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..
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.
|LaVeist, Thomas A; Thorpe Jr, Roland J; Pierre, Geraldine et al. (2014) THE RELATIONSHIPS AMONG VIGILANT COPING STYLE, RACE, AND DEPRESSION. J Soc Issues 70:241-255|
|Smolen, J R; Thorpe Jr, Roland J; Bowie, J V et al. (2014) Health insurance and chronic conditions in low-income urban whites. J Urban Health 91:637-47|
|Wilson-Frederick, Shondelle M; Thorpe Jr, Roland J; Bell, Caryn N et al. (2014) Examination of race disparities in physical inactivity among adults of similar social context. Ethn Dis 24:363-9|
|Martínez, Airín D; Juon, Hee-soon; Levine, David M et al. (2014) The association between nutrition transition score and measures of obesity: results from a cross-sectional study among Latina/o immigrants in Baltimore. Global Health 10:57|
|Pierre, Geraldine; Thorpe Jr, Roland J; Dinwiddie, Gniesha Y et al. (2014) Are there racial disparities in psychotropic drug use and expenditures in a nationally representative sample of men in the United States? Evidence from the Medical Expenditure Panel Survey. Am J Mens Health 8:82-90|
|Njie-Carr, Veronica (2014) Violence experiences among HIV-infected women and perceptions of male perpetrators' roles: a concurrent mixed method study. J Assoc Nurses AIDS Care 25:376-91|
|Thorpe Jr, Roland J; Szanton, Sarah L; Bell, Caryn N et al. (2013) Education, income and disability in African Americans. Ethn Dis 23:12-7|
|Dinwiddie, Gniesha Y; Gaskin, Darrell J; Chan, Kitty S et al. (2013) Residential segregation, geographic proximity and type of services used: evidence for racial/ethnic disparities in mental health. Soc Sci Med 80:67-75|
|Jackson, Chandra L; Szklo, Moyses; Yeh, Hsin-Chieh et al. (2013) Black-white disparities in overweight and obesity trends by educational attainment in the United States, 1997-2008. J Obes 2013:140743|
|Bower, Kelly M; Thorpe Jr, Roland J; LaVeist, Thomas A (2013) Perceived racial discrimination and mental health in low-income, urban-dwelling whites. Int J Health Serv 43:267-80|
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