Black to black. A new national network for black and minority ethnic mental health aims to keep the issue high on the government's agenda.
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AIM: To examine limiting long-term illness among ethnic groups born in the UK. DESIGN: Study members in the ONS Longitudinal Study, a representative 1% sample of England and Wales, present at the 1991 Census were examined. Socio-economic position was measured using housing tenure and access to cars. MAIN RESULTS: Black Caribbeans, Black Africans, Indians, Pakistanis and Bangladeshis reported more limiting long-term illness than whites, and the Chinese less. The level was higher among Black Africans than Black Caribbeans, even after adjustment for socio-economic position. Corresponding patterns were seen across the generations for all groups except Black Africans. Black Africans born in the UK reported more limiting long-term illness than did those born in Africa. Adjusting for socio-economic position lowered the risks in every group except Indians. The effect was strongest for Black Caribbeans, among whom adjustment removed the higher risks, and Bangladeshis, among whom the higher risks were no longer significant. CONCLUSION: For South Asians and Black Caribbeans poor health persisted across generations, and for Black Africans health worsened. There are over 1.5 million second- and third-generation migrants in these ethnic groups, but little is known about the consequences of having a multigenerational identity.
OBJECTIVE: We undertook a lung cancer mortality analysis of 1528 German carbon black workers, followed between the years of 1976-1998, who produced furnace black, lamp black, and gas black. METHODS: We used Cox modeling across age with time-dependent covariates, ie, cumulative and mean carbon black exposure, duration of work in departments, adjusting for calendar time, a smoking indicator, and age at hire. Exposures were lagged up to 20 years. Analyses were performed with the full cohort and after restriction to an inception cohort. RESULTS: A total of 50 lung cancer deaths occurred. No positive association was found with carbon black exposure indices. Some models indicated an increasing risk across duration of work in the lamp black producing department. CONCLUSIONS: Our results do not suggest that carbon black exposure is a human lung carcinogen. The lamp black results, if no artifact, may point at historical exposures to gaseous polycyclic aromatic hydrocarbons.
The new method of Colour-Black-PVEPs was applied to 67 healthy subjects with normal colour vision who were subdivided into age groups (= AG) I (N = 40: 18-30 years) and AG II (N = 27: 31-60 years): 1. For the N80-, P100- latencies and the N80P100-amplitudes of all Colour-Black-PVEPs we obtained age-, sex- and eye-matched normative data. 2. The female subjects of AG I showed shorter (p less than or equal to 0.05 resp. 0.002) P100-latencies and higher (p less than or equal to 0.02 resp. 0.0001) N80P100-amplitudes in the Colour-Black-PVEPs than the male subjects. In AG II, however, the Colour-Black-PVEPs did not show any more sex-differences for the P100-latencies, whereas the N80P100-amplitudes remained significantly higher for the females. 3. In the Colour-Black-PVEPs the N80- and P100-latencies did not reveal age-dependent changes. The N80P100-amplitudes, however, decreased with increasing age, but this was significant for the females only. 4. The head sizes, although decreasing with age, were in both age groups significant smaller for the females only. 4. The head sizes, although decreasing with age, were in both age groups significant smaller for the females. Therefore, head size alone could not fully explain the sex-differences in the Colour-Black-PVEPs and their age-dependent changes. 5. In both age groups, the N80--and P100-latencies increased significantly for both sexes from the Green-Black- and Red-Black-PVEPs to the Blue-Black-PVEPs. The N80P100-amplitudes decreased in the same sequence. This method may become a valuable tool in the investigation of neurophysiological and ophthalmoneurological aspects of human colour vision.
To test the accuracy of generalized skinfold (SF) equations in blacks and to compare fat patterning in black and white adults, percent body fat (%BF) was assessed in 90 blacks and 89 whites by deuterium oxide dilution (D2O) and by generalized SF equations [Durnin and Womersely (DW), and Jackson and Pollock and Jackson et al (JP)] by using two calipers (Lange and Holtain). In blacks, JP significantly underpredicted (2.95%) and DW overpredicted (1.74%) D2O %BF with the Lange caliper. With the Holtain caliper DW successfully predicted D2O %BF (r = 0.91, SEE = 3.8%). In whites, DW overpredicted D2O %BF more than in blacks (4.94% vs 1.74%). Lower triceps-subscapular and thigh-subscapular skinfold-thickness ratios in black females and lower suprailiac-subscapular ratios in black males and females were found. It was concluded that blacks may have more visceral and upper-body fat deposition.
This paper is one of a series of reports on the findings of a survey on psychotherapy with nonpsychotic black patients and black and white psychiatrists. The responses of the two groups of psychiatrists are presented and analyzed, focusing on their clinical experiences with their black patients. The differences between the two groups of psychiatrists on the presenting problems, unconscious conflicts, and role of racism with their black patients are among the clinical areas examined and discussed.The psychiatrists treated similar types of black male and female patients; however, the survey results indicate that a large proportion of white psychiatrists have little or no experience treating blacks. Although there were more similarities than differences in responses of black and white psychiatrists to clinical questions, there were differences in the frequency and order in which problems were rated. For example, both groups of psychiatrists rated developing new coping mechanisms as the most frequent problem in stages of the treatment process for both sexes. However, white psychiatrists rated a majority of the problems in stages of the treatment process as occurring more frequently than did black psychiatrists. The findings substantiate difficulties with clinical treatment by a therapist who has a racial, ethnic, or cultural background different from that of his patient.
The authors used 1985-1990 Illinois' vital records to determine the low birth weight components of infants delivered to US-born Black women, Caribbean-born Black women, and US-born White women. The moderately low birth weight rate (1,500-2,499 g) was 10% for infants with US-born Black mothers (n = 67,357) and 6% for infants with Caribbean-born mothers (n = 2,265) compared with 4% for infants with US-born White mothers (n = 34,124); the relative risk equaled 2.7 (95% confidence interval (CI): 2.5, 2.8) and 1.7 (95% CI: 1.4, 2.0), respectively. The very low birth weight rate (<1,500 g) was 2.6% for infants delivered to US-born Black women and 2.4% for infants to Caribbean-born women compared with 0.7% for infants to US-born White women; the relative risk equaled 3.6 (95% CI: 3.1, 4.1) and 3.3 (95% CI: 2.5, 4.4), respectively. Among the lowest risk mothers, the relative risk of moderately low birth weight for infants with US-born Black mothers and Caribbean-born mothers (compared with US-born White mothers) was 2.7 (95% CI: 2.1, 3.4) and 1.2 (95% CI: 0.4, 3.1), respectively; the relative risk of very low birth weight for infants with US-born Black mothers and Caribbean-born mothers was 6.7 (95% CI: 3.8, 12) and 4.2 (95% CI: 1.0, 18), respectively. The authors conclude that Caribbean-born women and US-born Black women have disparate moderate rates but equivalent very low birth weight rates.
The bone marrow granulocyte reserves of nine black patients with "benign" neutropenia were estimated by measuring the maximum neutrophil increment after the administration of hydrocortisone. Thirty control subjects, including 16 black and 14 white adults, were also studied. The mean neutrophil increment in the black patients with neutropenia was significantly less than that in the control subjects. The mean increment in the black control was also significantly less than that in the white control subjects. Four of the 16 black control subjects had neutrophil counts below 2,000/microliter; if these four are excluded from the analysis, the difference between the black and white control subjects is no longer significant. These data suggest that there is a subpopulation of healthy black adults with neutrophil counts below 2,000/microliter with reduced marrow granulocyte reserves as tested by corticosteroids. Bone marrow aspirates in four of the neutropenic patients showed normal cellularity and myeloid maturation suggesting that the lower increments are due to a difference in granulocyte release rather than to a difference in granulocyte production.
We investigated the influence of eye dominance scaled by 6 tests on the parameters (N80, P100 latency and N80-P100 amplitude) of the white-black-, green-black-, red-black- and blue-black-pattern visual evoked potentials (PVEPs) of 40 healthy subjects (20 males and 20 females) with normal visual acuity. The P100 latency of the white-black PVEPs was, for both sexes, shorter (P less than or equal to 0.001) in the PVEPs of the dominant eyes. This P100 latency shortening could also be verified for both right dominant and left dominant eyes with no significant difference between them. A consistent relationship, however, between the different degrees of eye dominance and the P100 latency shortening could not be established. In contrast to the P100 latency findings the N80 latencies of the white-black-PVEPs and the N80-P100 amplitudes did not show any significant differences with respect to eye dominance. Furthermore, the colour-black PVEPs did not present any differences of latency and amplitude depending on eye dominance. Thus our results give further electrophysiological evidence for eye dominance as a lateralized CNS phenomenon that is not influenced by colour.
In this study we examined the role of the nitrogen-fixing tree, Robinia pseudoacacia (black locust), in ectomycorrhizal (ECM) formation and ECM community of Pinus thunbergii (Japanese black pine) seedlings. Two 200 m(2) experimental plots were established at the border between a Japanese black pine- and a black locust-dominated area in a coastal forest. The ECM fungal community of pine seedlings was examined by PCR-RFLP and sequence analysis. We analyzed the relationship between ECM formation, ECM community, growth, and nutrient status of pine seedlings and environmental conditions using the Mantel test and structural equation model. Percentages of ECM root tips, the number of ECM fungal species and ECM diversity on pine seedlings decreased in the black locust-dominated area. Cenococcum geophilum and Russula spp. were dominant in the Japanese black pine-dominated area, whereas Tomentella spp. were dominant in the black locust-dominated area. Nitrogen (N) concentration in soils or pine seedlings strongly influenced the percentage of ECM root tips, the number of ECM fungal species and ECM fungal similarity. These results imply the long-term eutrophication caused by N-fixing trees can change ECM formation and ECM community structure.
Currently the demand for transplant organs, particularly kidneys, far outstrips the supply in the United Kingdom. This problem is particularly severe for the Black African and Black Caribbean populations who have a higher predisposition to end-stage renal failure. Several commentators have suggested that religious and cultural traditions may be the major determinant preventing Black Africans and Black Caribbeans from donating organs. An exploratory qualitative study using focus groups was undertaken with the aim of examining the influence of religion, among other things, on the extent and direction of public attitudes toward organ donation in a cross-section of the Black African and Black Caribbean populations in Lambeth, Southwark, and Lewisham. In almost every focus group, religion and faith were expressed as issues that could prevent Black people from becoming organ donors. Organ donation was debated with caution on the basis of how their religious experience had influenced them. This finding suggests that the church and faith leaders could play a greater role in raising awareness of organ donation in these communities. Religious leaders can reach large numbers of people in a short space of time and will assist members of any group to understand more fully the religious stance on the subject matter. This education, in the long term, may lead to more people becoming organ donors.
An isoelectric focusing (IEF) procedure in an ultra-narrow pH range, 4.2-4.9, has been utilized to detect alpha 1-antitrypsin or alpha 1-protease inhibitor (PI) allele products in 2 US white and 3 US black populations as well as 1 native African black population. In addition to the 3 common alleles PI*M1, PI*M2 and PI*M3, products of the 4th allele PI*M4 have been identified in US whites at low-level frequency. The presence of the PI*S, PI*Z and PI*I alleles has also been verified in our population samples. While the PI*S allele is present at a polymorphic level in US whites, it is only present sporadically in US blacks and is completely absent in African blacks. The PI*Z allele was not detected in the black populations tested. The PI allele frequency data have been used to calculate white admixture in US blacks.
During several millenia, blacks in ancient Egypt made numerous contributions to medicine and were acknowledged as the inventors of the art of medicine. They produced the earliest physicians, medical knowledge, and medical literature. They contributed to the development of medicine in ancient Greece. Ancient writers, including Herodotus, Isocrates, and Diodorus, affirm this. Modern presentations of ancient medicine, however, deprive blacks of the knowledge of their early contributions to medicine by ignoring or subtly misrepresenting the black identity of the ancient Egyptians. Blacks are currently under-represented in US medical schools. It is proposed that the recognition of the contributions of blacks to the early history of Western medicine would inspire black students to study medicine.
This study investigated African self-consciousness and Black racial identity as predictors of psychological distress and self-esteem for Black men. One hundred thirty Black men from a college and community sample completed the African Self-Consciousness Scale, the Racial Identity Attitude Scale-B, the Symptom Checklist 90-Revised, and the Coopersmith Self-Esteem Inventory. Canonical correlation analysis found 2 significant roots with the 1st root indicating that Black men whose attitudes reflected Preencounter and Immersion racial identity attitudes and who do not resist against anti-African/Black forces reported greater psychological distress and less esteem. Results from the 2nd root suggested that Black men whose attitudes reflect greater Internalization racial identity attitudes, greater resistance to anti-African/Black forces, and less identification with Blacks reported greater self-esteem.
The mortality disadvantage of African Americans is well documented, but previous studies have not considered its implications for population theory in the general case of industrialized nation states with high levels of income inequality. This paper examines the relevance of classic epidemiological theory to the extremes of income and mortality observed in Chicago, one of America's most racially divided cities. We analyze cause-specific death rates for black and non-black male populations residing in Chicago's community areas by using linked data from the 1990 Census and from 1989-1991 individual death certificates. The same cause-of-death patterns explain much of the mortality of black and non-black men. These two major structures include one, degenerative diseases, the other, "tough-living" causes (accidents, homicides, and liver disease). Community socioeconomic status is strongly related to tough-living deaths within each racial group, and to degenerative deaths for African Americans. Black men's tough-living mortality is much greater than non-blacks', but their younger age structure suppresses their degenerative death rates. Aggregate unemployment and social disorganization account for the most salient disparities in mortality across racial groups. This patterning of mortality along a socioeconomic continuum supports epidemiological theory and extends its applicability to highly unequal populations within industrialized countries.
AIM: To test the hypothesis that an intergenerational increase would occur in birthweights of babies born to UK-born compared with overseas-born (migrant) minority women. METHOD: Live singleton births to mothers present at the 1991 Census in a national longitudinal study were classified by mother's country of birth and ethnic origin as reported in the census. During 1983-2000, 52,554 White, 1788 Indian, 1538 Pakistani, 995 Bangladeshi, 300 Black Caribbean, and 299 Black African live singleton births were identified. Mean birthweights were adjusted for maternal age, socio-economic circumstances, gender, year of birth, and birth order. RESULTS: Adjusted mean birthweights were: 3400 g (95% CI: 3395, 3405) for infants of UK-born White mothers; 3033 g (95% CI: 2980, 3087) of UK-born Indian mothers and 3066 g (95% CI: 3034, 3097) of migrant Indian mothers; 3110 g (95% CI: 3049, 3172) of UK-born Pakistani mothers and 3123 g (95% CI: 3087, 3159) of migrant Pakistani mothers; 3026 g (95% CI: 2922, 3130) of UK-born Bangladeshi mothers and 3110 g (95% CI: 3076, 3145) of migrant Bangladeshi mothers; 3268 g (95% CI: 3177, 3359) of UK-born Black Caribbean mothers and 3238 g (95% CI: 3089, 3388) of migrant Black Caribbean mothers; and 3167 g (95% CI: 3004, 3330) of UK-born Black African mothers and 3302 g (95% CI: 3208, 3395) of migrant Black African mothers. The proportions of low birthweight infants (<2500 g), generally greater among migrant mothers than White UK-born mothers, were similar by generational status within the ethnic groups. CONCLUSION: There are no significant differences in mean birthweights of infants by generational status among mothers from these main ethnic minority groups in the UK.
We report here the analysis of four intragenic (BclI, HindIII, XbaI, and BglI) and two extragenic (MspI and TaqI/St14) polymorphisms associated with the factor VIII gene in the Brazilian Black population. No difference was observed for the allelic frequencies of the BclI, HindIII, and BglI polymorphisms when we compared our results with those reported for North American Blacks. For the first time, the XbaI and MspI polymorphisms were investigated in a Black population. Interestingly, the XbaI polymorphism is almost monomorphic for the Brazilian Black population, differing in this respect from all other populations studied thus far. The MspI polymorphism presents inverse allelic frequencies for the Brazilian Blacks when compared with Caucasians, as observed for the BclI and HindIII polymorphisms. Analysis of the TaqI/St14 multiallelic system revealed five novel alleles (ranging from 5.8 to 11.0 kb) which may represent unique alleles for the Black population. The results show that analysis of factor VIII gene polymorphisms and haplotypes may be successfully used for investigating interrelationships between human populations. The results also allow definition of a strategy for carrier detection and prenatal diagnosis of hemophilia A in this population based on analysis of factor VIII gene polymorphisms, which is considered an alternative approach for those families where identification of gene mutation is not feasible.
This essay investigates the ways in which three African American heterosexual males-Eddie Murphy, Damon Wayans, and David Alan Grier-appropriate signifiers of gayness to parody, stereotype, and repudiate black gay men. These performances are also attempts to circumscribe the boundaries of blackness, ultimately suggesting that "authentic" blackness is lodged within hegemonic black masculinity. Contrary to this desired effect, the essay demonstrates how these performers, in the act of repudiation, ironically and unwittingly queer heteronormative black masculinity, securing further the dialectic between heterosexuality and homosexuality. Finally, the essay argues that these performances manifest the black heterosexual male's melancholia, his refusal to grieve the loss of his sexual B(r)other.