social determinants of health and wellbeing

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…

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…

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.…

Introduction Since the tragic murders of George Floyd and Breonna Taylor, many healthcare organizations have created initiatives to promote anti-racism; these initiatives have ranged from organizational anti-racism statements to Black Lives Matters lanyards to the development of numerous anti-racism taskforces. In this research article, the authors seek to move beyond these more symbolic forms of…

Introduction The professional field of evaluation plays an integral role in creating the results, measurements, and evidence that guide the worldviews and decisions of businesses, educational institutions, philanthropies, public health agencies, and governments. Given this influence, it is paramount for evaluators to understand the practice of evaluation as a tool to reinforce and enable or…

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…

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…

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…

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,…

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,…