Afro-American Research Articles

Trends in Suspected Opioid Drug Overdose Events in Emergency Medical Service Encounters in South Carolina, 2019-2022.

The number of drug overdoses and drug-related deaths has increased across the United States in recent years. Reports of suspected opioid drug overdoses identified through emergency medical services (EMS) are valuable sources of information for shaping the public health response to drug overdoses. The objective of this study was to describe trends in the number of EMS-reported suspected opioid drug overdose events in South Carolina from 2019 through 2022. We included reports of suspected opioid drug overdoses if they met the definition of nonfatal opioid overdose syndrome in our analysis. We analyzed statewide data reported from EMS agencies to biospatial, Inc, from January 2019 through December 2022 to understand demographic trends for a statewide overdose and response program in South Carolina. In 2022, a total of 11 078 suspected opioid drug overdose events, or 216.4 per 100 000 South Carolina residents, were reported by EMS. During the 4-year study period, the number of EMS-reported suspected opioid drug overdoses increased by 82%, with African American people experiencing a 133% increase and White people experiencing a 68% increase. The number of opioid overdoses increased among all age groups during the study period. Approximately 84% of opioid overdoses were reported in urban counties, but rural counties had a higher number of opioid overdose reports per capita than urban counties. Monitoring trends in suspected opioid drug overdoses allows decision makers to adjust resources and programs for overdose response and is essential for local coordinated response. Continued monitoring of trends is needed for an equitable response to prevent opioid drug overdoses.

Family cascade screening for equitable identification of familial hypercholesterolemia: study protocol for a hybrid effectiveness-implementation type III randomized controlled trial

BackgroundFamilial hypercholesterolemia (FH) is a heritable disorder affecting 1.3 million individuals in the USA. Eighty percent of people with FH are undiagnosed, particularly minoritized populations including Black or African American people, Asian or Asian American people, and women across racial groups. Family cascade screening is an evidence-based practice that can increase diagnosis and improve health outcomes but is rarely implemented in routine practice, representing an important care gap. In pilot work, we leveraged best practices from behavioral economics and implementation science—including mixed-methods contextual inquiry with clinicians, patients, and health system constituents—to co-design two patient-facing implementation strategies to address this care gap: (a) an automated health system-mediated strategy and (b) a nonprofit foundation-mediated strategy with contact from a foundation-employed care navigator. This trial will test the comparative effectiveness of these strategies on completion of cascade screening for relatives of individuals with FH, centering equitable reach.MethodsWe will conduct a hybrid effectiveness-implementation type III randomized controlled trial testing the comparative effectiveness of two strategies for implementing cascade screening with 220 individuals with FH (i.e., probands) per arm identified from a large northeastern health system. The primary implementation outcome is reach, or the proportion of probands with at least one first-degree biological relative (parent, sibling, child) in the USA who is screened for FH through the study. Our secondary implementation outcomes include the number of relatives screened and the number of relatives meeting the American Heart Association criteria for FH. Our secondary clinical effectiveness outcome is post-trial proband cholesterol level. We will also use mixed methods to identify implementation strategy mechanisms for implementation strategy effectiveness while centering equity.DiscussionWe will test two patient-facing implementation strategies harnessing insights from behavioral economics that were developed collaboratively with constituents. This trial will improve our understanding of how to implement evidence-based cascade screening for FH, which implementation strategies work, for whom, and why. Learnings from this trial can be used to equitably scale cascade screening programs for FH nationally and inform cascade screening implementation efforts for other genetic disorders.Trial registrationClinicalTrials.gov, NCT05750667. Registered 15 February 2023—retrospectively registered, https://clinicaltrials.gov/study/NCT05750667.

Oppressive Even As It Inspires

Abstract In this article, we trace the evolution of the connections between Black America and (Black) Europe since the mid-twentieth century and the study thereof. We do so through the lens of ‘Black American centrality,’ referring to the ways in which perceptions of Black America serve as an outsized reference point in European understandings of race, ‘Blackness,’ and Black (European) emancipation struggles. This allows for exploring the dilemmas that the, at times overwhelming, visibility of ‘Black America’ poses to Black Europeans, particularly during the current moment of flourishing Black European culture, politics, and scholarship. In that context, we show how both U.S.- and Europe-based scholars of Black American history and Black European history have approached Black American-European connections differently. The article concludes with suggestions for how these fields can engage with each other to develop academic approaches that account for but do not privilege the position of Black Americans within diasporic exchanges in the North Atlantic region, which is currently an underexplored area in diaspora studies.

Abstract 777: Notch signaling dependent chemoresistance in racial disparity in ER+ breast cancer

Abstract Breast cancer (BCa) is the leading cause of cancer related death in women worldwide. The most common BCa subtype is the Estrogen/Progesterone receptor (ER+/PR+) luminal subtype, comprising up to 75% of all newly diagnosed BCa. Although these patients show initial benefit with chemotherapy and endocrine therapy, however, 40-50% of them eventually don’t respond to treatment due to resistance. Thus, the need for additional targeted therapies for this large subset of ER+ BCa patients is critical. Based on recent studies, it is observed that Afro-American (AA) patients experience substantially higher BCa mortality (40% more) than White American (WA) women in ER+ breast cancer. Unfortunately, the cause behind this difference in mortality in AA patients is not well understood. Notch signaling is a highly conserved intercellular communication mechanism critical for many cellular processes and is composed of several receptors and ligands. Recent data show that Notch receptors are overexpressed in hormone treatment refractory ER− patients of (Afro-American) AA origin, hinting connection of Notch signaling to racial disparity in breast cancer. Notch signaling is also identified in several metabolic disorders involving fatty acids and other lipids. However, function of Notch signaling in context of chemoresistance in AA ER+ breast cancer is still unknown. Using single cell sequencing, we found that chemo-resistant AA ER+ breast cancer patient samples have a distinct Notch signature enriched subpopulations in tumor cells, which was missing in WA patients. Notch signaling happens through juxtacrine signaling of ligand/receptor signaling. Further analysis in tumor microenvironment shows lipid enriched tumor associated macrophages, which are Notch dependent, suggesting potential crosstalk between lipid heavy tumor-macrophages and tumor cells, which may drive the chemoresistance in AA patients. Further analysis using patient derived explants, an attractive new tool for drug efficacy testing in ex vivo, we found that chemotherapy itself increases Notch signaling in the tumors. Ongoing studies involving scRNAseq, untargeted lipidomics and chemo-resistant PDE will delineate the precise mechanism of action between tumor cells and tumor associated lipid heavy macrophages in context of Notch signaling in chemo-resistant AA ER+ breast cancer. Citation Format: Shailesh Singh, Megha Das, Rumela Chakrabarti. Notch signaling dependent chemoresistance in racial disparity in ER+ breast cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 777.

Race, immigration, and Black intergroup politics

ABSTRACT While the literature has established that immigration opinions among African Americans are frequently driven by economic anxieties, less is known about how this co-exists with other factors. I argue that race and distribution of foreign-born immigrants at the local level may be important additional factors in determining African American immigration restrictionist sentiment. OLS regressions were run with robustness checks. Results suggest that African Americans living in counties with high proportions of Black or Asian immigrants may lead to more positive immigration sentiments. I find the opposite for those in high Latino foreign-born counties. Additional results with interactions show the limitations of group competition as a mechanism for this relationship. These findings have implications for the future of intergroup relations and suggest further examining the diverse identities of immigrants and their effects on Black political opinion. As the demographics profile of immigrant groups in the US continues to diversify, it is imperative that we continue to investigate how the increasing ethnic diversity of Black America may be disrupting scholarly knowledge and expectations for the future of intergroup relations in America.

The impact of subjective, interpersonal, and structural social isolation on the mental health of African Americans and Black Caribbeans

ABSTRACT Research on social isolation and mental health among Black populations is underdeveloped. Using a nationally representative sample, our study examined the association between social isolation, depressive symptoms and psychological distress among African Americans (AAs) and Black Caribbeans (BCs). For both AAs and BCs, we found interpersonal and subjective isolation were associated with greater depressive symptoms. Greater distress was associated with greater subjective isolation and lower structural isolation for AAs; however, greater interpersonal isolation was associated with greater distress for BCs. Findings from this study may inform evidence-based interventions to mitigate isolation and improve mental health among AAs and BCs.

“Catachresis at the Origin”: Names and Power in Toni Morrison’s Fiction

Abstract: Toni Morrison’s fiction is replete with characters who carry nicknames, who rename themselves, or are renamed by others. Some misnamings carry the stories of histories of marginalization and oppression—as with the “drunken yankee” responsible for the naming of Macon Dead in Song of Solomon . Morrison’s characters also rename themselves to resist the legacy of American slavery and institutionalized racism. What ties Morrison’s namings, misnamings, and renamings together is the sense that there is no path to the recovery of true names for many African American people. The consequence is not powerlessness; rather, the “catachresis at the origin” that Gayatri Spivak refers to is intuited organically by many Morrison characters, who embrace misnaming and rename themselves as a mode of claiming self-ownership. Catachresis may begin as rhetorical violence imposed from without, but in Toni Morrison’s fiction, it can end as an opportunity to assert power, autonomy, and a boundless creativity.

Ending the HIV Epidemic in Black America: Qualitative Insights Following COVID-19.

The disproportionate effects of the human immunodeficiency virus (HIV) and the Coronavirus 2019 (COVID-19) on Black American communities highlight structural systems rooted in racism and must be addressed with national strategies that improve both biomedicine and social determinants of health. The purpose of this study was to qualitatively examine the experiences and interpretations of experts in the HIV workforce (local, state, and national HIV-related organizations) regarding the state of HIV and COVID-19 among Black Americans. Within key informant interviews and a focus group recorded and transcribed verbatim, fifteen members of the HIV workforce and Black community described their experiences and provided insights to inform ending the negative outcomes resulting from HIV and COVID-19. Data were analyzed using NVivo software, and eight themes emerged to address disease disproportionality through a Black lens. Themes reflected (1) accessing information and care; (2) key potential partners/stakeholders; (3) investing in Black communities; (4) governmental support; (5) increasing engagement and advocacy; (6) HIV-related community conversations; (7) developments since COVID-19; and (8) the Ending the HIV Epidemic (EHE) trajectory. Themes directly speak to recommendations to adjust education and policy strategies for HIV and COVID-19 prevention and intervention. Such recommendations, (1) amplifying Black voices, (2) investing sustainable dollars into Black communities, and (3) leaning into advocacy, can bolster the foundation for the HIV workforce and Black community to break ineffective response patterns and lead the fight against these systemic issues of inequity.

What’s so Marxist about Marxist Educational Theory?

The antagonism between “class” and “race” have plagued educational theory for decades. As a communist organizer seeking to move Marxist educational theory out of the stagnant waters of theoretical debates, I turn to recent CRT scholarship, which I find much more in line with the communist project. Yet, this literature omits world-historic and ongoing transformations inaugurated particularly since the beginning of the 20th century by erasing, discounting or, denouncing them. I argue the primary factors inhibiting educational researchers: Anticommunism. The global revolutionary era led largely by revolutionary communists contains the most fruitful explanations of those conditions and connections (and the historical legacies accounting for mass movements in the U.S. today, like the historic 2020 uprising against the War on Black America). This rich and dynamic legacy is what can get educational scholarship beyond the cages of academia. After outlining the interconnection between anticommunism and anti-Black racism as the contours of master narratives, I demonstrate how anticommunism continues to hold education’s potential contributions to the struggle back while accounting for the material conditions responsible for the absence of revolutionary theory and practice and the overwhelming surplus of theories critical of revolution in the university today. I demonstrate how anti-Black racism in the U.S. is tethered to anticommunism and how Leninism provides the theoretical and practical link uniting the global struggle of the oppressed and creating the Black and indigenous-led communist movement, contending struggles against white supremacy, capitalism, and imperialism depend on a rejection of anticommunism by turning to Black communist Claudia Jones.

Association between Statin use and Incident Peripheral Artery Disease According to Race, Age, and Presence of Depression in the Multi-Ethnic Study of Atherosclerosis

BackgroundPeripheral artery disease (PAD) is associated with high morbidity and mortality and has been commonly described as a coronary heart disease equivalent. Statin medications are recommended for primary prevention of atherosclerotic cardiovascular disease (ASCVD) among other indications. Therefore, understanding the longitudinal relationship of incident PAD is necessary to inform future research on how to prevent disease. Depression complicates cardiovascular disease (CVD) patients’ ability to properly adhere to their medications, yet the effect of depression on the relationship between statin use and incident PAD is understudied. People with PAD have a higher incidence of depressive symptoms than people without PAD. Black American and Hispanic populations are disproportionately affected by both PAD and depression yet research on the modifying effect of either race or depression on the relationship between statin use and onset of PAD is minimal. While statin utilization is highest for ages 75–84, there is minimal evidence of favorable risk–benefit balance. Consequently, in this project, we examined the relationship between statin use and incident peripheral artery disease and whether this relationship is modified by race/ethnicity, depressive symptoms, or age. MethodsWe used data on participants from the Multi-Ethnic Study of Atherosclerosis (MESA) from visit 1 (2000) through study visit 6 (2020) who had three separate measurements of the ankle-brachial index (ABI) taken at visit 1, visit 3, and visit 5. Incident PAD was defined as 1) incident lower extremity amputation or revascularization or 2) ABI less than 0.90 coupled with ABI decrease greater than 0.15 over the follow-up period. Statin use was noted on the study visit prior to incident PAD diagnosis while depressive symptoms were measured at exam 1, visit 3, and visit 5. Propensity score matching was implemented to create balance between the participants in the two treatment groups, i.e., statin treated and statin untreated groups to reduce the problem of confounding by indication. Propensity scores were calculated using multivariate logistic regression model to estimate the probability of receiving statin treatment. We used Cox proportional hazards regression to investigate the relationship between time-dependent statin use as well as other risk factors with incident PAD, overall and stratified by 1) race,2) depression status, and 3) age ResultsA total 4,210 participants were included in the final matched analytic cohort. There were 810 (19.3%) incident cases of PAD that occurred over an average (mean) of 11.3 (SD=5.7) years of follow-up time. In the statin treated group, and with the average follow-up time of 12.5 (SD=5.6) years. there were 281 (13.4%) cases of incident PAD with the average follow-up time of 10.1 (SD=5.5), whereas in the statin untreated group, there were 531 (25.2%) cases (p<0.001). Results demonstrate a lower risk of PAD event in statin treated group compared to untreated group (hazard ratio [HR] 0.45, 95% confidence interval [CI] 0.33-0.62) over the span 18.5 years. The interactions between 1) depression and 2) race with statin use for incident PAD were not significant. However other risk factors which were significant included Black American race that had approximately 30% lower hazard of PAD compared to non-Hispanic White (HR=0.70, 95% CI: 0.58-0.84); Age-stratified models were also fitted, and stain use was still a significant treatment factor for ages 45-54 (HR 0.45, 95% CI: 0.33-0.63), 55-64 (HR 0.61, 95% CI 0.46-0.79), and 65-74 years (HR 0.61, 95% CI: 0.48-0.78) but not for 75-84 years. ConclusionStatin use was associated with a decreased risk of incident PAD for those under age 75. Neither race nor depression significantly modified the relationship between statin use and incident PAD however risk of incident PAD was lower among Blacks Americans. These findings highlight that the benefit of statin may wane for those over the age 75. Findings also suggest statin use may not be compromised in those living with depression.

Hands across Black America: Visions of Isolation and Social Life in Modern Black Horror Film

Abstract: As Black horror film production flourishes in the wake of Jordan Peele’s Get Out (2017), the greater number of movies allows for a closer analysis of the filmic and generic traditions that contemporary Black horror invokes and draws from. The premise of this investigation is that a cohort of Black horror films have taken older, white-directed horror that includes Black characters as inspiration for their thinking on the question of Black social life. This essay proposes that contemporary Black directors and writers have looked to these older films, which often rely on stereotypes and tropes of Black experience, precisely as a way to grapple with contradictions in Black experience which have been thematized, sometimes crudely, by white directors of horror. Following the work of Robin R. Means Coleman, Kinitra D. Brooks, and others on the mechanics of racial tropes in cinema, I suggest that representations of Black social life begin to appear as a turbulent, at times terrifying, yet captivating alternative to relations premised on either the individualism of the private sphere, or the indistinct unity of the monoracial community. This alternative, adapting a term from Fred Moten, is the Black polis .

Outreach for Young Adult African Americans with Risk Factors for Stroke.

Research suggests that younger adult African American people (age 18-35 years) have more than double the risk of having a stroke than White people. Stroke risk education is lacking for this cohort; there is a dearth of materials that are targeted and focused for young adult African Americans. There is also little research on developing and testing age and culturally appropriate health literate materials that may help this population better understand personal risk factors for stroke. The aim of this study was to understand factors to guide creating and disseminating plain language health messages about stroke risk awareness among young adult African Americans. African American participants age 18 years and older completed an online survey (N = 413). Descriptive statistics, one-way analysis of variance, and two-step cluster analyses were used to evaluate stroke risk awareness, perceived risk of stroke, message creation factors, and online health information seeking behavior. Open-ended survey items described modifiable and non-modifiable reasons for perceived risk of stroke. Participants reported differences on overall stroke risk factor awareness by perceived risk of stroke was significant (F[2, 409] = 4.91, p = .008) with the very low/low group (M = 1.66, p < .01), showing significantly lower overall stroke risk factor awareness compared to the moderate and high/very high groups. Both respondents who thought their stroke risk was very low/low and moderate/high/very high commented about family history (54.1% and 45.9%, respectively) as the reason and 88.2% of very low/low commented that they did not have risk factors for stroke because they were young. Cluster analysis indicated the Mostly Clear Preferences cluster was more likely to select mostly/very on positive, informational, and long-term messages and medical authority sources. The largest of three clusters reported medical sources as the highest rated source for both finding and trusting health information (47.2%, n = 195). Young adult African Americans have a scarce understanding of modifiable stroke risk factors; health education materials should focus on positive information messaging that shows a long-term result and is presented by a medical authority. We did not observe any age or sex differences among the data, which suggests different message modalities may not be needed. [HLRP: Health Literacy Research and Practice. 2024;8(1):e38-e46.].

Environmental Literacy Differences Based on Gender Identity and Race: A Social Justice Concern

Environmental literacy can empower students to make positive changes in their environment. Understanding the rates of environmental literacy in college students of color is particularly important because African American, Asian, and indigenous peoples (BIPOC) are most likely to be disproportionately impacted by environmental degradation. We administered a survey with questions regarding environmental literacy to undergraduate students at a comprehensive midwestern university in the fall of 2019 resulting in 2560 participants (about 25% of the student population). An ANOVA comparing environmental literacy summary scores demonstrated that Caucasian respondents had a statistically higher environmental literacy than African American and Native American students but were not statistically different from Asian, native Hawaiian, and mixed-race students, although all scores were low with Caucasian students scoring 39% and African American students scoring 31%. We also found that Caucasian and BIPOC women had a greater concern for the environment (F = 20.675, p &lt; 0.001) and felt that their actions can make a difference following two separate tests (F = 18.916, p &lt; 0.001; F = 19.003, p &lt; 0.001) than men or gender-nonconforming students. Caucasian students have a slightly higher environmental literacy, but the scores overall are low. Women consistently report more concern for the environment and also greater empowerment to make a difference.

Describing providers’ perspectives on the needs and challenges of family caregivers of African American people living with dementia

ABSTRACT The primary purpose of this study was to explore the needs and challenges of African American family caregivers of People living with dementia (PLWD) from the perspective of service providers including healthcare and social service providers. The study conducted three online semi-structured focus group interviews with service providers (n = 15). Data were analyzed using Braun & Clarke’s guide to thematic analysis approach. Five themes emerged from the analysis of the focus group data: (i) Inadequate information about resources; (ii) Dementia education; (iii) Burden of dementia on families; (iv) Limited financial support and funding; and (v) Suggestions for needed resources. Service providers expressed the lack of community-based dementia service and support programs in African American communities. Findings from the study indicated the need to provide culturally appropriate information on dementia caregiving. This study adds to the scope of knowledge by exploring the processes of seeking help and using services.

RECRUITING THE MINORITIZED: AFRICAN AMERICAN BEREAVED DEMENTIA CAREGIVERS

Abstract Central to this project was recruiting and learning from African American people, who are underrepresented in Bereaved Dementia Caregiver research. Initially this project was conceptualized with the intent of recruiting a wide range of people of African or Caribbean descent, given the geographic presence of large contingents of African Immigrants in the Twin Cities of Minnesota. In talking to our community partners prior to launch, we elected to restrict participation to those who identified as, or identified as serving, African Americans specifically. Our recruitment strategies were largely informed by deep community engagement built through academic, personal, and non-profit partnerships over several years. We also sought to synergize recruitment efforts for this project with another effort targeting augmentations of dementia friendliness in local African American churches. In discussing recruitment strategies we also sought to hear from those who may not be those traditionally heard from. For instance, to include younger individuals, we recruited contacts through our local Alzheimer’s Association chapter’s Young Champions group. Likewise, because churches are often a major source of African American participant recruitment, we contacted individuals at the Volunteers of America to recruit. Finally, we intentionally broke our recruitment plan into stages (recruiting a handful of individuals at a time) to ensure that participants could nominate those they thought might be most important to hear from within their own communities. This intellectual humility was essential to doing this work properly and maximizing the potential of our results to help African American Bereaved Dementia Caregivers.

Gabriel's Failed Revolution of 1800: Causes and Prerequisites

This work is devoted to a very little-studied topic of the Virginia Slave Conspiracy led by Gabriel and is the first study of this issue in Russian historiography. The present article analyzes in detail the causes and prerequisites of the failed uprising of 1800. At the same time, the author relies on the published materials of the trial and the works of leading Western researchers. &#x0D; The first part is devoted directly to the history of studying this issue. Using historical-genetic and retrospective methods, the author traces the influence of foreign policy, domestic political, social, economic, demographic, socio-cultural factors on the formation of a socially explosive situation in Virginia by 1800, and&#x0D; also identifies a number of subjective reasons and prerequisites for a slave conspiracy, such as: motives of personal revenge and banal miscalculations of the authorities who did not take proper measures. At the same time, the main emphasis is on comparing approaches and substantiating the complex of causes and&#x0D; prerequisites in Western historiography.&#x0D; As a result, the author comes to the conclusion that in the case of Gabriel's conspiracy, it is not just about a failed uprising, but about the emergence in Virginia of the late XVIII – early XIX centuries of a real revolutionary situation, the formation of which was facilitated by a combination of interrelated factors.&#x0D; The results of the research conducted in this article can be used in research and teaching activities related to the study of American history and the history of the African-American people (Black History).

Jump Nyabinghi: Black Radical Militancy, Rastafarianism, and Jamaican Cultural Influence on Black America

While African Americans were in the midst of the zenith of the Civil Rights Movement, Afro-Jamaicans endured civil unrest, Black militant activism, and political changes that eventually resulted in its independence in 1962. While the global impact and influence of African American activism, especially of leaders like Martin Luther King, Jr., Malcolm X, and Stokely Carmichael, among others, is well known, little has been written on the influence of Jamaican culture, ideology, and nationalism on the global freedom movement. This research article situates Jamaican activism and ideology as central to the transnational, Pan-African Black resistance movements, specifically in the United States, illustrating that African Americans were deeply influenced by and interested in Jamaican activism and culture.

Contribution of smoking, disease history, and survival to lung cancer disparities in Black individuals.

Lung cancer is the leading cause of cancer deaths and disproportionately affects self-identified Black or African American ("Black") people, especially considering their relatively low self-reported smoking intensity rates. This study aimed to determine the relative impact of smoking history and lung cancer incidence risk, histology, stage, and survival on these disparities. We used 2 lung cancer models (MichiganLung-All Races and MichiganLung-Black) to understand why Black people have higher rates of lung cancer deaths. We studied how different factors, such as smoking behaviors, cancer development, histology, stage at diagnosis, and lung cancer survival, contribute to these differences. Adjusted for smoking history, approximately 90% of the difference in lung cancer deaths between the overall and Black populations (born in 1960) was the result of differences in the risk of getting lung cancer. Differences in the histology and stage of lung cancer and survival had a small impact (4% to 6% for each). Similar results were observed for the 1950 and 1970 birth cohorts, regardless of their differences in smoking patterns from the 1960 cohort. After taking smoking into account, the higher rate of lung cancer deaths in Black people can mostly be explained by differences in the risk of developing lung cancer. As lung cancer treatments and detection improve, however, other factors may become more important in determining differences in lung cancer mortality between the Black and overall populations. To prevent current disparities from becoming worse, it is important to make sure that these improvements are available to everyone in an equitable way.

Streaming Black to the future: post-soul aesthetics & competing nostalgia in FX’s Snowfall and Pose

ABSTRACT Television networks, in partnership and collaboration with streaming platforms, are now increasingly using nostalgia themed programming to captivate diverse audiences. To meet the growing calls for diverse representation, many of these shows retell the history and events of Black America during the Reagan period, drawing on post-soul aesthetics and culture. Further, streaming services have made a conscious effort to acquire rights to older Black sitcoms, enabling Black audiences to relive the memories attached to post-soul media. Using textual analysis of FX dramas Snowfall and Pose, this paper analyses how television programmes invoke post-soul aesthetics to produce a distinct and consumable form of Black nostalgia. This results in a competing nostalgia where viewers are unable to disassociate the feel-good moments of a past era from the racial trauma, oppression and discrimination that shaped this same period. While discourse around Blackness and nostalgia should fervently occupy space outisde of topics related to structural racism and economic marignalization, this essay argues that television networks and streaming platforms are choosing to produce Black nostalgic programmes that highlight this tension. Therefore, this has led to a resurgence of post-soul-themed programming.

Participation in genetic screening: testing different outreach methods across a diverse hospital system based patient population.

Introduction: Genomics has the potential to transform medicine by identifying genetic risk factors that predispose people to certain illnesses. Use of genetic screening is rapidly expanding and shifting towards screening all patients regardless of known risk factors, but research is limited on the success of broad population-level outreach for genetic testing and the effectiveness of different outreach methods across diverse populations. In this study, we tested the effectiveness of Digital Only (emailing and texting) and Brochure Plus Digital (mailed brochure, emailing, and texting) outreach to encourage a diverse patient population to participate in a large hospital system's whole genome sequencing program. Methods: Disproportionate stratified sampling was used to create a study population more demographically diverse than the eligible population and response rates were analyzed overall and by demographics to understand the effectiveness of different outreach strategies. Results: 7.5% of all eligible patients enrolled in the program. While approximately 70% of patients invited to complete genetic testing identified in their EHR as being Hispanic, Black or African America, Asian, or another non-White race, these patients generally enrolled at lower rates than the overall population. Other underrepresented groups had higher enrollment rates including people with Medicaid coverage (8.7%) and those residing in rural areas (10.6%). We found no significant difference in enrollment rates between our Digital-Only and our Brochure Plus Digital outreach approaches in the overall population, but enrollment rates were significantly higher for Asian patients and patients who resided in rural areas in the Brochure Plus Digital group. Across both outreach approaches, links provided in emails were most commonly used for enrollment. Discussion: Our study reveals expected enrollment rates for proactive outreach by a hospital system for genetic testing in a diverse population. As more hospital systems are adopting population-scale genetic testing, these findings can inform future outreach efforts to recruit patients for genetic testing including those patients traditionally underrepresented in genomics.