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Introduction: National data reveal that the age-adjusted prevalence of leisure-time physical inactivity is higher among Blacks and Hispanics compared with Whites. However, these estimates do not consider nonleisure physical activity (PA). Also, race/ethnicity in these findings may by confounded by socioeconomic status disparities in PA. Here, we examine racial/ethnic differences in multiple measures of PA within a lower socioeconomic status sample. Methods: Participants in the current cross-sectional study (n = 1526 adults, aged ≥ 18 y) were recruited from Supplemental Nutrition Assistance Program-Education classes (nutrition education classes that target low-income people) in Texas. Self-report data were obtained using survey questionnaires in spring and fall 2018. PA outcomes of 4 different intensities were assessed: mean daily time spent walking, engaging in moderate and vigorous PA, and sitting. Additional PA-related measures included use and awareness of community PA resources. Linear regression models examined racial/ethnic differences in the 4 PA outcomes after adjusting for participant gender, age, household composition measures, and various socioeconomic status measures. Results: In this low-income sample, Hispanic and Black participants spent 6 to 9 more minutes per day walking and engaging in moderate and vigorous PA compared with White/other participants (P <.05 for each measure). Conversely, White/other participants reported spending 82 more minutes sitting per day than Black and Hispanic participants (P <.01). Overall, Black participants were most likely to utilize community PA resources and report ease of engaging in exercise. Discussion: Together, these results reveal greater engagement in PA by racial/ethnic minorities in low-income communities compared with Whites. Our results have implications for tailoring PA programming to these communities. [ABSTRACT FROM AUTHOR]

Background and Objectives: As overdose rates rise among non‐White Americans, understanding barriers to substance use disorder (SUD) treatment access by race and ethnicity is important. This study explores self‐reported barriers to SUD treatment by race and ethnicity in emergency department (ED) populations. Methods: We conducted a secondary, exploratory analysis of a randomized trial of patients not seeking SUD treatment who endorsed active drug use at six academic EDs. Responses to the Barriers to Treatment Inventory were compared by race, ethnicity, and drug severity, using χ2 tests (N = 858), followed by adjusted logistic regression models. Results: Absence of a perceived drug problem (39% non‐Hispanic Black, 38% Hispanic, 50% non‐Hispanic White; p ≤.001) was the most prevalent barrier to SUD treatment. Non‐Hispanic Black participants were less likely to state that they could handle their drug use on their own (OR = 0.69, CI = 0.50–0.95), and were more likely to report disliking personal questions than non‐Hispanic White participants (OR = 1.49, CI = 1.07–2.09). Non‐Hispanic Black participants were less likely than Hispanic participants to agree that treatment availability (OR = 0.46, CI = 0.28–0.76) and family disapproval (OR = 0.38, CI = 0.16–0.91) were treatment barriers. Discussion and Conclusions: Screening and counseling may help address the barrier, common to all groups, that drug use was not seen as problematic. Expanding access to diverse treatment options may also address the range of barriers reported by our study population. Scientific Significance: Our study is one of the first in the U.S. to examine both individual and structural barriers to accessing treatment and to examine the association with drug use severity by race/ethnicity. [ABSTRACT FROM AUTHOR]

Background Very few studies have evaluated the global prevalence of pruritus. Objectives To assess its prevalence according to age, sex, ethnicity and geographic region. Methods An international cross-sectional study was conducted in 20 countries from January to April 2023. Participants were asked to complete a questionnaire on sociodemographics, and to confirm the presence or absence of a skin disease in the last 12 months and the presence or absence of pruritus in the last 7 days. Results The studied sample included 50 552 individuals. The worldwide prevalence of pruritus was 39.8%. The age group ≥ 65 years had the highest prevalence (43.3%). The prevalence was 40.7% among women and 38.9% among men (P < 0.001). There was no significant difference between ethnicities (P = 0.14). Compared with North America (41.2%), the prevalence of pruritus was significantly lower in Europe (35.9%, P < 0.001), Australia (38.4%, P = 0.017), East Asia (40.2%, P = 0.04) and Latin America (36.5%, P < 0.001), and higher in Africa (45.7%, P = 0.007). No significant difference was found with the Middle East (40.2%, P = 0.36). The prevalence of pruritus in BRICS countries (40.3%) was significantly higher than that in developed countries (38.7%) (P < 10– 3 ). Conclusions Out analysis is limited because there is no information about the severity or type (acute, chronic) of pruritus. The global prevalence of pruritus revealed age, sex and geographic region differences, with no ethnic differences. [ABSTRACT FROM AUTHOR]

Since the creation of Pakistan in 1947, the state has been struggling in nation-building efforts because of mainly ethnic differences in the country. This is most evident in Balochistan, Pakistan's largest province, which has been suffering from insurgency since the late 1950s. Being home to the Gwadar Port, there is a growing Baloch resistance to the China-Pakistan Economic Corridor (CPEC) since 2015. This situation necessitates a thorough examination of how the locals view and have reacted to the CPEC. This research investigates Baloch reactions to the CPEC and how the federal and provincial governments as well as Beijing have tried to address these challenges. China's investment is seen by the Baloch as neo-colonialism—something they must fight at all costs. Therefore, the CPEC, and particularly projects like the Gwadar Port, have added to the locals' grievances against the state, reflected through an increasing number of terrorist attacks in Balochistan. [ABSTRACT FROM AUTHOR]

Purpose: Elective induction of labor (IOL) has been increasingly performed since growing data suggesting its safety and potential improved maternal and neonatal outcomes. Recommendations of elective IOL for patients from racial or ethnic minority backgrounds given the data showing increased risk of stillbirth for some populations has been met with criticism. This scoping review aims to determine if there are racial disparities in access to elective IOL and maternal and neonatal outcomes. Methods: A review of the literature on IOL that appeared in English journals was performed using MEDLINE and EMBASE. The search strategy included the combination of key terms "induction of labour" and "race" or "ethnicity" in titles, abstracts, or keywords. Results: A total of 8 studies were identified and included. The articles were heterogenous in the race or ethnicity distinctions they used for analysis. Three out of 4 studies that analyzed the rate of elective IOL by race found that White patients were more likely to receive the intervention. Three out of 4 studies that analyzed outcomes of IOL found no difference, while one study found Black patients benefit most from IOL at 38 weeks compared to other races that had the lowest risk of complications with IOL at 39 weeks. Conclusion: Racial and ethnic disparities exist with White patients being most likely to access this intervention. The majority of data points to similar outcomes, suggesting no increased harm to elective IOL for a particular group. However, the optimal timing of elective IOL given disproportionate stillbirth risk remains to be elucidated. [ABSTRACT FROM AUTHOR]

Firearm suicides among adolescents have increased in the US and rates vary across racial and ethnic groups. In this study, we examined contextual information around adolescent firearm suicides and analyzed how incident characteristics vary across racial and ethnic groups. We analyzed firearm suicides among adolescents (ages 10–18 years) from 2004 to 2020 using data from the National Fatality Review-Case Reporting System (NFR-CRS). There were 4,153 firearm suicides during that period. Suicides often involved males, older adolescents (15–18 years), and handguns. Most firearms belonged to the primary caregiver and incidents frequently occurred at home. However, we found that characteristics varied substantially across racial and ethnic groups. Overall, we provide new information on firearm suicides among adolescents in the US using a larger dataset than previous studies and found significant differences in characteristics and demographics across racial and ethnic groups. This finding suggests the need for tailored prevention strategies. [ABSTRACT FROM AUTHOR]

Aim: To examine the hypothesis that there would be ethnic differences in the relationship between ectopic fat and tissue‐specific insulin resistance (IR) across a spectrum of glucose tolerance in Black African (BA) and White European (WE) men. Materials and Methods: Fifty‐three WE men (23/10/20 normal glucose tolerance [NGT]/impaired glucose tolerance [IGT]/type 2 diabetes [T2D]) and 48 BA men (20/10/18, respectively) underwent a two‐step hyperinsulinaemic‐euglycaemic clamp with infusion of D‐[6,6‐2H2]‐glucose and [2H5]‐glycerol to assess hepatic, peripheral and adipose tissue IR. Magnetic resonance imaging was used to measure subcutaneous adipose tissue, visceral adipose tissue (VAT) and intrahepatic lipid (IHL). Associations between ectopic fat and IR were assessed using linear regression models. Results: There were no differences in tissue‐specific IR between ethnic groups at any stage of glucose tolerance. VAT level was consistently lower in the BA population; NGT (p = 0.013), IGT (p = 0.006) and T2D (p = 0.015). IHL was also lower in the BA compared with the WE men (p = 0.013). VAT and IHL levels were significantly associated with hepatic IR in the BA population (p = 0.001) and with peripheral IR in the WE population (p = 0.027). Conclusions: The present study suggests that BA and WE men exhibit the same degree of IR across a glucose tolerance continuum, but with lower VAT and IHL levels in the BA population, suggesting that IR may be driven by a mechanism other than increased ectopic fat accumulation in BA men. [ABSTRACT FROM AUTHOR]

Background: The research community has historically failed to enroll diverse groups of participants in dementia clinical trials. A unique aspect of dementia care research is the requirement of a study partner, who can attest to the care recipient's clinical and functional capacity. The aim of this study is to assess racial and ethnic differences and the importance of various trial considerations among dementia caregivers, in their decision to participate in clinical research as study partners. Method: We embedded a vignette about a hypothetical dementia clinical trial in a nationally representative survey of U.S. dementia caregivers, oversampling non-Hispanic Black and Hispanic caregivers. Dementia caregivers were asked about their willingness to participate in the trial with their care recipient and rated the importance of nine considerations in hypothetical decisions to participate. Caregiver demographic characteristics were analyzed as predictors of trial participation in a base demographic model. In a second reasons model caregiver demographic characteristics and the rated importance of the nine considerations were separately analyzed as predictors; both models used survey-weighted logistic regression. Result: The sample consisted of 610 dementia caregivers, including 156 non-Hispanic Black and 122 Hispanic caregiver participants. In the base demographic model, hypothetical trial participation was negatively associated with older caregiver age (OR (odds ratio) = 0.72, p = < 0.001). In the reasons model, the rated importance of a social responsibility to help others by participating in research was significantly associated with participation (OR = 1.56, p = 0.049), while the importance of the possibility of the care recipient experiencing serious side effects was negatively associated with participation (OR = 0.51, p = 0.003). In both models there was no significant difference in hypothetical participation between non-Hispanic Black and non-Hispanic White caregivers, or between Hispanic and non-Hispanic White caregivers. Conclusion: Hispanic and non-Hispanic Black dementia caregivers were not less likely than non-Hispanic White dementia caregivers to participate in a hypothetical dementia clinical trial. Our study suggests that failures to recruit diverse populations in dementia clinical research are not attributable to less willingness among members of underrepresented groups but may instead reflect structural barriers and historic exclusion from trial participation. [ABSTRACT FROM AUTHOR]

Background: To estimate and compare the association between metabolically healthy overweight/obesity (MHO) and the risk of type 2 diabetes (T2DM) among different ethnic groups in southwest China, while also exploring possible ethnic differences. Methods: This is a prospective cohort study of 6,820 participants in Southwest China. MHO was defined as body mass index (BMI) ≥ 24 kg/m2 and the presence of ≤ 1 component of metabolic syndrome. Cox proportional risk models were utilized to analyze the association between MHO and the risk of T2DM. Results: The median follow-up time was 6.58 years, during which 708 new cases of T2DM were diagnosed. In the total population, after adjusting for confounding factors, MHO was found to increase the risk of T2DM compared to metabolically healthy normal weight (MHNW) individuals (HR = 1.49, 95% CI: 1.15–1.93). Subgroup analysis by ethnicity revealed that, MHO increased the risk of T2DM in the Han population (HR = 1.64, 95% CI: 1.21–2.23), however, the difference was not statistically significant in the ethnic minority population.The results of sensitivity analysis further supported the robustness of these findings. Meanwhile, stratified by sex, age, and urban/rural, it was found that ethnic differences in the association between MHO and T2DM still existed, however, it is important to note that the association between MHO and T2DM was not statistically significant in the Han population subgroup aged ≥ 45 years (p > 0.05). Conclusion: MHO was associated with an increased risk of T2DM compared to MHNW, and there are ethnic differences. Future interventions need to be strengthened for Han Chinese key populations to reduce the risk of T2DM. [ABSTRACT FROM AUTHOR]

Background: To estimate and compare the association between metabolically healthy overweight/obesity (MHO) and the risk of type 2 diabetes (T2DM) among different ethnic groups in southwest China, while also exploring possible ethnic differences. Methods: This is a prospective cohort study of 6,820 participants in Southwest China. MHO was defined as body mass index (BMI) ≥ 24 kg/m2 and the presence of ≤ 1 component of metabolic syndrome. Cox proportional risk models were utilized to analyze the association between MHO and the risk of T2DM. Results: The median follow-up time was 6.58 years, during which 708 new cases of T2DM were diagnosed. In the total population, after adjusting for confounding factors, MHO was found to increase the risk of T2DM compared to metabolically healthy normal weight (MHNW) individuals (HR = 1.49, 95% CI: 1.15–1.93). Subgroup analysis by ethnicity revealed that, MHO increased the risk of T2DM in the Han population (HR = 1.64, 95% CI: 1.21–2.23), however, the difference was not statistically significant in the ethnic minority population.The results of sensitivity analysis further supported the robustness of these findings. Meanwhile, stratified by sex, age, and urban/rural, it was found that ethnic differences in the association between MHO and T2DM still existed, however, it is important to note that the association between MHO and T2DM was not statistically significant in the Han population subgroup aged ≥ 45 years (p > 0.05). Conclusion: MHO was associated with an increased risk of T2DM compared to MHNW, and there are ethnic differences. Future interventions need to be strengthened for Han Chinese key populations to reduce the risk of T2DM. [ABSTRACT FROM AUTHOR]

Background: SHR-1707 is a novel humanized anti-Aβ IgG1 monoclonal antibody that binds to Aβ fibrils and monomers to block the formation of Aβ plaques or to promote the microglial phagocytosis of Aβ. Preclinical studies showed that SHR-1707 reduced brain Aβ deposition in 5xFAD transgenic mice. Herein, we conducted two phase 1 studies to evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of a single intravenous dose of SHR-1707 in healthy adult subjects. Methods: Two randomized, double-blind, single-ascending-dose, phase 1 studies were conducted in China (Study CHN) and Australia (Study AUS). Study CHN consisted of 2 parts. In Part 1, eligible healthy young adults (18–45 years) were sequentially randomized 8:2 to receive SHR-1707 (five cohorts: 2, 6, 20, 40, and 60 mg/kg) or placebo in each cohort; in Part 2, elderly subjects (55–80 years) were randomized 8:4 to receive SHR-1707 (20 mg/kg) or placebo. A similar design was used in Study AUS, but with only healthy young adults enrolled across three dosing cohorts (2, 20, and 60 mg/kg). Results: Sixty-two (part 1/2, n = 50/12; age range, 18–42/55–63 years) and 30 subjects (age range, 18–42 years) received SHR-1707 or placebo in Study CHN and Study AUS, respectively. In Study CHN, all treatment-related adverse events (TRAEs) were mild, with the most common being transient laboratory abnormalities. In Study AUS, TRAEs were mostly mild (1 moderate event each with SHR-1707/placebo); the most common TRAEs with SHR-1707 were dysgeusia and fatigue (8.3% each). In both studies, the exposure of SHR-1707 increased in a slightly greater than dose-proportional manner over the dose range of 2–60 mg/kg in young adults; there was a dose-dependent increase in plasma Aβ42 concentration following SHR-1707 administration compared with the placebo group. The safety and PK and PD profiles of SHR-1707 in the elderly subjects were consistent with the younger counterpart at the same dose level. No ethnic difference in safety, PK and PD of SHR-1707 was observed. Conclusions: A single intravenous dose of SHR-1707 at 2–60 mg/kg was safe and well tolerated in healthy young adult and elderly subjects. The PK and PD profiles are supportive for further clinical development. Trial registration: NCT04973189 (retrospectively registered on Jul.21, 2021) and NCT04745104 (registered on Feb.6, 2021) on clinicaltrials.gov. [ABSTRACT FROM AUTHOR]

Black African-Caribbean (BAC) populations are at greater risk of cardiometabolic disease than White Europeans (WE), despite exhibiting lower fasting triacylglycerol (TAG) concentrations. However, limited data exist regarding postprandial fatty acid metabolism in BAC populations. This study determined the ethnic differences in postprandial fatty acid metabolism between overweight and obese WE and BAC men. WE [n = 10, age 33.3 ± 1.7 yr; body mass index (BMI) = 26.8 (25.8–31.0) kg/m2] and BAC [n = 9, age 27.9 ± 1.0 yr; BMI = 27.5 (26.0–28.6) kg/m2] men consumed two consecutive (at 0 and 300 min) moderate-to-high-fat meals—the first labeled with [U-13C]palmitate. The plasma concentration and appearance of meal-derived fatty acids in very-low-density lipoprotein (VLDL)-TAG, chylomicron-TAG, and nonesterified fatty acid (NEFA) were determined over an 8-h postprandial period. Indirect calorimetry with 13CO2 enrichment determined total and meal-derived fatty acid oxidation rates, and plasma β-hydroxybutyrate (3-OHB) concentration was measured to assess ketogenesis. BAC exhibited lower postprandial TAG [area under the curve (AUC0–480) = 671 (563–802) vs. 469 (354–623) mmol/L/min, P = 0.022] and VLDL-TAG [AUC0–480 = 288 ± 30 vs. 145 ± 27 mmol/L/min, P = 0.003] concentrations than WE. The appearance of meal-derived fatty acids in VLDL-TAG was lower in BAC than in WE (AUC0–480 = 133 ± 12 vs. 78 ± 13 mmol/L/min, P = 0.007). Following the second meal, BAC showed a trend for lower chylomicron-TAG concentration [AUC300–480 = 69 (51–93) vs. 43 (28–67) mmol/L/min, P = 0.057]. There were no ethnic differences in the appearance of chylomicron-TAG, cumulative fatty acid oxidation, and the NEFA:3-OHB ratio (P > 0.05). In conclusion, BAC exhibit lower postprandial TAG concentrations compared with WE men, driven by lower VLDL-TAG concentrations and possibly lower chylomicron-TAG in the late postprandial period. These findings suggest that postprandial fatty acid trafficking may be a less important determinant of cardiometabolic risk in BAC than in WE men. NEW & NOTEWORTHY: Postprandial TAG is lower in Black African-Caribbean men than in White European men, and this is likely driven by lower meal-derived VLDL-TAG in Black African-Caribbean men. This observation could suggest that fatty acid trafficking may be a less important determinant of cardiometabolic risk in Black Africans than in White European men. [ABSTRACT FROM AUTHOR]

This research studies factors affecting the rapid spread of a donor-driven, Feeding America BackPack (weekend food assistance) program at schools in northwestern North Carolina. Foodbank data are matched with census tract, administrative-school, and GIS data for places of worship (PWs), facilitating analyses of the role of need, religion, and race/ethnicity. Our conceptual model yields a new hybrid fragmentation index that captures racial/ethnic differences between the school and community. Consistent with the model, discrete-time survival estimates suggest that schools with a racial/ethnic composition different from the surrounding community were less likely to get a program, especially if no other program-eligible schools were nearby. The GIS-created PWs bring new information, but yield results only weakly suggestive of a positive relationship. Results withstand falsification and robustness checks. A descriptive update reveals that most high-need schools eventually offered weekend food assistance but that race/ethnicity may still play a role for those that do not. [ABSTRACT FROM AUTHOR]

This article analyses the image of the Arab 'uncertain body' by introducing two theoretical tools: first, the practice of sojourner passing: that is, an abrupt and temporary event limited in space and time in order to gain access to sexual, financial or militarised goals; second, the uncertainty of the Muslim male body. In the Israeli context, the fear of the Arab 'uncertain body' manifests itself in two main ways: (1) the fear of Arab sojourner passers who threaten sites of nationhood; and (2) Arabs who try to assimilate are blamed for passing as civilised, disguising their true monstrous nature. The Israel–Palestine context is unique in that it offers intriguing insights into passing in a non-western society, where the ethnic differences are blurred and hence anxiety is more pronounced. [ABSTRACT FROM AUTHOR]

Background In primary care, health professionals use blood tests to investigate nonspecific presentations to inform referral decisions. Reference ranges for the commonly used blood tests in western countries were developed in predominately White populations, and so may perform differently when applied to non-White populations. Knowledge of ethnic variation in blood test results in healthy/general populations could help address ethnic inequalities in cancer referral for diagnosis and outcomes. Objective This systematic review explored evidence of ethnic differences in the distribution of selected blood test results among healthy/general populations to inform future research aimed at addressing inequalities in cancer diagnosis. Methods We searched PubMed and EMBASE to identify studies reporting measures of haemoglobin, MCV, calcium, albumin, platelet count, and CRP in nondiseased adults from at least 2 different ethnic groups. Two reviewers independently screened studies, completed data extraction and quality assessment using an adapted Newcastle-Ottawa scale. Participants were stratified into White, Black, Asian, Mixed, and Other groups. Data were synthesised narratively and meta-analyses were conducted where possible. Results A total of 47 papers were included. Black men and women have lower average values of haemoglobin, MCV, and albumin, and higher average values of CRP relative to their White counterparts. Additionally, Black men have lower average haemoglobin than Asian men, whereas Asian women have lower average CRP values when compared with White women. Conclusions There is evidence of ethnic differences in average values of haemoglobin, MCV, CRP, and albumin in healthy/general populations. Further research is needed to explore the reasons for these differences. Systematic review registration: CRD42021274580 [ABSTRACT FROM AUTHOR]

Background: Tourette syndrome (TS) is a neurodevelopmental disorder. The prevalence of TS in 2016–2017 has been reported; however, little is known about the current prevalence and trend in children and adolescents with TS. This study aimed to estimate the prevalence and trend of Tourette syndrome (TS) among US children and adolescents aged 0–17 years from 2016 to 2022. Methods: We analyzed data from a nationally representative sample of 278,472 children and adolescents aged 0–17 years who participated in the 2016–2022 National Survey of Children's Health (NSCH), a nationwide, population-based, cross-sectional survey of US children and adolescents. TS was defined as the affirmative response in the questionnaire completed by a parent or guardian. Results: Among the 278,472 children and adolescents enrolled, 754 had been diagnosed with TS, with an overall prevalence of 0.23% in all children and adolescents aged 0-17 years. The weighted prevalence by age group was lower than 0.01% in children aged 0–2 years, 0.05% in children aged 3–5 years, 0.28% in children aged 6–11 years, and 0.38% in adolescents aged 12–17 years. There were significant sex and racial/ethnic differences in the overall prevalence of diagnosed TS (i.e., 0.35% in boys and 0.11% in girls, 0.22% in Hispanics, 0.28% in non-Hispanic whites and 0.16% in non-Hispanic blacks). There was no significant change in the estimated prevalence of TS from 2016 to 2022. Conclusion: Based on nationally representative data, this study found that the national prevalence of TS among the US children and adolescents differed by sex and race/ethnicity but remained stable from 2016 to 2022. [ABSTRACT FROM AUTHOR]

We review ethnic group differences on high-stakes General Mental Ability (GMA) tests based on 21st century UK data. Thereafter, we meta-analyse scores on 23 occupational, public sector, educational, military, or general-public selection tests, with a sample size exceeding two million. Relative to White GMA, the grand meta-analytic effect sizes (Cohen's d) by major ethnic groups were: Mixed d =.14 (k = 24, N = 67,114), Blacks d =.65 (k = 32, N = 112,975), Asians d =.33 (k = 32, N = 311,695), and Other d =.49 (k = 24, N = 42,846). Further, although Chinese residents outscored White British residents (d = −.15, k = 20, N = 18,897), all other Asian ethnic groups scored slightly to substantially lower. For example, South Asians as a whole averaged d =.37; k = 13, N = 67,566. By subgroups, these averages were: Indians (d =.17, k = 10, N = 28,236), Pakistanis (d =.49, k = 9, N = 19,371), and Bangladeshi (d =.55, k = 7, N = 19,772). Implications for practice and theory are discussed. [ABSTRACT FROM AUTHOR]

Background: Understanding the burden of aortic stenosis (AS) across diverse racial and ethnic populations is important to ensure equitable resource allocation. This study explored whether severe AS rate varies by race and ethnicity. Methods: The rates of severe AS, stratified by race and ethnicity, were calculated among 615,038 adults with a transthoracic echocardiogram. Logistic regression analysis was performed to identify factors associated with severe AS. Results: Severe AS rates ranged from 0.08% in adults < 50 years old to 3.8% in those = 90 years old. Compared to non-H ispanic White and Asian American [adjusted odds ratio (aOR) = 0.47, 95% confidence interval (CI): 0.42-0.53] and non-H ispanic Black (aOR = 0.44, 95% CI: 0.39-0.50) patients were less likely to have severe AS, whereas Hispanic patients (aOR = 0.91, 95% CI: 0.87-0.98) had near similar likelihood. Age was the strongest risk factor for severe AS (compared to age < 50 years, aOR = 21.8, 95% CI: 17.8-26.6 for age 80-89 years, and aOR = 43.8, 95% 35.5-54.0 for age = 90 years). Additional factors associated with severe AS included male sex (aOR = 1.38, 95% CI: 1.30-1.46) and diabetes (aOR = 1.23, 95% CI: 1.15-1.31). Conclusions: Asian American and non-H ispanic Black adults had lower rates of severe AS compared to White and Hispanic patients. The rate of severe AS progressively increases with age in all racial and ethnic groups, with higher rates in men compared with women. With a demographic shift toward an aging and more diverse population, the burden of AS is anticipated to rise. Ensuring adequate allocation of resources to meet the evolving needs of a diverse population remains a shared health care imperative. [ABSTRACT FROM AUTHOR]

Background and Objectives: Loneliness is a major public health concern; however, limited research has examined the mechanisms contributing to racial/ethnic inequities in loneliness. Race/ethnicity has been hypothesized to be a distal factor influencing loneliness, and racial/ethnic inequities in loneliness may be attributable to socioeconomic factors (e.g., income and education). Our study seeks to confirm these hypotheses by examining mechanisms that contribute to racial/ethnic inequities in loneliness. In other words, if racial/ethnic differences in loneliness among older adults are mediated by income and education. Research Design and Methods: Data came from the Health and Retirement Study Leave-Behind Questionnaire, 2014–2016. Loneliness was measured by the UCLA 3-item loneliness scale. Race/ethnicity categories were White, Black, and Hispanic/Latino. The mediator variables were household income and education. Multivariable linear regression models were used to determine differences in loneliness by race/ethnicity. The Karlson–Holm–Breen (KHB) mediation method was used to determine if income and education mediated racial/ethnic differences in loneliness. Results: In models examining income and education together, a complete mediation was found between White and Black older adults, in that income and education completely mediated differences in loneliness between these groups. A partial mediation was found between White and Hispanic, and Black and Hispanic older adults. When examining income and education separately, we found that income solely accounted for racial/ethnic differences in loneliness compared to education. Discussion and Implications: Our study is the first to explicitly determine if socioeconomic factors mediate race/ethnicity differences in loneliness among a national sample of older adults. These findings illustrate that income may have greater proximate effects for loneliness among older adults in comparison to education. Additionally, these findings can inform evidence-based interventions to reduce loneliness among older adults. Interventions that enhance quality of life and provide opportunities for socialization for racialized low-income older adults may help decrease racial/ethnic inequities in loneliness. [ABSTRACT FROM AUTHOR]

Classical assimilation theories hold that immigrant groups will slowly integrate economically over time over multiple generations, which implies that the (grand)children of immigrants will improve their housing market position compared to their (grand)parents and transition from rental housing to owner-occupation. This study uses unique data on the children and grandchildren of immigrants and native Dutch ('third generation') in 2018 to assess whether and how the descendants of large immigrant groups from the postwar era have attained ownership. The generational perspective is two-fold. First, we are interested in how individuals from various generations compare within and between origin groups (generational comparison). Second, the study also assesses the role of parental wealth and tenure in intergenerational transfers, i.e., ethnic and generational differences in the effects of these parental background variables. Our estimates from logistic regression models show that Surinamese-Dutch and Turkish-Dutch see higher predicted owner-occupation rates over generations, with some Turkish-Dutch groups having higher rates than native-Dutch. The parental background variables partly predict owner-occupation rates and explain group differences, which indicates the importance of generational transfers. [ABSTRACT FROM AUTHOR]

This study investigates structural inequalities in educational enjoyment in a contemporary cohort of United Kingdom (UK) primary school children. Foundational studies in the sociology of education consistently indicate that the enjoyment of education is stratified by social class, gender, and ethnicity. Analysing data from the UK Millennium Cohort Study, which is a major cohort study that tracks children born at the start of the 21st century, we examine children's enjoyment of both school and individual academic subject areas. The overarching message is that at age 11 most children enjoy their education. The detailed empirical analyses indicate that educational enjoyment is stratified by gender, and there are small differences between ethnic groups. However, there is no convincing evidence of a social class gradient. These results challenge orthodox sociological views on the relationship between structural inequalities and educational enjoyment, and therefore question the existing theoretical understanding of the wider role of enjoyment in education. [ABSTRACT FROM AUTHOR]

This article explores the racial and ethnic disparities in healthcare access and satisfaction among older adults in the United States. It specifically focuses on the impact of Medicare Advantage (MA) compared to Traditional Medicare (TM) on healthcare equity. The study finds that Black and Hispanic older adults face challenges in obtaining necessary care and experience more hospitalizations for chronic conditions compared to White older adults. The research also reveals disparities in satisfaction with care, access, and costs between different racial and ethnic groups in MA and TM. The findings emphasize the importance of addressing these disparities and improving healthcare experiences for Black and Hispanic beneficiaries in Medicare. [Extracted from the article]

Background: Prior research documented racial and ethnic disparities in health care experiences within the Veterans Health Administration (VA). Little is known about such differences in VA-funded community care programs, through which a growing number of Veterans receive health care. Community care is available to Veterans when care is not available through the VA, nearby, or in a timely manner. Objective: To examine differences in Veterans' experiences with VA-funded community care by race and ethnicity and assess changes in these experiences from 2016 to 2021. Design: Observational analyses of Veterans' ratings of community care experiences by self-reported race and ethnicity. We used linear and logistic regressions to estimate racial and ethnic differences in community care experiences, sequentially adjusting for demographic, health, insurance, and socioeconomic factors. Participants: Respondents to the 2016–2021 VA Survey of Healthcare Experiences of Patients-Community Care Survey. Measures: Care ratings in nine domains. Key Results: The sample of 231,869 respondents included 24,306 Black Veterans (mean [SD] age 56.5 [12.9] years, 77.5% male) and 16,490 Hispanic Veterans (mean [SD] age 54.6 [15.9] years, 85.3% male). In adjusted analyses pooled across study years, Black and Hispanic Veterans reported significantly lower ratings than their White and non-Hispanic counterparts in five of nine domains (overall rating of community providers, scheduling a recent appointment, provider communication, non-appointment access, and billing), with adjusted differences ranging from − 0.04 to − 0.13 standard deviations (SDs) of domain scores. Black and Hispanic Veterans reported higher ratings with eligibility determination and scheduling initial appointments than their White and non-Hispanic counterparts, and Black Veterans reported higher ratings of care coordination, with adjusted differences of 0.05 to 0.21 SDs. Care ratings improved from 2016 to 2021, but differences between racial and ethnic groups persisted. Conclusions: This study identified small but persistent racial and ethnic differences in Veterans' experiences with VA-funded community care, with Black and Hispanic Veterans reporting lower ratings in five domains and, respectively, higher ratings in three and two domains. Interventions to improve Black and Hispanic Veterans' patient experience could advance equity in VA community care. [ABSTRACT FROM AUTHOR]

Objective To evaluate and compare the root canal morphology of mandibular premolars in Saudi and Sudanese subpopulations and between males and females within each group using cone-beam computed tomography (CBCT). Materials and Methods A cross-sectional study was done between May 2022 and July 2023. Six hundred premolars from Saudi and Sudanese subpopulations were evaluated using CBCT for their number of roots, type of root canal configuration based on Vertucci's classification, and average canal length measured from the buccal cusp tip to the root end. Statistical Analysis Statistical comparisons were made between males and females within each subpopulation and the two subpopulations using the chi-square test for root number and type of root canal configuration and an independent sample t -test for the canal length. Results Most mandibular premolars in both subpopulations had a single root, with type I root canal configuration. However, Sudanese showed various canal configurations (I, II, III, IV, and V) compared with Saudis, which was statistically significant in the first canal of the first mandibular premolar (p < 0.05). Also, there were statistically significant differences in canal length between Saudi males and females (p < 0.05) and between Saudis and Sudanese (p < 0.05) in the first and second premolars. Conclusion Although most mandibular premolars in Saudi and Sudanese subpopulations exhibited a single root and type I canal configuration, variations exist between and within the groups, highlighting ethnic and gender differences and emphasizing the need for dentists' attention. [ABSTRACT FROM AUTHOR]

Paid parental leave has become a part of family policies in an increasing number of Western societies. Parental leave benefits may create varying incentives which can lead to heterogeneous fertility responses. The aim of this study is to examine whether and how the changes in second- and third-order fertility associated with the 2004 parental leave reform in Estonia vary depending on mothers' education and ethnic background. The study draws on data from Estonian administrative registers on women born between 1960 and 1999, who had their first or second child between 1993 and 2014. Mixture cure models are estimated for the transitions to second and third births. We find that women with high educational attainment exhibit a stronger response, both in terms of accelerating the tempo and increasing the quantum of fertility, to the introduction of earnings-related parental leave benefits, than their counterparts with less schooling. In terms of fertility quantum, Estonian women show a stronger response than women from other ethnic groups. Regarding the tempo of childbearing, the results pertaining to ethnic differences are mixed. The study suggests that changes in fertility behavior associated with the introduction of earnings-related parental leave benefits are more pronounced among women with higher opportunity costs. [ABSTRACT FROM AUTHOR]

Objectives: To determine how pre-existing conditions contribute to racial disparities in adverse maternal outcomes and incorporate these conditions into models to improve risk prediction for racial minority subgroups. Study design: We used data from the "Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-be (nuMoM2b)" observational cohort study. We defined multimorbidity as the co-occurrence of two or more pre-pregnancy conditions. The primary outcomes of interest were severe preeclampsia, postpartum readmission, and blood transfusion during pregnancy or up to 14 days postpartum. We used weighted Poisson regression with robust variance to estimate adjusted risk ratios and 95% confidence intervals, and we used mediation analysis to evaluate the contribution of the combined effects of pre-pregnancy conditions to racial/ethnic disparities. We also evaluated the predictive performance of our regression models by racial subgroup using the area under the receiver operating characteristic curve (AUC) metric. Results: In the nuMoM2b cohort (n = 8729), accounting for pre-existing conditions attenuated the association between non-Hispanic Black race/ethnicity and risk of severe preeclampsia. Cardiovascular and kidney conditions were associated with risk for severe preeclampsia among all women (aRR, 1.77; CI, 1.61–1.96, and aRR, 1.27; CI, 1.03–1.56 respectively). The mediation analysis results were not statistically significant; however, cardiovascular conditions explained 36.6% of the association between non-Hispanic Black race/ethnicity and severe preeclampsia (p = 0.07). The addition of pre-pregnancy conditions increased model performance for the prediction of severe preeclampsia. Conclusions: Pre-existing conditions may explain some of the association between non-Hispanic Black race/ethnicity and severe preeclampsia. Specific pre-pregnancy conditions were associated with adverse maternal outcomes and the incorporation of comorbidities improved the performance of most risk prediction models. [ABSTRACT FROM AUTHOR]

Losing a beloved pet can be difficult on the human psyche. In Western societies, many bereaved pet owners often suffer alone and in private, due to the unease or embarrassment surrounding their grief expression, as is especially the case among Asian Americans because of various sociocultural reasons. Incorporating the Reasoned Action Approach (RAA), a well-known theory in Health Communication, this study surveyed 600 Asian American adults and identified theory-driven and empirically tested intervention strategies that aim to increase Asian Americans' intention to seek counseling upon pet loss. Our study found that age and ethnic differences were significantly associated with counseling intention. We also identified three salient control beliefs under the RAA (e.g., the ability to make appointments online, participating in counseling/therapy over the phone, and the immediate availability of counselors/therapists) that significantly heighten Asian Americans' counseling intention upon pet loss through self-efficacy. Theoretical implications and practical contributions of this study are also discussed. [ABSTRACT FROM AUTHOR]

Introduction- Doppler ultrasonography is used to evaluate uteroplacental circulation by analysing the systolic and diastolic waveforms. Given the ethnic and geographical differences in PIH and IUGR, it is crucial to comprehend the methods used to predict it in different populations. The aim of present study was to assess the role of level 2 doppler waveforms (at the time of anomaly scan) in assessing abnormal trophoblastic invasion and predicting adverse pregnancy outcomes in the form of PIH and IUGR. Material and methods- The present prospective study was conducted in department of obstetrics and gynaecology at SMGS Hospital among 100 pregnant females visiting the OPD during the study period of one year. As detailed level 2 anomaly scan is mandatory in our settings at 18-22 weeks, the required data on doppler study at 18-22 weeks could easily be extracted from the study patients, thus being economical on the part of patients in low resource settings.The doppler study was performed on all cases throughout the 18-22 weeks period of pregnancy and the two Indices like Pulsatility Index and Diastolic notch of uterine artery were recorded. The patients were followed up for the development of PIH and IUGR. Results- Out of 100 cases, pregnancy induced hypertension was found in 20 cases while 80 cases did not show pregnancy induced hypertension.30 cases developed IUGR and 70 remained non IUGR cases. Diastolic notch was found in 16 of PIH and 22 of nonPIH patients. 8 of PIH cases had a pulsatility index (PI) of greater than 1.71, compared to 10 of non PIH cases, which had a PI of greater than 1.71 (p=0.01). The sensitivity of diastolic notch in diagnosis of PIH was 65.3% whereas, that of PI was 53.48%. Similarly, diastolic notch was present in 19 of IUGR cases and 10 of non IUGR cases.8 of IUGR patients had PI of >1.7 and 20 of non IUGR cases had PI of > 1.7 giving the statistically significant results. Thus, second trimester doppler changes in the uterine artery has a role in prediction of IUGR too. Conclusion– Uterine artery doppler is a potentially effective method for predicting the occurrence of PIH and IUGR by examining both the pulsatility index (PI) and the presence of a diastolic notch in the uterine artery. The Doppler technique demonstrated a high level of diagnostic accuracy in detecting preeclampsia. [ABSTRACT FROM AUTHOR]

Objective: Investigation of serum bile acid profiles in pregnancies complicated by gestational diabetes mellitus (GDM) in a multi‐ethnic cohort of women who are lean or obese. Design: Prospective cohort study. Setting: UK multicentre study. Population: Fasting serum from participants of European or South Asian self‐reported ethnicity from the PRiDE study, between 23 and 31 weeks of gestation. Methods: Bile acids were measured using ultra‐performance liquid chromatography‐tandem mass spectrometry. Log‐transformed data were analysed using linear regression in STATA/IC 15.0. Main outcome measures: Total bile acids (TBAs), C4, fasting glucose and insulin. Results: The TBAs were 1.327‐fold (1.105–1.594) increased with GDM in European women (P = 0.003). Women with GDM had 1.162‐fold (1.002–1.347) increased levels of the BA synthesis marker C4 (P = 0.047). In South Asian women, obesity (but not GDM) increased TBAs 1.522‐fold (1.193–1.942, P = 0.001). Obesity was associated with 1.420‐fold (1.185–1.702) increased primary/secondary BA ratio (P < 0.001) related to 1.355‐fold (1.140–1.611) increased primary BA concentrations (P = 0.001). TBAs were positively correlated with fasting glucose (P = 0.039) in all women, and with insulin (P = 0.001) and the Homeostatic Model Assessment for Insulin Resistance (HOMA‐IR) (P = 0.001) in women with GDM. Conclusions: Serum BA homeostasis in late gestation depends on body mass index and GDM in ethnicity‐specific ways. This suggests ethnicity‐specific aetiologies may contribute to metabolic risk in European and South Asian women, with the relationship between BAs and insulin resistance of greater importance in European women. Further studies into ethnicity‐specific precision medicine for GDM are required. [ABSTRACT FROM AUTHOR]

Past research extensively documents inequalities in educational opportunity and achievement by students' race/ethnicity or socioeconomic status (SES). Less scholarship focuses on how race/ethnicity and SES interact and jointly contribute to educational inequalities. We advance this burgeoning line of scholarship by charting math achievement trajectories and school socioeconomic composition by both student race/ethnicity and SES in California from 2014–15 through 2017–18. Linked administrative data allow us to operationalize student SES more richly than point-in-time free meal eligibility, a measure commonly used in education research. We find evidence of considerable racial/ethnic disparities in math achievement and school socioeconomic composition among same-SES students. White and Asian students score substantially higher on math achievement tests and attend higher-SES schools than same-SES Hispanic and Black students. Achievement and contextual inequalities are related: differential exposure to school SES by student race/ethnicity is associated with racial/ethnic achievement disparities within SES groups. Our findings show that SES does not translate into the same contextual or achievement advantages for students of all racial/ethnic groups, demonstrating the importance of jointly considering student race/ethnicity and SES in future research and policy development. [ABSTRACT FROM AUTHOR]

The Canadian health care system has been the site of a tense relationship between blood donation policies and African Canadians (read as Blacks). This article explores the basis of that strain, specifically the Canadian blood system's African Indefinite Deferral Policy and its relative underpinnings to, for example, the Creutzfeldt Jakob Disease Deferral Policy. Drawing from various data sources, the article demonstrates the subtle and diffuse aspects of the deferral policies in terms of the relationship between ethnicity and risk. The analysis provides important insights on the policies, based on the pejorative usage of ethnicity, especially its racial context, and related power dynamics, into understanding the lasting and plagued relationship that Blacks have had with the blood donation regime. Addressing questions around the institutional capacity of Canadian Blood Services and Héma Québec in dealing with minority ethnic groups is essential, particularly if the objective of blood donation policies is to address the health needs of Canada's increasingly diverse population. [ABSTRACT FROM AUTHOR]

Research Summary: On March 1, 2022, correspondence from the Los Angeles Police Department (LAPD) headquarters stated that officers can no longer use minor infractions (e.g., equipment violations) as a pretextual reason to further investigate drivers for criminal behavior. If LAPD officers are to execute a discretionary stop, they must activate their body‐worn cameras and reasonably articulate to the civilian why they are being investigated. The intent is to reduce racial/ethnic disparities in stops and build trust of the police within the community. Critics of the policy argue that elevated crime rates will result due to the crime suppression effect of such stops. This study examines racial differences in stops before and after the policy change, as well as whether Part 1 violent and property crimes increased. Descriptive findings show that while the counts of stops, arrests, and contraband seizures during stops decreased, the percentage of non‐White civilians stopped decreased only minimally following the intervention. Results from using Bayesian synthetic control methods indicate an increase in both violent and property crimes post‐intervention compared with the synthetic counterfactual. The increase in violent crimes has a low probability of being different from the counterfactual, whereas the increase in property crimes has a high probability, suggesting that the intervention led to a real change in property crimes compared with what would have been expected under the counterfactual. Policy Implications: This study provides preliminary evidence that emerging policies intended to restrict discretionary stops may not have the intended effect on racial disparities in police traffic stops. Instead, agencies passing similar policies may expect to see the potential unintended consequence of a spike in jurisdictional property crimes. We argue that such types of stops across a jurisdiction may have a general deterrent effect on more common and calculative crimes such as property crimes. To combat violent crimes, agencies should consider focusing discretionary stops in known hot spots. Further, our findings offer implications for research on the effects of de‐policing on crime. Police agencies should monitor potential unintended impacts of these policies if enacted and be prepared to deal with such consequences. [ABSTRACT FROM AUTHOR]

Whiteness in the US is often conceptualized largely as the absence of a meaningful cultural identity. Research from my own lab suggests that overlooking the nuances inherent in White identity (e.g., differences between ethnic groups) can induce feelings of threat and backlash against multiculturalism among dominant group members. Based on this research, I argue that conceptualizing Whiteness as multifaceted—for example, by acknowledging not only interethnic but also religious and socioeconomic differences—may mitigate dominant group members' threat perceptions and increase their comfort amidst growing discussions of diversity, equity, and inclusion in institutions and organizations. Further, attending to the complexities of White identity may produce more positive intergroup outcomes, such as reduced racial/ethnic prejudice and greater perceived personal contributions to diversity, and may benefit groups that are classified as "White" on demographic forms but often do not perceive themselves as such (e.g., Middle Eastern and North African Americans, Hispanic/Latino[a] Americans). [ABSTRACT FROM AUTHOR]

Glucagon‐like peptide‐1 receptor (GLP‐1R) agonists induce weight loss in patients with type 2 diabetes mellitus (T2DM), but the underlying mechanism is unclear. Recently, the mechanism by which metformin induces weight loss could be explained by an increase in growth differentiation factor 15 (GDF15), which suppresses appetite. Therefore, we aimed to investigate whether the GLP‐1R agonist liraglutide modifies plasma GDF15 levels in patients with T2DM. GDF15 levels were measured in plasma samples obtained from Dutch Europids and Dutch South Asians with T2DM before and after 26 weeks of treatment with daily liraglutide (n = 44) or placebo (n = 50) added to standard care. At baseline, circulating GDF15 levels did not differ between South Asians and Europids with T2DM. Treatment with liraglutide, compared to placebo, decreased body weight, but did not modify plasma GDF15 levels in all patients, or when data were split by ethnicity. Also, the change in plasma GDF15 levels after treatment with liraglutide did not correlate with changes in body weight or HbA1c levels. In addition, the dose of metformin used did not correlate with baseline plasma GDF15 levels. Compared to placebo, liraglutide treatment for 26 weeks does not modify plasma GDF15 levels in Dutch Europid or South Asian patients with T2DM. Thus, the weight loss induced by liraglutide is likely explained by other mechanisms beyond the GDF15 pathway. Highlights: What is the central question of this study?Growth differentiation factor 15 (GDF15) suppresses appetite and is increased by metformin: does the GLP‐1R agonist liraglutide modify plasma GDF15 levels in patients with type 2 diabetes mellitus (T2DM)?What is the main finding and its importance?Plasma GDF15 levels did not differ between South Asians and Europids with T2DM and were not modified by 26 weeks of liraglutide in either ethnicity. Moreover, there was no correlation between the changes in plasma GDF15 levels and dosage of metformin administered, changes in body weight or HbA1c levels. The appetite‐suppressing effect of liraglutide is likely exerted via pathways other than GDF15. [ABSTRACT FROM AUTHOR]

This article introduces a quantitative measure of intersectionality. Intersectionality is the examination of an individual's overlapping identities--for example, one's sex and race and ethnicity--and the relative privileges or barriers that a society perceives for or attaches to a given intersectional identity. We use data from the Understanding America Study (UAS) to construct a Sociopolitical Power Scale (SPPS) that measures societal perceptions of relative power among intersectional identities, and we test whether perceptions of intersectional identities differ from those of single-characteristic identities. UAS questions cover relative political and societal power between men and women and between racial and ethnic groups but not between intersectional identities. We therefore explore differences between men and women in the SPPS within racial and ethnic groups and racial and ethnic differences in the SPPS between men and women. We find some significant differences between intersectional and single-characteristic identities. [ABSTRACT FROM AUTHOR]

Higher self‐reported rumination, a common form of trait perseverative cognition, is linked with lower resting heart rate variability (HRV), which indicates poorer cardiac function and greater disease risk. A meta‐analysis and systematic review indicated that in samples with fewer European Americans, the association of rumination with both heart rate and blood pressure was stronger. Thus, trait rumination may be more strongly associated with resting HRV among ethnically minoritized populations. The current study investigated whether differences in the association of self‐reported rumination with resting HRV varied by ethnicity in a sample (N = 513; Mage = 19.41; 226 Women) of self‐identified African Americans (n = 110), Asian Americans (n = 84), and European Americans (n = 319). Participants completed a five‐minute baseline period to assess resting HRV, followed by the Ruminative Responses Scale, which contains three facets of rumination including brooding, depressive, and reflective rumination. On average, Asian Americans reported higher levels of rumination relative to European Americans. African Americans had higher resting HRV than Asian Americans. Adjusting for covariates, higher self‐reported rumination was significantly associated with lower resting HRV in both African and Asian Americans, but not significantly so in European Americans. This finding was consistent for brooding and reflective, but not depressive rumination. Overall, this study lends insight into a psychological mechanism—rumination—that may impact health disparities among ethnically minoritized individuals, contributing to an understanding of how stress gets under the skin among such minoritized populations. [ABSTRACT FROM AUTHOR]

Employee overqualification has become a prevalent issue worldwide and academic research on its effects has been proliferated. Considering the growing attention on employee overqualification and recognizing the surge of fruitful outcomes of perceived overqualification research in literature, we highlight the focus on ethnic minorities to understand perceived overqualification and propose a research agenda. First, we suggest that it remains unstudied and can be meaningful to link perceived overqualification with ethnic differences and management. Second, considering bamboo ceiling phenomenon and using Asian-Australians as an illustration, we clarify how perceived overqualification has been manifested and influence minority groups within cross-cultural context and discuss why it is critical to address this issue. Third, we conclude by presenting directions and possible research agendas that will advance the understanding of employee perceived overqualification under cross-cultural context. Our paper drives perceived overqualification literature forward and is expected to inform organizational scholars and practitioners in terms of how to manage employee perceived overqualification in multicultural and multiethnic contexts. [ABSTRACT FROM AUTHOR]

Indonesia is a country with diverse tribes, religions, ethnicities, and traditions. Although Indonesia makes a unique contribution to the life of the archipelago and its citizens, it does not rule out the risk of disputes and conflict. One of them is the existence of ethnic differences, which give rise to stereotypes of certain ethnicities, such as Tionghoa. Not all stereotypes are justified and real. Indonesian history records the existence of social conflicts born from inter-ethnic stereotypes, such as during the 1998 riots. Therefore, this research aims to explore individual lived experiences and subjective viewpoints and provide a platform for authentic voices that are often unheard in discussions of ethnicity and identity. So, this article provides insight into how ethnic Tionghoa people strengthen their perceptions of existing stereotypes. This research uses a qualitative approach with a case study method. The research data was obtained through interviews with 30 ethnic Tionghoa people accompanied by participant observation. In contrast, data analysis took a thematic approach to identify patterns and themes that emerged from the results of interviews and observations. The research findings show that an understanding of the diversity of individuals and society that has not been fully accepted reflects challenges, including political history that influences negative perceptions. Unfortunately, the complexity of social relations means that some informants feel that the Tionghoa ethnic community tends to be closed, creating the impression of a lack of unity in Indonesian society. This research is important to explore how the reality of the lives of ethnic Tionghoa people does not fully conform to the prevailing stereotype. [ABSTRACT FROM AUTHOR]

Informed by integrative models of cultural resilience, the purpose of this study was to (a) explore how parents are promoting their children's emotional and physical health, with a focus on race and ethnic‐racial socialization strategies, and (b) identify the barriers and challenges parents are experiencing in supporting their children's health. Ethnically racially matched qualitative interviews were conducted with 33 parents (82% women, 64% Black, 36% Latiné). Results of thematic analysis revealed three overarching themes: (a) Strategies for Promoting Children's Physical and Emotional Health, (b) Challenges Promoting Children's Physical and Emotional Health, and (c) Impact of Racism on Parenting and Children's Health. Most parents believed that racism had an impact on their parenting decisions and their children's health; however, there were some differences in ethnic–racial socialization practices between Black and Latiné parents. Findings have implications for culturally relevant parenting approaches to support children's emotional and physical health. [ABSTRACT FROM AUTHOR]

Background The development of disability related to activities of daily living (ADL) is of great concern in the aging population, particularly for Hispanic and Non-Hispanic (NH) Black older adults, where disability prevalence is greater compared to NH Whites. ADL-disability is typically measured across many functional tasks without differentiating upper- versus lower-limb limitations, hindering our understanding of disability burden. Despite the importance of the upper limbs for completing ADL and known age-related declines in function, racial/ethnic differences in upper limb function remain largely unknown. Methods We identified 4 292 NH White, NH Black, and Mexican American older adults (≥65) from the 2011–2018 waves of the National Health and Nutrition Examination Survey (NHANES). We classified participants as having a limitation based on their ability to complete 5 upper-limb tasks (preparing meals, eating, dressing, reaching overhead, and grasping small objects) and compared limitation rates across racial/ethnic groups. Results Compared to NH Whites, NH Black older adults had significantly greater odds of reporting difficulties preparing meals (odds ratio [OR]: 1.36, 95% confidence interval [95% CI]: 1.01, 1.86) and dressing (OR: 1.55, 95% CI: 1.19, 2.02), while Mexican Americans had greater difficulty preparing meals (OR: 1.70, 95% CI: 1.12, 2.58), dressing (OR: 1.63, 95% CI: 1.12, 2.36), and grasping small objects (OR: 1.48, 95% CI: 1.06, 2.07). Conclusions Our results demonstrate differences in self-reported upper limb ADL-disability across racial/ethnic groups, particularly for Mexican American older adults. Such findings underscore the need for routine monitoring of upper limb function throughout adulthood to identify limitations and target therapeutic interventions before independence is compromised. [ABSTRACT FROM AUTHOR]

This study examined how veteran social engagement predicted post-secondary school attainment. Nearly 10,000 post-9/11 veterans, who separated from military service in 2016, were surveyed on the programs/services they used over 4 years following separation. More than half of veterans had obtained a degree within 4 years of separation. A higher proportion of veterans of color and female veterans reported attending only some higher education than White non-Hispanic male veterans. Positive predictors of educational attainment included participating in veterans' centers and veteran-student organizations, while negative predictors included financial and mental health problems. Implications for veteran-serving programs of post-secondary institutions are discussed. [ABSTRACT FROM AUTHOR]

Background: There is a need to develop biomarkers for diagnosis and prediction of treatment responses in depression and post‐traumatic stress disorder (PTSD). Methods: Cross‐sectional study examining correlations between tear inflammatory proteins, meibum and tear sphingolipids, and symptoms of depression and PTSD‐associated anxiety. Ninety individuals filled depression (Patient Health Questionnaire 9, PHQ‐9) and PTSD‐associated anxiety (PTSD Checklist‐Military Version, PCL‐M) questionnaires. In 40 patients, a multiplex assay system was used to quantify 23 inflammatory proteins in tears. In a separate group of 50 individuals, liquid chromatography‐mass spectrometry was performed on meibum and tears to quantify 34 species of sphingolipids, encompassing ceramides, monohexosyl ceramides and sphingomyelins. Results: The mean age of the population was 59.4 ± 11.0 years; 89.0% self‐identified as male, 34.4% as White, 64.4% as Black, and 16.7% as Hispanic. The mean PHQ‐9 score was 11.1 ± 7.6, and the mean PCL‐M score was 44.3 ± 19.1. Symptoms of depression and PTSD‐associated anxiety were highly correlated (ρ =0.75, p < 0.001). Both PHQ9 and PCL‐M scores negatively correlated with multiple sphingolipid species in meibum and tears. In multivariable models, meibum Monohexosyl Ceramide 26:0 (pmol), tear Ceramide 16:0 (mol%), meibum Monohexosyl Ceramide 16:0 (mol%), and tear Ceramide 26:1 (mol%) remained associated with depression and meibum Monohexosyl Ceramide 16:0 (mol%), meibum Monohexosyl Ceramide 26:0 (pmol), tear Sphingomyelin 20:0 (mol%), and tear Sphingosine‐1‐Phosphate (mol%) remained associated with PTSD‐associated anxiety. Conclusions: Certain meibum and tear sphingolipid species were related to mental health indices. These interactions present opportunities for innovative diagnostic and therapeutic approaches for mental health disorders. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Neuropsychiatric symptoms (NPS) are nearly universal in dementia; some cross‐sectional studies of NPS in dementia have found racial/ethnic differences, though it is unknown if NPS prevalence differs among racial/ethnic groups before and after dementia diagnosis. METHODS: Participants were followed annually at Alzheimer's Disease Centers and were assessed on the Neuropsychiatric Inventory‐Questionnaire (NPI‐Q) with at least one follow‐up visit at which they were diagnosed with dementia. Descriptive statistics were generated by race/ethnicity. NPS were modeled over time as a function of race/ethnicity and with diagnosis date as the baseline. RESULTS: NPS were present in 95% in at least one time point. After adjusting for covariates, there were no statistically significant differences in NPI‐Q total scores among racial/ethnic groups at the time of and after dementia diagnosis. DISCUSSION: Findings from our prospective cohort study suggest that when individuals are matched at the time of conversion to dementia, there are no racial/ethnic differences in NPS. Highlights: Neuropsychiatric symptoms of dementia are frequent and increase caregiver burden.Prior studies reported more neuropsychiatric symptoms (NPS) in Black compared to White individuals with dementia.National Alzheimer's Coordinating Center Black, White, and Hispanic participants did not differ in NPS at the time of dementia diagnosis. [ABSTRACT FROM AUTHOR]

Given the widespread occurrence of insulin resistance, a key factor in metabolic syndrome and a distinct condition altogether, there is a clear need for effective, surrogate markers. The triglyceride-to-high-density lipoprotein (TG/HDL) ratio stands out as a viable option, indicative of changes in lipid metabolism associated with insulin resistance, offering a cost-effective and straightforward alternative to traditional, more complex biomarkers. This review, in line with PRISMA guidelines, assesses the TG/HDL ratio's potential as an indirect indicator of insulin resistance. Analysing 32 studies over 20 years, involving 49,782 participants of diverse ethnic backgrounds, including adults and children, this review primarily uses a cross-sectional analysis with the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) to gauge insulin resistance. It reveals the TG/HDL ratio's varied predictive power across ethnicities and sexes, with specific thresholds providing greater accuracy for Caucasians, Asians, and Hispanics over African Americans and for men over women. Valid across different weights and ages, for adults and children, it suggests average cutoffs of 2.53 for women and 2.8 for men. The analysis supports the TG/HDL ratio as a simple, accessible marker for insulin resistance, though it advises further research on tailored cutoffs reflecting ethnic and gender differences. [ABSTRACT FROM AUTHOR]

OBJECTIVE Hispanic/Latino individuals in the U.S. have the highest prevalence of undiagnosed and untreated diabetes and are at increased risk for cognitive impairment. In this study, we examine glycemic control in relation to cognitive aging and impairment in a large prospective cohort of middle-aged and older Hispanic/Latino individuals of diverse heritages. RESEARCH DESIGN AND METHODS Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA) is a Hispanic Community Health Study/Study of Latinos (HCHS/SOL) ancillary study. HCHS/SOL is a multisite (Bronx, NY; Chicago, IL; Miami, FL; and San Diego, CA), probability sampled prospective cohort study. SOL-INCA enrolled 6,377 diverse Hispanic/Latino individuals aged 50 years and older (2016-2018). The primary outcomes were cognitive function, 7-year cognitive decline, and mild cognitive impairment (MCI). The primary glycemia exposure variables were measured from fasting blood samples collected at HCHS/SOL visit 1 (2008-2011). RESULTS Visit 1 mean age was 56.5 years ± 8.2 SD, and the average glycosylated hemoglobin A1C (HbA1c) was 6.12% (43.5 ± 14.6 mmol/mol). After covariate adjustment, higher HbA1c was associated with accelerated 7-year global (b = -0.045; 95% CI -0.070; -0.021; in z score units) and executive cognitive decline and a higher prevalence of MCI (odds ratio 1.20; 95% CI 1.11; 1.29). CONCLUSIONS Elevated HbA1c levels were associated with 7-year executive cognitive decline and increased MCI risk among diverse middle-aged and older Hispanic/Latino individuals. Our findings indicate that poor glycemic control in midlife may pose significant risks for cognitive decline and MCI later in life among Hispanic/Latino individuals of diverse heritages. [ABSTRACT FROM AUTHOR]

Generation Z has been impacted by various stressors, such as the COVID-19 pandemic, which have contributed to detrimental health outcomes, including elevated rates of suicide. The majority of current U.S. college students encompass members of Gen Z, who have reported more stress than other generations. College students among other generations have demonstrated low rates of help-seeking behaviors, though these older generations were less racially diverse. Hierarchical regression analyses were conducted to assess gender and racial differences in help-seeking intentions for personal and emotional problems and suicidal thoughts among a racially diverse sample of 160 college students. Participants with greater thwarted belongingness (a component of suicide desire) were less likely to seek help for personal or emotional problems, with no significant differences across race or gender. These findings suggest college counselors attend to increasing social connections; programming efforts specific to this generation; and ensuring knowledge of life-saving resources across social networks. [ABSTRACT FROM AUTHOR]

Using secondary research from the political, education, and employment fields, this paper aims to demonstrate the consequences of confused and overlapping conceptualizations of the Roma in Hungary as an ethnic group, a racialized minority, a national minority, and a socially disadvantaged group. The resulting cacophony of operationalizing schemes blurs clarity and constrains efficient measures for inclusion policies. In social sciences and law, the purpose of classification is to help us understand the internal logic of concepts. Thus, classification has significant consequences, as it can imperil policy goals. Through examining the case of the Hungarian Roma, the article demonstrates how the confused conceptualization of ethnicity, race, and nationality and ill-applied methods of operationalization have vastly detrimental consequences. In addition, it is argued that many concerns regarding ethnic data processing that policy actors voice are legally unfounded, and pre-existing data protection regimes allow the processing of ethno-racial data. [ABSTRACT FROM AUTHOR]

Drawing on sociology, anthropology, constitutional law, and political philosophy, this issue explores how the concept of ethnicity functions as a salient category for understanding the experiences of minorities in Europe today. It considers ethnicity as a powerful means of self-identification and the assertion of differences between as well as within ethnic groups. This issue engages the tension between group-based stigmatization on the one hand, and the reality of increasingly fragmented forms of identification under the influences of de-institutionalization and individualization. It also hones in on the ethnicization and racialization of nationhood under the influence of right-wing identity politics, and the exploitation of ethnic differences for political and electoral purposes. In its engagement with socio-legal studies, this issue considers a number of strategies for alleviating the pressure on ethnic minorities, for example through the use of private sector duties as well as potential innovations of anti-discrimination infrastructures. [ABSTRACT FROM AUTHOR]

Background: There is little research on adolescent bariatric surgery and mental health (depression, anxiety, etc.) with racial/ethnic minority adolescents. The objective of this study is to determine associations between adolescents' preoperative reports of depression, anxiety, and self-esteem and caregiver's' reports of the caregiver-adolescent relationship and interpersonal relationships with adolescents' BMI and differences based on race/ethnicity. Method: Adolescents (ages 12–21) who underwent metabolic and bariatric surgery from June 2020 to November 2022 had their responses to specific items on the BASC-3 (anxiety, depression, and self-esteem) analyzed for associations with their body mass index (BMI) and with caregiver responses to the BASC-3 for adolescents' interpersonal skills and relationship with caregiver. Demographic differences on the BASC-3 were assessed. Pearson's correlations, independent t-tests, and ANOVA were used. Results: Caregivers who had higher t-scores for relationship with their adolescents had adolescents who had lower depression t-scores, lower anxiety t-scores, and higher self-esteem t-scores. Parents who had higher t-scores for their adolescents' interpersonal relations had adolescents who had lower depression t-scores, lower anxiety t-scores, and higher self-esteem t-scores. White adolescents had higher depression t-scores than Black and Hispanic adolescents. Black and Hispanic adolescents had higher self-esteem t-scores compared to White adolescents. Discussion: Some of the findings within the study regarding adolescents' race and ethnicity and mental health are not consistent with prior research, affirming the need for additional research of these sub-populations. [ABSTRACT FROM AUTHOR]

Objective: This study examined the racial and ethnic differences in individuals with self‐reported and doctor‐diagnosed arthritis, severe joint pain, and provider counseling for physical activity among US adults with arthritis. Methods: We estimated prevalence by race and ethnicity among 31,997 adults aged ≥18 years in the 2019 National Health Interview Survey. We used multiple logistic regression models to investigate associations between outcomes and race and ethnicity. Results: Compared with non‐Hispanic White adults (22.9%), we found a significantly higher age‐adjusted prevalence of arthritis among American Indian/Alaska Native adults (30.3%). Among adults with arthritis, higher age‐adjusted prevalence of severe joint pain among American Indian/Alaska Native (39.1%), non‐Hispanic Black (36.4%), and Hispanic adults (35.7% vs 22.5% [White]) and higher provider counseling for physical activity among non‐Hispanic Black adults (58.9% vs 52.1% [White]) were observed and could not be fully explained by differences in socioeconomic factors, body mass index, depression history, and comorbid conditions. Additional models also containing inability to pay medical bills and food insecurity did not explain racial and ethnic differences. Conclusion: Our findings highlight a need for multilevel interventions to mitigate social and environmental barriers to physical activity and eliminate disparities in individuals with arthritis and severe joint pain. [ABSTRACT FROM AUTHOR]