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Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J A Holland, Elizabeth Sullivan, Rebecca Ivers
BACKGROUND: Access to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child's health and well-being, but disparities and inequality in health care systems have been almost impossible to eradicate for First Nation people globally. The objective of this review is to identify the factors that impact access and ongoing care for First Nation children globally with a chronic condition. METHODS: An extensive systematic search was conducted of nine electronic databases to identify primary studies that explored factors affecting access to ongoing services for First Nation children with a chronic disease or injury...
June 14, 2018: BMC Health Services Research
Jordan F Miller
In this article, I discuss how transnormativity can be disrupted by not exaggerating the physical aspects of medical transition and by engaging in conversations around consequential sources of tension within gender and sexual minority communities, namely linguistic understandings of trans and gendered racism within white, gay cisgender communities toward trans communities of color. This study is based on qualitative interviews with six trans YouTubers; these interviews were complemented by analyses of these YouTubers' videos and select comments on these videos...
June 12, 2018: Journal of Homosexuality
Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith Rankin
BACKGROUND: Global migration is at an all-time high with implications for perinatal health. Migrant women, especially asylum seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with asylum seeker or refugee status. METHODS: Twelve electronic database, reference list and citation searches (1 January 2007-July 2017) were carried out between June and July 2017...
June 12, 2018: BMC Medicine
Jessica Jaiswal, Stuart N Singer, Karolynn Siegel, Helen-Maria Lekas
HIV-related 'conspiracy beliefs' include ideas about the genocidal origin of HIV and the nature and purpose of HIV-related medications. These ideas have been widely documented as affecting myriad health behaviours and outcomes, including birth control use and HIV testing. Most HIV-related research has quantitatively explored this phenomenon, and further qualitative research is necessary to better understand the complexity of these beliefs as articulated by those who endorse them. Moreover, public health in general has over-emphasised the role of the Tuskegee Syphilis Study in explaining mistrust, rather than focus on ongoing social inequalities...
June 8, 2018: Culture, Health & Sexuality
Shadia Rask, Irma T Elo, Seppo Koskinen, Eero Lilja, Päivikki Koponen, Anu E Castaneda
Background: The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact health, but fewer studies have examined how different types of perceived discrimination are related to health. Methods: This study examines (i) the prevalence of different types of perceived discrimination among Russian, Somali and Kurdish origin populations in Finland, and (ii) the association between different types of perceived discrimination (no experiences; subtle discrimination only; overt or subtle and overt discrimination) and health (self-rated health; limiting long-term illness (LLTI) or disability; mental health symptoms)...
June 6, 2018: European Journal of Public Health
Brittany D Chambers, Rebecca J Baer, Monica R McLemore, Laura L Jelliffe-Pawlowski
Disparities in adverse birth outcomes for Black women continue. Research suggests that societal factors such as structural racism explain more variation in adverse birth outcomes than individual-level factors and societal poverty alone. The Index of Concentration at the Extremes (ICE) measures spatial social polarization by quantifying extremes of deprived and privileged social groups using a single metric and has been shown to partially explain racial disparities in black carbon exposures, mortality, fatal and non-fatal assaults, and adverse birth outcomes such as preterm birth and infant mortality...
June 4, 2018: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Shervin Assari, Neda Hani
Background: Minorities' Diminished Return theory is defined as the relative disadvantage of minority populations compared to Whites regarding health gains that follow socioeconomic status (SES). To test whether Minorities' Diminished Return theory holds for unmet dental care needs (DCN), we investigated Black-White differences in the effects of family income on unmet DCN among children. Methods: Data from the National Survey of Children's Health were used. Participants were either White or Black children age 1 to 18...
June 4, 2018: Dentistry journal
Corey Winchester
Leadership development efforts are enhanced by the early integration of critical perspectives. This chapter outlines a framework for integrating critical leadership development in high schools drawing on a real-world example from SOAR (Students Organizing Against Racism).
September 2018: New Directions for Student Leadership
Erin V Thomas
BACKGROUND: Researchers have confirmed that breastfeeding disparities persist and that International Board Certified Lactation Consultants (IBCLCs) play a key role in reducing them. However, there continues to be a limited availability of IBCLCs throughout the United States, with racial minorities facing persistent barriers during the certification process. Research aim: Using a critical race theory framework, the aim was to describe the barriers and supports that IBCLCs experience during the course of their certification...
May 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Amy Hagopian, Kathleen McGlone West, India J Ornelas, Ariel N Hart, Jenn Hagedorn, Clarence Spigner
No abstract text is available yet for this article.
January 1, 2018: Public Health Reports
Samuel Parker
Wales has a long history of migration; however, the introduction of dispersed asylum seekers in 2001 has led to Wales becoming a more superdiverse nation. Wales has often been positioned as a more "tolerant nation" than England; however, the increasingly superdiverse nature of Wales in a postdevolution era may now be calling this tolerance thesis into question. Models of refugee and asylum seeker integration suggest that the absence of racism plays a key role in integration. This paper reports the findings of research that centres on refugee and asylum seeker integration in Wales...
May 2018: Journal of Community & Applied Social Psychology
Bradlee W Gamblin, Andre Kehn, Karen Vanderzanden, Joelle C Ruthig, Kelly M Jones, Brittney L Long
Several constructs have been identified as relevant to the juror decision-making process in hate crime cases. However, there is a lack of research on the relationships between these constructs and their variable influence across victim group. The purpose of the current study was to reexamine factors relevant to the juror decision-making process in hate crime cases within a structural model, and across victim group, to gauge the relative strength and explanatory power of various predictors. In the current study, 313 participants sentenced a perpetrator found guilty of a hate crime committed against either a Black man or a gay man; participants also responded to individual difference measures relevant to mock juror hate crime decision making, including prejudice toward the victim's social group...
May 1, 2018: Journal of Interpersonal Violence
Tanya White-Davis, Jennifer Edgoose, Joedrecka S Brown Speights, Kathryn Fraser, Jeffrey M Ring, Jessica Guh, George W Saba
BACKGROUND AND OBJECTIVES: Education of health care clinicians on racial and ethnic disparities has primarily focused on emphasizing statistics and cultural competency, with minimal attention to racism. Learning about racism and unconscious processes provides skills that reduce bias when interacting with minority patients. This paper describes the responses to a relationship-based workshop and toolkit highlighting issues that medical educators should address when teaching about racism in the context of pernicious health disparities...
May 2018: Family Medicine
Max J Romano
In this essay, I reflect on some of the ways racial privilege influenced my experience as a white physician in training. While white Americans often think of "racism" as a social construct primarily affecting people of color, "racism" is a system of both racial disadvantage as well as reciprocal racial advantage. Medical professionals are increasingly aware of how social determinants of health lead to important health disparities, however white physicians seldom ask how their own racial privilege reinforces a white supremacist culture and what effects this may have on our patients' health...
May 2018: Annals of Family Medicine
Stuart W Grande, Ledric D Sherman
Health disparities associated with chronic illness experiences of black men demonstrate widespread, systematic failures to meet an urgent need. Well-established social and behavioral determinants that have led to health disparities among black men include racism, discrimination, and stress. While advocacy work that includes community-engagement and tailoring health promotion strategies have shown local impact, evidence shows the gaps are increasing. We suspect that failure to reduce current disparities may be due to conventional public health interventions and programs; therefore, we submit that innovative interventions, ones that embrace digital technologies and their ability to harness naturally occurring social networks within groups, like black men, have particular importance and deserve attention...
May 14, 2018: Journal of Medical Internet Research
Abdellaziz Djellal
Many nursing homes look after residents from the majority population and employ staff from minority ethnic groups. This situation in these homes can generate a certain number of tensions resulting from racial discrimination. Employees share their experience.
May 2018: Revue de L'infirmière
Zarina Lagersie
Student nurses and nursing assistants are, during their training, both in placement practice and the training institute, exposed to racist behaviour and remarks. The teaching teams have an ethical duty to encourage discussion around this issue during initial training.
May 2018: Revue de L'infirmière
Marguerite Cognet
The care environment, renowned for being humanistic and egalitarian, has long remained impenetrable to sociological studies. Surveys, however, reveal another side, where prejudices, unequal treatment and racism in care are expressed. Medicine is itself built on racial categories which still pervade epidemiology and genetics.
May 2018: Revue de L'infirmière
Zahia Kessar, Laurence Kotobi
Cultural and ethnic diversities present in the hospital as well as within the nursing teams impact on the way of working. Observing them from the point of view of the caregivers based on experiences of team guidance and training highlights issues related to the way the hospital teams experience these differences. These differences also have an effect conveyed through tensions, conflicts or solidarity. The place and the role of the managers are an important lever for supporting their teams, notably with regard to racism which can sometimes be expressed in the social relations present in the workplace...
May 2018: Revue de L'infirmière
Whitney S Rice, Carmen H Logie, Tessa M Napoles, Melonie Walcott, Abigail W Batchelder, Mirjam-Colette Kempf, Gina M Wingood, Deborah J Konkle-Parker, Bulent Turan, Tracey E Wilson, Mallory O Johnson, Sheri D Weiser, Janet M Turan
Attitudes and behavior that devalue individuals based upon their HIV status (HIV-related stigma) are barriers to HIV prevention, treatment, and wellbeing among women living with HIV. Other coexisting forms of stigma (e.g., racism, sexism) may worsen the effects of HIV-related stigma, and may contribute to persistent racial and gendered disparities in HIV prevention and treatment. Few studies examine perceptions of intersectional stigma among women living with HIV. From June to December 2015, we conducted 76 qualitative interviews with diverse women living with HIV from varied socioeconomic backgrounds enrolled in the Women's Interagency HIV Study (WIHS) in Birmingham, Alabama; Jackson, Mississippi; Atlanta, Georgia; and San Francisco, California...
May 4, 2018: Social Science & Medicine
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