Analysis of Exploring Health Disparities in Integrated Communities, Prince Georges County (EHDIC-PG) - This project is an epidemiologic study of the adult residents of a racially integrated census tract in Prince Georges County, MD, where there are no race differences in socioeconomic status (SES). This study design seeks to account for segregation, which leads to race differences in exposure to social determinants of health, a problem that confounds much of the race disparities literature. The data collection for this study was supported by our current COE grant (which expires in April 2012). We anticipate that the data collection will be complete by April 2012. The EHDIC-PG data is similar to the EHDIC-SWB study, which is a study conducted in Southwest Baltimore, a low income racially integrated community. We completed the data collection for EHDIC-SWB in 2003 under our initial EXPORT funding. We have published several articles using data from EHDIC-SWB. We now propose to conduct a series of analyses of the EHDIC-PG data and compare findings from the two communities.
The specific aims for this project are:
Specific Aim 1) To explore domains of race disparities in obesity in a racially integrated social context.
Specific Aim 2) To examine the psychosocial correlates of race disparities within a racial integrated social context.
Specific Aim 3) To examine the social context of race disparities in health services access, use, quality and outcomes.
Specific Aim 4) To explore if disparities in aspects of aging differ in a racially integrated environment..

Public Health Relevance

Advances in health disparities research has been hampered by three vexing problems: (1) limited availability of data with sufficient sample size to support comparative analysis, (2) racial differences in health risk exposures caused by racial segregation, and (3) confounding of race and socioeconomic status. The significance of the EHDIC study for advancing knowledge about health disparities lies in the ability of our study designed to overcome these vexing problems.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD000214-12
Application #
8487441
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
12
Fiscal Year
2013
Total Cost
$83,493
Indirect Cost
$31,954
Name
Johns Hopkins University
Department
Type
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
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Furr-Holden, C Debra M; Milam, Adam J; Nesoff, Elizabeth D et al. (2016) Not in My Back Yard: A Comparative Analysis of Crime Around Publicly Funded Drug Treatment Centers, Liquor Stores, Convenience Stores, and Corner Stores in One Mid-Atlantic City. J Stud Alcohol Drugs 77:17-24
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Thorpe Jr, Roland J; Fesahazion, Ruth G; Parker, Lauren et al. (2016) Accelerated Health Declines among African Americans in the USA. J Urban Health 93:808-819
Arnett, M J; Thorpe Jr, R J; Gaskin, D J et al. (2016) Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care: Findings from the Exploring Health Disparities in Integrated Communities Study. J Urban Health 93:456-67
González, Gloria; Wilson-Frederick Wilson, Shondelle M; Thorpe Jr, Roland J (2015) Examining Place As a Social Determinant of Health: Association Between Diabetes and US Geographic Region Among Non-Hispanic Whites and a Diverse Group of Hispanic/Latino Men. Fam Community Health 38:319-31
Kalyani, Rita Rastogi; Rodriguez, Diana C; Yeh, Hsin-Chieh et al. (2015) Diabetes, race, and functional limitations in older U.S. men and women. Diabetes Res Clin Pract 108:390-7
Seamans, Marissa J; Robinson, Whitney R; Thorpe Jr, Roland J et al. (2015) Exploring racial differences in the obesity gender gap. Ann Epidemiol 25:420-5

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