Relationship of Lifestyle Medical Advice and Non-HDL Cholesterol Control of a Nationally Representative US Sample with Hypercholesterolemia by Race/Ethnicity

Objective: The main purpose of this study was to evaluate the associations of lifestyle medical advice and non-HDL cholesterol control of a nationally representative US sample of adults with hypercholesterolemia by race/ethnicity. Methods: Data were collected by appending sociodemographic, anthropometric, and laboratory data from two cycles of the National Health and Nutrition Survey (2007-2008 and 2009-2010). This study acquired data from male and female adults aged ≥ 20 years (N = 11,577), classified as either Mexican American (MA), (), other Hispanic (OH) (), Black non-Hispanic (BNH) (), or White non-Hispanic (WNH) (). Results: Minorities were more likely to report having received dietary, weight management, and exercise recommendations by healthcare professionals than WNH, adjusting for confounders. Approximately 80% of those receiving medical advice followed the recommendation, regardless of race/ethnicity. Of those who received medical advice, reporting “currently controlling or losing weight” was associated with lower non-HDL cholesterol. BNH who reported “currently controlling or losing weight” had higher non-HDL cholesterol than WNH who reported following the advice. Conclusion: The results suggest that current methods of communicating lifestyle advice may not be adequate across race/ethnicity and that a change in perspective and delivery of medical recommendations for persons with hypercholesterolemia is needed.

Race/Ethnicity-, Gender- and Age-Specific Differences in Micronutrient Intakes of US Adults with and without Diabetes

Race/ethnicity-, gender- and age-specific differences in dietary micronutrient intakes of US adults ≥ 21 years were assessed from National Health and Nutrition Examination Survey, 2007–2008. The participants included Black non-Hispanics, Mexican-American and White non-Hispanics who signed an informed consent form for the interview and who completed the in-person 24-h recall. Micronutrient intakes were based on the Institute of Medicines' classifications of recommended dietary allowances specific for age and gender. Likelihood of many micronutrient insufficiencies was associated with being female, over 65 years, having diabetes and minority status. Younger and female adults had a greater likelihood of iron insufficiency than male and older adults. These findings demonstrate the importance of considering the intersection of age, gender and race in setting policies for micronutrient deficiency screening, particularly in young female adults and minorities.

Diabetes Self-management Behaviors, Medical Care, Glycemic Control, and Self-rated Health in US Men by Race/Ethnicity

Men, particularly minorities, have higher rates of diabetes as compared with their counterparts. Ongoing diabetes self-management education and support by specialists are essential components to prevent the risk of complications such as kidney disease, cardiovascular diseases, and neurological impairments. Diabetes self-management behaviors, in particular, as diet and physical activity, have been associated with glycemic control in the literature. Recommended medical care for diabetes may differ by race/ethnicity. This study examined data from the National Health and Nutrition Examination Surveys, 2007 to 2010 for men with diabetes (N = 646) from four racial/ethnic groups: Mexican Americans, other Hispanics, non-Hispanic Blacks, and non-Hispanic Whites. Men with adequate dietary fiber intake had higher odds of glycemic control (odds ratio = 4.31, confidence interval [1.82, 10.20]), independent of race/ethnicity. There were racial/ethnic differences in reporting seeing a diabetes specialist. Non-Hispanic Blacks had the highest odds of reporting ever seeing a diabetes specialist (84.9%) followed by White non-Hispanics (74.7%), whereas Hispanics reported the lowest proportions (55.2% Mexican Americans and 62.1% other Hispanics). Men seeing a diabetes specialist had the lowest odds of glycemic control (odds ratio = 0.54, confidence interval [0.30, 0.96]). The results of this study suggest that diabetes education counseling may be selectively given to patients who are not in glycemic control. These findings indicate the need for examining referral systems and quality of diabetes care. Future studies should assess the effectiveness of patient-centered medical care provided by a diabetes specialist with consideration of sociodemographics, in particular, race/ethnicity and gender.

The Absence of Race in Democratic Politics: The Case of the Dominican Republic

This dissertation explores the relationship between race and democratization. Through the examination of the case of the Dominican Republic, this study challenges mainstream explanations of democratic transitions. At its core, this dissertation aims at calling attention to the absence of race and ethnic allegiances as explanatory variables of the democratic processes and debates in the region. By focusing on structural variables, the analysis shies away from elite and actor-centered explanations that fall short in predicting the developments and outcomes of transitions. The central research questions of this study are: Why is there an absence of the treatment of race and ethnic allegiances during the democratic transitions in Latin America and the Caribbean? How has the absence of ethnic identities affected the nature and depth of democratic transitions? Unlike previous explanations of democratic transitions, this dissertation argues that the absence of race in democratic transitions has been a deliberate attempt to perpetuate limited citizenship by political and economic elites. Findings reveal a difficulty to overcome nationalist discourses where limited citizenship has affected the quality of democracy. Original field research data for the study has been gathered through semi-structured interviews and focus groups conducted from October 2008 to December 2009 in the Dominican Republic.

Race Relations & Politics in Venezuela during Punto Fijo (1958 – 1998)

In 1998, Hugo Chávez Frías’ presidential candidacy brought race to national discussion in Venezuela for first time since 1945. For long, the country’s politics had abided by the myth of racial harmony and racial democracy. This approach pointed to institutional separation in the United States and Africa as examples of true racism. Latin America was largely void of such atrocities. Nonetheless, Chávez claimed the present political parties (Acción Democrática, Copei and Unión Republicana Democrática) disenfranchised the common, colored Venezuelan. He continued to assert the opposition’s racism during his presidency. And his political fanbase agrees. A variety of scholars have studied the break from Punto Fijo politics to the Bolivarian Revolution. Yet, few have linked the obvious class struggle to race. Here, I seek to explain how racial identity has shaped class identity in Venezuela by closely examining the Punto Fijo era (1958-1998). The essay begins with an overview of historical race relations, moving to the period in focus. Then, I examine systematic and institutional exclusion under Punto Fijo politics. The object is to understand the merit of Chávez’s racial claims since 1998. Hence, the study also sees democracy in action and the consequences of racial exclusion. The study will be accomplished through secondary research, considering the limitations brought by working abroad. In the end, this study serves as first step in analyzing the fall of what was once considered Latin America’s most durable democracy.

Race Relations & Politics in Venezuela during Punto Fijo (1958 – 1998)

In 1998, Hugo Chávez Frías’ presidential candidacy brought race to national discussion in Venezuela for first time since 1945. For long, the country’s politics had abided by the myth of racial harmony and racial democracy. This approach pointed to institutional separation in the United States and Africa as examples of true racism. Latin America was largely void of such atrocities. Nonetheless, Chávez claimed the present political parties (Acción Democrática, Copei and Unión Republicana Democrática) disenfranchised the common, colored Venezuelan. He continued to assert the opposition’s racism during his presidency. And his political fanbase agrees. A variety of scholars have studied the break from Punto Fijo politics to the Bolivarian Revolution. Yet, few have linked the obvious class struggle to race. Here, I seek to explain how racial identity has shaped class identity in Venezuela by closely examining the Punto Fijo era (1958-1998). The essay begins with an overview of historical race relations, moving to the period in focus. Then, I examine systematic and institutional exclusion under Punto Fijo politics. The object is to understand the merit of Chávez’s racial claims since 1998. Hence, the study also sees democracy in action and the consequences of racial exclusion. The study will be accomplished through secondary research, considering the limitations brought by working abroad. In the end, this study serves as first step in analyzing the fall of what was once considered Latin America’s most durable democracy.

Spatial Articulations of Race, Desire, and Belonging in Western North Carolina

The sociocultural mythology of the South homogenizes it as a site of abjection. To counter the regionalist discourse, the dissertation intersects queer sexualities with gender and race and focuses on exploring identity and spatial formation among Black lesbian and queer women. The dissertation seeks to challenge the monolith of the South and place the region into multiple contexts and to map Black geographies through an intentional intersectional account of Black queer women. The dissertation utilizes qualitative research methods to ascertain understandings of lived experiences in the production of space. The dissertation argues that an idea of Progress has been indoctrinated as a synonym for the lgbtq civil rights movement and subsequently provides an analysis of progress discourses and queer sexualities and political campaigns of equality in the South. Analyses revealed different ways to situate progress utilizing the public contributions of three Black women interviewed for the dissertation. Moreover, the dissertation utilizes six Black queer and lesbian women to explain the multifarious nature of identities and their construction in place. Black queer and lesbian women produce spaces that deconstruct the normativity of stasis and physicality, and the dissertation explores the consequential realities of being a body in space. These consequences are particularly highlighted in the dissertation by discussions of the processes of racialization in the bounded and unbounded senses of space and place and the impacts of religious institutions, specifically Christianity. The dissertation concluded that no space is without complication. Other considerations should be made in the advancement of alleviating oppression deeply embedded in United States landscapes. Black women’s geographies offer epistemological and ontological renderings that enrich analyses of space, place, and landscape. The dissertation also concludes that Black women’s bodies represent sites for the production of geographic knowledge through narrating their spaces of material trajectories of interlocking, multiscalar lives.

An Examination of Race, Socioeconomic Status, and Individualism-Collectivsm as Moderators of the Work/Family Antecedent and Work-Family Conflict Relationship

This study examines the role of race, socioeconomic status, and individualism-collectivism as moderators of the relationship between selected work and family antecedents and work-family conflict and evaluates the contribution of energy-based conflict to the work-family conflict (WFC) research. The study uses data obtained from a survey questionnaire given to 414 participants recruited from an online labor market. Study hypotheses were tested through structural equation modeling. The results indicate that while moderating effects were slight, a proposed model where energy-based conflict is included outperforms traditional time/strain/behavior-based models and that established variables may drop to non-significance when additional variables are included in prediction. In addition, novel individual difference variables such as individualism and collectivism were demonstrated to have effects beyond moderating antecedent-outcome relationships in the model. The findings imply that WFC models would benefit from the inclusion of variables found in the current study.

Injustice Everywhere: Hemingway's Struggle with Race, Gender, and Aesthetics

The purpose of this study was to critically evaluate the aesthetic decisions and theoretical complexity of three of Ernest Hemingway’s most experimental texts: IN OUR TIME, TO HAVE AND HAVE NOT, and THE GARDEN OF EDEN, and to show that the usually maligned Hemingway was an author invested in the avant-garde and in analyzing and dissecting rigid societal rules, not championing them. Through critical analysis this study examined how Hemingway makes specific aesthetic decisions in order to more clearly examine the disparity between whites and both women and racial minorities in America. The problems that Hemingway makes clear through his art are meant to have a profound effect upon the reader and encourage re-evaluation of societal rules, their purpose, and their fairness to those who are not white, male, and typically in a position of power. The findings demonstrate that Hemingway’s entire oeuvre is open to re-interpretation on the basis of a progressive view of the author.

The Symbolism of Race in Cuba Today- Presentation by Pedro Perez- Sarduy

This flyer promotes a lecture by Pedro Perez- Sarduy, a Cuban poet, novelist, journalist, broadcaster and cultural critic residing in London. The lecture was held on November 5, 2015 at FIU Modesto Maidique Campus GL 220 and was co-sponsored by the Department of English and the Kimberly Green Latin American and Caribbean Center.