Study Purpose: The purpose of this study was to examine whether there were differences in patterns of care between African American (AA) and Non-Hispanic White (NHW) men newly diagnosed with prostate cancer in Florida, and how the treatment patterns compare with the National Comprehensive Cancer Network (NCCN) initial treatment recommendations. Materials and Methods: This retrospective cohort study utilized data from the Florida Cancer Data System (FCDS), to identify incident cases of prostate cancer diagnosed between 1982 and 2012. The variables of interest included: race/ethnicity, marital status, age at diagnosis, stage at diagnosis, tumor grade, year of diagnosis, and treatment modality (singular or multimodality). Adjusted odds ratios (AORs) and 95% confidence intervals were calculated to determine disparities in the receipt of treatment by age at diagnosis, stage at diagnosis and tumor grade between AA and NHW men. Results: A total of 244,449 AA (30,556 cases or 12.5%) and NHW (213,893 cases or 87.5%) men met the study inclusion/exclusion criteria. AA men were significantly less likely to receive surgery only or surgery in combination with other treatment modalities compared to NHW men, localized disease (AOR=0.66, 95% CI (0.63-0.68), regional disease (AOR=0.63, 95% CI (0.57- 0.71), distant disease (AOR=0.50, 95% CI (0.34-0.75). Comparisons of adherence to the NCCN initial treatment recommendations indicate that AA men with(5% versus 13%). Moreover, AA men in the very high risk group had a higher NCCN initial treatment adherence percentage compared to NHW men (76% versus 70%). Conclusion: After adjusting for potential demographic and clinical confounders, significant differences exist in the receipt of first course of treatment where AA men were more likely to receive radiation and/or hormone therapy and less likely to receive surgery compared to NHW men. Further research is needed to address this disparity.

Student loan debt continues to be an issue in the U.S., with potential long-term effects on loan repayment and potential wealth accumulation. In particular, minorities face barriers in the educational system and accruing wealth. Hispanics occupy a middling position in the U.S. racial hierarchy. Using the National Longitudinal Survey of Youth 1997 geocode data, in this study I examined how Hispanic-White differences in student debt change over time and how student debt influences wealth. In addition, I accounted for immigration status via parents' nativity status to investigate debt burdens and subsequent wealth for these respondents. I used hierarchical linear growth models to examine debt growth over time and linear decomposition to examine Hispanic-White differences in wealth accumulation and the impact of student debt on these differences. While findings were largely statistically insignificant, I found that Hispanics tended to start with less debt than their White counterparts and that student debt initially grew for both groups. However, White respondents pay off their debt more quickly than Hispanics. In addition, I found that the wealth gap between White and Hispanic respondents grew significantly between the ages of 20 and 35. While Hispanics tended to start with less debt, my findings suggest that student debt still plays a role in Hispanics' financial well-being, including Hispanic wealth development and the perpetuation of the Hispanic-White wealth gap.

Background: The demand for organ donation is increasing but there is always a lack of organ donor supply. To receive an organ donation, specific criteria must be met. Matching criteria between the donor and the recipient is critically important. The likelihood of having a capable organ increases when the donors and recipients have the same ethnicity. However, the number of organ donors differ significantly based on ethnicity. Purpose: The purpose of this literature review was to explore the impact of cultural background and education among the Asian and non-Hispanic White population on organ donation and how it impacts individuals' decisions on becoming organ donators. Methods: To explore the impact of cultural background and education on the Asian and non-Hispanic White population regarding organ donation, a literature review was conducted. The databases including, CINAHL Plus with Full Text and MEDLINE were utilized. Google Scholar was used for additional articles related to the topic. The time frame of the articles was from January 2012 to January 2022, a ten-year frame. Results: Overall, the Asian population had a lower deceased organ donation rate and registration rate in comparison to the non-Hispanic White population. The factors that contributed to low organ donation and registration include traditional religion, lack of knowledge, miscommunication, mistrust in the healthcare system, and consideration of family members' attitudes. Conclusion: Organ donation and registration rates remain low in the Asian population in comparison to the non-Hispanic White population due to several barriers related to their cultural background. Thus, it is critical to educate the patients and their family members regarding organ donation to increase the organ donation and registration rate.

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