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Race Differences (race + difference)

Distribution by Scientific Domains

Medical Sciences	66%

Selected Abstracts

Physician Referral Patterns and Race Differences in Receipt of Coronary Angiography

HEALTH SERVICES RESEARCH, Issue 4 2002
Thomas A. LaVeist
Objective. This study addresses the following research questions: (1) Is race a predictor of obtaining a referral for coronary angiography (CA) among patients who are appropriate candidates for the procedure? (2) Is there a race disparity in obtaining CA among patients who obtain a referral for the procedure? Study Setting. Three community hospitals in Baltimore, Maryland. Study Design. We abstracted hospital records of 7,927 patients from three hospitals to identify 2,653 patients who were candidates for CA. Patients were contacted by telephone to determine if they received a referral for CA. Logistic regression was used to assess whether racial differences in obtaining a referral were affected by adjustment for several potential confounders. A second set of analyses examined race differences in use of the procedure among a subsample of patients that obtained a referral. Principal Findings. After controlling for having been hospitalized at a hospital with in-house catheterization facilities, ACC/AHA (American College of Cardiology/American Heart Association) classification, sex, age, and health insurance status, race remained a significant determinant of referral (OR=3.0, p<.05). Additionally, we found no significant race differences in receipt of the procedure among patients who obtained a referral. Conclusions. Our results demonstrate that race differences in utilization of CA tend to occur during the process of determining the course of treatment. Once a referral is obtained, African American patients are not less likely than white patients to follow through with the procedure. Thus, future research should seek to better understand the process by which the decision is made to refer or not refer patients. [source]

Black and white and read all over: Race differences in reactions to recruitment Web sites

HUMAN RESOURCE MANAGEMENT, Issue 2 2008
Caren B. Goldberg
Based on signaling theory, this study examines the impact of Web-site design and content characteristics on applicants' intentions to pursue employment, the mediating effects of engagement with the Web site and attitude toward the organization, and the moderating effects of applicant race on these relationships. The design characteristics of ease of use and usefulness impact attraction indirectly through Web-site engagement and attitude toward the organization. Further, Web sites' parasocial interaction (allowance for two-way communication) predicts intentions to pursue both directly and indirectly through engagement and attitude toward the organization. Unexpectedly, diversity statements did not impact attraction in the full sample. Multigroup analyses revealed that many of the paths between the predictors of parasocial interaction and (to a lesser extent) diversity statements and the outcomes differed by race, with stronger effects observed for blacks than whites. Theoretical and practical implications are discussed. © 2008 Wiley Periodicals, Inc. [source]

Predictive, concurrent, prospective and retrospective validity of self-reported delinquency

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 3 2003
Darrick Jolliffe
Background The self-report method is widely used to measure offending. Previous studies suggest that it is generally valid, but that its validity may be lower for blacks than for whites. Aim To assess the validity of self-reported offending in relation to court referrals, and to investigate how it varies with types of offences, sex and race. Method Annual court and self-report data were collected between ages 11 and 17 for eight offences in the Seattle Social Development Project, which is a prospective longitudinal survey of 808 youths. Results Self-reports predicted future court referrals. Predictive validity was highest for drug offences, for males and for whites, and lowest for females and Asians. The probability of youths with a court referral reporting offences and arrests was highest for drug offences, for males, for whites and for blacks. Retrospective ages of onset agreed best with prospective ages for drug offences, Asians and whites. More Asians than blacks or whites failed retrospectively to report offences that had been reported prospectively. Conclusions The validity of self-reports of offending was high, especially for drug offences, for males and for whites. Contrary to prior research, validity was high for black males. It was lowest for Asian females. Sex and race differences in validity held up after controlling for socioeconomic status. Differential validity probability did not reflect police bias. Copyright © 2003 Whurr Publishers Ltd. [source]

Physician Referral Patterns and Race Differences in Receipt of Coronary Angiography

Outline of the Japanese Guidelines for the Management of Stroke 2004 and subsequent revision

INTERNATIONAL JOURNAL OF STROKE, Issue 1 2008
Yukito Shinohara
During its preparation, 106 stroke specialists from these societies checked and rated more than 110,000 publications from all over the world, including Japan. We thought it important to develop specific guidelines for Japanese patients, because there are race differences, because some of the approved drugs in Japan are different from those in other counties, and because reports published in Japanese have not been taken into consideration in the development of western guidelines. We also added the Japanese guidelines for use of t-PA in this outline, because there are some differences (e.g., in volume of t-PA) from the guidelines of western countries. Here, we present an outline the Japanese Guidelines for the Management of Stroke 2004 in response to requests, although some updating is already needed. The first revision of the guidelines is expected to be completed in 2008. [source]

The Relationship Between Self-Rated Health and Mortality in Older Black and White Americans

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2007
Sei J. Lee MD
OBJECTIVES: To determine whether the association between self-rated health (SRH) and 4-year mortality differs between black and white Americans and whether education affects this relationship. DESIGN: Prospective cohort. SETTING: Communities in the United States. PARTICIPANTS: Sixteen thousand four hundred thirty-two subjects (14,004 white, 2,428 black) enrolled in the 1998 wave of the Health and Retirement Study (HRS), a population-based study of community-dwelling U.S. adults aged 50 and older. MEASUREMENTS: Subjects were asked to self-identify their race and their overall health by answering the question, "Would you say your health is excellent, very good, good, fair, or poor?" Death was determined according to the National Death Index. RESULTS: SRH is a much stronger predictor of mortality in whites than blacks (c -statistic 0.71 vs 0.62). In whites, poor SRH resulted in a markedly higher risk of mortality than excellent SRH (odds ratio (OR)=10.4, 95% confidence interval (CI)=8.0,13.6). In blacks, poor RSH resulted in a much smaller increased risk of mortality (OR=2.9, 95% CI=1.5,5.5). SRH was a stronger predictor of death in white and black subjects with higher levels of education, but differences in education could not account for the observed race differences in the prognostic effect of SRH. CONCLUSION: This population-based study found that the relationship between SRH and mortality is stronger in white Americans and in subjects with higher levels of education. Because the association between SRH and mortality appears weakest in traditionally disadvantaged groups, SRH may not be the best measure to identify vulnerable older subjects. [source]

The Evolution of the Digital Divide: How Gaps in Internet Access May Impact Electronic Commerce

JOURNAL OF COMPUTER-MEDIATED COMMUNICATION, Issue 3 2000
Donna L. Hoffman
Enthusiasm for the anticipated social dividends of the Internet appears boundless. Indeed, the Internet is expected to do no less than virtually transform society. Yet even as the Internet races ambitiously toward critical mass, some social scientists are beginning to examine carefully the policy implications of current demographic patterns of Internet access and usage. Key demographic variables like income and education drive the policy questions surrounding the Internet because they are the most likely have a differential impact on the consequences of interactive electronic media for different segments in our society. Given these concerns, we set out to conduct a systematic investigation of the differences between whites and African Americans in the United States with respect to computer access, the primary current prerequisite for Internet access, and Web use. We wished to examine whether observed race differences in access and use can be accounted for by differences in income and education, how access influences use, and when race matters in the calculus of equal access. The particular emphasis of this research is on how such differences may be changing over time. We believe our results may be used as a window through which policymakers might view the job of ensuring access to the Internet for the next generation. [source]

Differences in Patterns of Symptom Attribution in Diagnosing Schizophrenia Between African American and Non-African American Clinicians

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2006
Steven J. Trierweiler PhD
The authors examined clinician race differences in symptom attribution patterns in diagnosing psychiatric inpatients from a low-income, African American community. Different decision models were applied to patients based on clinician race. African American clinicians diagnosed schizophrenia with higher odds than non-African American clinicians when they believed hallucinations were present and avoided that diagnosis with lower odds when they considered substance abuse issues. Non-African American clinicians usually related the attribution of negative symptoms to the diagnosis of schizophrenia while African American clinicians did not make this linkage. The study highlights the need for more detailed examination of cultural influences on diagnostic judgments. [source]