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Rural Health is a Global Issue

By Priscah Mujuru, DrPH, MPH, RN, COHN-S
Scientific Program Officer, Community Health and Population Sciences
National Institute on Minority Health and Health Disparities

Dr. Priscah Mujuru

Dr. Priscah Mujuru

Rural health to me, is a lived experience. I was born in the rural areas of Zimbabwe. In my village, when a pregnant woman couldn’t make it to the hospital, there were no gloves, clean working stations, or sanitized rooms to ensure safe childbirth. A female in labor would be aided in her delivery by other village women who used what they had: hot water, rags, old razors, and even twine made of tree bark to help with the delivery. We never thought we were poor, and in fact we were proud and happy of who we were.

I was fortunate that my father valued education and sent all his children, 6 girls and 4 boys, to primary and secondary schools. He felt that it did not matter if you were a boy or girl, man or woman, everyone should be given an opportunity to get an education. In a small village, to send so many children to school when there was work to be done, was very rare. Continue reading “Rural Health is a Global Issue”

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The Future of Minority Health and Health Disparities Research

Diverse group of students eating lunch
Obesity Post - school lunch v2

Co-authored by
Tanya Agurs-Collins, Ph.D., RD
Health Behaviors Research Branch
Division of Cancer Control and Population Sciences
National Cancer Institute, NIH 

Susan Persky, Ph.D.
Associate Investigator and Head of the Communication, Attitudes, and Behavior Unit
Immersive Virtual Environment Testing Area, Social and Behavioral Research Branch
National Human Genome Research Institute, NIH 

Disparities in Obesity Require Multilevel Approaches
Multilevel Approaches Require More Research

Photo of Dr. Tanya Agurs-Collins

Dr. Tanya Agurs-Collins

Photo of Dr. Susan Persky

Dr. Susan Persky

As part of the NIMHD special issue New Perspectives to Advance Minority Health and Health Disparities Research, we and our co-authors focused on designing and assessing multilevel interventions to improve minority health and reduce health disparities.1 Multilevel interventions, based on the socioecological framework2, involve intervening on at least two levels of influence at the same time. We chose this topic because multilevel interventions are an extremely challenging and often expensive undertaking that require myriad decisions and plans, yet it is becoming clear that such interventions are a necessary approach for overcoming great disparities evident in the public’s health, particularly for conditions like obesity. Continue reading “The Future of Minority Health and Health Disparities Research”

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The Future of Minority Health and Health Disparities Research Blog Series

Silhouette of twins

By Arline T. Geronimus, Sc.D.
Professor, Health Behavior and Health Education, School of Public Health
Research Professor, Population Studies Center, Institute for Social Research
University of Michigan

Understanding Health Disparities through the Life Course

Photo of Dr. Arline T. Geronimus

Dr. Arline T. Geronimus

My monozygotic twins—now young men—never engaged in parallel play with each other. Parallel play is a type of toddler-to-preschool play where, even though two or more children are in the same room or even the same sandbox, they each remain absorbed in their own personal activity and do not interact. Yet before they could walk or talk, my sons delighted in playing together, cooperating on projects, and putting on musical performances that they would end by bowing in unison, each one’s arm around the other’s waist. They scaled higher heights, literally, than playing alone. We found them lying on the tops of our highest kitchen cabinets, giggling together, when they were 2. Even strapped into their stroller, they enacted perfectly synchronized and complexly coordinated routines we called “stroller surfing,” which were at once wonderful and hair-raising to watch and noticeably enchanting to passersby. Continue reading “The Future of Minority Health and Health Disparities Research Blog Series”

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New Blog Series on the Future of Minority Health and Health Disparities Research

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Introduction Image_AJPH Cover

By Nancy Jones, Ph.D., M.A.
Scientific Program Officer, Community Health and Population Sciences
National Institute on Minority Health and Health Disparities

AJPH Cover ImagesThis blog series includes perspectives from authors of the American Journal of Public Health supplement, New Perspectives to Advance Minority Health and Health Disparities Research. The supplement highlights strategies to stimulate research for improving minority health and closing the gap in health disparities.

In 2015, the National Institute on Minority Health and Health Disparities (NIMHD) began an initiative to create a scientific vision to transform minority health and health disparities. I served as a co-chair for one of the three pillars for the visioning process with several other NIMHD colleagues and guest editor for a supplement of the American Journal of Public Health (AJPH), entitled New Perspectives to Advance Minority Health and Health Disparities Research. Continue reading “New Blog Series on the Future of Minority Health and Health Disparities Research”

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My Message to African American Men: There’s No Shame in Seeking Help with Mental Health

Dr. David E. Marion

By David E. Marion, Ph.D.
Licensed Professional Counselor, and Marriage and Family Therapist
Grand Basileus
Omega Psi Phi Fraternity, Inc.

Photo of Dr. David E. Marion

Dr. David E. Marion

Growing up, in my community, it was frowned upon to ask for help outside of your family. You were forbidden to talk to non-family members about your feelings and especially forbidden to talk about what was going on in your house. There was the inaccurate perception that counseling was for “White folks.” If you needed counseling or medication, that meant to the world you were “crazy,” a layman’s term incorrectly used to label many mental health conditions and challenges. In all my years of counseling, I have never seen the term “crazy” in any diagnostic manual. Continue reading “My Message to African American Men: There’s No Shame in Seeking Help with Mental Health”

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Exploring the Potential of Artificial Intelligence to Improve Minority Health and Reduce Health Disparities

By Natasha Williams, Ph.D., J.D., LL.M., M.P.H.
Legislative Liaison
National Institute on Minority Health and Health Disparities

Photo of Dr. Natasha Williams

Dr. Natasha Williams

Over the last 20 years, the diagnosis and treatment of disease has advanced at breakneck speeds. Currently, we have technologies that have revolutionized the practice of medicine, such as telemedicine, precision medicine, Big Data, and medical artificial intelligence (AI). These technologies, especially AI, promise to improve the quality of patient care, lower health care costs, and better patient treatment outcomes. However, the impact of AI on minority health and health disparities has been largely understudied.

What is AI? The definition of AI is broad and varied and has many subareas. However, the common theme is the ability to “automate or replicate intelligent behavior.”1 Machine learning, which is a subcategory of AI, is the ability of computers to teach themselves and create their own programming. Deep learning, another AI technique, mimics the human brain by creating an artificial neuronal network. Natural language processing (NLP), which was applied by the National Institute on Minority Health and Health Disparities (NIMHD)–funded researchers at the Medical University of South Carolina (MUSC) and is discussed later in the post, helps computers interpret human language. These methods recognize patterns in the data. Since AI is fueled by data, it is imperative that the data be of good quality, inclusive, and free from bias.2 If we fail to ensure these three principles, we could exacerbate health disparities. Continue reading “Exploring the Potential of Artificial Intelligence to Improve Minority Health and Reduce Health Disparities”

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50 Years After Stonewall, Celebrating Progress and Striving for LGBTQ Health Equity

By Brian Mustanski, Ph.D.
Director, Institute for Sexual and Gender Minority Health and Wellbeing
Co-Director, Third Coast Center for AIDS Research
Co-Director, Center for Prevention Implementation Methodology
Professor, Department of Medical Social Sciences
Northwestern University
Member, National Advisory Council on Minority Health and Health Disparities

Photo of Dr. Brian Mustanski

Dr. Brian Mustanski

In June 1969, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community led historic riots against discriminatory police raids of the Stonewall Inn, a gay bar in Greenwich Village. The Stonewall riots galvanized the LGBTQ community to come together in a nationwide movement in pursuit of equality.

Growing up as a young gay man in Minnesota, I had no knowledge of Stonewall. With the Internet still in its infancy, there were limited resources to learn about the LGBTQ community. I resorted to secretly reading my high school encyclopedia’s entry on “homosexuality,” which that edition still described as a psychiatric disorder. Media coverage of homosexuality was dominated by the emerging AIDS crisis. I often heard people say, “AIDS is God’s punishment.” With no access to alternative information, it was hard to reject these messages.

Years later, I began pursuing a career in science. My undergraduate faculty mentor warned me not to “come out,” as it could hurt my chances of graduate admission. Evidence is just emerging on how sexual and gender minority (SGM) people experience structural and interpersonal barriers to STEM careers.1 Continue reading “50 Years After Stonewall, Celebrating Progress and Striving for LGBTQ Health Equity”

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Guest Blog Post: Reducing Health Disparities to Improve the Health of All Women

Clayton

This is part of a series of guest NIMHD Insights blog posts where NIH Institute and Center Directors highlight initiatives, resources and funding opportunities relevant to minority health and health disparities research, and training at their Institutes. The goal of this guest blog series is to link NIMHD stakeholders to minority health and health disparities-related information and opportunities across NIH.

This post is from the director of the Office of Research on Women’s Health (ORWH) ORWH is part of the Office of the Director of NIH, and works in partnership with the 27 NIH Institutes and Centers to ensure that women’s health research is part of the scientific framework at the NIH—and throughout the scientific community.

By Janine Austin Clayton, M.D.
Associate Director for Research on Women’s Health
Director, Office of Research on Women’s Health

Photo of Dr. Janine Austin Clayton

Dr. Janine Austin Clayton

The Office of Research on Women’s Health (ORWH), on behalf of NIH, led the development and publication of The Trans-NIH Strategic Plan for Women’s Health Research, outlining NIH’s goals for advancing science for the health of women over the next 5 years. One of three guiding principles of the Strategic Plan posits that the influences on the health of women include—in addition to sex and age—race, ethnicity, socioeconomic status, education, geographic location, disability status, and other factors. Rigorous scientific research that accounts for these influences can help us understand and address the health concerns of all populations of women, particularly women from minority populations that bear a disproportionate burden of illness.

Continue reading “Guest Blog Post: Reducing Health Disparities to Improve the Health of All Women”

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Addressing Social Needs and Structural Inequities to Reduce Health Disparities: A Call to Action for Asian American and Pacific Islander Heritage Month

By Marshall H. Chin, M.D., M.P.H.
Richard Parrillo Family Professor of Healthcare Ethics in the Department of Medicine,
University of Chicago
Member, National Advisory Council on Minority Health and Health Disparities

Photo of Dr. Marshall H. Chin

Dr. Marshall H. Chin

When I was a kid, every Saturday my parents would pack my older sister, younger brother, and me into the family station wagon, and we’d drive 40 minutes on Route 2 East from Boston’s western suburbs into Chinatown. There we gathered with aunts, uncles, and cousins in the home of my grandparents, immigrants from Toisan in southern China. The conversations were loud, the play was very lively, and the wonderful aromas of roast chicken, fried noodles, and sizzling stir-fried vegetables filled the air.

An impressionable young child, I watched intently as my uncles played poker, cigar smoke wafting into the nighttime air. They taught me how to play poker at the ripe old age of 8, and I filled in when one had to take a break for a hand or two. Most of my paternal uncles worked in the laundries. My mother’s side was noodles. My uncles were bright men, but the bamboo ceiling—basically, exclusion from good jobs—limited their opportunities. “I don’t have a Chinaman’s chance,” they’d say as they folded a losing hand of cards.1

Running around Chinatown with my cousins, I saw that my uncles weren’t the only ones whose opportunities were limited. Housing was crowded, and the streets were dirty and smelled of garbage. Years later, when I worked part-time at the Federally Qualified Health Center in Boston’s Chinatown, I cared for many non–English speaking immigrants with limited education. They faced uphill battles as they dealt with their chronic health conditions, paid medical bills without health insurance, and attempted to advance in society. Continue reading “Addressing Social Needs and Structural Inequities to Reduce Health Disparities: A Call to Action for Asian American and Pacific Islander Heritage Month”

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Find Your Path to an Active and Healthy Lifestyle

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By U.S. Surgeon General Jerome Adams, M.D.
Department of Health and Human Services

CAPT Felicia Collins, M.D.
Deputy Assistant Secretary for Minority Health and Director, Office of Minority Health
Department of Health and Human Services

Surgeon General Jerome Adams, M.D.

Surgeon General Jerome Adams, M.D.

CAPT Felicia Collins, M.D.

CAPT Felicia Collins, M.D.

 

 

 

 

 

 

 

 

As National Minority Health Month enters its last week, it has been inspiring to experience and learn about the events and activities taking place across the nation in support of minority health. Continue reading “Find Your Path to an Active and Healthy Lifestyle”

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