Afterword: White Ethnicity as Cultural Becoming

2016 ◽  
pp. 224-229
Keyword(s):  
White Ethnicity

scholarly journals SARS-CoV-2 antibody prevalence in England following the first peak of the pandemic

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Helen Ward ◽  
Christina Atchison ◽  
Matthew Whitaker ◽  
Kylie E. C. Ainslie ◽  
Joshua Elliott ◽  
...  
Keyword(s):  
National Study ◽  
Antibody Prevalence ◽  
Minority Communities ◽  
White Ethnicity ◽  
Test Characteristics ◽  
Minority Ethnic Groups ◽  
Care Workers ◽  
Large Outbreak ◽  
Community Transmission ◽  
Differential Experience

AbstractEngland has experienced a large outbreak of SARS-CoV-2, disproportionately affecting people from disadvantaged and ethnic minority communities. It is unclear how much of this excess is due to differences in exposure associated with structural inequalities. Here, we report from the REal-time Assessment of Community Transmission-2 (REACT-2) national study of over 100,000 people. After adjusting for test characteristics and re-weighting to the population, overall antibody prevalence is 6.0% (95% CI: 5.8-6.1). An estimated 3.4 million people had developed antibodies to SARS-CoV-2 by mid-July 2020. Prevalence is two- to three-fold higher among health and care workers compared with non-essential workers, and in people of Black or South Asian than white ethnicity, while age- and sex-specific infection fatality ratios are similar across ethnicities. Our results indicate that higher hospitalisation and mortality from COVID-19 in minority ethnic groups may reflect higher rates of infection rather than differential experience of disease or care.

Women’s Czech Folk Costume: Negotiating Ambivalence and White Ethnicity in the Midwest

2021 ◽  
pp. 0887302X2110275
Author(s):  
Erin French ◽  
Kelly L. Reddy-Best
Keyword(s):  
Ethnic Identity ◽  
Business Practices ◽  
Structured Interviews ◽  
Cultural Traditions ◽  
White Ethnicity ◽  
Czech Population ◽  
Large Numbers ◽  
Ethnic Heritage

Folk costume is traditionally worn to represent and preserve ethnic heritage. Large numbers of Czechs emigrated to America from the 1870s to 1920s, but eventually, a generation was born that had little contact with their immigrant ancestors. The purpose of our research was to examine what role folk costume plays in the negotiation of Czech ethnic identity and how meaning is constructed and communicated through Czech folk costumes for modern-day wearers. We conducted 11 indepth, semi-structured interviews with descendants of Czech immigrants in a previously unexplored Czech population of the Midwest. We identified four major themes: feelings of connectedness; sense of pride and joy; importance of perceived authenticity; and variation, nuance, and meaning of costume construction and style. Through our work, we contribute to the preservation and documentation of modern-day Czech traditions, ongoing discussions surrounding defining cultural traditions, and business practices of retailers.

scholarly journals Infliximab is associated with attenuated immunogenicity to BNT162b2 and ChAdOx1 nCoV-19 SARS-CoV-2 vaccines in patients with IBD

Gut ◽  
2021 ◽  
pp. gutjnl-2021-324789
Author(s):  
Nicholas A Kennedy ◽  
Simeng Lin ◽  
James R Goodhand ◽  
Neil Chanchlani ◽  
Benjamin Hamilton ◽  
...  
Keyword(s):  
Single Dose ◽  
Primary Outcome ◽  
Geometric Mean ◽  
Antibody Responses ◽  
Antibody Assay ◽  
Past Infection ◽  
White Ethnicity ◽  
Registration Number ◽  
Inflammatory Bowel ◽  
Prior Infection

ObjectiveDelayed second dose SARS-CoV-2 vaccination trades maximal effectiveness for a lower level of immunity across more of the population. We investigated whether patients with inflammatory bowel disease treated with infliximab have attenuated serological responses to a single dose of a SARS-CoV-2 vaccine.DesignAntibody responses and seroconversion rates in infliximab-treated patients (n=865) were compared with a cohort treated with vedolizumab (n=428), a gut-selective anti-integrin α4β7 monoclonal antibody. Our primary outcome was anti-SARS-CoV-2 spike (S) antibody concentrations, measured using the Elecsys anti-SARS-CoV-2 spike (S) antibody assay 3–10 weeks after vaccination, in patients without evidence of prior infection. Secondary outcomes were seroconversion rates (defined by a cut-off of 15 U/mL), and antibody responses following past infection or a second dose of the BNT162b2 vaccine.ResultsGeometric mean (SD) anti-SARS-CoV-2 antibody concentrations were lower in patients treated with infliximab than vedolizumab, following BNT162b2 (6.0 U/mL (5.9) vs 28.8 U/mL (5.4) p<0.0001) and ChAdOx1 nCoV-19 (4.7 U/mL (4.9)) vs 13.8 U/mL (5.9) p<0.0001) vaccines. In our multivariable models, antibody concentrations were lower in infliximab-treated compared with vedolizumab-treated patients who received the BNT162b2 (fold change (FC) 0.29 (95% CI 0.21 to 0.40), p<0.0001) and ChAdOx1 nCoV-19 (FC 0.39 (95% CI 0.30 to 0.51), p<0.0001) vaccines. In both models, age ≥60 years, immunomodulator use, Crohn’s disease and smoking were associated with lower, while non-white ethnicity was associated with higher, anti-SARS-CoV-2 antibody concentrations. Seroconversion rates after a single dose of either vaccine were higher in patients with prior SARS-CoV-2 infection and after two doses of BNT162b2 vaccine.ConclusionInfliximab is associated with attenuated immunogenicity to a single dose of the BNT162b2 and ChAdOx1 nCoV-19 SARS-CoV-2 vaccines. Vaccination after SARS-CoV-2 infection, or a second dose of vaccine, led to seroconversion in most patients. Delayed second dosing should be avoided in patients treated with infliximab.Trial registration numberISRCTN45176516.

scholarly journals The association between soya consumption and serum thyroid-stimulating hormone concentrations in the Adventist Health Study-2

2015 ◽  
Vol 19 (8) ◽  
pp. 1464-1470 ◽  
Author(s):  
Serena Tonstad ◽  
Karen Jaceldo-Siegl ◽  
Mark Messina ◽  
Ella Haddad ◽  
Gary E Fraser
Keyword(s):  
Urinary Iodine ◽  
Thyroid Stimulating Hormone ◽  
Soya Protein ◽  
High Serum ◽  
Health Study ◽  
Animal Products ◽  
White Ethnicity ◽  
High Consumption ◽  
Stimulating Hormone ◽  
Adventist Health Study

AbstractObjectiveConsumers may choose soya foods as healthful alternatives to animal products, but concern has arisen that eating large amounts of soya may adversely affect thyroid function. The present study aimed to examine the association between soya food consumption and serum thyroid-stimulating hormone (TSH) concentrations in North American churchgoers belonging to the Seventh-day Adventist denomination that encourages vegetarianism.DesignParticipants completed six repeated 24 h dietary recalls within a 6-month period. Soya protein and soya isoflavone intakes were estimated, and their relationships to TSH concentrations measured at the end of 6 months were calculated using logistic regression analyses.SettingCalibration sub-study of the Adventist Health Study-2.SubjectsWomen (n 548) and men (n 295) who were not taking thyroid medications.ResultsIn men, age and urinary iodine concentrations were associated with high serum TSH concentrations (>5 mIU/l), while among women White ethnicity was associated with high TSH. In multivariate models adjusted for age, ethnicity and urinary iodine, soya isoflavone and protein intakes were not associated with high TSH in men. In women higher soya isoflavone consumption was associated with higher TSH, with an adjusted odds ratio (highest v. lowest quintile) of 4·17 (95 % CI 1·73, 10·06). Likewise, women with high consumption of soya protein (midpoint of highest quintile, 11 g/d) v. low consumption (midpoint of lowest quintile, 0 g/d) carried increased odds of high TSH (OR=2·69; 95 % CI 1·34, 5·30).ConclusionsIn women high consumption of soya was associated with elevated TSH concentrations. No associations between soya intake and TSH were found in men.

Recent Declines in Breast-Feeding in the United States, 1984 Through 1989

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 719-727 ◽  
Author(s):  
Alan S. Ryan ◽  
David Rush ◽  
Fritz W. Krieger ◽  
Gregory E. Lewandowski
Keyword(s):  
United States ◽  
Birth Weight ◽  
Breast Feeding ◽  
College Education ◽  
The United States ◽  
Sociodemographic Factors ◽  
Infants And Children ◽  
Supplemental Food ◽  
White Ethnicity ◽  
Breast Feed

Ongoing surveys performed by Ross Laboratories demonstrate recent declines both in the initiation of breast-feeding and continued breast-feeding at 6 months of age. Comparing rates in 1984 and 1989, the initiation of breast-feeding declined approximately 13% (from 59.7% to 52.2%), and there was a 24% decline in the rate of breast-feeding at 6 months of age (from 23.8% to 18.1%). The decline in breast-feeding was seen across all groups studied but was greater in some groups than in others. Logistic regression analysis indicates that white ethnicity, some college education, increased maternal age, and having an infant of normal birth weight were all positively associated with the likelihood of both initiating breast-feeding and continuing to breast-feed to at least 6 months of age. Women who were black and who were younger, no more than high school educated, enrolled in the Women, Infants and Children supplemental food program, working outside the home, not living in the western states, and who had an infant of low birth weight were less likely either to initiate breast-feeding or to be nursing when their children were 6 months of age. The factors influencing the decline in breast-feeding were not uniform. There were fewer sociodemograpahic factors associated with the decline in the initiation of breast-feeding than in the decline in prolonged breast-feeding. While the disparity between older and younger mothers in initiating breast-feeding increased, there was an offsetting trend as the disparity associated with parity decreased. The only other significantly changed relationship for initiation of breast-feeding was that the disparity associated with higher income increased significantly: the decline in the rates of breast-feeding among the less affluent was greater than among the more affluent. Many more sociodemographic factors were significantly associated with declines in breast-feeding at 6 months of age. The disparity between those mothers not employed and those employed increased (from an odds ratio of 1.65 in 1984 to 2.43 in 1989). The disparities associated with age and parity both increased over time: the rate of breast-feeding declined more steeply among younger and primiparous mothers than among older and multiparous mothers. Similarly, the declines were greater among those enrolled in the Women, Infants and Children program (compared with those not enrolled), those with less than a college education (compared with some college education), and those not residing in the western region of the United States (compared with those residing in the West). Educational efforts to promote breast-feeding are needed for all pregnant women and should be particularly directed toward the groups who have experienced the most rapid recent decline in the rates of breast-feeding.

scholarly journals Ethnicity Recording in Primary Care Computerised Medical Record Systems: An Ontological Approach

2017 ◽  
Vol 23 (4) ◽  
pp. 799 ◽  
Author(s):  
Zayd Tippu ◽  
Ana Correa ◽  
Harshana Liyanage ◽  
David Burleigh ◽  
Andrew McGovern ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Routine Data ◽  
Mapping Method ◽  
Relative Increase ◽  
White Ethnicity ◽  
Ontological Approach ◽  
Mapping Process ◽  
Performance System ◽  
The Uk

Background Ethnicity recording within primary care computerised medical record (CMR) systems is suboptimal, exacerbated by tangled taxonomies within current coding systems.Objective To develop a method for extending ethnicity identification using routinely collected data.Methods We used an ontological method to maximise the reliability and prevalence of ethnicity information in the Royal College of General Practitioner’s Research and Surveillance database. Clinical codes were either directly mapped to ethnicity group or utilised as proxy markers (such as language spoken) from which ethnicity could be inferred. We compared the performance of our method with the recording rates that would be identified by code lists utilised by the UK pay for the performance system, with the help of the Quality and Outcomes Framework (QOF).Results Data from 2,059,453 patients across 110 practices were included. The overall categorisable ethnicity using QOF codes was 36.26% (95% confidence interval (CI): 36.20%–36.33%). This rose to 48.57% (CI:48.50%–48.64%) using the described ethnicity mapping process. Mapping increased across all ethnic groups. The largest increase was seen in the white ethnicity category (30.61%; CI: 30.55%–30.67% to 40.24%; CI: 40.17%–40.30%). The highest relative increase was in the ethnic group categorised as the other (0.04%; CI: 0.03%–0.04% to 0.92%; CI: 0.91%–0.93%).Conclusions This mapping method substantially increases the prevalence of known ethnicity in CMR data and may aid future epidemiological research based on routine data.

scholarly journals Individual- and area-level predictors of self-harm repetition

2006 ◽  
Vol 189 (5) ◽  
pp. 416-421 ◽  
Author(s):  
Amy Johnston ◽  
Jayne Cooper ◽  
Roger Webb ◽  
Navneet Kapur
Keyword(s):  
Employment Status ◽  
Outcome Measure ◽  
Psychiatric Treatment ◽  
Individual Characteristics ◽  
Individual Factors ◽  
Ecological Studies ◽  
White Ethnicity ◽  
Self Harm ◽  
Ecological Associations ◽  
The Relationship

BackgroundNo ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition.AimsTo investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors.MethodProspective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included (n=4743). The main outcome measure was repeat self-harm within 6 months of the index episode.ResultsFour individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethnicity) were independently associated with repetition.ConclusionsRepetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.

Correlates of Participation in Physical Activity for Adolescent Girls: A Systematic Review of Recent Literature

2005 ◽  
Vol 2 (4) ◽  
pp. 423-434 ◽  
Author(s):  
Stuart J.H. Biddle ◽  
Sarah H. Whitehead ◽  
Toni M. O’Donovan ◽  
Mary E. Nevill
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Adolescent Girls ◽  
Economic Status ◽  
Female Gender ◽  
Behavioral Correlates ◽  
Organized Sport ◽  
White Ethnicity ◽  
The Family ◽  
Low Levels

Background:Many adolescent girls have low levels of physical activity and participation declines with age. This review identifies recent correlates of physical activity in adolescent girls.Methods:Systematic review of papers published 1999 to mid-2003. Papers (k = 51) reporting a measure of physical activity and at least one potential correlate of physical activity in adolescent girls were analyzed.Results:Demographics related to physical activity were female gender (–), non-white ethnicity (–), age (–), and socio-economic status (+). Psychological correlates positively associated with physical activity were enjoyment, perceived competence, self-efficacy, and physical self-perceptions. Behavioral correlates showed that smoking was associated with lower and organized sport involvement with greater activity. Physical activity was associated with parental and family support but we found no consistent trends for environmental variables. Effects were small-to-moderate.Conclusions:Modifiable correlates for adolescent girls clustered around “positive psychology,” organized sport involvement, and the family.

scholarly journals Physical, cognitive and mental health impacts of COVID-19 following hospitalisation: a multi-centre prospective cohort study

2021 ◽  
Author(s):  
Rachael Andrea Evans ◽  
Hamish McAuley ◽  
Ewen M Harrison ◽  
Aarti Shikotra ◽  
Amisha Singapuri ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
Acute Illness ◽  
Physical And Mental Health ◽  
White Ethnicity ◽  
Reactive Protein ◽  
Active Approach ◽  
Health Related ◽  
Biochemical Testing ◽  
The Impact

Background The impact of COVID-19 on physical and mental health, and employment following hospitalisation is poorly understood. Methods PHOSP-COVID is a multi-centre, UK, observational study of adults discharged from hospital with a clinical diagnosis of COVID-19 involving an assessment between two- and seven-months later including detailed symptom, physiological and biochemical testing. Multivariable logistic regression was performed for patient-perceived recovery with age, sex, ethnicity, body mass index (BMI), co-morbidities, and severity of acute illness as co-variates. Cluster analysis was performed using outcomes for breathlessness, fatigue, mental health, cognition and physical function. Findings We report findings of 1077 patients discharged in 2020, from the assessment undertaken a median 5 [IQR4 to 6] months later: 36% female, mean age 58 [SD 13] years, 69% white ethnicity, 27% mechanical ventilation, and 50% had at least two co-morbidities. At follow-up only 29% felt fully recovered, 20% had a new disability, and 19% experienced a health-related change in occupation. Factors associated with failure to recover were female, middle-age, white ethnicity, two or more co-morbidities, and more severe acute illness. The magnitude of the persistent health burden was substantial and weakly related to acute severity. Four clusters were identified with different severities of mental and physical health impairment: 1) Very severe (17%), 2) Severe (21%), 3) Moderate with cognitive impairment (17%), 4) Mild (46%), with 3%, 7%, 36% and 43% feeling fully recovered, respectively. Persistent systemic inflammation determined by C-reactive protein was related to cluster severity, but not acute illness severity. Interpretation We identified factors related to recovery from a hospital admission with COVID-19 and four different phenotypes relating to the severity of physical, mental, and cognitive health five months later. The implications for clinical care include the potential to stratify care and the need for a pro-active approach with wide-access to COVID-19 holistic clinical services. Funding: UKRI and NIHR

scholarly journals Anti-spike antibody response to natural SARS-CoV-2 infection in the general population

2021 ◽  
Author(s):  
Jia Wei ◽  
Philippa C Matthews ◽  
Nicole Stoesser ◽  
Thomas Maddox ◽  
Luke Lorenzi ◽  
...  
Keyword(s):  
General Population ◽  
Antibody Response ◽  
Mixed Models ◽  
Latent Class ◽  
Latent Class Model ◽  
Severe Infection ◽  
Peak Level ◽  
Class Model ◽  
White Ethnicity ◽  
Antibody Levels

We estimated the duration and determinants of antibody response after SARS-CoV-2 infection in the general population using representative data from 7,256 United Kingdom COVID-19 infection survey participants who had positive swab SARS-CoV-2 PCR tests from 26-April-2020 to 14-June-2021. A latent class model classified 24% of participants as 'non-responders' not developing anti-spike antibodies. These seronegative non-responders were older, had higher SARS-CoV-2 cycle threshold values during infection (i.e. lower viral burden), and less frequently reported any symptoms. Among those who seroconverted, using Bayesian linear mixed models, the estimated anti-spike IgG peak level was 7.3-fold higher than the level previously associated with 50% protection against reinfection, with higher peak levels in older participants and those of non-white ethnicity. The estimated anti-spike IgG half-life was 184 days, being longer in females and those of white ethnicity. We estimated antibody levels associated with protection against reinfection likely last 1.5-2 years on average, with levels associated with protection from severe infection present for several years. These estimates could inform planning for vaccination booster strategies.

Sign in / Sign up

Export Citation Format

Share Document