Urban Minority Research Articles

Abstract Su1106: Evaluating Culturally Competent Cardiopulmonary Resuscitation (CPR) Training in Urban Minority Communities

Introduction: Timely resuscitation can triple the chance of survival for out-of-hospital cardiac arrest (OHCA) patients. Differences in bystander CPR rates between white and minority communities lead to significant racial and ethnic disparities in OHCA survival rates. Immigrant populations, in particular, face several educational barriers and are often excluded in community CPR trainings. Previous efforts have increased the inclusivity of CPR education for female and disabled citizens through targeted interventions. Significant opportunities exist to apply similar strategies and tackle community-level disparities. Aim: To examine the impact of culturally competent CPR instruction on confidence levels and acceptability of CPR skills among minority citizen groups. Methods: CPR cohorts were taught using a local emergency services syllabus. Through discussion with course site leaders, the syllabus was adapted in three categories: language variations, cultural adaptations, and/or consideration of cultural learning styles. A pre-post design was utilized to assess impact of culturally-tailored CPR training. Confidence and acceptability levels in performing CPR were measured using a digital survey. An unpaired t-test was used to analyze pre/post-course data. Trainings were held from November 2023 to May 2024. Results: All participants were 18 years or older (n=217). The response rate was 36.7% (n=80). Confidence levels increased by 121% for checking for breathing and responsiveness (p<0.0001), 63.9% for communicating with 911 (p<0.0001), 137% for administering chest compressions (p<0.0001), and 172% for connecting an AED (p<0.0001). CPR acceptability improved, with participants reporting a 47.8% reduction in perceived difficulty post-course (p<0.0001). Conclusions: Implementing culturally tailored CPR training significantly improved confidence in CPR skills and acceptability of CPR. Future experiments may compare outcomes between intervention and control CPR cohorts at more course sites.

“She” at the Corner of a Small Town: A Study of Female Characters in Urban Themes in Ma Jinlian’s Novels

In recent years, the focus of Ma Jinlian’s novel creation has gradually shifted from rural areas to cities. The characters in her works have also gradually shifted from rural Hui ethnic minorities to urban Hui ethnic minorities. This study focuses on the creation of urban Hui ethnic minorities in Ma Jinlian’s works, systematically combs and summarizes the female characters of urban Hui ethnic minorities in her works, and on this basis compares the images of urban Hui female characters and rural Hui female characters in her novels, examines the gender consciousness and development of female consciousness of Hui ethnic minorities in Ma Jinlian’s urban themes, and further studies the reflection and introspection of the image of urban Hui community in Ma Jinlian’s works on the living conditions of urban Hui women in Ningxia today, and explores the realistic value and universal significance of Ma Jinlian’s image of urban women from the perspective of text.

The light side of urban planning: Queer space in Beersheba between displacement and recognition

How can the ‘dark side’ of urban policy and planning be transformed into a ‘light side?’ How can displaceability and exclusion of an urban minority be reversed? How can marginalized groups enter the mainstream and achieve recognition, security and a stake in urban resources? The critical literature on the ‘dark side’ of planning rarely deals with the transformation from oppression to justice for excluded groups. The story of queer (LGBTQ+) space in Beersheba, Israel, which illustrates such a process, is analyzed here through the struggle to organize a gay parade and be allocated municipal assets for community use. The paper traces the transformation of the relationships between the community, the mayor and the City Council. The analysis shows how urban citizenship became a site of struggle constructed “from below,” coupled with the ability to mobilize support from other cities and political pragmatism. In order to locate this struggle in a broader context, the LGBTQ+ struggle is compared to that of another minority, Beersheba’s Bedouin-Arab community. The latter’s plight shows that while the LGBTQ+ commrecognition and moving towards the ‘light side,’ the Arab community was experiencing the ‘dark side,’ with increasing urban oppression and displacement. The study thus shows how a liberal, gay struggle may also be used to “pinkwash” on-going displacement of other communities in the urban periphery.

A Comparative Analysis of the Campus Food Environment of an Urban Multi-Campus Minority Serving Institution in Southeast U.S.

A Comparative Analysis of the Campus Food Environment of an Urban Multi-Campus Minority Serving Institution in Southeast U.S.

Introduction: minorities and gender in contested urban spaces special issue

ABSTRACT While studies on urban minorities have interested scholars in history, sociology, ethnography and geography for a full century, ‘minorities within minorities’ are more often than not absent. Gendered groups within ethnic or religious minorities in the modern metropolis experienced doubled- or even tripled marginalisation in the urban landscape. This introduction provides an overview of the scholarly work that has been done on ethnic/religious and gendered minorities in the modern era (1750-1950). It points out the strengths and promises of the current field, but more importantly, shows that due to lack of traditional sources, the field needs to push methodological boundaries and find new ways to bring back these voices into scholarly research. Mediating on some possible avenues, the introduction introduces the three articles and how the push the field forwards.

Self‐Employment, the COVID‐19 Pandemic, and the Rural–Urban Divide in the United States☆

AbstractSelf‐employed individuals faced numerous challenges amid the global health and economic crisis that was the COVID‐19 pandemic. Similarly, rural and urban workers faced different challenges during the pandemic. This rural–urban disparity further complicates the impacts of self‐employment and exacerbates inequalities resulting from gender, race, ethnicity, or immigration status. This study examines the economic consequences of the COVID‐19 pandemic across these categories in the United States using Current Population Survey data from May 2020 to May 2022. Comparing the wage and self‐employment sectors across rural and urban areas, I examine the effects of individual, business, and geographic characteristics on the probability of work stoppages due to the health crisis. The analysis reveals that recovery from the pandemic was delayed among the self‐employed, while additional education and full‐time employment status can reduce work interruptions for these workers, as does working in select industries. Findings suggest that rural and urban minorities are more likely to face pandemic‐related work disruptions, with key differences between formal and informal self‐employment sectors. Specifically, self‐employed Asians/Pacific Islanders and Native Americans were more adversely affected in rural areas. The study concludes with several policy and program recommendations to assist vulnerable workers, especially in the rural self‐employment sector.

Хранительница нематериального культурного наследия: о роли бабушки в передаче этнического языка и культуры (на материале социолингвистических обследований в чувашской и марийской диаспорах Московского региона)

An essential mechanism for transmitting ethnic language within families involves the transfer from older to younger generations, with grandmothers playing a prominent role in this process. The paper presents the findings of the field research conducted within the Chuvash and Mari internal diasporas of the Moscow region. The study subjects were the first-generation natives of the diaspora urban environment and the second-generation representatives. The findings indicate that intergenerational language transmission is notably weak, mainly because Russian is omnipresent in urban environments and minority languages are marginalized due to prevailing linguistic ideologies. Although being recognized as state languages along with Russian in the relevant administrative-territorial entities, Chuvash and Mari languages do not have this status in the internal diaspora, becoming minority languages. Nevertheless, according to the research results, ethnic language is one of the key markers of ethnic identity necessary for preserving ethnic group boundaries. In the majority of cases, the task of preserving the ethnic language is assigned to grandmothers, the eldest women in the family, who reside in the rural area of their small native land. This model follows the long-existing practice of city dwellers sending their children to the countryside in summer for the latter to learn an ethnic language in the natural environment by communicating with their grandmother. Besides teaching the ethnic language, the grandmother also imparts knowledge about ethnic customs and traditions, such as ethnic cuisine, songs, and elements of folk and religious culture, making her a valuable keeper of intangible cultural heritage.

Comparing the Demographic Characteristics of Victims of Sexual Assault in Rural Versus Urban Areas.

In 2019, over 459,000 persons in the United States survived sexual assault, and 21%-26% sought medical treatment. Ideally, trained medical professionals who understand the unique physical and mental health needs of this patient population, such as forensic nurses, would provide care. Yet, the care that forensic nurses and other healthcare providers can offer to sexual violence/abuse survivors is hindered by the lack of understanding of the demographics of those who seek care. With the delineation of highly affected demographic groups, barriers to care can be addressed. This study compared rates, demographic characteristics, acuity, and codes for sexual violence/abuse encounters experienced by those patients residing in rural versus urban counties of Kentucky (KY). This included encounters before and after SARS-CoV-2. Deidentified claims data were extracted for patient encounters billed with the International Classification of Diseases, 10th Revision, Clinical Modification for sexual violence/abuse seen at a university healthcare center serving the Northeastern, Southeastern, and Central regions of KY from October 2015 to February 2021. Analysis comprised descriptive statistics, independent samples t tests, and chi-square tests of association. Significant demographic differences were identified between the two groups. The mean age of those residing in rural areas was significantly younger than those living in urban areas. Similarly, the percentage of male survivors was significantly higher in the rural population. The racial composition also differed, with higher percentages of survivors being Black and Hispanic in the urban population, relative to rural dwellers. Findings suggest that rural youth (especially boys aged 10 years and younger) and urban minorities are at a higher risk for sexual violence/abuse in KY when compared with their counterparts (i.e., urban youth and rural minorities).

Rural and urban differences in disparities in substance use and substance use disorders affecting sexual minority populations.

Sexual minority populations are at elevated risk for substance use (SU) and substance use disorders (SUD) compared to heterosexual populations. These disparities are theorized to be amplified for rural sexual minority populations due to their increased exposure to minority stress and reduced access to sexual minority communities. However, there is a lack of research examining differences in SU disparities affecting sexual minority populations by urbanicity, and little research has examined differences in SUD treatment utilization by sexual minority status or urbanicity. We utilized data from 2015 to 2019 National Survey on Drug Use and Health to examine disparities in SU, SUD, SUD treatment utilization, and unmet SUD treatment need between sexual minority and heterosexual populations and test whether such disparities vary by urbanicity. Results indicate that disparities in SU and SUD affecting sexual minority populations generalize across urbanicities. A subset of disparities differed by urbanicity, and the direction of these differences varied, with some disparities being stronger in urban than rural populations and vice versa. Despite elevated treatment utilization among some sexual minority groups, disparities in unmet SUD treatment need were prevalent across urbanicities and sexual identity groups. Study findings highlight the ubiquity of disparities in SU, SUD, and unmet SUD treatment need affecting rural and urban sexual minority populations, while also demonstrating nuanced differences in disparities by urbanicity. The persistence of disparities in unmet SUD treatment need emphasizes the need for future research to identify factors contributing to this disparity and for policies that alleviate these disparities.

Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide

Background : Alcohol and illicit substance use remain significant public health issues in the United States. In this analysis, we assessed differences in the use of primary care and emergency departments (EDs) for treatment of substance use among rural and urban sexual minorities (SMs). Methods : Data come from the National Survey on Drug Use and Health (NSDUH, 2015-2019). Survey-weighted multivariable linear and logistic regression analyses were used to assess the relationship between sexual identity and the use of primary care settings or EDs for treatment of substance use, stratified by urbanicity of residence. Results : Among the entire sample, 7.9% reported residing in rural environments with slightly more SMs living in urban (7.3%) relative to rural (5.4%) locales. Both rural (β=-0.20; 95% CI: −0.29, −0.10) and urban SMs (β=-0.13; 95% CI: −0.16, −0.11) self-reported worse overall health. Urban SMs, but not rural SMs, had significantly higher odds of reporting use of primary care treatment for substance use (aOR 2.80; 95% CI: 2.13, 3.68). ED treatment for substance use was greater among both rural (aOR = 2.99; 95% CI: 1.01, 8.87) and urban SMs (aOR = 3.02; 95% CI: 2.12, 4.30) as was overall number of ED visits among both rural (β = 0.48; 95% CI: 0.24, 0.72) and urban SMs (β = 0.23; 95% CI: 0.19, 0.28) . Conclusion : These findings suggest increased reliance on EDs for treatment of alcohol or substance use among rural SMs. Future research should examine whether increasing culturally competent primary care services for SMs in rural areas may be a key intervention point for reducing health disparities.

Investing in Infants: Child Protection and Nationalism in Transylvania during Dualism and the Interwar Period

AbstractThe high infant mortality rate of illegitimate children in Dualist Hungary urged politicians to create a modern state child welfare system for the protection of abandoned children whose upbringing became a national matter. Their main concern was providing adequate nutrition for infants and increase their chances of survival. The article examines how demographical concerns and national-political ideals influenced the evolution of the child welfare system in multi-ethnic Transylvania, first as part of the dual monarchy and after the First World War as a province of Romania. The Hungarian state children’s asylums offered a variety of nursing programs for abandoned infants, where the foster-care system often resulted in their Magyarization at a later age. During the First World War, the new objective was the protection of infants together with mothers and the promotion of breastfeeding in order to ensure the viability of the Hungarian nation. National arguments were used in both time periods to support infant protection initiatives. In interwar Transylvania, the urban-rural ethnic distribution influenced the development of infant protection facilities: all state investments were channeled toward the “authentic” Romanian countryside, while in the “foreign” urban environment ethnic minorities focused on their own institutions.

Food Insecurity and Food Allergy in Children of an Urban Minority Community: A Cross-Sectional Study

Childhood food insecurity was exacerbated during the COVID-19 pandemic, with burdens falling disproportionately on minority children. This study aims to describe the prevalence of food insecurity in food-allergic children of an urban minority community and examine the association between food insecurity and food allergy.

Prevalence of Food Allergy in Children of an Urban Minority Community: A Cross-Sectional Study

Prevalence of Food Allergy in Children of an Urban Minority Community: A Cross-Sectional Study

IDENTITY AND LANGUAGE IN AN ARCTIC CITY: THE CASE OF THE INDIGENOUS PEOPLES IN DUDINKA

In our study, we explore the identity constructions of indigenous peoples living in Arctic urban environment. The choice of topic is justified by the fact that studies of indigenous peoples living in urban settings in the Arctic have focused on cities outside of the Russian Arctic. The purpose of this article is to provide a contemporary overview of Arctic urban indigenous peoples in terms of their identity and language use. Important issues are urbanization processes and the position of indigenous peoples in the Arctic. Comparing the eight Arctic countries, the largest gaps in research on northern urban communities can be found in the Russian Federation. The migration of ethnic minorities to urban settlements has been particularly rapid under the conditions of globalization and industrialization. It should be emphasized that moving to the city may be one of the appropriate ways for these minorities to survive in Siberia. In the urban settlements surveyed, ethnic groups are trying to establish their own minority organizations and groups to preserve minority culture, language, and identity. The starting point of the study is the activities of the organizations, the current multifaceted language situation, patterns of language use, and the study of language attitudes specific to these urban minorities. In this article, we analyze the current situation of indigenous peoples in Dudinka in light of the research questions. The findings are based on recent literature and field research conducted in 2008, 2016, and 2019. We conclude by saying that although the language is disappearing, its value remains important to the community. We also think it is important to investigate the city in terms of language use because, contrary to previous expectations, urbanization does not simply mean the disappearance of small languages. On the one hand, new, highly efficient and independent scenes of language use are opening, and on the other hand, the decline in language use is not at all accompanied by a decline in language prestige, which can also be a justification for revitalization. In addition to language, other elements of identity become important.

Racial inequities in opioid use disorder management: can the anesthesiologist improve outcomes?

Racial inequities in opioid use disorder management: can the anesthesiologist improve outcomes?

A double disparity: Rural sexual minorities and tobacco use among U.S. adults

BackgroundMarginalized groups continue to face an uneven distribution of the risks and consequences of smoking cigarettes, with rural/urban geography and sexual orientation status examined independently. However, little is known about the intersection of rural/urban geography and sexual orientation regarding tobacco use disparities. This study examined rural–urban sexual minority differences in tobacco use in the United States. MethodsData came from the 2018–2020 Behavioral Risk Factor Survey System (N = 675,221). We estimated cigarette smoking prevalence for each year of survey data by rural/urban status and sexual orientation. Multivariable logistic regressions were used to assess associations of rural/urban location and sexual orientation status with cigarette use. Additional Multivariable logistic regressions were conducted, including stratified analyses by sex on multiple sexual orientation categories. FindingsCigarette smoking was higher among participants who lived in rural areas and identified as lesbian or gay and bisexual. Furthermore, the disparities in smoking rates were significantly different, with 38 % higher odds of smoking among rural sexual minorities than urban sexual minorities (aOR = 1.38, 95 % CI = 1.19, 1.60). Stronger odds of cigarette smoking were found among rural gays or lesbians (aOR = 1.83, 95 % CI = 1.47, 2.28) and rural bisexuals (aOR = 2.40, 95 % CI = 2.03, 2.84) compared to urban straight counterparts. ConclusionFindings highlight rural populations, particularly sexual minorities, might have an elevated risk of cigarette use. Prevention and cessation efforts that help these especially disadvantaged groups will be beneficial in addressing tobacco use disparities.

Explaining behavioral health differences in urban and rural sexual minority adolescents: A longitudinal investigation of minority stress in a diverse national sample of sexual minority adolescents: A longitudinal investigation of minority stress in a diverse national sample of sexual minority adolescents.

Experiences of sexuality-based discrimination (ie, minority stressors) against youth who identify as nonheterosexual (ie, sexual minority) have been associated with increased symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD) for sexual minority adolescents (SMA; ages 14-17). However, little is known about the experiences of SMA living in rural communities across the United States. Thus, the present study sought to examine differences in mental health patterns between urban and rural dwelling SMA, and to see whether these differences are, at least in part, explained by experiences of lifetime minority stress. A nationwide sample of SMA residing in the United States (N = 2,558; aged 14-17, M = 15.90 years, SD = 0.98) was recruited through purposive social media and respondent-driven sampling methods to complete a cross-sectional survey online. Measures included those of minority stress, urbanicity, and symptoms of anxiety, depression, and PTSD. Parallel multiple mediation (PMM) analysis was employed to test whether urbanicity was associated with anxiety, depressive, and PTSD symptoms through reported lifetime minority stress. On average, SMA living in rural areas significantly reported more lifetime minority stress, depressive, and PTSD symptoms than SMA living in urban settings. Results from our PMM analysis indicated that heightened experiences of lifetime minority stress indirectly linked the effects of living in rural areas on anxiety (b = -0.288, 95% CI = [-0.491, -0.085]), depressive (b = -0.158, 95% CI = [-0.270, -0.047), and PTSD symptoms PTSD (b = -0.349, 95% CI = [-0.596, -0.105]). The model accounted for 16.8%, 18%, and 24.1% of the variability in anxiety symptoms, depressive symptoms, and PTSD symptoms, respectively. SMA in our study who reside in rural areas reported elevated minority stress, depressive, and PTSD symptoms as compared to their urban dwelling peers. Our study found that lifetime experiences of minority stress fully mediated the relationship between urbanicity and both depressive and PTSD symptoms, and partially mediated the relationship between urbanicity and anxiety. These findings highlight the need to increase support for rural youth who are growing into adulthood and may find continuing challenges in their family, peer, and community relationships.

A Case Study of Community-Academic Partnership in Improving the Quality of Life for Asthmatic Urban Minority Children in Low-Income Households.

Community–academic partnerships (CAPs) are being increasingly used to study and address health disparity issues. CAPs help to create new bodies of knowledge and innovative solutions to community problems, which benefits the community and academia. Supported by a grant, a partnership was formed between an academic research team and a community health organization to analyze and interpret data collected from the caregivers of asthmatic African American children living in urban low-income households. Using a case study approach, we discuss how we built a healthy CAP and the lessons learned from the process. Our analysis was guided by the six main factors that facilitate success in developing collaborative relationships, including (1) environment; (2) membership; (3) process and structure; (4) communication; (5) purpose; and (6) resources. Based on these six factors, we describe our collaboration process, challenges, and areas for improvement. We aimed to provide a “points-to-consider” roadmap for academic and community partners to establish and maintain a mutually beneficial and satisfactory relationship. Collaborating with community members and organizations provides unique opportunities for researchers and students to apply their skills and knowledge from textbooks and the classroom, engage with community members, and improve real-life community needs. Building a constructive CAP involves efforts, energy, and resources from both parties. The six major themes derived from our project offer suggestions for building a healthy, collaborative, and productive relationship that best serves communities in the future.

Associations between sleep, obesity, and asthma in urban minority children.

Although obesity, asthma, and sleep-disordered breathing are interrelated, there is limited understanding of the independent contributions of body-mass index and pulmonary function on polysomnography in children with asthma. We conducted a retrospective chart review on 448 7- to 18-year-old children with asthma who had undergone polysomnography testing between 1/2007-12/2011 to elucidate the association between spirometry variables, body-mass index, and polysomnography parameters, adjusting for asthma and antiallergic medications. Obese children had poorer sleep architecture and more severe gas exchange abnormalities compared to healthy weight children. Multivariate analysis revealed an independent association of body-mass index with sleep efficiency, with more light and less deep sleep in both obese and healthy-weight children, and with baseline oxygen saturation and oxygen nadir in obese children. In obese children, forced vital capacity was independently associated with less deep sleep (time in N3 sleep) as well as with oxygen nadir, while among healthy-weight children, forced expiratory volume directly correlated but forced vital capacity inversely correlated with deep sleep. In obese children, inhaled corticosteroid was associated with baseline oxygen saturation, and montelukast was associated with lower end-tidal carbon dioxide. In healthy-weight children, inhaled corticosteroid was associated with arousal awakening index, and montelukast was associated with light sleep. Antiallergic medications were not independently associated with polysomnography parameters. Pulmonary function, body-mass index, and asthma medications have independent and differing influences on sleep architecture and gas exchange polysomnography parameters in obese and healthy-weight children with asthma. Asthma medications are associated with improved gas exchange in obese children and improved sleep architecture in healthy-weight children with asthma. Conrad LA, Nandalike K, Rani S, Rastogi D. Associations between sleep, obesity, and asthma in urban minority children. J Clin Sleep Med. 2022;18(10):2377-2385.

“I’m Going to Live My Life Freely”: Authenticity as an Indicator of Belonging Among Urban Latinx LGBTQ+ Youth

While there is a growing body of scholarship on the experiences of LGBTQ+ youth in school and community settings, less is known about Latinx LGBTQ+ youth specifically. In response, this phenomenological study examined the experiences of eight Latinx LGBTQ+ youth relative to school and community belonging, with a specific focus on urban environments, using intersectionality and minority stress frameworks, and Lee and Robbins’ operational definition of belongingness. Three overarching themes emerged from the data: (a) navigating challenges, (b) the importance of an inclusive climate, and (c) thriving through adversity. Further, authenticity was identified as an additional indicator of belonging among Latinx LGBTQ+ youth. This article reviews the study’s findings, explores implications for Extension research and practice, and suggests strategies for educators and youth-serving professionals.