What Structural Racism Is (or Is Not) and How to Measure It: Clarity for Public Health and Medical Researchers
Introduction Recent incidents of police brutality against Black Americans sparked heightened awareness of systemic racism in the United States, leading to discussions about racism’s pervasive presence in society, including within public health structures. This awareness has also translated to increased attention and funding for research on structural racism’s effect on health. However, there is inconsistency…
Read MoreBlack Lives Matter: Moving from passion to action in academic medical institutions
Introduction For Americans, the murder of George Floyd marked 2020 as the year of the “racial awakening” in the United States. Largely led by the Black Lives Matter (BLM) movement, protests and calls for racial justice spread across the country and inevitably reached medical institutions too. In collaboration with White Coats for Black Lives—a national…
Read MoreImplementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review
Introduction Racism in healthcare settings is a persistent and complex problem for both healthcare delivery and access to health services. Over the past decade, several publications demonstrate the experiences of racism faced by minoritized patients such as the enduring racist assumptions about pain tolerance of Black people, the low propensity for screening Black women for…
Read MoreAssociation Between Racial Wealth Inequities and Racial Disparities in Longevity Among US Adults and Role of Reparations Payments, 1992 to 2018
Introduction This cohort study aims to identify, address and quantify the relationship between longevity ( “all cause mortality”) and wealth as it relates to Black individuals versus white individuals. Furthermore, the study then models how reparations payments to the black community could potentially affect the longevity ( “all cause mortality”) gap between Blacks and whites.…
Read MoreThe ecological and evolutionary consequences of systemic racism in urban environments
Introduction Cities are important ecosystems shaped by dynamic and interdependent biological, physical and social influences. However, Schell et al. note that few studies link research on urban ecological and evolutionary studies to that of social inequality. They argue it is integral to integrate these disciplines as human-created systems of power create uneven impacts on non-human…
Read MorePersuasion in Medicine: Messaging to Increase Vaccine Demand
Introduction Despite the demonstrated benefits of preventive medicine, only 45% of American adults typically get a flu shot during flu season. Vaccine hesitancy is particularly common among Black and white lower socioeconomic status men, who don’t trust doctors and are skeptical of the benefits relative to the perceived risk. For Black Americans, this mistrust is…
Read MoreImplicit Organizational Bias: Mental Health Treatment Culture and Norms as Barriers to Engaging with Diversity
Introduction BIPOC communities face many structural barriers to accessing mental health care. To reduce this health disparity and better serve multicultural populations, many providers are turning to person-centered care. Person-centered care is intended to improve quality of care by centering the patient’s values, preferences, and goals in collaboratively designed care plans. Although this approach has…
Read MoreA decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test
Introduction Existing research indicates that Black, Indigenous, and people of color have worse health outcomes than white people, including incidence, prevalence, severity of disease at diagnosis, rates of mortality, and lower quality of care, despite efforts to close these gaps. The health disparity gap begins at birth and persists throughout one’s life course. Though these…
Read MorePhysician-patient racial concordance and disparities in birthing mortality for newborns
Introduction Prior research has documented that sharing demographic characteristics increases a sense of understanding or empathy between two people. This in-group bias has been found to influence the decisions made by leadership teams, inspection enforcers, teachers, and judges to favor those with shared racial or gender traits (further exasperated by white racial power). Greenwood, Hardeman,…
Read MoreStructural competency: Theorizing a new medical engagement with stigma and inequality
Introduction Medical professionals recognize that physicians must learn both the science of medicine and the art of patient communication. Currently, much of the medical field is focused on the concept of “cultural competency” and “cultural humility.” These concepts have pushed medical education to move beyond “colorblindness” and recognize that social factors, such as race, ethnicity,…
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