The population of the United States is increasingly gaining weight each year.Americans are heavier than they have ever been. African American women are at the forefront of this pandemic. This study addresses the higher prevalence of overweight and obesity among African American women in comparison to White women. Behavioral, psychological, and social known contributors to overweight and obesity using the National Health Interview Survey, 2001 dataset were examined in this study. The research concluded that even when controlling for vigorous exercise, education, income, depression, emotional support, smoking, health coverage, and age, race is the most important predictor of body mass index. Consistent with previous studies, strong race effects still remained.

Introduction: The Center for Disease Control (CDC) reports that the maternal mortality ratio (MMR) in 1987 was 7.2 deaths per 100,000 live births compared to 18.0 deaths in 2015. This increase in MMR has occurred disproportionately. The same report demonstrates that black women are more than 3 times as likely to die of pregnancy-related causes than non-Hispanic white women. The present study explores how structural differences in the economy, education system, and public policy affect the health of black, pregnant women in the U.S. Methods: This research examined epidemiological studies of maternal mortality in the U.S. Data from previous studies was used to investigate the relationship between the racial disparity in MMR and societal, economic, and political factors that contribute to said relationship. Data from the Center for Disease Control (CDC), the U.S. Census Bureau, the United Nations (UN), and the Claremont Colleges Library network was examined. Results: Studies show that between 2008-2012, black women were found to have the greatest prevalence of preexisting conditions prior to pregnancy. Furthermore, white women are more likely to have their labor induced than black, Asian, and Hispanic women. The increased prevalence of preexisting conditions among black women can be greatly attributed to factors stemming from institutional racism. These factors include less access to health care, education, and equal economic opportunities. Conclusion: Implicit bias among practicing health professionals must be addressed via multiethnic education. It is necessary to create an equally safe environment for women of all races. Additionally, health care providers should take on the responsibility of educating pregnant women about any possible preexisting chronic conditions to properly care for themselves. Prenatal health education must be made readily available and accessible to all demographics. Reports demonstrate that the creation of standardized, disease-specific procedures that target chronic conditions may reduce the U.S. MMR. For black women to overcome the current rates of comorbidity, U.S. public policy must change in a way that decreases the disparity in the socioeconomic status of all Americans.

SAIDA SHARAPOVA The role of stress in racial disparities of preterm and low birth weight births in Georgia (Under the direction of Richard Rothenberg, MD, MPH) Preterm birth (PTB) and low birth weight (LBW) are the leading causes of infant deaths in Georgia. Georgia PRAMS data (2004-2008) were analyzed for non-Hispanic White and non-Hispanic Black women with singleton births, using SAS 9.2 survey procedures. Thirteen stressful life events experienced in a year before delivery, socio-demographic, medical and behavioral risks were used as predictors of PTB and LBW. Significant racial disparity in birth outcomes and risks was found. In Whites stressful events were associated with adverse birth outcomes in bivariate logistic regression, but weakened when controlling for other factors (income, education, maternal age, maternal health, alcohol and tobacco use, infant’s gender and birth defects). In Blacks, association between stressful events and adverse birth outcomes adjusted for other risks was stronger. Socio-economic factors and mother’s health status were more significant in predicting birth outcome. Women’s health and SES improvement might increase favorable pregnancy outcomes and reduce racial disparities.

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Accumulating evidence reveals that albuminuria may exacerbate uncontrolled blood pressure (BP) in hypertensive patients. However, racial differences in the associations of albuminuria with uncontrolled BP among diagnosed hypertensives have not been evaluated. A total of 6147 diagnosed hypertensive subjects aged ≥18 years were collected from the National Health and Nutrition Examination Survey 1999-2008 with stratified multistage sampling designs. Odds ratios (ORs), relative ORs and 95% confidence intervals (CIs) in uncontrolled BP, and the different effects of microalbuminuria and macroalbuminuria on continuous BP were estimated using weighted logistic models and linear regression models. Hypertensive subjects with microalbuminuria and macroalbuminuria were more likely to have uncontrolled BP and higher average systolic BP (SBP) in all individual racial groups. Microalbuminuria was associated with isolated uncontrolled SBP in non-Hispanic blacks and whites, and macroalbuminuria was associated with isolated uncontrolled SBP and diastolic BP (DBP) and high average DBP only in non-Hispanic blacks. Compared with non-Hispanic whites, non-Hispanic blacks and Mexicans had lower associations of microalbuminuria with uncontrolled BP (relative OR=0.68, 95% CI=0.48-0.97 for blacks vs whites; relative OR=0.62, 95% CI=0.42-0.93 for Mexicans vs. whites) and isolated uncontrolled SBP (relative OR=0.62, 95% CI=0.43-0.90 for blacks vs. whites; relative OR=0.45, 95% CI=0.29-0.71 for Mexicans vs. whites). The association of microalbuminuria with uncontrolled BP was lower in non-Hispanic blacks and Mexicans than in non-Hispanic whites. Health providers need to improve care for mildly elevated albumin excretion rates in non-Hispanic white hypertensive patients while maintaining the quality of care in non-Hispanic blacks and Mexicans.

Accumulating evidence reveals that albuminuria may exacerbate uncontrolled blood pressure (BP) in hypertensive patients. However, racial differences in the associations of albuminuria with uncontrolled BP among diagnosed hypertensives have not been evaluated. A total of 6147 diagnosed hypertensive subjects aged ≥18 years were collected from the National Health and Nutrition Examination Survey 1999-2008 with stratified multistage sampling designs. Odds ratios (ORs), relative ORs and 95% confidence intervals (CIs) in uncontrolled BP, and the different effects of microalbuminuria and macroalbuminuria on continuous BP were estimated using weighted logistic models and linear regression models. Hypertensive subjects with microalbuminuria and macroalbuminuria were more likely to have uncontrolled BP and higher average systolic BP (SBP) in all individual racial groups. Microalbuminuria was associated with isolated uncontrolled SBP in non-Hispanic blacks and whites, and macroalbuminuria was associated with isolated uncontrolled SBP and diastolic BP (DBP) and high average DBP only in non-Hispanic blacks. Compared with non-Hispanic whites, non-Hispanic blacks and Mexicans had lower associations of microalbuminuria with uncontrolled BP (relative OR=0.68, 95% CI=0.48-0.97 for blacks vs whites; relative OR=0.62, 95% CI=0.42-0.93 for Mexicans vs. whites) and isolated uncontrolled SBP (relative OR=0.62, 95% CI=0.43-0.90 for blacks vs. whites; relative OR=0.45, 95% CI=0.29-0.71 for Mexicans vs. whites). The association of microalbuminuria with uncontrolled BP was lower in non-Hispanic blacks and Mexicans than in non-Hispanic whites. Health providers need to improve care for mildly elevated albumin excretion rates in non-Hispanic white hypertensive patients while maintaining the quality of care in non-Hispanic blacks and Mexicans.

No description available.

Vocational rehabilitation (VR) is a program that provides individualized and supportive services to assist individuals with disabilities in obtaining and maintaining employment compatible with their skills, abilities, and interests. Previous research has shown that people with disabilities are at risk for experiencing discrimination in multiple stages of the rehabilitation process. The primary purpose of this study was to explore if recommendations for hypothetical rehabilitation services by rehabilitation counseling students were influenced by (a) the consumer's race, (b) causal attribution of disability, (c) participant's race, and (d) the interaction of the counselor's race and consumer's race. A 2 x 2 x 3 Factorial design was utilized and results from this study revealed that recommendations for rehabilitation services were not influenced by the consumer's race, participant's race, or the interaction of the counselor's race and consumer's race. The findings did reveal that a hypothetical consumer who had an internal cause of disability was more likely to receive fewer recommendations for rehabilitation services then a consumer with an external cause. Discussion and implications are provided.

No description available.

No description available.