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Rashawn Ray profiled by Robert Wood Johnson Foundation
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A member of RWJF Scholars in Health Research program
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News
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Rashawn Ray: Mental health professionals essential to police work
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Baltimore Sun story reports police shooting
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News
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Rebeca Wong, University of Texas Medical Branch
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Cross-national research on population aging: challenges and experiences with the Mexican Health and Aging Study (MHAS)
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Coming Up
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Recession brought downward trend in doctor visits
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Mortensen study examines recession effects on health delivery
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News
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Reconsidering Approaches to Estimating Health Disparities Across Multiple Measures of Sexual Orientation
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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.
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MPRC People
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Jessica N Fish, Ph.D.
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Jessica N Fish Publications
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Reforming medical education admission and training in low- and middle-income countries: who gets admitted and why it matters
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Recent studies reveal public-sector healthcare providers in low- and middle-income countries (LMICs) are frequently absent from work, solicit informal payments for service delivery, and engage in disrespectful or abusive treatment of patients. While extrinsic factors may foster and facilitate these negative practices, it is not often feasible to alter the external environment in low-resource settings. In contrast, healthcare professionals with strong intrinsic motivation and a desire to serve the needs of their community are less likely to engage in these negative behaviors and may draw upon internal incentives to deliver a high quality of care. Reforming medical education admission and training practices in LMICs is one promising strategy for increasing the prevalence of medical professionals with strong intrinsic motivation.
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MPRC People
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Kenneth Leonard, Ph.D.
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Kenneth Leonard Publications
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Rendall comments on Baltimore population erosion
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Current Census estimates place its population at a 100-year low
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News
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Rendall comments on new marriage data
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Trend shows marriage brings health benefits
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News
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Reproductive readiness predicts a woman’s non-use of contraception in the postpartum months in U.S.
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Michael S. Rendall and Monica L. Caudillo examine reproductive readiness in U.S. Women’s Postpartum Non-Use of Contraception
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Research
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Selected Research
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Revisiting Swidler, Again: Brain, Self, and Culture in Action
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Christine Bachrach, University of Maryland and Duke University; 2012-011
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Research
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Working Papers
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WP Documents