Is Community-based Work Compatible with Data Collection?

Although community-based projects have introduced a successful model for addressing many social problems, less consideration has been given to how such projects should be evaluated. This paper considers whether the philosophy underlying community-based practice is compatible with data collection. Specifically at issue is whether empirical indicators are helpful to summarize a project. Although having valid knowledge is important, this paper makes a distinction between merely collecting data versus understanding the course of a project. The key point is that community participation requires a unique perspective on how knowledge is negotiated and interpreted

The Relationship between Systemic Racism, Residential Segregation, and Racial/Ethnic Disparities in COVID-19 Deaths in the United States

Copyright 2022 The Author(s) and Ethnicity & Disease, Inc. Introduction: Although Black Americans are not substantially more likely to be diagnosed with COVID-19, hospitalization rates and death rates are considerably higher than for White Americans. The aim of this study was to assess the relationship between systemic racism generally, and residential segregation in particular, and racial/ethnic disparities in deaths due to COVID-19. Methods: To assess racial disparities in COVID-19 and systemic racism in US states, we calculated descriptive statistics and bivariate Pearson correlations. Using data on deaths through December 2020, we developed a weighted logistic mixed model to assess whether state-level systemic racism generally and residential segregation, in particular, predicted the probability of COVID-19 deaths among Americans, con­sidering key sociodemographic factors. Results: Residential segregation is a stronger predictor of COVID-19 deaths among Black Americans, as compared to systemic racism more generally. Looking at the interac­tion between residential segregation and COVID-19 death rates by race, residential segregation is associated with negative outcomes for Black and White Americans, but disproportionately impacts Black state residents (P<.001), who have 2.14 times higher odds of dying from COVID-19 when residential segregation is increased. Conclusion: To understand and address disparities in infectious disease, researchers and public health practitioners should ac­knowledge how different forms of systemic racism shape health outcomes in the United States. More attention should be given to the mechanisms by which infectious disease pandemics exacerbate health disparities in areas of high residential segregation and should inform more targeted health poli­cies. Such policy changes stand to make all American communities more resilient in the face of new and emerging infec­tious diseases

Implications of Training in Incremental Theories of Intelligence for Undergraduate Statistics Students

This chapter documents the effects of training in incremental theories of intelligence on students in introductory statistics courses at a liberal arts university in the US. Incremental theories of intelligence examine the beliefs individuals hold of knowledge and how it is attained. An individual with an incremental theory of intelligence believes that intelligence can be developed. The research examined differences by gender in mastery of statistics and attitudes toward statistics for students who received growth mind-set training. A pre-test, post-test design utilised the Students’ Attitudes Toward Statistics© instrument and the Comprehensive Assessment of Outcomes in a first Statistics course. An ANCOVA revealed that females gained more than males on their value of statistics (F(1, 63) 9.40, MSE 3.79, p .003, η2 P 0.134) and decreased less for effort expended to learn statistics (F(1, 63) 4.41, MSE 4.07, p .040, η2 P 0.067). Females also gained mastery of statistical concepts at a greater rate (F(1, 63) 5.30, MSE 0.06, p .025, η2 P 0.080) indicating a possible path to alleviate the under-representation of females in STEM

Far as the Curse is Found: Evangelical Protestants and the Affordable Care Act

This project considers evangelical interpretations of the Affordable Care Act. Particularly important is that this research engages relevant literature on evangelical social and political particularities. Additionally, a theoretical question is raised whether the evangelical worldview, emphasized as a distinguishing mark of this group, is thought to be compatible with government intervention into the organization of health care. Particularly, how health and illness are interpreted, whether social change is possible, how social change could unfold, and whether contemporary policies are appropriate were key research questions guiding this analysis. A qualitative approach was taken, largely influenced by grounded theory methodology, and twenty-nine Evangelical Protestants participated in in-depth, semi-structured interviews. The findings suggest that Evangelicals are interested significantly in caring for others and health care is no exception. However, complexities exist regarding the importance of personal accountability, religious freedom, and original sin. Most importantly, a variety of perspectives on the Affordable Care Act exist. Recommendations are made that connect evangelical perspectives to community-based health approaches and frame policies to gain evangelical support

Narrative medicine in a hectic schedule

The move to patient-centered medical practice is important for providing relevant and sustainable health care. Narrative medicine, for example, suggests that patients should be involved significantly in diagnosis and treatment. In order to understand the meaning of symptoms and interventions, therefore, physicians must enter the life worlds of patients. But physicians face high patient loads and limited time for extended consultations. In current medical practice, then, is narrative medicine possible? We argue that engaging patient perspectives in the medical visit does not necessarily require a lengthy interview. Instead, a new orientation to this process that emphasizes dialogue between practitioners and patients should be considered. In this new model, the purpose of the visit is to communicate successfully and develop a mutual understanding of illness and care

An experimental study of the effects of messaging strategies on vaccine acceptance and hesitancy among Black Americans

Black Americans have been disproportionately affected by COVID-19 but have comparatively low vaccination rates, creating a need for vaccine messaging strategies that are tailored to this population. We conducted an experimental study to examine the effects of three messaging strategies on Black Americans’ reported willingness to receive the vaccine and vaccine hesitancy. We also recruited White and Hispanic Americans to assess any potential backfire effects of the tailored strategies for non-Black participants. A total of 739 participants completed the study. Results from 4x2 ANCOVAs indicate that, among Black participants, messaging that acknowledged past unethical treatment of Black Americans in medical research and emphasized current safeguards to prevent medical mistreatment was associated with significantly less vaccine hesitancy than the control condition. The same effects were not observed for messaging strategies that provided general safety information about the vaccine or that emphasized the role of the vaccine in reducing racial inequities. There were no significant differences across conditions for participants of other races. Results demonstrate that public health messages tailored to address specific vaccine concerns may aid future vaccination campaigns

Reconsidering the role of language in medicine

Abstract Background Despite an expansive literature on communication in medicine, the role of language is dealt with mostly indirectly. Recently, narrative medicine has emerged as a strategy to improve doctor-patient communication and integrate patient perspectives. However, even in this field which is predicated on language use, scholars have not specifically reflected on how language functions in medicine. Methods In this theoretical paper, the authors consider how different models of language use, which have been proposed in the philosophical literature, might be applied to communication in medicine. In particular, the authors contrast the traditional, indexical thesis of language with new models that focus on interpretation instead of standardization. Results The authors demonstrate how paying close attention to the role of language in medicine provides a philosophical foundation for supporting recent changes in doctor-patient communication. In particular, interpretive models are at the foundation of new approaches such as narrative medicine, that emphasize listening to patient stories, rather than merely collecting information. Conclusion Ultimately, debates regarding the role of language which have largely resided in non-medical literatures, have important implications for describing communication in medicine. In particular, interpretive models of language use provide an important rationale for facilitating a more robust dialogue between doctors and patients

The Role of News Consumption and Trust in Public Health Leadership in Shaping COVID-19 Knowledge and Prejudice

The novelty of COVID-19 has created unique challenges to successful public health efforts because it has required the public to quickly learn and formulate knowledge and attitudes about the virus as information becomes available. The need to stay apprised of new information has also created a critical role for mass media and public institutions in shaping the public’s knowledge of, attitudes about, and responses to the unfolding pandemic. In this study, we examine how media consumption and reliance on specific institutions for information shapes three critical outcomes associated with public health epidemics: the accumulation of knowledge and the endorsement of misinformation about COVID-19, and prejudicial responses to the virus. We surveyed 1,141 adults residing across the United States in March 2020. Using multivariate regression and t-tests, we found that participants had greater knowledge, were less likely to endorse misinformation, and reported less bias toward Asian Americans when they had higher trust in the CDC and lower trust in President Trump. Reliance on certain news formats and sources was also associated with knowledge, misinformation, and prejudice. Our findings suggest that trust and news consumption can pose critical barriers to health literacy and foster negative prejudicial responses that further undermine public health efforts surrounding the COVID-19 pandemic