45 research outputs found

    Racism as a determinant of health: a systematic review and meta-analysis

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    Despite a growing body of epidemiological evidence in recent years documenting the health impacts of racism, the cumulative evidence base has yet to be synthesized in a comprehensive meta-analysis focused specifically on racism as a determinant of health. This meta-analysis reviewed the literature focusing on the relationship between reported racism and mental and physical health outcomes. Data from 293 studies reported in 333 articles published between 1983 and 2013, and conducted predominately in the U.S., were analysed using random effects models and mean weighted effect sizes. Racism was associated with poorer mental health (negative mental health: r = -.23, 95% CI [-.24,-.21], k = 227; positive mental health: r = -.13, 95% CI [-.16,-.10], k = 113), including depression, anxiety, psychological stress and various other outcomes. Racism was also associated with poorer general health (r = -.13 (95% CI [-.18,-.09], k = 30), and poorer physical health (r = -.09, 95% CI [-.12,-.06], k = 50). Moderation effects were found for some outcomes with regard to study and exposure characteristics. Effect sizes of racism on mental health were stronger in cross-sectional compared with longitudinal data and in non-representative samples compared with representative samples. Age, sex, birthplace and education level did not moderate the effects of racism on health. Ethnicity significantly moderated the effect of racism on negative mental health and physical health: the association between racism and negative mental health was significantly stronger for Asian American and Latino(a) American participants compared with African American participants, and the association between racism and physical health was significantly stronger for Latino(a) American participants compared with African American participants.<br /

    Progress in particle-based multiscale and hybrid methods for flow applications

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    Vegetation Pattern Formation Due to Interactions Between Water Availability and Toxicity in Plant-Soil Feedback

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    Development of a comprehensive theory of the formation of vegetation patterns is still in progress. A prevailing view is to treat water availability as the main causal factor for the emergence of vegetation patterns. While successful in capturing the occurrence of multiple vegetation patterns in arid and semiarid regions, this hypothesis fails to explain the presence of vegetation patterns in humid environments. We explore the rich structure of a toxicity-mediated model of the vegetation pattern formation. This model consists of three PDEs accounting for a dynamic balance between biomass, water, and toxic compounds. Different (ecologically feasible) regions of the model's parameter space give rise to stable spatial vegetation patterns in Turing and non-Turing regimes. Strong negative feedback gives rise to dynamic spatial patterns that continuously move in space while retaining their stable topology

    Asymptotically optimal pointwise and minimax quickest change-point detection for dependent data

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    International audienceWe consider the quickest change-point detection problem in pointwise and minimax settings for general dependent data models. Two new classes of sequential detection procedures associated with the maximal "local" probability of a false alarm within a period of some fixed length are introduced. For these classes of detection procedures, we consider two popular risks: the expected positive part of the delay to detection and the conditional delay to detection. Under very general conditions for the observations, we show that the popular Shiryaev-Roberts procedure is asymptotically optimal, as the local probability of false alarm goes to zero, with respect to both these risks pointwise (uniformly for every possible point of change) and in the minimax sense (with respect to maximal over point of change expected detection delays). The conditions are formulated in terms of the rate of convergence in the strong law of large numbers for the log-likelihood ratios between the "change" and "no-change" hypotheses, specifically as a uniform complete convergence of the normalized log-likelihood ratio to a positive and finite number. We also develop tools and a set of sufficient conditions for verification of the uniform complete convergence for a large class of Markov processes. These tools are based on concentration inequalities for functions of Markov processes and the Meyn-Tweedie geometric ergodic theory. Finally, we check these sufficient conditions for a number of challenging examples (time series) frequently arising in applications, such as autoregression, autoregressive GARCH, etc
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