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Black Men (black + man)
Selected AbstractsLockstep and Dance: Images of Black Men in Popular CultureTHE JOURNAL OF POPULAR CULTURE, Issue 3 2008E. Angelica Whitmal No abstract is available for this article. [source] Interracial and Intraracial Patterns of Mate Selection Among America's Diverse Black PopulationsJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2006Christie D. Batson Despite recent immigration from Africa and the Caribbean, Blacks in America are still viewed as a monolith in many previous studies. In this paper, we use newly released 2000 census data to estimate log-linear models that highlight patterns of interracial and intraracial marriage and cohabitation among African Americans, West Indians, Africans, and Puerto Rican non-Whites, and their interracial marriage and cohabitation with Whites. Based on data from several metropolitan areas, our results show that, despite lower socioeconomic status, native-born African Americans are more likely than other Blacks to marry Whites; they also are more likely to marry other Black ethnics. West Indians, Africans, and Puerto Rican non-Whites are more likely to marry African Americans than to marry Whites. Interracial relationships represent a greater share of cohabiting unions than marital unions. The majority of interracial unions, including native and immigrant Blacks, consist of a Black man and White woman. The implications for marital assimilation are discussed. [source] Differences in the measured alcohol content of drinks between black, white and Hispanic men and women in a US national sampleADDICTION, Issue 9 2009William C. Kerr ABSTRACT Aims To measure and describe drink alcohol content differences between Hispanic, non-Hispanic white and non-Hispanic black men and women in the United States. Design A telephone survey re-interview of 397 respondents who participated originally in the 2005 National Alcohol Survey, of whom 306 provided complete information on home drinks. Setting United States. Participants Adults aged 18 years and older from across the United States. Measurements Direct measurement by respondents of simulated drink pours in respondents' own glassware using a provided beaker and reported beverage brands were used to calculate drink alcohol content. Findings Black men were found to have the largest overall mean drink alcohol content at 0.79 oz (23 ml) of alcohol. This was significantly larger than the mean for white men or for black women and added 30% to black men's monthly alcohol intake when applied to their reported number of drinks. Spirits drinks were found to be particularly large for men. Multivariate models indicated that drink alcohol content differences are attributable more to income and family structure differences than to unmeasured cultural factors tied to race or ethnicity per se. Models predicting alcohol-related consequences and dependence indicate that adjusting drink alcohol content improves model fit and reduces differences between race/ethnicity defined groups. Conclusions Differences in drink alcohol content by gender, race/ethnicity and beverage type choice should be considered in comparisons of drinking patterns and alcohol-related outcomes. Observed differences can be explained partially by measured characteristics regarding family structure and income. [source] Androgen receptor protein expression in prostatic tissues in black and caucasian men,THE PROSTATE, Issue 4 2004E. Oluwabunmi Olapade-Olaopa Abstract BACKGROUND CaP has a higher incidence and mortality in Black men. We hypothesized that subpopulation differences in AR expression may contribute to this phenomenon. METHOD AR immunostaining was compared in epithelium and PES of normal, BPH, and CaP tissues from Black African men and UK Caucasian men. RESULTS AR expression was similar in normal prostatic epithelium of both groups, but was higher in BPH and CaP epithelium of Black than Caucasian men (P,,,0.0001). Also, AR expression in PES was higher in Caucasian than Black men in normal/atrophic and benign hyperplastic tissues, but there was a similar significant loss of AR expression in PES of CaP tissues of both groups (normal and BPH stroma versus CaP stroma (P,,,0.0001). CONCLUSIONS Variations in AR expression between subpopulations may contribute to the phenotypic differences of prostatic diseases in Black and Caucasian men. © 2004 Wiley-Liss, Inc. [source] Hard palate perforation: an unusual finding in paracoccidioidomycosisINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 4 2001Luiz G. M. Castro MD A 36-year-old black man presented to his dermatologist in May 1996 complaining of mucosal lesions in the mouth, as well as perforation of the hard palate. The lesions had started approximately 7 months before and had worsened gradually. Other complaints included odynophagia, dysphagia, mild dyspnea, and dry cough. The patient was in good general health, but reported a 3 kg weight loss over the previous semester. The hard and soft palate presented erythematous ulcers with a finely granulated base and irregular, but clearly defined margins. A perforation (diameter, 0.5 cm) of the hard palate was seen in the center of the ulcerated region (Fig. 1). Direct examination of 10% KOH cleared specimens showed typical double-walled, multiple budding yeast structures. Paracoccidioidomycosis (PCM) serologic reactions tested positive for double immunodiffusion (DI), complement fixation (CF) 1 : 256 and counterimmunoelectrophoresis (CIE) 1 : 128. Hematoxylin and eosin-stained sections of oral lesions showed an ulcer covered by a fibrous leukocytic crust, with a lymphoplasmacytic infiltrate, as well as multinuclear giant cells containing round bodies with a double membrane. Gomori,Grocott staining showed budding and blastoconidia suggestive of PCM. Lung computed tomography (CT) exhibited findings consistent with pulmonary PCM. Diagnosis of the chronic multifocal form of PCM with oral and pulmonary manifestations was established. Drug therapy was initiated with ketoconazole (KCZ) 200 mg twice daily, which led to clinical cure in approximately 2 months. Serum antibody values rose 30 days after institution of therapy (CIE 1 : 256; CF 1 : 512), peaking at day 60 (CIE 1 : 1024; CF 1 : 1024). Three months later the daily dose was reduced to 200 mg and titers declined slowly. The diameter of the perforation remained unchanged (Fig. 2). The hard palate perforation was corrected with a palatoplasty 27 months after initiation of drug therapy (Fig. 3). KCZ was discontinued when serologic cure was achieved after 34 months of treatment (DI weakly positive; CIE 1 : 8; CF not measurable). The patient was discharged 46 months after the first visit. Figure 1. Ulcers with a finely granulated base on the hard palate with irregular but clearly defined margins. A perforation (diameter, 0.5 cm) of the hard palate is seen in the center of the ulcerated region Figure 2. Clinical aspect after 2 months of oral ketoconazole 200 mg twice daily. Resolution of ulceration was evident, but the diameter of the perforation remained unchanged Figure 3. Final result of palatoplasty to cover hard palate perforation [source] Histoplasma capsulatum var. capsulatum occurring in an HIV-positive Ghanaian immigrant to Italy,APMIS, Issue 11 2001Identification of H. capsulatum DNA by PCR from paraffin sample Histoplasmosis, which is highly endemic in the United States, is rare in Europe, usually imported but sometimes autochthonous. In Africa, histoplasmosis capsulati coexists with "African histoplasmosis", a characteristic skin infection caused by H. capsulatum var. duboisii. Histoplamosis due to H. capsulatum is one of the 12 secondary infections listed in the surveillance definitions of AIDS. We report the case of a 36-year-old black man with acquired immunodeficiency syndrome (AIDS) who was living in Italy but originally came from Ghana. Histoplasmosis was disseminated with fever and cutaneous manifestations. The diagnosis was demonstrated morphologically based on the presence of yeast, observed by light microscopy, in skin lesions and by identification of H. capsulatum var. capsulatum DNA by nested PCR from a paraffin sample. No clinical reports of histoplamosis capsulati in Ghana have been published until now. The present case stresses the role of immigration of subjects from outside Europe who have been infected in their native country. [source] Uveal melanoma in an 18-year-old African black manACTA OPHTHALMOLOGICA, Issue 1 2005Joël Gambrelle No abstract is available for this article. [source] Racial and Gender Trends in the Use of Implantable Cardioverter-Defibrillators Among Medicare Beneficiaries Between 1997 and 2003CONGESTIVE HEART FAILURE, Issue 2 2009Paul S. Chan MD Differences in the use of implantable cardioverter-defibrillators (ICDs) have been reported, but the extent to which they have widened after the publication of major clinical trials supporting their use is unclear. Using data on Medicare beneficiaries, the authors determined annual age-standardized population-based utilization rates of ICDs for white men, black men, white women, and black women from 1997 to 2003. During the study period, overall use of ICDs increased most for white men (81.7,254.7 procedures per 100,000 from 1997 to 2003) and black men (38.0,151.7 procedures per 100,000), with white women (28.9,98.4 procedures per 100,000) and black women (18.2,77.3 procedures per 100,000) showing smaller increases in comparison. After adjustment with multivariable regression models, differences in utilization rates between whites and men widened compared with blacks and women between 1997 and 2003, a period when indications for ICD therapy have expanded. [source] WE WERE DANCING IN THE CLUB, NOT ON THE BERLIN WALL: Black Bodies, Street Bureaucrats, and Exclusionary Incorporation into the New EuropeCULTURAL ANTHROPOLOGY, Issue 4 2008DAMANI JAMES PARTRIDGE ABSTRACT In this essay, I explore the micropolitics of citizenship and sovereignty via the emerging street bureaucratic status of "white" German women in relationships with "black" men in Germany and Berlin. In the midst of the fallen Berlin Wall and increasing Europe-wide restrictions on immigration and asylum, it examines further the extent to which a consistent "black" male hypersexual performance is necessary for legal recognition via "white" German women who, taking on an informal bureaucratic status, ultimately decide which "black" subjects to marry. A history of desiring "black" bodies, the essay argues, coincides with several important moments of sexual liberation (incl. post,World War II African American military occupation, 1970s West German feminism, and the fall of the Berlin Wall), which make these relationships both possible and public; however, the hypersexualized conditions under which "black" subjects get incorporated into contemporary German life are also ultimately exclusionary. [source] The medical and surgical therapy of pseudofolliculitis barbaeDERMATOLOGIC THERAPY, Issue 2 2004Sharon Bridgeman-Shah ABSTRACT:, Pseudofolliculitis barbae (PFB) is a common, chronic, inflammatory skin disorder seen mainly in individuals with curly hair. This condition is seen most frequently in black men who shave their beards but may also be seen in women of all races who wax or shave the axillary and pubic skin. The etiology of PFB is multifactorial, and heretofore a cure has been considered impossible for those desiring a clean-shaven face. The following article serves to discuss the current medical and surgical therapies available for this condition. Medical treatments for this condition include various combinations of topical antibiotics, corticosteroids, and retinoids. In the surgical arena, laser therapy has revolutionized the treatment of PFB and has enabled cure for the first time for those plagued by this disorder and for whom a beardless face is acceptable. [source] Higher fasting insulin but lower fasting C-peptide levels in African Americans in the US population,DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue 2 2002Maureen I. Harris Abstract Background Fasting serum insulin and fasting serum C-peptide are risk factors for developing type 2 diabetes. Because of the higher incidence of type 2 diabetes in African Americans and Hispanic Americans, it is likely that these groups may differ from non-Hispanic whites in their levels of insulin and C-peptide. Methods We analyzed data from a nationally representative sample of adults in the US population for whom sociodemographic, clinical, and laboratory information were obtained. The data were used to describe distributions of fasting insulin and fasting C-peptide in non-Hispanic white, non-Hispanic black, and Mexican American men and women aged ,20 years without a medical history of diabetes. Results Among men, Mexican Americans had higher insulin values than non-Hispanic whites and blacks. Among women, both Mexican Americans and blacks had higher insulin values than whites. For C-peptide, differences by sex and race-ethnicity paralleled those seen for fasting insulin with the exception that black men had significantly lower C-peptide values than whites and Mexican Americans. After adjustment for age, fasting plasma glucose (FPG), body mass index (BMI), and waist-to-hip ratio (WHR), the higher levels for insulin in blacks and Mexican Americans remained; both black men and women had significantly lower C-peptide values than whites and Mexican Americans. The molar ratio of fasting C-peptide to fasting insulin was similar for men and women in each race-ethnic group. However, blacks had substantially lower ratios than whites and Mexican Americans. Conclusions We found wide variations in fasting insulin and fasting C-peptide levels by race and ethnicity in US adults that were not explained by confounding factors, primarily measures of obesity. Most notably, the higher fasting insulin and lower fasting C-peptide levels in blacks implies that there is a derangement in insulin clearance and an impairment in beta-cell function in blacks compared with whites and Mexican Americans. Published in 2002 by John Wiley & Sons, Ltd. [source] Black Employment, Segregation, and the Social Organization of Metropolitan Labor MarketsECONOMIC GEOGRAPHY, Issue 3 2007Niki T. Dickerson Abstract: This broad analysis of the employment of blacks in metropolitan areas examines the role of residential segregation in comparison with four other key structural explanations for racial metropolitan inequality: industrial composition, minority concentration, immigration, and the racial disparity in skills. The goal of the analysis was to determine whether the spatial configuration of blacks relative to whites in a metropolitan area influences the employment rates of black men and black women in the context of the structural conditions of the local labor market. The study expanded the analysis of space and work beyond an emphasis on the physical distance between black communities and jobs to a broader conceptualization of residential segregation as a structural feature of the entire metropolitan labor market that is representative of its social organization with regard to race. Using a longitudinal data set of the structural characteristics of the 95 largest U.S. cities from the 1980, 1990, and 2000 decennial censuses, the study used a cross-sectional analysis of the cities in 2000 and a fixed-effects analysis to assess the impact of five dimensions of residential segregation and the four other structural factors on the employment of blacks across different labor markets and across time within each labor market. The results revealed that when the other structural characteristics are controlled, the employment rates of blacks are lower in more segregated cities and decrease as cities become more segregated over time. The clustering and evenness dimensions of residential segregation were the most determinative of black employment. [source] Immigration and the Economic Status of African-American MenECONOMICA, Issue 306 2010George J. Borjas The employment rate of black men, and particularly of low-skilled black men, fell precipitously between 1960 and 2000. At the same time, their incarceration rate rose. This paper examines the relation between immigration and these trends in employment and incarceration. Using data from the 1960,2000 US censuses, we find that a 10% immigration-induced increase in the supply of workers in a particular skill group reduced the black wage of that group by 2.5%, lowered the employment rate by 5.9 percentage points, and increased the incarceration rate by 1.3 percentage points. [source] Differences in the measured alcohol content of drinks between black, white and Hispanic men and women in a US national sampleADDICTION, Issue 9 2009William C. Kerr ABSTRACT Aims To measure and describe drink alcohol content differences between Hispanic, non-Hispanic white and non-Hispanic black men and women in the United States. Design A telephone survey re-interview of 397 respondents who participated originally in the 2005 National Alcohol Survey, of whom 306 provided complete information on home drinks. Setting United States. Participants Adults aged 18 years and older from across the United States. Measurements Direct measurement by respondents of simulated drink pours in respondents' own glassware using a provided beaker and reported beverage brands were used to calculate drink alcohol content. Findings Black men were found to have the largest overall mean drink alcohol content at 0.79 oz (23 ml) of alcohol. This was significantly larger than the mean for white men or for black women and added 30% to black men's monthly alcohol intake when applied to their reported number of drinks. Spirits drinks were found to be particularly large for men. Multivariate models indicated that drink alcohol content differences are attributable more to income and family structure differences than to unmeasured cultural factors tied to race or ethnicity per se. Models predicting alcohol-related consequences and dependence indicate that adjusting drink alcohol content improves model fit and reduces differences between race/ethnicity defined groups. Conclusions Differences in drink alcohol content by gender, race/ethnicity and beverage type choice should be considered in comparisons of drinking patterns and alcohol-related outcomes. Observed differences can be explained partially by measured characteristics regarding family structure and income. [source] The Perils of the Back Seat: Date Rape, Race and Gender in 1950s AmericaGENDER & HISTORY, Issue 1 2008Lisa Lindquist Dorr Dating among white American teenagers in the 1950s caused parents considerable concern, as it represented disturbing developments in sexual expectations. While the rhetoric surrounding marriage celebrated traditional gender roles and monogamy, Americans bemoaned social and moral decay, caused in part by women's encroachment on male prerogatives. Sexual experience for boys increasingly became a defining gender characteristic and a means of achieving manhood as well. Ideas about proper marital norms and studies of dating practices among young people naturalised male aggression as proof of masculinity, which made girls, even ,respectable ones', vulnerable to violence from their dates. As teens' acceptance of going steady became more widespread, older racialised narratives of sexual danger evolved to incorporate new dating trends. Whereas American, and especially southern white, women knew the dangers of the supposed ,black beast rapist', they learnt during the 1950s that a special danger could confront them in the back seat of cars, despite the presence of their white, male date. Even with a white protector, white women remained vulnerable to violence on dates, whether from black men or from their white date. As dating conventions loosened, white women found that that the perils of the back seat only increased. [source] Kidney Function as a Predictor of Loss of Lean Mass in Older Adults: Health, Aging and Body Composition StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2007Linda F. Fried MD OBJECTIVES: To assess the association between kidney function and change in body composition in older individuals. DESIGN: Prospective cohort study. SETTING: Two sites, Pittsburgh, Pennsylvania, and Memphis, Tennessee. PARTICIPANTS: Three thousand twenty-six well-functioning, participants aged 70 to 79 in the Health, Aging and Body Composition Study. MEASUREMENTS: Body composition (bone-free lean mass and fat mass) was measured using dual x-ray absorptiometry annually for 4 years. Kidney function was measured at baseline according to serum creatinine (SCr). Comorbidity and inflammatory markers were evaluated as covariates in mixed-model, repeated-measures analysis. RESULTS: High SCr was associated with loss of lean mass in men but not women, with a stronger relationship in black men (P=.02 for difference between slopes for white and black men). In white men, after adjustment for age and comorbidity, higher SCr remained associated with loss of lean mass (,0.07±0.03 kg/y greater loss per 0.4 mg/dL (1 standard deviation (SD)), P=.009) but was attenuated after adjustment for inflammatory factors (,0.05±0.03 kg/y greater loss per SD, P=.10). In black men, the relationship between SCr and loss of lean mass (,0.19±0.04 kg/y per SD, P<.001) persisted after adjustment for inflammation and overall weight change. CONCLUSION: Impaired kidney function may contribute to loss of lean mass in older men. Inflammation appeared to mediate the relationship in white but not black men. Future studies should strive to elucidate mechanisms linking kidney disease and muscle loss and identify treatments to minimize loss of lean mass and its functional consequences. [source] Prevalence and Correlates of Fecal Incontinence in Community-Dwelling Older AdultsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2005Patricia S. Goode MD Objectives: To determine prevalence and correlates of fecal incontinence in older community-dwelling adults. Design: A cross-sectional, population-based survey. Setting: Participants interviewed at home in three rural and two urban counties in Alabama from 1999 to 2001. Participants: The University of Alabama at Birmingham Study of Aging enlisted 1,000 participants from the state Medicare beneficiary lists. The sample was selected to include 25% black men, 25% white men, 25% black women, and 25% white women. Measurements: The survey included sociodemographic information, medical conditions, health behaviors, life-space assessment (mobility), and self-reported health status. Fecal incontinence was defined as an affirmative response to the question "In the past year, have you had any loss of control of your bowels, even a small amount that stained the underwear?" Severity was classified as mild if reported less than once a month and moderate to severe if reported once a month or greater. Results: The prevalence of fecal incontinence in the sample was 12.0% (12.4% in men, 11.6% in women; P=.33). Mean age±standard deviation was 75.3±6.7 and ranged from 65 to 106. In a forward stepwise logistic regression analysis, the following factors were significantly associated with the presence of fecal incontinence in women: chronic diarrhea (odds ratio (OR)=4.55, 95% confidence interval (CI)=2.03,10.20), urinary incontinence (OR=2.65, 95% CI=1.34,5.25), hysterectomy with ovary removal (OR=1.93, 95% CI=1.06,3.54), poor self-perceived health status (OR=1.88, 95% CI=1.01,3.50), and higher Charlson comorbidity score (OR=1.29, 95% CI=1.07,1.55). The following factors were significantly associated with fecal incontinence in men: chronic diarrhea (OR=6.08, 95% CI=2.29,16.16), swelling in the feet and legs (OR=3.49, 95% CI=1.80,6.76), transient ischemic attack/ministroke (OR=3.11, 95% CI=1.30,7.41), Geriatric Depression Scale score greater than 5 (OR=2.83, 95% CI=1.27,6.28), living alone (OR=2.38, 95% CI=1.23,4.62), prostate disease (OR=2.29, 95% CI=1.04,5.02), and poor self-perceived health (OR=2.18, 95% CI=1.13,4.20). The following were found to be associated with increased frequency of fecal incontinence in women: chronic diarrhea (OR=6.39, 95% CI=2.25,18.14), poor self-perceived health (OR=5.37, 95% CI=1.75,16.55), and urinary incontinence (OR=4.96, 95% CI=1.41,17.43). In men, chronic diarrhea (OR=5.38, 95% CI=1.77,16.30), poor self-perceived health (OR=3.91, 95% CI=1.39,11.02), lower extremity swelling (OR=2.86, 95% CI=1.20,6.81), and decreased assisted life-space mobility (OR=0.73, 95% CI=0.49,0.80) were associated with more frequent fecal incontinence. Conclusion: In community-dwelling older adults, fecal incontinence is a common condition associated with chronic diarrhea, multiple health problems, and poor self-perceived health. Fecal incontinence should be included in the review of systems for older patients. [source] Metabolic syndrome, its preeminent clusters, incident coronary heart disease and all-cause mortality , results of prospective analysis for the Atherosclerosis Risk in Communities studyJOURNAL OF INTERNAL MEDICINE, Issue 1 2007Y. Hong Abstract. Objective., To investigate the prospective association between Metabolic Syndrome (MetS) and coronary heart disease (CHD) and all-cause mortality. Subjects and Design., A bi-racial cohort of 14 699 middle-aged Americans from the Atherosclerosis Risk in Communities study were followed for the development of new CHD and death over a period of 9 years. MetS, using the original ATP-III criteria, was defined as having at least three of the following components: elevated blood pressure (BP), elevated plasma glucose, elevated blood triglyceride (TG), increased waist circumference, and low HDL cholesterol (HDL-c). Incident CHD cases included hospitalized myocardial infarction (MI), fatal CHD, revascularization procedures, and silent MI as detected by EKG. Results., The prevalence of the MetS at baseline was 29%, 30%, 40% and 26% among CHD-free white women, white men, black women, and black men, respectively. There were 1018 incident CHD cases and 1039 deaths. The relative risk (RR) and 95% confidence interval (CI) of incident CHD associated with MetS was 2.46 (1.99, 3.03) for women and 1.86 (1.59, 2.18) for men. Clear dose,response relationship between the number of MetS components and incidence of CHD was found (P for linear trend <0.001). The following three clusters of MetS components posed the highest risk for CHD: (i) the elevated BP and glucose and low HDL-c group [RR = 5.68 (3.44, 9.37)]; (ii) the elevated BP and glucose and TG group [RR = 5.08 (2.96, 8.70)]; and (iii) the elevated BP and TG and low HDL-c group [RR = 3.98 (2.75, 5.77)]. When all five components co-existed, the risk was the highest [RR = 6.24 (4.65, 8.36)]. Similar results with attenuated RR were found for all-cause mortality. Conclusions., Individuals, especially women, with the MetS have significantly higher risk of developing CHD. The riskiest combination is high-BP and glucose clustered with low HDL-c or high TG. These data highlight the importance of targeting MetS in the prevention of CHD and premature death. [source] Blues and the Ethnographic TruthJOURNAL OF POPULAR MUSIC STUDIES, Issue 1 2001Guthrie P. Ramsey Jr. Because art is invention, "truth" is generally held to be a false standard by which to evaluate a writer's work. This should be the case whether the issue is Alice Walker's representation of black men or Spike Lee's treatment of black women. Yet, this is precisely the leap of faith that critics of African American literature continue to make. Texts are transparent documents that must tell the truth as I know it. Failure to tell my truth not only invalidates the text, it also discredits, de-authorizes, and on occasion deracializes the writer. Truth, however, like beauty, is in eye and perhaps the experience of the beholder.1 [source] Between Hoax and Hope: Miscegenation and Nineteenth-Century Interracial RomanceLITERATURE COMPASS (ELECTRONIC), Issue 4 2006Katharine Nicholson Ings This essay surveys recent scholarship on interracial romance during the nineteenth century using the hoax Miscegenation pamphlet of 1863 as a lens. An anonymous and ironic piece of writing that promoted race-mixing from a deceptively Republican perspective, Miscegenation coined the titular term, newly situating interracial relationships within a Latinate, pseudo-scientific framework. It also encouraged romance between white women and black men, an endorsement that was designed to enrage its white male readership but in fact gave hope to some white women who were unable to articulate their interracial desire publicly. Using this double focus, I explore how nineteenth-century authors of interracial romance borrowed the language of science, such as "hybridity" and "crossing"; how they employed the concept of "blood-mixing" as both sexual and medicinal (via transfusions); and I read the Miscegenation pamphlet as a kind of scientific romance fiction itself. [source] Advocates in the Age of Jazz: Women and the Campaign for the Dyer Anti-Lynching BillPEACE & CHANGE, Issue 3 2003Mary Jane Brown More than three thousand people, predominantly African American males, were lynched in the United States between 1892 and 1940. Occurring mostly in the South, lynching was a means that white southerners used to enforce white supremacy and prevent African Americans from achieving political, social, and economic gains after the Civil War ended slavery. White southerners declared that the threat of black men raping white women necessitated lynching. They further argued that inaction by the courts and the black community's shielding of criminals justified mob action, theories that gained wide acceptance in the South and that were commonly accepted in the North as well. In the 1890s, black women, led by anti-lynching advocate Ida B. Wells-Barnett, began a protest against lynching that swelled into a sizable movement. Under Wells-Barnett's leadership, anti-lynching activists dismantled the theory of white women's protection and formulated a strategy of investigation and exposure that became the template for future anti-lynching drives. When the National Association for the Advancement of Colored People was founded in 1909, it made anti-lynching a priority and drew black and white women to its anti-lynching battle. By the 1920s, women 's anti-lynching activity had become essential to the NAACP's drive for federal anti-lynching legislation and its campaign for passage of the Dyer bill. NAACP secretary Walter White's reliance on women increased throughout the 1920s, and women, courted both as voters and moral authorities, achieved a new level of importance in social movements and drives for legislation. This marked the beginning of the NAACP's twenty-year struggle for federal anti-lynching legislation, a campaign in which black and white women worked cooperatively and were essential to the campaign for the Dyer bill. [source] Trends in PSA, age and prostate cancer detection among black and white men from 1990-2006 at a tertiary care centerCANCER, Issue 16 2010Jeannette M. Potts MD Abstract BACKGROUND: Prostate cancer is the most frequently diagnosed malignancy in men in the United States, with even higher prevalence and death rates among black men. The authors sought to compare trends in prostate-specific antigen (PSA), age, and prostate-cancer detection among black and white men in our region during a 16-year period. METHODS: This was a retrospective study of patient archives between 1990 through 2006. Data collection was accomplished by examining patients' charts and electronic medical records. Data from 5570 patients, of whom 911 were black, were analyzed statistically by testing and comparing parameters over time. RESULTS: During this 16-year period, mean age at the time of initial diagnostic prostate biopsy did not change in either group, despite what we had believed about the effects of patient education and screening campaigns. However, prostate-cancer detection rates did decrease during the time period studied. Over time, the authors also observed significant decreases in the sensitivity and specificity of PSA as a screening tool. Indeed, analysis of more recent cases demonstrated a positive predictive value comparable to a coin toss. While Gleason scores remained relatively stable over time, reporting of prostate intraepithelial neoplasia (PIN) and inflammation increased. CONCLUSIONS: Using lower PSA thresholds, promoting younger screening age, and increasing efforts to educate the public have not seemed to influence age at time of diagnostic testing, which may reflect other factors such as usefulness of screening, physician referral patterns, patient compliance, and other sociodemographic issues. The usefulness of PSA as a screening tool appears to be diminishing. Cancer 2010. © 2010 American Cancer Society. [source] Recruiting Black/African American men for research on prostate cancer prevention,,CANCER, Issue 5 2004V. Diane Woods M.S.N. Abstract BACKGROUND Black/African American men die of prostate cancer at a greater rate relative to other males. During the period from 1992 to 1998, prostate cancer incidence rates in the United States were 234.2 per 100,000 persons among non-Hispanic black males and 144.6 per 100,000 persons among white males. The reasons for these increased rates of prostate cancer among black males are largely unknown, but increased mortality is associated with late detection. The authors conducted a longitudinal study of black men that investigated prostate cancer prevention behaviors within this population. The purpose of the current article is to identify successful recruitment strategies that were reported by participants in this study of prevention behaviors. METHODS Qualitative research methods were used to elucidate men's thoughts, attitudes, beliefs, and practices regarding prostate cancer prevention behaviors and to identify strategies for attracting black men to research programs and retaining them in these programs. RESULTS Ethnocentric recruitment strategies that were identified included the development of tailored printed materials; the use of targeted locations; and a personalized, participatory approach for engaging potential participants. We contacted 498 black men and enrolled a cohort of 277 non-Hispanic black males (75% of whom were recruited within a 9-week period) in the current study. CONCLUSIONS Unlike other studies that reported difficulty in recruiting African American men, the current study did not encounter such difficulties. The authors attribute their success to culturally attractive Afrocentric materials; cultural sensitivity; a caring, professional, personalized ethnic approach; respect; and participatory involvement of the target population. Nonetheless, the authors did encounter barriers, such as lack of physician interest and lack of trust in quality medical care. These barriers must be overcome before black males can be engaged and retained in research studies on prostate cancer prevention. Cancer 2004;100:1017,25. © 2004 American Cancer Society. [source] The Impact of Metropolitan Residential Segregation on the Employment Chances of Blacks and Whites in the United StatesCITY & COMMUNITY, Issue 3 2010Niki Dickerson VonLockette Studies of residential segregation's role in creating employment inequality between blacks and whites have focused on the characteristics of neighborhoods (e.g., mean SES or distance from job centers). In contrast, this study considers the broader structure of metropolitan segregation in which neighborhoods are situated and its impact on the racial disparity in access to employment opportunities. The study employs multilevel analyses and the National Longitudinal Survey of Youth to test the effects of metropolitan segregation in 1980 on respondents' probability of being employed by 1990 net of individual and family level characteristics, and to assess the role of segregation in explaining the race gap in employment between blacks and whites. The analyses reveal that residential segregation decreases employment odds for blacks, but not for whites, and explains the residual race gap in the probability of being employed. In addition, the depressive effect of segregation on employment is weaker for black women than it is for black men. El impacto de la segregación residencial metropolitana en las oportunidades de empleo de personas negras y blancas en los Estados Unidos (Niki Dickerson vonLockette) Resumen Los estudios sobre el rol de la segregación residencial en la creación de la desigualdad en el empleo entre personas de raza negra y personas de raza blanca se han concentrado en las características de los barrios en que viven (por ejemplo, el estatus socio-económico promedio o la distancia a la que se encuentran de los centros de trabajo). Por el contrario, el presente estudio aborda la estructura más amplia de la segregación en el área metropolitana de la que los barrios forman parte y su impacto en la disparidad racial en el acceso a las oportunidades de empleo. El estudio hace uso del análisis multinivel y la Encuesta Longitudinal Nacional sobre la Juventud para evaluar los efectos que tuvo la segregación a nivel metropolitano en 1980 en la probabilidad de que los informantes estuvieran empleados en 1990 (después de tomar en cuenta las características a nivel individual y familiar). El estudio también examinó el rol que la segregación tiene en la brecha en el acceso al empleo entre personas blancas y negras. El análisis revela que la segregación residencial reduce la probabilidad de tener un empleo para las personas de raza negra pero no para las personas de raza blanca y es la razón por la que se mantiene la brecha racial residual en la probabilidad de tener un empleo. Además, el efecto reductor de la segregación en el empleo es más débil para las mujeres negras en comparación con los hombres negro. [source] Epidemiology and burden of cardiovascular diseaseCLINICAL CARDIOLOGY, Issue S3 2004Laurence O. Watkins M.D., M.P.H. Coronary heart disease (CHD) is the leading cause of death in the United States. The rate of CHD and CHD death varies across racial groups, with higher rates among black men and women than among white men and women. The development of CHD is promoted by major CHD risk factors,dyslipidemia, hypertension, and smoking. These risk factors are independently associated with CHD risk and are common among adults in the United States. Diabetes mellitus is also a significant contributor to CHD risk and is associated with risk of a CHD event equivalent to that conferred by the presence of prior CHD. Metabolic syndrome, a related condition, also confers a high risk for CHD as well as for the development of type 2 diabetes. Diabetes and metabolic syndrome are characterized by the presence of central obesity and insulin resistance, which result in dyslipidemia, hypertension, and cardiovascular derangements that promote CHD. Diabetes and metabolic syndrome illustrate the significance of risk factor clustering, which contributes to CHD risk through the additive effect of each risk factor. Diabetes, metabolic syndrome, and risk factor clustering in general are becoming more prevalent, which illustrates the need for better CHD prevention strategies aimed at risk factor control. The pathologic process associated with risk factor clustering also contributes to the higher CHD burden among black men and women, who have a higher prevalence of risk factor clustering and type 2 diabetes. Furthermore, despite having a higher CHD risk, black men and women are less likely to receive adequate treatment or control of risk factors, including dyslipidemia or hypertension. Eliminating disparities among population groups will thus require aggressive efforts focused on risk assessment, guideline adherence, and risk factor control in populations in need. [source] Trends in oral cancer rates in the United States, 1973,1996COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 4 2000Caroline H. Shiboski Abstract ,Objectives: To explore changes in demographic distribution, incidence and survival rates of oral cancer in the United States from 1973 through 1996. Methods: From the Surveillance, Epidemiology, and End Results (SEER) data, we computed the proportion of oral cancer by demographic characteristics, site, and stage at diagnosis for 1973,84 and 1985,96. We estimated incidence and 5-year relative survival rates of oral cancer by age, gender, and race/ethnicity, and compared survival rates between the two periods. The estimated annual percent change (EAPC) was used to explore trends in incidence rate from 1973 through 1996. Results: Most of the tongue and floor of mouth cancers (>54%) reported during 1973,84 and 1985,96 had spread to a distant site at time of diagnosis. The age-adjusted annual incidence rates of oral cancer decreased among white men from 1973 through 1996, but increased among black men aged 65,69 years, and among young white men (aged 30,34 years) and women (aged 25,29 years). These changes in trend were all statistically significant (testing EAPC=0 at the 0.05 level). Overall, there was no improvement in the 5-year relative survival rate of either whites or blacks with oral cancer. Conclusion: There was little change in early detection of oral cancer or in 5-year relative survival rates between 1973,84 and 1985,96 in nine SEER regions. This suggests a deficiency in professional and public education regarding early diagnosis of oral cancer. Furthermore, the increasing trend of oral cancer among older black men and among younger whites merits further investigation. 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