It looks like you're using Internet Explorer 11 or older. This website works best with modern browsers such as the latest versions of Chrome, Firefox, Safari, and Edge. If you continue with this browser, you may see unexpected results.
We are convinced that learning to notice and question dominant narratives is an
important step toward disrupting and correcting them, and a vital component of health
equity work. One way to make dominant narratives visible is to develop a capacity to
critically examine the language we use in our communication. This guide is intended to
raise questions about language and commonly used phrases and terms, with the goal
of cultivating awareness about dominant narratives and offering equity-based, equity explicit, and person-first alternatives.
Systemic racism or institutional racism continues to be a pervasive and devastating force in our country. In addition to the discipline-specific resources on race and inequality throughout this guide, this page also includes information on anti-racism efforts at the University of Cincinnati and a variety of tools for self-reflection.
Black women who have experienced more racism throughout their lives have stronger brain responses to threat, which may hurt their long-term health, according to a new study I conducted with clinical neuropsychologist Negar Fani and other colleagues.
The United States is home to stark and persistent racial disparities in health coverage, chronic health conditions, mental health, and mortality. These disparities are not a result of individual or group behavior but decades of systematic inequality in American economic, housing, and health care systems. This fact sheet sheds light on some of the most persistent inequities facing African Americans or Black Americans, Hispanic Americans or Latinx Americans, Asian Americans, Native Hawaiian or other Pacific Islander Americans, and American Indians or Alaska Natives. Alleviating health disparities will require a deliberate and sustained effort to address social determinants of health, such as poverty, segregation, environmental degradation, and racial discrimination.
CDC’s Health Equity Guiding Principles for Inclusive Communication emphasize the importance of addressing all people inclusively and respectfully. These principles are intended to help public health professionals, particularly health communicators, within and outside of CDC ensure their communication products and strategies adapt to the specific cultural, linguistic, environmental, and historical situation of each population or audience of focus.
Far from being "the great equalizer," COVID-19 has disproportionately sickened and killed African Americans and Latinos in the U.S. Many of the reasons for these inequalities reach back to before the pandemic began. A recent study found that black doctors were more effective than non-black doctors at convincing black men to use preventative health services.
Why are black people sicker, and why do they die earlier, than other racial groups? Many factors likely contribute to the increased morbidity and mortality among black people. It is undeniable, though, that one of those factors is the care that they receive from their providers. Black people simply are not receiving the same quality of health care that their white counterparts receive, and this second-rate health care is shortening their lives.
For much of American history, these types of disparities were largely blamed on blacks’ supposed innate susceptibility to illness — their “mass of imperfections,” as one doctor wrote in 1903 — and their own behavior. But now many social scientists and medical researchers agree, the problem isn’t race but racism.
The American health care system in beset with inequalities that have a disproportionate impact on people of color and other marginalized groups. These inequalities contribute to gaps in health insurance coverage, uneven access to services, and poorer health outcomes among certain populations. African Americans bear the brunt of these health care challenges.
the National Academy of Medicine Twitter account has been highlighting statements from various NAM, Institute of Medicine (IOM), and National Academies of Sciences, Engineering, and Medicine reports that support the conclusion that institutional bias and structural racism have affected the health of BIPOC (Black, Indigenous, and People of Color) in the United States. Scroll through the statements below, or click to expand and see the reports the statements are from.
As part of its statement of task, the committee was asked to review the state of health disparities in the United States and to explore the underlying conditions and root causes contributing to health inequities and the interdependent nature of the factors that create them, the committee reviews the state of health disparities in the United States by race and ethnicity, gender, sexual orientation and gender identity, and disability status, highlighting populations that are disproportionately impacted by inequity. In addition, this chapter summarizes data related to military veterans as well as rural versus urban-area differences.
Black & Blue is the first systematic description of how American doctors think about racial differences and how this kind of thinking affects the treatment of their black patients. The standard studies of medical racism examine past medical abuses of black people and do not address the racially motivated thinking and behaviors of physicians practicing medicine today. Black & Blue penetrates the physician's private sphere where racial fantasies and misinformation distort diagnoses and treatments. Doctors have always absorbed the racial stereotypes and folkloric beliefs about racial differences that permeate the general population. Within the world of medicine this racial folklore has infiltrated all of the medical sub-disciplines, from cardiology to gynecology to psychiatry. Doctors have thus imposed white or black racial identities upon every organ system of the human body, along with racial interpretations of black children, the black elderly, the black athlete, black musicality, black pain thresholds, and other aspects of black minds and bodies. The American medical establishment does not readily absorb either historical or current information about medical racism. For this reason, racial enlightenment will not reach medical schools until the current race-aversive curricula include new historical and sociological perspectives.
This book highlights and suggests remedies for the racial and ethnic health disparities confronting people of color amid COVID-19 in the United States. Racial and ethnic health disparities stem from social conditions, not from racial features, that are deeply grounded in systemic racism, operating through the White racial frame. Race and ethnicity are significant factors in any review of health inequity and health inequality. Hence, any realistic end to racial health disparities lies beyond the scope of the health system and health care. The book explores structuration theory, which examines the duality between agency and structure as a possibly potent pathway toward dismantling systemic racism, the White racial frame, and racialized social systems.
Paralleling emerging trends in cyber-health technology, concerns are mounting about racial and ethnic disparities in health care utilization and outcomes. This book brings these themes together, challenging readers to use, promote, and develop new technology-based methods for closing these gaps. Edited by a leading urban health advocate and featuring 16 expert contributors, the book examines cyber-strategies with the greatest potential toward effective, equitable care, improved service delivery and better health outcomes for all. The rise of e-Patients and the transformation of the doctor-patient relationship are also discussed.
Health disparities have remained stubbornly entrenched in the American health care system--and in Just Medicine, Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients
From the era of slavery to the present day, the first full history of black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. Medical Apartheidis the first and only comprehensive history of medical experimentation on African Americans.
Revolution was in the air in the 1960s. Civil rights protests demanded attention on the airwaves and in the streets. Anger gave way to revolt, and revolt provided the elusive promise of actual change. But a very different civil rights history evolved at the Ionia State Hospital for the Criminally Insane in Ionia, Michigan. Here, far from the national glare of sit-ins, boycotts, or riots, African American men suddenly appeared in the asylum’s previously white, locked wards. Some of these men came to the attention of the state after participating in civil rights demonstrations, while others were sent by the military, the penal system, or the police. Though many of the men hailed from Detroit, ambulances and paddy wagons brought men from other urban centers as well. Once at Ionia, psychiatrists classified these men under a single diagnosis: schizophrenia. InThe Protest Psychosis, psychiatrist and cultural critic Jonathan Metzl tells the shocking story of how schizophrenia became the diagnostic term overwhelmingly applied to African American men at the Ionia State Hospital, and how events at Ionia mirrored national conversations that increasingly linked blackness, madness, and civil rights.
A troubling study of the role that medical racism plays in the lives of black women who have given birth to premature and low birth weight infants Black women have higher rates of premature birth than other women in America. This cannot be simply explained by economic factors, with poorer women lacking resources or access to care. Even professional, middle-class black women are at a much higher risk of premature birth than low-income white women in the United States.
Among women’s health concerns, reproductive issues, both prenatal and postpartum, hold particular prominence. Yet despite the many programs dedicated to improving women’s reproductive health, maternal and infant morbidity and mortality rates in minority communities remain unchanged—or have increased.