Post-Pandemic Onset Trends for Public School English Learners in Virginia. COVID-19 Impacts Research Brief Series No. 3

The COVID-19 pandemic impacted the educational experiences of diverse student populations throughout the country and among Virginia public schools. English Learners (ELs) had a unique set of needs and services prior to the pandemic, and potentially were more vulnerable to pandemic-related disruptions in typical school operations than other student groups. We analyze statewide, student-level administrative data on the composition of the EL population, the identification for and reclassification out of EL services, and the exit of ELs from public school enrollment in kindergarten through grade twelve between the 2010-11 and 2020-21 school years to examine changes between the pre-pandemic period and first post-pandemic onset year (2020-21). Our key findings include the following: (1) Following the onset of the pandemic, the number of students classified as EL decreased for the first time in a decade. Specifically, whereas the number of students classified as EL increased by 26.0% (25,171 more students) between 2010-11 and 2019-20, the number of students classified as EL decreased by 3.2% (3,852 fewer students) between 2019-20 and the first post-pandemic onset year (2020-21). (2) There was a 21.6% decline (6,223 fewer students) in the number of Virginia K-12 public school students newly identified for EL services in 2020-21 as compared to 2019-20. The drop in new EL identification occurred across student groups, but was largest among Hispanic students, economically disadvantaged students, and ninth graders. (3) The number of EL students reclassified as fully English proficient decreased by 57.3% (8,169 fewer students) in 2020-21 as compared to the pre-pandemic period. This decline is nearly three times the size of the previous largest year-to-year change. The drops in reclassification among ELs occurred across student groups and were somewhat larger among Hispanic and economically disadvantaged students. (4) EL students' exits from Virginia public schools in the post-pandemic onset were a continuation of pre-pandemic trends and did not meaningfully vary by race/ethnicity, economically disadvantaged status, or disability status.

The Impact of Remote Hearing Policies on Racial Equity in Criminal Case Outcomes During the Pandemic

The criminal justice system confronted unprecedented challenges during the COVID-19 pandemic. In response, court systems nationwide quickly instituted policies to enable criminal cases to proceed while protecting public health. The shift toward criminal hearings by videoconference or teleconference has persisted. All fifty states now conduct criminal hearings remotely. Yet evidence about how remote proceedings affect case outcomes remains sparse. Using data for all arrests and criminal case dispositions that occurred in California between 2018 and mid-2021, I characterize the impact the pandemic had on arrest and case resolution rates, estimate the impact of adopting policies to permit remote hearings on conviction and sentencing outcomes, and determine which factors contributed to racial differences in outcomes. Remote hearing policies contributed to racial inequalities in outcomes, which predated the pandemic and persisted amid it.

Racial Ethnic Differences in Advance Directive Completion Among Middle-Aged and Older US Adults (Sch455)

1. Understand demographic factors associated with advance directive (AD) completion. 2. Identify racial/ethnic groups with lower AD completion rates. Previous research has found lower AD completion by Black and Latinx adults. However, most studies were conducted prior to COVID-19 and included patients with different types of insurance coverage. To identify racial/ethnic differences in percentages of middle-aged and older adults in a large US health plan who report having an AD. We analyzed self-reported data for 6,719 adults aged 45 to 90 years who completed the self-administered 2020 Kaiser Permanente Northern California (KPNC) Member Health Survey, which included a question about having an AD. Using data weighted to the 2019 KPNC membership, we estimated AD prevalence for white, Black, Latinx, and Asian American/Pacific Islander (AAPI) adults aged 45 to 64 years, 65 to 74 years, and 75 to 90 years. We used modified log Poisson regression to produce AD prevalence ratios (aPR) comparing Black, Latinx, and AAPI to white adults within ages 45 to 64 years and 65to 90 years adjusted for age, sex, education, relationship status, and overall health rating. Overall, white adults (56.1%) were significantly more likely to report having an AD than AAPI (35.3%), Black (34.4%), and Latinx (29.0%) adults. Compared to white adults, AD prevalence was lower among AAPI (aPR 0.69, CI 0.58-0.82), Black (aPR 0.71, CI 0.52-0.97), and Latinx (aPR 0.56, CI 0.42-0.73) adults ages 45 to 64 years and among AAPI (aPR 0.75, CI 0.69-0.81), Black (aPR 0.82, CI 0.73-0.92), and Latinx (aPR 0.82, CI 0.74-0.92) adults ages 65 to 90 years. Within both age groups, AD prevalence was higher among adults with a college degree and in a committed relationship, after controlling for age, sex, race/ethnicity, and overall health rating. Despite increased public awareness and life-care planning programs, racial/ethnic disparities persist in AD completion. The largest racial/ethnic gaps are seen in middle-aged adults. Further research is needed to develop effective, culturally humble approaches to increasing AD completion across all racial/ethnic groups. [ FROM AUTHOR] Copyright of Journal of Pain & Symptom Management is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Patterns of Earnings and Employment by Worker Sex, Race, and Ethnicity Using State Administrative Data: Results from a Sample of Workers Connected to Public Assistance Programs

During the strong economic conditions that predated the COVID-19 pandemic, many US workers, especially females and individuals of color, suffered from economic vulnerability. Despite growing research attention, we lack an understanding of how the prevalence and patterns of earnings and job instability vary with worker characteristics, particularly at the intersections between sex and race/ethnicity. This study uses longitudinal administrative data from a large, diverse state from 2015 through 2018 to document changes in earnings and jobs. We then examine variation in the size, frequency, and direction of these changes by worker sex and race/ethnicity among a subsample of workers who are connected to the public welfare system. Results indicate that, as expected, workers who are connected to the public welfare system experienced higher levels of economic vulnerability, but with substantial racial/ethnic and sex differences. As a consequence, a large number of workers—disproportionately those of color—were experiencing high levels of economic instability during a period of strong economic growth. Our findings have implications for policy and practice strategies.

Implicit Racial Bias Across Ethnoracial Groups in Canada and the United States and Black Mental Health

Black Canadians and Americans experience disparities in access to quality mental health care and mental health overall. Implicit biases are unconscious, automatically activated attitudes and stereotypes, with the potential to yield racist behaviors. To date, research has focused on health provider bias and resultant consequences in the decision-making/treatment of racialized groups. Little has been done to characterize implicit anti-Black biases within White and non-White members of the general population or examine the relationship between biases and Black people's mental wellness. Black-White Implicit Association Test (BW-IAT;n = 450,185) data were used to detect the presence of implicit biases within 10 ethnoracial groups and compare Bias Scores between Canada and the United States. Mean BW-IAT Bias Scores were also assessed against participant explicit biases using warmth ratings and the Modern Racism Scale (MRS). Finally, state-level BW-IAT scores were used to predict state-based Black American mental health-related mortality using the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) data set. Findings indicated: (a) the most ethnoracial groups have anti-Black implicit biases;(b) Canadian and American implicit biases are near identical;(c) explicit and implicit Bias Scores are weakly related, and Canadian and American explicit biases are near identical;and (d) implicit bias predicts poor mental health outcomes for Black Americans, even when controlling for explicit bias and White outcomes. This work underscores the need to dismantle ideologies of White superiority and the resultant oppressive attitudes, stereotypes, and behaviors present in the general population. This work also calls for accessible, province-level, race-based mental health data on underserved groups.Alternate :Les Canadiens noirs et les Afro-Américains font face à des disparités en ce qui concerne leur accès à des soins de santé mentale et particulièrement des soins de santé mentale de qualité. Les préjugés implicites sont des attitudes et des stéréotypes inconscients, soient des pensées automatiques, qui peuvent potentiellement provoquer des comportements racistes. Jusqu'à présent, les recherches à ce sujet ont mis une emphase sur les préjugés des prestataires de soins de santé et les conséquences qui en découlent dans la prise de décision et le traitement des groupes racialisés. Peu d'études ont été menées dans le but de mettre en évidence les préjugés implicites anti-Noirs chez les personnes de race blanche et les personnes d'autres races parmi la population générale ou d'examiner la relation entre les préjugés et le bien-être mental des Noirs. Les données du Black-White Implicit Association Test (BW-IAT;n = 450 185) ont été utilisées pour déterminer la présence de préjugés implicites au sein de 10 groupes ethnoraciaux et comparer les scores des préjugés entre le Canada et les États-Unis. Les scores moyens des préjugés du BW-IAT ont également été évalués par rapport aux préjugés explicites des participants à l'aide des warmth ratings et du Modern Racism Scale. Par la suite, les scores BW-IAT dans les différents États ont été utilisés pour prédire le taux de mortalité lié à la santé mentale des Noirs américains à l'aide de l'ensemble de données CDC WONDER. Les résultats indiquent que (1) la plupart des groupes ethnoraciaux ont des préjugés implicites anti-Noirs;(2) les préjugés implicites canadiens et américains sont presque identiques;(3) les scores de préjugés explicites et implicites ont une faible corrélation, et les préjugés explicites canadiens et américains sont presque identiques;et (4) les préjugés implicites prédisent de conséquences négatives sur la santé mentale des Noirs américains, même en contrôlant les préjugés explicites et les résultats des personnes blanches. Ces travaux soulignent la nécessité de démanteler, au sein de la population dans son ensemble, es idéologies de supériorité de la race blanche et les attitudes, stéréotypes et comportements oppressifs qui en découlent. Ce travail appelle également à l'accessibilité des données sur la santé mentale axées sur la race des groupes faiblement desservis, au niveau provincial.

Multiple measures of structural racism as predictors of U.S. county-level COVID-19 cases and deaths

Minoritized racial groups in the U.S. have experienced disproportionately higher rates of COVID-19 cases and deaths. Studies have linked structural racism as a critical factor causing these disproportionate health burdens. We analyse the relationships between county-level COVID-19 cases and deaths and five measures of structural racism on Black Americans: Black–White residential segregation, differences in educational attainment, unemployment, incarceration rates, and health insurance coverage between Black and White Americans. When controlling for socioeconomic, demographic, health and behavioural factors significant relationships were found between all measures of structural racism with cases and/or deaths except Black–White differences in health insurance coverage. Black–White disparities in educational attainment and incarceration were the strongest predictors. The results varied greatly across regions of the U.S. We also found strong relationships between COVID-19 and mobility and the proportion of foreign-born non-citizens. This work supports the important need to confront structural racism on multiple fronts to address health disparities.

Increasing the Representation of Black, Indigenous, and People of Colour as Students in Psychology Doctoral Programmes

Additionally, emerging research regarding the COVID-19 pandemic suggests that racial inequities caused by racism (e.g., overrepresentation within frontline employment) cause BIPOC communities to be more exposed to and less protected from the virus, placing them at a higher risk of infection and death, a devastating phenomenon coupled with the already present health disparities caused by racism in the Canadian health care system (Amoako & MacEachen, 2021;Cénat, Kogan, et al., 2021;Denice et al., 2021). In this article, we will discuss, as others have noted, how Canadian graduate programmes must assume responsibility and become directly involved in understanding, offsetting, and preventing the harm of systemic racism, oppression, and discrimination, as demanded by the ethics and principles of psychology itself (APA Division 45 Warrior's Path Presidential Task Force, 2020;APA Council of Representatives, 2021;Canadian Psychological Association [CPA], 2018;Ritchie & Sinacore, 2020). Racialization is about social perceptions-how people perceive others based on their presumed race or ancestry (Pendakur, 2005). [...]race is a socially constructed concept-not a fixed or scientific identity, despite mainstream North American society operating as if it is an accepted truth (Gonzalez-Sobrino & Goss, 2019;Haeny et al., 2021). [...]we use the term BIPOC to encompass the following groups: BIPOC (i.e., South Asian, Chinese, Black, Filipino, Latin American, Arab, Southeast Asian

Racial Disparities in Sleep During the COVID-19 Pandemic

Introduction The purpose of the present study was to estimate average sleep duration and sleep disturbance in the United States during the COVID-19 pandemic. In addition, we investigated whether sleep varied as a function of sociodemographic variables, in particular race. Long standing disparities in condition and available resources between racial demographics often lead to disparities in health. At the advent of a pandemic, which strains these systems further, it is important to assess whether or not racial disparities persist. This is important given that racial groups are likely affected by the pandemic, both directly and indirectly, in various ways. Here, we plan to at least assess whether there are any disparities with regard to sleep. Methods 4,048 adults (Mage = 45.8 years;79% women) completed an online survey during April – June 2020. The final sample's self-reported race/ethnicity consisted of 84% White, 5.1% Black, 3.4% LatinX, 4.2% Asian or Asian American, and 2.9% Multi-racial. Sleep disturbance was assessed using a retrospective sleep diary and the Insomnia Severity Index (ISI). Results Average sleep duration in the sample was 7.1 hours. Participants reported taking on average 32 minutes (SD = 38 mins) to fall asleep and reported waking up for 32 minutes (SD = 53 mins) during the night. Approximately 17% of the sample endorsed clinically elevated insomnia symptoms (based on the ISI ≥ 15 cut-off). With regard to racial differences, shorter total sleep time (TST), longer sleep latencies (SL), and greater total ISI scores were observed in Black (mean TST = 6.4 hours;SL = 37.7 minutes;ISI Total = 9.8) and LatinX (mean TST = 6.9 hours;SL = 37.1 minutes;ISI Total = 9.6) participants relative to White participants (Mean TST = 7.1 hours;SL = 30.9 minutes;ISI Total = 8.4). All p's < 0.05. Conclusion Sociodemographic variables, particularly race, should be considered when estimating the relative impact of sleep on overall health. These findings are significant as they may have implications for a number of health disparities observed in the United States, especially during the COVID-19 pandemic. Support (if any) Vargas: K23HL141581

Families' Job Characteristics and Economic Self-Sufficiency: Differences by Income, Race-Ethnicity, and Nativity

Policy debates about whether wages and benefits from work provide enough resources to achieve economic self-sufficiency rely on data for workers, not working families. Using data from the Current Population Survey, we find that almost two-thirds of families working full time earn enough to cover a basic family budget, but that less than a quarter of low-income families do. A typical low-income full-time working family with wages below a family budget would need to earn about $11.00 more per hour to cover expenses. This wage gap is larger for black, Hispanic, and immigrant families. Receipt of employer-provided benefits varies—health insurance is more prevalent than pension plans—and both are less available to low-income families, and black, Hispanic, and immigrant working families. Findings suggest that without policies to decrease wage inequality and increase parents' access to jobs with higher wages and benefits, child opportunity gaps by income, race-ethnicity, and nativity will likely persist.

COVID-19 and Americans' Perceptions of Change in Diet Quality

The objective of this research was to conduct an assessment of perceived diet quality from a national random sample of American adults and explore how the perceived change in diet quality varied by key sociodemographic characteristics during the COVID-19 pandemic. A total of 835 adults across the United States completed a multi-item online survey. Statistically significant differences were observed with diets worsening during the pandemic for females, young adults, racial minorities (except Asians), unemployed individuals, widowed/divorced or engaged/cohabitating individuals, those not working from home, non-healthcare professionals, and overweight and obese individuals, the pandemic had an impact on the diet quality of these groups.

Comparison of Student Outcomes in a Course-Based Undergraduate Research Experience: Face-to-Face, Hybrid, and Online Delivery of a Biology Laboratory

Course-based undergraduate research experiences (CUREs) incorporate authentic research instead of confirmatory exercises into laboratory courses. Following the COVID-19 pandemic, there has been a general shift in instructional modalities from face-to-face (F2F) towards hybrid and online teaching. Student impacts caused by the abrupt shift to online teaching have been characterized, but comparisons between modalities for CUREs are missing. Therefore, we evaluated student learning and attitudinal outcomes in F2F, hybrid, and online delivery of an introductory college biology CURE. Additionally, we compared student outcomes between White/Asian students and persons excluded due to ethnicity or race (PEER) in these modalities. There were significant learning differences between modalities, but there were no significant learning differences by PEER status. Of six attitudinal variables, one varied significantly by modality and three varied significantly for PEER students. These results suggest that CUREs can be adapted to the online or hybrid modality with minimal impacts on student outcomes.

Two Countries, One Goal: A Mixed-Methods Study of the Development of Study Abroad Sojourners' Cultural Identification in Japan and Korea

The number of students expanding their academic programs to include learning experiences abroad had been, prior to the recent outbreak of the Coronavirus, steadily increasing over the past two decades. This mixed-method study investigates the cultural identification of short-term study abroad participants and its influence on their acculturation process. Quantitative data from a widely-used acculturation scale were collected from participants before and after the program. In addition, qualitative data from participants' journals were examined, elucidating the role the study abroad experience played in their cultural identification. This investigation revealed statistically significant effects of cultural experiences on cultural identification, specifically decreases in cultural identification scores. This study supports the concept of cultural identification as a continuum rather than as a dichotomy. Implications suggest that a deeper understanding of students' cultural identifications can be helpful in developing study abroad programs that promote the goals of student awareness, cultural sensitivity, and global competence.

Outdoor Recreation as an Asset for Youth Development in the Context of the COVID-19 Pandemic

With the onset of the COVID-19 pandemic, outdoor spaces remained one of the few places for youth recreation. Outdoor recreation and sport have been associated with positive youth development (PYD) prior to the pandemic, so we sought to test these relationships during the pandemic, accounting for self-efficacy and demographic factors that may be associated with participation. To achieve this aim, we conducted an online survey of United States youth (N=116) aged 12-17. Higher levels of PYD during the pandemic were associated with higher levels of school-based sport prior to the pandemic, community-based sport during the pandemic, and outdoor time prior to and during the pandemic. Self-efficacy, but not demographics, was associated with outdoor time. Outdoor recreation should be promoted for youth as it is positively associated with PYD, especially when other forms of recreation are restricted. Recreation professionals should foster self-efficacy and ensure that opportunities for outdoor recreation are equitably accessible.

Restoring Teacher and Principal Well-Being Is an Essential Step for Rebuilding Schools: Findings from the State of the American Teacher and State of the American Principal Surveys. Research Report. RR-A1108-4

Principal and teacher well-being is a matter of immediate concern for principals and teachers themselves and for the students they teach. Stress on the job can negatively affect educators' physical health, and poor teacher wellness and mental health are linked with lower-quality student learning environments and with poorer academic and nonacademic student outcomes. Furthermore, previous research suggests that principals and teachers of color are more likely than their White peers to experience poor well-being and are more likely to leave their jobs. Understanding the relationships among teacher and principal well-being, perceived working conditions, and teachers' and principals' intentions to leave their current position is critical for pandemic recovery and for the long-term health of the principal and teacher workforce. In this report, researchers present selected findings from the 2022 State of the American Teacher (SoT) and State of the American Principal (SoP) surveys. These findings are related to teacher and principal well-being, working conditions, and intentions to leave their jobs. The authors focus specifically on the well-being and working conditions of educators of color. [For technical information about the surveys and analysis in this report, see "State of the American Teacher and State of the American Principal Surveys: 2022 Technical Documentation and Survey Results" (ED621137).]

Crime, Violence, Discipline, and Safety in U.S. Public Schools in 2019-20: Findings from the School Survey on Crime and Safety. First Look. NCES 2022-029

Using data from the School Survey on Crime and Safety (SSOCS), this report presents findings both on crime and violence in U.S. public schools and on the practices and programs schools have used to promote school safety. SSOCS collects data from public school principals about violent and nonviolent crimes in their schools. The survey also collects data on school security measures, school security staff, mental health services, parent and community involvement at school, and staff training. SSOCS data can be used to study how violent incidents in schools relate to the programs and practices that schools have in place to prevent crime. Data collection began in February 2020 and was conducted mostly using an online survey instrument. In March 2020, many schools began closing their physical buildings due to the coronavirus pandemic. This affected data collection activities. Also, the change to virtual schooling and the adjusted school year may have impacted the data collected by SSOCS. Readers should use caution when comparing SSOCS:2020 estimates with those from earlier years. The national sample for SSOCS:2020 was made up of 4,800 U.S. public schools. Of these schools, 2,370 elementary, middle, high/secondary, and combined/other schools responded. The results showed that nonresponding schools were significantly different from responding schools. However, the results also showed that weighting adjustments removed most of the observed nonresponse bias. [For the summary report, see ED621594. For the 2019 report, see ED596638.]

Black Families Overlooked, Misunderstood, and Underserved in the Family Courts

Studies show that even people consciously committed to equality may still hold unconscious stereotypes that influence their actions.1 The courts' technological pivot during the COVID-19 pandemic has made access to justice available at our fingertips.2 Attorneys and parties can dial into hearings using a web-based conferencing platform like Zoom, arguably making participating in court proceedings easier.3 However, what happens when the parties face challenges such as lack of broadband access, lack of devices to access web-based conference platforms, or lack of computer knowledge to access hearings, among a host of other problems? [...]mediation is a way to preserve positive relationships and garner adherence to parenting time agreements, which leads to a better wellbeing for the children involved. "10 State and local court administrators can "[p]rovide education on implicit bias that includes judicial facilitators/presenters, examples of implicit bias across other professions, and exercises" to personalize training sessions.11 In addition, administrators can "[p]rovide routine diversity training that emphasizes multiculturalism and encourage court leaders to promote" the principle that all people are equal and deserve equal rights and opportunities.12 To further assist the bench with addressing implicit bias, administrators can develop guidelines or protocols "for decision makers to check and correct for implicit bias (e.g., taking the other person's perspective, imagining the person is from a non-stigmatized social group, thinking of counter stereotypic thoughts in the presence of an individual from a minority social group). "20 Like courts in Massachusetts and New York, other court systems could request an independent commission to analyze administrative data from state agencies regarding racial disparities and submit a report of its findings as well as proposed strategies for improvement.21 "Courts exist to do justice, to guarantee liberty, to enhance social order, to resolve disputes, to maintain rule of law, to provide for equal protection, and to ensure due process of law.

COVID-19 Outcomes: The Impact of Obesity Within Racial Groups

Background: The COVID-19 pandemic has thrust the obesity epidemic into the spotlight, revealing that obesity is no longer a disease that harms in the long run, but one that can have acutely devastating effects. Studies have suggested that obesity not only increases your risk of hospitalization, mechanical ventilation and death but increases your risk of becoming infected. Rapid data collection started in late 2019 as the COVID-19 spread from its site of origination, Wuhan, China. Initial observational studies noted that Hypertension, Type 2 Diabetes and Coronary Artery Disease were the most common comorbid conditions in patients with more severe complications. Although data was collected in China regarding BMI, it was not until April 2020 when the editors of the American published Obesity medical journal stated that obesity would likely prove to be independent risk factor for more severe disease. This observation was likely yet to be realized in the Chinese data given the significantly lower rates of obesity than the United States. In 2019, the overall rate of obesity among Chinese adults was 13.58%. The rate of obesity in the United States in 2017-2018, the last reported data from National Health and Nutrition Examination Survey, was 42.4%. COVID-19 also revealed conspicuous health care disparities that have been documented for decades with little national spotlight until July 2021. Federal data reported that the Black American life expectancy decreased almost 3 years from 2019 to 2020 compared to 1.2 years for White Americans. In our study we examine the association of four clinical complications from COVID-19 infection among Black/African American and White/Caucasian patients with overweight and obesity while controlling for co-morbid conditions. Our aim is to identify if different risk exists between ethnicity groups in overweight and obese patients, controlling for additional comorbidities. We hypothesize that racial disparities in COVID outcomes persist. Methods: A random sample of 3,000 records was extracted from the COVID19 DataMart through the University of Virginia Health System EMR. This included patients who tested positive by RT-PCR for SARS-CoV-2 using swab specimens between March 2020 and July 2021. We limited this study to Black/African American or White/ Caucasian patients age > 18 with a BMI >25, for a total of 1,904 patients. Measurements Four clinical outcomes from COVID-19 were examined;hospitalization, length of hospital stay (LOS), ventilator dependence and mortality. LOS was measured by an indicator constructed within the EMR calculating the difference between admission and discharge dates. Ventilator dependence and mortality were binary indicators related to COVID-19. Race was dichotomized as Black/ African American or White/Caucasian. We controlled for comorbidies with the Charlson Comorbidity Index (CCI), which accounts for 17 conditions. Patients were divided into four groups based on the CCI score. CCI score and corresponding weighted category were computed using the "comorbidity" package in R. Based on patients' BMI, we computed a variable indicating BMI category: 25< and <30;>30 and <35;>35. Sex and age were controlled. Sample Size Calculation We used the "pwr" package in R to compute the minimum required sample size that would offer 80% power and significance level of 0.05 to detect a small effect size. This was attainable in our analysis. Statistical Analysis Means and standard deviations were applied to continuous variables. We ran bivariate comparisons between the four outcomes of interest and race. Unadjusted odds ratios with corresponding 95% Confidence intervals (CI) are presented for hospitalized, ventilation required and mortality. A t-test is presented for mean comparisons of LOS by race. Four regression models were constructed for each respective outcome of interest while controlling for race, CCI category, BMI category, age and sex. Logistic regression models estimated the odds of hospitalization, ventilation dependence and mortality, and a linear model to estimate effe ts of covariate on LOS. All hypothesis tests were 2-sided with a significance level of 5%. R version 4.1.1 was used for all analyses. As a sensitivity analysis, we replicated these models in a sub-sample of patients who were infected between March 2020 and February 2021 (n = 756). Results: 1,904 patients were included in the main cohort and 756 in the sensitivity cohort. The mean age was 45.7 and 46.3 in the sensitivity cohort. Females comprised 58.5% and 81% of the sensitivity cohort. Average LOS was significantly greater for Black patients than WHITE patients. Hospitalization rates for White patients were significantly lower than those for Black patients. Ventilation did not differ significantly between White and Black patients. Mortality rates were lower for White patients compared to Black patients. In the regression model White patients had significantly shorter LOS compared to Black patients. Patients with low and mild CCI risk had significantly shorter LOS compared to patients in the severe risk category. Patients with a BMI category or >35 had shorter LOS compared to those with BMI <30;males had significantly longer LOS compared to females. Race did not have a significant effect on hospitalization after controlling for CCI category, sex, BMI category and age. Patients with low and mild CCI had significantly lower odds of being hospitalized. Males had significantly greater odds of being hospitalized compared to females. Race did not have a significant effect on ventilation. Male patients had significantly higher odds of needing ventilation. Patients with low CCI risk had significantly lower odds of needing ventilation. Increase in age was associated with increased odds of needing ventilation. Race was significantly associated with mortality. White patients had significantly lower odds of death compared to Black patients. Patients in the low and mild CCI risk had lower odds of death. White patients had significantly shorter LOS compared to Black patients. Patients with low and mild CCI risk had significantly shorter LOS compared to patients in the severe risk category. Race did not have a significant effect on hospitalization. Patients with low and mild CCI risk had significantly lower odds of being hospitalized. Race did not have a significant effect on ventilation. Patients with low and moderate CCI risk had significantly lower odds of needing ventilation. Increase in age was associated with increased odds of needing ventilation. Race was associated with mortality after controlling for CCI category, sex, BMI category and age at a p value = 0.05. White patients had lower odds of death compared to Black patients. Conclusions: Our findings emphasize that racial differences persist when we look at only patients that have overweight and obesity. The racial disparities are not due to just obesity and its common co-morbidities. There are other factors contributing to these outcomes. These factors are likely multifactorial. It could be due to a combination of social and environmental factors that prevent or delay these patients from receiving care. Furthermore there may be differences in the care these patients receive once in the health care system. Further examination of these socioeconomic factors are just as important as mechanistic causes in order to decrease healthcare disparities.

The last pre-pandemic European Renal Association Registry report: age at start of kidney replacement therapy in Europe.

The European Renal Association (ERA) Registry Annual Report 2019 will be its last pre-pandemic report. From 2020 on, registry data will incorporate any potential impact of coronavirus disease 2019 (COVID-19) on kidney replacement therapy (KRT) practices in Europe. The 2019 report focussed on age comparisons and found substantial differences in the distribution of primary renal disease, treatment modality, kidney donor type and the survival probabilities for different age categories. The report presents data that support a correlation (R 2 = 0.43, P < 0.00001) between the incidence of KRT per million population (pmp) and the median age at the start of KRT in the different regions and countries, suggesting that initiating KRT at an older median age may be a determinant of KRT incidence. The causes of the lower age at KRT in some countries should be explored. These may include, but are not limited to, KRT not being offered to the elderly or the elderly refusing KRT. In this regard, there was a correlation between the median age at the start of KRT and per capita gross domestic product (GDP) (R 2 = 0.26, P < 0.0046), suggesting that the availability of resources may be a factor that limits the offer of KRT to the elderly. The UK may represent a case to study these issues. Both age at initiation of KRT and KRT incidence are below the European median and lower than that expected for GDP. Furthermore, there are differences between the various countries within the UK, as well as documented racial differences, the latter being a piece of information missing for most European countries.

Racial Differences in Response to Chadwick Boseman's Colorectal Cancer Death: Media Use as a Coping Tool for Parasocial Grief.

The August 2020 death of Black actor Chadwick Boseman, at age 43 from colon cancer was a notable public event. Given Boseman's popularity, particularly amongst Black audiences, and racial disparities in colorectal cancer rates, public responses to this news provided a window into potential racial differences in expressing and responding to parasocial grief, that is, grief at the loss of a public figure. Additionally, given how the movies he starred in were easily viewable by audiences stuck at home during the COVID-19 pandemic and given his popularity on digital spaces like Black Twitter, this case offers insights into how media use can help people cope with parasocial grief. We conducted a mixed-methods survey study of audience responses Boseman's death. Quantitative results reveal that Black audiences had different rates of social sharing and movie viewing than non-Black audiences, with additional insights emerging from a thematic analysis of the open-ended data.