Specific Ethnic Minority Research Articles

Race and Ethnicity in the Evidence for Integrating Palliative Care Into Oncology.

ASCO recommends early involvement of palliative care for patients with advanced cancers on the basis of evidence from 18 randomized trials. We examined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of "white" versus "other," and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups was low. In addition to more research in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.

Perceived and Personal Mental Health Stigma in Latino and African American College Students.

Mental health stigma occurs when people have negative thoughts and beliefs of those with mental health illnesses or mental health treatment. Mental health stigma is related to an assortment of negative outcomes including discrimination in housing and employment, reduced usage of mental health services, and poor mental health outcomes. These implications may be particularly salient for ethnic minorities such as African Americans and Latinos who already suffer from other types of discrimination. This study examines perceived and personal mental health stigma in African American and Latino college students from a nontraditional university to help elucidate factors related to the development of mental health stigma. Students completed surveys concerning their stigma beliefs. African American students were found to have higher rates of mental health stigma than Latino students. Furthermore, anxiety about those with mental illness was related to greater mental health stigma for both groups. For African Americans, it was found that their perception of their ability to visibly identify those with mental illness was related to greater mental health stigma. These findings suggest that interventions to reduce mental health stigma in college students should target specific ethnic minority groups and focus on issues that are particularly salient to those communities.

Moderating Effects of Resilience on Depression, Psychological Distress, and Suicidal Ideation Associated With Interpersonal Violence.

Resilience has been found to attenuate the effects of negative mental health symptomology associated with interpersonal victimization; however, existing research has largely focused on resilience traits, such as individual cognitive and environmental factors that promote resilience. In addition, empirical knowledge on the extent to which resilience mitigates suicidal symptomology associated with interpersonal violence victimization is particularly limited. This study assesses whether the relationship between interpersonal violence (i.e., IPV and nonpartner sexual violence) and mental health symptomology (i.e., depression, psychological distress, and suicidal ideation) is moderated by resilience using a general population sample of women (N = 932). A cross-sectional, observational survey was administered in four U.S. cities (Baltimore, New York City, Philadelphia, and Washington, D.C.). Bivariate results indicated that women exposed to interpersonal violence reported significantly higher rates of suicidal ideation, depression, and psychological distress compared with women without exposure to interpersonal violence. Regression models revealed significant positive associations between interpersonal violence and depression, distress, and suicidal ideation, adjusting for sociodemographics. Resilience did not significantly moderate the relationship between interpersonal violence victimization and any associated mental health outcomes. However, subgroup analyses reveal significant interaction effects between resilience and IPV within specific racial and ethnic minority subgroups, suggesting that attenuating effects of resilience on mental health symptoms (i.e., depression and psychological distress) associated with IPV likely vary across race and ethnicity. Implications for future research and clinical interventions focused on resilience among survivors of interpersonal violence are discussed.

Role of ethnicity in human papillomavirus vaccination uptake: a cross-sectional study of girls from ethnic minority groups attending London schools

ObjectivesResearch suggests that girls from ethnic minority groups are less likely to receive the human papillomavirus (HPV) vaccination than white British girls; however, the specific ethnic minority groups that have...

Optimism/pessimism and future orientation as predictors of suicidal ideation: Are there ethnic differences?

The present study sought to test the generalizability of Chang et al.'s (2013) model, which suggests that optimism/pessimism and future orientation function as additive and interactive predictors of suicidal risk, to specific ethnic minority college student groups (i.e., Asian Americans, African Americans, and Latino Americans). The present study used Chang et al.'s (2013) model to predict suicidal ideation among 81 (34 male and 47 female) Asian-American, 71 (22 male and 49 female) African-American adults, and 83 (34 male and 49 female) Latino-American college students. Our results indicated that this model did not predict suicidal ideation well for Asian-American college students; however, it did work well to predict suicidal ideation for African-American and Latino-American college students. Our findings indicate that optimism/pessimism and future orientation are important positive cognitions involved with suicidal ideation for African-American and Latino-American college students. Further research is needed to better understand the cultural underpinnings of how these positive cognitions work to predict suicide-related outcomes. (PsycINFO Database Record

Differences in Internalizing Symptoms Across Specific Ethnic Minority Groups: An Analysis Across Chinese American, Filipino American, Japanese American, Native Hawaiian, and White Youth

Research to date on child and adolescent anxiety and depression have focused predominantly on major ethnic groups. Very few studies to date have been conducted on specific ethnic minority groups and the relatively few studies on these ethnic minority samples have produced mixed findings. The following question therefore still remains: Do specific ethnic subgroups differ with respect to their expression of anxiety and depression? And do these differences differ as a function of reporter type (i.e., youth versus parent)? If the expression of internalizing symptoms differs across specific ethnic subgroups, these differences could inform approaches to assessing and treating these populations. In the current study, we therefore examined ethnic differences in anxiety and depression symptoms in ethnic subgroups. A total of 629 children and adolescents from various public and private schools, aged 8–18 years (M = 12.37, SD = 2.8) and their caregivers completed anxiety and depression scales. Multiple indicators, multiple causes confirmatory factor analysis revealed that the following specific ethic subgroups were associated with significantly greater anxiety and depression relative to Caucasian youth: Chinese American, Filipino American, Japanese American, and Native Hawaiian. These results were found only among parent (but not youth) reports. Age and low SES status was also associated with more internalizing problems among Chinese, Filipino, and Japanese American youth. Implications related to ethnic minority subgroup differences and the role of multi-informant reports in understanding the relationship between anxiety, depression and ethnic minority subgroups are discussed.

Ethnicity, gender, deprivation and low educational attainment in England: Political arithmetic, ideological stances and the deficient society

Attainment data on England’s school pupils are more extensive in coverage, detail, quantity, accessibility and of higher quality than monitoring statistics routinely available in other European countries. These data facilitate investigation of low attainment in England’s schools and its relationship to ethnicity, gender and poverty. This article reviews longitudinal sample studies and extends this with simpler presentations of England’s national attainment statistics for education over 5 years up to 2014. The analyses show recurrent correlations of low attainment with specific ethnic minority groups, with gender and most strongly with low-income sections of society. There is a strong case, from these data and other research, that these inequalities are rooted in social and economic factors outside the school, created and sustained by neoliberal economic practices and elitist structures. It is argued that reducing the proportion of children growing up in poverty will have a bigger impact on raising average attainment levels than focusing on in-school factors.

The complex determinants of school intake characteristics and segregation, England 1989 to 2014

The extent of between-school segregation, or clustering of disadvantaged students within schools, in England varies depending on the indicator of interest. For example, the trend over time for segregation by student poverty differs from those for ethnicity or special educational need. Additionally the causes of the level of segregation for any indicator will be different from the causes of changes in that level over time. This new paper uses data for all state-funded schools in England from 1989 to 2014 to identify the possible determinants of segregation. The results are summarised for England and its economic regions, and presented in more detail for local authority areas. The long-term underlying level of segregation of each indicator appears to be the outcome of structural and local geographic factors. However, the annual changes in segregation for most indicators can be explained most simply by changes in the prevalence of each indicator. For example, the UK policy of inclusion has considerably increased the number of students with statements of special needs in mainstream schools, and this has resulted, intentionally, in less segregation in terms of this indicator. Segregation by poverty varies at least partly with the economic cycle. Some of the explanatory factors, such as the global economy or the prevalence of specific ethnic minority groups, are not directly under policy-makers’ control. This means that it is the more malleable factors leading to the underlying levels of poverty segregation that should be addressed by any state wanting a fair and mixed national school system. In England, these controllable factors include the use of proximity to decide contested places at schools, and school diversity as represented by the growth of Academies and Free Schools, and the continued existence of faith-based and selective schools.

A Boat Without Anchors: A Report on the Legal Status of Ethnic Vietnamese Minority Populations in Cambodia Under Domestic and International Laws Governing Nationality and Statelessness

This Report considers the nationality status of a group from among the ethnic Vietnamese minority in Kampong Chhnang Province, Cambodia (the focal group), under the operation of the applicable domestic nationality laws of Cambodia and Vietnam. Members of the specific ethnic Vietnamese minority group, the subject of this report, are long-term residents of Cambodia, having been born and raised in the country for generations – with the exception of the period between 1975 and the early 1980s, when they were forcibly deported to Vietnam by the Khmer Rouge regime. During those events, they lost important documentation establishing their legal status and since their return to Cambodia in the early 1980s, they have been regarded by Cambodian authorities as immigrants. In assessing the nationality status of the focal group, this report (1) looks at the status of the focal group under the applicable Cambodian and Vietnamese nationality laws, including any relevant changes to the laws throughout time; (2) examines documentation available among the focal group to establish or prove their civil status; (3) considers how the national authorities of Cambodia and Vietnam view and treat the group under the operation of their respective laws; and (4) discusses whether members of the focal group could be classified as stateless.

A State-Level Review of Diversity Initiatives in Congregate Meal Programs Established Under the Older Americans Act.

The Older Americans Act (OAA) congregate meal program (CMP) targets those most at risk for nutritional deficiencies, social isolation, and institutionalization. Social minorities (racial, ethnic, cultural, and sexual minorities) are at high risk for all three. This study explores state-level diversity initiatives to welcome these social minorities in CMPs. A national survey was distributed to each State Unit on Aging, all but three states participated. The majority of states (64.6%) target CMPs to a specific racial, ethnic, or cultural minority; five states target sexual minorities (lesbian, gay, bisexual, and transgender [LGBT]). Negative binomial regression results find state minority population percentage is a significant predictor of the number of diversity initiatives at CMPs. States with LGBT CMPs reported the highest levels of racial/ethnic/cultural diversity initiatives and high levels of statewide LGBT protective policies. Recommendations are suggested that build upon the diversification success of states to further the mission of OAA in reaching high-risk older adults.

Ethnic differences in psychological outcomes among people with diabetes: USA results from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study

Objective:To assess differences in psychological outcomes as well as risk and protective factors for these outcomes among several USA ethnic groups and identify correlates of these psychological outcomes among adults with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study.Research design and methods:The core USA DAWN2 sample was supplemented by independent samples of specific ethnic minority groups, yielding a total of 447 White non-Hispanics, 241 African Americans, 194 Hispanics, and 173 Chinese Americans (n = 1055). Multivariate analysis examined ethnic differences in psychological outcomes and risk/protective factors (disease, demographic and socioeconomic factors, health status and healthcare access/utilization, subjective burden of diabetes and social support/burden). Separate analyses were performed on each group to determine whether risk/protective factors differed across ethnic groups.Main outcome measures:Psychological outcomes include well-being, quality of life, impact of diabetes on life domains, diabetes distress, and diabetes empowerment.Clinical trial registration:NCT01507116.Results:Ethnic minorities tended to have better psychological outcomes than White non-Hispanics, although their diabetes distress was higher. Levels of most risk and protective factors differed significantly across ethnic groups; adjustment for these factors reduced ethnic group differences in psychological outcomes. Health status and modifiable diabetes-specific risk/protective factors (healthcare access/utilization, subjective diabetes burden, social support/burden) had strong associations with psychological outcomes, especially diabetes distress and empowerment. Numerous interactions between ethnicity and other correlates of psychological outcomes suggest that ethnic groups are differentially sensitive to various risk/protective factors. Potential limitations are the sample sizes and representativeness.Conclusions:Ethnic groups differ in their psychological outcomes. The risk/protective factors for psychological outcomes differ across ethnic groups and different ethnic groups are more/less sensitive to their influence. These findings can aid the development of strategies to overcome the most prominent and influential psychosocial barriers to optimal diabetes care within each ethnic group.

Academic Self‐Efficacy and Performance of Underrepresented STEM Majors: Gender, Ethnic, and Social Class Patterns

This longitudinal study examined academic self‐efficacy and performance among Science/Technology/Engineering/Math (STEM) majors who are underrepresented in STEM education and occupations; i.e., women, specific ethnic minorities, and low‐socioeconomic status (SES) individuals. Performance on academic tests and self‐perceptions of academic skills were assessed at admission and graduation from a STEM mentoring program. At admission, women perceived themselves as academically weaker than men despite similar academic performance. However, by graduation, women's academic self‐efficacy was equivalent to men's. In addition, students with double STEM‐minority statuses, by ethnicity and SES, had lower academic self‐efficacy and performance than d id students with single STEM‐minority status. Exploratory analyses of change over time by ethnic/SES groups showed varying patterns of change that depended on the outcome variable. This study's finding of an increase in academic self‐efficacy for women and students with STEM‐minority status by both ethnicity and SES at graduation from a mentoring program is perhaps an indication of the positive impact of mentoring. The mixed findings at program completion for students with single versus double STEM‐minority status call for attention to the complex relationship between social disadvantage, academic self‐efficacy, and academic performance.

Grounded in evidence or a puritanical legacy: a critique of twenty-first-century US drug policy

The federal government of the USA asserts that its national drug policy is based on empirical and scientific evidence rather than ideology. However, the recently published ‘War on Drugs’ (2011) report declared that the global war on drugs has failed, producing devastating consequences for individuals and societies around the world. Accordingly, this paper focuses on a number of key positions that are embedded in the US drug policy and seeks to reconcile these with the empirical evidence that exists; such as it is. In the absence of supporting empirical evidence to underpin a policy goal, one must logically consider that there are alternative, hidden drivers and the authors can detect (at least) three such drivers of US drug policy. The first of these is the influence of religion; US drug policy is influenced by a Puritanical legacy. The second is that of societal views of drugs and drug users per se and how such views invariably associate certain drugs with specific ethnic minority groups. The third is th...

Comparing culturally accommodated versus standard group CBT for Latino adolescents with substance use disorders: A pilot study.

Studies comparing empirically supported substance abuse treatments versus their culturally accommodated counterparts with participants from a specific ethnic minority group are lacking in the literature. To address this gap, this pilot study was conducted to compare the feasibility and relative efficacy of an empirically supported standard version of cognitive-behavioral substance abuse treatment (S-CBT) to a culturally accommodated version (A-CBT) with a sample of Latino adolescents. This study was guided by a Cultural Accommodation Model for Substance Abuse Treatment (CAM-SAT). Thirty-five Latino adolescents (mean age = 15.49) were randomly assigned to one of two 12-week group-based treatment conditions (S-CBT = 18; A-CBT = 17) with assessments conducted at pretreatment, posttreatment and 3-month follow-up. Results indicated similar retention and satisfaction rates for participants in both treatment conditions. In addition, participants in both conditions demonstrated significant decreases in substance use from pre- to posttreatment with slight increases at 3-month follow-up; however, substance use outcomes were moderated by two cultural variables: ethnic identity and familism. Implications of these findings within the context of conducting clinical trials with Latino adolescents are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

OP44 Race, Bullying and Self-Esteem at the Transition Between Primary and Secondary School

BackgroundStudies from the US have suggested that children who experience racial discrimination have higher rates of depression, anxiety, behavioural disorders, and lower self-esteem. Children are generally more vulnerable to such...

The Ongoing Pursuit of Educational Equity in Japan: The Accreditation of Ethnic High Schools

In 2003, the Japanese Ministry of Education accredited the high school diplomas of most “ethnic high schools,” which are schools by and for specific ethnic minority populations, such as Korean, Brazilian, or Chinese students in Japan. Prior to this policy, diplomas from most ethnic high schools were not recognized by the Japanese government as valid, and if graduates wanted to apply to universities or colleges, specifically national universities, they were required to take a high school equivalency exam. This article examines the policy's evolution toward championing equity for equal treatment, a concept that ensures that individuals with similar levels of schooling have access to similar levels of status. Through heated debate and resistance, the policy furthered equity for some ethnic minority students while maintaining inequitable circumstances for others, specifically students in ethnic high schools that serve North Korean communities. The analysis reveals four important features of the policy's development that furthered equity: (1) protesting by non-governmental actors, (2) taking advantage of a policy window, (3) using strategic value-laden language, and (4) facilitating incremental change. Often, Japanese education policies rightfully are critiqued as assimilative and discriminatory. However, this article reveals some potential to move the conversation beyond these critiques and offers suggestions to promote and iteratively come closer to educational equity for ethnic minority students.

O1-S01.03 High yield in reinfections during a chlamydia screening programme when automatically sending testkits after 6 months to previously infected

BackgroundReinfections remain challenging in the control of Chlamydia trachomatis (Ct). In a systematic internet-based Ct Screening programme (CSI) in the Netherlands, all Ct-positive participants automatically received a test kit after...

Empirical Research on Ethnic Minority Students: 1995–2009

Ethnic minority disproportionality has been a topic of extensive discussion and research for many years. In 1997, Artiles, Trent, and Kuan conducted a seminal review of the special education research literature to identify how often researchers report and disaggregate data in ways that would support conclusions about specific ethnic minority groups. These authors found alarmingly low rates of publication on identifiable minority groups. The purpose of this review is to replicate the work of Artiles et al. and extend this literature analysis to the subsequent 15‐year period (1995–2009). We found increases in the proportion of articles reporting ethnic minority information 15 years following the Artiles et al. publication. Discussion focuses on the gap in our knowledge of evidence‐based practices for ethnic minority students in special education.

Spatial distribution and ethnic homogenization of population in Serbia

In the article is going to presented the ethnic picture of the population of the Serbia and the ethnodemographic changes in period 1991-2002, caused by migration, natural movement, changed declaration on national affiliation, as well as some political and socio-economic factors. Ethnocentric migrations (voluntary and forced) primarily influenced on the change of ethnic structure of the Serbia, in the sense of creating nationally more homogeneous region, having in mind the national structure of refugee- population. On the other side, the emigration of some other nationalities which migrated to their mother countries due to political and economic reasons influenced on the ethnic structure, too. Spatial distribution of population according to nationality is an important aspect of demographic development conditioned primarily by ethnically differentiated natural growth and migrations, but also with the impact of numerous other factors. In Serbia is present an exceptional concentration and homogenization of population of certain nationalities. Due to specific territorial distribution and ethnic domination of relevant national minorities in border parts of the country, the question of their status and territorial-political organization gives special severity and significance to the minority question in Serbia. Having in mind that Serbia is a multiethnic and multiconfessional state, the protection of minorities rights and good inter-ethnic relations are necessary for peace, stability and democratic development of the Serbia and the Balkans region.

Socioeconomic and Environmental Determinants of Hospitalizations for Childhood and Adult Asthma in Hawaii

PP-30-168 Background/Aims: Asthma has been estimated to affect 17 million people or over 5% of the total population, with 1.9 million emergency room visits, and 466,000 hospital admissions annually in the United States. Approximately 9.7% of children and 6.9% of adults have been diagnosed with asthma in Hawaii. Understanding the disproportionate increase and remarkable disparities in asthma among low socioeconomic status indigenous and ethnic minority population groups may provide insight into the roots of the asthma epidemics and more effective disease management. Methods: The data on annual asthma hospitalizations for children and adults (ICD-9-CM 493.0–493.9), at sub-county school administrative district level (n = 22), in 2000–2005, was collected from Hawaii Health Information Corporation, and covered the counties of Honolulu, Hawaii, and Maui. The information on socioeconomic status, included socio-behavioral, economic, housing, and environmental characteristics was obtained from Hawaii Behavioral Risk factors Surveillance System and Healthy Hawaii Survey Programs, conducted in 2005. Principal component analysis techniques were employed to reduce the total number of significant area socioeconomic status indicators (n = 18), and to develop the composite area socioeconomic deprivation index for each administrative district as a single predictor of asthma hospital admissions in children and adults. Poisson log-linear regression models were used to estimate the influence of each selected socio-behavioral, economic, housing, and environmental factors on children and adult asthma hospitalization rates. The GIS ArcView 9.2 program was utilized for geospatial data analysis and result representation. Results: The study results revealed that the number of inactive, adult smokers, overweight and obese people, as well as fast food and other unhealthy food entities in the area were significant predictors of asthma hospitalization rates for both children and adults. Developed composite area socioeconomic deprivation index was a significant predictor of children and adult hospitalization rates for asthma. Conclusion: The study results support previous empirical findings that severe exacerbations and hospital admissions for asthma are distributed unequally within specific geographical areas and among specific ethnic minority population groups. The socioeconomic deprivation index could be used to explain social, economic, cultural, and environmental disparities in health as a powerful tool to describe social inequalities and also to identify high risk geographical areas and population groups in order to develop more effective disease prevention and health promotion strategies for asthma.