Engaging Politically Disenfranchised Students in Governance

New Jersey City University is an urban, Minority- and Hispanic-Serving Institution with a First-Generation-to-College, commuter, and immigrant student population. How can we engage our students who feel powerless, distrustful, or even threatened by government actors in governance? Will perceptions of governance change with increased exposure to political elites in their communities? Using Community Engaged Learning methods, we asked students to attend civic meetings and courtrooms to observe the inner workings of governance and engage in dialogue with political elites. Journals and surveys reveal that students deconstructed pre-conceived notions of powerlessness, humanized government actors, and became hopeful about change in their communities.

Maternal pre-pregnancy weight and early life lower respiratory tract infections in a low-income urban minority birth cohort

The prevalence of maternal obesity has increased dramatically with adverse consequences on infant health. Prior studies have reported associations between maternal obesity and childhood wheeze, asthma as well as lower respiratory tract infections (LRTI). However, studies examining the association of obesity with early-life LRTIs in low-income urban minority populations are still lacking. This is a critical gap because both obesity and infant respiratory morbidity are more prevalent and severe in these communities. We examined mother‐child dyads from the Boston Birth Cohort (BBC) to define the longitudinal association of maternal pre‐pregnancy BMI and LRTI in infancy, defined as the presence of bronchiolitis, bronchitis, or pneumonia during the first year of life (< 12 months of age). A total of 2,790 mother‐child dyads were included in our analyses. Infants born to pre-pregnancy obese mothers (n = 688, 25%) had 1.43 increased odds (adjOR = 1.43, 95% CI 1.08–1.88, p = 0.012) of developing LRTI during the first year of life when compared with newborns born to normal-weight mothers after adjusting by relevant LRTI risk factors. Notably, infants born to overweight mothers (n = 808, 29%) followed a similar trend (adjOR = 1.31, 95% CI 1.00–1.72, p = 0.048). Our study demonstrated that maternal pre-pregnancy obesity is an independent risk factor for the development of LRTI during infancy in a low-income urban minority birth cohort.

Urbanizing Minority Minzu in the PRC: Insights from the Literature on Settler Colonialism

This article provides a synthesis and critical review of the literature on urban minority minzu 民族 in the People’s Republic of China (PRC). The vast majority of the Chinese-language literature on minorities in cities adopts a state-centric view through the lens of stability and integration, focusing on how minorities can adapt to urban life for the purpose of creating a “harmonized” society. This statist narrative not only denies the subjectivity of minorities in the city but also constrains the understandings of the dynamics of urban indigeneity. In this article, we draw on the literature of urban Indigenous peoples in settler colonial contexts to suggest new ways of examining the urban experience of minority minzu in the PRC. We suggest that this literature provides useful insights that help center the subjectivities and agency of Indigenous people in the PRC’s cities. Literature on urban minorities in the PRC can be expanded by engaging with the Indigenous urbanization literature to include coverage of three topics: representation (how minority people are shown as belonging to the city), mobilization (the use of urban space by minority people to pursue social, cultural, and political projects), and mobility (movement and interconnectedness between rural homelands and the city).

Small-Groups Versus Full-Class Exergaming on Urban Minority Adolescents’ Physical Activity, Enjoyment, and Self-Efficacy

Background: The effects of school-based exergaming interventions on adolescents’ physical activity (PA) and psychosocial outcomes have been mixed. Researchers speculate this may be attributed to design issues. Therefore, this study examined differences in urban minority adolescents’ PA, enjoyment, and self-efficacy during small-groups and full-class exergaming. Methods: Forty-seven urban minority adolescents (83% black; ) completed two 15-minute exergaming sessions on the Xbox One Kinect Just Dance: (1) small groups (n = 3–4) and (2) full class (n = 23–24). Participants’ time in sedentary behavior, light PA, and moderate to vigorous PA and steps were retrieved from ActiGraph GT3X+ accelerometers with enjoyment and self-efficacy assessed using validated surveys. Results: Participants spent significantly more time in sedentary behavior (5.9 [5.2] min vs 3.5 [2.7] min, respectively: P < .001, d = 0.57) and less time in moderate-to-vigorous PA (2.1 [2.8] min vs 5.5 [2.2] min, respectively: P < .001, d = 0.85) during the full-class versus the small-groups session. Moreover, small-groups exergaming resulted in significantly higher steps than the full-class exergaming (504.2 [132.1] vs 387.8 [122.1], respectively: P = .01, d = 0.50) and significantly greater enjoyment (3.5 [1.1] vs 3.2 [1.0], respectively: P = .02, d = 0.37). There were no significant differences between sessions for time in light PA and self-efficacy. Conclusions: Small-groups exergaming appears ideal for promoting enjoyable PA at higher intensities and lower sedentary time in underserved minority adolescents.

Feasibility of Utilizing PREMM Score for Lynch Syndrome Identification in an Urban, Minority Patient Population

The PREMM5 model is a web-based clinical prediction algorithm that estimates the gene-specific risk of an individual carrying a Lynch syndrome germline mutation based on targeted family history questions. The objectives of our study were to determine the feasibility of screening for LS in an urban, minority patient population in a primary care setting using the PREMM5 model and characterize patient barriers associated with difficulty completing the questions. Participants were recruited from Tulane Internal Medicine primary care clinics on 9 random collection dates. Our data illustrates the difficulty patients have in recalling important details necessary to answer the PREMM questionnaire.

Perceptions of the Osteopathic Profession in New York City's Korean Communities

Objective: The purpose of this study was to assess knowledge of and barriers to osteopathic medicine in Korean communities in New York City. Design: A cross-sectional study was designed in which a culturally appropriate survey in Korean and English versions was administered anonymously to measure community perceptions and knowledge of osteopathic medicine. Setting: Data collection occurred in the municipal delineations for the Bayside neighborhood within the New York, New York borough of Queens. Participants: Community members were selected using convenience sampling from high-density areas to participate. The survey included demographics, education level, health care habits and knowledge of the osteopathic profession. Results: 105 surveys were conducted with 47 males and 58 females, with an average age = 66. Only 14% (n=15) indicated knowledge about osteopathic manipulative medicine (OMM) and 9% (n=9) indicated knowledge of osteopathic physicians (DOs), with the primary language spoken at home (Korean) as the sole statistically significant factor in recognition of OMM and DOs among the study variables. Conclusion: Compared to research on the general U.S. population, a general lack of knowledge of osteopathic medicine exists within New York City's Korean community. Although this difference may be ascribed to linguistics and ethnosociological factors, greater outreach and education is needed in urban minority communities to make immigrants aware of all health care resources available during the current shortage of primary care physicians in the U.S.