Research Ethics and Health Disparities Online Resource Center
Fordham University Center for Ethics Education
The Research Ethics and Health Disparities Online Resource Center provides resources for addressing ethical issues essential for promoting health equity in research, public health, and medical and mental health research and practice. The continuously updated publications, scales, and multimedia training tools cover issues affecting vulnerable populations including HIV/AIDS prevention and treatment, addiction and drug use, stigma and discrimination, racial and LGBTQ health, and the impact of new technologies and social media on health disparities locally and globally.
Directed by Celia Fisher, PhD, these resources represent research and scholarship conducted by Fordham University’s Center for Ethics Education, Human Development and Social Justice Lab, and faculty and fellows of the HIV/Drug Abuse Prevention Research Ethics Training Institute.
HIV/AIDS and addiction research ethics · treatment and prevention · voices of sexual/gender and racial minorities and other vulnerable populations · stigma · trust · mistrust · incentives ·
informed consent · mHealth · sex work · risks/benefits
Health disparities and health equity · racial/ethnic minority health ·
LGBTQ · sexual health · adolescents and young adults · positive youth development · mental health · social media and new technologies · COVID-19 · vaccine hesitancy ·
suicide risk · discrimination
Bioethics · public health · medical ethics · social science · genomics · psychology · psychiatry · regulations and international laws · ethics standards and guidelines · community engaged research
COVID victimization · research participant ethics questionnaires · racial & LGBTQ discrimination · racial bias preparation · consent capacity · college drinking · masculinity ·
mentoring · moral distress · research ethics climate · RCR · research and medical mistrust · youth drug use & suicide research
Fisher, C. B., Tao, X., Liu, T., Giorgi, S., & Curtis, B. L. (2021)
COVID-Related Victimization, Racial Bias and Employment and Housing Disruption Increase Mental Health Risk Among US Asian, Black and Latinx Adults
Frontiers in Public Health
Background: The mental health of racial/ethnic minorities in the U.S. has been disproportionately impacted by the COVID-19 pandemic. This study examined the extent to which disruptions in employment and housing, coronavirus-specific forms of victimization and racial bias independently and conjointly contributed to mental health risk among Asian, Black, and Latinx adults in the United States during the pandemic. Methods: This study reports on data from 401 Asian, Black, and Latinx adults (age 18–72) who participated in a larger national online survey conducted from October 2020–June 2021, Measures included financial and health information, housing disruptions and distress in response to employment changes, coronavirus related victimization distress and perceived increases in racial bias, depression and anxiety. Results: Asian participants had significantly higher levels of COVID-related victimization distress and perceived increases in racial bias than Black and Latinx. Young adults (<26 years old) were more vulnerable to depression, anxiety, and coronavirus victimization distress than older respondents. Having at least one COVID-related health risk, distress in response to changes in employment and housing disruptions, pandemic related victimization distress and perceived increases in racial bias were positively and significantly related to depression and anxiety. Structural equation modeling indicated COVID-related increases in racial bias mediated the effect of COVID-19 related victimization distress on depression and anxiety. Conclusions: COVID-19 has created new pathways to mental health disparities among racial/ethnic minorities in the U.S. by exacerbating existing structural and societal inequities linked to race. Findings highlight the necessity of mental health services sensitive to specific challenges in employment and housing and social bias experienced by people of color during the current and future health crises.