Thomas A Laveist
Biographic Data
| ID | 282559 |
|---|---|
| NAME | Thomas A Laveist |
| GIVEN NAMES | Thomas A |
| FAMILY NAME | Laveist |
| SIGNATURE | LAVEIST T A |
| AFFILIATIONS | Johns Hopkins University |
| VERIFIED | No |
| TOTAL WORKS | 71 |
| TOTAL CITATIONS | 787 |
| AUTHOR COUNT | 71 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1989 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 15 |
Advancing Health Equity
We assessed the impact of an innovative Louisiana community–academic–public health–practice (CAPP) partnership in addressing COVID-19–associated Black–White vaccination disparities over 19 months. Initially (April 2021), the cumulative vaccinations for Black versus White Louisianans were 54 542 per 100 000 versus 62 435 per 100 000, respectively. By October 2022, cumulative vaccinations for Black versus White Louisianans were 142 437 per 100 000 …
Disparities in Telemedicine Use Among Louisiana Medicaid Beneficiaries During the Covid-19 Pandemic
BACKGROUND: The COVID-19 pandemic led to an increased reliance on telemedicine. Whether this exacerbated existing disparities within vulnerable populations is not yet known. OBJECTIVES: Characterize changes in outpatient telemedicine evaluation and management (E&M) services for Louisiana Medicaid beneficiaries by race, ethnicity, and rurality during the COVID-19 pandemic. RESEARCH DESIGN: Interrupted time series regression models estimated pre-CO…
Church Attendance and Mobility Limitation Among Black and White Men With Prostate Cancer
Prostate cancer is a significant impediment that can reduce physical functional status. Mobility is fundamental for quality of life and church attendance to be associated with improved physical functioning. Few studies have examined how religious participation have implications for mobility limitation among men in general and among prostate cancer survivors in particular. The purpose of this study was to assess the association between church atte…
Making Equity the Priority
In 2016, public health leaders from the US Department of Health and Human Services began highlighting a concept called Public Health 3.0.1 Their idea was that the modern age of public health (Public Health 1.0) began around the dawn of the 20th century when scientists significantly advanced understanding of infectious diseases and developed vaccines and antibiotics to address them. The second wave-Public Health 2.0-was kicked off by the Institute…
Vulnerability and Resilience
Vulnerability and Resilience: Use and Misuse of These Terms in the Public Health Discourse David H. ChaeScD, MA, Shedra A. SnipesPhD, Kara W. ChungMS, Connor D. MartzMS, and Thomas A. LaVeistPhD Affiliation David H. Chae and Kara W. Chung are with the Department of Social, Behavioral, and Population Sciences and Thomas A. LaVeist is with the Department of Health Policy and Management, School of Public Health and Tropical Medicine, Tulane Universi…
Observing an Anniversary
The 400 Years of Inequality Project was launched in 2016 by five partner organizations: the University of Orange, a people's university in Orange, New Jersey;the New School and Columbia University's Mailman School of Public Health, both in New York City;ONE DC, a Washington, DC-based organization working to advance racial and economic equity;and, Voices of a People's History, a not-for-profit organization located in Brooklyn, New York, that incre…
Vicarious Racism and Vigilance During the Covid-19 Pandemic
Mental health problems are a pressing concern during the COVID-19 pandemic. Results from our study suggest that heightened racist sentiment, harassment, and violence against Asian and Black Americans contribute to increased risk of depression and anxiety via vicarious racism and vigilance. Public health efforts during this period should address endemic racism as well as COVID-19
The Association Between Perceived Racial Discrimination and Hypertension in a Low-Income, Racially Integrated Urban Community
We examined the association between perceived racial discrimination and hypertension among African Americans and whites who live in a low-income, racially integrated, urban community. Hypertension was defined as having a systolic blood pressure 140 mm Hg or more, a diastolic blood pressure 90 mm Hg or more, or taking antihypertensive medication(s). Perceived racial discrimination was based on self-reported responses of experiencing racial discrim…
The Role of Social Support in Moderating the Relationship between Race and Hypertension in a Low-Income, Urban, Racially Integrated Community
Katrina’s Lesson
Disentangling Race, Poverty, and Place in Disparities in Physical Activity
Significant racial disparities in physical activity-a key protective health factor against obesity and cardiovascular disease-exist in the United States. Using data from the 1999-2004 National Health and Nutrition Examination Survey and the 2000 United States (US) Census, we estimated the impact of race, individual-level poverty, neighborhood-level poverty, and neighborhood racial composition on the odds of being physically active for 19,678 adul…
Disentangling Race and Place in Depressive Symptoms in Men
African American men report lower levels of depressive symptoms that their white peers in national data. However, the value of these studies is often undermined by data that confound race, socioeconomic status, and segregation. We sought to determine whether race differences in depressive symptoms were present after minimizing the effects of socioeconomic status and segregation within a cohort of southwest Baltimore (SWB) men using the data from …
Years of Inequality Since Jamestown of 1619
Psychometric Properties of the Medical Mistrust Index (MMI) in Latina Immigrants
Medical mistrust measures have not been validated in Latino immigrants. This study examined the psychometric properties of the Medical Mistrust Index and its association with health care satisfaction in a sample of Latina immigrants. Participants were 168 self-identified Latinas ≥40 years old. Women were recruited from three Latino-serving health clinics and through a Latino radio program. A bilingual interviewer administered the Medical Mistrust…
Coping, Discrimination, and Physical Health Conditions Among Predominantly Poor, Urban African Americans
Racial discrimination, John Henryism coping, and behavioral health conditions among predominantly poor, urban African Americans
The current study examined the relationship between John Henryism Active Coping (JHAC), experiences of racial discrimination, and behavioral health outcomes in a community sample of 319 Black adults. Assessments included primary health care screenings as well as self-reported survey questions to assess JHAC, experiences of discrimination, and self-reported behavioral health. Logistic regression models, adjusted for control variables, found a sign…
Prevalence and Correlates of Major Depressive Symptoms among Black Men with Prostate Cancer
Nearly one-third of Black men with PCa in this study reported major depressive symptoms. Clinicians should pay closer attention to the mental health status of Black men with PCa, especially those who are younger and those who have undergone radiation beam treatment. Cancer survivorship, particularly quality of life, may be enhanced by opportunities for assessment, evaluation and intervention of depressive symptoms among these men disproportionate…
The Role of Social Context in Racial Disparities in Self-Rated Health
Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care
Accelerated Health Declines among African Americans in the USA
Race, Social and Environmental Conditions, and Health Behaviors in Men
Although understanding race differences in health behaviors among men is an important step in reducing disparities in leading causes of death in the United States, progress has been stifled when using national data because of the confounding of race, socioeconomic status, and residential segregation. The purpose of this study is to examine the nature of disparities in health behaviors among African American and white men in the Exploring Health D…
Community Characteristics are Associated with Blood Pressure Levels in a Racially Integrated Community
The Contribution of Social and Environmental Factors to Race Differences in Dental Services Use
Racial Disparities in Disability Among Older Adults
These findings within an integrated, low-income urban sample support efforts to ameliorate health disparities by focusing on the social context in which people live
Health Insurance and Chronic Conditions in Low-Income Urban Whites
Health risk and inequitable distribution of liquor stores in African American neighborhood
Vicarious Racism and Vigilance During the Covid-19 Pandemic
Mental health problems are a pressing concern during the COVID-19 pandemic. Results from our study suggest that heightened racist sentiment, harassment, and violence against Asian and Black Americans contribute to increased risk of depression and anxiety via vicarious racism and vigilance. Public health efforts during this period should address endemic racism as well as COVID-19
Race/ethnicity, the social environment, and health
International and national research has documented the relations between socio-economic conditions and health. Nonetheless, racial/ethnic group comparisons of health indices frequently are presented in the United States without stratifying or adjusting for socio-economic conditions that could affect interpretation of the data. This paper examines how racial/ethnic group identifiers have been used in past research. While some studies assume biolog…
Prevalence and Patterns of Discrimination among U.S. Health Care Consumers
The authors examine the prevalence and patterns of perceived discrimination in the U.S. health care system and examine social status variables as determinants, using data from the Commonwealth Fund's Minority Health Survey. The primary social status groups of interest are age, race, ethnicity, social class, sex, and health status. Each social status category placed respondents at greater risk of perceiving discrimination based on the correspondin…
Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care
We examined a national sample of African American, white, Hispanic, and Asian American respondents to test the hypothesis that doctor-patient race concordance is predictive of patient satisfaction. Our analysis examined racial/ethnic differences in patient satisfaction among patients in multiple combinations of doctor-patient race/ethnicity pairs. Additionally, we outline the determinants of doctor-patient race concordance. The analysis used the …
Health Disparities and Health Equity
Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress. Based on that subcommittee's work, we propose that health disparities a…
Neighborhood characteristics and mental health among African Americans and whites living in a racially integrated urban community
Disentangling Race and Socioeconomic Status
The Political Empowerment and Health Status of African-Americans
This article examines the impact of black political gains on black and white postneonatal mortality. Two dimensions of black political empowerment are examined, absolute political power and relative political power. The analysis examines all U.S. central cities with a population of at least 50,000 residents, 10% of whom are black. Absolute black political power did not influence postneonatal mortality for blacks or whites. However, there is a neg…
The Relationships among Vigilant Coping Style, Race, and Depression
Although Black-white differences in depression are well documented, vigilant coping style as an explanation for the observed inequalities in depression is less understood. Using data from 718 adults in the Exploring Health Disparities in Integrated Communities (EHDIC) Study, we estimated logistic regression models to examine the cross sectional relationship between race, vigilant coping style, and depression. After controlling for demographic var…
Social context as an explanation for race disparities in hypertension
Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care
Disparities in Diabetes
Objectives. We sought to determine the role of neighborhood poverty and racial composition on race disparities in diabetes prevalence. Methods. We used data from the 1999–2004 National Health and Nutrition Examination Survey and 2000 US Census to estimate the impact of individual race and poverty and neighborhood racial composition and poverty concentration on the odds of having diabetes. Results. We found a race–poverty–place gradient for diabet…
Social context explains race disparities in obesity among women
BACKGROUND: National data do not account for race differences in health risks resulting from racial segregation or the correlation between race and socioeconomic status. Therefore, these data may inaccurately attribute differences in obesity to race rather than differing social context. The goal of this study was to investigate whether race disparities in obesity among women persist in a community of black people and white people living in the sa…
Intersections of Ethnicity and Social Class in Provider Advice Regarding Reproductive Health
Objectives. We examined how ethnicity and social class influence women’s perceptions of reproductive health care. Of primary interest was assessing whether health care providers are perceived as advising low-income women, particularly women of color, to limit their childbearing and to what extent they feel they are discouraged by providers from having future children. Methods. Ethnically diverse, low-income (n=193) and middle-class women (n=146) …
Exploring Health Disparities in Integrated Communities
Accelerated Health Declines among African Americans in the USA
Perceived Racial Discrimination and Mental Health in Low-Income, Urban-Dwelling Whites
This study examined the relationship between perceived racial discrimination and the presence of anxiety and depression in a sample of low-income, urban-dwelling whites. Data were analyzed from a cross-sectional survey of low-income whites living in an inner-city neighborhood in the mid-Atlantic United States. Perceived racial discrimination was reported by 39 percent of participants. Rates of depression in the population exceed prevalence rates …
Coping, Discrimination, and Physical Health Conditions Among Predominantly Poor, Urban African Americans
Psychometric Properties of the Medical Mistrust Index (MMI) in Latina Immigrants
Medical mistrust measures have not been validated in Latino immigrants. This study examined the psychometric properties of the Medical Mistrust Index and its association with health care satisfaction in a sample of Latina immigrants. Participants were 168 self-identified Latinas ≥40 years old. Women were recruited from three Latino-serving health clinics and through a Latino radio program. A bilingual interviewer administered the Medical Mistrust…
Health Status among Black Canadians
This study obtained nationally representative estimates of health-related indicators among native-born Black Canadians, and compared these estimates with those of native-born White Canadians. Data came from the Canadian Community Health Survey (2003-2008). Outcomes included smoking status, general health status, body mass index, and chronic conditions (i.e., asthma, hypertension, diabetes, heart disease, cancer). Descriptive statistics and logist…
Racial discrimination, John Henryism coping, and behavioral health conditions among predominantly poor, urban African Americans
The current study examined the relationship between John Henryism Active Coping (JHAC), experiences of racial discrimination, and behavioral health outcomes in a community sample of 319 Black adults. Assessments included primary health care screenings as well as self-reported survey questions to assess JHAC, experiences of discrimination, and self-reported behavioral health. Logistic regression models, adjusted for control variables, found a sign…
The Sociobiologic Integrative Model (SBIM)
The College Health and Wellness Study
Extreme Social Isolation, Use of Community‐Based Senior Support Services, and Mortality Among African American Elderly Women
The effect of extreme social isolation and use of community‐based senior services on longevity was examined in a national sample of African American elderly women (ages 55–96). Consistent with previous research on the social integration/mortality link, African American elderly women who were extremely socially isolated were hypothesized to have a higher 5‐year mortality rate. It was also hypothesized that use of community senior services would be…
Socioeconomic status and psychological distress
The Political Empowerment and Health Status of African-Americans
This article examines the impact of black political gains on black and white postneonatal mortality. Two dimensions of black political empowerment are examined, absolute political power and relative political power. The analysis examines all U.S. central cities with a population of at least 50,000 residents, 10% of whom are black. Absolute black political power did not influence postneonatal mortality for blacks or whites. However, there is a neg…
Segregation, Poverty, and Empowerment
Cities in the United States have undergone major social transitions during the past two decades. Three notable factors in these shifts have been the development of a black political elite sustained rates of black poverty, and intensified racial segregation. Indications of the effect of these social forces on black-white differentials in health status have begun to surface in the research literature. This article reports analyses of data from all …
Race/ethnicity, the social environment, and health
International and national research has documented the relations between socio-economic conditions and health. Nonetheless, racial/ethnic group comparisons of health indices frequently are presented in the United States without stratifying or adjusting for socio-economic conditions that could affect interpretation of the data. This paper examines how racial/ethnic group identifiers have been used in past research. While some studies assume biolog…
Extreme Social Isolation, Use of Community‐Based Senior Support Services, and Mortality Among African American Elderly Women
The effect of extreme social isolation and use of community‐based senior services on longevity was examined in a national sample of African American elderly women (ages 55–96). Consistent with previous research on the social integration/mortality link, African American elderly women who were extremely socially isolated were hypothesized to have a higher 5‐year mortality rate. It was also hypothesized that use of community senior services would be…
Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients
The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in…
Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients
Racial differences in attitudes toward professional mental health care and in the use of services
Differences in attitudes toward seeking professional mental health care and in the utilization of mental health services were examined by analyzing the second part of the National Comorbidity Survey. Prior to use of services, African Americans were found to have more positive attitudes than whites toward seeking such services, but less likely to use them. After utilization, their attitudes were found to be less positive than those of whites
Health risk and inequitable distribution of liquor stores in African American neighborhood
The Relationship Between Religious Coping Style and Anxiety over Breast Cancer in African American Women
Black Educational Advantage in the Inner City
Race Differences in Care for Heart Disease
Thomas A. LaVeist, Melanie Arthur, Janice Bowie, Race Differences in Care for Heart Disease: Implications for Patient Attitudes and Future Health Behavior, Phylon (1960-), Vol. 50, No. 1/2 (2002), pp. 115-126
Race, Gender, and Educational Advantage in the Inner City
Objective . In this study we examine race differences in the effect of childhood in an urban inner–city community on educational attainment in adulthood. Methods . We examine a cohort of African American and white individuals born in the late 1950s and early 1960s in the same hospital. Our analysis examines a set of individual, family, and community characteristics for the respondents at three time points in their life course, birth, childhood, a…
Race and Gender Differences in Willingness to Donate Blood and Cadaveric Organs
BACKGROUND: Recent efforts to recruit blood and organ donors have only marginally improved demographic disparities in willingness to donate. Few studies have examined which factors are most important in explaining race and gender disparities in willingness to donate. OBJECTIVES: To assess race and gender differences in willingness to donate blood and cadaveric organs, and to determine the extent to which several factors (including sociodemographi…
Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care
We examined a national sample of African American, white, Hispanic, and Asian American respondents to test the hypothesis that doctor-patient race concordance is predictive of patient satisfaction. Our analysis examined racial/ethnic differences in patient satisfaction among patients in multiple combinations of doctor-patient race/ethnicity pairs. Additionally, we outline the determinants of doctor-patient race concordance. The analysis used the …
Race and trust in the health care system
Objective.A legacy of racial discrimination in medical research and the health care system has been linked to a low level of trust in medical research and medical care among African Americans.While racial differences in trust in physicians have been demonstrated, little is known about racial variation in trust of health insurance plans and hospitals.For the present study, the authors analyzed responses to a cross-sectional telephone survey to ass…
The influence of race and religion on abstinence from alcohol, cigarettes and marijuana among adolescents.
OBJECTIVE: Past research has not fully explained why black youth are less likely than white youth to use alcohol and other substances. One plausible yet underexamined explanation is the "religion hypothesis," which posits that black youth are more likely than white youth to abstain because they are more religious than white youth. The present study tested this hypothesis empirically. METHOD: The study examined data from large, nationally represen…
The Association of Doctor-Patient Race Concordance with Health Services Utilization
Prevalence and Patterns of Discrimination among U.S. Health Care Consumers
The authors examine the prevalence and patterns of perceived discrimination in the U.S. health care system and examine social status variables as determinants, using data from the Commonwealth Fund's Minority Health Survey. The primary social status groups of interest are age, race, ethnicity, social class, sex, and health status. Each social status category placed respondents at greater risk of perceiving discrimination based on the correspondin…
Making the Case for a Qualitative Study of Medical Errors in Primary Care
In the interest of publicizing examples of funded qualitative health research, the authors share a proposal to the Agency for Healthcare Research and Quality in Washington, D.C., in which they sought to elicit patient stories of preventable problems in their primary health care that were associated with psychological or physical harms. These stories would allow for the construction of a tentative typology of errors and harms as experienced by pat…
Disentangling Race and Socioeconomic Status
Neighborhood characteristics and mental health among African Americans and whites living in a racially integrated urban community
The College Health and Wellness Study
Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community
Exploring Health Disparities in Integrated Communities
Medicine (64 works) · Sociology (43 works) · Demography (37 works) · Psychology (37 works) · Health disparities and outcomes (34 works) · Environmental health (32 works) · Gerontology (32 works) · Political science (31 works) · Public health (30 works) · Population (29 works)