Collaborative In Action
The Collaborative In Action features research briefs, papers, and presentations in order to disseminate current topics and research projects.
73.8 million children are living in the United States, and an estimated 4.1 million of those U.S. born children are living with at least one parent who is undocumented. Being a U.S. citizen does not protect them from the psychosocial effects that result from witnessing the distress in their parents caused by current immigration laws.
Fri, 17 Aug 2018 14:06:57 -0400
Equality of healthy food distribution is a major public health issue in urban neighborhoods. Low-income African Americans receive less healthy food due to distance, shelf space, and suppliers. Within the United States, 23.5 million people live in food deserts. The results of communities with little access to healthy food have led to health disparities such as obesity, heart disease, and diabetes.
Fri, 17 Aug 2018 14:00:36 -0400
As an African American man, I have the highest chance of mortality and lowest life expectancy among men and women in all other racial and ethnic groups. Historically, the disparities in health outcomes of African American men have been attributed to racism. Racism can in part be attributed to the poor health status of African American men; however, it is not the sole cause. Masculinity is another salient factor that acts as a barrier to positive health outcomes for African American men.
Fri, 17 Aug 2018 13:53:48 -0400
Many studies have proven the association between provider implicit bias and the resultant negative effects on patient health outcomes. Implicit bias acts on an unconscious level, meaning an individual is usually unaware that it exists. It can be activated quickly and unknowingly by situational cues, and can silently influence verbal and non-verbal behavior, perception, and memory.
Fri, 17 Aug 2018 13:09:00 -0500
Binge eating disorder (BED), a disorder characterized by repeatedly uncontrolled and excessive eating, has a lifetime prevalence of 1.5% among non-Latino Whites and Asians. However, 1 in every 21 Asian Americans, versus 1 in every 40 non-Latino Whites, experience any binge eating (ABE) episodes, a similar phenomenon that does not quite meet the diagnostic criteria of distress and loss of control that are characteristic of BED1. As a result, due to a reduced endorsement of BED symptoms, Asian Americans are 33% less likely to be diagnosed with BED than non-Latino Whites2, but are still likely to experience the decline in health related to undiagnosed binge eating.
Fri, 17 Aug 2018 13:01:33 -0400
The Difference of Mental Health Disparities among Black Immigrants and U.S. Born Black African Americans
The variation within the black community in United States faces many stress risk-factors that lead to poor mental health outcomes. African Americans face exclusions from educational, social, and economic resources resulted in higher rates of poverty, unemployment, exposure to violence, and chronic illness; all of which are factors that risk their mental health. Over 45.7 million people in the country identify as black, which is a large population that is diverse that affect their black experience differently.
Fri, 17 Aug 2018 10:17:00 -0500
Every day 88 Americans die from gunshot wounds as a result of suicide or homicide and each year 30,000 patients are hospitalized for gunshot wounds; 2,500 of those patients die in the hospital. When considering race and ethnicity, among U.S. males ages 15-24 years, homicide is the leading cause of death for Blacks and the second leading cause of death for Hispanics; nine out of 10 of those deaths result from gunfire. In 2015, 369 people were killed in mass shootings, while almost 6,000 Black men were murdered with guns.
Fri, 17 Aug 2018 10:13:15 -0400
Millions of rural Americans face a disproportionate lack of transportation, affecting their access to health care. This, compounded with the generally lower educational attainment, elevated age and lower income in comparison to urban areas, leads to poorer health outcomes. The lack of transportation across America has been heavily discussed, but in most rural areas, little has changed. In rural areas, the spatial distribution of the population complicates public transportation programs, while the low-income status and seemingly low demand may deter companies such as Lyft and Uber from being sufficiently present in these areas.
Fri, 17 Aug 2018 10:02:00 -0500
Women in poverty face a burden when it comes to coping with their monthly menstrual cycle, which in turn negatively impacts their mental health. Women experiencing homelessness can be identified as a vulnerable subpopulation in poverty and have reported difficulty in managing their menstrual cycle. A menstrual cycle is a healthy and natural part to being a woman and menstrual products are needed in order for a woman to carry on in her daily life. However, these products are already expensive on their own, not to mention the fact they are taxed. For a woman struggling to make ends meet, this can turn into a stressful burden added on to other stressors women in poverty face.
Fri, 17 Aug 2018 09:44:18 -0400
Patient care is seen as the number one factor related to outcomes of hospitalized individuals. However, a hospital's operations and functions may also be a matter of life or death for its patients, which is why hospital administrators should concern themselves with the most minute of decisions, to ensure the comfort of its most vulnerable patients. More specifically, the human resources department of a hospital or health system should be diligent in recruiting talent in such a way that positively affects the comfort of vulnerable and minority patients.
Fri, 17 Aug 2018 09:31:41 -0400
Many black and Latino queer people are often left out of the already uncommon conversation surrounding LGBT healthcare. A mixture of racism, homophobia and prejudice has led to the disparities we see today regarding healthcare for queer people of color, especially when we speak about HIV/AIDs rates. Most of the issues around HIV rates are attributed to policies that don't address the social determinants of health. Healthcare specialists have started taking unique approaches to connect queer black and Latino people to HIV preventive measures. Given the current rate of HIV/AIDS,the CDC predicts that soon one half of black MSM and one fourth of Latino MSM will be diagnosed with HIV in their lifetime.
Fri, 17 Aug 2018 09:24:02 -0400
Thousands of hospitals across America have countless incentives to produce quality patient care. An important incentive is financial gain, and more specifically, optimal reimbursement amounts. Moreover, because millions of Americans are Medicare recipients, hospital administrators have to be keenly aware of Medicare reimbursement rates.
Thu, 16 Aug 2018 15:06:00 -0500
School-to-Prison Pipeline: Educational Disparities and their Effects on the Mental Health of African American Males
The mental health of African American males from preschool to high school has been negatively affected by the introduction of policies designed to "push out" black male students from the classroom and into the juvenile justice system. During early education, the pipeline begins to cast doubt in the minds of young black men in the form of hopelessness, worthlessness, and symptoms of depression. Once incarcerated, these mental health conditions will only continue to deteriorate.
Thu, 16 Aug 2018 10:04:00 -0500
Preventable Hospitalization in older adults can be adversely decreased by allowing minorities that are on Medicare or Medicaid better opportunities to preventative resources. Providing transportation to physician visits, prevention programs and overall awareness on the leading chronic illnesses can lower the rates of readmissions and the prevalence multiple chronic illnesses.
Thu, 16 Aug 2018 09:58:04 -0400
The Exploitation and Vulnerable Working conditions of Migrant Agriculture Workers and their Quality of Life
Migrant agriculture workers in the United States form part of a marginalized community that often times goes unnoticed, causing their health issues to become invisible and unspoken of on a larger platform. Migrant agriculture workers are part of a vulnerable population; this in part is due to language barriers, lack of agriculture unions, and the documentation status of the workers.
Thu, 16 Aug 2018 09:51:03 -0400
Diabetes is a national health issue, in which African Americans are disportionality affected. African Americans are 1.6 times more likely to develop type 2 diabetes and this number is seen to increase to 3 times more likely in 2020. In order to combat this health issue we must remove barriers for this population. One way to do so is by implementing a patient centered medical home (PCMH) model.
Thu, 16 Aug 2018 09:44:49 -0400
In the United States there have been many foreclosed houses sold by the Federal National Mortgage Association (Fannie Mae), many of which have been unfit for human habitation. Investors bought the homes of Fannie Mae and turned them into rent-to-own (RTO) leases and contracts for deed (CFD). Those who enter these contracts are typically low-income people of color, who often must leave the situation because the costs become too much. In this case they are left with no money and no home, worse than they were before. Problems also arise with the condition of the houses: the homes are old with mold and lead in the paint and pipes.
Mon, 13 Aug 2018 13:25:00 -0500
Outlining Health Disparities faced by Transmen and the Intervention Efforts of Healthcare Organizations"
Approximately 0.6% (1.4 million) of the US adult population identifies as transgender. Transgender individuals are twice as likely to be unemployed, more likely to experience abuse, and have a lower socioeconomic status than their cisgender counterparts. Healthcare providers have become stronger "health allies" for the cisgender LGB community, but the same efforts have not been made for transgender men. The lack of empirical research highlighting the health experience of transgender men creates an education gap for medical professionals. This breach in information impacts how trans-men manage their health.
Mon, 13 Aug 2018 13:01:00 -0500
Vulnerable populations such as minorities, immigrants, disabled, and low-income individuals are negatively affected by food insecurities. Large portions of the aforementioned populations live in low-income neighborhoods with no grocery stores, and when nutritional food options are available, they are cost prohibitive. Historically, in the 1960s and 1970s, Caucasian suburban neighborhoods left low-income communities with less resources and infrastructure which caused rural and urban environments to have increased food insecurity rates.
Mon, 13 Aug 2018 12:44:38 -0400
In order to create a healthy population, a community must at minimum provide access to individual necessities like shelter, nutrition, and basic medical care. Without this, the population will suffer from chronic illnesses due to lack of resources conducive to a healthy lifestyle. In Detroit, Michigan there is a wide scale lack of resources. Specifically speaking on basic necessities, it lacks proper nutrition which has led to a population with high prevalence of chronic illness.
Mon, 13 Aug 2018 12:29:45 -0400
If Food is Medicine For All, Shouldn't All Be At The Table? The Devastating Effects of Food Insecurity within Low-Income Hispanics
Low-Income Hispanics make up more than half of the food insecure population. Food insecurity is one of the leading problems in Public Health. The Hispanic community makes up 57.7 million of the U.S. total population, and a total 8% of Latinos who are in poverty compared to all people in the U.S, with a whopping 20% in food insecurity compared to 13% of the rest of the population. Seeing this immense disparity, it is important to evaluate the barriers that confine them into food insecurity.
Mon, 13 Aug 2018 11:56:00 -0500
Disparities in Infertility and Assisted Reproductive Technology (ART) Utilization- Race, Socioeconomic Status, Education
Women's reproductive justice is a topic we need to be especially vigilant about, especially now as women's bodies are constantly under scrutiny by policy makers and institutions. Furthermore, vulnerable populations and minority women face even more obstacles and disparities in receiving the equitable care they need when it comes to their reproductive health. A salient example of this includes the examples of disparities in infertility and in assisted reproductive technology (ART) treatments.
Wed, 04 Apr 2018 20:48:00 -0500
Latina women experience the highest incidence and mortality rates for cervical cancer in the United States. However, they continue to have much lower rates of cervical cancer screening when compared to their White counterparts. Furthermore, the National Health Interview Survey (NHIS) indicates that the disparities become more pronounced based on nativity.
Wed, 04 Apr 2018 20:36:49 -0400
The Nuance of Neighborhood: Exploring the Complicated Relationship Between Neighborhood, Birth Outcomes, and Race
If you look at statistics regarding birth outcomes on the CDC website, there is a section that lists potential risk factors, including tobacco use during pregnancy, or medical issues like infections. However, some of the most dangerous risk factors are not individual behaviors, but individual characteristics: under outcomes like preterm birth or maternal mortality, the CDC lists "black race" as a risk factor for a negative outcome.
Wed, 04 Apr 2018 14:30:00 -0500
Food Insecurity and Health Outcomes: The relationship Between Food Access and Type 2 Diabetes in Detroit, MI.
Being diagnosed with a chronic disease is hard, especially when you have no control over the options given to you in your environment. Food insecurity in Detroit Michigan is a problem to the current residents as well as the future population, this is the state of being without reliable access to a sufficient quantity of affordable, nutritious food. Almost half of the population in Detroit are food insecure and enrolled in SNAP (Supplemental Nutrition Assistance Program), another eighteen percent of household who qualify for SNAP are not receiving benefits.
Wed, 04 Apr 2018 13:24:00 -0500
Social determinants of health have become an increasingly important topic when discussing health inequities. The effect of socioeconomic inequalities on health are an important topic in public health and social science research as the income gap in America continues to increase. Growing up in Hamtramck, an inner city in Detroit and a low-income community, I have been able to experience the effects of income inequality in health firsthand. According to the Health Resources & Services Administration, Hamtramck is identified as a Mental Health Professional Shortage Area.
Tue, 03 Apr 2018 16:14:00 -0500
In an ideal, more equitable world, children would fall asleep at night feeling hopeful and excited about waking up the next morning. Head hitting the pillow, young people would think about goals for their future and dream of where they see themselves further down the line. Unfortunately, in reality, the ability to have hope and goals for one's future has become a privilege that excludes many. For some youth, especially youth living with HIV (YLWH), the struggle of surviving day-to-day life takes precedence over thinking about the future. However, for many of these adolescents, the day-to-day struggle is not consumed by their physical health but by negative social conditions, stigma, and marginalization.
Tue, 03 Apr 2018 16:03:00 -0500
Over the summer of 2017, I volunteered at Delray Neighborhood House Center. Delray is a small neighborhood located on the southwest side of Detroit, and it is about 15 minutes away from Detroit downtown. Delray's residences came from diverse backgrounds and tend to have low socioeconomic status, due to the devastating economic status of the area. Thus, the residents of the neighborhood either worked in the factories or inherited their houses. The neighborhood center is near fisher highways and surrounded by two factories, one of which includes the Detroit water and sewage.
Tue, 03 Apr 2018 14:11:00 -0500
In comparison to my urban classmates, one characteristic of my life at home that stands out the most is undoubtedly my lack of healthcare. Growing up in rural Michigan, I never had a primary care physician, and neither had my parents. It was something so normal for my area; yearly check-ups were not a part of the communities' regimen, and if they were, it often meant traveling far outside the county to make appointments. For me, it truly felt like an unfixable part of rural living, but does that mean it could not have been addressed?
Tue, 03 Apr 2018 14:01:00 -0500
To many people, Autism Spectrum Disorder is something they hear about on the news. To me, ASD is a huge influence on my life and identity. Autism Spectrum Disorder, as defined by the CDC, is a development disorder that is characterized by behavioral, social and communication challenges. This can be expressed in many different ways, which is why Autism is called a spectrum disorder. My sister was diagnosed with Autism before I was born, so I have grown up being aware of the Autism community. When I began my college education, I realized that the community I consider myself an ally to has many problems.
Tue, 03 Apr 2018 13:33:00 -0500
Creating a Culture of Care: Mental health among low-income African American Adolescents and the Role of Protective Factors
Reflecting back on your 17 year old self what were some of the main factors of stress or anxiety in your life? Many would mention academic pressure, fitting in, planning for prom, or uncertainty about the future as top stressors. Thinking of those stressors now add other issues such as housing instability, neighborhood violence, family substance abuse, and encounters with racism. In addition to the regular stress a 17 year-old might experience African American youth, particularly those from low-income backgrounds experience a multitude of stressors.
Tue, 03 Apr 2018 13:19:00 -0500
Depression Disparities in Rural America: How unequal access to treatment and stigma leaves some Americans trapped
Imagine you are trapped. You cannot seem to gain any sort of bearings. You have nowhere to go, nobody to go to, and no sense in how you may get out of this place. Everyday there are people trapped in their own minds by their own negative thoughts. A intense tirade of self-loathing and negativity floods the mind causing people to lose their ability to function. Without proper treatment, individuals can be caught or trapped in this state of depression for prolonged periods of time.
Mon, 02 Apr 2018 12:20:00 -0500
In the United States there have been many foreclosed houses sold by the Federal National Mortgage Association (Fannie Mae), many of which have been unfit for human habitation. Investors bought the homes of Fannie Mae and turned them into rent-to-own (RTO) leases and contracts for deed (CFD). Those who enter these contracts are typically low-income people of color, who often must leave the situation because the costs become too much.
Mon, 02 Apr 2018 12:01:00 -0500
Did you know that an African American boy is suffering in silence and is waiting to be heard? This boy has a mental health disorder that is not recognized by himself or his support system, all he knows is that he feels sad, angry, and alone. He tries to express to his parents how he feels but they tell him to brush it off, stay strong, and that this feeling will go away eventually. At school, he acts out of anger and aggression trying his hardest to be seen and heard, his teacher suspends him and calls him a "bad" kid.
Mon, 02 Apr 2018 11:41:00 -0500
MOTHER NURTURE: Making Baby-Friendly Hospital Policies more Health Equitable for African American Women
If 90% of mothers exclusively breastfed for 6 months, as advised by the World Health Organization, nearly 1,000 excess infant deaths would be prevented annually. If these mothers then continued to breastfeed for a year, 2,619 maternal deaths would also be avoided. “Breastfeeding is the natural biological conclusion to pregnancy and an important mechanism for the continued normal development of the infant.” Human milk is species-specific making it superior to other feeding options providing the perfect nutrition and immune protection to the infant.
Mon, 18 Dec 2017 09:48:00 -0500
Imagine your first week of your undergraduate career. Adjusting to dorm life, trying to make new friends and figuring out how to get to all of your classes. And then you experience something you may not have experienced first-hand in your hometown: race-related discrimination. Being a student of color at a predominantly white institution brings its own set of challenges on top of the stress of figuring out what you want to do with your life. Equipping students of color with strategies to cope with these experiences are critical in order to support them in their transition to college
Mon, 18 Dec 2017 09:28:00 -0500
The current political atmosphere has the potential to drastically change the entire healthcare infrastructure in the United States of America, and not necessarily in a positive way. With the proposed removal of the affordable care act, millions of Americans are in a position where their healthcare coverage may very well be voided, left responsible for the full priced out-of-pocket medical care and treatment costs that they may or may not be able to afford.
Fri, 15 Dec 2017 11:34:52 -0500
Halimat Olaniyan is alum of the University of Michigan Summer Enrichment Program (UMSEP 2017) who interned at the University of Michigan Depression Center under the supervision of Ms. Stephanie Salazar who is the Outreach and Education Program Manager.
Wed, 08 Nov 2017 11:36:09 -0500
Community Health Workers are an important component of integrated service delivery and community health, with 51,900 employed in almost 50 states in the United States. More than just public health workers, CHWs are unique because they are often members of the community they are serving and can therefore establish trust and rapport within it. CHWs improve health outcomes, using their connection to the community, through preventive services and targeting social determinants of health.
Tue, 07 Nov 2017 16:14:00 -0500
In the "Western" World, reverence for the older portion of the population has been lost. They are often cast aside when they are no longer able to work, and the wisdom and value that they hold from long lives is neglected in favor of younger people for their value to the country's productivity. However, at Trinity Health Senior Communities, they are seeking to change the narrative around seniors and improve the care framework surrounding the geriatric population. THSC has recently turned its focus to Network Integrity--ensuring that when a patient leaves a Trinity Health hospital they are more likely to remain with a Trinity Health skilled nursing facility.
Tue, 07 Nov 2017 16:05:00 -0500
Black Girl Magic: The Glow Up is a FREE public event open to all girls ages 13-17 in the metro-Detroit area. The goal of the workshop is to provide a fulfilling experience and a safe space for young Black girls to partake in dialogue centered on their experience as both Black and female in Detroit and the U.S. During the workshop. There will be a number of exercises and discussion topics for the girls to learn about the power of self-definition, transparency, and sisterhood.
Fri, 03 Nov 2017 13:20:43 -0400
Specialty medications deliver great clinical benefits but have high costs. In 2012 specialty medications accounted for 12% of commercial spending, but only represented 0.5% of total prescription fills. Specialty medications include qualities that make for costly medication delivery and complex molecule composition, especially molecules created with living organisms, called biologics1. A study done on elderly Medicare beneficiaries from 2007-2011 found that spending on specialty drugs increased from 6.7% to 9.1%2.
Fri, 03 Nov 2017 13:02:12 -0400
The previously incarcerated population in the United States is not only disproportionately male, minority, and low income, but also much more likely to have physical and mental diseases compared to the rest of the population. They have the highest need for primary care but are historically the least likely to receive primary care due to their underserved status.
Fri, 03 Nov 2017 12:16:00 -0500
In the year 2008, one in seven Americans were left uninsured. Data collected from the National Health Interview Survey and the American Community Survey show that among those affected were low-income Americans, those ages 19-64, and people of color, more specifically, Blacks, Hispanics, and Native Americans. Due to high uninsured rates among the US population, health care providers continue to face billions of dollars in uncompensated care costs as they continue to rise.
Thu, 02 Nov 2017 13:52:00 -0500
The ambiguity of words leave a lot of room for personal interpretation. We act on words, feel emotions because of words, and devote lives to causes because of words. When it comes to a word such as health equity, the implications it carries creates an overwhelming need to have an explicit definition. Through research, conducted as part of the Health Equity Leadership Pipeline Collaborative at the University of Michigan School of Public Health, I was able to analyze the usage of the word and its relevance in certain contexts.
Mon, 23 Oct 2017 16:35:00 -0500
In an interview with a mid-career and senior leader at two different, yet successful health systems, I learned the pride of data-driven leadership and the distinction between operational and strategic dimensions. As our society progresses further into the age of information, technology, and data, many sectors of our country's infrastructure must adapt to the rapidly changing work environment, including healthcare.
Mon, 23 Oct 2017 16:16:00 -0500
This research brief was created with the purpose of establishing criteria to create an accurate timeline of career progression for healthcare administrators. The criteria aims to correctly identify positions for each professional on a scale from "Early" to "Middle," to "Senior" Career. This research lends itself to the construction of the Health Equity Leadership Pipeline Competency Analysis. This project is intended to establish a pathway between graduate students as emerging professionals and administrators as senior healthcare executives. Along with career progression, additional information is utilized.
Mon, 23 Oct 2017 15:54:00 -0500
Authentic leadership for healthcare executives is becoming synonymous with successful minority executives. A professional organization for Black health services executives is leading a movement to educate its membership on the benefits of this leadership style.
Thu, 23 Mar 2017 12:52:00 -0500
What professional qualities make hospital CEO's and administrators successful? Is it skillful policy analysis, a legal wit, or the ability to operate a 10-digit with computer-like precision as we see frequently in film and television? Not necessarily. In an ongoing study performed by Dr. Ebbin Dotson and his research team at the University of Michigan's Health Equity Leadership Pipeline Collaborative (The Collaborative) find emotional intelligence (EI) is an important asset belonging to successful healthcare executives and administrators.
Thu, 23 Mar 2017 11:26:00 -0500