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Systemic Racism

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https://www.readbyqxmd.com/read/29065016/commentary-racism-and-bias-in-health-professions-education-how-educators-faculty-developers-and-researchers-can-make-a-difference
#1
Reena Karani, Lara Varpio, Win May, Tanya Horsley, John Chenault, Karen Hughes Miller, Bridget O'Brien
The Research in Medical Education (RIME) Program Planning Committee is committed to advancing scholarship in and promoting dialogue about the critical issues of racism and bias in health professions education (HPE). From the call for studies focused on underrepresented learners and faculty in medicine to the invited 2016 RIME plenary address by Dr. Camara Jones, the committee strongly believes that dismantling racism is critical to the future of HPE.The evidence is glaring: Dramatic racial and ethnic health disparities persist in the United States, people of color remain deeply underrepresented in medical school and academic health systems as faculty, learner experiences across the medical education continuum are fraught with bias, and current approaches to teaching perpetuate stereotypes and insufficiently challenge structural inequities...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29048954/the-cumulative-probability-of-arrest-by-age-28-years-in-the-united-states-by-disability-status-race-ethnicity-and-gender
#2
Erin J McCauley
OBJECTIVES: To estimate the cumulative probability (c) of arrest by age 28 years in the United States by disability status, race/ethnicity, and gender. METHODS: I estimated cumulative probabilities through birth cohort life tables with data from the National Longitudinal Survey of Youth, 1997. RESULTS: Estimates demonstrated that those with disabilities have a higher cumulative probability of arrest (c = 42.65) than those without (c = 29...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28969457/educational-content-related-to-postcolonialism-and-indigenous-health-inequities-recommended-for-all-rehabilitation-students-in-canada-a-qualitative-study
#3
Ala Hojjati, Allana S W Beavis, Aly Kassam, Daniel Choudhury, Michelle Fraser, Renée Masching, Stephanie A Nixon
BACKGROUND: Postcolonial analysis can help rehabilitation providers understand how colonization and racialization create and sustain health inequities faced by indigenous peoples. However, there is little guidance in the literature regarding inclusion of postcolonialism within rehabilitation educational curricula. Therefore, this study explored perspectives regarding educational content related to postcolonialism and indigenous health that rehabilitation students in Canada should learn to increase health equity...
October 2, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28945442/changing-norms-strategies-and-systems-to-support-behavioral-health-and-social-justice-a-call-to-action-and-introduction-to-the-special-section
#4
Jill D McLeigh, Ryan P Kilmer
This editorial introduces this special section of the American Journal of Orthopsychiatry. The Global Alliance for Behavioral Health and Social Justice (formerly the American Orthopsychiatric Association) has developed the theme for its track at the 2016 Annual Research and Policy Conference on Child, Adolescent, and Young Adult Behavioral Health. The Global Alliance, the parent organization of the American Journal of Orthopsychiatry, has long sought to address prevailing social conditions by treating them as problems to be solved through multilevel, contextually grounded social interventions...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28936795/the-ugly-truth-about-ourselves-and-our-robot-creations-the-problem-of-bias-and-social-inequity
#5
Ayanna Howard, Jason Borenstein
Recently, there has been an upsurge of attention focused on bias and its impact on specialized artificial intelligence (AI) applications. Allegations of racism and sexism have permeated the conversation as stories surface about search engines delivering job postings for well-paying technical jobs to men and not women, or providing arrest mugshots when keywords such as "black teenagers" are entered. Learning algorithms are evolving; they are often created from parsing through large datasets of online information while having truth labels bestowed on them by crowd-sourced masses...
September 21, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28929885/first-nations-inuit-and-m%C3%A3-tis-health-considerations-for-canadian-health-leaders-in-the-wake-of-the-truth-and-reconciliation-commission-of-canada-report
#6
Mary McNally, Debbie Martin
First Nations, Inuit and Métis peoples living in Canada face profound health disparities relative to non-Indigenous Canadians on almost every measure of health and well-being. Advancing health opportunities for Indigenous peoples require responses at all levels of healthcare delivery and policy. Therefore, it is critical for health leaders and providers within Canada's healthcare institutions, systems, and settings to understand and address the determinants of health unique to Indigenous peoples, including the legacy of colonialism and both long-standing and present-day racism...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929884/la-sant%C3%A3-des-premi%C3%A3-res-nations-des-inuits-et-des-m%C3%A3-tis-les-facteurs-que-doivent-envisager-les-leaders-en-sant%C3%A3-canadiens-dans-la-foul%C3%A3-e-du-rapport-de-la-commission-de-v%C3%A3-rit%C3%A3-et-r%C3%A3-conciliation-du-canada
#7
Mary McNally, Debbie Martin
Les peuples des Premières nations, inuits et métis qui habitent au Canada sont aux prises avec de profondes disparités en matière de santé par rapport aux Canadiens non autochtones, et ce, dans presque toutes les mesures liées à la santé et au bien-être. Pour faire progresser les services de santé auprès des peuples autochtones, il faut passer à l'action dans tous les ordres de prestation des soins et des politiques en santé. Il est donc essentiel que les leaders et les prestataires des établissements, des systèmes et des installations de santé du Canada comprennent et prennent en main les déterminants de la santé propres aux peuples autochtones, y compris l'héritage du colonialisme et le racisme ancien et actuel...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28905731/what-does-health-justice-look-like-for-people-returning-from-incarceration
#8
Lisa Puglisi, Joseph P Calderon, Emily A Wang
Access to health care is a constitutional right in the United States correctional system, and many incarcerated adults are newly diagnosed with chronic diseases in prison. Despite this right, the quality of correctional health care is variable, largely unmeasured and unregulated, and characterized by patients' widespread distrust of a health system that is intimately tied to a punitive criminal justice system. Upon release, discontinuity of care is the norm, and when continuity is established, it is often hindered by distrust, discrimination, poor communication, and racism in the health system...
September 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28829260/systemic-racism-and-race-categorization-in-u-s-medical-research-and-practice
#9
Joe Feagin
No abstract text is available yet for this article.
September 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28685947/drawing-on-antiracist-approaches-toward-a-critical-antidiscriminatory-pedagogy-for-nursing
#10
Amélie Blanchet Garneau, Annette J Browne, Colleen Varcoe
Although nursing has a unique contribution to advancing social justice in health care practices and education, and although social justice has been claimed as a core value of nursing, there is little guidance regarding how to enact social justice in nursing practice and education. In this paper, we propose a critical antidiscriminatory pedagogy (CADP) for nursing as a promising path in this direction. We argue that because discrimination is inherent to the production and maintenance of inequities and injustices, adopting a CADP offers opportunities for students and practicing nurses to develop their capacity to counteract racism and other forms of individual and systemic discrimination in health care, and thus promote social justice...
July 7, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28661296/applying-an-equity-lens-to-the-child-care-setting
#11
Krista Scott, Anna Ayers Looby, Janie Simms Hipp, Natasha Frost
In the current landscape, child care is increasingly being seen as a place for early education, and systems are largely bundling child care in the Early Care and Education sphere through funding and quality measures. As states define school readiness and quality, they often miss critical elements, such as equitable access to quality and cultural traditions. This article provides a summary of the various definitions and structures of child care. It also discusses how the current child care policy conversation can and ought to be infused with a framework grounded in the context of institutional racism and trauma...
March 2017: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28640664/%C3%A2-somos-iguales-using-a-structural-violence-framework-to-understand-gender-and-health-inequities-from-an-intersectional-perspective-in-the-peruvian-amazon
#12
Geordan D Shannon, Angelica Motta, Carlos F Cáceres, Jolene Skordis-Worrall, Diana Bowie, Audrey Prost
BACKGROUND: In the Peruvian Amazon, historical events of colonization and political marginalization intersect with identities of ethnicity, class and geography in the construction of gender and health inequities. Gender-based inequalities can manifest in poor health outcomes via discriminatory practices, healthcare system imbalances, inequities in health research, and differential exposures and vulnerabilities to diseases. Structural violence is a comprehensive framework to explain the mechanisms by which social forces such as poverty, racism and gender inequity become embodied as individual experiences and health outcomes, and thus may be a useful tool in structuring an intersectional analysis of gender and health inequities in Amazonian Peru...
January 2017: Global Health Action
https://www.readbyqxmd.com/read/28610847/-application-of-the-cultural-competence-model-in-the-experience-of-care-in-nursing-professionals-primary-care
#13
María Dolores Gil Estevan, María Del Carmen Solano Ruíz
OBJECTIVE: To know the experiences and perceptions of nurses in providing care and health promotion, women belonging to groups at risk of social vulnerability, applying the model of cultural competence Purnell. DESIGN: Phenomenological qualitative study. LOCATION: Department of Health Elda. PARTICIPANTS: A total of 22 primary care professional volunteers. METHOD: Semi-structured interviews and focus groups with recording and content analysis, according to the theory model of cultural competence...
June 10, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28604021/still-i-rise-the-need-for-self-validation-and-self-care-in-the-midst-of-adversities-faced-by-black-women-with-hiv
#14
Sannisha K Dale, Catherine Pierre-Louis, Laura M Bogart, Conall O'Cleirigh, Steven A Safren
OBJECTIVES: Psychosocial factors of trauma and abuse, racial discrimination, HIV stigma, and gender-related stressors (e.g., prioritizing others' needs) have been associated with antiretroviral treatment (ART) nonadherence and poor viral suppression among Black women living with HIV (BWLWH). To inform the development of an intervention addressing these psychosocial factors to improve ART adherence, the authors sought the insight of BWLWH. METHOD: Qualitative semistructured interviews were conducted with 30 BWLWH to gather information on their experiences with trauma, racism, HIV stigma, gender-related stressors, ART adherence, and coping strategies, and their insights on the proposed intervention...
June 12, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28579093/the-enduring-impact-of-historical-and-structural-racism-on-urban-violence-in-philadelphia
#15
Sara F Jacoby, Beidi Dong, Jessica H Beard, Douglas J Wiebe, Christopher N Morrison
Public health approaches to crime and injury prevention are increasingly focused on the physical places and environments where violence is concentrated. In this study, our aim is to explore the association between historic place-based racial discrimination captured in the 1937 Home Owners Loan Corporation (HOLC) map of Philadelphia and present-day violent crime and firearm injuries. The creators of the 1937 HOLC map zoned Philadelphia based in a hierarchical system wherein first-grade and green color zones were used to indicate areas desirable for government-backed mortgage lending and economic development, a second-grade or blue zone for areas that were already developed and stable, a third-grade or yellow zone for areas with evidence of decline and influx of a "low grade population," and fourth-grade or red zone for areas with dilapidated or informal housing and an "undesirable population" of predominately Black residents...
May 19, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28409478/reversing-racial-inequities-at-the-end-of-life-a-call-for-health-systems-to-create-culturally-competent-advance-care-planning-programs-within-african-american-communities
#16
Randi Belisomo
Racial and cultural barriers inherent in health systems have made the delivery of culturally relevant end of life care that aligns with patient preferences a particular challenge across African American patient populations. The end of life experience has been cited as a public health crisis by the Institute of Medicine (IOM), and this crisis is one felt even more acutely by patients of this minority race. Structural racism has limited access to the planning mechanisms proven to result in quality end of life care; thus, health systems must initiate remedies in the face of dire need, as African Americans face a disproportionate burden of morbidity and mortality from many serious illnesses...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28402827/structural-racism-and-health-inequities-in-the-usa-evidence-and-interventions
#17
REVIEW
Zinzi D Bailey, Nancy Krieger, Madina Agénor, Jasmine Graves, Natalia Linos, Mary T Bassett
Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and interventions that grapple with the implications of what is known as structural racism on population health and health inequities...
April 8, 2017: Lancet
https://www.readbyqxmd.com/read/28402825/inequality-and-the-health-care-system-in-the-usa
#18
REVIEW
Samuel L Dickman, David U Himmelstein, Steffie Woolhandler
Widening economic inequality in the USA has been accompanied by increasing disparities in health outcomes. The life expectancy of the wealthiest Americans now exceeds that of the poorest by 10-15 years. This report, part of a Series on health and inequality in the USA, focuses on how the health-care system, which could reduce income-based disparities in health, instead often exacerbates them. Other articles in this Series address population health inequalities, and the health effects of racism, mass incarceration, and the Affordable Care Act (ACA)...
April 8, 2017: Lancet
https://www.readbyqxmd.com/read/28368199/he-said-what-physiological-and-cognitive-responses-to-imagining-and-witnessing-outgroup-racism
#19
Francine Karmali, Kerry Kawakami, Elizabeth Page-Gould
Responses to outgroup racism can have serious implications for the perpetuation of bias, yet research examining this process is rare. The present research investigated self-reported, physiological, and cognitive responses among "experiencers" who witnessed and "forecasters" who imagined a racist comment targeting an outgroup member. Although previous research indicates that experiencers self-reported less distress and chose a racist partner more often than forecasters, the present results explored the possibility that experiencers may actually be distressed in such situation but regulate their initial affective reactions...
April 3, 2017: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/28342562/tackling-racism-as-a-wicked-public-health-problem-enabling-allies-in-anti-racism-praxis
#20
Heather Came, Derek Griffith
Racism is a "wicked" public health problem that fuels systemic health inequities between population groups in New Zealand, the United States and elsewhere. While literature has examined racism and its effects on health, the work describing how to intervene to address racism in public health is less developed. While the notion of raising awareness of racism through socio-political education is not new, given the way racism has morphed into new narratives in health institutional settings, it has become critical to support allies to make informing efforts to address racism as a fundamental cause of health inequities...
March 16, 2017: Social Science & Medicine
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