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.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
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Special Emphasis Panel (ZMD1-RN)
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Johns Hopkins University
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Bell, Caryn N; Thorpe Jr, Roland J; LaVeist, Thomas A (2018) The Role of Social Context in Racial Disparities in Self-Rated Health. J Urban Health 95:13-20
Gaskin, Darrell J; Zare, Hossein; Vazin, Roza et al. (2018) Racial and Ethnic Composition of Hospitals' Service Areas and the Likelihood of Being Penalized for Excess Readmissions by the Medicare Program. Med Care 56:934-943
Archibald, Paul C; Parker, Lauren; Thorpe Jr, Roland (2018) Criminal Justice Contact, Stressors, and Obesity-Related Health Problems Among Black Adults in the USA. J Racial Ethn Health Disparities 5:387-397
Bruce, Marino A; Thorpe Jr, Roland J; Beech, Bettina M et al. (2018) Sex, Race, Food Security, and Sugar Consumption Change Efficacy Among Low-Income Parents in an Urban Primary Care Setting. Fam Community Health 41 Suppl 2 Supp:S25-S32
Hines, Anika L; Pollack, Craig E; LaVeist, Thomas A et al. (2018) Race, Vigilant Coping Strategy, and Hypertension in an Integrated Community. Am J Hypertens 31:197-204
Mwinnyaa, George; Porch, Tichelle; Bowie, Janice et al. (2018) The Association Between Happiness and Self-Rated Physical Health of African American Men: A Population-Based Cross-Sectional Study. Am J Mens Health 12:1615-1620
Usher, Therri; Gaskin, Darrell J; Bower, Kelly et al. (2018) Residential Segregation and Hypertension Prevalence in Black and White Older Adults. J Appl Gerontol 37:177-202
Hill, Sarah E; Bell, Caryn; Bowie, Janice V et al. (2017) Differences in Obesity Among Men of Diverse Racial and Ethnic Background. Am J Mens Health 11:984-989
Parker, Lauren J; Benjamin, Troyana; Archibald, Paul et al. (2017) The Association Between Marijuana Usage and Discrimination Among Adult Black Men. Am J Mens Health 11:435-442
Bowie, Janice V; Bell, Caryn N; Ewing, Altovise et al. (2017) Religious Coping and Types and Sources of Information Used in Making Prostate Cancer Treatment Decisions. Am J Mens Health 11:1237-1246

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