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Racial Disparities in Maternal Mortality
Associates Marian MacDorman and Marie Thoma, with colleagues Eugene DeClerq and Elizabeth Howell examine birth records
Located in Research / Selected Research
Rebeca Wong, University of Texas Medical Branch
Cross-national research on population aging: challenges and experiences with the Mexican Health and Aging Study (MHAS)
Located in Coming Up
Rebecca Thornton, Baylor University
Long-Lasting Effects of Bible Translations on Literacy: Evidence from Sub-Sahara Africa
Located in Coming Up
Article Reference Troff document (with manpage macros)Reconsidering Approaches to Estimating Health Disparities Across Multiple Measures of Sexual Orientation
Purpose:  We propose a new theoretically grounded approach for estimating sexual orientation-related health risk that accounts for the unique and shared variance of sexual identity across other measures of sexual orientation (i.e., attraction and behavior). We argue and illustrate that this approach provides specificity not demonstrated by approaches that independently estimate and compare health risk based on sexual identity, attraction, and behavior. Methods:  Data were from the National Epidemiologic Survey on Alcohol and Related Conditions-III, collected in 2012–2013 (N = 36,309, ages 18 and older). The Karlson-Holm-Breen method tested the degree to which attraction- and behavior-based disparities in mental health and substance use disorders change after adjusting for sexual identity. Results:  Sexual attraction- and behavior-based disparities in mental health and substance use disorders statistically varied when comparing models that did and did not adjust for sexual identity. Adjusting for sexual identity appeared to have a larger influence on attraction- and behavior-based health associations among men; sexual minority and majority differences were attenuated on nearly every outcome after adjusting for sexual identity. This attenuation was less common among women. Among women, some behavior-based disparities were wider in sexual identity-adjusted models relative to unadjusted models. Conclusion:  We demonstrate more accurate approaches to capturing and comparing sexual orientation-related health disparities across multiple measures of sexual orientation, which account for the shared variance between sexual identity and measures of attraction and behavior. Adjusted estimates provide more specificity regarding relative health risk across specific subgroups of sexual minority people, and the intervention and prevention strategies needed to address them.
Located in MPRC People / Jessica N Fish, Ph.D. / Jessica N Fish Publications
File Troff document (with manpage macros)Retrospective Reporting of First Employment in the Life Courses of U.S. Women
Michael S. Rendall and Rachel Shattuck, University of Maryland; 2015-015
Located in Research / Working Papers / WP Documents
Richard Alba, City University of New York
The Great Demographic Illusion:  Majority, Minority, and the Expanding American Mainstream
Located in Coming Up
Article Reference Troff document (with manpage macros)Risk and protective factors associated with BV chronicity among women in Rakai, Uganda
Objectives To assess risk and protective factors associated with bacterial vaginosis (BV) chronicity ascertained by Nugent score criteria. Methods A longitudinal cohort study included 255 sexually experienced, postmenarcheal women who provided weekly self-collected vaginal swabs for up to 2 years. Vaginal swabs were scored using Nugent criteria and classified as normal (≤3), intermediate (4–6) and Nugent-BV (≥7). Detailed behavioural/health information were assessed every 6 months. A per-woman longitudinal summary measure of BV chronicity was defined as the percentage of each woman’s weekly vaginal assessments scored as Nugent-BV over a 6-month interval. Risk and protective factors associated with BV chronicity were assessed using multiple linear regression with generalised estimating equations. Results Average BV chronicity was 39% across all follow-up periods. After adjustment, factors associated with BV chronicity included baseline Nugent-BV (β=35.3, 95% CI 28.6 to 42.0) compared with normal baseline Nugent scores and use of unprotected water for bathing (ie, rainwater, pond, lake/stream) (β=12.0, 95% CI 3.4 to 20.5) compared with protected water sources (ie, well, tap, borehole). Women had fewer BV occurrences if they were currently pregnant (β=−6.6, 95% CI −12.1 to 1.1), reported consistent condom use (β=−7.7, 95% CI −14.2 to 1.3) or their partner was circumcised (β=−5.8, 95% CI −11.3 to 0.3). Conclusions Factors associated with higher and lower values of BV chronicity were multifactorial. Notably, higher values of BV chronicity were associated with potentially contaminated bathing water. Future studies should examine the role of waterborne microbial agents in the pathogenesis of BV.
Located in MPRC People / Marie Thoma, Ph.D. / Marie Thoma Publications
Rosella Calvi, Rice University
‘Til Dowry Do Us Part: Bargaining and Violence in Indian Families
Located in Coming Up
Ruth Zambrana named Distinguished University Professor
A leading voice for minority and underrepresented groups
Located in News
Person C headerSandra Hofferth, Ph.D.
Located in MPRC People