. Racial and ethnic minorities were disproportionally impacted by the pandemic. The variations in disparities, including racial and ethnic disparities and disparities across communities, in COVID-19-related mortality across the different stages of the COVID-19 pandemic among the ADRD population are unknown. This observational study estimated linear probability models for community-dwelling older adults with ADRD who were diagnosed with COVID-19 in 2020 and 2021 using multiple national data (e.g., Medicare data), accounting for individual and community characteristics. Disparities in 30-day mortality were compared between 2020 and 2021. The socioeconomic disparity in COVID-19-related mortality across communities became insignificant during the later stage of the pandemic, ethnic differences in COVID-19-related mortality decreased but persisted, and racial disparity remained largely unchanged. The study provides insights into interventions to mitigate lingering disparities in health outcomes among the vulnerable population.

Subjective social status and socio-demographic correlates of perceived discrimination among older adults in India

BackgroundConsidering India’s diversity, marked by differences in caste, class, ethnicity, religion, region, and language, discrimination can take on varying forms across social-structural locations. We examined the association between subjective social status (SSS) and perceived discrimination, and assessed the sociodemographic correlates of perceived discrimination among older persons in India.MethodsData come from the 2017-18 wave 1 of the Longitudinal Aging Study in India (LASI) with a sample of 30,253 adults 60 years or older. SSS was examined using the Macarthur scale with a ladder technique. Perceived discrimination was evaluated with the Everyday Discrimination Scale. Multivariable logistic regression models examined the odds of reporting discrimination by its types and attributions.Results39% of older adults reported low SSS, whereas 7.3% reported high SSS. Older adults with low SSS had significantly higher odds of experiencing some discrimination than those with high SSS. Compared to high-SSS peers, low-SSS individuals attributed age, gender, caste, financial, and health status as reasons for discrimination. Older women attributed gender as a reason for discrimination. Caste was reported as a reason for discrimination by rural but not urban dwellers. Relative to northerners, those from southern India reported age, financial, and health statuses as reasons for discrimination.ConclusionsThat low-SSS older adults reported age, gender, caste, financial status, and health status as reasons for discrimination and that this association persisted after considering objective indicators of socioeconomic status (SES) is suggestive of SSS as independently consequential for perceived discrimination. These findings are useful for care providers and practitioners as they encourage older patients -- especially those with low SSS who may feel stigmatized -- to seek care, comply with care regimen, and engage in behaviors that protect and promote health.

Racial and ethnic differences in the prevalence and treatment patterns for neovascular glaucoma in the American Academy of Ophthalmology IRIS® Registry (Intelligent Research in Sight)

PurposeTo examine racial and ethnic differences in the prevalence and treatment patterns for neovascular glaucoma (NVG) in at-risk individuals in the American Academy of Ophthalmology (Academy) IRIS® Registry (Intelligent Research in Sight). ParticipantsEyes in the IRIS Registry with a retinal ischemia based on a history of proliferative diabetic retinopathy (PDR), retinal vein occlusion (RVO), and/or ocular ischemic syndrome (OIS). MethodsRace and ethnicity was defined as Asian, Black, Hispanic/Latino, Non-Hispanic White, and Other/Unknown. In eyes with retinal ischemia, the outcome was neovascular glaucoma (NVG). In eyes with NVG, outcomes included treatment of retinal ischemia with pan-retinal photocoagulation (PRP), and surgery to lower intraocular pressure (IOP) with trabeculectomy, tube shunt, and cyclophotocoagulation (CPC). Covariates included age, sex, region of residence, insurance type, smoking status, and systemic and ocular comorbidities. Cox proportional hazards regression was used to examine adjusted associations between race and ethnicity and NVG and each type of NVG treatment. Main Outcome MeasuresIncidence of NVG, PRP, trabeculectomy, tube shunt, CPC, and any IOP-lowering surgery ResultsOf 312,106 eyes with retinal ischemia, there were 5,885 (1.9%) with NVG. Compared to eyes of individuals who identified as Non-Hispanic White, eyes of individuals who were Black and Hispanic/Latino had higher hazards of NVG in adjusted analyses (hazards ratio [HR]=1.28, 95% confidence interval [CI]=1.15, 1.43 for Black; HR=1.32, 95% CI=1.17, 1.47 for Hispanic/Latino). Compared to eyes of individuals who were Non-Hispanic White, there was higher hazards of trabeculectomy in eyes of individuals who were Hispanic/Latino (adjusted HR=1.91, 95% CI=1.08, 3.39) and higher hazards of tube shunt (adjusted HR=1.35, 95% CI=1.07, 1.69) and of any IOP-lowering surgery (adjusted HR=1.29, 95% CI=1.09, 1.53) in eyes of individuals who were Black. There were no statistically significant differences in the hazards of PRP or CPC. ConclusionsEyes of Black and Hispanic/Latino individuals with retinal ischemia in the IRIS Registry had higher likelihood of NVG and of IOP-lowering surgery for NVG. Further study is needed to examine the medical and social factors that preclude optimal management of diabetic eye disease, in order to prevent its blinding complications.

Ethnic differences in vitamin D status, bone and body composition in South Asian indian and caucasian men

BackgroundHigh prevalence of metabolic abnormalities and poor bone health in ethnic minorties may stem from differences in body composition and alterations in endocrine milieu. South Asian Indians (SAIs) are at greater risk for metabolic syndrome (MetS) and poor bone health than Caucasians. Often these differences are reported later in life and/or in a resident immigrant population compared to a Caucasian population. In this study, we determined whether vitamin D status, bone, body composition differed in young SAIs and Caucasians. Notably we compared differences amongst recent SAI immigrants and Caucasians. MethodsWe examined differences in bone density, body composition, serum 25-hydroxy vitamin D (s25(OH)D), parathyroid hormone (sPTH), vitamin D binding protein (sDBP), osteocalcin (sOC), and dietary intakes in young healthy SAI and Caucasian men. ResultsSixty men (N = 30 SAIs and N = 30 Caucasians) with a mean age of 27.8 ± 7.4 years completed the study. Compared to the Caucasians, SAIs had statistically significantly lower s25(OH)D and higher sPTH (p < 0.05). We also found that s25(OH)D was negatively associated with sPTH only among the SAIs (r = - 0.389, p = 0.037). Also, lean mass% (LM%) and fat-free mass% (FFM%) were lower in SAIs (p < 0.05) compared to caucasians. s25(OH)D correlated with nearly all body composition parameters, while sPTH correlated negatively with LM% and FFM%, and positively with FM% (all p < 0.05) in the Caucasian group. Bone mineral density at most sites were also significantly lower (p < 0.05) in the SAI's compared to caucasians. ConclusionYoung SAIs have a poor vitamin D status and less favorable bone and body composition parameters compared to Caucasians. These findings highlight the possible complex interplay between skeletal and metabolic health in different ethnicities which may be evident early on in life. Interventions to improve bone and metabolic health should therefore target younger ethnic minorities.

Associations Among Race, Ethnicity, and Clinical Profiles of Young Children Evaluated for Autism in the Primary Care Setting.

Despite long-standing racial and ethnic disparities in autism spectrum (AS) diagnosis, recent research suggests that overall, greater numbers of Black and Latine children are now diagnosed with AS as compared with non-Latine White (NLW) children in some US regions. However, gaps remain in the equitable detection of Black and Latine children with AS without significant developmental impairment. The objective of this study was to determine whether the clinical profiles of young children evaluated for AS across a statewide system of early autism diagnosis in Indiana vary by race and ethnicity. We examined racial and ethnic differences in: (1) AS symptom severity, (2) developmental functioning, (3) adaptive functioning, and (4) behavior problems in a sample of 147 children, aged 14 to 48 months (M = 2.6 years), referred for AS evaluation. Clinical profiles of young children evaluated differed significantly by race and ethnicity, with Black and Latine children exhibiting lower developmental (p = 0.008) and adaptive abilities (p = 0.01) and higher AS symptoms (p = 0.03) as compared with NLW children. Potential explanations for findings include racial and ethnic differences in family and community awareness and knowledge about AS and follow-through on evaluation referral, both driven by social determinants of health (SDOH) affecting minoritized children. Bias in screening and assessment instruments and clinician surveillance, screening, and referral practices may also underlie differences in clinical profiles of children evaluated. Future research is needed to understand the SDOH that influence AS detection and diagnosis to improve equitable access to early diagnosis and intervention.

Racial, Ethnic, and Sex Differences in Eating Disorder Onset Among U.S. Military Service Members.

Bulimia nervosa (BN) and binge eating disorder (BED) are the most prevalent eating disorders (EDs) among military personnel. Although sex differences are noted in ED prevalence in military and civilian samples, mixed findings have emerged when evaluating racial and ethnic differences. The present study examined independent associations and interactions between sex, race, ethnicity, and probable BED and BN onset. The sample included 91,413 and 96,245 service members from the Millennium Cohort Study for BED and BN analyses, respectively. Up to four datapoints (from 2001-2013) were used to conduct longitudinal complementary log-log regression analyses, as participants were followed until the outcome occurred or until study completion. BN was more likely among women than men, and no sex difference emerged for BED onset. BN was more likely among Hispanic/Latinx, Multiracial, Black, and Asian/Pacific Islander (API) while BED was less likely among Black and API versus non-Hispanic/Latinx White (NHW) service members. Interactions revealed greater likelihood of BN in Hispanic/Latinx service members was driven by men. Additional efforts are needed amongst racially and ethnically diverse groups in preventing and detecting EDs in military personnel. Future intersectionality research could elucidate systemic inequities and other contributing factors to ED onset to inform prevention and treatment efforts.

Dampak Diversity Management pada Employees Engagement: Peran Organizational Trust dan Job Insecurity

Workforce diversity such as differences in ethnicity, gender, education, language and so on in an organization needs to be managed properly in order to be able to achieve the vision, mission and goals of the organization. Due to good Diversity Management, Organizational Trust will emerge thereby creating Employees Engagement, which can prevent Job Insecurity from occurring. The purpose of this study is to explore Diversity Management and Organizational Trust to achieve Employees Engagement in service companies in Jakarta that specialize in the banking, telecommunications, and building construction sectors. This research was conducted on 125 respondents and was obtained through a questionnaire distributed online in July 2023. In this quantitative study, researchers used primary data and the Partial Least Square-Structural Equation Modeling (PLS-SEM) research method with data processing and analysis using SmartPLS. The results of this study confirm that Diversity Management has no effect on Employees Engagement, Organizational Trust has a positive effect on Employees Engagement, Diversity Management has a negative effect on Job Insecurity, while the moderating effect of Leadership Style has no significant effect on Employees Engagement. This research is limited to service companies in Jakarta, further researchers can explore manufacturing or trading companies. Suggestions that can be submitted for future researchers are to be able to replace the Leadership Style variable with transactional and transformational Leadership Styles.

Genetic Counseling, Testing, and Family Communication Into Survivorship After Diagnosis of Breast Cancer.

To examine receipt of genetic testing and communication with relatives about results into survivorship after diagnosis of breast cancer. Women age 20-79 years diagnosed with early-stage breast cancer in 2014-2015 and reported to the Georgia and Los Angeles County SEER registries were surveyed approximately 7 months and 6 years after diagnosis (n = 1,412). We asked about genetic counseling, testing, and communication with relatives about results. We categorized women into indications for testing on the basis of clinical guidelines at the time of diagnosis and at the time of the follow-up survey (FUPs). A total of 47.4% had indications for genetic testing at any time: 28.0% at baseline and an additional 19.4% at the time of the FUPs (only); 71.9% (95% CI, 67.4 to 76.4) of those with a baseline indication reported genetic testing versus 53.3% (95% CI, 47.3 to 59.2) with an indication at FUPs only and 35.0% (95% CI, 31.6 to 38.4) with no indication (P < .001). There were no significant racial or ethnic differences in receipt of testing, controlling for age and clinical indications (P = .239); results for genetic counseling were similar. Only 3.4% of survivors had direct-to-consumer genetic testing (DTCt) for cancer. Testers who reported a pathogenic variant (n = 62) were much more likely to have talked to most or all their first-degree adult relatives about genetic testing than those with a variant of unknown significance (n = 49) or a negative finding (n = 419): 62.7% versus 38.8% and 38.0%, respectively (P < .001). Many women with indications for genetic counseling and testing into survivorship do not receive it. But those tested reach out to family members on the basis of the clinical relevance of their results. Very few patients obtained DTCt, which suggests that these tests do not substitute for clinical testing in breast cancer survivors.

General mental ability testing and adverse impact in the United Kingdom: a meta-analysis with more than two million observations

ABSTRACT We review ethnic group differences on high-stakes General Mental Ability (GMA) tests based on 21st century UK data. Thereafter, we meta-analyse scores on 23 occupational, public sector, educational, military, or general-public selection tests, with a sample size exceeding two million. Relative to White GMA, the grand meta-analytic effect sizes (Cohen’s d) by major ethnic groups were: Mixed d = .14 (k = 24, N = 67,114), Blacks d = .65 (k = 32, N = 112,975), Asians d = .33 (k = 32, N = 311,695), and Other d = .49 (k = 24, N = 42,846). Further, although Chinese residents outscored White British residents (d = −.15, k = 20, N = 18,897), all other Asian ethnic groups scored slightly to substantially lower. For example, South Asians as a whole averaged d = .37; k = 13, N = 67,566. By subgroups, these averages were: Indians (d = .17, k = 10, N = 28,236), Pakistanis (d = .49, k = 9, N = 19,371), and Bangladeshi (d = .55, k = 7, N = 19,772). Implications for practice and theory are discussed.

Racial, Ethnic, and Sex Differences in Incidence-Based Mortality of Aggregate Upper Gastrointestinal Cancers.

Current strategies for upper gastrointestinal (UGI) cancer screening primarily target cancer-specific risk, with the strongest focus on esophageal adenocarcinoma (EAC). However, all UGI cancers are amendable to screening and early detection with an upper endoscopic exam. This study assesses and explores incidence-based mortality (IBM) for cumulative UGI cancers, aiming to identify race or sex-based disparities. We used Surveillance, Epidemiology, and End Results Research data to analyze patients diagnosed with EAC, esophageal squamous cell carcinoma (ESCC), cardia gastric cancer (CGC), non-cardia gastric cancer (NCGC), or colorectal adenocarcinoma from 2000 to 2019. Age-adjusted IBM was calculated as a rate per 100,000 population and stratified by sex and race/ethnicity. We also compared UGI cancer IBM with that of colorectal cancer, a cancer with established population-wide endoscopic screening guidelines. Cumulative IBM for UGI cancers was 8.40 (95% CI 8.34-8.46). The highest cancer-specific IBM rates were for EAC (2.26, 95% CI 2.23-2.29), followed by NCGC (2.07, 95% CI 2.04-2.10), CGC (1.60, 95% CI 1.57-1.62), ESCC (1.21, 95% CI 1.19-1.23), and miscellaneous UGI cancer (1.27, 95% CI 1.13-1.40). UGI cancer IBM was highest among Black males (16.43, 95% CI 15.97-16.89), American Indian/Alaska Native males (15.23, 95% CI 13.75-16.82), and Hispanic males (13.76, 95% CI 13.42-14.11). These rates are significantly greater than among White males (12.81, 95% CI 12.68-12.95). UGI cancers impose a significantly higher mortality burden on non-White population subgroups that are not currently targeted by any systematic screening approach.