Journal articles on the topic 'Africans – United States – Social conditions'
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1
Njoku, Johnston, and Robert Dibie. "Cultural Perceptions of Africans in Diaspora and in Africa on Atlantic Slave Trade and Reparations." African and Asian Studies 4, no. 3 (2005): 403–26. http://dx.doi.org/10.1163/156920905774270457.
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Abstract This study examines the cultural perceptions of Africans in Diaspora on the Atlantic slave trade and reparations. It uses a cultural centered model to analyze the perception of Africans in Diaspora about the issue of slavery and reparations. The paper also uses a survey method to explore the perceptions of African-Americans in the United States, Africans living in Europe, and Africans living in the African continent about reparations. It argues that the environmental, religious, occupational, social and political conditions that Africans in Diaspora currently live in will determine their perception of slavery and reparations. Despite this argument, the paper stresses that it is a violation of the established precedence in law that is based on the principle of unjust enrichment to not pay some reparations to the present generation of Africans. This principle stipulates that if a person, a corporation or a country profit from the criminal treatment of a group of people, such a person, corporation or country is subject to the payment of reparations on the basis of unjust enrichment. The study further attempts to explain why it has been difficult for the western industrial world to agree to pay reparations to the children of over 25,000,000 Africans who were wrenched out of Africa as slaves. The concluding section of the paper suggests different reparation methods that would help create a permanent solution that might be acceptable to all.
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Manglos-Weber, Nicolette D. "The Contexts of Spiritual Seeking: How Ghanaians in the United States Navigate Changing Normative Conditions of Religious Belief and Practice." Sociology of Religion 82, no. 2 (February 4, 2021): 133–55. http://dx.doi.org/10.1093/socrel/sraa058.
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Abstract Two concurrent agendas in the sociology of religion explore how conditions of secularism in the United States result in widespread norms of “spiritual seeking”, and how religion functions as a basis of belonging for U.S. immigrants. This study brings these subfields together by asking whether new immigrants from Ghana, West Africa, also exhibit an orientation of spiritual seeking in their religious trajectories, and how they engage with normative conditions of spiritual seeking within institutional contexts. I find strong evidence of spiritual seeking in their narratives, and I identify processes within the social institutions of family and coethnic networks, higher education, and African Evangelical Christianity that support a seeking orientation. I argue for more focus on the counter-impulses of seeking versus dwelling in immigrant religion, and that more studies of religion and culture should explicitly analyze the institutional contexts that mediate between normative culture and trajectories of social practice.
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Weaver, Robert R., and Robert Rivello. "The Distribution of Mortality in the United States: The Effects of Income (Inequality), Social Capital, and Race." OMEGA - Journal of Death and Dying 54, no. 1 (February 2007): 19–39. http://dx.doi.org/10.2190/c772-u444-8j65-2503.
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This article examines how absolute and relative income levels, social capital, and racial/ethnic composition interact to explain variation in age-adjusted mortality rates across the 48 contiguous U.S. states. Our data showed that social capital had a powerful, negative effect on age-adjusted mortality rates —higher social capital states had lower age-adjusted mortality rates. After controlling for other variables, median income moderately related to mortality, but unexpectedly three measures of inequality did not. Finally, states' percent African American positively related to mortality, though indirectly and mediated entirely by social capital. In contrast, the strong negative effect of percent Hispanic/Latino on mortality was partially suppressed by its negative association with social capital. Our understanding of the substantial impact of social conditions on mortality can help inform public policies and actions that may foster healthier and longer lives.
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Adkins, Todd, Geoffrey C. Layman, David E. Campbell, and John C. Green. "Religious Group Cues and Citizen Policy Attitudes in the United States." Politics and Religion 6, no. 2 (January 14, 2013): 235–63. http://dx.doi.org/10.1017/s1755048312000545.
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AbstractThe public opinion literature shows that cues about the policy positions of social groups influence citizens’ political attitudes. We assess whether cues about religious groups’ positions affect attitudes on three issues: protection of homosexuals in the workplace, improving the socio-economic conditions of African-Americans, and government-provided health insurance. We argue that such cues should shape issue attitudes and condition the impact of religious and political orientations on those attitudes. That should be especially true on issues closely connected to religion and for citizens with low levels of political awareness. We assess this argument with a survey experiment pitting pairs of religious groups on opposite sides of issues. We find that religious group cues matter primarily for cultural attitudes, among less politically-aware individuals, and for the religiously unaffiliated, Democrats, and liberals. The dominant effect is negative, moving these groups away from the positions of religious leaders and especially evangelical leaders.
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Kuznetsov, A. V. "Economic Activities of African Migrants in Major EU Countries: New Approaches." Outlines of global transformations: politics, economics, law 13, no. 1 (May 30, 2020): 6–27. http://dx.doi.org/10.23932/2542-0240-2020-13-1-1.
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The growing interest in migration issues in the EU has not affected the analysis of African migrants. The focus is on social and political issues, while the economic issues studied are primarily related to the assessment of the reasons for the arrival of Africans in the EU, the trajectory of their movement, as well as the scale of remittances to their homeland and the conditions for their return back to Africa. The article focuses on the main features of African migrants’ economic activity in the EU. Instead of the traditional consideration of only one or several diasporas in a single country or a generalized analysis of the entire EU, we compare the specifics of immigrants from different African countries in the 4 largest EU member states (including the UK, which left the integration project in 2020). Our article begins with a review of studies that contain information on the economic activities of migrants from African countries. Then, based on data from Eurostat and national statistics from Germany, France, Italy and the UK, the role of people from Africa in these countries population is shown. The reasons for the differences between these four countries in the dynamics and structure of immigration from Africa are explained. Statistics of refugees, naturalized persons over the past 10 years, foreign citizens and residents with migration past are considered. France is the leader in the number of migrants, mainly due to people from French-speaking countries of North and West Africa. Italy stands out because it is targeted by many illegal migrant routes due to its geographical proximity to this region. The UK has become a target mainly for residents of former British colonies who are quite successful in naturalization in the United Kingdom (therefore, there are as many Africans without local passports in the UK as in Germany – 0.6 million). Further, it is shown that the key factor for taking a particular economic position in society is the status of migrants, their education also plays an important role (although Africans often work in places where a lower level of qualification is required than they have), as well as language barriers. There are big gender differences. At the end of the article we make conclusions about the problems of African migrants’ adaptation, although the EU countries cannot refuse to employ migrants in unattractive jobs in any case.
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Mswela, Mphoeng Maureen. "Does Albinism Fit Within the Legal Definition of Disability in the Employment Context? A Comparative Analysis of the Judicial Interpretation of Disability under the SA and the US Non-Discrimination Laws." Potchefstroom Electronic Law Journal 21 (June 29, 2018): 1–37. http://dx.doi.org/10.17159/1727-3781/2018/v21i0a1684.
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South Africans with albinism are among the most marginalised and vulnerable citizens yet very little attention is paid to protecting them from human rights violations. There have been several calls by people with albinism in South Africa to be classified as disabled. The question of whether albinism is classified as a disability or not is a controversial legal one, which does not always have a straightforward answer. A literature search indicates that in South Africa no comprehensive and analytical study has been carried out on the subject of albinism and disability, whereas this has already been addressed in court cases in the United States of America. This paper anticipates addressing this gap within a legal perspective. The objective of such an analysis is to understand the construction of disability under the Employment Equity Act in order to shed light on whether people with albinism qualify for the protection, which is afforded to people with disabilities in the work place. Foreign case law and international human rights law could shed new light on this longstanding grey area or stimulate the development of novel legal analytical strategies. This paper reviews the nature of disability claims in the workplace on grounds of albinism in the United States context, including factors contributing to disability claims; assessing the degree of impairment and the guidelines in assessing albinism related disability. Prior to this discussion, the paper explores the current working definition of disability in South Africa, which stems from the IMATU case, which relied significantly on a foreign precedent; the Sutton v United Airlines case as there was no indigenous precedent in South Africa to fall back on. It will be argued that the Sutton v United Airlines decision, referred to in the IMATU case is based on an insufficiently inclusive definition of disability. Specific cases that relied on the Sutton v United Airlines decision as a persuasive authority in determining whether albinism is a disability or not, will also be examined. While the United States of America has struck down the decision in the Sutton v United Airlines and amended its legislation to include a broader and less restrictive definition of disability, which includes present as well as past conditions and a subjective component of perceived disability, the South African definition of disability still remains narrow and less inclusive. The United States of America's amended legislation does not contain an exhaustive definition of disability; rather, an equality-based framework was chosen which considers changing biomedical, social and technological developments. This new definition highlights the fact that the emphasis must be on whether discrimination occurred rather than adherence to a strict definition of disability. Such a framework of disability includes a socio-political aspect, which places emphasis on human dignity, respect and the right to equality. Against this background, the comparative analysis raises specific issues that deserve attention, in particular that the unique disadvantages and negative stereotyping suffered by people with albinism should be recognised as unlawful conduct against people with disabilities as defined by legislation. Put differently, the discussion calls for a broader approach to viewing disability, which includes both a social and a human rights perspective. In taking the position that albinism related discrimination is socially constructed, the article also explores the mandate of the Convention on the Rights of Persons with Disabilities in as far as it relates to the social construction of disability. The paper argues that the Convention on the Rights of Persons with Disabilities affords a direction for an analysis of the discrimination faced by persons with albinism.
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Harvey, Idethia, Ledric Sherman, Erica Spears, Chanee Ford, and Helena Green. "Social support and diabetes self-management behavior among Caribbean, Caribbean American, and African American women: A descriptive correlation study." Journal of Social Health and Diabetes 05, no. 01 (June 2017): 016–24. http://dx.doi.org/10.4103/2321-0656.193994.
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Abstract Background: Type-2 diabetes (T2D) is one of the most prevalent chronic and noncommunicable conditions both domestically and globally. The objective of this descriptive study was to examine how perceived social support impacted self-care management behavior among female African American and Caribbean populations. Materials and Methods: The cross-sectional study recruited 42 African American and Caribbean women diagnosed with T2D (M = 69.1, SD = 12.0). Univariate and bivariate analyses were conducted to explore the relationship between (1) demographic characteristics, (2) desired and received social support variables, and (3) self-management behaviors. Results: Caribbean women residing in the United States were more likely to follow general diet (M = 5.38, SD = 1.43) and to engage in physical activity (M = 4.31, SD = 2.39), whereas African American women were more likely to follow a specific diabetes diet (M = 3.79, SD = 1.60) and to monitor their glucose (M = 5.70, SD = 1.75). Caribbean women living in the United States Virgin Islands were more likely to follow recommended foot care procedure (M = 4.65, SD = 1.36). A negative correlation occurred between female participants exercising and the desired support in exercising. Women who reported that they desired more support with physical activity exercised less (r s= −0.34; P = 0.04). No relationship was found between foot care procedure and demographic characteristics or social support variables (i.e. desired or received). Conclusion: This study suggests directions for future studies that would examine the dynamics of social support and T2D self-management behaviors, and this study might be relevant to other Caribbean and African American communities with T2D both in North America and the Caribbean.
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Blake, Renée, and Cara Shousterman. "Second generation West Indian Americans and English in New York City." English Today 26, no. 3 (August 24, 2010): 35–43. http://dx.doi.org/10.1017/s0266078410000234.
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Within American sociolinguistics there is a substantial body of research on race as a social variable that conditions language behavior, particularly with regard to black speakers of African American English (AAE) in contact with their white neighbors (e.g., Wolfram, 1971; Rickford, 1985; Myhill, 1986; Bailey, 2001; Cukor-Avila, 2001). Today, the communities that sociolinguists study are more multi-layered than ever, particularly in a metropolis like New York City, thus warranting more complex analyses of the interaction between race and language. Along these lines, Spears (1988) notes the sorely underestimated social and linguistic heterogeneity of the black population in the U.S., which needs to be considered in studies of the language of black speakers. This critique is addressed in work of Winer and Jack (1997), as well as Nero (2001), for example, on the use of Caribbean English in New York City. These two studies broaden our notions of the Englishes spoken in the United States by black people, particularly first generation immigrants. The current research goes one step further with an examination of the English spoken by children of black immigrants to New York City.We focus on second generation Caribbean populations whose parents migrated from the English-speaking Caribbean to the United States, and who commonly refer to themselves as West Indians.
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Baibakova, Larisa Vilorovna. "Peculiarities of perception by former slaves of their social status in the era of slavery (based on the collection of their memoirs in the Library of US Congress)." Исторический журнал: научные исследования, no. 4 (April 2020): 131–45. http://dx.doi.org/10.7256/2454-0609.2020.4.33626.
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Slavery has always been condemned across the world; however in the end of the XX century, such canonical concept was rectified based on the extensive examination by American scholars of compilation of narratives of the former slaves collected in 1930s in the United States. At that time, 2,300 former slaves from 17 states were interviewed about their life in the era of slavery. Later, these interviews were placed in open access on the website of the Library of US Congress, reconstructing a contradictory picture of everyday life of African-Americans in the conditions of plantation economy: some reminiscences convey almost a nostalgic feeling of the past, while others criticizes it severely. The author in his attempt explain the historical accuracy of the results of mass interviewing of African-Americans, tries to make sense why 70 years later, the eyewitnesses of the same event have polar viewpoints. Forming the new comparative-historical approaches towards examination of collective consciousness under the influence of anthropologization of historical knowledge, the interview materials allow reconstructing the period, demonstrating the value system of the entire population group, unlike biography that structures the chain of events in chronological order. Analysis of the archive “Born in Slavery: Slave Narratives from the Federal Writers' Project, 1936-1938” has not been previously conducted within the Russian historiography, just briefly mentioned as one of the documentary aspects of the institution of slavery. The contained material is important for scientific comprehension of the bygone era of slavery, reflected in the collective memory of long-suffering African-American sub-ethnos. The problem of slavery in the United States, which synthesizes heritage of the past with practices of everyday life in various manifestations, seems optimal from the perspective of historiographical interest.
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Goubau, Patrick, Ignace Surmont, and Peter Piot. "Le Sida en Afrique." Afrika Focus 3, no. 3-4 (January 15, 1987): 195–209. http://dx.doi.org/10.1163/2031356x-0030304002.
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Aids in Africa AIDS (Acquired Immunization Deficiency Syndrome), first described in 1981 in the United States, is at present ascertained on every continent. Since its description, our knowledge about AIDS has advanced with giant steps, with regard to its causal agent, clinical image, biological effects and epidemiology. Although it is everywhere the same disease, its epidemiology and impact on society vary from one continent to another depending on the human, social and economic conditions of the countries which are affected. The first African cases were noticed in 1983. Since then the presence of AIDS has been confirmed in numerous sub-Saharan African countries. Our goal is to present here some characteristic features of the AIDS-epidemic in Africa and to offer some points of reflection for future action.
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Rubin, Joshua D., Susanna Fioratta, and Jeffrey W. Paller. "Ethnographies of emergence: everyday politics and their origins across Africa Introduction." Africa 89, no. 03 (July 16, 2019): 429–36. http://dx.doi.org/10.1017/s0001972019000457.
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The articles that appear in this part issue focus on disparate topics, from rumours of electoral fraud to the production of art, and span the African continent from Guinea and Ghana in the west to Zimbabwe in the south. Despite their evident differences, the contributors see their pieces as united by a common theme: emergence. Elaborating on Simone's influential exploration of the intertwined concepts of emergence and emergency (2004), as well as prior research in Africa on informal economic practices (the exchange of goods and services unregulated by states) (Hart 1973; Piot 2010; Roitman 2004; Weiss 2009), we consider emergence to be the process by which new social formations become thinkable, repeatable, and even – at times – habitual. Although conditions of crisis or precarity or even revolutionary upheaval might be fertile ground for emergence, insofar as these social conditions represent ‘rupture[s] in the organization of the present’ (Simone 2004: 4), the articles here also show that new social practices do not emerge out of nowhere. Rather, these articles demonstrate that attention to quotidian encounters can illuminate how citizens mobilize previously existing norms and patterns of behaviour in response to social change or economic crisis.
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Sell, Zach. "Asian Indentured Labor in the Age of African American Emancipation." International Labor and Working-Class History 91 (2017): 8–27. http://dx.doi.org/10.1017/s0147547916000375.
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AbstractThis article examines transnational connections between African American emancipation in the United States and Chinese and Indian indenture within the British Empire. In an era of social upheaval and capitalist crisis, planters and colonial officials envisioned coolies as a source of uninterrupted plantation labor. This vision was often bound to the conditions of African American emancipation. In British Honduras, colonial officials sought to bring emancipated African Americans to the colony as labor for sugar plantations. When this project failed, interest turned toward indentured Chinese labor managed by white planters from the U.S. South. In India’s North-Western Provinces, the outbreak of famine came to be seen as a “kindred distress” to the crisis in Lancashire’s textile industry. Unemployed English factory workers were seen as suffering from famine due to the scarcity of slave-produced cotton, just as colonial subjects suffered from scarcity of food. While some weavers in the North-Western Provinces were taken into the coolie trade, the emigration of unemployed Lancashire weavers was looked to as a possible alternative to indenture. Drawing upon archives in Australia, Belize, Britain, India, and the United States, this article explores connections between seemingly disparate histories. By focusing upon their interrelation, this article locates the formation of crisis not in raw materials, but rather within a transnational struggle over racialized labor exploitation, or what W.E.B. Du Bois called the “dark and vast sea of human labor.”
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Sydun, Iryna. "The press of the South of Ukraine about the struggle of African Americans for rights and freedoms after the abolition of slavery in the United States." Dialog: media studios, no. 26 (May 11, 2021): 156–69. http://dx.doi.org/10.18524/2308-3255.2020.26.225319.
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The article examines the publications of the Odesa press of the second half of the 19th century on coverage of issues of granting rights and freedoms to African Americans after the abolition of slavery in the United States. The regional press formed the public opinion of the South of Ukraine. The main problems that were raised on the pages of the periodicals were identified. The main areas of reflection of life abroad were assessments of internal, economic and foreign policy development of countries. The main problems that were raised in the materials about the United States on the pages of the then editions of Odesa are identified. It is shown that the study of publications on the origins of racism and discrimination in a civilized society is one of the most important tasks today. The publications of the South of Ukraine themselves are an important historical source according to the existing ideas of the region's population about the development of the United States. The Odesa newspapers published various news about everyday life of the population abroad. The article indicates that it was difficult for journalists of that time to objectively present information through the political situation. Despite the conditions in which the journalists had to work, they objectively wrote about the struggle of African Americans for rights and freedoms. The use of politically incorrect words and expressions was revealed, but for that time it was the norm. The article explores the materials of the Odesa press of the second half of the 19th century as the main source of foreign news in the South of Ukraine. In the period under review, the importance of periodicals in the social, political and cultural life of Ukraine was extremely important. Any event immediately became known and appeared in the press.
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Prihatika, Yusrina Dinar, and Muh Arif Rokhman. "DEBUNKING THE POST-RACIAL NOTION: A RACIAL PREJUDICE STUDY IN AMERICAN SOCIETY AS REFLECTED IN ANGIE THOMAS’ THE HATE U GIVE." Rubikon : Journal of Transnational American Studies 7, no. 1 (December 23, 2020): 47. http://dx.doi.org/10.22146/rubikon.v7i1.62511.
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Today, America is still busy with the problems of inequality, which include racial prejudice.The Hate U Give brings social issues that are rife to people of color, especially African Americans. In her novel, Thomas illustrates the injustice that had happened to the African American community because of the racial profiling that was carried out by white people. The writer uses descriptive analysis method in finding the meaning behind a literary work. The writer also conducts the study using Racial Prejudice theory by McLemore to see the types of prejudice in society. The writer also elaborates it with Du Bois’ Double Consciousness in analyzing racial prejudice towards African Americans. The study found out that perceived injustice is still often obtained by African Americans, where they still cannot have their rights as citizens in the United States, such as educational equality, economics, and legal protection. This prejudice is caused by the existence of social class conditions which are constrained by the majority race which tries to maintain its position as a 'ruler' in American society, the other factor is by the spreading Post-Racial ideology where the majority of people think that talking about racial issues is no longer relevant.
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Adesokan, A., and M. MacLean. "Africa’s COVID-19 story: cheap innovation technology and climate protective effect to her rescue?" African Journal of Clinical and Experimental Microbiology 22, no. 1 (January 26, 2021): 1–6. http://dx.doi.org/10.4314/ajcem.v22i1.1.
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As the COVID-19 pandemic sweeps the globe, causing tens of thousands of deaths in most Western countries with economies round the world in turmoil, Africa has so far been largely spared the kind of impact that has thrown the United States, South America and Europe into crisis. Most African countries remain seriously unprepared to handle the pandemic of the nature the Western world is dealing with; Africa, from Mali to Ethiopia to Libya and down to South Africa, have insufficient ventilators or intensive care beds to cope with COVID-19 should it strike with ferocity as it is doing in the Western world. As COVID-19 reaches the shores of Africa, despite poor health facilities, poor living conditions and inadequate availability of clean water across the continent, Africans are still putting up a fight taking COVID-19 head on with use of cheap technology, and help from the continent’s protective climate. However, Africa cannot afford to be complacent. African countries must continue to adopt strict social distancing measures, educate their people on the importance of intake of regular vitamin D, good exercising habit, good sleep pattern, adequate hand hygiene measures, as well as strictly enforcing the “test, trace and isolate“ model to the letter for the continent to take on the fight head on and wage a proper war against COVID-19.
Keywords: SARS-COV-2; COVID-19; innovation; technology; climate; Africa
English title: L'histoire du COVID-19 en Afrique: une technologie d'innovation bon marché et un effet protecteur du climat à sa rescousse?
Alors que la pandémie du COVID-19 balaie le globe, causant des dizaines de milliers de morts dans la plupart des pays occidentaux avec des économies du monde entier en crise, l'Afrique a jusqu'à présent été largementépargnée par le type d'impact qui a jeté les États-Unis, l'Amérique du Sud et l'Europe en crise. La plupart despays africains ne sont pas vraiment préparés à faire face à la pandémie de la nature à laquelle le monde occidental est confronté; L'Afrique, du Mali à l'Éthiopie en passant par la Libye et jusqu'en Afrique du Sud, ne dispose pas de ventilateurs ou de lits de soins intensifs insuffisants pour faire face au COVID-19 s'il frappe avec férocité comme dans le monde occidental. Alors que le COVID-19 atteint les rives de l'Afrique, malgré des installations de santé médiocres, des conditions de vie médiocres et une disponibilité insuffisante d'eau potable à travers le continent, les Africains continuent de se battre en prenant le COVID-19 de front avec l'utilisation d'une technologie bon marché et l'aide de le climat protecteur du continent. Cependant, l'Afrique ne peut pas se permettre d'être complaisante. Les pays africains doivent continuer à adopter des mesures de distanciation sociale strictes, éduquer leur population sur l'importance de l'apport régulier de vitamine D, de bonnes habitudes d'exercice, un bon sommeil, des mesures d'hygiène des mains adéquates, ainsi que l'application stricte du «test, traçage et isolement». modèle à la lettre pour que le continent se batte de front et mène une véritable guerre contre le COVID-19.
Mots clés: SRAS-COV-2; COVID-19; innovation; La technologie; climat; Afrique
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Airhihenbuwa, Collins O., and Leandris Liburd. "Eliminating Health Disparities in the African American Population: The Interface of Culture, Gender, and Power." Health Education & Behavior 33, no. 4 (May 31, 2006): 488–501. http://dx.doi.org/10.1177/1090198106287731.
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Since the release of former Secretary Margaret Heckler’s Secretary’s Task Force Report on Black and Minority Health more than two decades ago, excess death from chronic diseases and other conditions between African Americans and Whites have increased. The conclusion of that report emphasized excess death and thus clinical care, paying little attention to the sociocultural environment and its effects on risk of disease. The authors of this article contend that eliminating health disparities between the African American and White populations in the United States requires a focus on improving the social environment of African Americans. They examine the interface of culture, gender, and power and how those are central to analysis of the root causes of health disparities. The REACH 2010 project of the Centers for Disease Control offers examples on how a coalition of community and research organizations can infuse community interventions with informed considerations of culture, gender, and power to eliminate health disparities
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Rabaka, Reiland. "The Souls of White Folk: W.E.B. DuBois's Critique of White Supremacy and the Contributions to Critical White Studies." Ethnic Studies Review 29, no. 2 (January 1, 2006): 1–19. http://dx.doi.org/10.1525/esr.2006.29.2.1.
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Traditionally “white supremacy” has been treated in race and racism discourse as white domination of and white discrimination against non-whites, and especially blacks. It is a term that often carries a primarily legal and political connotation, which has been claimed time and time again to be best exemplified by the historic events and contemporary effects of: African holocaust, enslavement and colonization; the “failure” of reconstruction, the ritual of lynching and the rise of Jim Crow segregation in the United States; and, white colonial and racial rule throughout Africa, and especially apartheid in South Africa (Cell, 1982; Fredrickson, 1981; Marx, 1998; Shapiro, 1988). Considering the fact that state-sanctioned segregation and black political disenfranchisement have seemed to come to an end, “white supremacy” is now seen as classical nomenclature which no longer refers to contemporary racial and social conditions. However, instead of being a relic of the past that refers to an odd or embarrassing moment in the United States and South Africa's (among many other racist nations and empires') march toward multicultural democracy, it remains one of the most appropriate ways to characterize current racial national and international conditions. Which, in other words, is to say that white supremacy has been and remains central to modernity (and “postmodernity”) because “modernity” (especially in the sense that this term is being used in European and American academic and aesthetic discourse) reeks of racial domination and discrimination (Goldberg, 1990, 1993; Mills, 1998, 2003; Outlaw, 1996, 2005). It is an epoch (or aggregate of eras) which symbolizes not simply the invention of race, but the perfection of a particular species of global racism: white supremacy. Hence, modernity is not merely the moment of the invention of race, but more, as Theodore Allen (1994, 1997) argues in The Invention of the White Race, it served as an incubator for the invention of the white race and a peculiar pan-Europeanism predicated on the racial ruling, cultural degradation and, at times, physical decimation of the life-worlds of people of color.
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Guimarães, José. "A Política dos Estados Unidos para a África desde a II Guerra Mundial até ao início da década de 1960." População e Sociedade 37 (June 30, 2022): 99–117. http://dx.doi.org/10.52224/21845263/rev37v1.
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Despite the so-called American anti-colonial tradition (the legacy of independence, or Spirit of ‘76), between World War II and the beginning of the 1960s, the African policy of the United States was always subordinated to the security priorities of Europe. In fact, at the end of World War II, Europe was threatened with collapse, not only due to the approximately 80 million deaths it caused, but also to the gigantic needs for social and economic reconstruction caused by the massive destruction of its productive, housing and commercial activities, which made it impossible to satisfy the basic conditions of survival. A chaotic situation from which emerged a virtually unstoppable human torrent, through which the populations of the countries involved in the war would seek to conquer a world free from misery and hunger, exploitation and oppression. Faced with this “revolutionary wave”, exacerbated by the political impotence of most European elites largely discredited as a result of their capitulation and collaboration with the Nazi occupier, the US government feared that it could make it possible to implement what it qualified as a communist threat, choosing to help rebuild devastated Europe. What makes it possible to understand the “Europe First Policy” and the consequent subordination of all African perspectives of the foreign policy of the United States to European priorities, an orientation that would begin to be changed between 1958 and 1960, during the Eisenhower administration, who claimed an independent American policy for Africa, when the uninterrupted torrent of the conquest of independence by the colonies was about to submerge the entire continent. In turn, the Kennedy administration ensured the continuity of this policy, despite the apparent support for Afro-Asiatic anti-colonial claims, which highlighted the difficulties of adapting to the political priorities of the decolonization era on the part of European colonial powers, especially Portugal. However, this reorientation has never changed the foreign policy of the United States, which has always focused on defending Europe against all kind of threats.
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Runstedtler, Theresa. "More Than Just Play: Unmasking Black Child Labor in the Athletic Industrial Complex." Journal of Sport and Social Issues 42, no. 3 (March 8, 2018): 152–69. http://dx.doi.org/10.1177/0193723518758458.
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African Americans’ hypervisibility in sports remains a frequent point of critique. There has been a tendency to blame Black youths for their supposed “sports fixation.” Complicating this narrative of cultural pathology, I examine the foundational importance of Black boys’ athletic labor to the profitability of the sporting industries. I first trace the structural conditions (imperialism, racism, industrial capitalism) that contributed to the hypervisibility of young Black boxers at the turn of the 20th century. I then explore the contemporary conditions driving Black hypervisibility in basketball. Analyzing Hoop Dreams (1994) alongside the aggressive tactics of corporations such as Nike, the National Collegiate Athletic Association (NCAA), and the National Basketball Association (NBA) to recruit talent at younger and younger ages, I illustrate that Black boys are performing a kind of child labor. Similar to Black boxers from a century before, Black youths’ focus on achieving success in basketball is not just a simple matter individual “choice.” It is also symptomatic of their continued political, social, and economic marginalization in the postindustrial, neoliberal United States, which sports companies capitalize on.
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Frimpong, Agyemang. "Suicide Terrorism: Perspectives from Muslims in Northern Ghana." Journal of Public Administration and Governance 6, no. 2 (June 2, 2016): 115. http://dx.doi.org/10.5296/jpag.v6i2.9207.
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Suicide terrorism has been on the rise in most parts of the world after the terrorist attacks on the United States on September 11, 2001. Ghana as a country is yet to experience any acts of terrorism but recent events in some parts of Northern Nigeria, Kenya, and Somalia and in the Arabian Peninsula have given policymakers a great concern. Some African Muslims with ties to radical Islamic organizations have embraced this phenomenon as a means of settling their grievances. This article attempts to examine the phenomenon of suicide terrorism from the perspectives of Muslims in Northern Ghana. The paper discusses some of the rationale behind the phenomenon and various efforts that have been made to address the psychology behind the phenomenon. It was established that individual psychopathology alone is not the only reason for suicide terrorism but intertwined with other social conditions. In order to develop the appropriate responses and policies to protect the people, there is the need to understand these social conditions. It concludes by discussing the reason why adopting combative approach to the issue has not worked and recommends the use of economic development as well as cultural integration in changing the psychology behind the phenomenon.Keywords: suicide terrorism, psychopathology, homegrwon terrorists; lonewolf terrorists
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BLUM, EDWARD J. "THE TRIUMPH OF THE NEGRO INTELLECTUAL." Modern Intellectual History 12, no. 1 (October 9, 2014): 253–63. http://dx.doi.org/10.1017/s1479244314000559.
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In the middle of the 1960s, Harold Cruse was angry with his fellow “Negro intellectuals.” “The Negro movement is at an impasse,” he wrote in The Crisis of the Negro Intellectual, “precisely because it lacks a real functional corps of intellectuals able to confront and deal perceptively with American realities on a level that social conditions demand.” When his book was published in 1967, American race relations seemed to be vectoring toward another nadir. Urban unrest, declining job opportunities for African Americans, the escalating war in Vietnam, and the civil rights movements’ divide over “Black Power” were only parts of the “crisis” Cruse identified. To him, black intellectuals had failed to wrestle with the particularities of racism in the United States and thus had failed to offer meaningful solutions beyond what he deemed to be the dead-end roads of integration and black nationalism.
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Waller, Steven N., Dawn M. Norwood, LeQuez Spearman, and Fritz G. Polite. "Black American female Olympic Athletes have not reaped the same social standing and economic benefits that their counterparts have since the 1968 Olympics in Mexico City." Sport Science Review 25, no. 1-2 (May 1, 2016): 53–72. http://dx.doi.org/10.1515/ssr-2016-0003.
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Abstract This paper presents an abbreviated version of an ‘elite’ interview conducted with Madeline Manning-Mims. The 1968 Olympic protest was a pivotal moment in Olympic and American sports history. At the forefront of the protest was the pre-eminent sport sociologist Dr. Harry Edwards. Edwards’ leadership catalyzed the African American boycott of the 1968 Olympics in Mexico City, however, Black female athletes were either silenced or recused themselves from the protest. A series of semi-structured, retrospective interview questions were posed to Manning-Mims to gather her perspectives on the progress that Black American, women Olympic athletes have made in the USA from 1968 to present. Analysis of the ‘expert’ interview with Mims indicated that: 1) the social conditions in the United States that have plagued Black female athletes in 1968 had changed for the better; 2) on the whole Black U.S. athletes in the second millennium have become “commoditized” after the Olympics and gain substantially from their celebrity; and 3) Black female athletes can become enslaved to the economics of their celebrity if they are not careful.
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Cullen, Mark R., Adina R. Lemeshow, Leo J. Russo, David M. Barnes, Yaa Ababio, and Aida Habtezion. "Disease-Specific Health Disparities: A Targeted Review Focusing on Race and Ethnicity." Healthcare 10, no. 4 (March 23, 2022): 603. http://dx.doi.org/10.3390/healthcare10040603.
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Background: Wide disparities in health status exist in the United States across race and ethnicity, broadly driven by social determinants of health—most notably race and ethnic group differences in income, education, and occupational status. However, disparities in disease frequency or severity remain underappreciated for many individual diseases whose distribution in the population varies. Such information is not readily accessible, nor emphasized in treatment guidelines or reviews used by practitioners. Specifically, a summary on disease-specific evidence of disparities from population-based studies is lacking. Our goal was to summarize the published evidence for specific disease disparities in the United States so that this knowledge becomes more widely available “at the bedside”. We hope this summary stimulates health equity research at the disease level so that these disparities can be addressed effectively. Methods: A targeted literature review of disorders in Pfizer’s current pipeline was conducted. The 38 diseases included metabolic disorders, cancers, inflammatory conditions, dermatologic disorders, rare diseases, and infectious targets of vaccines under development. Online searches in Ovid and Google were performed to identify sources focused on differences in disease rates and severity between non-Hispanic Whites and Black/African Americans, and between non-Hispanic Whites and Hispanics. As a model for how this might be accomplished for all disorders, disparities in disease rates and disease severity were scored to make the results of our review most readily accessible. After primary review of each condition by one author, another undertook an independent review. Differences between reviewers were resolved through discussion. Results: For Black/African Americans, 29 of the 38 disorders revealed a robust excess in incidence, prevalence, or severity. After sickle cell anemia, the largest excesses in frequency were identified for multiple myeloma and hidradenitis suppurativa. For Hispanics, there was evidence of disparity in 19 diseases. Most notable were metabolic disorders, including non-alcoholic steatohepatitis (NASH). Conclusions: This review summarized recent disease-specific evidence of disparities based on race and ethnicity across multiple diseases, to inform clinicians and health equity research. Our findings may be well known to researchers and specialists in their respective fields but may not be common knowledge to health care providers or public health and policy institutions. Our hope is that this effort spurs research into the causes of the many disease disparities that exist in the United States.
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Ofili, Elizabeth, Laura Schanberg, Barbara Hutchinson, Felix Sogade, Icilma Fergus, Phillip Duncan, Joe Hargrove, et al. "The Association of Black Cardiologists (ABC) Cardiovascular Implementation Study (CVIS): A Research Registry Integrating Social Determinants to Support Care for Underserved Patients." International Journal of Environmental Research and Public Health 16, no. 9 (May 10, 2019): 1631. http://dx.doi.org/10.3390/ijerph16091631.
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African Americans, other minorities and underserved populations are consistently under- represented in clinical trials. Such underrepresentation results in a gap in the evidence base, and health disparities. The ABC Cardiovascular Implementation Study (CVIS) is a comprehensive prospective cohort registry that integrates social determinants of health. ABC CVIS uses real world clinical practice data to address critical gaps in care by facilitating robust participation of African Americans and other minorities in clinical trials. ABC CVIS will include diverse patients from collaborating ABC member private practices, as well as patients from academic health centers and Federally Qualified Health Centers (FQHCs). This paper describes the rationale and design of the ABC CVIS Registry. The registry will: (1) prospectively collect socio-demographic, clinical and biospecimen data from enrolled adults, adolescents and children with prioritized cardiovascular diseases; (2) Evaluate the safety and clinical outcomes of new therapeutic agents, including post marketing surveillance and pharmacovigilance; (3) Support National Institutes of Health (NIH) and industry sponsored research; (4) Support Quality Measures standards from the Center for Medicare and Medicaid Services (CMS) and Commercial Health Plans. The registry will utilize novel data and technology tools to facilitate mobile health technology application programming interface (API) to health system or practice electronic health records (EHR). Long term, CVIS will become the most comprehensive patient registry for underserved diverse patients with cardiovascular disease (CVD) and co morbid conditions, providing real world data to address health disparities. At least 10,000 patients will be enrolled from 50 sites across the United States.
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Mbanaso, Michael U., and Sandra E. Crewe. "Migration and Elderly Africans in the United States." Journal of Human Behavior in the Social Environment 21, no. 4 (May 23, 2011): 323–33. http://dx.doi.org/10.1080/10911359.2011.547749.
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Dasari, Sonali S., Maddison Archer, Nihal E. Mohamed, Ashutosh K. Tewari, Mariana G. Figueiro, and Natasha Kyprianou. "Circadian Rhythm Disruption as a Contributor to Racial Disparities in Prostate Cancer." Cancers 14, no. 20 (October 19, 2022): 5116. http://dx.doi.org/10.3390/cancers14205116.
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In the United States, African American (AA) men have a 2.4 times higher mortality rate due to prostate cancer than White men. The multifactorial causes of the racial disparities in prostate cancer involve various social determinants of health, socioeconomic status, and access to healthcare. However, emerging evidence also suggests that circadian rhythm disruption (CRD) contributes to prostate cancer, and AA men may be more susceptible to developing CRDs. Circadian rhythms play a significant role in metabolism, hormone secretion, and sleep/wake cycles. Disruption in these circadian rhythms can be caused by airplane travel/jetlag, night shift work, exposure to light, and neighborhood noise levels, which can contribute to sleep disorders and chronic conditions such as obesity, diabetes, cardiovascular disease, and depression. The drivers of the racial disparities in CRD include night shift work, racial discrimination, elevated stress, and residing in poor neighborhoods characterized by high noise pollution. Given the increased vulnerability of AA men to CRDs, and the role that CRDs play in prostate cancer, elucidating the clock-related prostate cancer pathways and their behavior and environmental covariates may be critical to better understanding and reducing the racial disparities in prostate cancer.
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Lacey, Krim K., Hira R. Shahid, and Rohan D. Jeremiah. "Intimate Partner Violence and the Role of Child Maltreatment and Neighborhood Violence: A Retrospective Study of African American and US Caribbean Black Women." International Journal of Environmental Research and Public Health 18, no. 5 (February 24, 2021): 2245. http://dx.doi.org/10.3390/ijerph18052245.
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Background: Research suggests that intimate partner violence (IPV) is associated with childhood maltreatment and violence exposure within the neighborhood context. This study examined the role of child maltreatment and violence exposure on intimate partner violence, with the moderating effects of mental disorders (IPV) among US Black women. Methods: Data from the National Survey of American Life (NSAL), the largest and most complete sample on the mental health of US Blacks, and the first representative sample of Caribbean Blacks residing in the United States was used to address the study objectives. Descriptive statistics, chi-square test of independence, t-test, and logistic regression procedures were used to analyze the data. Results: Bivariate results indicate an association between child abuse and intimate partner victimization among US Black women. Witnessing violence as a child as well as neighborhood violence exposure was also related to IPV but shown to differ between African American and Caribbean Black women. Multivariate findings confirmed the influence of mental disorders and social conditions on US Black women’s risk for IPV. Moderating effects of child maltreatment and mental disorders in association with adult IPV were not found. Conclusions: The study addressed the short and long-term impact of child maltreatment and the contribution to the cycle of intimate violence among US Black women including African American and Caribbean Blacks. The study suggests the need for prevention and intervention efforts to improve structural conditions for at-risk populations and communities predisposed to violence and other negative outcomes. Possibilities for future research are also discussed.
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Singh, Gopal K., Mehrete Girmay, Michelle Allender, and Ramey T. Christine. "Digital Divide: Marked Disparities in Computer and Broadband Internet Use and Associated Health Inequalities in the United States." International Journal of Translational Medical Research and Public Health 4, no. 1 (June 10, 2020): 64–79. http://dx.doi.org/10.21106/ijtmrph.148.
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Background: Despite the considerable increase in computer and internet use over the past two decades, few studies have examined socioeconomic, demographic, and health characteristics associated with computer and internet use in the United States. Community-level differences in computer and internet use and associated disparities in health and mor tality indicators have not been analyzed. This study examines these associations at the individual and community level using national census, health, and mortality data.
Methods: We analyzed data from the 2017 American Community Survey (ACS) Micro-data Sample, the 2013-2017 ACS Summary File, 2013-2017 National Vital Statistics System, and 2019 County Health Rankings and Roadmaps. Health and socioeconomic characteristics associated with broadband internet and computer use among adults aged ≥18 were modeled by logistic regression (N=2,385,595).
Results: In 2017, 89.7% of Asian/Pacific Islanders (APIs) had broadband internet service, compared with 66.0% of American Indians/Alaska Natives (AIANs), 77.2% of Blacks/African-Americans, 78.8% of Hispanics, and 83.5% of non-Hispanic Whites. APIs (97.4%) were more likely than other racial/ethnic groups to own or use a computer (including smartphones), while AIANs (80.3%) were less likely. Socioeconomic gradients in internet and computer use were marked. Those below the poverty level and with less than a high school education reported 18 and 15 percentage points lower rates of internet and computer use respectively. Compared to metropolitan areas, nonmetropolitan areas had lower internet access (80.3% vs. 69.7%) and computer use (88.4% vs. 80.5%). Rural areas and small urban towns had the lowest level of internet and computer use. Risks of disabilities and lack of health insurance were greater among persons with lower broadband internet and computer access. Communities with low internet and computer use had seven years shorter life expectancy than communities with high use and were at increased risks of mortality from various chronic conditions, poor health, mental distress, hospitalization, smoking, obesity, and physical inactivity.
Conclusions and Implications for Translation: Significant socioeconomic and racial/ethnic disparities in internet and computer use and associated health inequalities exist in the US. Closing the social divide in internet and computer use can positively impact individual empowerment, educational attainment, economic growth, community development, access to health care and health-related information, and health promotions efforts.
Key words: • Digital divide • broadband internet • computer use • disability • health insurance • causespecific mortality • morbidity • health behaviors
Copyright © 2020 Singh et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial.
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Hollinger, David A. "The Concept of Post-Racial: How Its Easy Dismissal Obscures Important Questions." Daedalus 140, no. 1 (January 2011): 174–82. http://dx.doi.org/10.1162/daed_a_00069.
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Nearly all of today's confident dismissals of the notion of a “post-racial” America address the simple question, “Are we beyond racism or not?” But most of the writers who have used the terms post-racial or post-ethnic sympathetically have explored other questions: What is the significance of the blurring of ethnoracial lines through cross-group marriage and reproduction? How should we interpret the relatively greater ability of immigrant blacks as compared to standard “African Americans” to overcome racist barriers? What do we make of increasing evidence that economic and educational conditions prior to immigration are more powerful determinants than “race” in affecting the destiny of population groups that have immigrated to the United States in recent decades? Rather than calling constant attention to the undoubted reality of racism, this essay asks scholars and anti-racist intellectuals more generally to think beyond “the problem of the color line” in order to focus on “the problem of solidarity.” The essay argues that the most easily answered questions are not those that most demand our attention.
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Latypova, Nataliya. "Discussion on the Causes of the American Civil War (1861–1865): Periodization of Historiography." Vestnik Volgogradskogo gosudarstvennogo universiteta. Serija 4. Istorija. Regionovedenie. Mezhdunarodnye otnoshenija, no. 2 (April 2022): 8–20. http://dx.doi.org/10.15688/jvolsu4.2022.2.1.
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Introduction. The Civil War in the United States (1861–1865) has been of considerable interest to historians, lawyers, economists, and political scientists for more than 150 years. The internal political struggle that broke out in the middle of the 19th century between the two regions of the young democratic state seems to be a valuable object of research. However, scientific approaches to the study of the causes of the “inevitable conflict”, their transformation and rebirth depending on the historical period and the political situation are of even greater interest. This article attempts to summarize the main trends in the historiography of the causes of the Civil War in the United States, mainly in foreign historiography. Methods of research and materials. The methodological basis of the study was made up of general scientific and private scientific methods. The historical-legal, comparative method, as well as sociological, concrete-historical and systemic methods are used. The theoretical basis of the study was the work of mainly foreign historians, lawyers, political scientists and state historians. Analysis. Without denying the centrality of slavery among the causes of the Civil War, researchers identify religious, economic, political and social factors as the key determinants of the separatist movement in the South. A special place in American studies is occupied by the consideration of the role of African Americans in inciting conflict, the personality factor of A. Lincoln, as well as the influence of the abolitionist movement and journalists on the growing confrontation between the North and the South. At the same time, all directions, one way or another, boil down to the fact that it was slavery that was the fundamental cause of the Civil War. The peculiarities of the formation of each of the scientific directions were determined by the socio-economic and political conditions that took place in a particular historical period. Results. The periodization of scientific approaches to the study of the causes of the Civil War in the United States in the historical and legal literature can be carried out by dividing the research into three main periods: the “confrontational” (second half of the 19th century); the “socio-economic” (beginning – middle of the 20th century); the “industrial” (middle of the 20th century – the beginning of the 21st century). In the period from the beginning of the 21st century to the present, there is an obvious consensus on the central role of slavery among the determinants of war, but approaches to this problem in recent years have been characterized by interdisciplinarity, complexity, taking into account completely different sides of the conflict. Each of these areas has contributed to the formation of a holistic view of the causes of the Civil War, allowing us to realize the complex, multifaceted nature of the causes of the conflict and to reject two-dimensional approaches to their understanding. Key words: American Civil War, causes of the Civil War, Abraham Lincoln, slavery in the United States, the Missouri Compromise, abolitionists, history of the USA.
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Beseran, Elisabet, Juan M. Pericàs, Lucinda Cash-Gibson, Meritxell Ventura-Cots, Keshia M. Pollack Porter, and Joan Benach. "Deaths of Despair: A Scoping Review on the Social Determinants of Drug Overdose, Alcohol-Related Liver Disease and Suicide." International Journal of Environmental Research and Public Health 19, no. 19 (September 29, 2022): 12395. http://dx.doi.org/10.3390/ijerph191912395.
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Background: There is a lack of consensus on the social determinants of Deaths of Despair (DoD), i.e., an increase in mortality attributed to drug overdose, alcohol-related liver disease, and suicide in the United States (USA) during recent years. The objective of this study was to review the scientific literature on DoD with the purpose of identifying relevant social determinants and inequalities related to these mortality trends. Methods: Scoping review focusing on the period 2015–2022 based on PubMed search. Articles were selected according to the following inclusion criteria: published between 1 January 2000 and 31 October 2021; including empirical data; analyzed DoD including the three causes defined by Case and Deaton; analyzed at least one social determinant; written in English; and studied DoD in the USA context only. Studies were excluded if they only analyzed adolescent populations. We synthesized our findings in a narrative report specifically addressing DoD by economic conditions, occupational hazards, educational level, geographical setting, and race/ethnicity. Results: Seventeen studies were included. Overall, findings identify a progressive increase in deaths attributable to suicide, drug overdose, and alcohol-related liver disease in the USA in the last two decades. The literature concerning DoD and social determinants is relatively scarce and some determinants have been barely studied. However different, however, large inequalities have been identified in the manner in which the causes of death embedded in the concept of DoD affect different subpopulations, particularly African American, and Hispanic populations, but blue collar-whites are also significantly impacted. Low socioeconomic position and education levels and working in jobs with high insecurity, unemployment, and living in rural areas were identified as the most relevant social determinants of DoD. Conclusions: There is a need for further research on the structural and intermediate social determinants of DoD and social mechanisms. Intersectional and systemic approaches are needed to better understand and tackle DoD and related inequalities.
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Dauphin, Cassy, Nikia Clark, Renee Cadzow, Frances Saad-Harfouche, Elisa Rodriguez, Kathryn Glaser, Marc Kiviniemi, Maria Keller, and Deborah Erwin. "#BlackBreastsMatter: Process Evaluation of Recruitment and Engagement of Pregnant African American Women for a Social Media Intervention Study to Increase Breastfeeding." Journal of Medical Internet Research 22, no. 8 (August 10, 2020): e16239. http://dx.doi.org/10.2196/16239.
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Background In the United States, there are lower rates of breastfeeding among African American mothers, particularly those who are younger women. Recent epidemiological studies have shown a strong association of more aggressive types of breast cancer (estrogen receptor negative) among African American women, with a higher risk in African American women who did not breastfeed their children. Objective This study aims to describe the process evaluation of recruitment and educational strategies to engage pregnant African American participants for a pilot study designed to determine whether social media messaging about breast cancer risk reduction through breastfeeding may positively influence breastfeeding rates. Methods This pilot study is conducted in collaboration with a local Women, Infants, and Children (WIC) organization and hospital and prenatal clinics of a local health care network. To engage African American women to enroll in the study, several methods and monitoring processes were explored, including WIC electronic text-based messages sent out to all phones of current WIC recipients (referred to as e-blasts); keyword responses to texts from flyers and posters in local community-based organizations, hospitals, and prenatal clinics; keyword responses using electronic links posted in established Facebook groups; and snowball recruitment of other pregnant women by current participants through Facebook. Once enrolled, participants were randomized to 2 study conditions: (1) an intervention group receiving messages about breast cancer risk reduction and breastfeeding or (2) a control group receiving breastfeeding-only messages. Data were obtained through electronic monitoring, SurveyMonkey, qualitative responses on Facebook, focus groups, and interviews. Results More than 3000 text messages were sent and received through WIC e-blasts and keyword responses from flyers. A total of 472 women were recruited through WIC e-blast, and 161 responded to flyers and contacts through the local health care network, community-based organizations, Facebook, and friend referrals. A total of 633 women were assessed for eligibility to participate in the study. A total of 288 pregnant African American women were enrolled, consented, and completed presurvey assessments (102.8% of the goal), and 22 participants attended focus groups or interviews reporting on their experiences with Facebook and the educational messages. Conclusions This process evaluation suggests that using electronic, smartphone apps with social media holds promise for both recruitment and conduct of health education intervention studies for pregnant African American women. Providing messaging and resources through social media to reinforce and educate women about breastfeeding and potentially provide lactation support is intriguing. Convenience (for researchers and participants) is an attribute of social media for this demographic of women and worthy of further research as an educational tool. Trial Registration ClinicalTrials.gov NCT03680235; https://clinicaltrials.gov/ct2/show/NCT03680235
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Alcendor, Donald J. "Racial Disparities-Associated COVID-19 Mortality among Minority Populations in the US." Journal of Clinical Medicine 9, no. 8 (July 30, 2020): 2442. http://dx.doi.org/10.3390/jcm9082442.
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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a betacoronavirus that causes the novel coronavirus disease 2019 (COVID-19), is highly transmissible and pathogenic for humans and may cause life-threatening disease and mortality, especially in individuals with underlying comorbidities. First identified in an outbreak in Wuhan, China, COVID-19 is affecting more than 185 countries and territories around the world, with more than 15,754,651 confirmed cases and more than 640,029 deaths. Since December 2019, SARS-CoV-2 transmission has become a global threat, which includes confirmed cases in all 50 states within the United States (US). As of 25 July 2020, the Johns Hopkins Whiting School of Engineering Center for Systems Science and Engineering reports more than 4,112,651 cases and 145,546 deaths. To date, health disparities are associated with COVID-19 mortality among underserved populations. Here, the author explores potential underlying reasons for reported disproportionate, increased risks of mortality among African Americans and Hispanics/Latinos with COVID-19 compared with non-Hispanic Whites. The author examines the underlying clinical implications that may predispose minority populations and the adverse clinical outcomes that may contribute to increased risk of mortality. Government and community-based strategies to safeguard minority populations at risk for increased morbidity and mortality are essential. Underserved populations living in poverty with limited access to social services across the US are more likely to have underlying medical conditions and are among the most vulnerable. Societal and cultural barriers for ethnic minorities to achieve health equity are systemic issues that may be addressed only through shifts in governmental policies, producing long-overdue, substantive changes to end health care inequities.
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Combs, Barbara Harris. "No Rest for the Weary: The Weight of Race, Gender, and Place inside and outside a Southern Classroom." Sociology of Race and Ethnicity 3, no. 4 (December 1, 2016): 491–505. http://dx.doi.org/10.1177/2332649216680101.
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In this article, I reflect on my lived experience as an African American woman teaching in the racialized and gendered context of a predominantly white institution (PWI) in the Deep South. I use the context of a southern campus in the Deep South to provide insight into the ways place, race, and gender continue to shape experiences of people of color and in so doing highlight the fallacy that the United States is a colorblind or post-racial society. To do so, I utilize counter-storytelling—a tool advanced by critical race theory (CRT) scholars; while CRT is useful to understand the conditions that produce the unequal weight borne by faculty of color, it is insufficient to understand the social processes that create and maintain it. I argue that the dynamic nature of racism requires new theoretical approaches to understand it. For this, I advance a new theory—bodies out of place (BOP). I utilize my narrative to provide greater clarity regarding how BOP fills gaps left by CRT and other racial ideologies. My narrative illustrates how the intersections of race, gender, and place can operate to create a disproportionate burden (professionally, personally, physically, and psychologically) on faculty women of color. Ironically, I conclude that this disproportionate burden often falls on a continuum between empowering and encumbering. However, both ends of the spectrum contribute to racial battle fatigue.
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Friedman, Eleanor E., Awal Khan, and Wayne A. Duffus. "Screening for Latent Tuberculosis Infection Among HIV-Infected Medicaid Enrollees." Public Health Reports 133, no. 4 (June 21, 2018): 413–22. http://dx.doi.org/10.1177/0033354918776639.
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Objectives: In the United States, universal screening for latent tuberculosis (TB) infection among people with HIV is recommended, but the percentage receiving screening is unknown. This study assessed screening for latent TB infection among people with HIV enrolled in Medicaid during 2006-2010. Methods: We used nationwide fee-for-service Medicaid records to identify people with HIV, measure screening for latent TB infection, and examine associated demographic, social, and clinical factors. We used logistic regression analysis to calculate odds ratios (ORs) and 95% confidence intervals (CIs). We created 2 multivariate models to prevent collinearity between variables for length of HIV infection. Results: Of 152 831 people with HIV, 26 239 (17.2%) were screened for latent TB infection. The factor most strongly associated with screening was TB exposure or suspected TB (OR = 3.78; 95% CI, 3.27-4.37). Significant demographic characteristics associated with screening included being African American (OR = 1.28; 95% CI, 1.24-1.32) or ≤20 years of age (OR = 1.35; 95% CI, 1.28-1.42). Significant clinical and social factors associated with screening included poor housing conditions, low body mass index, chemotherapy treatment, and use of certain substances (ORs ranged from 1.24 [95% CI, 1.20-1.27] to 1.47 [95% CI, 1.22-1.76]). The screening rate for latent TB infection was higher among people with newly diagnosed HIV infection than among those with established infection (OR = 1.37; 95% CI, 1.32-1.41) and among people with a longer established HIV infection than among those with shorter HIV infection (OR = 1.24; 95% CI, 1.23-1.26 for each additional year). Conclusion: Screening for latent TB infection among fee-for-service Medicaid beneficiaries with HIV was suboptimal, despite the presence of demographic, social, or clinical characteristics that should have increased the likelihood of screening. The lack of certain data in Medicaid may have resulted in an underestimation of screening.
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Yoon, Susan, Jessica Koehler Yom, Zhitong Yang, and Lei Liu. "The Effects of Teachers’ Social and Human Capital on Urban Science Reform Initiatives: Considerations for Professional Development." Teachers College Record: The Voice of Scholarship in Education 119, no. 4 (April 2017): 1–32. http://dx.doi.org/10.1177/016146811711900407.
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Background Recent research investigating the conditions under which science teachers can successfully implement science education reforms suggests that focusing only on professional development to improve content knowledge and teaching skills—often referred to as human capital—may not be enough. Increasingly, possessing social capital, defined as capacities acquired through direct and indirect relationships in social networks, has become an important teaching characteristic to develop, however, more empirical research needs to be conducted. Purpose This article details our efforts to examine the relative influence of teachers’ social and human capital on instruction in the science classroom. The following research question guided our analysis: “What is the impact of teachers’ social and human capital on their classroom enactments, and what implications does this have for implementing science reform projects?” Setting This research was conducted in a large urban public school district in the northeast region of the United States. Teachers participated in professional development activities focused on learning about, constructing, and implementing nanoscale content through problem-based and inquiry-based units, integrated with technology applications such as computer simulations. Population The teacher group was comprised of 10 males and 11 females, eight of whom identified as African American and 13 as White. Teaching experience ranged from 1 to 33 years, with a mean of 11.18 years. Data were collected from 545 students in their classes, of whom 52.19% were African American and 65.03% received free or reduced-priced lunch. Students ranged in level between eighth and 12th grade in the subject areas of biology, chemistry, and physical science. Research Design The research design entailed a within group comparison assessing variables that quantified teacher's social and human capital as discreet measures. They were then compared to survey outcomes collected from their students that indicated change in instructional enactments as they were related to the nanoscale units. Data Collection and Analysis A regression analysis was used in the study. Student surveys of perceptions of instructional enactments in two factors—cognitively-rich pedagogies and computer-related technology use–were used as the predicted variables. The social and human capital measures were established from application surveys and year-end interviews of teachers and used as predictor variables. Results With both predictors in the model, only social capital was found to be predictive of teachers’ successful implementation, indicating that social capital was a stronger predictor than human capital. Conclusions The study shows that focusing on the development of a teacher's social capital may be an important feature of professional development activities alongside the development of human capital particularly in urban populations where access to resources is limited.
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Aguiar, Letícia Ferreira. "Robert Johnson e o racismo em Mississipi nas décadas de 1910-1930 no documentário "O Diabo na Encruzilhada"." Revista Discente Ofícios de Clio 4, no. 6 (December 5, 2019): 26. http://dx.doi.org/10.15210/clio.v4i6.16394.
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Neste estudo busca-se analisar a trajetória do músico Robert Johnson em razão da sua vivência como homem negro no Mississipi entre as décadas de 1910 e 1930, período de tensões sociais extremas para a comunidade negra nas condições existentes no estado e no país em si. Para realizar este objetivo, a investigação toma como ponto de partida o documentário “O diabo na encruzilhada”, do diretor Brian Oakes, que aborda a vida de Johnson desde suas origens, destacando os conflitos de classe e raça entre membros de sua família e o Klu Klux Klan, até sua morte, aos 27 anos. Sua vida conturbada é marcada tanto pelo racismo institucional como simbólico. Desmistifica-se Johnson, documentando os aspectos sociopolíticos da época, de forma a explicar seu legado deturpado pela mentalidade racista.Palavras-chave: Blues. História Afroamericana. Racismo.AbstractThis study intends to analyze the trajectory of Robert Johnson, an established african-american musician, about his experiences with racism during the decades of 1910 to 1930. This period was a time of extreme social tension for the black community, especially in the existing conditions of Mississippi, and the entirety of the United States at the time. "The Devil at the Crossroads," a documentary directed by Brian Oakes, approaches Johnson's life focusing from the conflicts of class between Johnson's family and members of the Klu Klux Klan to details of Johnson's life up until his untimely death at 27. Johnson's life was turbulent, stained by institucional and symbolic racism. By demythologizing Johnson, documenting the sociopolitical aspects of the period, Oakes explains how Johnson's legacy was perverted by the racist mentality.Keywords: Blues. African-American History. Racism.
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Cotton, Sam, Anna Faul, and Pamela Yankeelov. "Addressing the New Normal in Health Care Using an Interprofessional Model of Care Coordination." Innovation in Aging 5, Supplement_1 (December 1, 2021): 323–24. http://dx.doi.org/10.1093/geroni/igab046.1259.
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Abstract There has been significant discourse surrounding the widespread system failures within healthcare during COVID-19. Older, frailer, and poorer persons across the United States have been the most impacted by the pandemic. Given this, our FlourishCare team, received funding through the COVID Cares Act, as part of our Geriatric Workforce Enhancement Program (GWEP) grant, to create innovative programming for individuals that were the most impacted by the pandemic. Remote patient monitoring (RPM) is one intervention been shown as an effective way to assist persons in managing their conditions. Patients from our Optimal Aging Clinic were identified as struggling with hypertension, diabetes and/or COPD. Interprofessional teams of nursing and social work learners were assigned to work with patients. The kits contain all of the necessary technology and a virtual app platform that allows a patient to check their heart rate, blood pressure, oxygen levels, and glucose levels. This information was then disseminated to the team coordinating the patient’s care. The sample was mostly female (88%), African American (64%) and retired (70%). The mean age was 60 (SD=4), and 40% had less than a high school diploma. After 3 months in the program, we saw a significant improvement across all determinants of health, with a particular overall change in access to health services and individual health behaviors. This study showed the importance of providing patients with access to technology and the support of an interprofessional team can improve patient outcomes, lead to improvements in individual health behaviors and improve health literacy.
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Azibo, Daudi Ajani ya. "Suicide? (Re)Introducing the Bobby Wright Social–Political Model of African-U.S. Own-Life Taking or African High-Tech Lynching." Humanity & Society 41, no. 1 (July 24, 2016): 107–26. http://dx.doi.org/10.1177/0160597616628906.
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Dr. Bobby Wright underscored perdurable distal anti-African-U.S. (descendants of Africans enslaved in the United States) forces in society as the main impetus for their suicide instead of variables more proximal to the individual championed in multilevel theories. Wright’s argument is advanced as a model bearing his name. Coming again at suicide using the Wright model reveals the inadequacy of the Western conceptualization for African-United States, compels new nomenclature, and expands the gestalt of the phenomenon affording more efficacious intervention and prevention efforts.
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Commodore-Mensah, PhD, RN, Yvonne, Cheryl Dennison Himmelfarb, PhD, ANP, RN, Charles Agyemang, PhD, MPH, and Anne E. Sumner, MD. "Cardiometabolic Health in African Immigrants to the United States: A Call to Re-examine Research on African-descent Populations." Ethnicity & Disease 25, no. 3 (August 5, 2015): 373. http://dx.doi.org/10.18865/ed.25.3.373.
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<p> </p><p> In the 20th century, Africans in Sub-Saharan Africa had lower rates of cardiometabolic disease than Africans who migrated. However, in the 21st century, beyond infectious diseases, the triple epidemics of obesity, diabetes and hypertension have taken hold in Africa. Therefore, Africans are acquiring these chronic diseases at different rates and different intensity prior to migration. To ensure optimal care and health outcomes, the United States practice of grouping all African-descent populations into the “Black/ African American” category without regard to country of origin masks socioeconomic and cultural differences and needs re-evaluation. Overall, research on African-descent populations would benefit from a shift from a racial to an ethnic perspective. To demonstrate the value of disaggregating data on African-descent populations, the epidemiologic transition, social, economic, and health characteristics of African immigrants are presented. <em>Ethn Dis. </em>2015;25(3):373- 380.</p>
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Johnston, Denis F. "Some Reflections on the United States." Journal of Public Policy 9, no. 4 (October 1989): 433–36. http://dx.doi.org/10.1017/s0143814x00008308.
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In retrospect, I think that the fate that befell the social indicators ‘movement's rich array of economic statistics and related measures were simply inadequate indicators of emerging developments and issues under prevailing conditions of rapid social change and severe social strains. The felt need was for more adequate monitoring and reporting of social conditions and processes – implying a need to develop improved measures of these phenomena, together with expanded data collection capabilities. Thus the dual goals of the social indicators movement were apparent from the start: to establish an improved social reporting capability as soon as possible, and to encourage longer-term research and development in the general area of social, measurement and model-building. It may be helpful, therefore, to consider the outcome of these two efforts separately.
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Ciobanu, Monica, and Mihaela Şerban. "Legitimation crisis, memory, and United States exceptionalism: Lessons from post-communist Eastern Europe." Memory Studies 14, no. 6 (December 2021): 1285–300. http://dx.doi.org/10.1177/17506980211054328.
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The article examines how the experiences of post-communist transitional justice policies could inform current controversies in the United States regarding its reckoning with the past. To lay the ground for this analysis, three facets of American exceptionalism—the dual state reality, the triumphalist myth, and the denialist myth—are identified as principal obstacles that have preempted any substantive reparations for the crimes against humanity perpetrated against enslaved Africans and their descendants. This is followed by a presentation of how the 1989 revolutions in East and Central Europe failed to promote an inclusive and pluralistic model of the past. Instead, current representations of the past rooted in essentialist and ethnocentric historical narratives are weaponized by non-democratic political actors. Finally, the authors caution against misguided representations of historical trauma and memory wars in the United States that could potentially reproduce White supremacist ideologies and escalate existent political and cultural divisions.
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Landsberg, Alison. "Post-Postracial America." Cultural Politics 14, no. 2 (July 1, 2018): 198–215. http://dx.doi.org/10.1215/17432197-6609074.
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A seismic shift in the racial landscape of the United States occurred in 2016. The prevailing discourse about a “postracial America,” though always, in the words of Catherine Squires a “mystique,” was firmly and finally extinguished with the election of Donald J. Trump. Race, in the form of racial prejudice, erupted in Trump’s political rhetoric and in the rhetoric of his supporters. At the same time, the continued significance and consequences of racial division in America were also being asserted for politically progressive ends by the increasingly prominent #blacklivesmatter movement and by the newly opened National Museum of African American History and Culture on the National Mall in Washington, DC, not far from the White House. This article tracks the resurgence of race in the US cultural landscape against the racially depoliticized myth of the “postracial” by focusing first on the HBO television series Westworld, which epitomizes that logic. The museum, which opened its doors against the backdrop of the presidential campaign, lodges a scathing critique of the very notion of the postracial; in fact, it signals the return of race as an urgent topic of national discussion. Part of the work of the museum is to materialize race, to move race and white supremacy to the center of the American national narrative. This article points to the way the museum creates what Jacques Rancière calls “dissensus,” and thus becomes a site of possibility for politics. The museum, in its very presence on the Mall, its provocative display strategies, and its narrative that highlights profound contradictions in the very meaning of America, intervenes in what Rancière calls “the distribution of the sensible” and thus creates the conditions for reconfiguring the social order. In part, it achieves this by racializing white visitors, forcing them to feel their own race in uncomfortable ways. The article suggests that this museum, and the broader emerging discourse about race in both film and television, offers new ways to think about the political work of culture.
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Beebe-Dimmer, Jennifer Lynn, Terrance Lynn Albrecht, Julie J. Ruterbusch, Tara Baird, Theresa A. Hastert, Felicity W. K. Harper, Kendra L. Schwartz, Michael S. Simon, and Ann G. Schwartz. "The Detroit Research on Cancer Survivors (ROCS) study: A focus on outcomes after cancer in a racially diverse patient population." Journal of Clinical Oncology 36, no. 7_suppl (March 1, 2018): 177. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.177.
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177 Background: Although we continue to make progress in reducing the incidence and mortality for most cancers in the United States, African Americans (AA) continue to experience higher cancer incidence rates and have worse survival than other populations. The causes of these poorer outcomes, from higher mortality to poorer quality of life, in AA cancer survivors are not well understood. The Detroit ROCS study was initiated to improve our understanding of the experience of AAs living with cancer. Methods: 1,000 AA and non-Hispanic white (NHW) patients with primary lung, female breast, prostate or colorectal cancer diagnosed on or after January 1, 2013, and/or treated at the Karmanos Cancer Institute in Detroit, MI were recruited to participate in a cohort study with planned follow-up for 4 years. At baseline, participants completed a web-based survey to gather information about their medical history, family history of cancer, treatment and medication use, behavioral risk factors and self-assessed quality of life. Statistical analyses were performed to examine racial differences in the distribution of patient characteristics including comorbid conditions, stage at diagnosis, first course treatment and reported health-related quality of life (HRQOL). Results: The majority of patients were AA (60%) and female (61%), with a median age at diagnosis of 60 years. AAs were older, more likely to report use of cigarettes and alcohol and report a greater number of comorbidities compared with NHW patients; they were less educated and less likely to be employed full time or married (all p-values < 0.001). AA patients reported poorer overall HRQOL compared with NHW patients (p-value < 0.001). Controlling for marital status and employment attenuated the observed racial differences in mean HRQOL scores across all measured domains. Conclusions: We observed significantly lower self-reported HRQOL among AA cancer survivors compared with NHW, which could be partially explained by differences in specific socioeconomic factors but interestingly, not the presence of multiple comorbidities. Future research efforts will evaluate the relative contribution of social and financial support to HRQOL in AAs.
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Ogundiwin, Babatunde A. "An 1853 Map of the Yoruba Country." Social Sciences and Missions 34, no. 3-4 (December 2, 2021): 391–423. http://dx.doi.org/10.1163/18748945-bja10029.
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Abstract This paper examines an 1853 map of Yorubaland that reflects the evangelisation discourse of the American Southern Baptist Convention. Starting from 1845, the SBC began an evangelical drive towards the ‘saving’ of Africans in West Africa as a form of self-compensation in their attempt to prove that they were not against ‘Black Africans’ in the United States. Yet there were geographical notions of distinguishing Africans to be converted but these views of the white Southern Baptist brethren were reframed owing to field experiences of the missionary-explorer in the early 1850s. Drawing on a critical cartographic approach, this article argues that this map was culturally constructed. This study explores the map construction within the contexts of evangelical zeal, the preconceived geographical theories of West Africa, and exploratory accounts of Thomas Bowen. Consequently, the article reveals the interconnectedness of the church, the missionary-explorer, African informants and the mapmaker in geographical knowledge production. As a result, the study concludes that an ideological perspective reflects in cartographic knowledge presented on the map.
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VIGOUROUX, CÉCILE B. "“The smuggling of La Francophonie”: Francophone Africans in Anglophone Cape Town (South Africa)." Language in Society 37, no. 3 (May 12, 2008): 415–34. http://dx.doi.org/10.1017/s0047404508080561.
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ABSTRACTFocusing on Black Francophone migrants in Cape Town, it is argued that a locally based Francophone identity has emerged in South Africa that questions the institutional discourse of La Francophonie as the organization of French-speaking states. The new identity has little to do with the organization's ideology of a transnational community of people united by a common language and culture. This is shown by deconstructing the category of passeurs de Francophonie (literally ‘smugglers of la Francophonie’ as practice) to which the organization assigns migrants in non-Francophone countries who allegedly spread the French language and Francophone culture. It is argued that the notion of “Francophone” must be grounded empirically and approached in relation to the social environment of the relevant speakers. The post-apartheid South African setting assigns it a meaning different from what it has in Francophone states.
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Djamba, Yanyi K. "African Immigrants in the United States: A Socio-Demographic Profile in Comparison to Native Blacks." Journal of Asian and African Studies 34, no. 2 (1999): 210–15. http://dx.doi.org/10.1163/156852199x00266.
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Using data from the 1980 and 1990 U.S. censuses (5% Public Use Microdata Samples), this paper provides the socio-demographic profile of African immigrants in comparison to native blacks. The results show that the number of Africans living in the United States has increased by 6% per year between 1980 and 1990, but the growth has been greater for blacks ( 11 %) than for whites (4%). This racial differences in growth changed the composition of the African immigrant population from predominantly white (60%) in 1980, to predominantly black (47%) in 1990; other races counted only for 11 % in 1980 and 9% in 1990. Compared to native blacks, black and white African immigrants are more educated, less likely to be on welfare, more heavily concentrated in some states, more likely to be married, and more employable. These characteristics are key determinants of the future conditions of native blacks and African immigrants in the United States.
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Caraël, Michel, and Peter Piot. "HIV infection in developing countries." Journal of Biosocial Science 21, S10 (1989): 35–50. http://dx.doi.org/10.1017/s0021932000025256.
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Shortly after the first reports on the acquired immunodeficiency syndrome (AIDS) in the United States, it became clear that the disease was also particularly frequent in Haitians living in North America (Pitcheniket at., 1983; Curranet al., 1985) and in Africans seen in Europe for medical care (Katlamaet al., 1984; Clumecket al., 1984). Subsequently, surveys in Haiti and in Central Africa confirmed the occurrence of epidemic foci of AIDS in these areas (Papeet al., 1983; Malebrancheet al., 1983; Piotet al., 1984; Van de Perreet al., 1984).
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Heiney, Sue P., Sara B. Donevant, Swann Arp Adams, Pearman D. Parker, Hongtu Chen, and Sue Levkoff. "A Smartphone App for Self-Management of Heart Failure in Older African Americans: Feasibility and Usability Study." JMIR Aging 3, no. 1 (April 3, 2020): e17142. http://dx.doi.org/10.2196/17142.
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Background Mobile health (mHealth) apps are dramatically changing how patients and providers manage and monitor chronic health conditions, especially in the area of self-monitoring. African Americans have higher mortality rates from heart failure than other racial groups in the United States. Therefore, self-management of heart failure may improve health outcomes for African American patients. Objective The aim of the present study was to determine the feasibility of using an mHealth app, and explore the outcomes of quality of life, including self-care maintenance, management, and confidence, among African American patients managing their condition after discharge with a diagnosis of heart failure. Methods Prior to development of the app, we conducted qualitative interviews with 7 African American patients diagnosed with heart failure, 3 African American patients diagnosed with cardiovascular disease, and 6 health care providers (cardiologists, nurse practitioners, and a geriatrician) who worked with heart failure patients. In addition, we asked 6 hospital chaplains to provide positive spiritual messages for the patients, since spirituality is an important coping method for many African Americans. These formative data were then used for creating a prototype of the app, named Healthy Heart. Specifically, the Healthy Heart app incorporated the following evidence-based features to promote self-management: one-way messages, journaling (ie, weight and symptoms), graphical display of data, and customized feedback (ie, clinical decision support) based on daily or weekly weight. The educational messages about heart failure self-management were derived from the teaching materials provided to the patients diagnosed with heart failure, and included information on diet, sleep, stress, and medication adherence. The information was condensed and simplified to be appropriate for text messages and to meet health literacy standards. Other messages were derived from interviews conducted during the formative stage of app development, including interviews with African American chaplains. Usability testing was conducted over a series of meetings between nurses, social workers, and computer engineers. A pilot one-group pretest-posttest design was employed with participants using the mHealth app for 4 weeks. Descriptive statistics were computed for each of the demographic variables, overall and subscales for Health Related Quality of Life Scale 14 (HQOL14) and subscales for the Self-Care of Heart Failure Index (SCHFI) Version 6 using frequencies for categorical measures and means with standard deviations for continuous measures. Baseline and postintervention comparisons were computed using the Fisher exact test for overall health and paired t tests for HQOL14 and SCHFI questionnaire subscales. Results A total of 12 African American participants (7 men, 5 women; aged 51-69 years) diagnosed with heart failure were recruited for the study. There was no significant increase in quality of life (P=.15), but clinically relevant changes in self-care maintenance, management, and confidence were observed. Conclusions An mHealth app to assist with the self-management of heart failure is feasible in patients with low literacy, low health literacy, and limited smartphone experience. Based on the clinically relevant changes observed in this feasibility study of the Healthy Heart app, further research should explore effectiveness in this vulnerable population.
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LeCroix, Rebecca Hill, Wing Yi Chan, Chris Henrich, Frances Palin, Jenelle Shanley, and Lisa Armistead. "Maternal HIV and Adolescent Functioning in South Africa: The Role of the Mother-Child Relationship." Journal of Early Adolescence 40, no. 1 (January 24, 2019): 83–103. http://dx.doi.org/10.1177/0272431618824726.
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Black South Africans are disproportionately affected by HIV compared with White counterparts. In their unique social context, South African families affected by HIV are vulnerable to adverse psychosocial effects. U.S.-based and emerging South African research suggests mothers living with HIV may experience compromised parenting. In the United States, mother-child relationship quality has been associated with internalizing (anxiety, depression) and externalizing (delinquency, acting out) child behaviors. This study adds to South African research with emphasis on the role of the mother-child relationship among HIV-affected South Africans from multiple communities. Structural equation modeling examined relationships between maternal health and child adjustment, operating through mother-child relationship. The best-fitting model suggested maternal health influences youth externalizing behaviors through the mother-child relationship, but that maternal health is directly related to child internalizing problems. Findings support and extend previous results. Further research would benefit from investigating ways the unique South African context influences these variables and their interactions.