Symposium: Group therapy with minority group patients. Introduction.
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The aged resemble minority groups in three ways, i.e. they suffer from prejudice, discrimination, and deprivation. On the other hand, they are not born into their age group, and they have little sense of group identity or political unity. The most descriptive term would seem to be "quasi-minority group." However, the aged are becoming less and less like minority groups as society seems to be moving toward an "age-irrelevant" era.
This paper is part of a study conducted in 1973-1974 to assess the programs of National Medical Fellowships, Inc. (NMF). NMF is a private organization founded in 1946 to improve medical services to black communities and, later, to all minority groups. The approach of NMF was to provide aid for training of black physicians. Data from questionnaire returns from NMF grant recipients and from "other" black physicians, as well as records of the organization, indicate that NMF was successful in increasing the number of black physicians who have specialty board certification, who have faculty appointments at predominantly white medical schools, and who have staff appointments at predominantly white hospitals. NMF recipients also were active in breaking down racial barriers. However, the data we collected do not indicate that these developments have improved the medical services to lower class minority communities.
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The barriers preventing dental students from pursuing dental careers are formidable, and the lack of commitment is really the major one. Before future students can become informed and motivated and can commit themselves to a career in dentistry, they must see the full sustained and honest commitment of those who teach and advise them, as well as of those who practice the profession. Once assured of this, they can proceed together with the profession to dismantle the other barriers.
This paper reports some findings of a cross-cultural study of depression in which Jewish and Protestant East Londoners were measured on several parameters. In discussing the findings, differences on familial factors are attributed to the marginality of Jews and those on hostility to differences in levels of repressed anger. Tentative observations on the types of illness seen among the depressed patients suggests that one needs to be cautious in applying subdivisions of the illness cross-culturally.
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Of 13 cancers that tend to occur at lower rates in aboriginal Americans or in the native lands of Japanese, Chinese, and Spanish-speaking persons than in United States whites, rates for all but one (laryngeal) have increased in migrants to the United States. In addition to leukemia, these 13 cancers include neoplasms that have been related, at least in part, to a diet high in animal fats or proteins (colon and rectum cancer); reproductive and endocrinologic factors and a diet high in animal fats or protein (prostate, ovary, corpus uteri, breast, and testis cancer); chemical carcinogens (lung, larynx, bladder, and pancreas cancer); and a common infectious agent that, like polio viruses, causes clinically overt disease with a frequency directly related to age of patient at initial infection (Hodgkin's disease). Of 9 cancers that occur at higher rates in aboriginal Americans or in one or more of the native lands of migrants than in United States whites, the rates of 5 tend to decrease in migrants. These include cancers that may be related to food preservation (stomach cancer); products of microorganisms that may contaminate foods (esophagus and liver cancer); and infectious agents (nasopharynx, cervix uteri, and liver cancer). In addition, rates of cancer of the thyroid are high in aboriginal Americans; those of the gallbladder are high in individuals of native American ancestry and in Japanese; incidence of salivary gland tumors is high in Alaskan natives and Colombians; and rates of kidney cancer are high in Alaskan natives. Five types of epidemiologic studies are described that should be conducted in the migrants and in their countries of origin and adoption to elucidate further the etiology of various neoplasms.
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Tuberculosis (TB) remains a major infectious disease burden, and inter-individual heterogeneity in progression from exposure to active disease suggests contributions from host genetic factors. SLC11A1 (formerly NRAMP1) encodes a phagosomal divalent cation transporter implicated in macrophage-mediated antimicrobial defense; the non-synonymous rs17235409 polymorphism (D543N) has been evaluated in multiple populations with inconsistent results. We conducted a retrospective matched case-control study in Qiandongnan, Guizhou Province, China, including 50 patients diagnosed with TB (2022-2023) and 50 healthy controls frequency-matched by ethnicity and selected demographics. Participants were drawn from Miao, Dong, and other minority groups. Among TB cases, the frequencies of the GG, GA, and AA genotypes were 80.0%, 20.0%, and 0%, respectively, compared with 74.0%, 18.0%, and 8.0% among controls. The overall genotype distribution did not differ significantly between the 2 groups (P = .124). Under the dominant model, no significant association was observed between rs17235409 and TB susceptibility (OR = 0.71, 95% CI: 0.28-1.82; P = .635). Allelic analysis showed that the frequency of the A allele was lower in cases than in controls (10.0% vs 17.0%), but this difference was not statistically significant (OR = 0.54, 95% CI: 0.24-1.25; P = .214). Ethnicity-stratified analyses similarly showed no statistically detectable associations in Miao, Dong, or other groups. The minor allele frequency was 0.095, lower than the Han Chinese reference from 1000 Genomes. In this pilot study of multi-ethnic populations from southwestern China, no statistically significant association was identified between the SLC11A1 rs17235409 polymorphism and tuberculosis susceptibility. Although the A allele appeared less frequent among cases, the limited sample size and statistical power preclude definitive conclusions regarding modest or ethnic-specific effects. These findings provide preliminary genetic data from underrepresented ethnic minority populations and warrant validation in larger multicenter studies.