NIA Division of Behavioral and Social Research Priorities in Health Disparities

This presentation will include priority research areas in health disparities in the NIA Division of Behavioral and Social Research (BSR). It will include a portfolio analysis and description of BSR program and research in health disparities. Specifically, the 2019 BSR National Advisory Committee on Aging (NACA) recommended BSR’s number one research priority in health disparities. In 2020 BSR held a workshop on structural racism. BSR supports funding announcements in health disparities in Alzheimer’s Disease and Related Dementias, sleep, Native American Health, and immigration among others. Key themes for BSR include racial disparities that often center on context and resources, that is, factors such as residential segregation, rurality, individual and neighborhood SES, and access to health care; persistent racial differences in chronic health conditions; disparities in health systems; immigration and nativity closely linked with race and health outcomes; and racial discrimination linked to poorer mental health and psychological stress.

Fighting Medical Racism with Education and Action

Denise Tyson is the president of the Maryland Acupuncture Society (US), one of the state-level professional organizations that comprises the American Society of Acupuncturists. Following the police murder of George Floyd on May 25, 2020, she called on her colleagues in the acupuncture profession to take meaningful action against racism and to educate themselves about the long history of racist violence against African Americans. In July 2020 an editor of Asian Medicine interviewed Tyson to learn about her medical career and her perspectives on race and health care. The main themes of the interview include: her affinity for acupuncture and Chinese medicine, her experiences with racial bias in both biomedicine and integrative medicine, strategies for making acupuncture organizations more inclusive, and the crucial role that education plays in combating racism.

Demographic Factors Associated With Successful Telehealth Visits in Inflammatory Bowel Disease Patients

Background This study evaluated synchronous audiovisual telehealth and audio-only visits for patients with inflammatory bowel disease (IBD) to determine frequency of successful telehealth visits and determine what factors increase the likelihood of completion. Methods Data were collected from March to July 2020 in a tertiary care adult IBD clinic that was transitioned to a fully telehealth model. A protocol for telehealth was implemented. A retrospective analysis was performed using electronic medical record (EMR) data. All patients were scheduled for video telehealth. If this failed, providers attempted to conduct the visit as audio only. Results Between March and July 2020, 2571 telehealth visits were scheduled for adult patients with IBD. Of these, 2498 (99%) were successfully completed by video or phone. Sixty percent were female, and the median age was 41 years. Eighty six percent of the population was white, 8% black, 2% other, and 4% were missing. Seventy-five percent had commercial insurance, 15% had Medicare, 5% had Medicaid, and 5% had other insurance. No significant factors were found for an attempted but completely failed visit. Using a multivariate logistic regression model, increasing age (odds ratio, 1.80; 95% CI, 1.55–2.08; P < 0.05), noncommercial insurance status (odds ratio, 1.89; 95% CI, 1.61–2.21; P < 0.05), and black race (odds ratio, 2.07; 95% CI, 1.38–3.08; P < 0.05) increased the likelihood of a video encounter failure. Conclusions There is a high success rate for telehealth within an IBD population with defined clinic protocols. Certain patient characteristics such as age, race, and health insurance type increase the risk of failure of a video visit.