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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
#1
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
#2
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/28610435/access-and-engagement-in-hiv-care-among-a-national-cohort-of-women-living-with-hiv-in-canada
#3
Nadine Kronfli, Ashley Lacombe-Duncan, Ying Wang, Alexandra de Pokomandy, Angela Kaida, Carmen Logie, Tracey Conway, V Logan Kennedy, Ann Burchell, Wangari Tharao, Neora Pick, Mary Kestler, Paul Sereda, Mona Loutfy, On Behalf Of The Chiwos Research Team
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) who had never accessed HIV medical care, who reported delayed linkage into HIV care (>3 months between diagnosis and initial care linkage), and who were not engaged in HIV care at interview (<1 visit in prior year)...
June 13, 2017: AIDS Care
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
#4
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/28602358/institutional-racism-in-public-health-contracting-findings-of-a-nationwide-survey-from-new-zealand
#5
H Came, C Doole, B McKenna, T McCreanor
Public institutions within New Zealand have long been accused of mono-culturalism and institutional racism. This study sought to identify inconsistencies and bias by comparing government funded contracting processes for Māori public health providers (n = 60) with those of generic providers (n = 90). Qualitative and quantitative data were collected (November 2014-May 2015), through a nationwide telephone survey of public health providers, achieving a 75% response rate. Descriptive statistical analyses were applied to quantitative responses and an inductive approach was taken to analyse data from open-ended responses in the survey domains of relationships with portfolio contract managers, contracting and funding...
June 3, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28579093/the-enduring-impact-of-historical-and-structural-racism-on-urban-violence-in-philadelphia
#6
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/28573643/neighborhood-disadvantage-residential-segregation-and-beyond-lessons-for-studying-structural-racism-and-health
#7
Alicia R Riley
A recent surge of interest in identifying the health effects of structural racism has coincided with the ongoing attention to neighborhood effects in both epidemiology and sociology. Mindful of these currents in the literature, it makes sense that we are seeing an emergent tendency in health disparities research to operationalize structural racism as either neighborhood disadvantage or racial residential segregation. This review essay synthesizes findings on the relevance of neighborhood disadvantage and residential segregation to the study of structural racism and health...
June 1, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28552294/structural-racism-in-the-workplace-does-perception-matter-for-health-inequalities
#8
Courtney L McCluney, Lauren L Schmitz, Margaret T Hicken, Amanda Sonnega
Structural racism has been linked to racial health inequalities and may operate through an unequal labor market that results in inequalities in psychosocial workplace environments (PWE). Experiences of the PWE may be a critical but understudied source of racial health disparities as most adults spend a large portion of their lives in the workplace, and work-related stress affects health outcomes. Further, it is not clear if the objective characteristics of the workplace are important for health inequalities or if these inequalities are driven by the perception of the workplace...
May 20, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28540367/lived-lives-a-pavee-perspective-an-arts-science-community-intervention-around-suicide-in-an-indigenous-ethnic-minority
#9
Kevin M Malone, Seamus G McGuinness, Eimear Cleary, Janis Jefferies, Christabel Owens, Cecily C Kelleher
Background: Suicide is a significant public health concern, which impacts on health outcomes. Few suicide research studies have been interdisciplinary. We combined a psychobiographical autopsy with a visual arts autopsy, in which families donated stories, images and objects associated with the lived life of a loved one lost to suicide. From this interdisciplinary research platform, a mediated exhibition was created (Lived Lives) with artist, scientist and families, co-curated by communities, facilitating dialogue, response and public action around suicide prevention...
April 13, 2017: Wellcome Open Research
https://www.readbyqxmd.com/read/28511029/conceptualizing-ethnicity-in-alcohol-and-drug-research-epidemiology-meets-social-theory
#10
Geoffrey Hunt, Torsten Kolind, Tamar Antin
Since the 1990s, social scientists have rejected notions of ethnicity as something static and discrete, instead highlighting the context-dependent and fluid nature of multiple identities. In spite of these developments, researchers within the substance use fields continue to assess ethnic group categories in ways that suggest little critical reflection in terms of the validity of the measurements themselves, nor the social, bureaucratic, and political decisions shaping standard measures of ethnicity. This paper highlights these considerations, while also acknowledging the role of socially-delineated ethnic categorizations in documenting health inequities and social injustices...
May 16, 2017: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/28501223/health-care-barriers-racism-and-intersectionality-in-australia
#11
João L Bastos, Catherine E Harnois, Yin C Paradies
While racism has been shown to negatively affect health care quality, little is known about the extent to which racial discrimination works with and through gender, class, and sexuality to predict barriers to health care (e.g., perceived difficulty accessing health services). Additionally, most existing studies focus on racial disparities in the U.S. context, with few examining marginalized groups in other countries. To address these knowledge gaps, we analyze data from the 2014 Australian General Social Survey, a nationally representative survey of individuals aged 15 and older living in 12,932 private dwellings...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28494318/moving-beyond-description-closing-the-health-equity-gap-by-redressing-racism-impacting-indigenous-populations
#12
Annette J Browne
No abstract text is available yet for this article.
April 27, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28492706/confronting-racism-in-health-services
#13
Luis Eduardo Batista, Sônia Barros
No abstract text is available yet for this article.
May 8, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28484013/preferences-for-group-dominance-track-and-mediate-the-effects-of-macro-level-social-inequality-and-violence-across-societies
#14
Jonas R Kunst, Ronald Fischer, Jim Sidanius, Lotte Thomsen
Whether and how societal structures shape individual psychology is a foundational question of the social sciences. Combining insights from evolutionary biology, economy, and the political and psychological sciences, we identify a central psychological process that functions to sustain group-based hierarchies in human societies. In study 1, we demonstrate that macrolevel structural inequality, impaired population outcomes, socio-political instability, and the risk of violence are reflected in the endorsement of group hegemony at the aggregate population level across 27 countries (n = 41,824): The greater the national inequality, the greater is the endorsement of between-group hierarchy within the population...
May 23, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28475404/anti-muslim-racism-and-women-s-health
#15
Dena Hassouneh
No abstract text is available yet for this article.
May 5, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28463037/identity-management-strategies-among-hiv-positive-colombian-gay-men-in-london
#16
Rusi Jaspal, Iain Williamson
This study set out to explore the social-psychological aspects of living with HIV among a group of HIV-positive Colombian gay men in London, and the strategies that they deployed to manage ensuing threats to their identities. Focus group and individual interview data were collected from 14 Colombian gay men living with HIV, and were analysed using qualitative thematic analysis and identity process theory. The following themes are discussed: (1) identity struggles and conflicts in Colombia, (2), managing multiple layers of social stigma in England, and (3) changing interpersonal and intergroup dynamics, which highlight the inter-connections between sexual prejudice, sexual risk-taking and HIV stigma...
May 2, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28456418/transmitting-trauma-a-systematic-review-of-vicarious-racism-and-child-health
#17
N J Heard-Garris, M Cale, L Camaj, M C Hamati, T P Dominguez
Racism is a pervasive stressor. Although most research focuses on direct targets, racism can also have unintended victims. Because children's lives are inevitably linked to the experiences of other individuals, and they are in critical phases of development, they are especially vulnerable to such stressors. Despite the growing body of literature on children's direct exposure to racism, little is known about the relationship between vicarious racism (i.e. secondhand exposure to racism) and child health. To examine the state of this literature, we performed a systematic review and screened 1371 articles drawn from 7 databases, with 30 studies meeting inclusion criteria...
April 26, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28454665/area-racism-and-birth-outcomes-among-blacks-in-the-united-states
#18
David H Chae, Sean Clouston, Connor D Martz, Mark L Hatzenbuehler, Hannah L F Cooper, Rodman Turpin, Seth Stephens-Davidowitz, Michael R Kramer
There is increasing evidence that racism is a cause of poor health outcomes in the United States, including adverse birth outcomes among Blacks. However, research on the health consequences of racism has faced measurement challenges due to the more subtle nature of contemporary racism, which is not necessarily amenable to assessment through traditionally used survey methods. In this study, we circumvent some of these limitations by examining a previously developed Internet query-based proxy of area racism (Stephens-Davidowitz, 2014) in relation to preterm birth and low birthweight among Blacks...
April 13, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28453106/-psychometric-assessment-of-a-brief-modern-racism-scale
#19
Adalberto Campo-Arias, Edwin Herazo, Heidi C Oviedo
Objective To find the internal consistency of the Modern Racism Scale (MRS) among medical students in Bucaramanga, Colombia. Methods A total of 352 medical students, mean age=20.0 years (SD=1.9) reported their attitudes towards Afro-Colombians; 59.4 % were women. Students completed the 10-item version of MRS. Cronbach alpha and McDonald omega were calculated. Exploratory factor analyses were done to propose a brief version of the MRS. Results The 10-item version showed a Cronbach alpha of 0.48 and a McDonald omega of 0...
June 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28452611/at-zero-and-turning-in-circles-refugee-experiences-and-coping-in-durban-south-africa
#20
Charlotte A Labys, Chandré Dreyer, Jonathan K Burns
Millions of refugees are on the move globally, mostly settling in low- and middle-income (LMIC) "host" countries, where they often receive insufficient assistance and encounter a multitude of barriers. Despite a risk for developing mental illness, limited research exists on their struggles and coping strategies in these settings, especially outside of camps. Against this backdrop, our qualitative study aimed to gain a deeper understanding of refugee experiences in Durban, South Africa. We conducted semistructured individual interviews with 18 adult refugees from Zimbabwe and the Democratic Republic of Congo at a community-based support center in Durban...
January 1, 2017: Transcultural Psychiatry
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