Mark D. Hayward, Ph.D.
University of Texas at Austin
Mateo P. Farina, Ph.D.
University of Southern California
November is Alzheimer’s Awareness month. While it is a time to recognize the importance of supporting persons living with dementia, it is also a time to acknowledge the glaring disparities in dementia in our country. One such disparity is the epidemic levels of dementia among older Black Americans compared to White Americans.
The prevalence of dementia among Black Americans aged 65 years and older is about 2.5 times that for White Americans of the same age. In 2012, for example, a nationally representative study reported that 19.3% of older Black people had dementia compared to 7.4% of older White people1. These differences are starker at older ages. For Black persons aged 75 years and older, the prevalence of dementia is 31%, compared to 9% for White persons of that age2. Research reporting race differences in dementia onset—that is, new cases of dementia—document a similar race gap: Black people have about a 2.7 times greater risk of onset compared to White people3. These numbers translate into an extraordinary and disproportionate burden for Black individuals, their families, and their communities. This burden is often compounded by older Black Americans having fewer personal, social, economic, clinical, and community resources compared to White Americans. Moreover, the COVID-19 pandemic has increased these inequities, making care more difficult to obtain and placing a greater burden on familial caregivers. Continue reading “The Dementia Epidemic Among Older Black Americans”
A Different Kind Leader
Giselle Corbie, M.D., MSc
Kenan Distinguished Professor of Social Medicine
Director, Center for Health Equity Research
University of North Carolina School of Medicine
As a female scholar of color, early in my career I often sought out leaders that embodied the characteristics that I hoped to cultivate throughout my career—a different way of leading that harnesses the power of diverse perspectives. More recently, I began reflecting on the early days of my career and wished my younger self had had access to the insights and pieces of wisdom from leaders from diverse backgrounds. While I do not have the ability to time travel, I do have a voice and passion for telling the stories of diverse leaders. It was realizing that there was still a void that those voices could fill that led to the creation of the podcast A Different Kind of Leader. For over two years, four seasons, and 48 episodes, A Different Kind of Leader (DKL) has been dedicated to featuring incredible, diverse leaders and their journeys, insights, and experiences in their personal and leadership journey. In this day and age, the problems that our organizations face are complex, and we benefit from having as many perspectives and voices as possible to help develop the most creative and sustainable solutions.
Continue reading “A Different Kind of Leader”
Celia B. Fisher, Ph.D.
Marie Ward Doty University Chair in Ethics
Professor of Psychology
Director, Center for Ethics Education
Director, HIV/Drug Abuse Prevention Research Ethics Institute
People from racial and ethnic minorities in the United States have borne a disproportionately higher burden of COVID-19 infection and mortality. During the pandemic, depression and anxiety among American Indian/Alaska Native (AI/AN), Asian, Black, and Hispanic people have also increased. These disparities are rooted in long-standing racial and ethnic inequities in medical and behavioral health treatment utilization and access to culturally relevant health services.
Racial discrimination has long been documented as a psychosocial stressor among racial and ethnic minority individuals and national surveys indicate racism increased during the current pandemic. During the pandemic racially and ethnically marginalized persons in the U.S. were also more likely to be employed in the health care work force or as frontline workers in industries such as food services, pharmacies, personal care and public transportation. Employment in these positions not only increased risk of COVID-19 infection, but increased public perception that racial and ethnic groups were more likely to be infected with the coronavirus. Simultaneously, the U.S, saw an upsurge in racially based hate crimes, particularly directed against Asian Americans. The surge in racial bias and violence underscores the urgency of studying the effects of pandemic-related forms of victimization and discrimination on the mental health of racial and ethnic youth and adults in the U. S. Continue reading “The COVID-19 Pandemic Has Amplified the Effects of Racism on Mental Health”
No problem can be solved from the same level of consciousness that created it. – Albert Einstein
By Nancy Breen, Ph.D.
National Institute on Minority Health and Health Disparities
While at NIMHD, I was asked to lead the Methods and Measurement Science pillar, one of four pillars of the NIMHD Visioning Process. The tasks of this pillar were to establish definitions, harmonize outcomes, and present scientific insights. The objectives were to expand and strengthen analytic methods and to offer guidelines for consistent measurement. Results are published the NIMHD AJPH Supplement, New Perspectives to Advance Minority Health and Health Disparities Research. Health disparity outcome measures are defined in “Overview”1, “Methodological Approaches to Understanding Causes of Health Disparities” are emphasized2, and recommendations are offered for “Harmonizing Health Disparities Measurement”3. Evaluation4, an under-used tool in health disparities research, is encouraged with guidelines provided. This blog enhances findings from “Translational Health Disparities Research in a Data-Rich World”5.
The role of big data in health disparities research is a burning question. Our interdisciplinary team explored how big data can contribute to reducing health disparities. The collaboration resulted in years of challenging and productive transdisciplinary teamwork that yielded two articles6,7 and the editorial for NIMHD’s AJPH Supplement, New Perspectives to Advance Minority Health and Health Disparities Research5. Continue reading “Big Problems, Big Data, Bigger Possibilities in Health Disparities Research”
By Shameka Poetry Thomas, Ph.D.
NIH Intramural Research Program
Health Disparities Unit
Social and Behavioral Research Branch
National Human Genome Research Institute
Dr. Shameka Poetry Thomas
My grandmother was a traditional healer and a medicine-woman in Georgia’s rural South. Although I grew up in Miami’s Opa-Locka (a small urban neighborhood tucked between Miami-Gardens and the cusp of Hialeah / Little Havana), I spent most summers near middle Georgia’s farmland, listening to my grandmother. I observed how grandmother, who did not have a Ph.D., gathered Black women in circles. She described the process of listening to Black women’s pregnancies, births, and wellness experiences as “chitchatting and holding space.”
Learning how to ‘hold space’ is what draws me to narrative medicine. My first dose of learning how to conduct narrative medicine, I suppose, came from my grandmother. This methodology (before I knew it was such) was simply understood as the process of sitting in kitchens and beauty salons in the South—just listening. During childhood, I was merely curious about how Black women described their pregnancies, births, and reproductive health—from their side of the story. Thus, when it came to reproductive health, my grandmother taught me a powerful tool: how to “hold space” for people’s narratives. Continue reading “Storytelling Through Narrative Medicine: Measuring the Lived-Experiences of Black Women’s Reproductive Health”
pettigre- vaccine 2
NOTE: For National Minority Health Month, NIMHD Insights Blog is sharing this timely op-ed that was printed with permission from the Houston Chronicle from former and founding Director of NIH’s National Institute of Biomedical Imaging and Bioengineering, Dr. Roderic I. Pettigrew.
By Roderic I. Pettigrew, Ph.D., M.D.
CEO of Engineering Health
Executive Dean of Engineering Medicine
Texas A&M University and Houston Methodist Hospital
Former and Founding Director, National Institute of Biomedical Imaging and Bioengineering
Dr. Roderic I. Pettigrew getting his COVID-19 vaccine
When it was first announced that a COVID-19 vaccine was authorized for emergency use by the Federal Drug Administration in the United States, the scientific community was finally able to exhale. As a Black physician and member of the scientific community, I was particularly encouraged because of the disproportionately higher rates of hospitalizations and deaths from COVID-19 among the Hispanic, Black, and Indigenous American populations.
My relief, however, was short-lived. We continue to see troubling inequities with new reports showing that many people from the minority community are among the lowest currently receiving the new vaccines, and the highest to be hesitant about its safety and effectiveness. According to Pew Research Center1, just 42 percent of Black adults are inclined to get vaccinated, compared to 63 percent of white adults and 83 percent of adult Asian Americans.
Continue reading “A Black Doctor and Scientist on Vaccinating Minorities”