1
|
McClure J, Mendoza L, Sokol T, Brown D, LaVeist T, Brown S, Peacock E, Williams L, Mushatt D, Katzmarzyk P, Sarpong D, Krousel-Wood M. Advancing Health Equity: The Role of a Community-Academic-Public Health-Practice (CAPP) Partnership in Addressing COVID-19 Disparities in Louisiana. Am J Public Health 2024; 114:S55-S58. [PMID: 38064314 PMCID: PMC10785179 DOI: 10.2105/ajph.2023.307509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2023] [Indexed: 01/13/2024]
Abstract
We assessed the impact of an innovative Louisiana community-academic-public health-practice (CAPP) partnership in addressing COVID-19-associated Black-White vaccination disparities over 19 months. Initially (April 2021), the cumulative vaccinations for Black versus White Louisianans were 54 542 per 100 000 versus 62 435 per 100 000, respectively. By October 2022, cumulative vaccinations for Black versus White Louisianans were 142 437 per 100 000 versus 132 488 per 100 000, respectively. The vaccination equity score increased from 908 out of 1000 in April 2021 to 942 out of 1000 in October 2022. CAPP partnership efforts contributed to addressing initial Black-White COVID-19 vaccination disparities. (Am J Public Health. 2024;114(S1):S55-S58. https://doi.org/10.2105/AJPH.2023.307509).
Collapse
Affiliation(s)
- John McClure
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Lee Mendoza
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Theresa Sokol
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Davondra Brown
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Thomas LaVeist
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Sandra Brown
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Erin Peacock
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - LaKeisha Williams
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - David Mushatt
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Peter Katzmarzyk
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Daniel Sarpong
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| | - Marie Krousel-Wood
- John McClure and Theresa Sokol are with the Louisiana Department of Health, Office of Public Health, New Orleans, LA. Lee Mendoza and Davondra Brown are with the Louisiana Department of Health, Office of Public Health, Baton Rouge, LA. Thomas LaVeist is with the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Sandra Brown is with the College of Nursing and Allied Health, Southern University and A&M College, Baton Rouge, LA. Erin Peacock and Marie Krousel-Wood are with the Department of Medicine, Tulane University School of Medicine, New Orleans, LA. LaKeisha Williams and Daniel Sarpong are with the College of Pharmacy, Xavier University of Louisiana, New Orleans. David Mushatt is with the Department of Medicine Infectious Diseases Section, Tulane University School of Medicine. Peter Katzmarzyk is with the Pennington Biomedical Research Center, Baton Rouge, LA
| |
Collapse
|
2
|
Abstract
National data indicate that Black men have higher rates of obesity than White men. Black men also experience earlier onset of many chronic conditions and premature mortality linked to obesity. Explanations for these disparities have been underexplored, and existing national-level studies may be limited in their ability to explicate these long-standing patterns. National data generally do not account for race differences in risk exposures resulting from racial segregation or the confounding between race and socioeconomic status. Therefore, these differences in obesity may be a function of social environment rather than race. This study examined disparities in obesity among Black and White men living in the same social and environmental conditions, who have similar education levels and incomes using data from the Exploring Health Disparities in Integrated Communities-SWB (EHDIC-SWB) study. The findings were compared with the 2003 National Health Interview Survey (NHIS). Logistic regression was used to examine the association between race and obesity adjusting for demographics, socioeconomic status, and health conditions. In the NHIS, Black men had a higher odds of obesity (odds ratio=1.29, 95% confidence interval=1.12-1.49) than White men. However in the EHDIC-SWB, which accounts for social and environmental conditions of where these men live, Black men had similar odds of obesity (odds ratio=1.06, 95% confidence interval=0.70-1.62) compared with White men. These data highlight the importance of the role that setting plays in understanding race disparities in obesity among men. Social environment may be a key determinant of health when seeking to understand race disparities in obesity among Black and White men.
Collapse
Affiliation(s)
- Roland J Thorpe
- Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Elizabeth Kelley
- Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Janice V Bowie
- Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Derek M Griffith
- Institute for Research on Men's Health, Vanderbilt University, Nashville, TN, USA
| | - Marino Bruce
- Center for Health of Minority Males, University of Mississippi Medical Center, Jackson, MS, USA Jackson State University, Jackson, MS, USA
| | - Thomas LaVeist
- Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
3
|
Thorpe RJ, McCleary R, Smolen JR, Whitfield KE, Simonsick EM, LaVeist T. Racial disparities in disability among older adults: finding from the exploring health disparities in integrated communities study. J Aging Health 2015; 26:1261-79. [PMID: 25502241 DOI: 10.1177/0898264314534892] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Persistent and consistently observed racial disparities in physical functioning likely stem from racial differences in social resources and environmental conditions. METHOD We examined the association between race and reported difficulty performing instrumental activities of daily living (IADL) in 347 African American (45.5%) and Whites aged 50 or above in the Exploring Health Disparities in Integrated Communities-Southwest Baltimore, Maryland Study (EHDIC-SWB). RESULTS Contrary to previous studies, African Americans had lower rates of disability (women: 25.6% vs. 44.6%, p = .006; men: 15.7% vs. 32.9%; p = .017) than Whites. After adjusting for sociodemographics, health behaviors, and comorbidities, African American women (odds ratio [OR] = 0.32, 95% confidence interval [CI] = [0.14, 0.70]) and African American men (OR = 0.34, 95% CI = [0.13, 0.90]) retained their functional advantage compared with White women and men, respectively. CONCLUSION These findings within an integrated, low-income urban sample support efforts to ameliorate health disparities by focusing on the social context in which people live.
Collapse
Affiliation(s)
- Roland J Thorpe
- Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Center on Biobehavorial Health Disparities Research, Duke University, Durham, NC, USA
| | - Rachael McCleary
- Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Jenny R Smolen
- Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Keith E Whitfield
- Center on Biobehavorial Health Disparities Research, Duke University, Durham, NC, USA
| | - Eleanor M Simonsick
- Johns Hopkins School of Medicine, Baltimore, MD, USA National Institute on Aging, Baltimore, MD, USA
| | - Thomas LaVeist
- Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
11
|
Hardy JB, Shapiro S, Mellits ED, Skinner EA, Astone NM, Ensminger M, LaVeist T, Baumgardner RA, Starfield BH. Self-sufficiency at ages 27 to 33 years: factors present between birth and 18 years that predict educational attainment among children born to inner-city families. Pediatrics 1997; 99:80-7. [PMID: 8989343 DOI: 10.1542/peds.99.1.80] [Citation(s) in RCA: 51] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVES Some inner-city infants grow to be successful, self-sufficient adults. This study is designed to identify characteristics from early childhood that foster or impede favorable outcomes and are useful for formulation of public policy. POPULATION 2694 children (G-2s), born 1960 through 1965, to 2307 inner-city women (G-1s) enrolled in the Johns Hopkins Collaborative Perinatal Study. DATA 1) prospective observations (birth through 8 years) of neurologic and cognitive development, health, behavior, and family and neighborhood socioeconomic characteristics and 2) completed interviews with 1758 G-2s (age 27 to 33) and 1552 G-1s, bridging the period from age 9 to present status. An intergenerational, life course model of development identified significant characteristics and events associated with G-2 outcome (education, physical and mental health, healthy lifestyle, and financial independence of public support, emphasizing educational attainment of a high school diploma or a graduate equivalency degree). Multiple logistic regression equations identified independent, predictive variables during infancy, preschool and early school years, and adolescence. The probability of a good outcome was estimated in the presence of combinations of the six variables most strongly associated with that outcome. RESULTS Among G-2s, 79% had a successful outcome for education, 60% health, 70% lifestyle, and 76% for financial independence. Black G-2s had more favorable outcomes than white G-2s in education and lifestyle, whites for financial outcome; health did not differ by race. The six variables most predictive of adult education were: G-1 education at G-2 birth and G-2 attainment of honor roll, average or better reading skills at 8 years, avoidance of regular smoking, and pregnancy before age 18, and not repeating a grade in school. CONCLUSIONS Substantial proportions of inner-city children become successful adults. Attention to improving public education, particularly language and reading skills, and the prevention of smoking and adolescent pregnancy are clearly indicated.
Collapse
Affiliation(s)
- J B Hardy
- Department of Pediatrics, Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA
| | | | | | | | | | | | | | | | | |
Collapse
|