Mortality Trends and Disparities Among Racial/Ethnic and Sex Subgroups in New York City, 1990 to 2000

New York City census data for 1990 and 2000 for all-cause and disease-specific mortality adjusted by age were examined by race/ethnicity. Primary cause of death was coded as HIV/AIDS, cardiovascular disease, coronary heart disease, acute myocardial infarction, stroke, diabetes, or cancer. For White, Black, Hispanic and Asian groups, relative mortality ratios (RMR) were derived for 2000 relative to 1990. Ratios of RMR’s for minority groups were derived relative to Whites. From 1990 to 2000, HIV, cancer, CVD, CHD, AMI, and stroke-related mortality decreased. Decreases in HIV-related mortality were notably less for minority males. Diabetes mortality rates rose dramatically, with Hispanic and Asian males having notably greater increases than White males. Increases in mortality among Asians exceeded those of other groups, and appear to correspond with increased immigration/acculturation. Mortality shifts among different diseases and racial groups should alert public health officials to consider immigration patterns in designing, implementing, and evaluating interventions to prevent disease-related mortality, with a goal to eliminate disparitie

Strategies for Diabetes Management : Using Newer Oral Combination Therapies Early in the Disease

The duration of uncontrolled type 2 diabetes mellitus (T2DM) can adversely impact small and large vessels, eventually leading to microvascular and macrovascular complications. Failure of therapeutic lifestyle changes, monotherapy, and clinical inertia contribute to persistent hyperglycemia and disease progression. The aim was to review the complex pathophysiology of type 2 diabetes and how different oral agents can be used effectively as first-line therapy in combination with metformin, as well as in patients not achieving glycemic goals with metformin therapy. For this review, a non-systematic literature search of PubMed, NCBI, and Google Scholar was conducted. New oral agents have made it possible to improve glycemic control to near-normal levels with a low risk of hypoglycemia and without weight gain, and sometimes with weight loss. Early combination therapy is effective and has been shown to have a favorable legacy effect. A number of agents are available in a single-pill combination (SPC) that provides fewer pills and better adherence. Compared with adding a sulfonylurea, still the most common oral combination used, empagliflozin has been shown to decrease cardiovascular (CV) events in a dedicated CV outcome study, and pioglitazone has been effective in reducing the risk of secondary CV endpoints, whereas sulfonylureas have been associated with an increased risk of CV disease. In those failing metformin, triple oral therapy by adding a non-metformin SPC such as empagliflozin/linagliptin or pioglitazone/alogliptin is a good option for reducing glycated hemoglobin (HbA1c) without significant hypoglycemia. Clinicians have a comprehensive armamentarium of medications to treat patients with T2DM. Clinical evidence has shown that dual or triple oral combination therapy is effective for glycemic control, and early treatment is effective in getting patients to goal more quickly. Use of SPCs is an option for double or triple oral combination therapy and may result in better adherence.Peer reviewe

Turn On, Tune In, Turn Out: Ethnic Radio and Immigrants’ Political Engagement

Does the ethnic media promote the political engagement of minority ethnic immigrants? This is a salient question in Western democracies, where the political incorporation of immigrants is a continuous challenge. Prevailing accounts place the media as a primary cause of growing public disengagement. In contrast, this article argues that the entry of informative-based ethnic media can increase immigrants’ political engagement by changing their informational environment and their representation in media and state institutions. In 2004 the UK Parliament enacted the Community Radio Order to allow the licensing of community radio stations. Leveraging the introduction of this law and geographical variation in the distribution of licenses with a difference-in-differences approach, this article shows that the exposure of minority ethnic immigrants to radio programming targeted at their community substantively increases their turnout in local elections. The results suggest that immigrants’ participation in politics is stimulated by accommodating diversity within common institutions

Conditional Enfranchisement: How Partisanship Determines Support for Noncitizen Voting Rights

Expanding suffrage is critical for democratic inclusion. In the U.S., noncitizen residents are the latest focus of such (re)enfranchising efforts. Public opinion plays a significant role in the passage of legislation expanding or restricting noncitizen access to local elections. Although elite support for noncitizen suffrage is well-documented, little is known about public opinion toward such noncitizen voter policies. What accounts for voter support for noncitizen electoral participation? We argue that the partisan alignment between noncitizens and U.S. voters shapes U.S. voters' support for noncitizen voting rights. Evidence from two survey experiments suggests that U.S. voters are pragmatic in their enfranchising preferences: voters increase their support for co-partisan enfranchisement but oppose this same policy when considering out-partisans. These dynamics are present among both Republicans and Democrats, underscoring the societal implications of heightened partisanship on American democracy

Voted In, Standing Out: Public Response to Immigrants' Political Accession

How do dominant-group natives react to immigrants' political integration? We argue that ethnic minority immigrants winning political office makes natives feel threatened, triggering animosity. We test this dynamic across the 2010--2019 UK general elections, using hate crime police records, public opinion data, and text data from over 500,000 regional and local newspaper articles. While past work has not established a causal relationship between minorities' political power gains and dominant group animosity, we identify natives’ hostile reactions with a regression discontinuity design that leverages close election results between immigrant-origin ethnic minority and dominant-group candidates. We find that minority victories increase hate crimes by 68%, exclusionary attitudes by 66%, and negative media coverage of immigrant groups by 110%. Consistent with power threat and social identity theories, these findings demonstrate a strong and widespread negative reaction---encompassing a violence-prone fringe and the mass public---against ethnic minority immigrants' integration into majority settings

Turnout Turnaround: Ethnic Minority Victories Mobilize White Voters

In Western democracies, like the USA, UK, and Germany, the number of ethnic minority representatives has been steadily increasing. How is this trend shaping electoral behavior? Past work has focused on the effects of minority representation on ethnic minorities’ political engagement, with less attention to the electoral behavior of majority-group members. We argue that increased minorities’ representation can be experienced as a threat to a historically white-dominant political context. This, in turn, politically activates white constituents. Using data from four UK Parliamentary general elections and a regression discontinuity design, we find that the next election’s turnout in constituencies narrowly won by an ethnic minority candidate is 4.3 percentage points larger than in constituencies narrowly won by a white candidate. Consistent with our argument, this turnout difference is driven by majority-white constituencies. Our findings have implications for intergroup relations and party politics and help explain recent political dynamics

Strategies for Diabetes Management: Using Newer Oral Combination Therapies Early in the Disease

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