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%% Journal Articles @article{fds277724, Author = {Tucker, RC and James, SA}, Title = {Note on ’Strangers in Paradise’ or Telling It Like It Isn’t}, Journal = {Journal of Consulting and Clinical Psychology}, Volume = {37}, Number = {2}, Pages = {304-304}, Year = {1971}, url = {http://dx.doi.org/10.1037/h0031957}, Doi = {10.1037/h0031957}, Key = {fds277724} } @article{fds277879, Author = {Shulman, AD and James, SA}, Title = {Effects of Participation in Undergraduate Community Psychology Work-Study Programs on Self Actualization and Vocational Plans}, Journal = {American Journal of Community Psychology}, Volume = {1}, Number = {2}, Pages = {173-181}, Year = {1973}, ISSN = {0091-0562}, url = {http://dx.doi.org/10.1007/BF00880134}, Doi = {10.1007/BF00880134}, Key = {fds277879} } @article{fds304191, Author = {Shulman, AD and James, SA}, Title = {Undergraduate community psychology work-study programs: effects on self-actualization and vocational plans.}, Journal = {American journal of community psychology}, Volume = {1}, Number = {2}, Pages = {173-181}, Year = {1973}, Month = {April}, ISSN = {0091-0562}, url = {http://dx.doi.org/10.1007/bf00880134}, Doi = {10.1007/bf00880134}, Key = {fds304191} } @article{fds277860, Author = {James, SA and Kleinbaum, DG}, Title = {Socioecologic stress and hypertension related mortality rates in North Carolina.}, Journal = {American journal of public health}, Volume = {66}, Number = {4}, Pages = {354-358}, Year = {1976}, Month = {April}, url = {http://dx.doi.org/10.2105/ajph.66.4.354}, Doi = {10.2105/ajph.66.4.354}, Key = {fds277860} } @article{fds277770, Author = {Graham, T and Kaplan, BH and Cornoni Huntley and JC and James, SA and Becker, C and Hames, CG and Heyden, S}, Title = {Frequency of Church Attendance and Blood Pressure Elevation}, Journal = {Journal of Behavioral Medicine}, Volume = {1}, Number = {1}, Pages = {37-43}, Year = {1978}, url = {http://dx.doi.org/10.1007/bf00846585}, Abstract = {Blood pressure levels were examined with regard to church attendance patterns in a group of white male heads of households who appeared in the 1967-1969 follow-up examination of the Evans County Cardiovascular Epidemiologic Study. A consistent pattern of lower systolic and diastolic blood pressures among frequent church attenders was found compared to that of infrequent attenders which was not due to the effects of age, obesity, cigarette smoking, or socioeconomic status.}, Doi = {10.1007/bf00846585}, Key = {fds277770} } @article{fds277854, Author = {Tyroler, HA and James, SA}, Title = {Editorial: Blood Pressure and Skin Color}, Journal = {American Journal of Public Health}, Volume = {68}, Number = {12}, Pages = {1170-1172}, Year = {1978}, url = {http://dx.doi.org/10.2105/ajph.68.12.1170}, Doi = {10.2105/ajph.68.12.1170}, Key = {fds277854} } @article{fds277856, Author = {James, SA}, Title = {The Psychologist in a Public Health Setting: Implications for Training}, Journal = {Journal of Community Psychology}, Volume = {6}, Number = {4}, Pages = {324-327}, Publisher = {WILEY}, Year = {1978}, url = {http://dx.doi.org/10.1002/1520-6629(197810)6:4<324::AID-JCOP2290060408>3.0.CO;}, Abstract = {This paper summarizes how a traditionally trained clinical psychologist transformed himself, with no small difficulty, into a research‐oriented community psychologist and a faculty member of a multidisciplinary department within a school of public health. Further, the author discusses what he calls a two‐way relationship between epidemiology and community psychology and proposes a core curriculum for research training in community psychology at the graduate level. Copyright © 1978 Wiley Periodicals, Inc., A Wiley Company}, Doi = {10.1002/1520-6629(197810)6:4<324::AID-JCOP2290060408>3.0.CO;}, Key = {fds277856} } @article{fds277857, Author = {James, SA and Kaplan, BH and Millstone, LH}, Title = {Soul City: Attitudes Toward a Developing New Town}, Journal = {Journal of Community Psychology}, Volume = {6}, Number = {1}, Pages = {88-99}, Publisher = {WILEY}, Year = {1978}, url = {http://dx.doi.org/10.1002/1520-6629(197801)6:1<88::AID-JCOP2290060118>3.0.CO;2}, Abstract = {This study examined the differences in the attitudes of black and white students towards Soul City, a new town currently under construction in Warren County, North Carolina. 115 white students and 45 black students attending a predominantly white university and 122 black students attending a predominantly black university responded to a survey instrument developed to measure attitudes towards the new town. Scores on the instrument were factor analyzed and while no significant differences were found between the two black student groups, blacks and whites, over all, differed on three of the four factorial dimensions identified: Social Idealism, Social Trust, and Human Welfare. These findings are discussed in terms of the larger community psychology significance of Soul City. Copyright © 1978 Wiley Periodicals, Inc., A Wiley Company}, Doi = {10.1002/1520-6629(197801)6:1<88::AID-JCOP2290060118>3.0.CO;2}, Key = {fds277857} } @article{fds277858, Author = {Stiles, W and Putman, S and James, SA and Wolf, M}, Title = {Acquiescence-Control and Patient Satisfaction with Medical Interviews}, Journal = {Personality and Social Psychology Bulletin}, Volume = {4}, Pages = {369}, Year = {1978}, Key = {fds277858} } @article{fds277859, Author = {Stiles, W and Putman, S and Wolf, M and James, SA}, Title = {Patient-Physician Verbal Interactions}, Journal = {Clinical Research}, Volume = {26}, Pages = {51A}, Year = {1978}, Key = {fds277859} } @article{fds277855, Author = {Wolf, MH and Putnam, SM and James, SA and Stiles, WB}, Title = {The Medical Interview Satisfaction Scale: development of a scale to measure patient perceptions of physician behavior.}, Journal = {Journal of behavioral medicine}, Volume = {1}, Number = {4}, Pages = {391-401}, Year = {1978}, Month = {December}, url = {http://dx.doi.org/10.1007/bf00846695}, Abstract = {Patient satisfaction is a variable of increasing interest to researchers, clinicians, and medical educators. Of several studies reviewed, only a few have shown evidence of careful methodology. Most surveys have focused on general evaluations of doctors and/or health care services or of a particular facility. The present article reports the development of a scale to measure patient satisfaction with an encounter with a physician or other primary care provider. Methods of item generation and pretesting are detailed. The overall reliability of the scale (Cronbach's coefficient alpha) is 0.93. The distribution of satisfaction scores is broader than that reported for other scales and approaches the normal in shape. Clinical and research applications of the scale are suggested.}, Doi = {10.1007/bf00846695}, Key = {fds277855} } @article{fds277852, Author = {Stiles, WB and Putnam, SM and James, SA and Wolf, MH}, Title = {Dimensions of patient and physician roles in medical screening interviews}, Journal = {Social Science and Medicine}, Volume = {13 A}, Number = {3}, Pages = {335-341}, Year = {1979}, Abstract = {Social theorists have agreed that physicians are usually presumptuous and controlling while patients are usually deferent and acquiescent in medical encounters, but have disagreed about patient reaction to these reciprocal roles. One view has been that the status and power gap is bridged by a pattern of patient trust and physician attentiveness, while another view has been that patients become alienated as physicians use their control to maintain their institutionalized authority. These views were tested in a sample of 52 medical screening interviews with adults using an utterance-by-utterance coding system that yields scores on three dimensions in interpersonal roles, attentiveness', acquiescence' and 'presumptuousness'. Coding yielded quantitative descriptions of patient-physician interaction that conformed closely to theoretical expectations. Patient satisfaction, assessed by a post-interview questionnaire, was positively correlated with physician acquiescence in the conclusion segment of the interview but not in the medical history or physical examination. Patients were also more satisfied when they expressed themselves in their own words during the medical history and when physicians were more informative in the conclusion segment. The results suggest possible refinements in current theoretical views of patient and physician roles.}, Key = {fds277852} } @article{fds340672, Author = {Stiles, WB and Putnam, SM and Wolf, MH and James, SA}, Title = {Verbal response mode profiles of patients and physicians in medical screening interviews}, Journal = {Journal of Medical Education}, Volume = {54}, Number = {2}, Pages = {81-89}, Year = {1979}, url = {http://dx.doi.org/10.1097/00001888-197902000-00003}, Abstract = {The medical importance of the patient-physician relationship is widely acknowledged, but research on its effects has been hampered by the lack of a method to quantify its clinically relevant features. In this study a new method of coding verbal interaction was applied to 52 interviews with adults in a general medical screening clinic. 'Average interaction profiles' for patients and for physicians in the medical history, physical examination, and conclusion segments of the interviews provided detailed descriptions of the relationship that appear to be accurate and coincide with descriptions derived from clinical experience, textbooks, and other studies. The profiles yield quantitative indexes of such crucial aspects of the relationship as the manner in which patients give a history and physicians transmit information to patients.}, Doi = {10.1097/00001888-197902000-00003}, Key = {fds340672} } @article{fds277851, Author = {Stiles, WB and Putnam, SM and Wolf, MH and James, SA}, Title = {Interaction exchange structure and patient satisfaction with medical interviews.}, Journal = {Medical care}, Volume = {17}, Number = {6}, Pages = {667-681}, Year = {1979}, Month = {June}, url = {http://dx.doi.org/10.1097/00005650-197906000-00010}, Abstract = {The verbal interaction between patients and physicians in 52 initial interviews in a university hospital screening clinic was studied using a new discourse coding system. Factor analysis of category frequencies showed that each interview segment, medical history, physical examination, and conclusion, consisted mainly of two or three types of verbal exchange. Patient satisfaction with the interviews, assessed with a questionnaire that yields separate scores for satisfaction with cognitive and affective aspects, was found to be associated with exchanges involving the transmission of information in particular interview segments. Affective satisfaction was associated with transmission of information from patient to physician in "exposition" exchanges during the medical history, in which patients told their story in their own words. Cognitive satisfaction was associated with transmission of information from physician to patient in "feedback" exchanges during the conclusion segment, in which physicians gave patients information about illness and treatment.}, Doi = {10.1097/00005650-197906000-00010}, Key = {fds277851} } @article{fds277850, Author = {Dreyer, N and Woods, N and James, SA}, Title = {ISRO: A Valid Scale for Measuring Sex Role Orientation: Sex Roles}, Journal = {A Journal for Research}, Volume = {7}, Pages = {173-182}, Year = {1981}, Key = {fds277850} } @article{fds277756, Author = {Dreyer, NA and Woods, NF and James, SA}, Title = {ISRO: A scale to measure sex-role orientation}, Journal = {Sex Roles}, Volume = {7}, Number = {2}, Pages = {173-182}, Publisher = {Springer Nature America, Inc}, Year = {1981}, Month = {February}, ISSN = {0360-0025}, url = {http://dx.doi.org/10.1007/BF00287803}, Abstract = {Sex-role research has been hampered by a lack of valid and reliable research tools to measure the construct being studied. This article describes the development of a research scale (ISRO) to measure women's sex-role orientation. This 16-item questionnaire has been shown to be internally consistent and to have fairly high temporal stability over 30 days. The high sensitivity (96.2%) and specificity (95.5%) suggest that it differentiates feminist from traditional women. Three factors assess attitudinal domains of conflict between family responsibilities and having a career; male/female division of household responsibilities; and women's work roles outside the home. Education appears to be the strongest predictor of ISRO scores. © 1981 Plenum Publishing Corporation.}, Doi = {10.1007/BF00287803}, Key = {fds277756} } @article{fds277849, Author = {Parkerson, GR and Gehlbach, SH and Wagner, EH and James, SA and Clapp, NE and Muhlbaier, LH}, Title = {The Duke-UNC Health Profile: an adult health status instrument for primary care.}, Journal = {Med Care}, Volume = {19}, Number = {8}, Pages = {806-828}, Year = {1981}, Month = {August}, ISSN = {0025-7079}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7278417}, Abstract = {The Duke--UNC Health Profile (DUHP) was developed as a brief 63-item instrument designed to measure adult health status in the primary care setting along four dimensions: symptom status, physical function, emotional function and social function. Reliability and validity were tested on a group of 395 ambulatory patients in a family medicine center. Temporal stability Spearman correlations ranged from 0.52 to 0.82 for the four dimensions. Cronbach's alpha for internal consistency was 0.85 for emotional function. Guttman's reproducibility coefficients were 0.98 for physical function and 0.93 for social function, and the scalability coefficients were 0.89 for physical and 0.71 for social. Observed relationships between DUHP scores and demographic characteristics of the respondents correlated well with those predicted by the investigators (overall Spearman correlation 0.79). Convergent and discriminant validity was supported by strong associations between components of DUHP and those on the Sickness Impact Profile (SIP), the Tennessee Self-Concept Scale (Tennessee), and the Zung Self-Rating Depression Scale (Zung). DUHP with SIP monocomponent-heteromethod Spearman correlations ranged from 0.34 to 0.45, and those for DUHP with Tennessee ranged from 0.68 to 0.81. DUHP with Zung monoitem--heteromethod correlations ranged from 0.54 to 0.57. It is concluded that this evidence supports the reliability and validity of the DUHP as an instrument suitable for studying the impact of primary health care on the health outcomes of patients.}, Doi = {10.1097/00005650-198108000-00002}, Key = {fds277849} } @article{fds277847, Author = {Jensen, EW and James, SA and Boyce, WT and Hartnett, SA}, Title = {The family routines inventory: development and validation.}, Journal = {Social science & medicine (1982)}, Volume = {17}, Number = {4}, Pages = {201-211}, Year = {1983}, Month = {January}, ISSN = {0277-9536}, url = {http://dx.doi.org/10.1016/0277-9536(83)90117-x}, Abstract = {This report builds upon pertinent theoretical considerations regarding the nature and importance of routinization within families and describes the development and validation of a standardized inventory to measure family routines. The Family Routines Inventory (FRI) measures 28 positive, strength-promoting family routines, those observable, repetitive behaviours which involve two or more family members and which occur with predictable regularity in the daily life of a family. The 28 routines were selected from an extensive list of 104 routines obtained through family interviews. Scoring options for the inventory were identified based on their face validity and consistency with the underlying theoretical construct. The inventory was subsequently administered to a diverse group of families for reliability and validity testing. This testing identified an optimal scoring method (frequency score) for the inventory and revealed that the Family Routines Inventory, which measures the extent and importance of routinization within a given family, appears to be a reliable and valid measure of family cohesion, solidarity, order and overall satisfaction with family life.}, Doi = {10.1016/0277-9536(83)90117-x}, Key = {fds277847} } @article{fds277848, Author = {Boyce, WT and Jensen, EW and James, SA and Peacock, JL}, Title = {The family routines inventory: theoretical origins.}, Journal = {Social science & medicine (1982)}, Volume = {17}, Number = {4}, Pages = {193-200}, Year = {1983}, Month = {January}, ISSN = {0277-9536}, url = {http://dx.doi.org/10.1016/0277-9536(83)90116-8}, Abstract = {This paper describes the conceptual foundation underlying the development of the Family Routines Inventory, a new instrument designed to measure the extent of predictability or routinization in the daily life of a family. The primary impetus for the development of this instrument is a theoretical perspective in which family routines are regarded as behaviors which may protect the health and well-being of family members by providing stability and continuity during periods of stressful change.}, Doi = {10.1016/0277-9536(83)90116-8}, Key = {fds277848} } @article{fds277846, Author = {Broadhead, WE and Kaplan, BH and James, SA and Wagner, EH and Schoenbach, VJ and Grimson, R and Heyden, S and Tibblin, G and Gehlbach, SH}, Title = {The epidemiologic evidence for a relationship between social support and health.}, Journal = {American journal of epidemiology}, Volume = {117}, Number = {5}, Pages = {521-537}, Year = {1983}, Month = {May}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a113575}, Doi = {10.1093/oxfordjournals.aje.a113575}, Key = {fds277846} } @article{fds277845, Author = {James, SA and Hartnett, SA and Kalsbeek, WD}, Title = {John Henryism and blood pressure differences among black men.}, Journal = {Journal of behavioral medicine}, Volume = {6}, Number = {3}, Pages = {259-278}, Year = {1983}, Month = {September}, url = {http://dx.doi.org/10.1007/bf01315113}, Abstract = {A community probability sample of southern working-class, black men (N = 132) between 17 and 60 years of age was administered a scale to measure the degree to which they felt they could control their environment through hard work and determination. Since the legend of John Henry--the famous, black steeldriver of American folklore--can be understood as a cultural statement about how black Americans must often attempt to control behavioral stressors through hard work and determination, items for the scale were developed to reflect the theme of John Henryism. It was hypothesized that men scoring below the median on education but above the median on John Henryism would have higher blood pressures than any other group. The data were in line with the prediction, in that men who scored low on education and high on John Henryism had significantly higher diastolic blood pressures than men who scored above the median on both measures. Study findings are discussed in terms of the meaning that education and John Henryism may have for raising or lowering autonomic arousal when individuals encounter behavioral stressors in everyday life.}, Doi = {10.1007/bf01315113}, Key = {fds277845} } @article{fds277759, Author = {Orr, ST and James, SA}, Title = {Maternal Depression in an Urban Pediatric Practice}, Journal = {American Journal of Public Health}, Volume = {74}, Number = {4}, Pages = {363-365}, Year = {1984}, url = {http://dx.doi.org/10.2105/ajph.74.4.363}, Abstract = {A scale to measure depressive symptomatology was administered to mothers attending an urban pediatric primary care center. Over 50 per cent of the female heads of households were Black or low income and depressed. This suggests that the provider of pediatric primary care should recognize depression and make appropriate referrals or intervention, since depressed mothers may have a diminished ability to respond to the emotional needs of their children.}, Doi = {10.2105/ajph.74.4.363}, Key = {fds277759} } @article{fds277839, Author = {James, SA and LaCroix, AZ and Kleinbaum, DG and Strogatz, DS}, Title = {John Henryism and Blood Pressure Differences Among Black Men: II. The Role of Occupational Stressors}, Journal = {Journal of Behavioral Medicine}, Volume = {6}, Number = {3}, Pages = {257-273}, Year = {1984}, url = {http://dx.doi.org/10.1007/bf00845359}, Abstract = {In this study, the effects of psychosocial job stressors on the resting blood pressure (BP) of 112 black male workers were examined. The subjects resided in a rural, poor, predominantly black community in eastern North Carolina. The job stressors included unemployment, lack of job security, lack of job success, the perception that wages earned were too low for the work performed (and inhibited anger about unfair wages), and the perception that being black had hindered chances for achieving job success. The effect-modifying influence of on-the-job social support, and John Henryism, on several of these relationships was also examined. For systolic blood pressure, a main effect was observed for job security, and an interaction effect was observed for employment status and time of day of interview. For diastolic blood pressure, significant interactions were observed for job success and John Henryism, and for job success and the perception that being black had hindered chances for achieving job success. These findings further clarify under what conditions John Henryism may be associated with higher BPs in this sample of black men. These findings also shed light on the emotional pathways through which selected job stressors may influence resting BPs in these men.}, Doi = {10.1007/bf00845359}, Key = {fds277839} } @article{fds277841, Author = {James, SA}, Title = {Socioeconomic Influences on CHD in Black Populations}, Journal = {American Heart Journal (Supplement)}, Volume = {108}, Number = {3 II}, Pages = {669-672}, Year = {1984}, Abstract = {It is likely that socioeconomic factors exert important influences on coronary heart disease (CHD) morbidity and mortality for U.S. blacks. Careful and comprehensive studies are needed to clarify the pathways through which low socioeconomic status exerts its influences on susceptibility to CHD. In addition, policy-oriented research is needed to clarify to what extent reduced access to medical care contributes to excessive CHD mortality in black Americans.}, Key = {fds277841} } @article{fds277842, Author = {James, SA}, Title = {Coronary heart disease in black Americans: Suggestions for research on psychosocial factors}, Journal = {American Heart Journal}, Volume = {108}, Number = {3 II}, Pages = {833-838}, Year = {1984}, url = {http://dx.doi.org/10.1016/0002-8703(84)90679-3}, Abstract = {Despite the fact that coronary heart disease (CHD) is the leading cause of death among U.S. blacks, virtually no information exists on the contribution of psychosocial factors to CHD risk in this population. Studies conducted on U.S. whites suggest that type A behavior may be positively associated with risk for CHD. Other studies on whites suggest that occupational stressors, socioeconomic status, and social mobility may also be important. Studies that examine the contribution of these factors to CHD risk in the black population are needed. Moreover, recent changes in the socioeconomic profile of the U.S. black population present an unusual opportunity to study the role of psychosocial variables in CHD among black Americans. Some of the theoretical and measurement issues that investigators may face in conducting such research are discussed, and some specific suggestions for research are offered.}, Doi = {10.1016/0002-8703(84)90679-3}, Key = {fds277842} } @article{fds277843, Author = {James, SA and Wagner, EH and Strogatz, D and Beresford, SAA and Kleinbaum, DG and Williams, CA and Cutchin, LM and Ibrahim, M}, Title = {The Edgecombe County High Blood Pressure Control Program: II. Barriers to the Use of Medical Care}, Journal = {American Journal of Public Health}, Volume = {74}, Number = {5}, Pages = {468-472}, Year = {1984}, ISSN = {0090-0036}, Abstract = {As the initial step in a five-year project to improve control of high blood pressure in Edgecombe County, North Carolina, a survey was conducted in 1980 to determine the prevalence of hypertension and to identify factors which might constitute barriers to the use of medical care by hypertensives. This report summarizes the findings for the 539 hypertensives identified through the baseline survey. In general, Black hypertensives reported more access problems than Whites. Within race, however, males and females differed very little on selected measures of potential access to medical care. Among women, lower scores on potential access were strongly associated with being untreated, whereas for men, concerns about the safety of anti-hypertensive drug therapy were associated with being unaware. On a summary measure of the actual use of medical care in response to symptoms, both male and female treated hypertensives scored higher than their untreated counterparts. The implications of these and other findings for community-based blood pressure control activities are discussed.}, Key = {fds277843} } @article{fds304192, Author = {James, SA}, Title = {Socioeconomic influences on coronary heart disease in black populations}, Journal = {American Heart Journal}, Volume = {108}, Number = {3 II}, Pages = {669-672}, Year = {1984}, url = {http://dx.doi.org/10.1016/0002-8703(84)90653-7}, Abstract = {It is likely that socioeconomic factors exert important influences on coronary heart disease (CHD) morbidity and mortality for U.S. blacks. Careful and comprehensive studies are needed to clarify the pathways through which low socioeconomic status exerts its influences on susceptibility to CHD. In addition, policy-oriented research is needed to clarify to what extent reduced access to medical care contributes to excessive CHD mortality in black Americans.}, Doi = {10.1016/0002-8703(84)90653-7}, Key = {fds304192} } @article{fds277844, Author = {Wagner, EH and James, SA and Beresford, SA and Strogatz, DS and Grimson, RC and Kleinbaum, DG and Williams, CA and Cutchin, LM and Ibrahim, MA}, Title = {The Edgecombe County High Blood Pressure Control Program: I. Correlates of uncontrolled hypertension at baseline.}, Journal = {American journal of public health}, Volume = {74}, Number = {3}, Pages = {237-242}, Year = {1984}, Month = {March}, url = {http://dx.doi.org/10.2105/ajph.74.3.237}, Abstract = {To guide the planning of a multifacetted hypertension control program in Edgecombe County, North Carolina, a baseline survey of a stratified (by township) random sample of 1,000 households was conducted. All adults (greater than or equal to 18 years) were interviewed and had their blood pressures (BP) measured. Five hundred thirty-nine individuals, 27 per cent of the survey population, had diastolic BP greater than or equal to 90 mm Hg or were receiving anti-hypertensive drug therapy. The 539 hypertensives were divided into seven subgroups reflecting successive stages in the control of hypertension based on the awareness, treatment, and control of their hypertension. Unaware hypertensives were further subdivided into three groups according to the recency of their last BP check, and those aware but untreated were subdivided by whether they had previously received treatment. The seven subgroups of hypertensives were compared, separately for women and men, with respect to sociodemographic characteristics, health behaviors, and health status. In general, the progression from undetected hypertension to treatment and control appeared to be associated with being older, female, and White. This progression was further associated with greater educational levels and higher family incomes among women and increasing self-reported morbidity among men. The implications for intervention of these and other described associations are discussed.}, Doi = {10.2105/ajph.74.3.237}, Key = {fds277844} } @article{fds304193, Author = {James, SA and Wagner, EH and Strogatz, DS and Beresford, SA and Kleinbaum, DG and Williams, CA and Cutchin, LM and Ibrahim, MA}, Title = {The Edgecombe County (NC) High Blood Pressure Control Program: II. Barriers to the use of medical care among hypertensives.}, Journal = {American journal of public health}, Volume = {74}, Number = {5}, Pages = {468-472}, Year = {1984}, Month = {May}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.74.5.468}, Abstract = {As the initial step in a five-year project to improve control of high blood pressure in Edgecombe County, North Carolina, a survey was conducted in 1980 to determine the prevalence of hypertension and to identify factors which might constitute barriers to the use of medical care by hypertensives. This report summarizes the findings for the 539 hypertensives identified through the baseline survey. In general, Black hypertensives reported more access problems than Whites. Within race, however, males and females differed very little on selected measures of potential access to medical care. Among women, lower scores on potential access were strongly associated with being untreated, whereas for men, concerns about the safety of anti-hypertensive drug therapy were associated with being unaware. On a summary measure of the actual use of medical care in response to symptoms, both male and female treated hypertensives scored higher than their untreated counterparts. The implications of these and other findings for community-based blood pressure control activities are discussed.}, Doi = {10.2105/ajph.74.5.468}, Key = {fds304193} } @article{fds277840, Author = {Orr, ST and Miller, CA and James, SA}, Title = {Differences in use of health services by children according to race. Relative importance of cultural and system-related factors.}, Journal = {Medical care}, Volume = {22}, Number = {9}, Pages = {848-853}, Year = {1984}, Month = {September}, url = {http://dx.doi.org/10.1097/00005650-198409000-00009}, Abstract = {Black children make substantially less use of health services than do their white counterparts, despite their demonstrably poorer health status. This relationship is true regardless of income. Various authors have suggested that such differences are due to system-related barriers to access to care by black children. Alternatively, others have noted that blacks have cultural patterns related to health and illness, and these culturally determined beliefs and behaviors may account for the observed differences. The present study compared use of health services by black and white children within a system of care that has sought to decrease barriers to access to care by black children. Within this system, black and white children used health services in a similar fashion, suggesting that system-related factors that assure equity of access to health services may be more important than client-related cultural factors, or that these cultural factors may be overcome.}, Doi = {10.1097/00005650-198409000-00009}, Key = {fds277840} } @article{fds277838, Author = {Williams, CA and Beresford, SAA and James, SA and LaCroix, AZ and Strogatz, DS and Wagner, EH and Kleinbaum, DG and Cutchin, LM and Ibrahim, MA}, Title = {Social Support, Social Stressors and Treatment Dropout: The Edgecombe County High Blood Pressue Control Program}, Journal = {American Journal of Public Health}, Volume = {75}, Number = {5}, Pages = {483-486}, Year = {1985}, Abstract = {In a hypertension prevalence survey of a stratified random sample of 1,000 households, 2,030 adults (aged 18 years and over) were interviewed and information on psychosocial variables collected. Among 359 hypertensives, there was a consistent relationship between indicators of difficulty in the social environment and dropout from treatment in women. Compared to those who remained in treatment, women who dropped out can be characterized as having less social support on the job, having less perceived spouse approval (if married), having a lower level of perceived access to supportive resources, and being more likely to report feeling pushed most or all of the time if they are homemakers. Relationships between indicators of social support and dropout from treatment in men were found only with support on the job, and for White men, with perceived friend approval.}, Key = {fds277838} } @article{fds277836, Author = {Strogatz, DS and James, SA and Elliott, D and Ramsey, D and Cutchin, LM and Ibrahim, MA}, Title = {Community coverage in a rural, church-based, hypertension screening program in Edgecombe County, North Carolina}, Journal = {American Journal of Public Health}, Volume = {75}, Number = {4}, Pages = {401-402}, Publisher = {American Public Health Association}, Year = {1985}, Month = {January}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.75.4.401}, Abstract = {In a rural, church-based hypertension program in Edgecombe County, North Carolina, screening of the congregations was complemented by a community outreach component targeted at 18-60 year old males, a group at higher risk for untreated hypertension. Compared with its estimated frequency in the community, untreated hypertension was as common in the church congregations and somewhat less prevalent than expected among outreach screenees.}, Doi = {10.2105/AJPH.75.4.401}, Key = {fds277836} } @article{fds277837, Author = {Putnam, SM and Stiles, WB and Jacob, MC and James, SA}, Title = {Patient exposition and physician explanation in initial medical interviews and outcomes of clinic visits.}, Journal = {Medical care}, Volume = {23}, Number = {1}, Pages = {74-83}, Year = {1985}, Month = {January}, url = {http://dx.doi.org/10.1097/00005650-198501000-00008}, Abstract = {To replicate an earlier study and explore associations between verbal behaviors in patient-physician interactions and outcomes of care, 102 visits to a medicine walk-in clinic were tape-recorded, transcribed, and coded according to the Verbal Response Mode (VRM) system. Questionnaires given before and after the clinic visit and telephone interviews 1 week and 4 weeks after the visit were used to measure patient satisfaction, compliance, and change in symptoms. Data were collected on patients' sociodemographic characteristics, illness characteristics, and health beliefs. Two verbal exchanges were examined: in the medical history, the Patient Exposition exchange, which was measured as the frequency with which patients make statements about their illnesses in their own words; and in the conclusion, the Physician Explanation exchange, which was measured as the percentage of physician statements that are factual. These verbal indexes showed correlations with patient satisfaction, thus replicating the earlier study, but no significant correlations with compliance. Analysis of variance showed that the association between verbal exchanges and patient satisfaction remained after controlling for physician differences and for patient age, education, and belief in the controllability of the illness.}, Doi = {10.1097/00005650-198501000-00008}, Key = {fds277837} } @article{fds304181, Author = {Williams, CA and Beresford, SA and James, SA and LaCroix, AZ and Strogatz, DS and Wagner, EH and Kleinbaum, DG and Cutchin, LM and Ibrahim, MA}, Title = {The Edgecombe County High Blood Pressure Control Program: III. Social support, social stressors, and treatment dropout.}, Journal = {American journal of public health}, Volume = {75}, Number = {5}, Pages = {483-486}, Year = {1985}, Month = {May}, url = {http://dx.doi.org/10.2105/ajph.75.5.483}, Abstract = {In a hypertension prevalence survey of a stratified random sample of 1,000 households, 2,030 adults (aged 18 years and over) were interviewed and information on psychosocial variables collected. Among 359 hypertensives, there was a consistent relationship between indicators of difficulty in the social environment and dropout from treatment in women. Compared to those who remained in treatment, women who dropped out can be characterized as having less social support on the job, having less perceived spouse approval (if married), having a lower level of perceived access to supportive resources, and being more likely to report feeling pushed most or all of the time if they are homemakers. Relationships between indicators of social support and dropout from treatment in men were found only with support on the job, and for White men, with perceived friend approval.}, Doi = {10.2105/ajph.75.5.483}, Key = {fds304181} } @article{fds277835, Author = {Ballard, DJ and Strogatz, DS and Wagner, EH and Siscovick, DS and James, SA and Kleinbaum, DG and Williams, CA and Cutchin, LM and Ibrahim, MA}, Title = {The Edgecombe County High Blood Pressure Control Program: The Process of Medical Care and Blood Pressure Control}, Journal = {American Journal of Preventive Medicine}, Volume = {12}, Number = {5}, Pages = {278-284}, Year = {1986}, url = {http://dx.doi.org/10.1016/s0749-3797(18)31319-9}, Abstract = {As part of the Edgecombe County High Blood Pressure Control Program, a medical record review was conducted within a multispecialty private group practice in the county. The purposes of the review were to assess the relationship between the process of medical care and blood pressure control and to explore the variation in level and impact of medical care by race and sex. At the end of a three-year period, 41 percent of 628 hypertensive patients from the practice had uncontrolled diastolic blood pressure (DBP), as defined by Hypertension Detection and Follow-up Program criteria. The percentage of uncontrolled hypertensives ranged from 53 percent for black men to 34 percent for white women. Hypertensive patients whose physicians were more aggressive in their use of antihypertensive drug therapy were more likely to be controlled. The effect of the level of physician drug aggressiveness tended to be more pronounced for blacks than for whites. Differences by race in exposure to and efficacy of aggressive drug treatment may influence racial variation in blood pressure control.}, Doi = {10.1016/s0749-3797(18)31319-9}, Key = {fds277835} } @article{fds277834, Author = {Strogatz, DS and James, SA}, Title = {Social support and hypertension among blacks and whites in a rural, southern community.}, Journal = {American journal of epidemiology}, Volume = {124}, Number = {6}, Pages = {949-956}, Year = {1986}, Month = {December}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a114484}, Abstract = {The association between social support and the prevalence of hypertension was examined in a randomly selected, biracial sample of 2,030 adult residents of Edgecombe County, North Carolina, who were surveyed in 1980. Two types of support, instrumental and emotional, were measured and evaluated in the 2,009 individuals for whom complete data were available. Blacks were more likely to have low levels of both kinds of social support. Low emotional support was unrelated to the prevalence of hypertension. In unadjusted analyses, low instrumental support was associated with increased hypertension for both races. After controlling for other correlates of blood pressure, the association no longer held for whites (odds ratio (OR) = 1.1), but remained statistically significant for blacks (OR = 1.5, 95 per cent confidence interval = 1.1-2.0). Further analyses revealed that these results were specific to low income blacks (OR = 1.7). These findings are consistent with the results of ecologic studies of social ties and hypertension-related mortality in North Carolina.}, Doi = {10.1093/oxfordjournals.aje.a114484}, Key = {fds277834} } @article{fds277831, Author = {Sisocvick, DS and Strogatz, DS and Wagner, EH and Ballard, DJ and James, SA and Beresford, SAA and Kleinbaum, DG and Cutchin, LM and Ibrahim, MA}, Title = {Provider-Oriented Interventions and The Management of Hypertension}, Journal = {Medical Care}, Volume = {25}, Number = {3}, Pages = {254-258}, Year = {1987}, url = {http://dx.doi.org/10.1097/00005650-198703000-00009}, Doi = {10.1097/00005650-198703000-00009}, Key = {fds277831} } @article{fds277833, Author = {Obrist, PA and Light, KC and James, SA and Strogatz, DS}, Title = {Cardiovascular Reactivity to Stress: I. Measures of Myocardial Response and Relationships to Baseline Conditions and Parental Hypertension}, Journal = {Psychophysiology}, Volume = {24}, Number = {1}, Pages = {65-78}, Year = {1987}, url = {http://dx.doi.org/10.1111/j.1469-8986.1987.tb01864.x}, Abstract = {A comparison of pre-ejection period (PEP), heart rate (HR), and systolic (SBP) and diastolic (DBP) blood pressure responses to the cold pressor test and a pseudo-shock avoidance reaction time task was performed in 183 young men. These tasks differ in the extent to which they evoke enhanced myocardial and vascular adrenergic activity. Decreases in PEP were more pronounced during the reaction time task, while DBP increased more during the cold pressor test. HR and SBP responses did not differentiate the two tasks. PEP decreases occurred in the absence of any apparent increase in cardiac preload or decrease in afterload. Parental hypertension as determined by physician reports was associated with higher SBP across all conditions. A subgroup of individuals (15%) showed SBP levels ≥ 140 mmHg when typical clinical stethoscopic determinations were made, but less than half as many showed such elevations during a more extended resting baseline using remotely operated devices. High stethoscopic SBP was associated with greater cardiovascular responses to the stressors, while high SBP during the extended baseline was not.}, Doi = {10.1111/j.1469-8986.1987.tb01864.x}, Key = {fds277833} } @article{fds277832, Author = {Light, KC and Obrist, PA and James, SA and Strogatz, DS}, Title = {Cardiovascular responses to stress: II. Relationships to aerobic exercise patterns.}, Journal = {Psychophysiology}, Volume = {24}, Number = {1}, Pages = {79-86}, Year = {1987}, Month = {January}, url = {http://dx.doi.org/10.1111/j.1469-8986.1987.tb01865.x}, Abstract = {A sample of 174 men aged 18-22 years were divided into thirds based on self-reported levels of weekly aerobic exercise. Heart rate, systolic and diastolic blood pressure, and pre-ejection period responses of these low, moderate, and high exercise groups were compared during a pretask rest and a later acclimated rest, a bicycle exercise task, a purported shock-avoidance reaction time task, and the cold pressor test. The low exercise subjects showed higher heart rates and marginally higher diastolic blood pressures than the high exercise subjects at rest. The low exercise subjects also showed greater myocardial responses to the mild exercise task and the reaction time task than the high exercise subjects, as reflected by group differences in heart rate, systolic blood pressure, and pre-ejection period measures after covariance adjustment for baseline differences. Group differences observed in response to the cold pressor test were smaller and generally nonsignificant. These results were interpreted as evidence that aerobic exercise training may decrease beta-adrenergic myocardial responses to physical and behavioral challenges.}, Doi = {10.1111/j.1469-8986.1987.tb01865.x}, Key = {fds277832} } @article{fds277830, Author = {James, SA}, Title = {Psychosocial precursors of hypertension: a review of the epidemiologic evidence.}, Journal = {Circulation}, Volume = {76}, Number = {1 Pt 2}, Pages = {I60-I66}, Year = {1987}, Month = {July}, Abstract = {This article provides a selective overview of epidemiologic studies on the relationship between psychosocial factors and blood pressure elevation. The review focuses on English-language reports published since 1975 and emphasizes two broad areas of research: changes in mean blood pressures of third world populations undergoing modernization, and psychosocial correlates of elevated blood pressure in low socioeconomic status (SES) and black populations within the continental United States. The recent modernization studies provide additional evidence that rapid sociocultural change is associated with increased prevalence of hypertension. To account for these effects, several studies have advanced the general thesis that modernization impacts traditional value systems of third world populations in ways that frequently engender discrepancies between their newly acquired aspirations for a Western lifestyle and their socioeconomic resources to successfully pursue that lifestyle. There is overlap between this formulation and recent investigations of hypertension in low SES and black populations in the United States. The report concludes with a discussion of epidemiologic studies of anger and hypertension, emphasizing some of the complexities that characterize this area of research.}, Key = {fds277830} } @article{fds331924, Author = {Krantz, DS and DeQuattro, V and Blackburn, HW and Eaker, E and Haynes, S and James, SA and Manuck, SB and Myers, H and Shekelle, RB and Syme, SL}, Title = {Psychosocial factors in hypertension}, Journal = {Circulation}, Volume = {76}, Number = {1}, Pages = {I84-II8}, Year = {1987}, Month = {July}, Key = {fds331924} } @article{fds277829, Author = {James, SA and Strogatz, DS and Wing, SB and Ramsey, DL}, Title = {Socioeconomic status, John Henryism, and hypertension in blacks and whites.}, Journal = {American journal of epidemiology}, Volume = {126}, Number = {4}, Pages = {664-673}, Year = {1987}, Month = {October}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a114706}, Abstract = {The joint influence of socioeconomic status and John Henryism on risk for elevated blood pressure was examined in a biracial, community sample of 820 adults, aged 21-50 years, who resided in Edgecombe County, North Carolina, and were interviewed in 1983. John Henryism refers to a strong personality predisposition to cope actively with psychosocial environmental stressors. In keeping with an earlier finding for black men, it was hypothesized that the inverse association between socioeconomic status and blood pressure would be stronger for persons who scored high on John Henryism than for persons who scored low. Using race-specific definitions of socioeconomic status, the study found support for the hypothesis among blacks. At low levels of John Henryism, socioeconomic status differences in hypertension prevalence were small (1.6%), whereas at high levels of John Henryism, low socioeconomic status blacks were nearly three times as likely to be hypertensive as higher status blacks (31.4% vs. 11.5%, p = 0.02 for the socioeconomic status X John Henryism interaction term). The findings for systolic and diastolic blood pressures were in a similar direction but did not reach statistical significance. The study hypothesis was not supported among whites. Analyses of the correlates of John Henryism as well as the blood pressure findings are discussed in terms of the different socioeconomic circumstances that characterize the lives of blacks and whites in this rural, southern community.}, Doi = {10.1093/oxfordjournals.aje.a114706}, Key = {fds277829} } @article{fds277828, Author = {Light, KC and Obrist, PA and Sherwood, A and James, SA and Strogatz, DS}, Title = {Effects of race and marginally elevated blood pressure on responses to stress.}, Journal = {Hypertension}, Volume = {10}, Number = {6}, Pages = {555-563}, Year = {1987}, Month = {December}, ISSN = {0194-911X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3692569}, Abstract = {A total of 228 men, aged 18 to 22 years (109 black and 119 white), underwent monitoring of heart rate (HR) and systolic (SBP) and diastolic blood pressure (DBP) responses during several stressor conditions and a 30-minute posttask rest period. Stressors included the cold pressor test and three reaction-time tasks: noncompetitive, competitive, and competitive plus money incentive. Substantial within-subject variations in blood pressure and heart rate were induced, varying from 119/70 to 148/94 mm Hg and from 63 to 91 beats/min on the average. Men (25 black and 39 white) with marginal SBP elevations during initial casual determinations had higher SBP under all conditions compared with men whose casual SBP levels were normal, and they also showed greater elevations over baseline levels in heart rate, SBP, and DBP during the stressors and the initial casual determination. Black and white subjects did not differ in their blood pressures at baseline or during the initial casual determinations, although blacks had slightly lower heart rates. Blacks did show greater SBP elevations over baseline levels than whites during the stressors, primarily because the blacks with marginally elevated SBP showed substantially greater stress-induced increases than whites with marginally elevated SBP. This enhanced pressor response to stress in blacks with marginal blood pressure elevations may be due to higher vascular resistance during enhanced sympathetic activity and could contribute to the higher incidence of hypertension among blacks.}, Doi = {10.1161/01.hyp.10.6.555}, Key = {fds277828} } @article{fds277827, Author = {Putnam, SM and Stiles, WB and Jacob, MC and James, SA}, Title = {Teaching the Medical Interview}, Journal = {Journal of General Internal Medicine}, Volume = {3}, Number = {1}, Pages = {38-47}, Year = {1988}, Abstract = {To study the effects of teaching specific interviewing techniques on verbal behaviors and on health outcomes, internal medicine residents working in a screening clinic were assigned to either an experimental or a control group. The entire clinic visit was audiotaped, transcribed, and coded according to the Verbal Response Mode (VRM) system. Residents in the experimental group were taught interviewing behaviors (patient exposition and physician explanation) that had been found in previous studies to be associated with patient outcomes. Through telephone interviews, patient satisfaction, compliance, and symptom status were determined for all patients. Two hundred and sixty-eight interviews (156 in the experimental group and 112 in the control group) were included in the study. Training did increase patient exposition and physician explanation, but did not affect health outcomes. Residents' attitudes and behaviors during the training are described.}, Key = {fds277827} } @article{fds304182, Author = {Putnam, SM and Stiles, WB and Jacob, MC and James, SA}, Title = {Teaching the medical interview: an intervention study.}, Journal = {Journal of general internal medicine}, Volume = {3}, Number = {1}, Pages = {38-47}, Year = {1988}, Month = {January}, url = {http://dx.doi.org/10.1007/bf02595755}, Abstract = {To study the effects of teaching specific interviewing techniques on verbal behaviors and on health outcomes, internal medicine residents working in a screening clinic were assigned to either an experimental or a control group. The entire clinic visit was audiotaped, transcribed, and coded according to the Verbal Response Mode (VRM) system. Residents in the experimental group were taught interviewing behaviors (patient exposition and physician explanation) that had been found in previous studies to be associated with patient outcomes. Through telephone interviews, patient satisfaction, compliance, and symptom status were determined for all patients. Two hundred and sixty-eight interviews (156 in the experimental group and 112 in the control group) were included in the study. Training did increase patient exposition and physician explanation, but did not affect health outcomes. Residents' attitudes and behaviors during the training are described.}, Doi = {10.1007/bf02595755}, Key = {fds304182} } @article{fds277826, Author = {Ballard, DJ and Strogatz, DS and Wagner, EH and Siscovick, DS and James, SA and Kleinbaum, DG and Cutchin, LM and Ibrahim, MA}, Title = {Hypertension control in a rural southern community: medical care process and dropping out.}, Journal = {American journal of preventive medicine}, Volume = {4}, Number = {3}, Pages = {133-139}, Year = {1988}, Month = {May}, url = {http://dx.doi.org/10.1016/s0749-3797(18)31185-1}, Abstract = {As part of the Edgecombe County High Blood Pressure Control Program, we conducted a medical record review within a private group practice to assess the interrelationships between patient characteristics, the process of medical care, and dropping out of care by hypertensive patients. Twenty-one percent of 641 randomly selected hypertensive patients did not have a clinic visit in the year before their record review date. Loss to follow-up varied from 31% for black men to 13% for white women. More intense prior contact with the medical care system was associated with remaining under medical care for all groups by race and sex. Black men were much less likely to have intense contact with the medical care system than the other groups. Physician aggressiveness in the use of drug therapy was associated with a nearly 40% reduction in the risk of being lost to follow-up. These findings suggest that patient characteristics and several factors that reflect the process of medical care are associated with dropping out of medical care by hypertensive patients.}, Doi = {10.1016/s0749-3797(18)31185-1}, Key = {fds277826} } @article{fds277825, Author = {Duijkers, TJ and Drijver, M and Kromhout, D and James, SA}, Title = {"John Henryism" and blood pressure in a Dutch population.}, Journal = {Psychosomatic medicine}, Volume = {50}, Number = {4}, Pages = {353-359}, Year = {1988}, Month = {July}, url = {http://dx.doi.org/10.1097/00006842-198807000-00004}, Abstract = {In a stratified, random sample of 100 men and 100 women, aged 20-59 years, residing in Zutphen, the Netherlands, the hypothesis was tested that high scores on "John Henryism," a strong behavioral predisposition to cope actively with psychosocial environmental stressors, would be associated with higher blood pressure, especially among persons of lower education. In univariate analyses higher scores on John Henryism were strongly associated with higher blood pressures in men. Among women there was only an association of John Henryism and systolic blood pressure, but this association was no longer statistically significant after adjustment for potential confounders such as age, alcohol consumption, physical activity, Quetelet Index, and education. Among men, however, the association between John Henryism and systolic blood pressure remained statistically significant after adjustment for potential confounders. The association between John Henryism and blood pressure was more pronounced for men of low educational background.}, Doi = {10.1097/00006842-198807000-00004}, Key = {fds277825} } @article{fds277824, Author = {James, SA}, Title = {Mortalidade Infantil e Sobrevida de Criancas na Bahia: uma reviao da literatura socia-epidemiologica}, Journal = {Revista Baiana de Saude Publica}, Volume = {16}, Pages = {15-29}, Year = {1989}, Key = {fds277824} } @article{fds277821, Author = {Fredman, L and Schoenbach, VJ and Kaplan, BH and Blazer, DG and James, SA and Kleinbaum, DG and Yankaskas, B}, Title = {The association between depressive symptoms and mortality among older participants in the Epidemiologic Catchment Area-Piedmont Health Survey.}, Journal = {J Gerontol}, Volume = {44}, Number = {4}, Pages = {S149-S156}, Year = {1989}, Month = {July}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2738318}, Abstract = {The association between depression and two-year mortality risk was assessed in 1,606 elderly community participants in the 1982-83 Epidemiologic Catchment Area-Piedmont Health Survey. Two depression measures were formed from the Diagnostic Interview Schedule (DIS) depressive symptom items. Neither measure was associated with mortality in univariate or multiple logistic regression analyses. The adjusted relative risk of mortality comparing the lowest to highest levels of a three-level depression variable was 0.9 (95% confidence interval = 0.5-1.4). Similar results were obtained with other versions of the depression variables, with each depressive symptom category, and within sex, chronic disease, widowhood status, and age groups. These results indicate that depression does not increase mortality in elderly adults, but the short follow-up, sample characteristics, and operationalization of depression may have affected this association.}, Doi = {10.1093/geronj/44.4.s149}, Key = {fds277821} } @article{fds277823, Author = {Orr, ST and James, SA and Burns, BJ and Thompson, B}, Title = {Chronic stressors and maternal depression: implications for prevention.}, Journal = {Am J Public Health}, Volume = {79}, Number = {9}, Pages = {1295-1296}, Year = {1989}, Month = {September}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2764210}, Abstract = {We report on the use of an instrument to measure exposure to stressors among 149 women presenting with their children for pediatric care at an urban primary care center. Overall, 38.3 percent of the women had significant levels of depressive symptoms; 71.4 percent of those in the "high stress" group had an adjusted prevalence odds ratio of 5.00 [95% CI = 2.12, 11.82]. We conclude that screening in the pediatric office is feasible for identifying women at high risk of becoming depressed.}, Doi = {10.2105/ajph.79.9.1295}, Key = {fds277823} } @article{fds277822, Author = {Orr, ST and James, SA and Charney, E}, Title = {A Social Environment Inventory for the pediatric office.}, Journal = {Journal of developmental and behavioral pediatrics : JDBP}, Volume = {10}, Number = {6}, Pages = {287-291}, Year = {1989}, Month = {December}, Abstract = {Exposure to psychosocial stressors is associated with deleterious physical and mental health outcomes among children and adults, as well as with school-related and behavioral problems among children. However, research and intervention in this area have been hampered by the lack of a valid measurement tool to assess exposure to stressors among mothers. This paper reports on the development and testing of a self-administered questionnaire for use in the pediatric setting to assess maternal exposure to stressors. The questionnaire was developed to facilitate the early identification of mothers exposed to high levels of stressors, since exposure to stressors often precedes the onset of problems. Early identification of mothers and children, in the pediatric office, could facilitate the prevention of various behavioral, school, and other problems among children.}, Key = {fds277822} } @article{fds277734, Author = {Homer, CJ and Beresford, SAA and James, SA and Siegel, E and Wilcox, S}, Title = {Work-related physical exertion and risk of preterm, low birthweight delivery}, Journal = {Paediatric and Perinatal Epidemiology}, Volume = {4}, Number = {2}, Pages = {161-174}, Year = {1990}, Abstract = {Although many women work during pregnancy, the effect of maternal job experience on pregnancy outcome is controversial. We investigated whether work-related physical exertion increases a woman's risk of delivering a preterm, low birthweight infant. We studied 773 employed, pregnant women included in the National Longitudinal Survey of Labor Market Experience, Youth Cohort (NLSY), a nationally representative sample of young adults. Data concerning work status, job title during pregnancy, and other factors affecting the outcome of pregnancy were obtained from the NLSY. Assessment of physical exertion was based on job title, using an established catalogue of occupational characteristics. Women in jobs characterised by high physical exertion experienced a higher rate of preterm, low birthweight delivery, defined as maternal report of delivery more than 3 weeks early and birthweight under 2500 g (adjusted RR = 5.1, 95% CI = 1.5, 17.7). These findings support a policy of limiting work-related physical exertion during pregnancy.}, Key = {fds277734} } @article{fds277820, Author = {Homer, CJ and James, SA and Siegel, E}, Title = {Work-related psychosocial stress and risk of preterm, low birthweight delivery.}, Journal = {American journal of public health}, Volume = {80}, Number = {2}, Pages = {173-177}, Year = {1990}, Month = {February}, url = {http://dx.doi.org/10.2105/ajph.80.2.173}, Abstract = {We investigated whether work-related psychologic stress--defined as work characterized by both high psychologic demands and limited control over the response to these demands--increases a woman's risk of delivering a preterm, low birthweight infant. We studied 786 employed pregnant women included in the National Longitudinal Survey of Labor Market Experience, Youth Cohort (NLSY), a nationally representative sample of 12,686 young adults. Data concerning work status, job title, and other factors affecting pregnancy outcome were obtained from the NLSY. Assessment of job experience was based on job title, using an established catalogue of occupation characteristics. After accounting for the physical exertion entailed in a job, occupational psychologic stress as measured by job title was not associated with preterm, low birthweight delivery for the sample as a whole (Relative risk = 1.16, 95% confidence interval .45, 2.95). For those women who did not want to remain in the work force, work-related stress increased their risk of experiencing this outcome (RR = 8.1, 95% CI 1.5, 50.2). Personal motivation toward work, as well as the physical effort of work, should be considered in evaluating the impact of a job's psychologic characteristics on pregnancy outcome.}, Doi = {10.2105/ajph.80.2.173}, Key = {fds277820} } @article{fds277816, Author = {Ainsworth, B and Keenan, NL and James, SAEA}, Title = {Physical Activity and Hypertension in a Southern Black Popualtion: The Pitt County, North Carolina Study}, Journal = {American Journal of Public Health}, Volume = {81}, Number = {11}, Pages = {1477-1479}, Year = {1991}, Abstract = {The relation of physical activity to hypertension was examined in 1751 Black adults in Pitt County, NC. More women (65%) than men (44%) were classified as sedentary. Sedentary behavior was not associated with the prevalence of hypertension in men, but was associated with a 31% increase in prevalence for women (sedentary-26.2%; active-20.0%; P < .01). The association in women was independent of other risk factors for hypertension.}, Key = {fds277816} } @article{fds277817, Author = {Adib, SM and Joseph, JG and Ostrow, DG and James, SA}, Title = {Predictors of relapse in sexual practices among homosexual men.}, Journal = {AIDS education and prevention : official publication of the International Society for AIDS Education}, Volume = {3}, Number = {4}, Pages = {293-304}, Year = {1991}, Month = {January}, Abstract = {Selected sociodemographic, psychosocial, and behavioral variables were used to predict maintenance or relapse in sexual practices over a 1-year interval in a cohort of homosexual men in Chicago. Univariate analyses and multivariate logistic regression were used to define predictive models for safer practices separately for insertive and receptive and sex. Demographic and psychosocial variables were not associated with subsequent relapse. Neither was HIV serostatus. Using more rigorous multiple logistic regression, only monogamous relationships, less peer support, and less assertiveness in negotiating safer sex appeared to predict relapse to less safe practices. The importance of interpersonal variables and social norms for future interventions among homosexual men is discussed.}, Key = {fds277817} } @article{fds277818, Author = {James, SA and de Almeida-Filho, N and Kaufman, JS}, Title = {Hypertension in Brazil: a review of the epidemiological evidence.}, Journal = {Ethnicity & disease}, Volume = {1}, Number = {1}, Pages = {91-98}, Year = {1991}, Month = {January}, Abstract = {Population-based studies of hypertension in Brazil were reviewed. Nineteen studies were identified, all employing cross-sectional study designs. The majority of these studies were conducted in the south and southeast regions of the country, although increasing mortality from cardiovascular diseases is now a nationwide problem in Brazil. Except for Amazonian Indians, age and blood pressure were positively correlated in the studies reviewed. Men generally had higher blood pressures than women up to age 50; studies consistently reported that blacks, or groups combining blacks and mulattoes, had higher blood pressures than whites. Methodological problems that characterize many of these studies were noted, and some suggestions for future research were offered.}, Key = {fds277818} } @article{fds277819, Author = {Strogatz, DS and James, SA and Haines, PS and Elmer, PJ and Gerber, AM and Browning, SR and Ammerman, AS and Keenan, NL}, Title = {Alcohol consumption and blood pressure in black adults: the Pitt County Study.}, Journal = {American journal of epidemiology}, Volume = {133}, Number = {5}, Pages = {442-450}, Year = {1991}, Month = {March}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a115911}, Abstract = {While there is a clear consensus in the epidemiologic literature on the direct association between alcohol consumption and blood pressure, the shape of this relation and its strength in blacks are uncertain. Therefore, the association between alcohol and blood pressure was examined in a community-based random sample of 1,784 black adults aged 25 to 50 years living in eastern North Carolina. These individuals were interviewed in 1988 for a study of psychosocial and dietary risk factors for elevated blood pressure. Alcohol consumption was estimated from responses to a food frequency questionnaire and was divided into four categories, which ranged from abstention (52% of the sample) to greater than or equal to seven drinks/week (12%). After adjustment for age and body mass, the systolic blood pressure of adults reporting greater than or equal to seven drinks/week exceeded that of nondrinkers by 6.8 mmHg for men and women (p less than 0.001). There was no evidence of a threshold effect, and similar patterns were observed for diastolic blood pressure. Being in the highest category of alcohol consumption was related to low socioeconomic status, lower social integration, and higher levels of socioeconomic stressors. These data are consistent with a graded association between alcohol and blood pressure in black adults and suggest the importance of social factors underlying this association.}, Doi = {10.1093/oxfordjournals.aje.a115911}, Key = {fds277819} } @article{fds304183, Author = {Ainsworth, BE and Keenan, NL and Strogatz, DS and Garrett, JM and James, SA}, Title = {Physical activity and hypertension in black adults: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {81}, Number = {11}, Pages = {1477-1479}, Year = {1991}, Month = {November}, url = {http://dx.doi.org/10.2105/ajph.81.11.1477}, Abstract = {The relation of physical activity to hypertension was examined in 1751 Black adults in Pitt County, NC. More women (65%) than men (44%) were classified as sedentary. Sedentary behavior was not associated with the prevalence of hypertension in men, but was associated with a 31% increase in prevalence for women (sedentary-26.2%; active-20.0%; P less than .01). The association in women was independent of other risk factors for hypertension.}, Doi = {10.2105/ajph.81.11.1477}, Key = {fds304183} } @article{fds277815, Author = {Gerber, AM and James, SA and Ammerman, AS and Keenan, NL and Garrett, JM and Strogatz, DS and Haines, PS}, Title = {Socioeconomic status and electrolyte intake in black adults: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {81}, Number = {12}, Pages = {1608-1612}, Year = {1991}, Month = {December}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.81.12.1608}, Abstract = {<h4>Background</h4>Although the inverse association between socioeconomic status (SES) and blood pressure has often been observed, little is known about the relationship between SES and dietary risk factors for elevated blood pressure. Therefore, this study described the distribution of dietary intakes of sodium, potassium, and calcium and examined the association between electrolyte intake and SES among 1784 Black men and women aged 25 to 50 residing in eastern North Carolina.<h4>Methods</h4>Household interviews were conducted in 1988 to obtain information on psychosocial and dietary correlates of blood pressure. Electrolyte intake (mg/day) was assessed using a food frequency questionnaire adapted to reflect regional and ethnic food preferences. SES was categorized into three levels defined by the participant's educational level and occupation.<h4>Results</h4>After adjustment for age and energy intake, potassium and calcium intake increased with increasing SES for both sexes. Sodium intake was high for all groups and did not vary markedly with SES, but sodium to potassium and sodium to calcium ratios decreased with increasing SES. In addition, high SES individuals were more likely to believe that diet affects risk for disease and to report less salt use at the table and less current sodium consumption than in the past.<h4>Conclusion</h4>These data indicate that nutritional beliefs as well as the consumption of electrolytes are associated with SES in Black adults.}, Doi = {10.2105/ajph.81.12.1608}, Key = {fds277815} } @article{fds277814, Author = {James, SA and Keenan, NL and Strogatz, DS and Browning, SR and Garrett, JM}, Title = {Socioeconomic status, John Henryism, and blood pressure in black adults. The Pitt County Study.}, Journal = {American journal of epidemiology}, Volume = {135}, Number = {1}, Pages = {59-67}, Year = {1992}, Month = {January}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a116202}, Abstract = {The joint influence of socioeconomic status and John Henryism on blood pressure was examined in a probability sample of 1,784 black adults aged 25-50 years in Pitt County, North Carolina, in 1988. John Henryism was measured by means of the John Henryism Active Coping Scale. Socioeconomic status (low, medium, and high) was based on respondents' education and occupation. Prior research indicated that, for blacks, the inverse association between socioeconomic status and hypertension may be stronger for individuals who score high in John Henryism. In this more urban sample of blacks, the hypothesized interaction achieved modest statistical support (p less than 0.08) only for hypertension prevalence. For individuals with high levels of John Henryism, adjusted prevalences declined with increasing socioeconomic status (29.4%, 26.2%, and 20.5% for low, medium, and high socioeconomic status, respectively); for individuals with low levels of John Henryism, hypertension prevalence was similar in the low (22.6%) and medium (22.8%) socioeconomic categories but higher in the high socioeconomic category (25.9%). Elevated psychological stress in white-collar workers was probably responsible for the nonsignificant inverse gradients between socioeconomic status and mean blood pressures and for the weak interaction between socioeconomic status and John Henryism with regard to hypertension prevalence.}, Doi = {10.1093/oxfordjournals.aje.a116202}, Key = {fds277814} } @article{fds277813, Author = {Keenan, NL and Strogatz, DS and James, SA and Ammerman, AS and Rice, BL}, Title = {Distribution and correlates of waist-to-hip ratio in black adults: the Pitt County Study.}, Journal = {American journal of epidemiology}, Volume = {135}, Number = {6}, Pages = {678-684}, Year = {1992}, Month = {March}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a116347}, Abstract = {A 1988 community-based survey of 1,784 black adults aged 25-50 years in Pitt County, North Carolina, found mean waist-to-hip ratios of 0.890 for men and 0.852 for women. Based on guidelines from the US Department of Agriculture, 20% of the men and 76% of the women had an elevated waist-to-hip ratio. Sedentary behavior was associated with elevated waist-to-hip ratio in men, while a similar excess was associated with alcohol consumption in women. Weak, nonsignificant associations with waist-to-hip ratio were observed for smoking. Socioeconomic status was unrelated to waist-to-hip ratio in men, but it had a strong inverse relation for women.}, Doi = {10.1093/oxfordjournals.aje.a116347}, Key = {fds277813} } @article{fds277812, Author = {Croft, JB and Strogatz, DS and James, SA and Keenan, NL and Ammerman, AS and Malarcher, AM and Haines, PS}, Title = {Socioeconomic and behavioral correlates of body mass index in black adults: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {82}, Number = {6}, Pages = {821-826}, Year = {1992}, Month = {June}, url = {http://dx.doi.org/10.2105/ajph.82.6.821}, Abstract = {<h4>Background</h4>Obesity is more prevalent among Black women than Black men, but there is little information on the correlates of obesity in Blacks. This study describes the relations of sociodemographic factors and health behaviors to body mass index in a southern, Black population.<h4>Methods</h4>In 1988, a community probability sample of 1784 Black adults, aged 25 to 50, was examined in Pitt County, NC.<h4>Results</h4>More women than men were at least 20% overweight (57% vs 36%). The relation of socioeconomic status (a composite of education and occupation) to age-adjusted body mass index level was inverse in women but not in men. Body mass index did not differ with either current energy intake or energy expenditure. Smokers and drinkers had lower age-adjusted levels than non-smokers and abstainers.<h4>Conclusions</h4>Since the excess body mass index levels associated with low socioeconomic status in women could not be explained after controlling for adverse health behaviors, further epidemiologic study of risk factors for obesity in Black women is recommended.}, Doi = {10.2105/ajph.82.6.821}, Key = {fds277812} } @article{fds277811, Author = {Orr, ST and James, SA and Casper, R}, Title = {Psychosocial stressors and low birth weight: development of a questionnaire.}, Journal = {Journal of developmental and behavioral pediatrics : JDBP}, Volume = {13}, Number = {5}, Pages = {343-347}, Year = {1992}, Month = {October}, Abstract = {Low birth weight is a major public health problem because it is a major contributor to infant mortality as well as to various types of morbidity among young children. Of particular concern is that black women have an increased risk of low birth weight babies compared with white women. Many etiologic factors for low birth weight have been identified, but even within homogeneous strata of risk, black women have a greater risk of low birth weight babies than do white women. The reasons for this excess risk are not well understood. Available evidence suggests that exposure to psychosocial stressors is associated with adverse pregnancy outcomes. However, prior work in this area has been limited by the lack of a valid and reliable tool to assess exposure to stressors among pregnant women. We report on the development and testing of such a questionnaire, the Prenatal Social Environment Inventory. In this questionnaire, exposure to stressors is conceptualized and measured in the context of chronic stressful conditions. The questionnaire is self-administered and can be used in clinical settings with pregnant women. Findings of psychometric evaluations showed that the questionnaire has acceptable levels of 30-day temporal stability (reliability), internal consistency, and construct validity.}, Key = {fds277811} } @article{fds277806, Author = {James, SA}, Title = {Foreward: Racial Differences in Preterm Delivery}, Journal = {American Journal of Preventive Medicine}, Volume = {9}, Pages = {v-vi}, Year = {1993}, Key = {fds277806} } @article{fds277810, Author = {James, SA}, Title = {Racial and ethnic differences in infant mortality and low birth weight. A psychosocial critique.}, Journal = {Annals of epidemiology}, Volume = {3}, Number = {2}, Pages = {130-136}, Year = {1993}, Month = {March}, url = {http://dx.doi.org/10.1016/1047-2797(93)90125-n}, Abstract = {Recent studies on differences in infant mortality and low birth weight (LBW) among non-Hispanic whites, African Americans, and Mexican Americans were reviewed. Despite similar socioeconomic profiles, infant mortality among Mexican Americans (8/1000 live births) is less than half that of African Americans (18/1000 live births). In fact, the rate for Mexican Americans is identical to that of non-Hispanic whites. The data for LBW follow a similar pattern. What accounts for this unexpectedly low frequency of poor birth outcomes among Mexican Americans, especially given their economic disadvantages, reduced access to prenatal care, and exposure to discrimination based on ethnicity? Does adherence to a traditional Mexican cultural orientation protect otherwise high-risk Mexican Americans from poor pregnancy outcomes, as has been suggested? What is the "protective" social and psychological content of a traditional Mexican cultural orientation? And what are the implications of this line of reasoning for understanding the excess risk for poor birth outcomes among African Americans? This article explores these and related questions and concludes that new conceptual models are needed to guide research in this area.}, Doi = {10.1016/1047-2797(93)90125-n}, Key = {fds277810} } @article{fds277808, Author = {Lopes, AA and Port, FK and James, SA and Agodoa, L}, Title = {The excess risk of treated end-stage renal disease in blacks in the United States.}, Journal = {Journal of the American Society of Nephrology : JASN}, Volume = {3}, Number = {12}, Pages = {1961-1971}, Year = {1993}, Month = {June}, url = {http://dx.doi.org/10.1681/asn.v3121961}, Abstract = {Analysis of national data from the United States Renal Data System for 1988 revealed an important joint effect of age and race in determining the higher risk of ESRD for blacks as compared with whites. For adults, both hypertension and diabetes made important contributions to the combined effect of age and race. In contrast, glomerulonephritis was not considered to be an important contributor to this joint effect. The combined effect of gender and race was weaker than that of age and race; however, among blacks, differences in the proportions of ESRD attributed to hypertension and diabetes across gender were observed. The age-race joint effect is consistent with the hypothesis that a combined effect of lack of treatment and aging on the process that leads to ESRD may play an important role in the excess risk for ESRD among blacks.}, Doi = {10.1681/asn.v3121961}, Key = {fds277808} } @article{fds277809, Author = {Croft, JB and Strogatz, DS and Keenan, NL and James, SA and Malarcher, AM and Garrett, JM}, Title = {The independent effects of obesity and body fat distribution on blood pressure in black adults: the Pitt County study.}, Journal = {International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity}, Volume = {17}, Number = {7}, Pages = {391-397}, Year = {1993}, Month = {July}, Abstract = {The relationship of obesity measures to blood pressure and hypertension prevalence was assessed in a community probability sample of 25-50-year-old black adults (1101 women and 655 men) who were examined in 1988 in Pitt County, North Carolina. Among black women, both body mass index and waist-to-hip ratio had independent relationships with systolic and diastolic blood pressures and hypertension prevalence after controlling for the effects of age, socio-economic status, physical activity, alcohol, and the other obesity measure (P < 0.05). Body mass index also had independent relationships with blood pressure levels and hypertension prevalence in black men (P < 0.05), while waist-to-hip ratio was associated with hypertension prevalence (P = 0.05) and diastolic blood pressure (P < 0.05), but not with systolic blood pressure. The relationships of waist-to-hip ratio with blood pressure and hypertension prevalence were considerably reduced in both sex groups after controlling for body mass index. This study presents new evidence that waist-to-hip ratio is related to hypertension and blood pressure level independent of body mass index, in young to middle-aged black adult women and men.}, Key = {fds277809} } @article{fds277807, Author = {James, SA}, Title = {The Narrative of John Henry Martin}, Journal = {Southern Cultures, Inaugural Issue}, Pages = {83-106}, Year = {1993}, Month = {November}, Key = {fds277807} } @article{fds277805, Author = {Dargent-Molina, P and James, SA and Strogatz, DS and Savitz, DA}, Title = {Association between maternal education and infant diarrhea in different household and community environments of Cebu, Philippines.}, Journal = {Social science & medicine (1982)}, Volume = {38}, Number = {2}, Pages = {343-350}, Year = {1994}, Month = {January}, ISSN = {0277-9536}, url = {http://dx.doi.org/10.1016/0277-9536(94)90404-9}, Abstract = {Maternal education is one of the strongest determinants of infant survival in developing countries, however, questions remain regarding the extent to which its effects vary as a function of contextual variables. In this study, a multi-level interactive model is used to assess whether the protective effect of maternal education on the risk of infant diarrhea is modified by three aspects of the mother's familial and community environment: household assets, community economic resources and the availability of mothers' clubs. 2484 study participants were interviewed in 1984 as part of the Cebu Longitudinal Infant Health and Nutrition Study. The findings suggest that the protective effect of maternal education on infant diarrhea varies according to the socio-economic environment in which the mother lives: maternal education protects against infant diarrhea in the more economically and socially advantaged communities but has no effect in the more disadvantaged communities. The results also indicate that the protective effect of maternal education is smaller in the wealthier households. These data suggest that improvement in maternal education level, alone, may not always have the expected beneficial effects on infant health. Corollary measures to improve access of mothers and children to basic community resources and efforts to help mothers be more effective in their various social roles may be necessary preconditions for higher levels of maternal education to result in improved infant health.}, Doi = {10.1016/0277-9536(94)90404-9}, Key = {fds277805} } @article{fds277804, Author = {James, SA}, Title = {John Henryism and the health of African-Americans.}, Journal = {Culture, medicine and psychiatry}, Volume = {18}, Number = {2}, Pages = {163-182}, Year = {1994}, Month = {June}, ISSN = {0165-005X}, url = {http://dx.doi.org/10.1007/bf01379448}, Doi = {10.1007/bf01379448}, Key = {fds277804} } @article{fds277803, Author = {Lopes, AA and Hornbuckle, K and James, SA and Port, FK}, Title = {The joint effects of race and age on the risk of end-stage renal disease attributed to hypertension.}, Journal = {American journal of kidney diseases : the official journal of the National Kidney Foundation}, Volume = {24}, Number = {4}, Pages = {554-560}, Year = {1994}, Month = {October}, url = {http://dx.doi.org/10.1016/s0272-6386(12)80211-3}, Abstract = {To describe the joint effects of race and age on the risk of end-stage renal disease (ESRD) attributed to hypertension (ESRD-HT), we analyzed data for white and black adults, 20 to 84 years of age, reported by the United States Renal Data System during the period 1987 to 1990. The risk of ESRD-HT increased substantially with age for both blacks and whites; however, at each age, the risk was greater for blacks. A more in-depth description of the combination of effects involving race and age on ESRD-HT incidence was provided by two models of joint effects, one additive and the other multiplicative. Both models used the 20- to 24-year age group as the referent. Under the additive model the risk of ESRD-HT in blacks attributable to the joint effects between race and age increased continuously from younger to older groups. This indicates that although ESRD-HT risk increases with age for both blacks and whites, the increase for blacks is greater than expected if the effects of race were independent of the effects of age. However, the multiplicative model indicated that the proportional increase with age in ESRD-HT risk among blacks, as compared with whites, was more striking for younger ages (< or = 50 years among women and < or = 40 years among men), and especially so for men. This suggests a more accelerated course of hypertension toward ESRD for blacks (especially younger men) than for whites. A conceptual model to explain these patterns of race-age joint effects is proposed.(ABSTRACT TRUNCATED AT 250 WORDS)}, Doi = {10.1016/s0272-6386(12)80211-3}, Key = {fds277803} } @article{fds277775, Author = {Brown, CP and Ferguson, JA and James, SA and Jenkins, B and Mays, VM and Nwangwu, JT and Reynolds, GH and Kumanyika, SK and Schoenbach, VJ and Suarez, L}, Title = {Statement of principles: Epidemiology and minority populations}, Journal = {Annals of Epidemiology}, Volume = {5}, Number = {6}, Pages = {505-508}, Year = {1995}, Key = {fds277775} } @article{fds277802, Author = {Gazmararian, JA and James, SA and Lepkowski, JM}, Title = {Depression in black and white women. The role of marriage and socioeconomic status.}, Journal = {Annals of epidemiology}, Volume = {5}, Number = {6}, Pages = {455-463}, Year = {1995}, Month = {November}, ISSN = {1047-2797}, url = {http://dx.doi.org/10.1016/1047-2797(95)00061-5}, Abstract = {The degree to which the relationship between race and depression in US black and white women is modified by socioeconomic and marital status was investigated. Data on 534 black and 836 white women, 25 to 64 years old, obtained from the 1986 Americans' Changing Lives national survey were utilized. Depression was measured by the Centers for Epidemiologic Studies Depression scale. Poverty status and education were used as indicators of socioeconomic status (SES). For both black and white women, the prevalence of depression was higher among those with lower as compared to higher SES, and among the unmarried as compared to the married. The unstratified, age-adjusted odds of depression for black women was twice that for white women (odds ratio (OR) = 2.2; 95% confidence interval (CI), 1.7 to 2.8); however, when stratified by poverty status, race effects were observed for nonpoor (OR = 2.2; 95% CI, 1.6 to 3.0) but not for poor women (OR = 1.3; 95% CI, 0.7 to 2.1). Race effects were also more pronounced among married (OR = 2.0; 95% CI, 1.4 to 2.9) than unmarried women (OR = 1.6; 95% CI, 1.1 to 2.4). Controlling for known confounders did not alter these results. Additional analyses revealed that the black excess risk for depression was concentrated among higher SES, married women, with marital difficulties appearing to pay a major role in their elevated depression scores.}, Doi = {10.1016/1047-2797(95)00061-5}, Key = {fds277802} } @article{fds277801, Author = {Kaufman, JS and Owoaje, EE and James, SA and Rotimi, CN and Cooper, RS}, Title = {Determinants of hypertension in West Africa: contribution of anthropometric and dietary factors to urban-rural and socioeconomic gradients.}, Journal = {American journal of epidemiology}, Volume = {143}, Number = {12}, Pages = {1203-1218}, Year = {1996}, Month = {June}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a008708}, Abstract = {The determinants of hypertension in West Africa have not been well defined. The authors sampled 598 participants aged 45 years or more from a recent population-based survey in southwest Nigeria (190 rural men and women, 205 urban poor men and women, and 203 retired railway workmen). The estimated mean age was 61 (10) years. Mean pressures were low relative to westernized societies: systolic blood pressure = 124 (24) mmHg, diastolic blood pressure = 72 (13) mmHg. Both men and women were remarkably lean: body mass index = 21.3 (3.6) and 23.0 (5.2) kg/m2, respectively. Hypertension prevalence increased across the gradient from rural farmers to urban poor to railway workers: 14, 25, and 29 percent, respectively, had a blood pressure of 140/90 mmHg or greater, and 3, 11, and 14 percent, respectively, had a blood pressure of 160/95 mmHg or greater (p for trend < 0.01 for both cutpoints). On the basis of a 24-hour urine sample, daily electrolyte excretion was 110 (57) mEq of sodium and 46 (24) mEq of potassium. Mean sodium:potassium ratio was 2.6 (1.0) and was higher among the urban residents (p < 0.01) and correlated with systolic and diastolic pressures (r = 0.16-0.18, p < 0.01). These findings provide quantitative estimates of the impact of known hypertension risk factors in West Africa and demonstrate the basis for increased prevalence with urbanization and associated economic and dietary change. These results also provide support for recommendations for prevention in West Africa and provide a benchmark against which to compare populations in the African diaspora.}, Doi = {10.1093/oxfordjournals.aje.a008708}, Key = {fds277801} } @article{fds277800, Author = {Orr, ST and James, SA and Miller, CA and Barakat, B and Daikoku, N and Pupkin, M and Engstrom, K and Huggins, G}, Title = {Psychosocial stressors and low birthweight in an urban population.}, Journal = {American journal of preventive medicine}, Volume = {12}, Number = {6}, Pages = {459-466}, Year = {1996}, Month = {November}, ISSN = {0749-3797}, url = {http://dx.doi.org/10.1016/s0749-3797(18)30268-x}, Abstract = {<h4>Introduction</h4>Low birthweight is a major determinant of infant mortality, as well as a contributor to infant and childhood morbidity. A key issue is how to reduce the incidence of low birthweight in the United States. One emerging factor is exposure to psychosocial stressors. In this research, we evaluated the association between exposure to psychosocial stressors and low birthweight in a population of urban, low-income pregnant women.<h4>Methods</h4>Over 2,000 pregnant women 18 years of age and older were enrolled in this prospective study and recruited at their first prenatal care visit. We obtained information on maternal exposure to stressors. After the pregnancy, we abstracted clinical records of each woman enrolled in the study. Logistic regression was used to estimate the adjusted odds ratio for the association between stressor group membership and low birthweight, controlling for the effects of confounding factors.<h4>Results</h4>In logistic regression analyses stratified by race, for African-American women, the following variables were significantly associated with low birthweight: smoking, hypertension, low prepregnancy weight, hospitalization during pregnancy, previous preterm birth, and exposure to stressors. For Caucasian women, significant predictors were: smoking, drug use, hospitalization during pregnancy, hypertension, and previous preterm birth. Exposure to stressors was also significantly associated with many clinical and behavioral risks for low birthweight.<h4>Conclusion</h4>Our results suggest two potential mechanisms for an association between stressors and low birthweight. Exposure to stressors may be indirectly associated with low birthweight through a relationship with clinical and behavioral risks for low birthweight. Exposure to psychosocial stressors may also be directly associated with risk of low birthweight among African-American women.}, Doi = {10.1016/s0749-3797(18)30268-x}, Key = {fds277800} } @article{fds277798, Author = {Curtis, AB and James, SA and Raghunathan, TE and Alcser, K}, Title = {Job Strain and Hypertension Prevalence in African-Americans: The Pitt County (NC) Study}, Journal = {American Journal of Public Health}, Volume = {87}, Number = {8}, Pages = {1297-1302}, Year = {1997}, ISSN = {0090-0036}, Abstract = {Objectives. This report examined whether job strain (or its components, decision latitude and job demands) was associated with elevated blood pressure levels in a community-based sample of 726 African-American adults. Methods. Blood-pressure, anthropometric, behavioral, demographic, and psychosocial data were collected for the current cross-sectional analyses during home interviews conducted for the second were (1993) of the Pitt County Study (North Carolina), a prospective cohort study of hypertension among African Americans. Results. Job strain was not associated with blood pressure among men or women in this study. However, men in the 80th percentile of decision latitude had more than a 50% decrease in the prevalence of hypertension compared with men in the 20th percentile (odds ratio = .46, 95% confidence interval = 22, 96). Conclusions. These results indicate that decision latitude may be important for hypertension risk among African-American men. More research is needed on African Americans to determine why job strain and its two component variables differ in their associations with blood pressure for men and women.}, Key = {fds277798} } @article{fds277799, Author = {Strogatz, DS and Croft, JB and James, SA and Keenan, NL and Browning, SB and Garrett, JM}, Title = {Social Support, Stress and Blood Pressure in Blacks: The Pitt County Study}, Journal = {Epidemiology}, Volume = {8}, Number = {5}, Pages = {482-487}, Year = {1997}, url = {http://dx.doi.org/10.1097/00001648-199709000-00002}, Abstract = {Psychosocial factors arising from socioeconomic disadvantage and discrimination may contribute to the excess risk of elevated blood pressure in African-Americans. The purpose of this study was to assess the association of social support and stress with blood pressure in a community-based sample of 25-to 50-year-old black adults in Pitt County, NC. A stratified random sample of dwellings was selected in 1988, and 1,784 black adults (80% of those eligible) were interviewed. Analyses were sex specific and adjusted for age, obesity, and waist/hip ratio. In separate analyses of emotional support, instrumental support, and stress with blood pressure, all associations were in the predicted direction (inverse for support, direct for stress) but were stronger for systolic than for diastolic blood pressure. Differences in systolic blood pressure associated with low support or high stress ranged from 5.2 to 3.6 mmHg in women and 3.5 to 2.5 mmHg in men. In simultaneous regression analyses of support and stress, each of the separate effects was reduced for women, but a sizable aggregate effect of low support and high stress remained [+7.2 mmHg (95% confidence limits = +1.3, +13.1) for systolic blood pressure and +4.0 mmHg (95% confidence limits = +0.1, +7.9) for diastolic blood pressure.}, Doi = {10.1097/00001648-199709000-00002}, Key = {fds277799} } @article{fds304184, Author = {Curtis, AB and James, SA and Raghunathan, TE and Alcser, KH}, Title = {Job strain and blood pressure in African Americans: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {87}, Number = {8}, Pages = {1297-1302}, Year = {1997}, Month = {August}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.87.8.1297}, Abstract = {<h4>Objectives</h4>This report examined whether job strain (or its components, decision latitude and job demands) was associated with elevated blood pressure levels in a community-based sample of 726 African-American adults.<h4>Methods</h4>Blood-pressure, anthropometric, behavioral, demographic, and psychosocial data were collected for the current cross-sectional analyses during home interviews conducted for the second wave (1993) of the Pitt County Study (North Carolina), a prospective cohort study of hypertension among African Americans.<h4>Results</h4>Job strain was not associated with blood pressure among men or women in this study. However, men in the 80th percentile of decision latitude had more than a 50% decrease in the prevalence of hypertension compared with men in the 20th percentile (odds ratio = .46, 95% confidence interval = .22, .96).<h4>Conclusions</h4>These results indicate that decision latitude may be important for hypertension risk among African-American men. More research is needed on African Americans to determine why job strain and its two component variables differ in their associations with blood pressure for men and women.}, Doi = {10.2105/ajph.87.8.1297}, Key = {fds304184} } @article{fds277797, Author = {Curtis, AB and James, SA and Strogatz, DS and Raghunathan, TE and Harlow, S}, Title = {Alcohol consumption and changes in blood pressure among African Americans. The Pitt County Study.}, Journal = {American journal of epidemiology}, Volume = {146}, Number = {9}, Pages = {727-733}, Year = {1997}, Month = {November}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/oxfordjournals.aje.a009348}, Abstract = {The Pitt County Study is a longitudinal investigation of anthropometric, psychosocial, and behavioral predictors of hypertension in African Americans who were aged 25-50 years at baseline in 1988. At baseline, a strong dose-response gradient was observed for alcohol consumption and blood pressure for both sexes. The current study investigated whether baseline alcohol consumption or, alternatively, changes in drinking status predicted 5-year changes in blood pressure among the 652 women and 318 men who satisfied all inclusion criteria for the longitudinal analyses. In multivariate regression analyses, baseline alcohol consumption was not significantly associated with changes in blood pressure or hypertension incidence (systolic/diastolic blood pressure > or = 160/95 mmHg) by 1993. Change in drinking status, however, was significantly associated with changes in systolic pressure. The systolic pressure increase among individuals who initiated alcohol consumption was 6.2 mmHg (95% confidence interval (CI) 1.1-6.4) greater than abstainers, while that for individuals who reported drinking at both time points was 3.8 mmHg (95% CI 1.3-11.1) greater. Blood pressure increases for persons who discontinued drinking were comparable to those of abstainers. Results were independent of baseline age, body mass index, blood pressure, and sex. Social and economic disadvantage in 1988 was significantly associated with continuation and initiation of alcohol consumption by 1993.}, Doi = {10.1093/oxfordjournals.aje.a009348}, Key = {fds277797} } @article{fds277796, Author = {James, SA and Jamjourn, L and Raghunathan, TE and Strogatz, DS and Furth, E and Khazanie, P}, Title = {Physical Activity and Non-insulin-Dependent Diabetes in African Americans: The Pitt County Study}, Journal = {Diabetes Care}, Volume = {21}, Number = {4}, Pages = {555-562}, Year = {1998}, ISSN = {0149-5992}, url = {http://dx.doi.org/10.2337/diacare.21.4.555}, Abstract = {OBJECTIVE - Studies directly examining the association between physical activity and NIDDM in African-Americans are rare. Consequently, the strength of this association in this ethnic minority group remains unclear. The current study broadly characterizes the types of physical activity engaged in by a community sample of working-class African-Americans and then quantifies the association between physical activity and NIDDM risk in this population. RESEARCH DESIGN AND METHODS - During the 1993 reexamination of participants in the Pitt County Study in North Carolina, data on NIDDM history, current use of insulin or oral hypoglycemic drugs, and ~12-h overnight fasting blood glucose (FBG) were obtained from 598 women and 318 men, ages 30-55 years. The presence of NIDDM was determined by current insulin or medication use and FBG ≤ 140 mg/dl. Study participants were assigned to one of four categories of physical activity: strenuous, moderate, low, or inactive. RESULTS - The weighted prevalence of NIDDM in the sample was 7.1%. After adjustment was made for age, sex, education, BMI, and waist-to-hip ratio, NIDDM risk for moderately active subjects was one-third that for the physically inactive subjects (odds ratio [OR], 0.35; 95% CI, 0.12-0.98). The ORs for low (OR, 0.51; 95% CI, 0.20-1.29) and strenuous (OR, 0.65; 95% CI, 0.26-1.63) activity also tended to be lower. A summary OR that contrasted any activity versus no activity was 0.51 (95% CI, 0.23-1.13). CONCLUSIONS - Moderate physical activity was strongly associated with reduced risk for NIDDM in this sample. While replication of these findings is needed, public health interventions designed to increase moderate (leisure-time) physical activity in black adults should be strongly encouraged.}, Doi = {10.2337/diacare.21.4.555}, Key = {fds277796} } @article{fds304185, Author = {James, SA and Jamjoum, L and Raghunathan, TE and Strogatz, DS and Furth, ED and Khazanie, PG}, Title = {Physical activity and NIDDM in African-Americans. The Pitt County Study.}, Journal = {Diabetes care}, Volume = {21}, Number = {4}, Pages = {555-562}, Year = {1998}, Month = {April}, ISSN = {0149-5992}, url = {http://dx.doi.org/10.2337/diacare.21.4.555}, Abstract = {<h4>Objective</h4>Studies directly examining the association between physical activity and NIDDM in African-Americans are rare. Consequently, the strength of this association in this ethnic minority group remains unclear. The current study broadly characterizes the types of physical activity engaged in by a community sample of working-class African-Americans and then quantifies the association between physical activity and NIDDM risk in this population.<h4>Research design and methods</h4>During the 1993 reexamination of participants in the Pitt County Study in North Carolina, data on NIDDM history, current use of insulin or oral hypoglycemic drugs, and approximately 12-h overnight fasting blood glucose (FBG) were obtained from 598 women and 318 men, ages 30-55 years. The presence of NIDDM was determined by current insulin or medication use and FBG > or = 140 mg/dl. Study participants were assigned to one of four categories of physical activity: strenuous, moderate, low, or inactive.<h4>Results</h4>The weighted prevalence of NIDDM in the sample was 7.1%. After adjustment was made for age, sex, education, BMI, and waist-to-hip ratio, NIDDM risk for moderately active subjects was one-third that for the physically inactive subjects (odds ratio [OR], 0.35; 95% CI, 0.12-0.98). The ORs for low (OR, 0.51; 95% CI, 0.20-1.29) and strenuous (OR, 0.65; 95% CI, 0.26-1.63) activity also tended to be lower. A summary OR that contrasted any activity versus no activity was 0.51 (95% CI, 0.23-1.13).<h4>Conclusions</h4>Moderate physical activity was strongly associated with reduced risk for NIDDM in this sample. While replication of these findings is needed, public health interventions designed to increase moderate (leisure-time) physical activity in black adults should be strongly encouraged.}, Doi = {10.2337/diacare.21.4.555}, Key = {fds304185} } @article{fds277795, Author = {Curtis, AB and Strogatz, DS and James, SA and Raghunathan, TE}, Title = {The contribution of baseline weight and weight gain to blood pressure change in African Americans: the Pitt County Study.}, Journal = {Annals of epidemiology}, Volume = {8}, Number = {8}, Pages = {497-503}, Year = {1998}, Month = {November}, ISSN = {1047-2797}, url = {http://dx.doi.org/10.1016/s1047-2797(98)00024-6}, Abstract = {<h4>Purpose</h4>The positive association between obesity and blood pressure has been less consistent in African Americans than whites. This is especially true for African American men. This study investigated the sex-specific associations between baseline body mass index (BMI), weight change (kilograms), and five-year hypertension incidence and changes in blood pressure in a cohort of African Americans ages 25-50 years at baseline.<h4>Methods</h4>The Pitt County Study is a longitudinal investigation of anthropometric, psychosocial, and behavioral predictors of hypertension in African Americans. Data were obtained through household interviews and physical examinations in 1988 and 1993.<h4>Results</h4>Baseline BMI was positively and independently associated with changes in blood pressure after controlling for weight change and other covariates. When participants were stratified by sex-specific overweight vs. nonoverweight status at baseline, weight gain was significantly associated with increases in blood pressure only among the initially nonoverweight.<h4>Conclusions</h4>Baseline weight for all respondents, and weight gain among the nonoverweight at baseline, were independent predictors of blood pressure increases in this cohort of African Americans.}, Doi = {10.1016/s1047-2797(98)00024-6}, Key = {fds277795} } @article{fds277877, Author = {Sullivan, AD and Nyirenda, T and Cullinan, T and Taylor, T and Harlow, SD and James, SA and Meshnick, SR}, Title = {Malaria infection during pregnancy: intrauterine growth retardation and preterm delivery in Malawi.}, Journal = {The Journal of infectious diseases}, Volume = {179}, Number = {6}, Pages = {1580-1583}, Year = {1999}, Month = {June}, ISSN = {0022-1899}, url = {http://dx.doi.org/10.1086/314752}, Abstract = {In sub-Saharan Africa, malaria infection in pregnancy contributes to low birth weight through intrauterine growth retardation (IUGR) and preterm delivery (PTD). It was hypothesized that malaria-associated PTD and IUGR have differing etiologies due to timing of infection. In a prospective cohort of primigravid women enrolled at the antenatal clinic of Mangochi District Hospital in Malawi, the associations were investigated between antenatal or delivery parasitemias and IUGR or PTD. Among 178 singleton deliveries, 35% of infants were preterm or had IUGR. Cord blood parasitemia (odds ratio [OR]=3.34; 95% confidence interval [CI], 1.3-8.8], placental parasitemia (OR=2.43; 95% CI, 1.2-5.1), and postdelivery maternal peripheral parasitemia (OR=2.78; 95% CI, 1.3-6.1) were associated with PTD. Parasitemia and/or clinically diagnosed malaria in the antenatal period was associated with IUGR (OR=5.13; 95% CI, 1.4-19.4). Delivery parasitemias had borderline associations with IUGR. The risk patterns observed suggest that the timing and severity of infection influences the occurrence of IUGR or PTD.}, Doi = {10.1086/314752}, Key = {fds277877} } @article{fds277878, Author = {James, SA}, Title = {Primordial prevention of cardiovascular disease among African-Americans: a social epidemiological perspective.}, Journal = {Preventive medicine}, Volume = {29}, Number = {6 Pt 2}, Pages = {S84-S89}, Year = {1999}, Month = {December}, url = {http://dx.doi.org/10.1006/pmed.1998.0453}, Abstract = {<h4>Background</h4>The primordial prevention of cardiovascular disease (CVD) among African-Americans represents a formidable challenge for public health. This paper discusses the nature of this challenge, highlighting the role that economic and cultural factors play in shaping the distributions of major CVD risk factors among African-Americans. The paper concludes with specific suggestions for research.<h4>Methods</h4>Data from recent national health surveys on black/white differences in major CVD risk factors like hypertension, obesity, cholesterol, cigarette smoking, and physical inactivity were reviewed for the purpose of identifying promising avenues for primordial prevention research among African-Americans.<h4>Results</h4>Cigarette smoking has a delayed onset among African-Americans compared to whites. Black/white differences in "vigorous" leisure-time physical activity (e.g., social dancing and team sports) are not apparent until around age 40. These findings have relevance for primordial prevention work in black communities since they suggest the existence of broad-based, health-relevant cultural norms which could support primordial prevention programs, such as regular physical activity, across the life cycle.<h4>Conclusions</h4>CVD primordial prevention programs among African-Americans must be grounded in an understanding of how cultural values as well as economic conditions shape CVD risk factor distributions in this population. Ultimate success will depend on the strength of the partnerships that public health researchers, primary care providers, and community residents are able to build.}, Doi = {10.1006/pmed.1998.0453}, Key = {fds277878} } @article{fds277872, Author = {James, SA and Thomas, P}, Title = {John Henryism and Blood Pressure in Black Populations: A Review of the Evidence}, Journal = {African American Research Prospectives}, Volume = {6}, Number = {3}, Pages = {1-10}, Year = {2000}, Key = {fds277872} } @article{fds277873, Author = {Dallo, FJ and James, SA}, Title = {Acculturation and Blood Pressure in a Community-Based Sample of Chaldean-American Women}, Journal = {Journal of Immigrant Health}, Volume = {2}, Pages = {145-153}, Year = {2000}, Key = {fds277873} } @article{fds277874, Author = {Orr, ST and Blackmore-Prince, C and James, SA and Griffin, JM and Raghunathan, T}, Title = {Race, clinical factors and pre-term birth in a low-income urban setting.}, Journal = {Ethnicity & disease}, Volume = {10}, Number = {3}, Pages = {411-417}, Year = {2000}, Month = {January}, Abstract = {<h4>Unlabelled</h4>While infant mortality rates have declined for both White and African-American populations, the perennial two-fold excess in risk for African Americans remains unchanged, and indeed, may have increased since 1985. One potential explanation for the excess risk in African Americans might be racial differences in maternal clinical risk factors, such as prior pregnancy history and pregnancy complications. This paper examines the contributions of such clinical indicators to racial differences in pre-term delivery in a study sample of urban, low-income women, aged 18 to 43 years.<h4>Methods</h4>Study participants were enrolled during their first prenatal care visit at one of four hospital-based, prenatal care clinics in Baltimore City. Medical history and pregnancy outcome data were abstracted from clinical records. Multiple logistic regression models were used to assess the independent relationship between race and pre-term birth, after controlling for clinical factors.<h4>Results</h4>Without adjustment for clinical risk factors, African-American women were 1.8 times more likely than White women to have a pre-term birth outcome (95% confidence interval 1.20-2.78). After statistical adjustment for the clinical variables, however, the association between race and pre-term birth was diminished (OR = 1.64, 95% confidence interval: 0.99-2.72). Moreover, the associations between certain clinical risks and pre-term birth were stronger for African-American than White women.<h4>Conclusion</h4>These results suggest that attention to clinical risk factors among African-American women may be an important avenue for reducing Black/White racial disparities in pre-term birth.}, Key = {fds277874} } @article{fds277876, Author = {Schulz, A and Williams, D and Israel, B and Becker, A and Parker, E and James, SA and Jackson, J}, Title = {Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area.}, Journal = {Journal of health and social behavior}, Volume = {41}, Number = {3}, Pages = {314-332}, Year = {2000}, Month = {September}, ISSN = {0022-1465}, Abstract = {Why do racial differences in many indicators of mental and emotional well-being show inconsistent patterns? We propose that mental and emotional well-being are influenced by aspects of the social context, including experiences of unfair treatment and the concentration of households with incomes below the poverty level, and that differential exposure to these factors influences racial differences in mental well-being. We analyze the reporting of psychological distress and life satisfaction in a multistage area probability sample of 1,139 African American and white residents of the Detroit metropolitan area aged 18 and older. Both psychological distress and life satisfaction are significantly associated with exposure to unfair treatment and with the proportion of households in the census block group that were below the poverty level. Racial differences in psychological distress and life satisfaction were eliminated or reversed once differentials in the percent of households living below the poverty line and exposure to unfair treatment were accounted for. These findings contribute to a growing body of evidence that "race" effects operate through multiple pathways that include race-based residential segregation and its attendant economic disinvestment at the community level, and interpersonal experiences of unfair treatment.}, Key = {fds277876} } @article{fds277871, Author = {Orr, ST and Miller, CA and James, SA and Babones, S}, Title = {Unintended pregnancy and preterm birth.}, Journal = {Paediatric and perinatal epidemiology}, Volume = {14}, Number = {4}, Pages = {309-313}, Year = {2000}, Month = {October}, url = {http://dx.doi.org/10.1046/j.1365-3016.2000.00289.x}, Abstract = {About one-third of all pregnancies that result in live births in the US are unintended. Despite the large number of these births, little is known about the outcomes of unintended pregnancies. The purpose of the current study was to evaluate the association between intendedness of pregnancy and preterm birth in a large prospective cohort of women who reported for prenatal care. Pregnant, black, low-income women were enrolled into this study at four hospital-based prenatal care clinics and one off-site hospital-affiliated prenatal clinic in Baltimore City. A self-administered questionnaire to assess demographic and psychosocial data was completed by each woman in the cohort at the time of enrolment in the study. The questionnaire contained an item to measure intendedness of the pregnancy. A total of 922 women comprised the final sample for analysis. For the analyses, intendedness was dichotomised as: intended (wanted now or sooner) vs. unintended (mistimed, unwanted or unsure). Overall, 13.7% of all births to women in the sample were preterm. In a logistic regression model, after controlling for potential confounding by clinical and behavioural predictors of preterm delivery, unintended pregnancy was significantly associated with preterm delivery (adjusted RR = 1.82, 95% confidence interval [1.08,3.08], P = 0.026). In this study of a cohort of urban, clinic-attending, low-income, pregnant black women, unintended pregnancy had a statistically significant association with preterm birth. After adjustment for behavioural and clinical risks, women with unintended pregnancies had almost twice the risk of a preterm delivery as women with intended pregnancies.}, Doi = {10.1046/j.1365-3016.2000.00289.x}, Key = {fds277871} } @article{fds277738, Author = {Rogan, WJ and Bornschein, RL and Jr, CJJ and Damokosh, AI and Dockery, DW and Fay, ME and Jones, RL and Rhoads, GG and Ragan, NB and Salganik, M and al, E}, Title = {Safety and efficacy of succimer in toddlers with blood lead levels of 20-44 microg/dL. Treatment of Lead-Exposed Children (TLC) Trial Group.}, Journal = {Pediatric research}, Volume = {48}, Number = {5}, Pages = {593-599}, Year = {2000}, Month = {November}, ISSN = {0031-3998}, url = {http://dx.doi.org/10.1203/00006450-200011000-00007}, Abstract = {Although lead encephalopathy has virtually disappeared from the United States, thousands of children still have sufficient lead exposure to produce cognitive impairment. It is not known whether treating children with blood lead levels < 45 microg/dL (2.2 microM) is beneficial and can be done with acceptable safety. We conducted a 780-child, placebo-controlled, randomized trial of up to three courses of succimer in children with blood lead levels of 20-44 microg/dL (1.0-2.1 microM). Children were aged 12-33 mo, 77% were African-American, 7% were Hispanic, and they lived in deteriorating inner city housing. Placebo-treated children had a gradual decrease in blood lead level. Succimer-treated children had an abrupt drop in blood lead level, followed by rebound. The mean blood lead level of the succimer-treated children during the 6 mo after initiation of treatment was 4.5 microg/dL (95% confidence intervals, 3.7 to 5.3 microg/dL; 0.22 microM, 0.18 to 0.26 microM) lower than that of placebo-treated children. There were more scalp rashes in succimer-treated children (3.5% versus 1.3%) and an unanticipated excess of trauma. Succimer lowers blood lead level with few side effects. The unanticipated excess of trauma requires confirmation.}, Doi = {10.1203/00006450-200011000-00007}, Key = {fds277738} } @article{fds277875, Author = {Schulz, A and Israel, B and Williams, D and Parker, E and Becker, A and James, S}, Title = {Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area.}, Journal = {Social science & medicine (1982)}, Volume = {51}, Number = {11}, Pages = {1639-1653}, Year = {2000}, Month = {December}, url = {http://dx.doi.org/10.1016/s0277-9536(00)00084-8}, Abstract = {This article examines the cumulative effects of multiple stressors on women's health, by race and area of residence. Specifically, we examine socioeconomic status, experiences of unfair treatment and acute life events by race and residential location, and their cumulative effects on the health status of African American and white women living within the city of Detroit and in the surrounding metropolitan area. African American women, regardless of whether they live inside or outside the city, report more frequent encounters with everyday unfair treatment than white women. African American women who live in the city report a greater number of acute life events than white women who live outside the city. Regression analyses used to examine the cumulative effects of exposure to these stressors by race and area of residence show that: (1) socioeconomic status, everyday experiences with unfair treatment and acute life events each make a significant contribution to differences in health status; and (2) the contribution of each of these variables to explaining variations in health status varies by area of residence. We suggest that differences in socioeconomic status, exposure to unfair treatment or discrimination and experiences of acute life events make significant contributions to racial differences in women's health status.}, Doi = {10.1016/s0277-9536(00)00084-8}, Key = {fds277875} } @article{fds277870, Author = {Fisher, MA and Eklund, SA and James, SA and Lin, X}, Title = {Adverse events associated with hepatitis B vaccine in U.S. children less than six years of age, 1993 and 1994.}, Journal = {Annals of epidemiology}, Volume = {11}, Number = {1}, Pages = {13-21}, Year = {2001}, Month = {January}, ISSN = {1047-2797}, url = {http://dx.doi.org/10.1016/s1047-2797(00)00078-8}, Abstract = {<h4>Purpose</h4>This study evaluated infrequent adverse reactions to hepatitis B vaccine by investigating the association of this vaccine with adverse health outcomes for U.S. children less than six years of age. The evaluation of the association between hepatitis B vaccine and chronic arthritis provides needed data, relevant to the Institute of Medicine's Report that there are inadequate data available to assess the causal relationship of hepatitis B vaccine to arthritis risk.<h4>Methods</h4>The 1993 (n = 5505 children) and 1994 (n = 6515 children) National Health Interview Survey (NHIS) datasets were analyzed to provide post-marketing surveillance data from probability samples of the U.S. population. Incident cases of adverse events were determined from the temporal association between the hepatitis B vaccination and the adverse events. Logistic regression modeling was used to adjust for potential confounding.<h4>Results</h4>Controlling for age, race, and gender simultaneously in the 1994 NHIS, hepatitis B vaccine was found to be associated with prevalent arthritis [odds ratio (OR) = 5.91, 95% confidence interval (CI) = 1.05-33.14], incident acute ear infections (OR = 1.60, 95% CI = 1.00-2.58), and incident pharyngitis/nasopharyngitis (OR = 1.41, 95% CI = 0.95-2.09).<h4>Conclusions</h4>Evidence from this study suggests that hepatitis B vaccine is positively associated with adverse health outcomes in the general population of US children.}, Doi = {10.1016/s1047-2797(00)00078-8}, Key = {fds277870} } @article{fds277869, Author = {Parker, EA and Lichtenstein, RL and Schulz, AJ and Israel, BA and Schork, MA and Steinman, KJ and James, SA}, Title = {Disentangling measures of individual perceptions of community social dynamics: results of a community survey.}, Journal = {Health education & behavior : the official publication of the Society for Public Health Education}, Volume = {28}, Number = {4}, Pages = {462-486}, Year = {2001}, Month = {August}, url = {http://dx.doi.org/10.1177/109019810102800407}, Abstract = {This study examined how different measures of individual perceptions of community social dynamics relate to each other and how these measures relate to self-reported general health and depressive symptoms. Results of a principal components analysis conducted to investigate the interrelationships between these individual measures suggest that these measures measure separate phenomena. In addition, in results of multiple-regression analyses conducted to examine associations between the various measures of individual perceptions of community social dynamics and the dependent variables of self-reported general health and depressive symptoms, sense of community, perceived neighborhood control, and neighborhood participation were all associated with the outcome variables in separate regression models. In a regression model with these three variables added to control variables, only sense of community was significantly, albeit modestly, associated with depressive symptoms and self-reported general health.}, Doi = {10.1177/109019810102800407}, Key = {fds277869} } @article{fds277865, Author = {Orr, S and James, SA and Blackmore Prince and C}, Title = {Maternal Prenatal Depressive Symptoms and Spontaneous Preterm Births among African American Women in Baltimore}, Journal = {American Journal of Epidemiology}, Volume = {9}, Pages = {803-805}, Year = {2002}, Key = {fds277865} } @article{fds277868, Author = {Moura, VL and Warber, SL and James, SA}, Title = {CAM providers' messages to conventional medicine: a qualitative study.}, Journal = {American journal of medical quality : the official journal of the American College of Medical Quality}, Volume = {17}, Number = {1}, Pages = {10-14}, Year = {2002}, Month = {January}, url = {http://dx.doi.org/10.1177/106286060201700103}, Abstract = {Between 30 and 50% of patients use complementary and alternative medicine (CAM). There is little research on the interaction between CAM and conventional providers. We investigated what messages CAM practitioners would convey to conventional medicine (CM). Thirty-four CAM practitioners participated in audiotaped interviews. A coherent message was constructed from the identified themes. CAM practitioners see CAM supporting CM rather than replacing it. Blending of CAM with CM benefits patients and CM providers. CAM reintroduces the concept of healing that technology and time pressures have reduced. The basis of healing is connection, being present in the moment, and seeing patients as whole human beings. Research validating CAM effectiveness will foster integration, as will inclusion of CAM theory and practice in the medical curricula. The messages from CAM practitioners to CM coincide with current views of integrative medicine. Collaboration in research, education, and practice can foster a high-quality health care system.}, Doi = {10.1177/106286060201700103}, Key = {fds277868} } @article{fds277867, Author = {Montgomery, JP and Gillespie, BW and Gentry, AC and Mokotoff, ED and Crane, LR and James, SA}, Title = {Does access to health care impact survival time after diagnosis of AIDS?}, Journal = {AIDS patient care and STDs}, Volume = {16}, Number = {5}, Pages = {223-231}, Year = {2002}, Month = {May}, ISSN = {1087-2914}, url = {http://dx.doi.org/10.1089/10872910252972276}, Abstract = {Lack of access to health care is often blamed for poor health outcomes, but this effect is not supported by existing HIV/AIDS literature. The authors examined the association between access to care and survival time after progression to AIDS, using survival analysis methods. This study combined data from two CDC sponsored studies of HIV-infected persons, a cross-sectional interview study and a longitudinal medical record review study. Study subjects included 752 persons who progressed to AIDS before December 31, 1999, and were patients at either of two major HIV care facilities in Detroit, MIchigan. Separate statistical models were used to test associations between survival time after meeting the criteria for AIDS and two indicators of access to health care: (1) perceived access to health care and (2) health care utilization patterns. Perceived access was not associated with survival time after AIDS, but patterns of health care utilization were significantly associated with survival time after AIDS (HR = 2.04, p < 0.001). Individuals who received a greater proportion of their care in the ER had a worse survival prognosis than those who received more of their health care in an outpatient clinic setting. It is crucial that we provide HIV-infected populations with tools that enable them to access a regular source of health care.}, Doi = {10.1089/10872910252972276}, Key = {fds277867} } @article{fds277866, Author = {Israel, BA and Farquhar, SA and Schulz, AJ and James, SA and Parker, EA}, Title = {The relationship between social support, stress, and health among women on Detroit's East Side.}, Journal = {Health education & behavior : the official publication of the Society for Public Health Education}, Volume = {29}, Number = {3}, Pages = {342-360}, Year = {2002}, Month = {June}, url = {http://dx.doi.org/10.1177/109019810202900306}, Abstract = {A conceptual model of the stress process has been useful in examining relationships between numerous social determinants (e.g., chronic stress), protective factors (e.g., social support), and health status. In this article, the authors examine multiple sources of chronic stress, instrumental and emotional support, and health outcomes among a random sample (N = 679) of predominantly low-income African American women who reside on Detroit's east side. The findings suggest that a number of chronic stressors have an impact on depressive symptoms and general health and that even though instrumental and emotional support each have a significant effect over and above the effects of the stressors, when both are included in the model, instrumental support, and not emotional support, remains as a significant predictor of health outcomes. These findings suggest the need for health education interventions and policy strategies that strengthen social support and aim at macro-level changes necessary to reduce chronic stressful conditions.}, Doi = {10.1177/109019810202900306}, Key = {fds277866} } @article{fds277739, Author = {Orr, ST and James, SA and Blackmore Prince and C}, Title = {Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland.}, Journal = {American journal of epidemiology}, Volume = {156}, Number = {9}, Pages = {797-802}, Year = {2002}, Month = {November}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/aje/kwf131}, Abstract = {The purpose of this study was to examine the relation between maternal depressive symptoms and spontaneous preterm birth. From 1991 to 1993, pregnant, African-American women were prospectively enrolled at four hospital-based clinics in Baltimore, Maryland, that serve low-income areas of the city. The Center for Epidemiologic Studies Depression (CES-D) Scale was used to assess depressive symptoms. Multiple logistic regression analysis estimated the independent contribution of maternal depressive symptoms to spontaneous preterm birth, controlling for behavioral, clinical, and demographic variables. Among the 1,399 women in the sample, 117 (8.4%) had a spontaneous preterm delivery. Spontaneous preterm birth occurred among 12.7% of those with a CES-D score in the upper 10th percentile and among 8.0% of those with a lower score (relative risk = 1.59). The adjusted odds ratio for an elevated CES-D score was 1.96 (95% confidence interval: 1.04, 3.72); hence, maternal depressive symptoms in this sample of African-American women were independently associated with spontaneous preterm birth. Effective treatment of depression in pregnant women could ultimately result in a reduction of spontaneous preterm births.}, Doi = {10.1093/aje/kwf131}, Key = {fds277739} } @article{fds277864, Author = {Lopes, AA and Port, FK and James, SA and Silveira, MA and Martinelli, R and Brito, E and Rocha, H}, Title = {Race and glomerulonephritis in patients with and without hepatosplenic Schistosomiasis mansoni.}, Journal = {Clinical nephrology}, Volume = {58}, Number = {5}, Pages = {333-336}, Year = {2002}, Month = {November}, url = {http://dx.doi.org/10.5414/cnp58333}, Abstract = {<h4>Background/aims</h4>United States investigators have shown evidence of higher susceptibility to focal segmental glomerulosclerosis (FSGS) in blacks than in whites. This association between race and FSGS has not been assessed outside the US. The present study assesses the association between race and type of glomerulonephritis in a sample of Brazilian patients, taking into account the presence of the hepatosplenic form of Schistosomiasis mansoni (HSM).<h4>Methods</h4>Eighty patients with focal segmental glomerulosclerosis (FSGS) were compared to 50 with membranoproliferative glomerulonephritis (MPGN). The association between race (i.e. black versus white) and type of glomerulonephritis was adjusted for age, gender and HSM by logistic regression.<h4>Results</h4>Blacks were more likely than whites to have FSGS (as compared to MPGN), both among patients with HSM (odds ratio (OR) = 2.67; 95% confidence interval (CI) = 0.81 - 8.81) and without HSM (OR = 2.19; 95% CI = 0.79 - 6.05). After adjustment for age, gender and HSM, the odds of FSGS remained significantly greater for blacks (OR = 2.49; 95% CI = 1.05 - 5.95).<h4>Conclusion</h4>The increased likelihood of FSGS in Brazilian blacks is consistent with findings from US patients. The association between race and type of glomerulonephritis was similar between patients with and without HSM. Future investigations should focus on the mediators factors that might explain these findings.}, Doi = {10.5414/cnp58333}, Key = {fds277864} } @article{fds277794, Author = {James, S}, Title = {The Moral Economy of US Racial/Ethnic Health Disparities}, Journal = {American Journal of Public Health}, Volume = {93}, Number = {2}, Pages = {189}, Year = {2003}, Key = {fds277794} } @article{fds277863, Author = {Katz, RV and Kegeles, SS and Green, BL and Kressin, NR and James, SA and Claudio, C}, Title = {The Tuskegee Legacy Project: history, preliminary scientific findings, and unanticipated societal benefits.}, Journal = {Dental clinics of North America}, Volume = {47}, Number = {1}, Pages = {1-19}, Year = {2003}, Month = {January}, url = {http://dx.doi.org/10.1016/s0011-8532(02)00049-6}, Abstract = {This article is intended to provide a relatively complete picture of how a pilot study--conceived and initiated within an NIDCR-funded RRCMOH--matured into a solid line of investigation within that center and "with legs" into a fully funded study within the next generation of NIDCR centers on this topic of health disparities, the Centers for Research to Reduce Oral Health Disparities. It highlights the natural opportunity that these centers provide for multicenter. cross-disciplinary research and for research career pipelining for college and dental school students; with a focus, in this case, on minority students. Futhermore, this series of events demonstrates the rich potential that these types of research centers have to contribute in ways that far exceed the scientific outcomes that form their core. In this instance, the NMOHRC played a central--and critical, if unanticipated--role in contributing to two events of national significance, namely the presidential apology to the African American community for the research abuses of the USPHS--Tuskegee syphilis study and the establishment of the National Center for Bioethics in Research and Health Care at Tuskegee University. Research Centers supported by the NIH are fully intended to create a vortex of scientific activity that goes well beyond the direct scientific aims of the studies initially funded within those centers. The maxim is that the whole should be greater than the sum of its initial constituent studies or parts. We believe that NMOHRC did indeed achieve that maxim--even extending "the whole" to include broad societal impact. well beyond the scope of important, but mere, scientific outcomes--all within the concept and appropriate functions of a scientific NIH-funded research center.}, Doi = {10.1016/s0011-8532(02)00049-6}, Key = {fds277863} } @article{fds304186, Author = {James, SA}, Title = {Confronting the moral economy of US racial/ethnic health disparities.}, Journal = {American journal of public health}, Volume = {93}, Number = {2}, Pages = {189}, Year = {2003}, Month = {February}, url = {http://dx.doi.org/10.2105/ajph.93.2.189}, Doi = {10.2105/ajph.93.2.189}, Key = {fds304186} } @article{fds277862, Author = {Joseph, MA and Harlow, SD and Wei, JT and Sarma, AV and Dunn, RL and Taylor, JMG and James, SA and Cooney, KA and Doerr, KM and Montie, JE and Schottenfeld, D}, Title = {Risk factors for lower urinary tract symptoms in a population-based sample of African-American men.}, Journal = {Am J Epidemiol}, Volume = {157}, Number = {10}, Pages = {906-914}, Year = {2003}, Month = {May}, url = {http://dx.doi.org/10.1093/aje/kwg051}, Abstract = {Previous epidemiologic studies evaluating risk factors for lower urinary tract symptoms (LUTS) have focused on White populations. Between September 1996 and January 1998, in a population-based sample of African-American men aged 40-79 years in Flint, Michigan, the authors assessed the role of putative sociodemographic, lifestyle, and medical history risk factors in moderate to severe LUTS, including the subcategories of obstructive and irritative symptoms. After the exclusion of men with prostate cancer or prior prostate surgery and men who were taking alpha-blockers for urinary tract symptoms, 708 participants provided responses to a structured interviewer-administered questionnaire. After multivariable adjustment, current and former smokers were at increased risk of moderate to severe LUTS, including obstructive symptoms. Heavy alcohol consumption and a history of hypertension or diabetes were positively associated with LUTS, and high income (>/=$30,000) was inversely associated with LUTS and with obstructive and irritative symptoms. A history of heart disease was positively associated with LUTS and with irritative symptoms. To the authors' knowledge, this was the first population-based study undertaken in African-American men to evaluate putative risk factors for moderate to severe LUTS, including subcategories of obstructive and irritative urinary symptoms. These results describe associations with specific lifestyle and medical history risk factors.}, Doi = {10.1093/aje/kwg051}, Key = {fds277862} } @article{fds277861, Author = {Lopes, AA and James, SA and Port, FK and Ojo, AO and Agodoa, LY and Jamerson, KA}, Title = {Meeting the challenge to improve the treatment of hypertension in blacks.}, Journal = {Journal of clinical hypertension (Greenwich, Conn.)}, Volume = {5}, Number = {6}, Pages = {393-401}, Year = {2003}, Month = {November}, url = {http://dx.doi.org/10.1111/j.1524-6175.2003.01736.x}, Abstract = {Hypertension is more prevalent and severe in African descendent populations living outside Africa than in any other population. Given this greater burden of hypertension in blacks, it is increasingly necessary to refine strategies to prevent the disorder as well as improve its treatment and control. This review assesses results from clinical trials on lifestyle and pharmacologic interventions to identify which approaches most effectively prevent adverse hypertension-related outcomes in African descendent populations. The Dietary Approaches to Stop Hypertension (DASH) study provided evidence that a carefully controlled diet rich in fruits, vegetables, low-fat dairy foods, and reduced in saturated fat, total fat, and cholesterol (i.e., the DASH diet) reduces blood pressure in blacks and is well accepted. The combination of the DASH diet with reduction in dietary sodium below 100 mmol/d may provide a reduction in blood pressure beyond that reached by the DASH diet alone. Physical exercise and interventions to reduce psychological stress may also reduce blood pressure in blacks. Strong evidence from numerous studies is a compelling argument for continuing to recommend diuretics and beta blockers as first-line antihypertensive therapy for persons of all races. Some new studies also favor angiotensin-converting enzyme inhibitors as first-line antihypertensive drugs. The African American Study of Kidney Disease and Hypertension provided evidence that an angiotensin-converting enzyme inhibitor-based treatment program is more beneficial than calcium channel blockers and beta blockers in reducing the progression of renal failure in blacks with hypertensive nephropathy. Studies in patients with diabetes have also shown evidence that both angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists are more effective than other classes of antihypertensives in reducing adverse renal events. Studies to evaluate the effects of the new antihypertensives in improving outcomes in blacks living outside the United States are needed.}, Doi = {10.1111/j.1524-6175.2003.01736.x}, Key = {fds277861} } @article{fds277793, Author = {Almeida-Filho, N and Lessa, I and Magalh es, L and Araújo, MJ and Aquino, E and Kawachi, I and James, SA}, Title = {Alcohol drinking patterns by gender, ethnicity, and social class in Bahia, Brazil.}, Journal = {Revista de saude publica}, Volume = {38}, Number = {1}, Pages = {45-54}, Year = {2004}, Month = {February}, url = {http://dx.doi.org/10.1590/s0034-89102004000100007}, Abstract = {<h4>Objective</h4>To study patterns of alcohol consumption and prevalence of high-risk drinking.<h4>Methods</h4>A household survey was carried out in a sample of 2,302 adults in Salvador, Brazil. Cases of High-Risk Drinking (HRD) were defined as those subjects who referred daily or weekly binge drinking plus episodes of drunkenness and those who reported any use of alcoholic beverages but with frequent drunkenness (at least once a week).<h4>Results</h4>Fifty-six per cent of the sample acknowledged drinking alcoholic beverages. Overall consumption was significantly related with gender (male), marital status (single), migration (non-migrant), better educated (college level), and social class (upper). No significant differences were found regarding ethnicity, except for cachaça (Brazilian sugarcane liquor) and other distilled beverages. Overall 12-month prevalence of high-risk drinking was 7%, six times more prevalent among males than females (almost 13% compared to 2.4%). A positive association of HRD prevalence with education and social class was found. No overall relationship was found between ethnicity and HRD. Male gender and higher socioeconomic status were associated with increased odds of HRD. Two-way stratified analyses yielded consistent gender effects throughout all strata of independent variables.<h4>Conclusions</h4>The findings suggest that social and cultural elements determine local patterns of alcohol-drinking behavior. Additional research on long-term and differential effects of gender, ethnicity, and social class on alcohol use and misuse is needed in order to explain their role as sources of social health inequities.}, Doi = {10.1590/s0034-89102004000100007}, Key = {fds277793} } @article{fds277792, Author = {Almeida-Filho, N and Lessa, I and Magalhães, L and Araújo, MJ and Aquino, E and James, SA and Kawachi, I}, Title = {Social inequality and depressive disorders in Bahia, Brazil: interactions of gender, ethnicity, and social class.}, Journal = {Social science & medicine (1982)}, Volume = {59}, Number = {7}, Pages = {1339-1353}, Year = {2004}, Month = {October}, url = {http://dx.doi.org/10.1016/j.socscimed.2003.11.037}, Abstract = {We conducted a study of the association between gender, race/ethnicity, and social class and prevalence of depressive disorders in an urban sample (N = 2302) in Bahia, Brazil. Individual mental health status was assessed by the PSAD/QMPA scale. Family SES and head of household's schooling and occupation were taken as components for a 4-level social class scale. Race/ethnicity (white, moreno, mulatto, black) was assessed with a combination of self-designation and a system of racial classification. The overall 12-month prevalence of depressive symptoms was 12%, with a female:male ratio of 2:1. Divorced/widowed persons showed the highest prevalence and single the lowest. There was a negative correlation with education: the ratio college educated:illiterate was 4:1. This gradient was stronger for women than men. There was no F:M difference in depression among Whites, upper-middle classes, college-educated, or illiterate. Prevalence ratios for single, widowed and Blacks were well above the overall pattern. Regarding race/ethnicity, higher prevalences of depression were concentrated in the Moreno and Mulatto subgroups. There was a consistent social class and gender interaction, along all race/ethnicity strata. Three-way interaction analyses found strong gender effect for poor and working-class groups, for all race/ethnicity strata but Whites. Black poor yielded the strongest gender effect of all (up to nine-fold). We conclude that even in a highly unequal context such as Bahia, Blacks, Mulattos and women were protected from depression by placement into the local dominant classes; and that the social meaning of ethnic-gender-generation diversity varies with being unemployed or underemployed, poor or miserable, urban or rural, migrant or non-migrant.}, Doi = {10.1016/j.socscimed.2003.11.037}, Key = {fds277792} } @article{fds277791, Author = {Madison, T and Schottenfeld, D and James, SA and Schwartz, AG and Gruber, SB}, Title = {Endometrial cancer: socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival.}, Journal = {American journal of public health}, Volume = {94}, Number = {12}, Pages = {2104-2111}, Year = {2004}, Month = {December}, url = {http://dx.doi.org/10.2105/ajph.94.12.2104}, Abstract = {<h4>Objective</h4>We evaluated the association between socioeconomic status and racial/ ethnic differences in endometrial cancer stage at diagnosis, treatment, and survival.<h4>Methods</h4>We conducted a population-based study among 3656 women.<h4>Results</h4>Multivariate analyses showed that either race/ethnicity or income, but not both, was associated with advanced-stage disease. Age, stage at diagnosis, and income were independent predictors of hysterectomy. African American ethnicity, increased age, aggressive histology, poor tumor grade, and advanced-stage disease were associated with increased risk for death; higher income and hysterectomy were associated with decreased risk for death.<h4>Conclusions</h4>Lower income was associated with advanced-stage disease, lower likelihood of receiving a hysterectomy, and lower rates of survival. Earlier diagnosis and removal of barriers to optimal treatment among lower-socioeconomic status women will diminish racial/ethnic differences in endometrial cancer survival.}, Doi = {10.2105/ajph.94.12.2104}, Key = {fds277791} } @article{fds277741, Author = {Zenk, SN and Schulz, AJ and Israel, BA and James, SA and Bao, S and Wilson, ML}, Title = {Neighborhood Racial Composition, Neighborhood Poverty, and Supermarket Accessibility in Metropolitan Detroit}, Journal = {American Journal of Public Health}, Volume = {95}, Number = {4}, Pages = {660-667}, Year = {2005}, url = {http://dx.doi.org/10.2105/ajph.2004.042150}, Abstract = {<h4>Objectives</h4>We evaluated the spatial accessibility of large "chain" supermarkets in relation to neighborhood racial composition and poverty.<h4>Methods</h4>We used a geographic information system to measure Manhattan block distance to the nearest supermarket for 869 neighborhoods (census tracts) in metropolitan Detroit. We constructed moving average spatial regression models to adjust for spatial autocorrelation and to test for the effect of modification of percentage African American and percentage poor on distance to the nearest supermarket.<h4>Results</h4>Distance to the nearest supermarket was similar among the least impoverished neighborhoods, regardless of racial composition. Among the most impoverished neighborhoods, however, neighborhoods in which African Americans resided were, on average, 1.1 miles further from the nearest supermarket than were White neighborhoods.<h4>Conclusions</h4>Racial residential segregation disproportionately places African Americans in more-impoverished neighborhoods in Detroit and consequently reduces access to supermarkets. However, supermarkets have opened or remained open close to middle-income neighborhoods that have transitioned from White to African American. Development of economically disadvantaged African American neighborhoods is critical to effectively prevent diet-related diseases among this population.}, Doi = {10.2105/ajph.2004.042150}, Key = {fds277741} } @article{fds277789, Author = {Two Feathers and J and Kieffer, EC and Guzman, R and Palmisano, G and Anderson, M and Sinco, B and James, SA}, Title = {Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership: Improving Diabetes-related Outcomes among African American and Latino Adults}, Journal = {American Journal of Public Health}, Volume = {95}, Number = {9}, Pages = {1552-1560}, Year = {2005}, url = {http://dx.doi.org/10.2105/ajph.2005.066134}, Abstract = {<h4>Objectives</h4>We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for diabetes complications among African Americans and Latinos with type 2 diabetes.<h4>Methods</h4>One hundred fifty-one African American and Latino adults with diabetes were recruited from 3 health care systems in Detroit, Michigan, to participate in the Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership diabetes lifestyle intervention. The curriculum, delivered by trained community residents, was aimed at improving dietary, physical activity, and diabetes self-care behaviors. Baseline and postintervention levels of diabetes-specific quality-of-life, diet, physical activity, self-care knowledge and behaviors, and hemoglobin A1C were assessed.<h4>Results</h4>There were statistically significant improvements in postintervention dietary knowledge and behaviors and physical activity knowledge. A statistically significant improvement in A1C level was achieved among REACH Detroit program participants (P<.0001) compared with a group of patients with diabetes in the same health care system in which no significant changes were observed (P=.160).<h4>Conclusions</h4>A culturally tailored diabetes lifestyle intervention delivered by trained community residents produced significant improvement in dietary and diabetes self-care related knowledge and behaviors as well as important metabolic improvements.}, Doi = {10.2105/ajph.2005.066134}, Key = {fds277789} } @article{fds277790, Author = {Magalh, A-FNLI and 227es L, A and SA, JMAEKIJ}, Title = {Social Inequality and Alcohol Consumption-Abuse in Bahia, Brazil: Interactions of Gender, Ethnicity, and Social Class}, Journal = {Social Psychiatry and Psychiatric Epidemiology}, Volume = {40}, Number = {3}, Pages = {214-222}, Year = {2005}, url = {http://dx.doi.org/10.1007/s00127-005-0883-4}, Abstract = {Background: This paper reports findings on Alcohol Consumption-Abuse (ACAb) in Bahia, Brazil, a research setting characterized by racial/ ethnic and socioeconomic diversity. Methods: A household survey was conducted with a sample of 2,302 adults. ACAb was defined as daily intake of more than two units of beverage, with drunkenness, or weekly binge drinking plus episodes of drunkenness, or any use of alcoholic beverages with frequent drunkenness, with failed attempts to stop drinking. Results: The rate of 12-month prevalence was 7%, with an overall male: female ratio of 6:1. A positive association of ACAb prevalence with education and social class was found. Male gender and higher socio- economic status were associated with increased odds of ACAb. No relationship was found between ethnicity and ACAb. Stratified analysis yielded consistent gender effects, throughout all strata of independent variables. A strong interaction of gender (male) and social class (upper class) was found for Mulattos and Morenos (maximum Prevalence rate = 9.04). Conclusion: Interaction patterns found defy simple generalizations based on class, ethnicity, and gender considered alone. © Steinkopff Verlag 2005.}, Doi = {10.1007/s00127-005-0883-4}, Key = {fds277790} } @article{fds304187, Author = {Almeida-Filho, N and Lessa, I and Magalhães, L and Araújo, MJ and Aquino, E and James, SA and Kawachi, I}, Title = {Social inequality and alcohol consumption-abuse in Bahia, Brazil-- interactions of gender, ethnicity and social class.}, Journal = {Social psychiatry and psychiatric epidemiology}, Volume = {40}, Number = {3}, Pages = {214-222}, Year = {2005}, Month = {March}, url = {http://dx.doi.org/10.1007/s00127-005-0883-4}, Abstract = {<h4>Background</h4>This paper reports findings on Alcohol Consumption-Abuse (ACAb) in Bahia, Brazil, a research setting characterized by racial/ethnic and socioeconomic diversity.<h4>Methods</h4>A household survey was conducted with a sample of 2,302 adults. ACAb was defined as daily intake of more than two units of beverage, with drunkenness, or weekly binge drinking plus episodes of drunkenness, or any use of alcoholic beverages with frequent drunkenness, with failed attempts to stop drinking.<h4>Results</h4>The rate of 12-month prevalence was 7%, with an overall male: female ratio of 6:1. A positive association of ACAb prevalence with education and social class was found. Male gender and higher socio-economic status were associated with increased odds of ACAb. No relationship was found between ethnicity and ACAb. Stratified analysis yielded consistent gender effects, throughout all strata of independent variables. A strong interaction of gender (male) and social class (upper class) was found for Mulattos and Morenos (maximum Prevalence rate=9.04).<h4>Conclusion</h4>Interaction patterns found defy simple generalizations based on class, ethnicity, and gender considered alone.}, Doi = {10.1007/s00127-005-0883-4}, Key = {fds304187} } @article{fds277781, Author = {Schulz, AJ and Kannan, S and Dvonch, JT and Israel, BA and Allen, A and James, SA and House, JS and Lepkowski, J}, Title = {Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.}, Journal = {Environmental health perspectives}, Volume = {113}, Number = {12}, Pages = {1817-1825}, Year = {2005}, Month = {Summer}, ISSN = {0091-6765}, url = {http://dx.doi.org/10.1289/ehp.7913}, Abstract = {The Healthy Environments Partnership (HEP) is a community-based participatory research effort investigating variations in cardiovascular disease risk, and the contributions of social and physical environments to those variations, among non-Hispanic black, non-Hispanic white, and Hispanic residents in three areas of Detroit, Michigan. Initiated in October 2000 as a part of the National Institute of Environmental Health Sciences' Health Disparities Initiative, HEP is affiliated with the Detroit Community-Academic Urban Research Center. The study is guided by a conceptual model that considers race-based residential segregation and associated concentrations of poverty and wealth to be fundamental factors influencing multiple, more proximate predictors of cardiovascular risk. Within this model, physical and social environments are identified as intermediate factors that mediate relationships between fundamental factors and more proximate factors such as physical activity and dietary practices that ultimately influence anthropomorphic and physiologic indicators of cardiovascular risk. The study design and data collection methods were jointly developed and implemented by a research team based in community-based organizations, health service organizations, and academic institutions. These efforts include collecting and analyzing airborne particulate matter over a 3-year period; census and administrative data; neighborhood observation checklist data to assess aspects of the physical and social environment; household survey data including information on perceived stressors, access to social support, and health-related behaviors; and anthropometric, biomarker, and self-report data as indicators of cardiovascular health. Through these collaborative efforts, HEP seeks to contribute to an understanding of factors that contribute to racial and socioeconomic health inequities, and develop a foundation for efforts to eliminate these disparities in Detroit.}, Doi = {10.1289/ehp.7913}, Key = {fds277781} } @article{fds340510, Author = {Orr, ST and James, SA and Garry, J and Prince, CB and Newton, ER}, Title = {Excercise and Pregnancy Outcome among Urban, Low Income Black Women.}, Journal = {Ethnicity & Disease}, Volume = {16}, Pages = {933-937}, Year = {2006}, Key = {fds340510} } @article{fds277743, Author = {Zenk, SN and Schulz, AJ and Israel, BA and James, SA and Bao, S and Wilson, ML}, Title = {Fruit and vegetable access differs by community racial composition and socioeconomic position in Detroit, Michigan.}, Journal = {Ethnicity & disease}, Volume = {16}, Number = {1}, Pages = {275-280}, Year = {2006}, Month = {January}, ISSN = {1049-510X}, Abstract = {<h4>Objective</h4>To compare the availability, selection, quality, and price of fresh fruit and vegetables at food stores in four Detroit-area communities: 1) predominately African-American, low socioeconomic position (SEP); 2) racially heterogeneous, low SEP; 3) predominately African-American, middle SEP; and 4) racially heterogeneous, middle SEP.<h4>Design</h4>Cross-sectional observational survey, conducted fall 2002.<h4>Setting</h4>Detroit, Michigan<h4>Sample</h4>Overall, 304 food stores located in the four communities were evaluated: chain grocery, large independent grocery, "mom-and-pop" grocery, specialty (meat, fruit and vegetable markets), convenience without gasoline, and liquor stores.<h4>Main outcome measures</h4>Availability was indicated by whether a store carried fresh fruit or vegetables, selection was based on a count of 80 fruit and vegetables, quality was evaluated according to USDA guidelines for a subset of 20 fruit and vegetables, and price was assessed for 20 fruit and vegetables by using the lowest-cost method.<h4>Results</h4>Mean quality of fresh produce was significantly lower in the predominately African-American, low-SEP community than in the racially heterogeneous, middle-SEP community. Differences in the types of stores present only partially explained this quality differential. The predominately African-American, low-SEP community had more than four times more liquor stores and fewer grocery stores per 100,000 residents than the racially heterogeneous, middle-SEP community. Mean overall selection and price of fresh produce at stores did not differ among communities.<h4>Conclusions</h4>Increasing access to high-quality fresh produce in low-income communities of color is a critical first step toward improving health through better dietary practices in this population.}, Key = {fds277743} } @article{fds277744, Author = {Orr, ST and James, SA and Garry, J and Prince, CB and Newton, ER}, Title = {Exercise and pregnancy outcome among urban, low-income, black women.}, Journal = {Ethnicity & disease}, Volume = {16}, Number = {4}, Pages = {933-937}, Year = {2006}, Month = {January}, ISSN = {1049-510X}, Abstract = {Few studies have focused on the association between maternal exercise and outcomes of pregnancy among low-income, Black women. The analysis reported here examines the associations between exercise before and during pregnancy and pregnancy outcomes of preterm birth and low birth weight among a sample of urban, low-income, Black women. Women (N=922) were enrolled in this prospective cohort study during their first prenatal visit at five hospital-based prenatal clinics located in Baltimore City, Maryland, from 1993 to 1995. A questionnaire was used to ask women about their participation in strenuous and non-strenuous exercise before and during pregnancy. Nearly two thirds of the women reported participating in exercise during pregnancy; most women participated in non-strenuous exercise (56%). The risks of both low birth weight (12.2%) and preterm birth (13.7%) were not significantly different whether women reported exercising or not, either before or during pregnancy. For women who were considered high risk because of chronic diseases or previous poor pregnancy outcome, stratified analysis indicated no significant difference in preterm birth or low birth weight between those who exercised and those who did not. Our analysis failed to identify any association between exercise and pregnancy outcomes among low-income, urban, Black women.}, Key = {fds277744} } @article{fds277784, Author = {Orr, ST and James, SA and Garry, J and Newton, E}, Title = {Exercise participation before and during pregnancy among low-income, urban, Black women: the Baltimore Preterm Birth Study.}, Journal = {Ethnicity & disease}, Volume = {16}, Number = {4}, Pages = {909-913}, Year = {2006}, Month = {January}, ISSN = {1049-510X}, Abstract = {National data demonstrate that Black women have poorer health status, and greater risk of death from chronic diseases, than their White counterparts. Exercise can help prevent chronic disease, and adult Black women are less likely to engage in exercise than White women. However, few data are available about exercise among pregnant Black women. Pregnant Black women were enrolled in this study at hospital-based prenatal clinics in Baltimore, Maryland. Exercise before and during pregnancy were assessed at the first prenatal visit, along with exposure to stressors, depression, John Henryism Active Coping, and behavioral factors such as smoking. Among the 922 women in the sample, approximately three quarters reported engaging in exercise before pregnancy, and two thirds exercised during pregnancy. Most women engaged in non-strenuous exercise during pregnancy (56%) and exercised for > or = 20 minutes at least three times per week (80%). Exercise participation was significantly associated with higher levels of John Henryism Active Coping and lower levels of depression but was not significantly associated with behavioral factors or exposure to stressors. Prior research, based on older women, may have underestimated exercise participation by young Black women. These results suggest that Black women may decrease exercise participation after pregnancy and as they age. Encouraging Black women to continue to exercise as they age may have promising implications for the prevention of chronic diseases.}, Key = {fds277784} } @article{fds277783, Author = {James, SA and Fowler-Brown, A and Raghunathan, TE and Van Hoewyk, J}, Title = {Life-course socioeconomic position and obesity in African American Women: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {96}, Number = {3}, Pages = {554-560}, Year = {2006}, Month = {March}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16449599}, Abstract = {<h4>Objectives</h4>We studied obesity in African American women in relationship to their socioeconomic position (SEP) in childhood and adulthood.<h4>Methods</h4>On the basis of parents' occupation, we classified 679 women in the Pitt County (North Carolina) Study into low and high childhood SEP. Women's education, occupation, employment status, and home ownership were used to classify them into low and high adulthood SEP. Four life-course SEP categories resulted: low childhood/low adulthood, low childhood/high adulthood, high childhood/low adulthood, and high childhood/high adulthood.<h4>Results</h4>The odds of obesity were twice as high among women from low versus high childhood SEP backgrounds, and 25% higher among women of low versus high adulthood SEP. Compared to that in women of high SEP in both childhood and adulthood, the odds of obesity doubled for low/low SEP women, were 55% higher for low/high SEP women, and were comparable for high/low SEP women.<h4>Conclusions</h4>Socioeconomic deprivation in childhood was a strong predictor of adulthood obesity in this community sample of African American women. Findings are consistent with both critical period and cumulative burden models of life-course socioeconomic deprivation and long-term risk for obesity in African American women.}, Doi = {10.2105/ajph.2004.053447}, Key = {fds277783} } @article{fds277782, Author = {Spencer, MS and Kieffer, EC and Sinco, BR and Palmisano, G and Guzman, JR and James, SA and Graddy-Dansby, G and Two Feathers and J and Heisler, M}, Title = {Diabetes-specific emotional distress among African Americans and Hispanics with type 2 diabetes.}, Journal = {Journal of health care for the poor and underserved}, Volume = {17}, Number = {2 Suppl}, Pages = {88-105}, Year = {2006}, Month = {May}, ISSN = {1049-2089}, url = {http://dx.doi.org/10.1353/hpu.2006.0095}, Abstract = {This study examines baseline levels and correlates of diabetes-related emotional distress among inner-city African Americans and Hispanics with type 2 diabetes. The Problem Areas in Diabetes (PAID) scale, which measures diabetes-related emotional distress, was administered to 180 African American and Hispanic adults participating in the REACH Detroit Partnership. We examined bivariate and multivariate associations between emotional distress and biological, psychosocial, and quality of health care variables for African Americans and Hispanics. Scores were significantly higher among Hispanics than African Americans. Demographic factors were stronger predictors of emotional distress for Hispanics than for African Americans. Daily hassles, physician support, and perceived seriousness and understanding of diabetes were significant for African Americans. Understanding the personal, family and community context of living with diabetes and conducting interventions that provide support and coping strategies for self-management have important implications for reducing health disparities among disadvantaged racial and ethnic groups.}, Doi = {10.1353/hpu.2006.0095}, Key = {fds277782} } @article{fds277785, Author = {James, SA and Van Hoewyk and J and Belli, RF and Strogatz, DS and Williams, DR and Raghunathan, TE}, Title = {Life-course socioeconomic position and hypertension in African American men: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {96}, Number = {5}, Pages = {812-817}, Year = {2006}, Month = {May}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16571689}, Abstract = {<h4>Objectives</h4>We investigated the odds of hypertension for Black men in relationship to their socioeconomic position (SEP) in both childhood and adulthood.<h4>Methods</h4>On the basis of their parents' occupation, we classified 379 men in the Pitt County (North Carolina) Study into low and high childhood SEP. The men's own education, occupation, employment status, and home ownership status were used to classify them into low and high adulthood SEP. Four life-course SEP categories resulted: low childhood/low adulthood, low childhood/high adulthood, high childhood/low adulthood, and high childhood/high adulthood.<h4>Results</h4>Low childhood SEP was associated with a 60% greater odds of hypertension, and low adulthood SEP was associated with a 2-fold greater odds of hypertension. Compared with men of high SEP in both childhood and adulthood, the odds of hypertension were 7 times greater for low/low SEP men, 4 times greater for low/high SEP men, and 6 times greater for high/low SEP men.<h4>Conclusions</h4>Greater access to material resources in both childhood and adulthood was protective against premature hypertension in this cohort of Black men. Though some parameter estimates were imprecise, study findings are consistent with both pathway and cumulative burden models of hypertension.}, Doi = {10.2105/ajph.2005.076158}, Key = {fds277785} } @article{fds277763, Author = {Orr, ST and Blazer, DG and James, SA}, Title = {Racial disparities in elevated prenatal depressive symptoms among black and white women in eastern north Carolina.}, Journal = {Ann Epidemiol}, Volume = {16}, Number = {6}, Pages = {463-468}, Year = {2006}, Month = {June}, ISSN = {1047-2797}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16257228}, Abstract = {PURPOSE: Black women have an increased risk for preterm birth compared with white women, and prior research indicated that maternal prenatal depressive symptoms are associated with increased risk for preterm outcomes among black women. Race-related differences in prenatal depression could be of etiologic significance in understanding racial disparities in preterm birth. Our study focused on Center for Epidemiologic Studies' Depression Scale (CES-D) scores of pregnant black and white women. METHODS: Women were administered the CES-D at the time of their first visit to hospital-based prenatal clinics. Two cutoff scores for the CES-D were used: 16 or higher, which indicates "significant" depressive symptoms, and 23 or higher, which indicates major depressive disorder. RESULTS: For the sample of 1163 women, mean CES-D scores were significantly higher among black (17.4) than white (13.7) women. Of black women, 49% had CES-D scores higher than 15 compared with 33.5% of white women. Also, 27.5% of black women had scores higher than 22 compared with 16% of white women. After adjustment for maternal age, marital status, and education, odds ratios for race for both CES-D cutoff scores were approximately 1.5. CONCLUSIONS: Results of this study indicate that black women have greater rates of prenatal depression than white women.}, Doi = {10.1016/j.annepidem.2005.08.004}, Key = {fds277763} } @article{fds277786, Author = {Geronimus, AT and Colen, CG and Shochet, T and Ingber, LB and James, SA}, Title = {Urban-rural differences in excess mortality among high-poverty populations: evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health.}, Journal = {Journal of health care for the poor and underserved}, Volume = {17}, Number = {3}, Pages = {532-558}, Year = {2006}, Month = {August}, ISSN = {1049-2089}, url = {http://dx.doi.org/10.1353/hpu.2006.0105}, Abstract = {Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.}, Doi = {10.1353/hpu.2006.0105}, Key = {fds277786} } @article{fds277787, Author = {Katz, RV and Kegeles, SS and Kressin, NR and Green, BL and Wang, MQ and James, SA and Russell, SL and Claudio, C}, Title = {The Tuskegee Legacy Project: willingness of minorities to participate in biomedical research.}, Journal = {Journal of health care for the poor and underserved}, Volume = {17}, Number = {4}, Pages = {698-715}, Year = {2006}, Month = {November}, ISSN = {1049-2089}, url = {http://dx.doi.org/10.1353/hpu.2006.0126}, Abstract = {The broad goal of the Tuskegee Legacy Project (TLP) study was to address, and understand, a range of issues related to the recruitment and retention of Blacks and other minorities in biomedical research studies. The specific aim of this analysis was to compare the self-reported willingness of Blacks, Hispanics, and Whites to participate as research subjects in biomedical studies, as measured by the Likelihood of Participation (LOP) Scale and the Guinea Pig Fear Factor (GPFF) Scale. The Tuskegee Legacy Project Questionnaire, a 60 item instrument, was administered to 1,133 adult Blacks, Hispanics, and non-Hispanic Whites in 4 U.S. cities. The findings revealed no difference in self-reported willingness to participate in biomedical research, as measured by the LOP Scale, between Blacks, Hispanics, and Whites, despite Blacks being 1.8 times as likely as Whites to have a higher fear of participation in biomedical research on the GPFF Scale.}, Doi = {10.1353/hpu.2006.0126}, Key = {fds277787} } @article{fds277788, Author = {Colen, CG and Geronimus, AT and Bound, J and James, SA}, Title = {Facing the Realities of the American Dream: Upward Maternal Socioeconomic Mobility and Black-White Disparities in Infant Birth Weight}, Journal = {American Journal of Public Health}, Volume = {96}, Number = {11}, Pages = {2032-2039}, Year = {2006}, Month = {November}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2005.076547}, Abstract = {Objectives. We estimate the extent to which upward socioeconomic mobility limits the probability that Black and White women who spent their childhoods in or near poverty will give birth to a low-birthweight baby. Methods. Data from the National Longitudinal Survey of Youth 1979 and the 1970 US Census were used to complete a series of logistic regression models. We restricted multivariate analyses to female survey respondents who, at 14 years of age, were living in households in which the income-to-needs ratio did not exceed 200% of poverty. Results. For White women, the probability of giving birth to a low-birthweight baby decreases by 48% for every 1 unit increase in the natural logarithm of adult family income, once the effects of all other covariates are taken into account. For Black women, the relation between adult family income and the probability of low birthweight is also negative; however, this association fails to reach statistical significance. Conclusions. Upward socioeconomic mobility contributes to improved birth outcomes among infants born to White women who were poor as children, but the same does not hold true for their Black counterparts.}, Doi = {10.2105/AJPH.2005.076547}, Key = {fds277788} } @article{fds304188, Author = {Colen, CG and Geronimus, AT and Bound, J and James, SA}, Title = {Maternal upward socioeconomic mobility and black-white disparities in infant birthweight.}, Journal = {American journal of public health}, Volume = {96}, Number = {11}, Pages = {2032-2039}, Year = {2006}, Month = {November}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2005.076547}, Abstract = {<h4>Objectives</h4>We estimate the extent to which upward socioeconomic mobility limits the probability that Black and White women who spent their childhoods in or near poverty will give birth to a low-birthweight baby.<h4>Methods</h4>Data from the National Longitudinal Survey of Youth 1979 and the 1970 US Census were used to complete a series of logistic regression models. We restricted multivariate analyses to female survey respondents who, at 14 years of age, were living in households in which the income-to-needs ratio did not exceed 200% of poverty.<h4>Results</h4>For White women, the probability of giving birth to a low-birthweight baby decreases by 48% for every 1 unit increase in the natural logarithm of adult family income, once the effects of all other covariates are taken into account. For Black women, the relation between adult family income and the probability of low birthweight is also negative; however, this association fails to reach statistical significance.<h4>Conclusions</h4>Upward socioeconomic mobility contributes to improved birth outcomes among infants born to White women who were poor as children, but the same does not hold true for their Black counterparts.}, Doi = {10.2105/ajph.2005.076547}, Key = {fds304188} } @article{fds340509, Author = {Zenk, SN and Schulz, AJ and Israel, BA and James, SA and Wilson, ML and Bao, S}, Title = {Fruit and Vegetable Access Differs by Community Racial Composition and Socioeconomic}, Journal = {Ethnicity & Disease}, Volume = {16}, Pages = {275-280}, Year = {2006}, Month = {Winter}, Key = {fds340509} } @article{fds277727, Author = {Belli, RF and James, SA and VanHoewy, J and Alcser, K}, Title = {The Implementation of a Computerized Event History Calendar Questionnaire for Research in Life Course Epidemiology, in RF Belli, FP Stafford, DF Alwin (Editors), Sage Publications, Thousand Oaks, CA; 2007: pp.318-340}, Year = {2007}, Key = {fds277727} } @article{fds277749, Author = {Kaufman, JS and Geronimus, AT and James, SA}, Title = {Faulty interpretation of observed racial disparity in recurrent preterm birth}, Journal = {American Journal of Obstetrics and Gynecology}, Volume = {197}, Number = {3}, Pages = {327-328}, Year = {2007}, ISSN = {0002-9378}, url = {http://dx.doi.org/10.1016/j.ajog.2007.04.040}, Doi = {10.1016/j.ajog.2007.04.040}, Key = {fds277749} } @article{fds277777, Author = {Orr, ST and Reiter, JP and Blazer, DG and James, SA}, Title = {Maternal prenatal pregnancy-related anxiety and spontaneous preterm birth in Baltimore, Maryland.}, Journal = {Psychosom Med}, Volume = {69}, Number = {6}, Pages = {566-570}, Year = {2007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17636150}, Abstract = {OBJECTIVE: To focus on the relationship between pregnancy-related anxiety and spontaneous preterm birth. Psychosocial factors have been the subject of inquiries about the etiology of preterm birth; a factor of recent interest is maternal prenatal pregnancy-related anxiety (worries and concerns related to the pregnancy). METHODS: From 1991 to 1993, a total of 1820 women completed the study questionnaire during their first prenatal visit to clinics in Baltimore, Maryland. Pregnancy-related anxiety was assessed using six questions from the Prenatal Social Environment Inventory; scores ranged from 0 to 6. Data on pregnancy outcome and clinical and behavioral covariates were obtained from the women's clinical records. RESULTS: After adjustment for covariates (first or second trimester bleeding, drug use, employment, prior poor pregnancy outcome, smoking, low body mass index, maternal education, age, and race), women with higher levels of pregnancy-related anxiety (scores of 5 or 6) had a significantly increased risk of spontaneous preterm birth compared with those with scores of < or =3. CONCLUSIONS: If additional research confirms these results, then this finding may suggest the possibility of intervention to reduce maternal prenatal pregnancy-related worries and concerns, thereby reducing the risk of spontaneous preterm birth.}, Doi = {10.1097/PSY.0b013e3180cac25d}, Key = {fds277777} } @article{fds277780, Author = {Bennett, GG and Wolin, KY and James, SA}, Title = {Lifecourse socioeconomic position and weight change among blacks: The Pitt County study.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {15}, Number = {1}, Pages = {172-181}, Year = {2007}, Month = {January}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2007.522}, Abstract = {<h4>Objective</h4>The elevated prevalence of obesity among U.S. blacks has been attributed to low socioeconomic position (SEP), despite inconsistent empirical findings. It is unclear whether low SEP at various lifecourse stages differentially influences adulthood BMI and BMI change.<h4>Research methods and procedures</h4>Among 1167 black adults in the Pitt County Study, we examined independent cross-sectional and longitudinal associations between SEP, measured in childhood and adulthood, and BMI and 13-year BMI change. Low vs. high childhood SEP was measured by parental occupation and childhood household deprivation; low vs. high adulthood SEP was assessed by employment status, education, and occupation. Using childhood and adulthood SEP, four lifecourse SEP categories were created: low-low, low-high, high-low, high-high.<h4>Results</h4>We found no consistent associations between SEP and BMI or BMI change among men. Among women, we observed the expected inverse association between SEP and BMI at baseline. In multivariable-adjusted analyses, socioeconomically advantaged women demonstrated larger 13-year increases in BMI: skilled vs. unskilled parental occupation (6.1 vs. 4.8 kg/m2, p = 0.04); college-educated vs. < high school (6.2 vs. 4.5 kg/m2, p = 0.04); white-collar vs. blue-collar job (5.8 vs. 4.8 kg/m2, p = 0.05); and high-high vs. low-low lifecourse SEP (6.5 vs. 4.6 kg/m2, p = 0.02).<h4>Discussion</h4>For women in this black cohort, lower SEP predicted earlier onset of obesity; however, low SEP was less predictive of BMI increases over time. Our findings demonstrate complex patterns of association between SEP and BMI change among black women.}, Doi = {10.1038/oby.2007.522}, Key = {fds277780} } @article{fds277779, Author = {Lucove, JC and Kaufman, JS and James, SA}, Title = {Adult and Childhood Socio-economic Status and Metabolic Syndrome among African Americans: the Pitt County Study}, Journal = {American Journal of Public Health}, Volume = {97}, Number = {2}, Pages = {234-236}, Year = {2007}, Month = {February}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2006.087429}, Abstract = {We evaluated the association between socioeconomic status (SES) during childhood and adulthood and prevalence of the metabolic syndrome in African Americans. Higher adult educational status and adult skilled occupation were protective against the metabolic syndrome, but no associations were found between the metabolic syndrome and other SES variables. Differences by gender were observed. Improving access to education among African Americans could reduce risk for the metabolic syndrome, but more research is needed in minority populations.}, Doi = {10.2105/AJPH.2006.087429}, Key = {fds277779} } @article{fds304189, Author = {Lucove, JC and Kaufman, JS and James, SA}, Title = {Association between adult and childhood socioeconomic status and prevalence of the metabolic syndrome in African Americans: the Pitt County Study.}, Journal = {American journal of public health}, Volume = {97}, Number = {2}, Pages = {234-236}, Year = {2007}, Month = {February}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2006.087429}, Abstract = {We evaluated the association between socioeconomic status (SES) during childhood and adulthood and prevalence of the metabolic syndrome in African Americans. Higher adult educational status and adult skilled occupation were protective against the metabolic syndrome, but no associations were found between the metabolic syndrome and other SES variables. Differences by gender were observed. Improving access to education among African Americans could reduce risk for the metabolic syndrome, but more research is needed in minority populations.}, Doi = {10.2105/ajph.2006.087429}, Key = {fds304189} } @article{fds277778, Author = {Haritatos, J and Mahalingam, R and James, SA}, Title = {John Henryism, self-reported physical health indicators, and the mediating role of perceived stress among high socio-economic status Asian immigrants.}, Journal = {Social science & medicine (1982)}, Volume = {64}, Number = {6}, Pages = {1192-1203}, Year = {2007}, Month = {March}, ISSN = {0277-9536}, url = {http://dx.doi.org/10.1016/j.socscimed.2006.10.037}, Abstract = {This study examined the relationship between John Henryism (a strong behavioral predisposition to engage in high effort coping with difficult barriers to success) and self-reported physical health among high socio-economic (SES) status Asian immigrants to the USA. Cross-sectional data were collected from a community sample of 318 self-identified Chinese and Indian immigrants aged 18-73, averaging 10.2 yr lived in the US. In addition to the John Henryism Active Coping Scale, health status was measured using ordinal ratings of global self-rated health, somatic symptoms and physical health functioning. We also evaluated whether perceived stress would explain the relationship between John Henryism and health. Controlling for demographic factors, regression analyses showed that higher John Henryism significantly predicted better self-rated health and physical functioning, and fewer somatic symptoms. These relationships were significantly and fully mediated (for physical functioning and somatic symptoms) or partially mediated (for self-rated health) by lower perceived stress. Results suggest that John Henryism relates to better health among high SES Asian immigrants in part by reducing perceived stress. To better understand and improve health in all racial/ethnic groups, especially racial minorities and immigrants, more research is needed on John Henryism and perceived stress as important psychosocial mechanisms intervening between environmental exposures and health outcomes.}, Doi = {10.1016/j.socscimed.2006.10.037}, Key = {fds277778} } @article{fds277747, Author = {Feathers, JT and Kieffer, EC and Palmisano, G and Anderson, M and Janz, N and Spencer, MS and Guzman, R and James, SA}, Title = {The development, implementation, and process evaluation of the REACH Detroit Partnership's Diabetes Lifestyle Intervention.}, Journal = {The Diabetes educator}, Volume = {33}, Number = {3}, Pages = {509-520}, Year = {2007}, Month = {May}, ISSN = {0145-7217}, url = {http://dx.doi.org/10.1177/0145721707301371}, Abstract = {<h4>Purpose</h4>The purpose of this article was to describe the development, implementation, and process evaluation findings of a culturally tailored diabetes lifestyle intervention for African Americans and Latinos.<h4>Methods</h4>African American and Latino adults with type 2 diabetes from 3 health care systems in Detroit, Michigan, participated in diabetes lifestyle intervention of the Racial and Ethnic Approaches to Community Health Detroit Partnership. The intervention curricula were culturally and linguistically tailored for each population. Trained community residents delivered the curricula in 5 group meetings aimed at improving dietary, physical activity, and diabetes self-care behaviors of study participants. The aims of the process evaluation were to assess participant satisfaction with the intervention, utility, and applicability of information and cultural relevance of intervention materials. Content analysis was used to analyze qualitative data. Matrices were developed along thematic lines, and common themes were determined by grouping responses by question.<h4>Results</h4>Ninety-eight percent of participants attended 1 or more intervention classes; 41% attended all 5 meetings. Attendance rates ranged from 59% to 88% for individual meetings. Participants reported that program information and activities were useful, culturally relevant, and applicable to diabetes self-management. Participants also appreciated the convenient community location for meetings and the social support received from other participants.<h4>Conclusions</h4>A community-based, culturally tailored diabetes lifestyle intervention delivered by trained community residents was associated with high participant satisfaction and retention.}, Doi = {10.1177/0145721707301371}, Key = {fds277747} } @article{fds277776, Author = {Orr, ST and Blazer, DG and James, SA and Reiter, JP}, Title = {Depressive symptoms and indicators of maternal health status during pregnancy.}, Journal = {J Womens Health (Larchmt)}, Volume = {16}, Number = {4}, Pages = {535-542}, Year = {2007}, Month = {May}, ISSN = {1540-9996}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17521257}, Abstract = {OBJECTIVES: Depressive symptoms are common among women, especially those who are of childbearing age or are pregnant. Prior studies have suggested that an increased burden of depressive symptoms is associated with diminished health and functional status, but these studies were primarily of middle-aged and older adults. In the current study, we investigated the relationship between depressive symptoms and health and functional status among pregnant women. METHODS: Women were enrolled in the study at their first prenatal visit to hospital-based clinics and administered an interview that contained the Center for Epidemiologic Studies Depression Scale (CES-D) to assess depressive symptoms and several questions to measure overall health status, limitations in performing moderate activities, and limitations in climbing stairs. RESULTS: The sample included 1163 women. Women with higher levels of depressive symptoms, using cutoff points on the CES-D of either > or =16 (clinically significant) or > or =23 (major depression), had approximately twice the risk of poorer self-reported health and functional status than those with lower scores after adjustment for age, marital status, smoking, education, insurance, trimester, and race. CONCLUSIONS: These results suggest that an increased burden of depressive symptoms during pregnancy is associated with diminished health status and may offer an explanation for the reported association between depressive symptoms and preterm birth.}, Doi = {10.1089/jwh.2006.0116}, Key = {fds277776} } @article{fds277728, Author = {Feathers, JT and Kieffer, EC and Palmisano, G and Anderson, M and Janz, N and Spencer, M and Guzman, R}, Title = {The development, implementation, and process evaluation of the REACH Detroit Partnership's Diabetes Lifestyle Intervention.}, Journal = {The Diabetes Educator}, Volume = {33}, Pages = {509-520}, Year = {2007}, Month = {June}, Key = {fds277728} } @article{fds317752, Author = {Wolin, KY and Bennett, GG and James, SA}, Title = {RACIAL SEGREGATION AND OBESITY AMONG BLACKS}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {33}, Pages = {S30-S30}, Publisher = {SPRINGER}, Year = {2007}, Month = {December}, Key = {fds317752} } @article{fds277748, Author = {Katz, RV and Green, BL and Kressin, NR and Kegeles, SS and Wang, MQ and James, SA and Russell, SL and Claudio, C and McCallum, J}, Title = {The Legacy of the Tuskegee Syphilis Study: Its impact on Willingness to Participate in Biomedical Studies}, Journal = {Journal of Health Care for the Poor and Underserved}, Volume = {19}, Number = {4}, Pages = {1169-1181}, Year = {2008}, ISSN = {1049-2089}, url = {http://dx.doi.org/10.1353/hpu.0.0067}, Abstract = {The phrase, 'legacy of the Tuskegee Syphilis Study', is sometimes used to denote the belief that Blacks are more reluctant than Whites to participate in biomedical research studies because of the infamous study of syphilis in men run by the U.S. Public Health Service from 1932-72. This paper is the first to attempt to assess directly the accuracy of this belief within a multi-city, multi-racial, large-scale, detailed random survey. We administered the Tuskegee Legacy Project (TLP) Questionnaire to 826 Blacks and non-Hispanic White adults in three U.S. cities. While Blacks had higher levels of general awareness of the Tuskegee Syphilis Study, there was no association between either awareness or detailed knowledge of the Tuskegee Syphilis Study and willingness to participate in biomedical research, either for Blacks or Whites observed in our survey. While this study refutes the notion that there is a direct connection between detailed knowledge of the Tuskegee Syphilis Study and willingness to participate in biomedical research, it does not assess the broader question of whether and how historical events influence people's willingness to participate in research. Future studies should explore this.}, Doi = {10.1353/hpu.0.0067}, Key = {fds277748} } @article{fds331466, Author = {Orr, ST and James, SA and Reiter, J}, Title = {Unintended Pregnancy and Prenatal Behaviors Among Urban, Black Women in Baltimore, MD}, Journal = {Annals of Epidemiology}, Volume = {18}, Number = {7}, Pages = {545-551}, Year = {2008}, url = {http://dx.doi.org/10.1016/j.annepidem.2008.03.005}, Abstract = {<h4>Purpose</h4>We explored associations between intendedness of pregnancy with maternal prenatal behaviors, including smoking, use of alcohol, use of illicit drugs, and late initiation of prenatal care.<h4>Methods</h4>Pregnant black women ages 18 years or older (N = 913) were enrolled in the study at their first visit to prenatal clinics in Baltimore, Maryland, at which time data were obtained from the women about intendedness of pregnancy. Data on behavioral risks were abstracted from clinical records. Logistic regression was used to adjust analyses for maternal demographic characteristics.<h4>Results</h4>Women with unwanted pregnancies were significantly more likely than women with wanted or mistimed pregnancies, or who were unsure about intendedness, to smoke (odds ratio [OR], 2.0; 95% CI, 1.2-3.3), use alcohol (OR, 2.1; 95% CI, 1.1-3.9), and use illicit drugs (OR, 1.8; 95% CI, 1.0-2.9) during pregnancy, and to initiate prenatal care in the third trimester (OR, 5.7; 95% CI, 3.5-9.4).<h4>Conclusions</h4>Unwanted pregnancy is associated with prenatal behaviors that increase the risk of poor pregnancy outcomes. The facilitation of wanted pregnancies and reduction of harmful maternal behaviors may result in improved pregnancy outcomes in the United States.}, Doi = {10.1016/j.annepidem.2008.03.005}, Key = {fds331466} } @article{fds277774, Author = {Roberts, CB and Vines, AI and Kaufman, JS and James, SA}, Title = {Cross-sectional association between perceived discrimination and hypertension in African-American men and women: the Pitt County Study.}, Journal = {American journal of epidemiology}, Volume = {167}, Number = {5}, Pages = {624-632}, Year = {2008}, Month = {March}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/aje/kwm334}, Abstract = {Few studies have examined the impact of the frequency of discrimination on hypertension risk. The authors assessed the cross-sectional associations between frequency of perceived racial and nonracial discrimination and hypertension among 1,110 middle-aged African-American men (n = 393) and women (n = 717) participating in the 2001 follow-up of the Pitt County Study (Pitt County, North Carolina). Odds ratios were estimated using gender-specific unconditional weighted logistic regression with adjustment for relevant confounders and the frequency of discrimination. More than half of the men (57%) and women (55%) were hypertensive. The prevalences of perceived racial discrimination, nonracial discrimination, and no discrimination were 57%, 29%, and 13%, respectively, in men and 42%, 43%, and 15%, respectively, in women. Women recounting frequent nonracial discrimination versus those reporting no exposure to discrimination had the highest odds of hypertension (adjusted odds ratio = 2.34, 95% confidence interval: 1.09, 5.02). A nonsignificant inverse odds ratio was evident in men who perceived frequent exposure to racial or nonracial discrimination in comparison with no exposure. A similar association was observed for women reporting perceived racial discrimination. These results indicate that the type and frequency of discrimination perceived by African-American men and women may differentially affect their risk of hypertension.}, Doi = {10.1093/aje/kwm334}, Key = {fds277774} } @article{fds277773, Author = {Katz, RV and Kegeles, SS and Kressin, NR and Green, BL and James, SA and Wang, MQ and Russell, SL and Claudio, C}, Title = {Awareness of the Tuskegee Syphilis Study and the US presidential apology and their influence on minority participation in biomedical research.}, Journal = {American journal of public health}, Volume = {98}, Number = {6}, Pages = {1137-1142}, Year = {2008}, Month = {June}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2006.100131}, Abstract = {<h4>Objectives</h4>We compared the influence of awareness of the Tuskegee Syphilis Study and the presidential apology for that study on the willingness of Blacks, non-Hispanic Whites, and Hispanics to participate in biomedical research.<h4>Methods</h4>The Tuskegee Legacy Project Questionnaire was administered to 1133 adults in 4 US cities. This 60-item questionnaire addressed issues related to the recruitment of minorities into biomedical studies.<h4>Results</h4>Adjusted multivariate analysis showed that, compared with Whites, Blacks were nearly 4 times as likely to have heard of the Tuskegee Syphilis Study, more than twice as likely to have correctly named Clinton as the president who made the apology, and 2 to 3 times more likely to have been willing to participate in biomedical studies despite having heard about the Tuskegee Syphilis Study (odds ratio [OR]=2.9; 95% confidence interval [CI]=1.4, 6.2) or the presidential apology (OR=2.3; 95% CI=1.4, 3.9).<h4>Conclusions</h4>These marked differences likely reflect the cultural reality in the Black community, which has been accustomed to increased risks in many activities. For Whites, this type of information may have been more shocking and at odds with their expectations and, thus, led to a stronger negative impact.}, Doi = {10.2105/ajph.2006.100131}, Key = {fds277773} } @article{fds277771, Author = {James, SA}, Title = {Epidemiologic research on health disparities: some thoughts on history and current developments.}, Journal = {Epidemiologic reviews}, Volume = {31}, Pages = {1-6}, Year = {2009}, Month = {Winter}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19822533}, Abstract = {In this introduction to volume 31 of Epidemiologic Reviews, the author traces the history of health disparities research in epidemiology and situates the 10 review articles comprising this edition within this history. With the aid of a conceptual model describing the key determinants of health disparities, he offers several suggestions for improving future epidemiologic research on health disparities.}, Doi = {10.1093/epirev/mxp010}, Key = {fds277771} } @article{fds277772, Author = {Katz, RV and Green, BL and Kressin, NR and James, SA and Wang, MQ and Claudio, C and Russell, SL}, Title = {Exploring the "legacy" of the Tuskegee Syphilis Study: a follow-up study from the Tuskegee Legacy Project.}, Journal = {Journal of the National Medical Association}, Volume = {101}, Number = {2}, Pages = {179-183}, Year = {2009}, Month = {February}, ISSN = {0027-9684}, url = {http://dx.doi.org/10.1016/s0027-9684(15)30833-6}, Abstract = {The purpose of this follow-up 2003 3-City Tuskegee Legacy Project (TLP) Study was to validate or refute our prior findings from the 1999-2000 4 City TLP Study, which found no evidence to support the widely acknowledged "legacy" of the Tuskegee Syphilis Study (TSS), ie, that blacks are reluctant to participate in biomedical studies due to their knowledge of the TSS. The TLP Questionnaire was administered in this random-digit-dial telephone survey to a stratified random sample of 1162 black, white, and Puerto Rican Hispanic adults in 3 different US cities. The findings from this current 3-City TLP Study fail to support the widely acknowledged "legacy" of the TSS, as awareness of the TSS was not statistically associated with the willingness to participate in biomedical studies. These findings, being in complete agreement with our previous findings from our 1999-2000 4-City TLP, validate those prior findings.}, Doi = {10.1016/s0027-9684(15)30833-6}, Key = {fds277772} } @article{fds317751, Author = {Sims, M and Wyatt, SB and Bruce, MA and James, SA and Williams, DR and Robinson, JC and Taylor, HA}, Title = {The Association Between Perceived Discrimination and Hypertension Status in the Jackson Heart Study}, Journal = {CIRCULATION}, Volume = {119}, Number = {10}, Pages = {E281-E281}, Publisher = {LIPPINCOTT WILLIAMS & WILKINS}, Year = {2009}, Month = {March}, Key = {fds317751} } @article{fds340508, Author = {Fowler Brown and A and Bennett, G and Goodman, M and Wee, C and Corbie Smith, G and James, SA}, Title = {Psychosocial Stress and 13 year Changes in Body Mass Index in Blacks: The Pitt County Study}, Journal = {Obesity}, Pages = {1-4}, Year = {2009}, Month = {Summer}, Key = {fds340508} } @article{fds277754, Author = {Fowler-Brown, AG and Bennett, GG and Goodman, MS and Wee, CC and Corbie-Smith, GM and James, SA}, Title = {Psychosocial stress and 13-year BMI change among blacks: the Pitt County Study.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {17}, Number = {11}, Pages = {2106-2109}, Year = {2009}, Month = {November}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2009.130}, Abstract = {Adverse psychosocial exposures may partially drive the high rates of obesity among blacks. The objective of this study was to prospectively examine the relationship between perceived psychosocial stress and percent change in BMI among adult black men and women. We used data from 756 women and 416 men who were participants in the Pitt County Study, a community-based, prospective cohort study of blacks in eastern North Carolina. Participants were aged 25-50 years of age on entry into the study in 1988 and follow-up was obtained in 2001. Using multivariable linear regression, we calculated the adjusted mean percentage change in BMI over the follow-up period for each tertile of baseline measures of the Perceived Stress Scale (low, medium, and high), adjusted for potential confounders. For black women, higher levels of psychosocial stress at baseline predicted higher adjusted percentage increase in BMI over the 13-year follow-up: low stress 12.0% (95% CI 9.6-14.4), medium stress 16.3% (95% CI 13.7-18.9), and high stress 15.5% (95% CI 13.1-17.8). For black men, perceived stress was not associated with percent BMI change. These data suggest that interventions targeting obesity in black women should consider the potential impact of emotional stress on weight change.}, Doi = {10.1038/oby.2009.130}, Key = {fds277754} } @article{fds277765, Author = {Miranda, ML and Swamy, GK and Edwards, S and Maxson, P and Gelfand, A and James, S}, Title = {Disparities in maternal hypertension and pregnancy outcomes: evidence from North Carolina, 1994-2003.}, Journal = {Public Health Rep}, Volume = {125}, Number = {4}, Pages = {579-587}, Year = {2010}, ISSN = {0033-3549}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20597458}, Abstract = {OBJECTIVES: To better understand disparities in pregnancy outcomes, we analyzed data from North Carolina to determine how the pattern of maternal hypertensive disorders differs among non-Hispanic white (NHW), non-Hispanic black (NHB), and Hispanic women across the range of maternal ages. In addition, we explored whether rates of poor birth outcomes, including low birthweight (LBW) and preterm birth (PTB), among hypertensive women differed by race. METHODS: We restricted our analyses to births occurring between 1994 and 2003, constructing six five-year maternal age categories: 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, and 40-44 years. We used logistic regression to determine the relative contribution of race and age to incidence of maternal hypertension. All analyses controlled for the standard covariates of maternal education, marital status, and tobacco use. To assess the impact of maternal hypertension on birth outcomes, we limited the dataset to women with any hypertensive disorder and used linear regression to determine how particular race-age combinations affected outcomes. We also used logistic regression to find out how particular race-age combinations affected the likelihood of LBW and PTB. RESULTS: The risk of hypertension differed by race, with NHB women exhibiting the highest risk and Hispanic women the lowest risk. Further, rates of hypertension increased with age. Among hypertensive women, pregnancy outcomes differed by race and age, with NHB women having the poorest outcomes (i.e., LBW and PTB) and age exhibiting a dose-response relationship in PTB and very PTB. CONCLUSIONS: Patterns of maternal hypertension and subsequent outcomes are important contributors to persistent disparities in pregnancy outcomes.}, Doi = {10.1177/003335491012500413}, Key = {fds277765} } @article{fds277751, Author = {Lopes, GB and Matos, CM and Leite, EB and Martins, MTS and Martins, MS and Silva, LF and Robinson, BM and Port, FK and James, SA and Lopes, AA}, Title = {Depression as a potential explanation for gender differences in health-related quality of life among patients on maintenance hemodialysis.}, Journal = {Nephron. Clinical practice}, Volume = {115}, Number = {1}, Pages = {c35-c40}, Year = {2010}, Month = {January}, ISSN = {1660-2110}, url = {http://dx.doi.org/10.1159/000286348}, Abstract = {<h4>Background/aims</h4>The reasons for lower health-related quality of life (HRQOL) scores in women compared to men on maintenance hemodialysis (MHD) are unknown. We investigated whether depression accounts for gender differences in HRQOL.<h4>Methods</h4>Cross-sectional study of 868 (40.9% women) Brazilian MHD patients (PROHEMO Study). We used the Kidney Disease Quality of Life Short Form to assess HRQOL and the Center for Epidemiological Studies Depression (CES-D) scale (scores from 0-60) to assess depression with scores >or=18 indicating high depression probability.<h4>Results</h4>Higher depression scores were associated with lower HRQOL in both sexes. Women had higher depression scores; 51.8% of women versus 38.2% of men (p < 0.001) had CES-D scores >or=18. Women scored lower on all 9 assessed HRQOL scales. The female-to-male differences in HRQOL were slightly reduced with inclusion of Kt/V and comorbidities in regression models. Substantial additional reductions in female-to-male differences in all HRQOL scales were observed after including depression scores in the models, by 50.9% for symptoms/problems related to renal failure, by 71.6% for mental health and by 87.1% for energy/vitality.<h4>Conclusions</h4>Lower HRQOL among women was largely explained by depression symptoms. Results support greater emphasis on treating depression to improve HRQOL in MHD patients, particularly women.}, Doi = {10.1159/000286348}, Key = {fds277751} } @article{fds277769, Author = {Maty, SC and James, SA and Kaplan, GA}, Title = {Association between childhood and adult socioeconomic position and the 34-Year incidence (1965-1999) of type 2 diabetes mellitus by racial classification in the Alameda County Study}, Journal = {American Journal of Public Health}, Volume = {100}, Number = {1}, Pages = {137-145}, Year = {2010}, Month = {January}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2008.133892}, Abstract = {Objectives. We examined associations between several life-course socioeconomic position (SEP) measures (childhood SEP, education, income, occupation) and diabetes incidence from 1965 to 1999 in a sample of 5422 diabetes-free Black and White participants in the Alameda County Study. Methods. Race-specific Cox proportional hazard models estimated diabetes risk associated with each SEP measure. Demographic compounders (age, gender, marital status) and potential pathway components (physical inactivity, body composition, smoking, alcohol consumption, hypertension, depression, access to health care) were included as covariates. Results. Diabetes incidence was twice as high for Blacks as for Whites. Diabetes risk factors independently increased risk, but effect sizes were greater among Whites. Low childhood SEP elevated risk for both racial groups. Protective effects were suggested for low education and blue-collar occupation among Blacks, but these factors increased risk for Whites. Income was protective for Whites but not Blacks. Covariate adjustment had negligible effects on associations between each SEP measure and diabetes incidence for both racial groups. Conclusions. These findings suggest an important role for life-course SEP measures in determining risk of diabetes, regardless of race and after adjustment for factors that may confound or mediate these associations.}, Doi = {10.2105/AJPH.2008.133892}, Key = {fds277769} } @article{fds304190, Author = {Maty, SC and James, SA and Kaplan, GA}, Title = {Life-course socioeconomic position and incidence of diabetes mellitus among blacks and whites: the Alameda County Study, 1965-1999.}, Journal = {American journal of public health}, Volume = {100}, Number = {1}, Pages = {137-145}, Year = {2010}, Month = {January}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2008.133892}, Abstract = {<h4>Objectives</h4>We examined associations between several life-course socioeconomic position (SEP) measures (childhood SEP, education, income, occupation) and diabetes incidence from 1965 to 1999 in a sample of 5422 diabetes-free Black and White participants in the Alameda County Study.<h4>Methods</h4>Race-specific Cox proportional hazard models estimated diabetes risk associated with each SEP measure. Demographic confounders (age, gender, marital status) and potential pathway components (physical inactivity, body composition, smoking, alcohol consumption, hypertension, depression, access to health care) were included as covariates.<h4>Results</h4>Diabetes incidence was twice as high for Blacks as for Whites. Diabetes risk factors independently increased risk, but effect sizes were greater among Whites. Low childhood SEP elevated risk for both racial groups. Protective effects were suggested for low education and blue-collar occupation among Blacks, but these factors increased risk for Whites. Income was protective for Whites but not Blacks. Covariate adjustment had negligible effects on associations between each SEP measure and diabetes incidence for both racial groups.<h4>Conclusions</h4>These findings suggest an important role for life-course SEP measures in determining risk of diabetes, regardless of race and after adjustment for factors that may confound or mediate these associations.}, Doi = {10.2105/ajph.2008.133892}, Key = {fds304190} } @article{fds277768, Author = {Stanton, MV and Jonassaint, CR and Williams, RB and Suarez, EC and James, SA}, Title = {Socioeconomic status moderates the association between John Henryism and NEO PI-R personality domains.}, Journal = {Psychosom Med}, Volume = {72}, Number = {2}, Pages = {141-147}, Year = {2010}, Month = {Spring}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20100884}, Abstract = {OBJECTIVE: To investigate associations between John Henryism (JH) and NEO Personality Inventory-Revised (PI-R) personality domains. JH-a strong behavioral predisposition to engage in high-effort coping with difficult psychosocial and economic stressors-has been associated with poor health, particularly among persons in lower socioeconomic (SES) groups. Unfavorable personality profiles have also been frequently linked to poor health; however, no studies have yet examined what global personality traits characterize JH. METHODS: Hypotheses were examined, using data from a sample of 233 community volunteers (mean age, 33 years; 61% black and 39% white) recruited specifically to represent the full range of the SES gradient. Personality (NEO PI-R) and active coping (12-item JH scale) measures and covariates were derived from baseline interviews. RESULTS: In a multiple regression analysis, independent of SES, JH was positively associated with Conscientiousness (C) (p < .001) and Extraversion (E) (p < .001), whereas the combination of low JH and high SES was associated with Neuroticism (N) (p = .02) When examining associations between JH and combinations of NEO PI-R domains called "styles," high JH was most strongly associated with a high E/high C "Go-Getters" style of activity, whereas low JH was associated with the low E/high Openness (O) "Introspectors" style. In facet level data, the most robust associations with JH were found for five C and five E facets. CONCLUSIONS: High JH was associated with higher scores on C and E, but the combination of low JH and high SES was associated with higher scores on N.}, Doi = {10.1097/PSY.0b013e3181cdc00e}, Key = {fds277768} } @article{fds340507, Author = {Krieger, N and Alegria, M and Almeida-Filho, N and da, SJBEA}, Title = {Who, and what, causes health inequities? Reflections on emerging debates from an}, Journal = {Journal of Epidemiology and Community Health}, Volume = {Published Online First: 27 June 2010 doi}, Year = {2010}, Month = {June}, Key = {fds340507} } @article{fds277753, Author = {Roberts, CB and Couper, D and Chang, P and James, SA and Rosamond, W and Heiss, G}, Title = {Influence of Lifecourse Socioeconomic Position on Incident Heart Failure Heart Failure in Blacks and Whites: The Atherosclerosis Risk in Communities Study}, Journal = {American Journal of Epidemiology}, Volume = {172}, Number = {6}, Pages = {717-727}, Year = {2010}, Month = {August}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/aje/kwq193}, Abstract = {The influence of early-life socioeconomic position (SEP) on incident heart failure in blacks and whites is unknown. The authors examined the relation between early-life SEP and incident, hospitalized heart failure among middle-aged US participants (2,503 black and 8,519 white) in the Atherosclerosis Risk in Communities (ARIC) Study. Early-life SEP indicators assessed included parental education, occupation, and home ownership. From 1987 to 2004, 221 and 537 incident heart failure events were identified in blacks and whites, respectively. In Cox proportional hazards regression, early-life SEP was inversely related to incident heart failure after adjustment for age, gender, and study center (for blacks, hazard ratio (HR) = 1.39, 95% confidence interval (CI): 1.00, 1.95; for whites, HR = 1.32, 95% CI: 1.06, 1.64). Additional adjustment for young and mid-to-older adulthood SEP and established heart failure risk factors attenuated this association towards the null in both blacks and whites. Of the SEP measures, mid-to-older adulthood SEP showed the strongest association with incident heart failure in both blacks (HR = 1.32, 95% CI: 0.90, 1.96) and whites (HR = 1.39, 95% CI: 1.11, 1.75). SEP over the life course is related to the risk of incident heart failure, with SEP later in adulthood having a more prominent role than earlier SEP.}, Doi = {10.1093/aje/kwq193}, Key = {fds277753} } @article{fds277752, Author = {Krieger, N and Alegría, M and Almeida-Filho, N and Barbosa da Silva, J and Barreto, ML and Beckfield, J and Berkman, L and Birn, A-E and Duncan, BB and Franco, S and Garcia, DA and Gruskin, S and James, SA and Laurell, AC and Schmidt, MI and Walters, KL}, Title = {Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop.}, Journal = {Journal of epidemiology and community health}, Volume = {64}, Number = {9}, Pages = {747-749}, Year = {2010}, Month = {September}, ISSN = {0143-005X}, url = {http://dx.doi.org/10.1136/jech.2009.106906}, Doi = {10.1136/jech.2009.106906}, Key = {fds277752} } @article{fds277766, Author = {Anthopolos, R and James, SA and Gelfand, AE and Miranda, ML}, Title = {A Spatial Measure of Neighborhood Level Racial Isolation Applied to Low Birthweight, Preterm Birth, and Birthweight in North Carolina}, Journal = {Spatial and Spatio-temporal Epidemiology}, Volume = {2}, Number = {4}, Pages = {235-246}, Year = {2011}, Month = {December}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22748223}, Abstract = {Research on racial residential segregation (RRS) and birth outcomes has focused on RRS at a broad geographic scale, in an aspatial framework, and in northern US cities. We developed a spatial measure of neighborhood level racial isolation of blacks. We examined the association between this new measure and low birthweight, preterm birth, and birthweight in the southern state of North Carolina. Natality data were obtained from the North Carolina Detailed Birth Record 1998-2002 files. Using multiple regression with cluster corrected standard errors, infants born to black and white mothers living in black isolated neighborhoods had, on average, decreased birthweight, and increased odds of low birthweight and preterm birth compared to their counterparts in less isolated areas. White mothers in predominantly black neighborhoods experienced greater increases in odds of each poor birth outcome than did black mothers. Black isolation may be proxying concentrated socioeconomic disadvantage, including disamenities in the built environment.}, Doi = {10.1016/j.sste.2011.06.002}, Key = {fds277766} } @article{fds277760, Author = {Abdulrahim, S and James, SA and Yamout, R and Baker, W}, Title = {Discrimination and psychological distress: Does Whiteness matter for Arab Americans?}, Journal = {SOCIAL SCIENCE & MEDICINE}, Volume = {75}, Number = {12}, Pages = {2116-2123}, Year = {2012}, Month = {Fall}, ISSN = {0277-9536}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000312757800008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {The white racial category in the U.S. encompasses persons who have Arab ancestry. Arab Americans, however, have always occupied a precarious position in relationship to Whiteness. This study examined differences in reporting racial/ethnic discrimination among Arab Americans. It also investigated whether and how the association between discrimination and psychological distress varies by characteristics that capture an Arab American's proximity to/distance from Whiteness. We used data from the Detroit Arab American Study (2003; n = 1016), which includes measures of discrimination and the Kessler-10 scale of psychological distress. A series of logistic regression models were specified to test the discrimination-psychological distress association, stratified by five measures that capture Whiteness--subjective racial identification, religion, skin color, ethnic centrality, and residence in the ethnic enclave. Discrimination was more frequently reported by Muslim Arab Americans, those who racially identify as non-white, and who live in the ethnic enclave. Conversely, the association between discrimination and psychological distress was stronger for Christian Arab Americans, those who racially identify as white, who have dark skin color, and who live outside the ethnic enclave. Even though Arab Americans who occupy an identity location close to Whiteness are less subjected to discrimination, they are more negatively affected by it. The findings illuminate the complex pathways through which discrimination associates with psychological distress among 'white' immigrants. Further research on discrimination and health among Arab Americans can help unpack the white racial category and deconstruct Whiteness.}, Doi = {10.1016/j.socscimed.2012.07.030}, Key = {fds277760} } @article{fds277764, Author = {Sims, M and Diez-Roux, AV and Dudley, A and Gebreab, S and Wyatt, SB and Bruce, MA and James, SA and Robinson, JC and Williams, DR and Taylor, HA}, Title = {Perceived discrimination and hypertension among African Americans in the Jackson Heart Study}, Journal = {American Journal of Public Health}, Volume = {102}, Number = {SUPPL. 2}, Pages = {S258-S265}, Year = {2012}, Month = {Spring}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2011.300523}, Abstract = {Objectives: Using Jackson Heart Study data, we examined whether perceived discrimination was associated with prevalent hypertension in African Americans. Methods. Everyday discrimination, lifetime discrimination, burden of discrimination, and stress from discrimination were examined among 4939 participants aged 35 to 84 years (women = 3123; men = 1816). We estimated prevalence ratios of hypertension by discrimination, and adjusted for age, gender, socioeconomic status, and risk factors. Results. The prevalence of hypertension was 64.0% in women and 59.7% in men. After adjustment for age, gender, and socioeconomic status, lifetime discrimination and burden of discrimination were associated with greater hypertension prevalence (prevalence ratios for highest vs lowest quartile were 1.08 [95% confidence interval (CI) = 1.02, 1.15] and 1.09 [95% CI = 1.02,1.16] for lifetime discrimination and burden of discrimination, respectively). Associations were slightly weakened after adjustment for body mass index and behavioral factors. No associations were observed for everyday discrimination. Conclusions. Further understanding the role of perceived discrimination in the etiology of hypertension may be beneficial in eliminating hypertension disparities.}, Doi = {10.2105/AJPH.2011.300523}, Key = {fds277764} } @article{fds277762, Author = {Orr, ST and Reiter, JP and James, SA and Orr, CA}, Title = {Maternal health prior to pregnancy and preterm birth among urban, low income black women in Baltimore: the Baltimore Preterm Birth Study.}, Journal = {Ethnicity & disease}, Volume = {22}, Number = {1}, Pages = {85-89}, Year = {2012}, Month = {January}, ISSN = {1049-510X}, Abstract = {<h4>Objectives</h4>Black women have increased risk of preterm birth compared to white women, and overall black women are in poorer health than white women. Recent recommendations to reduce preterm birth have focused on preconception health care. We explore the associations between indicators of maternal prepregnancy health with preterm birth among a sample of black women.<h4>Design</h4>The current study was prospective.<h4>Setting</h4>Enrollment occurred in prenatal clinics in Baltimore.<h4>Participants</h4>Women (N=922) aged > or =18 were enrolled in the study. Data on maternal health, behaviors, and pregnancy outcome were abstracted from clinical records.<h4>Main outcome measure</h4>Logistic regression was used to evaluate associations between behavioral and health status variables with preterm birth.<h4>Results</h4>In bivariate analysis, alcohol use, drug use and chronic diseases were associated with preterm birth. In the logistic regression analysis, drug use and chronic diseases were associated with preterm birth.<h4>Conclusions</h4>These results demonstrate an association between maternal health and behaviors prior to pregnancy with preterm birth among black women. Providing access to health care prior to pregnancy to address behavioral and health risks may improve pregnancy outcomes among low-income black women.}, Key = {fds277762} } @article{fds277767, Author = {Swamy, GK and Edwards, S and Gelfand, A and James, SA and Miranda, ML}, Title = {Maternal age, birth order, and race: differential effects on birthweight.}, Journal = {J Epidemiol Community Health}, Volume = {66}, Number = {2}, Pages = {136-142}, Year = {2012}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21081308}, Abstract = {BACKGROUND: Studies examining the influence of maternal age and birth order on birthweight have not effectively disentangled the relative contributions of each factor to birthweight, especially as they may differ by race. METHODS: A population-based, cross-sectional study of North Carolina births from 1999 to 2003 was performed. Analysis was restricted to 510 288 singleton births from 28 to 42 weeks' gestation with no congenital anomalies. Multivariable linear regression was used to model maternal age and birth order on birthweight, adjusting for infant sex, education, marital status, tobacco use and race. RESULTS: Mean birthweight was lower for non-Hispanic black individuals (NHB, 3166 g) compared with non-Hispanic white individuals (NHW, 3409 g) and Hispanic individuals (3348 g). Controlling for covariates, birthweight increased with maternal age until the early 30s. Race-specific modelling showed that the upper extremes of maternal age had a significant depressive effect on birthweight for NHW and NHB (35+ years, p<0.001), but only age less than 25 years was a significant contributor to lower birthweights for Hispanic individuals, p<0.0001. Among all racial subgroups, birth order had a greater influence on birthweight than maternal age, with the largest incremental increase from first to second births. Among NHB, birth order accounted for a smaller increment in birthweight than for NHW and Hispanic women. CONCLUSION: Birth order exerts a greater influence on birthweight than maternal age, with signficantly different effects across racial subgroups.}, Doi = {10.1136/jech.2009.088567}, Key = {fds277767} } @article{fds277761, Author = {Orr, ST and Orr, CA and James, SA and Blazer, DG}, Title = {Life satisfaction and preterm birth among urban black women: findings from the Baltimore preterm birth study.}, Journal = {Ann Epidemiol}, Volume = {22}, Number = {11}, Pages = {759-763}, Year = {2012}, Month = {Fall}, ISSN = {1047-2797}, url = {http://dx.doi.org/10.1016/j.annepidem.2012.09.002}, Abstract = {PURPOSE: Preterm birth (PTB) is a major problem in the United States, and black women have greater risk of PTB than white women. The etiology of PTB and the racial disparity in preterm outcomes are poorly understood. Diminished life satisfaction is associated with adult health, but there are no studies of life satisfaction and PTB. In the research reported in this article, the relationship between life satisfaction and PTB among black women was studied. METHODS: Women were enrolled in this prospective study at the time of the first visit to 5 prenatal clinics in Baltimore. Life satisfaction was assessed at the time of the first prenatal visit. Data on PTB were obtained from medical records. RESULTS: The final sample consisted of 922 women. Among women who were somewhat or not at all satisfied with their lives, 16% had preterm births, whereas among women who were very satisfied with their lives, 10.7% had preterm births (unadjusted odds ratio = 1.6; 95% CI 1.1-2.4). The adjusted odds ratio was 1.6 (95% CI 1.00-2.5). CONCLUSIONS: Women who reported being somewhat or not at all satisfied with their lives had a greater risk of PTB than women who reported being very satisfied with their lives.}, Doi = {10.1016/j.annepidem.2012.09.002}, Key = {fds277761} } @article{fds277730, Author = {Subramanyam, MA and James, SA and Diez-Roux, AV and Hickson, DA and Sarpong, D and Sims, M and Taylor, HAJ and Wyatt, SB}, Title = {Socioeconomic status, John Henryism and blood pressure among African-Americans in the Jackson Heart Study}, Journal = {SOCIAL SCIENCE & MEDICINE}, Volume = {93}, Pages = {139-146}, Year = {2013}, Month = {Fall}, ISSN = {0277-9536}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000324608500017&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {John Henryism connotes a strong behavioral predisposition to engage in effortful, active coping with difficult social and economic stressors. This behavioral predisposition is measured by the 12 item John Henryism Scale for Active Coping (JHAC). The John Henry hypothesis predicts that the well-known inverse socioeconomic status (SES)-blood pressure association will be stronger among persons who score high rather than low on the JHAC. We tested this hypothesis in a large African American cohort using baseline data from the Jackson Heart Study. Unlike previous studies, we used multiple indicators of SES: income, education, occupation, childhood SES and cumulative SES. Because the hypothesis is most relevant for adults still in the labor force, we excluded retired participants, yielding a sample size of 3978. Gender-specific Poisson regression models for hypertension adjusting for age, John Henryism, SES, and a John Henryism-SES interaction term, were fit to examine associations. Separate models were fit for each SES indicator. We found some evidence that John Henryism modified the association between income and hypertension in men: low income was associated with higher prevalence of hypertension in men who scored high on John Henryism (prevalence ratio (PR) for low vs. high income tertile 1.12), but with lower hypertension prevalence among men who scored low on John Henryism (PR 0.85, one sided P value for multiplicative interaction <0.05). For women, the association of low income with higher hypertension prevalence was stronger at lower than higher levels of John Henryism (PR 1.27 and 1.06 at low and high levels of John Henryism respectively, P value<0.05). There was no evidence that John Henryism modified the associations of hypertension with other SES indicators in men or women. The modest support of the John Henryism Hypothesis in men only, adds to the literature on this subject, but underscores questions regarding the gender, spatial, socioeconomic and historical contexts in which the hypothesis is valid.}, Doi = {10.1016/j.socscimed.2013.06.016}, Key = {fds277730} } @article{fds317750, Author = {Barrington, DS and James, SA}, Title = {CHILDHOOD FAMILY STRUCTURE AND ADULT HYPERTENSION AMONG AFRICAN AMERICANS: THE PITT COUNTY STUDY}, Journal = {JOURNAL OF CLINICAL HYPERTENSION}, Volume = {15}, Number = {7}, Pages = {519-520}, Publisher = {WILEY-BLACKWELL}, Year = {2013}, Month = {July}, Key = {fds317750} } @article{fds277729, Author = {He, W and James, SA and Merli, MG and Zheng, H}, Title = {An increasing socioeconomic gap in childhood overweight and obesity in China.}, Journal = {Am J Public Health}, Volume = {104}, Number = {1}, Pages = {e14-e22}, Year = {2014}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24228657}, Abstract = {We used a new conceptual framework that integrates tenets from health economics, social epidemiology, and health behavior to analyze the impact of socioeconomic forces on the temporal changes in the socioeconomic status (SES) gap in childhood overweight and obesity in China. In data from the China Health and Nutrition Survey for 1991 to 2006, we found increased prevalence of childhood overweight and obesity across all SES groups, but a greater increase among higher-SES children, especially after 1997, when income inequality dramatically increased. Our findings suggest that for China, the increasing SES gap in purchasing power for obesogenic goods, associated with rising income inequality, played a prominent role in the country's increasing SES gap in childhood obesity and overweight.}, Doi = {10.2105/AJPH.2013.301669}, Key = {fds277729} } @article{fds226637, Author = {Silva LF and Lopes GB and Cunha TO and Protásio BM and Pisoni RL and James SA, Lopes AA}, Title = {Coping With Fluid Restriction and the QUality of Life in Hemodialysis Patients with Low or No Urine Output}, Journal = {The International Journal of Artificial Organs}, Year = {2014}, Month = {Spring}, Key = {fds226637} } @article{fds277715, Author = {Silva, LF and Lopes, GB and Cunha, TO and Protásio, BM and Pisoni, RL and James, SA and Lopes, AA}, Title = {Coping with fluid restriction and the quality of life in hemodialysis patients with very low or no daily urine output.}, Journal = {The International journal of artificial organs}, Volume = {37}, Number = {6}, Pages = {427-435}, Year = {2014}, Month = {June}, ISSN = {0391-3988}, url = {http://dx.doi.org/10.5301/ijao.5000329}, Abstract = {<h4>Purpose</h4>Fluid restriction is crucial to prevent circulatory overload in maintenance hemodialysis (MHD) patients with very low urine volume, but fluid restriction may result in psychological distress. We studied MHD patients with urine volume ≤ 200 ml/day to investigate if their acceptance of fluid restriction was associated with their health-related quality of life (HRQOL).<h4>Methods</h4>Cross-sectional study of 271 Brazilian adult MHD patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). To assess the acceptance of fluid restriction, patients were asked about the extent of feeling bothered by living on this restriction. The KDQOL was used to determine HRQOL scores. Higher scores indicate better HRQOL with differences of >3.0 points considered clinically significant.<h4>Results</h4>52.4% reported being "moderately to extremely" bothered by fluid restriction and had lower scores for all HRQOL scales than patients less bothered by fluid restriction. The largest covariate-adjusted differences in HRQOL were 19.5 for emotional role (p<0.001), 15.1 for emotional well-being (p<0.001), and 14.1 for vitality (p<0.001). Adjusted differences were larger for mental component (7.53 points, p<0.001) than for physical component (2.07, p = 0.075) summaries.<h4>Conclusions</h4>These results indicate that MHD patients with a lower level of acceptance of fluid restriction have poorer HRQOL, particularly in mental domains of HRQOL. The high prevalence of poor acceptance of fluid restriction in the present study underscores the need for interventions to improve acceptance of fluid restriction and determine if such interventions improve HRQOL of MHD patients with very low urine volume.}, Doi = {10.5301/ijao.5000329}, Key = {fds277715} } @article{fds277725, Author = {Gebreab, SY and AV, DR and Brenner, A and Hickson, D and James, SA and Sims, M and Subramanyam, M and Taylor, HA and Wyatt, SB}, Title = {The impact of lifecourse socioeconomic position on cardiovascular disease events in African Americans: the Jackson Heart Study.}, Journal = {Journal of the American Heart Association.}, Volume = {4}, Number = {6}, Pages = {e001553-e001553}, Publisher = {Wiley}, Year = {2015}, url = {http://dx.doi.org/10.1161/JAHA.114.001553}, Abstract = {Few studies have examined the impact of lifecourse socioeconomic position (SEP) on cardiovascular disease (CVD) risk among African Americans.We used data from the Jackson Heart Study (JHS) to examine the associations of multiple measures of lifecourse SEP with CVD events in a large cohort of African Americans. During a median of 7.2-year follow-up, 362 new or recurrent CVD events occurred in a sample of 5301 participants aged 21 to 94. Childhood SEP was assessed by using mother's education, parental home ownership, and childhood amenities. Adult SEP was assessed by using education, income, wealth, and public assistance. Adult SEP was more consistently associated with CVD risk in women than in men: age-adjusted hazard ratios for low versus high income (95% CIs), 2.46 (1.19 to 5.09) in women and 1.50 (0.87 to 2.58) in men, P for interaction=0.1244, and hazard ratio for low versus high wealth, 2.14 (1.39 to 3.29) in women and 1.06 (0.62 to 1.81) in men, P for interaction=0.0224. After simultaneous adjustment for all adult SEP measures, wealth remained a significant predictor of CVD events in women (HR=1.73 [1.04, 2.85] for low versus high). Education and public assistance were less consistently associated with CVD. Adult SEP was a stronger predictor of CVD events in younger than in older participants (HR for high versus low summary adult SEP score 3.28 [1.43, 7.53] for participants ≤50 years, and 1.90 (1.36 to 2.66) for participants >50 years, P for interaction 0.0846). Childhood SEP was not associated with CVD risk in women or men.Adult SEP is an important predictor of CVD events in African American women and in younger African Americans. Childhood SEP was not associated with CVD events in this population.}, Doi = {10.1161/JAHA.114.001553}, Key = {fds277725} } @article{fds226457, Author = {Chor D and Andreozzi V and Mendes da Fonseca M and Oliveira Cardoso L and Faerstein E and Souza Lopes C and James SA}, Title = {Social inequalities in BMI Trajectories: 8 year follow-up of the Pró-Saúde Study in Rio de Janeiro, Brazil}, Journal = {Public Health Nutrition}, Year = {2015}, Month = {March}, ISSN = {doi:10.1017/S1368980015001032}, Key = {fds226457} } @article{fds333799, Author = {Chor, D and Andreozzi, V and Mendes da Fonseca and M and Oliveira Cardoso, L and Faerstein, E and Souza Lopes and C and James, SA}, Title = {Social Inequalities in BMI Trajectories: 8 year Follow-up of the Pro-Saude Study in Rio de Janiero, Brazil}, Journal = {Public Health Nutrition}, Volume = {7}, Pages = {1-9}, Publisher = {Cambridge University Press (CUP)}, Year = {2015}, Month = {July}, Key = {fds333799} } @article{fds331302, Author = {Logan, JG and Barksdale, DJ and James, SA and Chien, LC}, Title = {John Henryism Actrive coping, Acculturation and Psychological Health in Korean Immigrants}, Journal = {Journal of Transcultural Nursing}, Pages = {1-11}, Publisher = {SAGE Publications}, Year = {2015}, Month = {September}, Key = {fds331302} } @article{fds277714, Author = {Chor, D and Andreozzi, V and Fonseca, MJM and Cardoso, LO and James, SA and Lopes, CS and Faerstein, E}, Title = {Social inequalities in BMI trajectories: 8-year follow-up of the Pró-Saúde study in Rio de Janeiro, Brazil}, Journal = {Public Health Nutrition}, Volume = {18}, Number = {17}, Pages = {3183-3191}, Publisher = {Cambridge University Press (CUP)}, Year = {2015}, Month = {December}, ISSN = {1368-9800}, url = {http://dx.doi.org/10.1017/s1368980015001032}, Abstract = {<jats:title>Abstract</jats:title><jats:sec id="S1368980015001032_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>In a cohort of government employees in Rio de Janeiro, Brazil, we investigated prospectively, sex-specific associations between education and BMI trajectories and their potential effect modification by race.</jats:p></jats:sec><jats:sec id="S1368980015001032_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Of the 4030 participants in Phase 1 (1999), 3253 (81 %) participated in Phase 2 (2003) and 3058 (76 %) participated in Phase 3 (2006). Education was categorized as elementary, high school or college graduate. Study participants self-identified as White, Black or<jats:italic>Pardo</jats:italic>. BMI was calculated from measured weight and height. BMI trajectories were modelled using a generalized additive regression model with mixed effects (GAMM).</jats:p></jats:sec><jats:sec id="S1368980015001032_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>The Pro-Saúde Study, a longitudinal investigation of social determinants of health.</jats:p></jats:sec><jats:sec id="S1368980015001032_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Women (<jats:italic>n</jats:italic>1441) and men (<jats:italic>n</jats:italic>1127) who participated in the three phases of data collection and had complete information for all study variables.</jats:p></jats:sec><jats:sec id="S1368980015001032_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Women and men with less than high school, or only a high school education, gained approximately 1 kg/m<jats:sup>2</jats:sup>more than college graduates (women: 1·06 kg/m<jats:sup>2</jats:sup>(<jats:italic>P</jats:italic><0·001) and 1·06 kg/m<jats:sup>2</jats:sup>(<jats:italic>P</jats:italic><0·001), respectively; men: 1·04 kg/m<jats:sup>2</jats:sup>(<jats:italic>P=</jats:italic>0·013) and 1·01 kg/m<jats:sup>2</jats:sup>(<jats:italic>P</jats:italic>=0·277), respectively). For women only, race was independently associated with weight gain. Women identifying as<jats:italic>Pardo</jats:italic>or Black gained 1·03 kg/m<jats:sup>2</jats:sup>(<jats:italic>P</jats:italic>=0·01) and 1·02 kg/m<jats:sup>2</jats:sup>(<jats:italic>P</jats:italic>=0·10), respectively, more than Whites. No effect modification by race was observed for either men or women.</jats:p></jats:sec><jats:sec id="S1368980015001032_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>While both lower education and darker race were associated with greater weight gain, gender similarities and differences were observed in these associations. The relationship between weight gain and different indicators of social status are therefore complex and require careful consideration when addressing the obesity epidemic.</jats:p></jats:sec>}, Doi = {10.1017/s1368980015001032}, Key = {fds277714} } @article{fds277726, Author = {Chor, D and Andreozzi, V and Fonseca, MJM and Cardoso, LO and James, SA and Lopes, CS and Faerstein, E}, Title = {Social inequalities in BMI trajectories: 8-year follow-up of the Pró-Saúde study in Rio de Janeiro, Brazil.}, Journal = {Public health nutrition}, Volume = {18}, Number = {17}, Pages = {3183-3191}, Year = {2015}, Month = {December}, url = {http://dx.doi.org/10.1017/s1368980015001032}, Abstract = {<h4>Objective</h4>In a cohort of government employees in Rio de Janeiro, Brazil, we investigated prospectively, sex-specific associations between education and BMI trajectories and their potential effect modification by race.<h4>Design</h4>Of the 4030 participants in Phase 1 (1999), 3253 (81 %) participated in Phase 2 (2003) and 3058 (76 %) participated in Phase 3 (2006). Education was categorized as elementary, high school or college graduate. Study participants self-identified as White, Black or Pardo. BMI was calculated from measured weight and height. BMI trajectories were modelled using a generalized additive regression model with mixed effects (GAMM).<h4>Setting</h4>The Pro-Saúde Study, a longitudinal investigation of social determinants of health.<h4>Subjects</h4>Women (n 1441) and men (n 1127) who participated in the three phases of data collection and had complete information for all study variables.<h4>Results</h4>Women and men with less than high school, or only a high school education, gained approximately 1 kg/m(2) more than college graduates (women: 1·06 kg/m(2) (P<0·001) and 1·06 kg/m(2) (P<0·001), respectively; men: 1·04 kg/m(2) (P=0·013) and 1·01 kg/m(2) (P=0·277), respectively). For women only, race was independently associated with weight gain. Women identifying as Pardo or Black gained 1·03 kg/m(2) (P=0·01) and 1·02 kg/m(2) (P=0·10), respectively, more than Whites. No effect modification by race was observed for either men or women.<h4>Conclusions</h4>While both lower education and darker race were associated with greater weight gain, gender similarities and differences were observed in these associations. The relationship between weight gain and different indicators of social status are therefore complex and require careful consideration when addressing the obesity epidemic.}, Doi = {10.1017/s1368980015001032}, Key = {fds277726} } @article{fds335178, Author = {Geronimus, AT and James, SA and Destin, M and Graham, LF and Hatzenbuehler, ML and Murphy, MC and Pearson, JA}, Title = {Jedi Public Health: Co-creating an Identity Safe Culture to Promote Health Equity}, Journal = {Soci Science and Medicine - Population Health}, Volume = {2}, Pages = {105-116}, Year = {2016}, Month = {July}, Key = {fds335178} } @article{fds317749, Author = {Geronimus, AT and James, SA and Destin, M and Graham, LF and Hatzenbuehler, ML and Murphy, MC and Pearson, JA and Omari, A and Thompson, JP}, Title = {Jedi public health: Co-creating an identity-safe culture to promote health equity}, Journal = {SSM - Population Health}, Volume = {2}, Pages = {105-116}, Publisher = {Elsevier BV}, Year = {2016}, Month = {December}, url = {http://dx.doi.org/10.1016/j.ssmph.2016.02.008}, Abstract = {The extent to which socially-assigned and culturally mediated social identity affects health depends on contingencies of social identity that vary across and within populations in day-to-day life. These contingencies are structurally rooted and health damaging inasmuch as they activate physiological stress responses. They also have adverse effects on cognition and emotion, undermining self-confidence and diminishing academic performance. This impact reduces opportunities for social mobility, while ensuring those who "beat the odds" pay a physical price for their positive efforts. Recent applications of social identity theory toward closing racial, ethnic, and gender academic achievement gaps through changing features of educational settings, rather than individual students, have proved fruitful. We sought to integrate this evidence with growing social epidemiological evidence that structurally-rooted biopsychosocial processes have population health effects. We explicate an emergent framework, Jedi Public Health (JPH). JPH focuses on changing features of settings in everyday life, rather than individuals, to promote population health equity, a high priority, yet, elusive national public health objective. We call for an expansion and, in some ways, a re-orienting of efforts to eliminate population health inequity. Policies and interventions to remove and replace discrediting cues in everyday settings hold promise for disrupting the repeated physiological stress process activation that fuels population health inequities with potentially wide application.}, Doi = {10.1016/j.ssmph.2016.02.008}, Key = {fds317749} } @article{fds327543, Author = {Mujahid, MS and James, SA and Kaplan, GA and Salonen, JT}, Title = {Socioeconomic position, John Henryism, and incidence of acute myocardial infarction in Finnish men.}, Journal = {Social science & medicine (1982)}, Volume = {173}, Pages = {54-62}, Year = {2017}, Month = {January}, url = {http://dx.doi.org/10.1016/j.socscimed.2016.11.034}, Abstract = {Previous cross-sectional studies examining whether John Henryism (JH), or high-effort coping with socioeconomic adversity, potentiates the inverse association between socioeconomic position (SEP) and cardiovascular health have focused mainly on hypertension in African Americans. We conducted the first longitudinal test of this hypothesis on incident acute myocardial infarction (AMI) using data from the Kuopio Ischemic Heart Disease Risk Factor Study in Finland (N = 1405 men, 42-60 years). We hypothesized that the expected inverse gradient between SEP and AMI risk would be stronger for men scoring high on JH than for those scoring low. John Henryism was measured by a Finnish version of the JH Scale for Active Coping. Four different measures of SEP were used: childhood SEP, education, income, and occupation. AMI hazard ratios (HR) by SEP and JH were estimated using COX proportional hazard models, before and after adjustment for study covariates. 205 cases of AMI occurred over a median of 14.9 years. Men employed in lower rank (farmer, blue-collar) occupations who scored high on JH had significantly higher age-adjusted risks of AMI than men in higher rank (white-collar) occupations (HR = 3.14, 95% CI: 1.65-5.98 for blue collar; HR = 2.33, 95% CI: 1.04-5.22 for farmers) who also scored high on JH. No socioeconomic differences in AMI were observed for men who scored low on JH (HR = 1.36, 95% CI: 0.74-2.47 for blue collar; HR = 0.93, 95% CI: 0.59-1.48 for farmers; p = 0.002 for the SEP × JH interaction). These findings persisted after adjustment for sociodemographic, behavioral, and biological factors. Results for other SEP measures were in the same direction, but did not reach statistical significance. Repetitive high-effort coping with adversity (John Henryism) was independently associated with increased risk for AMI in Finnish men, underscoring the potential relevance of the John Henryism hypothesis to CVD outcomes other than hypertension and to populations other than African Americans.}, Doi = {10.1016/j.socscimed.2016.11.034}, Key = {fds327543} } @article{fds327542, Author = {Barrington, DS and James, SA}, Title = {Receipt of public assistance during childhood and hypertension risk in adulthood.}, Journal = {Annals of epidemiology}, Volume = {27}, Number = {2}, Pages = {108-114.e2}, Year = {2017}, Month = {February}, url = {http://dx.doi.org/10.1016/j.annepidem.2016.11.012}, Abstract = {<h4>Purpose</h4>We examined if receipt of public assistance during childhood lowered risk for hypertension by mid-life in a cohort of African Americans in the Southeastern United States.<h4>Methods</h4>We used multiple logistic regression models to assess the relationship between receipt of public assistance during childhood and adult hypertension among 405 male and 737 female adult participants enrolled between 1988 and 2001 in the Pitt County Study, a community-based prospective cohort study of African Americans in North Carolina. Statistical analyses were adjusted for child and adult sociodemographic measures as well as adult psychosocial and lifestyle factors.<h4>Results</h4>Women who grew up in economically disadvantaged families and who received public assistance during childhood had a 66% decreased odds of hypertension by mid-life compared with women similarly disadvantaged in childhood but who did not receive public assistance, odds ratio = 0.34; 95% confidence interval: 0.14-0.83. No association was observed for African American men.<h4>Conclusions</h4>Receipt of anti-poverty federal assistance during childhood was associated with reduced risk for hypertension by mid-life among African American women. It is possible that social expenditures on public assistance programs for families in need could produce long-term health benefits for children.}, Doi = {10.1016/j.annepidem.2016.11.012}, Key = {fds327542} } @article{fds303104, Author = {Logan, K and Chien, LC and James, SA and Barksdale, DJ}, Title = {John Henryism Active Coping, Acculturation, and Psychological Health in Korean Immigrants}, Journal = {Journal of Transcultural Nursing, 2015, in press}, Volume = {28}, Number = {2}, Pages = {168-178}, Publisher = {SAGE Publications (UK and US)}, Year = {2017}, Month = {March}, ISSN = {1552-7832}, url = {http://dx.doi.org/10.1177/1043659615615402}, Abstract = {This study aimed to explore the levels of John Henryism (JH) active coping and its association with acculturation status and psychological health (specifically perceived stress, acculturative stress, anxiety, and depression) in Korean immigrants to the United States. In 102 Korean immigrants, JH active coping was measured by the JH Scale; acculturation by the Bidimensional Acculturation Scale; perceived stress by the Perceived Stress Scale; acculturative stress by the Social, Attitudinal, Familial, and Environmental Scale; anxiety by the State Anxiety Subscale of the Spielberger State-Trait Anxiety Inventory; and depression by the Center for Epidemiological Studies Depression Scale. The levels of JH active coping in this sample of Korean immigrants appear to be lower than the levels reported in other racial groups. Independent of demographic factors, JH active coping was a significant predictor of higher acculturation status and better psychological health as indicated by lower levels of perceived stress, acculturative stress, anxiety, and depressive symptoms.}, Doi = {10.1177/1043659615615402}, Key = {fds303104} } @article{fds331301, Author = {Jackson, FM and James, SA and Owens, TC and Bryan, AF}, Title = {Anticipated Negative Police-Youth Encounters and Depressive Symptoms among Pregnant African American Women: A Brief Report.}, Journal = {Journal of urban health : bulletin of the New York Academy of Medicine}, Volume = {94}, Number = {2}, Pages = {259-265}, Year = {2017}, Month = {April}, url = {http://dx.doi.org/10.1007/s11524-017-0136-3}, Abstract = {The widely publicized violent encounters between police and African American youth have unknown consequences for the emotional and mental health of pregnant African American women. Since studies document the hypervigilance black mothers exert to protect children from violence and racism and findings also reveal the association between racial and gendered stress (which includes parenting stressors) and depressive symptoms during pregnancy, an examination of the effects of stress from anticipated negative experiences between black youth and police on maternal mental health is warranted. Between July and August 2014, 100 mostly low income pregnant African American women who lived in metropolitan Atlanta and were in their first and second trimesters completed the Edinburgh postnatal depression scale, selected items from the Jackson, Hogue, Phillips contextualized stress measure, and a demographic form. Bivariate and logistic regression analyses were conducted in response to questions that asked: (1) is the anticipation of negative encounters between black youth and police associated with antenatal depressive symptoms and (2) how does the presence of prior children, male or female, contribute to the association? For question 1, the results showed that anticipated negative African American youth-police experiences were significantly associated with antenatal depressive symptoms χ <sup>2</sup> (2, N = 87) = 12.62, p = .002. For question 2, the presence of a preschool-aged male child in the home was significantly associated with antenatal depression (p = .009, odds ratio = 13.23). The observed associations between antenatal depressive symptoms and anticipated negative police-youth encounters have implications for clinical- and community-based interventions responding to the unique psychosocial risks for pregnant African American women.}, Doi = {10.1007/s11524-017-0136-3}, Key = {fds331301} } @article{fds327544, Author = {James, SA}, Title = {The strangest of all encounters: racial and ethnic discrimination in US health care.}, Journal = {Cadernos de saude publica}, Volume = {33Suppl 1}, Number = {Suppl 1}, Pages = {e00104416}, Year = {2017}, Month = {May}, url = {http://dx.doi.org/10.1590/0102-311x00104416}, Abstract = {In 2003, a Committee of the Institute of Medicine of the National Academy of Sciences summarized hundreds of studies documenting that US racial minorities, especially African Americans, receive poorer quality health care for a wide variety of conditions than their White counterparts. These racial differences in health care persist after controlling for sociodemographic factors and patients' ability to pay for care. The Committee concluded that physicians' unconscious negative stereotypes of African Americans, and perhaps other people of color, likely contribute to these health care disparities. This paper selectively reviews studies published after 2003 on the likely contribution of physicians' unconscious bias to US health care disparities. All studies used the Implicit Association Test which quantifies the relative speed with which individuals associate positive attributes like "intelligent" with Whites compared to Blacks or Latino/as. In addition to assessing physicians' unconscious attitudes toward patients, some studies focused on the behavioral and affective dimensions of doctor-patient communication, such as physicians' "verbal dominance" and whether patients felt respected. Studies reviewed found a "pro-white" unconscious bias in physicians' attitudes toward and interactions with patients, though some evidence suggests that Black and female physicians may be less prone to such bias. Limited social contact between White physicians and racial/ethnic minorities outside of medical settings, plus severe time pressures physicians often face during encounters with patients who have complex health problems could heighten their susceptibility to unconscious bias.}, Doi = {10.1590/0102-311x00104416}, Key = {fds327544} } @article{fds331923, Author = {Jackson, FM and James, SA and Owens, TC and Bryan, AF}, Title = {Erratum to: Anticipated Negative Police-Youth Encounters and Depressive Symptoms among Pregnant African American Women: A Brief Report.}, Journal = {Journal of urban health : bulletin of the New York Academy of Medicine}, Volume = {94}, Number = {3}, Pages = {457}, Year = {2017}, Month = {June}, url = {http://dx.doi.org/10.1007/s11524-017-0153-2}, Doi = {10.1007/s11524-017-0153-2}, Key = {fds331923} } @article{fds327541, Author = {James, SA}, Title = {Invited Commentary: Cassel's "The Contribution of the Social Environment to Host Resistance"-A Modern Classic.}, Journal = {American journal of epidemiology}, Volume = {185}, Number = {11}, Pages = {1032-1034}, Year = {2017}, Month = {June}, url = {http://dx.doi.org/10.1093/aje/kwx070}, Abstract = {John Cassel's 1976 paper "The Contribution of the Social Environment to Host Resistance" (Am J Epidemiol. 1976;104(2):107-123) is widely regarded as a classic in epidemiology. He makes the compelling argument that the quality of a person's social relationships, that is, the degree to which her relationships are more stressful than supportive (or vice versa) influences her susceptibility to disease independent of genetic endowment, diet, physical activity, etc. Cassel's provocative thesis was anchored in a cogent synthesis of findings from animal experiments and observational studies on diverse human populations. Beginning in the late 1970s, the paper stimulated an explosion of epidemiologic research on social support and human health. Beyond advancing epidemiologic theory, Cassel showed how findings from various epidemiologic study designs could be marshalled to build a persuasive causal argument that impaired social bonds increase the risk of premature disease and death. The paper also foreshadowed core ideas of later theoretical constructs, such as weathering and allostatic load, regarding the power of chronic environmental stressors to accelerate biological aging across multiple organ systems. Cassel's assessment of the research and practice implications of his conclusions has remarkable contemporary resonance for the field of epidemiology.}, Doi = {10.1093/aje/kwx070}, Key = {fds327541} } @article{fds331298, Author = {Kramer, MR and Black, NC and Matthews, SA and James, SA}, Title = {The Legacy of Slavery and Contemporary Declines in Heart Disease Mortality in the US South}, Journal = {Social Science and Medicine - Population Health}, Year = {2017}, Month = {November}, Key = {fds331298} } @article{fds365469, Author = {James, SA}, Title = {John Henryism, Gender, and Self-reported Health among Roma/Gypsies in Serbia;}, Year = {2017}, Month = {November}, Key = {fds365469} } @article{fds365470, Author = {Cvorovic, J and James, SA}, Title = {John Henryism, Gender and Self-Reported among Roma/Gypsies in Serbia}, Journal = {Culture, Medicine and Psychiatry}, Publisher = {Springer Verlag}, Year = {2017}, Month = {November}, Key = {fds365470} } @article{fds328574, Author = {Kramer, MR and Black, NC and Matthew, SA and James, SA}, Title = {The Legacy of Slavery and Contemporary Declines in Heart Disease Mortality in the US South}, Journal = {SSM - Population Health}, Volume = {3}, Pages = {609-617}, Publisher = {Elsevier BV}, Year = {2017}, Month = {December}, url = {http://dx.doi.org/10.1016/j.ssmph.2017.07.004}, Abstract = {Background: This study aims to characterize the role of county-specific legacy of slavery in patterning temporal (i.e., 1968-2014), and geographic (i.e., Southern counties) declines in heart disease mortality. In this context, the U.S. has witnessed dramatic declines in heart disease mortality since the 1960’s, which have benefitted place and race groups unevenly, with slower declines in the South, especially for the Black population. Methods: Age-adjusted race- and county-specific mortality rates from 1968-2014 for all diseases of the heart were calculated for all Southern U.S. counties. Candidate confounding and mediating covariates from 1860, 1930, and 1970, were combined with mortality data in multivariable regression models to estimate the ecological association between the concentration of slavery in1860 and declines in heart disease mortality from 1968-2014. Results: Black populations, in counties with a history of highest versus lowest concentration of slavery, experienced a 17% slower decline in heart disease mortality. The association for Black populations varied by region (stronger in Deep South than Upper South states) and was partially explained by intervening socioeconomic factors. In models accounting for spatial autocorrelation, there was no association between slave concentration and heart disease mortality decline for Whites. Conclusions: Nearly 50 years of declining heart disease mortality is a major public health success, but one marked by uneven progress by place and race. At the county level, progress in heart disease mortality reduction among Blacks is associated with place-based historical legacy of slavery. Effective and equitable public health prevention efforts should consider the historical context of place and the social and economic institutions that may play a role in facilitating or impeding diffusion of prevention efforts thereby producing heart healthy places and populations.}, Doi = {10.1016/j.ssmph.2017.07.004}, Key = {fds328574} } @article{fds365468, Author = {Lopes, G and James, S and Lopes, M and Penalva, C and Joau e Silva and C and Matos, C and Martins, M and Pisoni, R and Lopes, A}, Title = {John Henryism and perceived health among hemodialysis patients in a multiracial Brazilian population: The PROHEMO Study}, Journal = {Ethnicity and Disease}, Volume = {28}, Number = {4}, Pages = {539-548}, Publisher = {International Society on Hypertension in Blacks; 1999}, Year = {2018}, Key = {fds365468} } @article{fds339614, Author = {Lopes, GB and James, SA and Lopes, MB and Penalva, CC and Silva, CTJE and Matos, CM and Martins, MTS and Lopes, AA}, Title = {John Henryism and Perceived Health among Hemodialysis Patients in a Multiracial Brazilian Population: the PROHEMO.}, Journal = {Ethnicity & disease}, Volume = {28}, Number = {4}, Pages = {539-548}, Publisher = {International Society on Hypertension in Blacks; 1999}, Year = {2018}, Month = {January}, url = {http://dx.doi.org/10.18865/ed.28.4.539}, Abstract = {<h4>Purpose</h4>John Henryism (JH) is a strong behavioral predisposition to engage in high-effort coping with difficult socioenvironmental stressors. We investigated associations between JH and perceived general health (GH) among maintenance hemodialysis (MHD) patients in a multiracial Brazilian population.<h4>Design</h4>The 12-item John Henryism Acting Coping (JHAC) Scale was completed by 525 patients enrolled in The Prospective Study of the Prognosis of Hemodialysis Patients (PROHEMO) in Salvador (Bahia) Brazil. JH scores could range from 12 to 60. The low and high JH groups were determined by a median split (<52 vs ≥52). The 36-Item Short Form Health Survey was used to determine GH score (range 0-100; higher means better health). Linear regression with extensive adjustments was used to test associations.<h4>Results</h4>Mean age was 48.3±13.7 years; 38.7% were female; 11.4% were White, 29.1% were Black and 59.4% were mixed race. JH was positively associated with higher GH in the whole sample (adjusted difference [AdjDif]=7.14, 95% CI= 2.98, 11.3) and similarly in men and women. A strong positive association between JH and GH was observed in non-Whites but not in Whites; (AdjDif in Blacks =16.4, 95% CI=8.37, 24.4). Also, a strong positive association between JH and GH was observed for patients aged <60 years (AdjDif =9.04, 95% CI = 4.46, 13.6) but not for older patients.<h4>Conclusions</h4>The results indicate that MHD patients engaged in high-effort coping with socioenvironmental stressors as demonstrated by high JH tend to feel more positively about their overall health. This seems to be especially the case for non-White and younger patients.}, Doi = {10.18865/ed.28.4.539}, Key = {fds339614} } @article{fds331300, Author = {Barber, S and Diez Roux and AV and Cardoso, L and Santos, S and Toste, V and James, S and Barreto, S and Schmidt, M and Giatti, L and Chor, D}, Title = {At the intersection of place, race, and health in Brazil: Residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).}, Journal = {Social science & medicine (1982)}, Volume = {199}, Pages = {67-76}, Year = {2018}, Month = {February}, url = {http://dx.doi.org/10.1016/j.socscimed.2017.05.047}, Abstract = {Residential segregation is the spatial manifestation of entrenched socioeconomic and racial inequities and is considered a fundamental cause of racial inequalities in health. Despite the well-documented racialized spatial inequalities that exist in urban areas throughout Brazil, few empirical investigations have examined the link between residential segregation and health and considered its implications for racial health inequalities in this setting. In the present study, we used data from the Brazilian Longitudinal Study of Adult Health (2008-2010) to examine the association between economic residential segregation and two major cardio-metabolic risk factors-hypertension and diabetes. We also examined whether associations were stronger for historically marginalized racial groups in Brazil. Residential segregation was calculated for study-defined neighborhoods using the Getis-Ord Local G<sub>i</sub>* statistic and was based on household income data from the 2010 IBGE demographic census. Multivariable logistic regression models were used to examine associations. In our sample, Blacks and Browns were more likely to live in economically segregated neighborhoods. After taking into account income, education, and other demographic characteristics we found that individuals living in the most economically segregated neighborhoods were 26% more likely to have hypertension and 50% more likely to have diabetes than individuals living in more affluent areas. Although Blacks and Browns living in highly segregated neighborhoods had higher prevalence of hypertension and diabetes compared to Whites, we observed no statistically significant racial differences in the associations with residential segregation. Our findings suggest that residential segregation may be an important structural determinant of cardio-metabolic risk factors in Brazil. Moreover, the systematic and disproportionate exposure of Blacks and Browns to highly segregated neighborhoods may implicate these settings as potential drivers of racial inequalities in cardio-metabolic risk factors in urban settings in Brazil.}, Doi = {10.1016/j.socscimed.2017.05.047}, Key = {fds331300} } @article{fds329777, Author = {Čvorović, J and James, SA}, Title = {John Henryism, Gender and Self-reported Health Among Roma/Gypsies in Serbia.}, Journal = {Culture, medicine and psychiatry}, Volume = {42}, Number = {2}, Pages = {295-314}, Year = {2018}, Month = {June}, url = {http://dx.doi.org/10.1007/s11013-017-9561-8}, Abstract = {We describe how self-reported health (SRH) varies with gender and John Henryism (a strong behavioral predisposition to engage in high-effort coping to overcome adversity) in a low income sample of Serbian Roma. Data were collected in 2016 in several Roma settlements around Belgrade, Serbia. The sample consisted of 90 men and 112 women. In addition to John Henryism (JH), measured by a Serbian version of the John Henryism Scale, demographic data and data on SRH and family relationships dynamics were collected. SRH was positively correlated with age and JH, and negatively correlated with a history of chronic disease. Roma males and females differed significantly on JH and a number of other variables. For Roma women, multiple regression analyses revealed that a history of chronic disease, unemployment, age and daily stress level were negatively associated with SRH, while JH, SES and harmonious relationships with one's family/children were positively associated with SRH. For Roma men, there was no association between JH and SRH, but older age, being on welfare, a diagnosis of hypertension and extended family disputes were associated with poorer SRH. Hence, despite economic disadvantage and social exclusion from mainstream society, some Roma report good health and the ability to cope actively with economic disadvantage and social exclusion. This study adds to the literature on the cross-cultural relevance of JH theory for understanding health variations within socially and economically marginalized populations.}, Doi = {10.1007/s11013-017-9561-8}, Key = {fds329777} } @article{fds346932, Author = {Johnson-Lawrence, V and Scott, JB and James, SA}, Title = {Education, perceived discrimination and risk for depression in a southern black cohort.}, Journal = {Aging & mental health}, Volume = {24}, Number = {11}, Pages = {1872-1878}, Year = {2020}, Month = {November}, url = {http://dx.doi.org/10.1080/13607863.2019.1647131}, Abstract = {<b>Objectives:</b> Assess whether education moderates associations between discrimination and depression risk within a southern Black/African American cohort in a labor market shifting from manufacturing and farming to education-intensive industries, such as health care and technology.<b>Methods:</b> Data are from the Pitt County (NC) Study (<i>n</i> = 1154) collected in 2001. Depression risk was assessed with the Center for Epidemiologic Study-Depression (CES-D) scale. Discrimination was measured using a subset from the Everyday Discrimination Scale. Education was categorized as completion of less than high school (HS), HS/GED (General Educational Development), or any college.<b>Results:</b> Completing any college mitigated the association between discrimination and CES-D among men (<i>b</i> = -1.33, 95<b>%</b> CI = -2.56, -0.09) but not women (<i>b</i> = -0.19, 95% CI = -1.36, 0.98).<b>Conclusions:</b> Education is protective for depression risk related to discrimination for men but not women. Recent macroeconomic changes placed a premium on higher levels of education in 2018, as in the 1990s. Because racial discrimination remains a stressor in the everyday lives of African Americans regardless of education level, the health benefits of higher education for working-aged African Americans in shifting labor markets warrants further investigation.}, Doi = {10.1080/13607863.2019.1647131}, Key = {fds346932} } @article{fds303106, Author = {Barrington, DS and James, SA and Williams, DR}, Title = {Socioeconomic Correlates of Obesity in African-American and Caribbean-Black Men and Women.}, Journal = {Journal of racial and ethnic health disparities}, Volume = {8}, Number = {2}, Pages = {422-432}, Year = {2021}, Month = {April}, url = {http://dx.doi.org/10.1007/s40615-020-00798-4}, Abstract = {The high prevalence of obesity among Black Americans warrants additional investigation into its relationship with socioeconomic position (SEP), sex, and ethnicity. This cross-sectional study utilizes 2001-2003 data from the National Survey of American Life, a nationally representative sample of 3570 African-Americans and 1621 Caribbean-Blacks aged 18 years and older. Multivariate logistic regression models stratified by ethnicity and sex describe the independent associations between obesity and multilevel socioeconomic factors after adjustment for age, other SEP measures at the individual, family and neighborhood levels, and health behaviors such as physical activity, alcohol intake, and smoking. A positive relationship was observed between obesity and family income among African-American and Caribbean-Black men. Receipt of public assistance was a strongly associated factor for obesity in Caribbean-Black men and women. Among African-American women, inverse relationships were observed between obesity and education, occupation, and family income; residence within a neighborhood with a supermarket also decreased their odds of obesity. Residence in a neighborhood with a park decreased the odds of obesity only among African-American men, whereas residence in a neighborhood with a supermarket decreased the odds of obesity among Caribbean-Black men. The social patterning of obesity by individual, household, and neighborhood socioeconomic resources differs for African-American and Caribbean-Black men and women within these cross-sectional analyses; an appreciation of these differences may be a prerequisite for developing effective weight control interventions and policies for these two populations.}, Doi = {10.1007/s40615-020-00798-4}, Key = {fds303106} } @article{fds365467, Author = {Silberberg, M and Muhlbaier, LH and Hart-Brothers, E and Small, GM and Bunce, AE and Patel, R and Robinson, S and James, SA}, Title = {Melding Multiple Sources of Knowledge: Using Theory and Experiential Knowledge to Design a Community Health Intervention Study}, Journal = {Journal of Participatory Research Methods}, Volume = {2}, Number = {3}, Publisher = {University of Cincinnati - Office of Innovation and Community Engagement}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.35844/001c.29013}, Abstract = {<jats:p>Although Community-Based Participatory Research (CBPR) is grounded in socioecological theories of health, using and addressing theory in CBPR can be challenging. This paper explores how theory was used and melded with community expertise in one CBPR study in Durham, North Carolina. Challenges to use of theory included time restrictions, the need to focus on meeting local needs and making short-term measurable gains, and differences among collaborators in comfort with and concern for theoretical discussion. Both community and theoretical voices were sometimes short-changed – particularly voices that were more difficult to access or integrate into existing ways of operating. Nonetheless, we were able to bring theory into our work at a number of stages and to meld theory with community expertise in ways that benefited our project. Our case study suggests the importance of creating opportunities for small group discussion; utilizing an iterative dialogic approach to melding theory and community expertise; grounding theoretical discussions in specific, concrete questions; taking the long view of CBPR, including purposefully bringing attention to theory even while responding to pragmatic concerns; and spending more time on building the capacity to collaborate of both academic and community partners. It also raises the need for funders to consider how to align their expectations of grantees with effective attention to root causes of poor health and health disparities.</jats:p>}, Doi = {10.35844/001c.29013}, Key = {fds365467} } @article{fds354533, Author = {Silberberg, M and Muhlbaier, LH and Hart-Brothers, E and Weaver, SM and James, SA and King, SB}, Title = {The Role of Socioeconomic Status in a Community-Based Study of Diabetes Secondary Prevention Among African Americans.}, Journal = {Int J Health Promot Educ}, Volume = {60}, Number = {5}, Pages = {262-272}, Year = {2022}, url = {http://dx.doi.org/10.1080/14635240.2020.1866999}, Abstract = {Objective: The implications for health interventions of socioeconomic diversity among African Americans is not well-studied. Design: Our one-arm community-based participatory research study was designed to improve blood sugar among African Americans with Type 2 diabetes through a six-month intervention combining peer support groups and professional individual coaching. Setting: Small Southern county with large, socioeconomically diverse African American population. Methods: Study participants were recruited through churches and other community sites from 2009-2012. Clinical status was measured and surveys administered at intervention beginning and end. Retention was operationalized as completion of six-month measurement. Bivariate associations between categorical variables were assessed using Pearson’s chi-square and between categorical and continuous variables using independent t-tests of means. Multiple logistic regression was conducted for retention and multiple linear regression for change in HbA1c (p<.05). Results: We enrolled a large, socioeconomically diverse African- American population (n=380 and, retention was high (85%). However, those who left the study were more likely than those retained to be uninsured (52.4% vs. 28.7%) and less likely to have education beyond high school (45.3% vs. 63.3%); their average household income per person was lower ($10,942 vs. $20,731). Multivariate analysis showed that this association between socioeconomic status and retention was mediated by higher baseline blood sugar and diabetes burden among those of lower socioeconomic status. Higher baseline blood sugar, but not SES, was associated with greater improvements in diabetes control. Conclusion: These findings indicate the importance of analyses that address socioeconomic status within racial groups as a determinant of participation in and outcomes from health interventions.}, Doi = {10.1080/14635240.2020.1866999}, Key = {fds354533} } @article{fds367850, Author = {Lopes, MB and Silveira-Martins, MT and Albuquerque da Silva and F and Silva, LF and Silva-Martins, MT and Matos, CM and Kraychete, AC and Norris, KC and James, SA and Lopes, AA}, Title = {Race and Mortality in Hemodialysis Patients in Brazil.}, Journal = {Kidney medicine}, Volume = {4}, Number = {12}, Pages = {100557}, Year = {2022}, Month = {December}, url = {http://dx.doi.org/10.1016/j.xkme.2022.100557}, Abstract = {<h4>Rationale & objective</h4>Studies in the United States and United Kingdom generally report better survival for Black than White patients undergoing maintenance hemodialysis, a finding not explained by differences in sociodemographics or comorbid conditions. It is not clear if such findings can be generalized to other countries. We investigated the association between race and mortality among a Black, White, and Mixed-Race sample of maintenance hemodialysis patients in Salvador, Brazil.<h4>Study design</h4>Prospective cohort study. Baseline data collection from July 1, 2005 through December 31, 2010. The follow-up period ended on December 31, 2017.<h4>Setting & participants</h4>The Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO) is a cohort of 1,501 patients from 4 dialysis units in Salvador, Brazil.<h4>Predictor</h4>Race categorized as White (12.9%), Mixed-Race (62.4%), and Black (24.8%), using White as the reference category.<h4>Outcome</h4>Survival.<h4>Analytical approach</h4>Using Cox regression models, we tested the association between race and mortality, with adjustments for age, sex, social factors, laboratory results, and comorbid conditions.<h4>Results</h4>The mean age was 49 years for Black and Mixed-Race patients and 55 years for White patients. In a Cox model adjusted for age, mortality did not differ between Black and White patients (HR, 1.10; 95% CI, 0.66-1.83) or between Mixed-Race and White patients (HR, 1.00; 95% CI, 0.65-1.54). Adjustment for sociodemographics and comorbid conditions had minimal impact on these results.<h4>Limitations</h4>Potential residual confounding and lack of adjustment for time-varying variables.<h4>Conclusions</h4>Contrary to studies in the United States and United Kingdom, we did not find racial difference in mortality among patients in our Brazilian setting who were being treated by maintenance hemodialysis. These results underscore the importance of investigating racial differences in mortality among patients undergoing maintenance hemodialysis in different populations and countries.}, Doi = {10.1016/j.xkme.2022.100557}, Key = {fds367850} } @article{fds372338, Author = {Torsney, BM and Symonds, JE and Lombardi, D and Burke, KM and Torsney, CB and James, SA}, Title = {Emergence of college students’ John Henryism during schoolwork: an exploratory study}, Journal = {Educational Psychology}, Volume = {43}, Number = {6}, Pages = {698-716}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1080/01443410.2023.2240985}, Abstract = {John Henryism (JH), named after the American folk hero John Henry, is a construct characterised by a behavioural predisposition for high-effort coping with psychosocial stressors. While it has been rigorously studied in the health sciences, little empirical research has focused on how JH emerges within educational contexts, specifically during schoolwork. This exploratory study investigated factors related to JH—race/ethnicity, gender, first-generation college student status, and high-effort coping—on school-based cognitive and emotional engagement. Results revealed that high JH scores predicted positive cognitive and emotional momentary engagement, particularly for racial/ethnic minorities and first-generation college students. Furthermore, in comparing our subsample of first-generation females with our overall sample of female students, we learned that JH had a greater positive influence on first-generation females’ momentary engagement than on that of the overall sample of female students. Findings suggest that historically marginalised groups may regularly rely on JH to cope with systemic inequality in school activities.}, Doi = {10.1080/01443410.2023.2240985}, Key = {fds372338} } @article{fds373702, Author = {Torsney, BM and Burke, KM and Milidou, M and Lombardi, D and Symonds, JE and Torsney, CB and James, SA}, Title = {Beyond growth mindset: Exploring John Henryism and academic task engagement in higher education}, Journal = {Social Psychology of Education}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1007/s11218-023-09813-y}, Abstract = {This study examined how students from historically marginalized identity groups (i.e., Black and Latinx, females, and first-generation college students) engage momentarily in a school-based task. We explored how John Henryism, defined as effortful, active coping as a response to environmental stress, and growth and fixed mindset mediate the relationship between identity groups and momentary engagement outcomes (i.e., positive/negative emotions and cognitive engagement). Findings from two structural equation models—one including John Henryism as a mediating latent construct and one without—demonstrated that only John Henryism mediated the relationship between historically underrepresented groups and positive momentary engagement (i.e., increased cognitive engagement and positive emotions, while lowering negative emotions) while growth mindset did not. These findings suggest that John Henryism and growth mindset may work together to buffer environmental stressors that affect historically underrepresented students’ academic success.}, Doi = {10.1007/s11218-023-09813-y}, Key = {fds373702} } %% Chapters in Books @misc{fds277717, Author = {Kleinbaum, DG and Kupper, LL and Suen, CY and James, SA}, Title = {On Statistical Inferences About Covariate-Adjusted Proportions}, Booktitle = {Biostatistics: Statistics in Biomedical, Public Health and Environmental Sciences, The Bernard G. Greenberg Volume}, Publisher = {Elsevier Science Publishers B.C., North-Holland}, Editor = {Sen, PK}, Year = {1985}, Key = {fds277717} } @misc{fds277723, Author = {James, SA}, Title = {Psychosocial and Environmental Factors in Black Hypertension}, Pages = {132-143}, Booktitle = {Hypertension in Blacks: Epidemiology Pathophysiology and Treatment}, Publisher = {Year book Medical Publishers}, Editor = {Hall, WD and Shulman, NB and Saunders, E}, Year = {1985}, Key = {fds277723} } @misc{fds303105, Author = {James, SA}, Title = {Psychosocial and Environmental Factors in Black Hypertension}, Pages = {132-143}, Booktitle = {Hypertension in Blacks: Epidemiology Pathophysiology and Treatment}, Publisher = {Year book Medical Publishers}, Editor = {Hall, WD and Shulman, NB and Saunders, E}, Year = {1985}, Key = {fds303105} } @misc{fds340514, Author = {Kleinbaum, DG and Kupper, LL and Suen, CY and James, SA}, Title = {On Statistical Inferences About Covariate-Adjusted Proportions}, Booktitle = {Biostatistics: Statistics in Biomedical, Public Health and Environmental Sciences, The Bernard G. Greenberg Volume}, Publisher = {Elsevier Science Publishers B.C., North-Holland}, Editor = {Sen, PK}, Year = {1985}, Key = {fds340514} } @misc{fds340531, Author = {Kleinbaum, DG and Kupper, LL and Suen, CY and James, SA}, Title = {On Statistical Inferences About Covariate-Adjusted Proportions}, Publisher = {Elsevier Science Publishers B.C., North-Holland}, Editor = {Sen, PK}, Year = {1985}, Key = {fds340531} } @misc{fds376326, Author = {James, SA}, Title = {Psychosocial and Environmental Factors in Black Hypertension}, Pages = {132-143}, Publisher = {Year book Medical Publishers}, Year = {1985}, Key = {fds376326} } @misc{fds277718, Author = {James, SA and Keenan, NL and Browning, S}, Title = {Socioeconomic Status, Health Behaviors and Health Status Among Blacks}, Pages = {39-57}, Booktitle = {Aging, Health Behaviors and Health Outcomes}, Publisher = {Lawrence Erlbaum Associates, Publishers, Hillsdale, NJ}, Editor = {Blazer, D and House, J and Schaie, W}, Year = {1992}, Key = {fds277718} } @misc{fds340513, Author = {James, SA and Keenan, NL and Browning, S}, Title = {Socioeconomic Status, Health Behaviors and Health Status Among Blacks}, Pages = {39-57}, Booktitle = {Aging, Health Behaviors and Health Outcomes}, Publisher = {Lawrence Erlbaum Associates, Publishers, Hillsdale, NJ}, Editor = {Blazer, D and House, J and Schaie, W}, Year = {1992}, Key = {fds340513} } @misc{fds376505, Author = {James, SA and Keenan, NL and Browning, S}, Title = {Socioeconomic Status, Health Behaviors and Health Status Among Blacks}, Pages = {39-57}, Publisher = {Lawrence Erlbaum Associates, Publishers, Hillsdale, NJ}, Year = {1992}, Key = {fds376505} } @misc{fds277719, Author = {James, SA}, Title = {The John Henryism Scale for Active Coping}, Volume = {2}, Pages = {415-425}, Booktitle = {Handbook of Tests and Measurements for Black Populations}, Publisher = {Cobb & Henry Publishers, Hampton, VA}, Editor = {Jones, RL}, Year = {1996}, Key = {fds277719} } @misc{fds340512, Author = {James, SA}, Title = {The John Henryism Scale for Active Coping}, Volume = {2}, Pages = {415-425}, Booktitle = {Handbook of Tests and Measurements for Black Populations}, Publisher = {Cobb & Henry Publishers, Hampton, VA}, Editor = {Jones, RL}, Year = {1996}, Key = {fds340512} } @misc{fds376504, Author = {James, SA}, Title = {The John Henryism Scale for Active Coping}, Volume = {2}, Pages = {415-425}, Publisher = {Cobb & Henry Publishers, Hampton, VA}, Year = {1996}, Key = {fds376504} } @misc{fds277720, Author = {James, SA and Schulz, AJ and van, OJ}, Title = {Social Capital, Poverty, and Community Health: An Exploration of Linkages}, Pages = {165-188}, Booktitle = {Building Social Capital in Urban Communities}, Publisher = {Sage Publications}, Editor = {Saegert, S and Thompson, P and Warren, M}, Year = {2001}, Key = {fds277720} } @misc{fds340511, Author = {James, SA and Schulz, AJ and van, OJ}, Title = {Social Capital, Poverty, and Community Health: An Exploration of Linkages}, Pages = {165-188}, Booktitle = {Building Social Capital in Urban Communities}, Publisher = {Sage Publications}, Editor = {Saegert, S and Thompson, P and Warren, M}, Year = {2001}, Key = {fds340511} } @misc{fds376503, Author = {James, SA and Schulz, AJ and van, OJ}, Title = {Social Capital, Poverty, and Community Health: An Exploration of Linkages}, Pages = {165-188}, Publisher = {Sage Publications}, Year = {2001}, Key = {fds376503} } @article{fds226739, Author = {Belli RF and James SA and VanHoewy J and Alcser K}, Title = {The Implementation of a Computerized Event History Calendar Questionnaire for Research in Life Course Epidemiology, in RF Belli, FP Stafford, DF Alwin (Editors), Sage Publications, Thousand Oaks, CA;}, Pages = {225-238}, Year = {2009}, Key = {fds226739} } @misc{fds277721, Author = {Silberberg, M and James, SA and Hart-Brothers, E and Robinson, SA and Elliott-Bynum, S}, Title = {How do you launch a major community-engaged research study with a brand-new partnership that brings together diverse entities and individuals?”}, Booktitle = {Principles of Community Engagement, 2nd edition. Washington, DC: National Institutes of Health, 2011}, Year = {2011}, Key = {fds277721} } @misc{fds277722, Author = {Robinson, SA and Boone, WA and James, SA and Silberberg, M and Small, G}, Title = {“How do you engage a community when there are cultural, educational, or socioeconomic differences within the community as well as between the community and the researchers?” Section 2c of “Challenges in Improving Community Engaged Research,}, Booktitle = {. Principles of Community Engagement, 2nd edition. Washington, DC: National Institutes of Health, 2011}, Year = {2011}, Key = {fds277722} } @misc{fds341991, Author = {Silberberg, M and James, SA and Hart-Brothers, E and Robinson, SA and Elliott-Bynum, S}, Title = {How do you launch a major community-engaged research study with a brand-new partnership that brings together diverse entities and individuals?”}, Year = {2011}, Key = {fds341991} } @misc{fds341975, Author = {Silberberg, M and James, SA and Hart-Brothers, E and Robinson, SA and Elliott-Bynum, S}, Title = {How do you launch a major community-engaged research study with a brand-new partnership that brings together diverse entities and individuals?”}, Booktitle = {Principles of Community Engagement, 2nd edition. Washington, DC: National Institutes of Health, 2011 (in press - #11-7782).}, Year = {2011}, Key = {fds341975} } @misc{fds340506, Author = {Robinson, SA and Boone, WA and James, SA and Silberberg, M and Small, G}, Title = {“How do you engage a community when there are cultural, educational, or socioeconomic differences within the community as well as between the community and the researchers?” Section 2c of “Challenges in Improving Community Engaged Research,}, Booktitle = {. Principles of Community Engagement, 2nd edition. Washington, DC: National Institutes of Health, 2011 (in press - #11-7782).}, Year = {2011}, Key = {fds340506} } @misc{fds340530, Author = {Robinson, SA and Boone, WA and James, SA and Silberberg, M and Small, G}, Title = {“How do you engage a community when there are cultural, educational, or socioeconomic differences within the community as well as between the community and the researchers?” Section 2c of “Challenges in Improving Community Engaged Research,}, Year = {2011}, Key = {fds340530} } @misc{fds333798, Author = {Iacovino, JM and James, SA}, Title = {Retaining Students of Color in HIgher Education: Expanding Our Focus to Include Psychosocial Adjustment and Mental Health}, Pages = {61-84}, Booktitle = {The Crisis of Race in Higher Education: A Day of Discovery and Dialogue}, Publisher = {Emerald Press}, Editor = {Tate, WF and Staudt, N and Macrander, A}, Year = {2016}, Month = {July}, Key = {fds333798} } @misc{fds327545, Author = {Iacovino, JM and James, SA and Tate, WF and Staudt, N and Macrander, A}, Title = {Retaining Students of Color in HIgher Education}, Volume = {19}, Pages = {61-84}, Booktitle = {The Crisis of Race in Higher Education: A Day of Discovery and Dialogue}, Publisher = {Emerald Group Publishing Limited}, Year = {2016}, Month = {December}, url = {http://dx.doi.org/10.1108/S1479-364420160000019004}, Abstract = {Over the past several decades, scholars and universities have made efforts to increase the retention of students in higher education, but graduation rates remain low. Whereas two-thirds of high school graduates attend college, fewer than half graduate. The likelihood of graduation decreases even more for Black, Latino, American Indian, and low-income students, who have a 12 15% lower chance of earning their degree. The importance of psychosocial adjustment to student persistence has received relatively less attention than academic and social integration. Racial/ethnic minority students face unique challenges to psychosocial adjustment in college, including prejudice and discrimination, unwelcoming campus environments, underrepresentation, and a lack of culturally appropriate counseling resources. The current chapter will discuss the impact of these challenges on the persistence, academic success, and health of racial/ ethnic minority students, and strategies that universities can employ to create inclusive policies, resources and campus environments that empower students of color and maximize their success.}, Doi = {10.1108/S1479-364420160000019004}, Key = {fds327545} } @misc{fds341974, Author = {James, S}, Title = {John Henryism, Structural Racism, and Cardiovascular Health Risks in African Americans}, Pages = {56-76}, Booktitle = {Racism: State of the Evidence & Tools for the Public Health Professional}, Publisher = {American Public Health Association}, Editor = {Ford, C and Griffith, D and Bruce, M and Gilbert, K}, Year = {2019}, Key = {fds341974} } %% Submitted @misc{fds226634, Author = {Logan J and James SA et al}, Title = {John Henryism Active Coping, Acculturation and Psyhcological Health in Korean Immigrants}, Year = {2015}, Month = {Spring}, Key = {fds226634} } @misc{fds196310, Author = {Barrington D and James SA and Williams DR}, Title = {Socioeconomic Correlates of Obesity in African American and Black-Caribbean Men and Women}, Year = {2015}, Month = {Summer}, Key = {fds196310} } @misc{fds226632, Author = {Geronimus AG and James SA et al}, Title = {Jedi Public Health: Co-creating an Identity-safe Culture to Eradicate Health Inquiety}, Year = {2015}, Month = {Summer}, Key = {fds226632} } @misc{fds226633, Author = {Lopes GB and James SA et al}, Title = {John Henryism and Perceived Health in Brazilian Hemodialysis Patients}, Year = {2015}, Month = {Summer}, Key = {fds226633} } @misc{fds226635, Author = {Lawrence V and James SA et al}, Title = {Higher Education, Perceived Discrimination and Obesity in African Americans: The Pitt County Study}, Year = {2015}, Month = {Summer}, Key = {fds226635} } @misc{fds226636, Author = {Barrington DB and James SA et al}, Title = {Childhood Family Structure and Later Life Hypertension in African Americans: The Pitt County Study}, Year = {2015}, Month = {Summer}, Key = {fds226636} } %% Other @misc{fds335179, Author = {Kaufman, JS and Geronimus, AT and James, SA}, Title = {RE: Racial disparity in the frequency of recurrence of preterm birth [Letter]. American Journal of Obstetrics and Gynecology}, Journal = {American Journal of Obstretrics & Gynecology}, Pages = {329-329}, Year = {2007}, Month = {September}, Key = {fds335179} }