COVID-19 and the changing roles of social workers in minority communities: Lessons from the Israeli ultra-Orthodox community

Minority groups have been disproportionately vulnerable to COVID-19's effects. Whereas, social workers have been instrumental in countering those effects, their roles have been understudied, particularly during the ‘new normal' that followed the outbreak. This gap is addressed by drawing on interviews with 28 social workers in the Jewish ultra-Orthodox (Haredi) society in Israel, held after the outbreak and during the ‘new normal'. Three main roles are identified: first responders, during the outbreak;a voice for community needs, in the ‘new normal';and policy translators – throughout. The findings contribute a temporal aspect to the literature by highlighting social workers' dynamic roles. [ FROM AUTHOR] Copyright of International Social Work is the property of Sage Publications, Ltd. 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.)

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.

Desdobramentos das desigualdades raciais na pandemia da Covid-19

O presente estudo tematiza o racismo na sociedade de classes e tem como objetivo analisar os desdobramentos das desigualdades raciais na pandemia da Covid-19. Logo, utilizou-se o método materialismo histórico-dialético e uma abordagem qualitativa. Dessa forma, foi realizada uma pesquisa bibliográfica e documental, além de um trabalho de mapeamento a partir dos dados secundários do Instituto Brasileiro de Geografia e Estatística (IBGE) de 2019;Atlas da violência de 2020, elaborado pelo Instituto de Pesquisa Econômica Aplicada (IPEA);e o Boletim especial 20 de novembro de 2021, do Departamento Intersindical de Estatística e Estudos Socioeconômicos (DIEESE), para dialogar com a realidade dos afro-brasileiros em cenário pandêmico. Dos resultados do estudo, destacamos: que o racismo tem sido um eixo estruturante da sociedade brasileira mesmo numa fase pós-abolicionista;e que a questão racial tem sido uma das expressões da questão social na sociedade do capital, de tal modo que as desigualdades são conexas na contemporaneidade;e ainda, que a pandemia acentuou as desigualdades raciais no Brasil.Alternate :The present study thematizes racism in class society and aims to analyze the consequences of racial inequalities in the covid-19 pandemic. Therefore, the Historical-Dialectical Materialism method and a qualitative approach were used. In this way, a bibliographic and documentary research was carried out, in addition to a mapping work based on secondary data from the Brazilian Institute of Geography and Statistics (IBGE) of 2019, Atlas of Violence of 2020 made by the Institute of Applied Economic Research (IPEA) and the Special Bulletin 20 November 2021 of the Inter-union Department of Statistics and Socioeconomic Studies (DIEESE) to dialogue with the reality of Afro-Brazilians in a pandemic scenario. From the results of the study, we highlight that racism has been a structuring axis of Brazilian society even in a post-abolitionist phase;that the Racial Question has been one of the expressions of the Social Question in the society of Capital, in such a way that inequalities are connected in contemporaneity;and, that the pandemic accentuated racial inequalities in Brazil.

Age, race/Hispanic origin, and COVID-19 mortality among sickle cell disease patients in the United States

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing Centers for Disease Control and Prevention provisional SCD death data set (N = 140). The binary logistic regression analysis result showed a statistically significant relationship between age and race/Hispanic origin and COVID-19 mortality. The variability between ages was 42.9%;race/Hispanic origin was 29.9%;and age and race/Hispanic origin were the highest, with 62.4% dying from COVID-19. Non-Hispanic Black patients were 9.6 times more likely to die overall but those aged 60+ were 17.5 times more likely to die from COVID-19 than the reference groups (0-19-year-old and other race). This study can benefit the research community, public health workers, medical professionals, and policymakers to understand better and influence policy on developing and prioritizing age- and race-tailored preventive protocols and medical care. They may minimize pain and suffering while mitigating mortality from COVID-19 and other unforeseen future pandemics within the SCD community at home and abroad and positively effect social change. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Citizenship Wanted, but Denied: The Racial Prerequisite Cases and Their Role in Institutionalizing Racism Against Asians: a Journal for Readers, Students and Teachers of History

This article explores the racial prerequisite cases, which were dubious court decisions that attempted to rationalize pseudo-scientific evidence and common knowledge as reasons for who could and could not be considered for, and who was ultimately denied, U.S. citizenship. These cases are historical antecedents of the current anti-Asian racism that has become even more pronounced as a result of COVID-19. Social studies educators can leverage these court cases to teach about controversial and relevant issues that connect to current immigration and citizenship policies, as well as provide historical context for contemporary discussions about race and racism.

Racial Diversity In Covid-19 Clinical Trails: A Mixed Quantitative And Qualitative Review

Introduction: Historically, clinical trial patient populations have lacked adequate diversity while studies have shown that differences exist in the biological response of different ethnicities to various healthcare interventions. Minority populations have suffered higher rates of Covid-19 infection, hospitalization, and mortality than their non-Hispanic white counterparts. It is vital that Covid-19 treatment research is appropriately diverse. This paper aims to define the demographic characteristics of COVID-19 therapeutic clinical trials to date. Method(s): A literature search initially returned 117 unique publications, 67 of which met the inclusion criteria and were analyzed. Main variables of interest were reporting of demographic data, percent white, Black, and Asian, and type of study. Statistical analysis was carried out via Stata software. Result(s): Among analyzed studies, 74.63% reported demographics. The demographic representation was 78.87%, 12.27% and 8.86% for white, Black, and Asian populations. Among vaccine related studies, the representation for Black, Asian, and Hispanic individuals was 5.01%, 6.40%, and 13.71%. A qualitative analysis of outlier studies with high (>30%) Black populations revealed that none were vaccine related, 1/3 were in hospitalized patients, and none were related to pharmacologic interventions. Of the studies with low levels (<2%) of Black patients, 4/6 were vaccine related, none were in hospitalized patients, and all were related to pharmacologic interventions. Conclusion(s): This analysis reveals concerning trends in therapeutic clinical trial enrollment to date. In the context of yet another health insult that disproportionately affects minority populations, America's scientific community is not doing enough to produce equitable scientific evidence on Covid-19 treatment.

At the Confluence of COVID-19 and Anti-Black Racial Violence: Exploring Independent Schools' Diversity, Equity, and Inclusion Practice

The COVID-19 pandemic and heightened awareness of police violence against Black Americans in 2020 reverberated throughout educational institutions including private, non-religious schools. This survey study (n=242) sought to understand the impact of these crises on independent schools' Diversity, Equity, and Inclusion (DEI) leaders. Results indicate that while 45% of included schools had a robust DEI practice pre-2020, these crises created an environment of these competing crises. Many schools experienced reductions in resources and increasing resistance to DEI. Overall, pre-2020 robustness of a DEI practice did not predict school responses to the crises. Implications for DEI policy and leadership are discussed. [ FROM AUTHOR] Copyright of Journal of School Choice is the property of Taylor & Francis Ltd 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.)

Black women and girls: Racism and intersectional oppression

The duel systemic societal harms of the COVID-19 pandemic and violent racial injustice have reexposed centuries-long oppression and violence that affects Black people in the United States. These systemic harms, however, are not unilaterally distributed across racial lines, as Black women and girls endure intersectional oppression, including the unique amalgamation of racism and sexism. It is within these interlocking oppressions that sexual abuse flourishes. This chapter opens with critical visioning regarding how we understand inequality in social justice movements. It introduces scholarship on anti-Black racism, intersectional oppression, and Crenshaw's (1991) theories of intersectionality to frame the contextually oppressive experiences of Black women and girls. The chapter provides an application for examining intersectionality within the field of psychology. It details what such intersectional oppression can actually look like in the lives of Black women and girls. Finally, the chapter closes with summary bullet points of the main takeaway messages. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Working toward equity and engagement in an online course for future K-12 teachers

In a multi-ethnography, three teacher educators explore how they intentionally enhanced equity in their online course for teacher candidates (TCs) learning to support English learners from K to 12 during the shift to virtual classrooms due to the COVID-19 pandemic. Our findings suggest that using various digital apps and various multimodal creations was a powerful way to increase engagement and afford TCs experience with equitable practices in their learning. Taking part in this course allowed TCs to imagine ways to make their work with K-12 English learners more equitable. Making ourselves vulnerable as teacher educators had the most powerful impact on teacher-learners as we unpacked our own experiences with oppression and discrimination during the COVID-19 crisis. We address our experiences using the Racial Literacy Development Model (Sealey-Ruiz, 2020) as a lens. © Springer Nature Switzerland AG 2021. All rights reserved.

Pandemic privilege

Many felt that the challenges related to COVID-19 were more difficult for students than for faculty and expressed concern for students struggling to manage the impacts of the pandemic. Pandemic privilege is illustrated several ways. First, faculty appreciated the privilege in the fact that, generally, their employment was not at risk. This was stronger for tenure-line faculty than for contract, clinical, and adjunct faculty. However, across the board, faculty expressed that they were privileged in their ability to continue working in meaningful employment and to do so from home. Second, faculty whose children were grown and more independent felt privilege related to the extra burden on colleagues with younger children at home. Additionally, many of the White faculty recognized a racial privilege, both in terms of the virus and more generally as a result of the racial justice movements across the country. And, faculty who were relatively healthy acknowledged the different impact of the virus for those with health-related complications or risk factors. Finally, faculty talked about their privilege in comparison to students. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

(Re)framing the emerging mobility regime at the U.S.-Mexico borderlands: Covid-19, temporality, and racial capitalism

In this paper, we examine transborder commuters' experiences (i.e. individuals who commute between U.S. and Mexican border cities frequently) during the Covid-19 pandemic, with keen attention to the links between racial capitalism and temporality. We address two interrelated issues: first, we unpack how the United States framed the pandemic through the metaphor of war and the production of the categories of 'essential work(er)' and 'essential travel' to ensure racial capitalism's surplus labor and continuation. These categories function like a double-edged sword, tying racialized populations to racial capitalism's temporality to exploit them while excluding privileged others. We argue that Covid-19's temporality conflicts with racial capitalism's temporality. While the former relies on the deceleration of everyday life, the latter depends on constant acceleration driven by profit-seeking. Using queer and feminist theoretical lenses, we then demonstrate how U.S. Covid-19 border restrictions at land ports of entry exacerbated transborder commuters' cross-border travels and privileged some based on legal status. As a result, they used public Facebook groups to navigate and comprehend new commuting conditions, disidentifying with the United States' official pandemic framing and producing their own. This shared experience catalyzed 'digital transborder kinships' or temporally-bound socialities rooted in relational care, advocacy, and knowledge production. [ FROM AUTHOR] Copyright of Mobilities is the property of Routledge 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.)

Racial-ethnic disparities in psychological distress during the COVID-19 pandemic in the United States: the role of experienced discrimination and perceived racial bias.

BACKGROUND: Research on mental health disparities by race-ethnicity in the United States (US) during COVID-19 is limited and has generated mixed results. Few studies have included Asian Americans as a whole or by subgroups in the analysis. METHODS: Data came from the 2020 Health, Ethnicity, and Pandemic Study, based on a nationally representative sample of 2,709 community-dwelling adults in the US with minorities oversampled. The outcome was psychological distress. The exposure variable was race-ethnicity, including four major racial-ethnic groups and several Asian ethnic subgroups in the US. The mediators included experienced discrimination and perceived racial bias toward one's racial-ethnic group. Weighted linear regressions and mediation analyses were performed. RESULTS: Among the four major racial-ethnic groups, Hispanics (22%) had the highest prevalence of severe distress, followed by Asians (18%) and Blacks (16%), with Whites (14%) having the lowest prevalence. Hispanics' poorer mental health was largely due to their socioeconomic disadvantages. Within Asians, Southeast Asians (29%), Koreans (27%), and South Asians (22%) exhibited the highest prevalence of severe distress. Their worse mental health was mainly mediated by experienced discrimination and perceived racial bias. CONCLUSIONS: Purposefully tackling racial prejudice and discrimination is necessary to alleviate the disproportionate psychological distress burden in racial-ethnic minority groups.

Environmental and structural factors driving poor quality of care: An examination of nursing homes serving Black residents.

BACKGROUND: Poor quality of care in nursing homes (NHs) with high proportions of Black residents has been a problem in the US and even more pronounced during the COVID-19 pandemic. Federal and state agencies are devoting attention to identifying the best means of improving care in the neediest facilities. It is important to understand environmental and structural characteristics that may have led to poor healthcare outcomes in NHs serving high proportions of Black residents pre-pandemic. METHODS: We conducted a cross-sectional observational study using multiple 2019 national datasets. Our exposure was the proportion of Black residents in a NH (i.e., none, <5%, 5%-19.9%, 20-49.9%, ≥50%). Healthcare outcomes examined were hospitalizations and emergency department (ED) visits, both observed and risk-adjusted. Structural factors included staffing, ownership status, bed count (0-49, 50-149, or ≥150), chain organization membership, occupancy, and percent Medicaid as a payment source. Environmental factors included region and urbanicity. Descriptive and multivariable linear regression models were estimated. RESULTS: In the 14,121 NHs, compared to NHs with no Black residents, NHs with ≥50% Black residents tended to be urban, for-profit, located in the South, have more Medicaid-funded residents, and have lower ratios of registered-nurse (RN) and aide hours per resident per day (HPRD) and greater ratios of licensed practical nurse HPRD. In general, as the proportion of Black residents in a NH increased, hospitalizations and ED visits also increased. DISCUSSION/IMPLICATIONS: As lower use of RNs has been associated with increased ED visits and hospitalizations in NHs generally, it is likely low RN use largely drove the differences in hospitalizations and ED visits in NHs with greater proportions of Black residents. Staffing is an area in which state and federal agencies should take action to improve the quality of care in NHs with larger proportions of Black residents.

Assessing Unique Risk Factors for COVID-19 Complications Among Cancer Patients: A Multi-ethnic Cohort Study.

A myriad of organ-specific complications have been observed with COVID-19. While racial/ethnic minorities have been disproportionately burdened by this disease, our understanding of the unique risk factors for complications among a diverse population of cancer patients remains limited. This is a multi-institutional, multi-ethnic cohort study evaluating COVID-19 complications among cancer patients. Patients with an invasive cancer diagnosis and confirmed SARS-CoV-2 infection were identified from March to November 2020. Demographic and clinical data were obtained and a multivariate logistic regression was employed to evaluate the impact of demographic and clinical factors on COVID-19 complications. The study endpoints were evaluated independently and included any complication, sepsis, pulmonary complications and cardiac complications. A total of 303 patients were evaluated, of whom 48% were male, 79% had solid tumors, and 42% were Hispanic/Latinx (Hispanic). Malignant hematologic cancers were associated with a higher risk of sepsis (OR 3.93 (95% CI 1.58-9.81)). Male patients had a higher risk of sepsis (OR 4.42 (95% CI 1.63-11.96)) and cardiac complications (OR 2.02 (95% CI 1.05-3.89)). Hispanic patients had a higher odds of any complication (OR 2.31 (95% CI 1.18-4.51)) and other race was associated with a higher odds of cardiac complications (OR 2.41 (95% CI 1.01-5.73)). Clinically, fever, cough, and ≥2 co-morbidities were independently significantly associated with any complication. This analysis evaluated covariates that can significantly predict a myriad of complications among a multi-ethnic cohort of cancer patients. The conclusions drawn from this analysis elucidate a mechanistic understanding of differential illness severity from COVID-19.

Associations between COVID-19 vaccine uptake, race/ethnicity, and political party affiliation.

Despite widespread availability of vaccines, COVID-19 is a leading cause of death in the United States (US), and sociodemographic disparities in vaccine uptake remain. Race/ethnicity, partisanship, and perception of peer vaccination status are strong predictors of vaccine uptake, but research is limited among some racial/ethnic groups with small populations. The current study used an online survey to examine the relationship between these factors among a diverse sample of US adults (n = 1,674), with oversampling of racial and ethnic minorities. Respondents provided sociodemographic information and answered questions regarding COVID-19 vaccination status, political affiliation, perception of peers' vaccination status, COVID-19 death exposure, and previous COVID-19 infection. Respondents who identified as Asian American had higher odds of being vaccinated, whereas those who identified as Black/African American or American Indian or Alaska Native (AIAN) had lower odds. Respondents who identified as Independent/Other or Republican had lower vaccination odds. Respondents who perceived anything less than nearly all of their peers were vaccinated had lower vaccination odds. Further, lack of a primary care provider, younger age, and lower educational attainment were associated with lower vaccination odds. Findings may help to determine where additional work is needed to improve vaccine uptake in the US. Results indicate the need for intentional and tailored vaccination programs in Black/African American and AIAN communities; the need to understand how media and political actors develop vaccination messaging and impact vaccine uptake; and the need for additional research on how people estimate, understand, and form decisions around peer vaccination rates.

An Analysis of Socioeconomic Determinants of the Black-White Disparity in Food Insecurity Rates in the US.

Previous research has not fully explored socioeconomic factors that influence the Black-White food insecurity disparities at the state and county levels in the United States. The goal of this study was to identify socioeconomic determinants associated with the Black-White food insecurity gap in the US at the state and county levels with rigorous quantitative investigation. The 2019 Map the Meal Gap dataset and multivariate regression analyses were used to identify factors associated with the prevalence of the Black-White disparity in food insecurity rates. Unemployment rate and median income gaps were found to be the strongest predictors of the Black-White disparity in food insecurity and the Black food insecurity rates in both state- and county-level models. Specifically, a 1% increase in Black unemployment rate compared with White unemployment rate was associated with a 0.918% and 0.232% increase in the Black-White disparity in food insecurity on average at the state and county levels, respectively. This study highlights the potential root causes of food insecurity and significant socioeconomic determinants associated with the Black-White food insecurity gap at the state and county levels in the US. Policymakers and program creators should implement action plans to address the income disparities and reduce unemployment rates among Blacks to eradicate this gap and ensure equity in food access between Blacks and Whites.

Burnout and Moral Injury Among Black Psychiatrists and Other Black Mental Health Professionals.

This column discusses burnout and moral injury among Black psychiatrists and other Black mental health professionals and highlights the contribution of racism to these outcomes. In the United States, the COVID-19 pandemic and racial turmoil have revealed stark inequities in health care and social justice, and demand for mental health services has increased. To meet the mental health needs of communities, racism must be recognized as a factor in burnout and moral injury. The authors offer preventive strategies to support the mental health, well-being, and longevity of Black mental health professionals.

Association between distance to community health care facilities and COVID-19-related mortality across U.S. counties in the COVID-19-vaccine era.

OBJECTIVE: COVID-19 has caused tremendous damage to U.S. public health, but COVID vaccines can effectively reduce the risk of COVID-19 infections and related mortality. Our study aimed to quantify the association between proximity to a community healthcare facility and COVID-19 related mortality after COVID vaccines became publicly available and explore how this association varied across racial and ethnic groups. RESULTS: Residents living farther from a facility had higher COVID-19-related mortality across U.S. counties. This increased mortality incidence associated with longer distances was particularly pronounced in counties with higher proportions of Black and Hispanic populations.

Disparities in lung cancer.

Lung cancer is the second most common cancer and the leading cause of cancer death among men and women in the United States. Despite a substantial decline in lung cancer incidence and mortality across all races in the last few decades, medically underserved racial and ethnic minority populations continue to carry the greatest burden of disease throughout the lung cancer continuum. Black individuals experience a higher incidence of lung cancer due to lower rates of low-dose computed tomography screening, which translate into advanced disease stage at diagnosis and poorer survival outcomes compared with White individuals. With respect to treatment, Black patients are less likely to receive gold standard surgery, have access to biomarker testing or high-quality treatment compared with White patients. The reasons for those disparities are multifactorial and include socioeconomic (eg, poverty, lack of health insurance, and inadequate education), and geographic inequalities. The objective of this article is to review the sources of racial and ethnic disparities in lung cancer, and to propose recommendations to help address them.

Missing Americans: Early death in the United States-1933-2021.

We assessed how many US deaths would have been averted each year, 1933-2021, if US age-specific mortality rates had equaled the average of 21 other wealthy nations. We refer to these excess US deaths as "missing Americans." The United States had lower mortality rates than peer countries in the 1930s-1950s and similar mortality in the 1960s and 1970s. Beginning in the 1980s, however, the United States began experiencing a steady increase in the number of missing Americans, reaching 622,534 in 2019 alone. Excess US deaths surged during the COVID-19 pandemic, reaching 1,009,467 in 2020 and 1,090,103 in 2021. Excess US mortality was particularly pronounced for persons under 65 years. In 2020 and 2021, half of all US deaths under 65 years and 90% of the increase in under-65 mortality from 2019 to 2021 would have been avoided if the United States had the mortality rates of its peers. In 2021, there were 26.4 million years of life lost due to excess US mortality relative to peer nations, and 49% of all missing Americans died before age 65. Black and Native Americans made up a disproportionate share of excess US deaths, although the majority of missing Americans were White.