IU Indianapolis ScholarWorks :: Browsing by Subject "Race"

Browsing by Subject "Race"

Now showing 1 - 10 of 32

Analysis of pre-residency research productivity, dual degree status, and gender distribution of underrepresented minorities among a current United States radiation oncology junior resident class
(Elsevier, 2019-04-05) McClelland, Shearwood, III; Woodhouse, Kristina D.; Jaboin, Jerry J.; Zellars, Richard C.; Radiation Oncology, School of Medicine
Background: Among the most competitive medical subspecialties, representation of underrepresented minorities (African-American race and/or Hispanic ethnicity) among resident trainees has historically been low compared to their United States Census general population representation. Research productivity and dual degree status may impact residency applicant competitiveness. To date, such an analysis has yet to be performed in Radiation Oncology. Methods: A list of radiation oncology residents from the graduating class of 2022 was obtained through internet searches. Demographics included were gender and dual degree status. Research productivity was calculated using the number of pre-residency peer-reviewed publications (PRP). Fisher's exact test was used for statistical analysis. Results: Of the 179 residents evaluated from the 2022 class, eleven (6.1%) were underrepresented minorities. Compared to the remainder of the class, underrepresented minorities had a lower proportion of men (63.6% versus 69.3%), a higher proportion of dual degrees (45.5% versus 28.6%), and a lower proportion of MD-PhD degrees (9.1% versus 17.2%). Underrepresented minorities had a higher proportion of residents with at least two PRP (72.7% versus 57.1%) and a lower proportion of residents with no PRP (18.2% versus 24.4%). None of these differences reached statistical significance (p > 0.05). Conclusion: Underrepresented minorities were comparable to the remainder of their Radiation Oncology resident class regarding gender distribution, dual degrees status, and likelihood of having at least two peer-reviewed publications cited in PubMed during the calendar year of residency application. Further studies will be needed to determine how these findings translate into future scholarly activity and post-graduate career choice.
Are leader-prototypical African Americans distrusted by their ingroup? The role of identity denial
(2017) Cho, Thomas; Ashburn-Nardo, Leslie
Black representation in American business leadership ranks is not proportionate to America’s demographics. Previous research into this issue has mostly focused on the relationship between majority racial group and minority racial groups. However, research in identity denial and backlash shows that ingroup members may also play a negative role in undermining leadership efforts. African Americans may react negatively to a Black business leader because of the mismatch between negative stereotypes of African Americans and the positive prototype of a leader. The current study hypothesizes that resembling a business leader as an African American leads to negative reaction from other African Americans in the form of lowered trust, lowered endorsement as leader, and lowered intention to engage in organizational citizenship behavior. The current study also hypothesizes that participant’s ingroup identification level will act as a moderator, and that perceived racial identification will act as a mediator. To test the hypotheses, participants recruited from Amazon Mechanical Turk were randomly assigned to either the strong match to leader prototype condition, weak match condition, or control condition in which no information about leader prototype was provided. The results revealed a simple main effect in which strongly matching the leader prototype led to lower levels of the outcome variables. The current study brings attention to an area of research that should be further explored and suggests that organizations should create interventions to counteract this negative ingroup effect.
Attitudes Toward Advance Care Planning Among Persons with Dementia and their Caregivers
(Cambridge University Press, 2020-05) Pettigrew, Corinne; Brichko, Rostislav; Black, Betty; O’Connor, Maureen K.; Guerriero Austrom, Mary; Robinson, Maisha T.; Lindauer, Allison; Shah, Raj C.; Peavy, Guerry M.; Meyer, Kayla; Schmitt, Frederick A.; Lingler, Jennifer H.; Domoto-Reilly, Kimiko; Farrar-Edwards, Dorothy; Albert, Marilyn; Psychiatry, School of Medicine
Objectives: To examine factors that influence decision-making, preferences, and plans related to advance care planning (ACP) and end-of-life care among persons with dementia and their caregivers, and examine how these may differ by race. Design: Cross-sectional survey. Setting: 13 geographically dispersed Alzheimer's Disease Centers across the United States. Participants: 431 racially diverse caregivers of persons with dementia. Measurements: Survey on "Care Planning for Individuals with Dementia." Results: The respondents were knowledgeable about dementia and hospice care, indicated the person with dementia would want comfort care at the end stage of illness, and reported high levels of both legal ACP (e.g., living will; 87%) and informal ACP discussions (79%) for the person with dementia. However, notable racial differences were present. Relative to white persons with dementia, African American persons with dementia were reported to have a lower preference for comfort care (81% vs. 58%) and lower rates of completion of legal ACP (89% vs. 73%). Racial differences in ACP and care preferences were also reflected in geographic differences. Additionally, African American study partners had a lower level of knowledge about dementia and reported a greater influence of religious/spiritual beliefs on the desired types of medical treatments. Notably, all respondents indicated that more information about the stages of dementia and end-of-life health care options would be helpful. Conclusions: Educational programs may be useful in reducing racial differences in attitudes towards ACP. These programs could focus on the clinical course of dementia and issues related to end-of-life care, including the importance of ACP.
The Black Religious Woman’s Corporate Survival: An Independent Study of Race, Gender, Religion, and the Superwoman Schema
(2020-10) Dubrovensky, Toni
Black religious women have a unique position within corporate America in comparison to their counterparts. As minorities, they face many significant challenges, such as financial setbacks, underrepresentation, microaggressions, limited advocacy, and limited professional resources, which contribute to stunted or delayed professional growth. One of the primary areas of stunted or delayed growth is leadership. Yet, the drive to survive and succeed still exists and oftentimes manifests itself in the Superwoman Schema. While the Superwoman Schema can be applicable to all Black women, Black religious women are more likely to exhibit traits of the Superwoman Schema in a corporate setting due to their religious values. Thus, the focus of this research is the position and fight for survival of Black religious women in corporate America. This includes defining and identifying how the Superwoman Schema can impact how Black religious women navigate corporate spaces. Using Black feminist theory and secondary research, this literature-based research aims to centralize the modern-day Black religious woman’s corporate experience and what it looks like amidst the COVID-19 pandemic and increasing racial tensions. A 2012 study conducted by The Washington Post has revealed that Black women tend to be more religious than their racial and gender counterparts (Labbé-DeBose, 2012), which makes them more susceptible to isolation from company norms. Their susceptibility can hinder professional development and leadership opportunities. Although the Superwoman Schema is motivated by a sense of duty, it can provide Black religious women with a chance to channel defense mechanisms in a space where they are outnumbered and limited by fostering an attitude of independence.
Bone Turnover is not Influenced by Serum 25-Hydroxyvitamin D in Pubertal Healthy Black and White Children
(Elsevier B.V., 2012-10) Hill, Kathleen M.; Laing, Emma M.; Hausman, Dorothy B.; Acton, Anthony; Martin, Berdine R.; McCabe, George P.; Weaver, Connie M.; Lewis, Richard D.; Peacock, Munro; Department of Medicine, IU School of Medicine
Low serum 25-hydroxyvitamin D [25(OH)D] is common in healthy children particularly in blacks. However, serum 25(OH)D concentrations for optimal bone turnover in children is unknown and few data exist that describe effects of increasing serum 25(OH)D on bone turnover markers during puberty. The purpose of this study was to determine the relationships between serum 25(OH)D and changes in serum 25(OH)D and bone turnover in white and black pubertal adolescents. Bone turnover markers were measured in 318 healthy boys and girls from Georgia (34°N) and Indiana (40°N) who participated in a study of oral vitamin D3 supplementation (0 to 4000 IU/d). Serum 25(OH)D, osteocalcin, bone alkaline phosphatase, and urine N-telopeptide cross-links were measured at baseline and 12 weeks. Relationships among baseline 25(OH)D and bone biomarkers, and between changes over 12 weeks were determined and tested for effects of race, sex, latitude, and baseline 25(OH)D. Median 25(OH)D was 27.6 ng/mL (n=318, range 10.1–46.0 ng/mL) at baseline and 34.5 ng/mL (n=302, range 9.7–95.1 ng/mL) at 12 weeks. Neither baseline nor change in 25(OH)D over 12 weeks were associated with bone turnover. The lack of association was not affected by race, sex, latitude, or baseline serum 25(OH)D. Serum 25(OH)D in the range of 10-46 ng/mL appears to be sufficient for normal bone turnover in healthy black and white pubertal adolescents.
A Critical Literature Review of Social Class in American Sociology
(2012-11-29) Mouser, Brandon L.; Seybold, Peter James, 1950-; Modibo, Najja N.; White, Robert W. (Robert William), 1958-
A theoretical understanding of stratification and inequality is necessary to understand social phenomena in general. Unfortunately, professional sociology in the United States has historically promoted a limited theoretical understanding of stratification that tends to ignore economic realities, social structures, institutional mechanisms, power relations, and other important factors such as racial discrimination in reproducing social class. In fact, mainstream sociology has replaced class-based theories altogether with the concept of socio-economic status (SES) and, at the same time, all too often embraces problematic theories that justify inequality. This critical literature review of social class in American sociology attempts to: 1) provide a more comprehensive history of sociological theory in the United States regarding stratification and social class, 2) expose the sociological factors affecting these social theories and concepts, and 3) deconstruct and critique mainstream social theories that offer weak explanations of stratification.
The demographics of developmental hip dysplasia in the Midwestern United States (Indiana)
(Springer Berlin Heidelberg, 2015-02) Loder, Randall T.; Shafer, Cody; Department of Orthopaedic Surgery, IU School of Medicine
Background Today’s society is much more mobile than in the past. This increased mobility has resulted in different marriage/parenting groups. We wished to study the de- mographics of developmental dysplasia of the hip (DDH) in our area and compare/contrast our findings with those in the literature and specifically look for new findings com- pared to previous studies. Methods A retrospective review of all children with DDH from 2003 through 2012 was performed. The age at first visit, gestational age, pregnancy number, gender, race, and family history of DDH was collected. Statistical sig- nificance was a p -value < 0.05. Results There were 424 children (363 girls, 61 boys). Ethnicity was White in 80.8 %, Hispanic in 13.8 %, Black in 4.0 %, and Indo-Malay and Indo-Mediterranean in 0.7 % each; 66.8 % were unilateral; 14.2 % had a positive family history. The average gestational age was 38.1 weeks; 94.4 % were full term. The child was vertex presentation in 67.6 % and breech in 32.4 %; 52.8 % were delivered vaginally and 47.2 % by Cesarean section. The child was the first-born in 48.3 %. When compared to the birth statistics of our state, there was a higher proportion of Whites and Hispanics with DDH, and a lower, but not inconsequential, proportion of Blacks ( p = 0.0018). Conclusion Mixing of gene pools and infant carrying methods (lack of swaddling or marked abduction) occurring with societal change likely explains the higher than expected proportion of DDH amongst those of His- panic ethnicity and a lower than expected, but not rare, proportion in those of African ancestry. Level of evidence Level IV—retrospective case series.
Depressive Disorder Subtypes as Predictors of Incident Obesity in US Adults: Moderation by Race/Ethnicity
(Oxford, 2017-05-01) Polanka, Brittanny M.; Vrany, Elizabeth A.; Patel, Jay; Stewart, Jesse C.; Psychology, School of Science
We compared the relative importance of atypical major depressive disorder (MDD), nonatypical MDD, and dysthymic disorder in predicting 3-year obesity incidence and change in body mass index and determined whether race/ethnicity moderated these relationships. We examined data from 17,787 initially nonobese adults in the National Epidemiologic Survey on Alcohol and Related Conditions waves 1 (2001-2002) and 2 (2004-2005) who were representative of the US population. Lifetime subtypes of depressive disorders were determined using a structured interview, and obesity outcomes were computed from self-reported height and weight. Atypical MDD (odds ratio (OR) = 1.68, 95% confidence interval (CI): 1.43, 1.97; P < 0.001) and dysthymic disorder (OR = 1.66, 95% CI: 1.29, 2.12; P < 0.001) were stronger predictors of incident obesity than were nonatypical MDD (OR = 1.11, 95% CI: 1.01, 1.22; P = 0.027) and no history of depressive disorder. Atypical MDD (B = 0.41 (standard error, 0.15); P = 0.007) was a stronger predictor of increases in body mass index than were dysthymic disorder (B = -0.31 (standard error, 0.21); P = 0.142), nonatypical MDD (B = 0.007 (standard error, 0.06); P = 0.911), and no history of depressive disorder. Race/ethnicity was a moderator; atypical MDD was a stronger predictor of incident obesity in Hispanics/Latinos (OR = 1.97, 95% CI: 1.73, 2.24; P < 0.001) than in non-Hispanic whites (OR = 1.54, 95% CI: 1.25, 1.91; P < 0.001) and blacks (OR = 1.72, 95% CI: 1.31, 2.26; P < 0.001). US adults with atypical MDD are at particularly high risk of weight gain and obesity, and Hispanics/Latinos may be especially vulnerable to the obesogenic consequences of depressions.
Differences in Pain Coping Between Black and White Americans: A Meta-Analysis
(Elsevier, 2016-06) Meints, Samantha M.; Miller, Megan M.; Hirsh, Adam T.; Psychology, School of Science
Compared with white individuals, black individuals experience greater pain across clinical and experimental modalities. These race differences may be due to differences in pain-related coping. Several studies examined the relationship between race and pain coping; however, no meta-analytic review has summarized this relationship or attempted to account for differences across studies. The goal of this meta-analytic review was to quantify race differences in the overall use of pain coping strategies as well as specific coping strategies. Relevant studies were identified using electronic databases, an ancestry search, and by contacting authors for unpublished data. Of 150 studies identified, 19 met inclusion criteria, resulting in 6,489 participants and 123 effect sizes. All of the included studies were conducted in the United States. Mean effect sizes were calculated using a random effects model. Compared with white individuals, black individuals used pain coping strategies more frequently overall (standardized mean difference [d] = .25, P < .01), with the largest differences observed for praying (d = .70) and catastrophizing (d = .40). White individuals engaged in task persistence more than black individuals (d = -.28). These results suggest that black individuals use coping strategies more frequently, specifically strategies associated with poorer pain outcomes. Future research should examine the extent to which the use of these strategies mediates race differences in the pain experience. PERSPECTIVE: Results of this meta-analysis examining race differences in pain-related coping indicate that, compared with white individuals, black individuals use coping strategies more frequently, specifically those involving praying and catastrophizing. These differences in coping may help to explain race differences in the pain experience.
Do beliefs about race differences in pain contribute to actual race differences in experimental pain response?
(2018-12) Mehok, Lauren E.; Hirsh, Adam T.; Mosher, Catherine E.; Stewart, Jesse C.
Chronic pain is a costly health problem that affects more than 100 million people in the United States. Race differences exist in the way that pain is experienced and in how it is treated. Many biopsychosocial factors contribute to race differences in pain tolerance. Beliefs about race differences in pain sensitivity may be one of these factors. Previous research has identified that individuals’ explicit beliefs about their gender group influence their own pain tolerance on a cold pressor task. Explicit beliefs about race and pain sensitivity have also been identified but have yet to be linked to actual pain tolerance. Implicit beliefs about race are well documented; however, little is known about the extent to which individuals hold implicit beliefs about race differences in pain sensitivity or whether these beliefs contribute to actual race differences in pain. My thesis examined explicit and implicit beliefs about race and pain and explored whether these beliefs moderated race differences in pain tolerance. I found that White participants had a higher pain tolerance than Black participants on the cold pressor task, U=1165.50, p<.01. Participants held the explicit, t(131)=-6.83, p<.01, and implicit, t(131)=6.35, p<.01, belief that White people are more pain sensitive than Black people. Both explicit, b=-0.37, p=.71, and implicit, b=-21.87, p=.65, beliefs failed to moderate the relationship between race and pain tolerance. Further exploration indicated that participants’ comparisons of their own pain sensitivity to that of their race group moderated the relationship between race and pain tolerance, ⍵=4.40, p=.04. These results provide further insight into race differences in pain tolerance. Researchers may consider examining explicit and implicit beliefs about race differences in pain in health care providers to better understand disparities in pain related recommendations.

Browsing by Subject "Race"

Results Per Page

Sort Options