TO DENIGRATE, IGNORE, OR DISRUPT: Racial Inequality in Health and the Impact of a Policy-induced Breakdown of African American Communities

Author(s):  
Arline T. Geronimus ◽  
J. Phillip Thompson
Author(s):  
Trevor Clark ◽  
Nijee Brown ◽  
Harold Aubrey ◽  
Kwamme Anderson ◽  
Tina Jordan ◽  
...  

2020 ◽  
Vol 47 (4) ◽  
pp. 509-513 ◽  
Author(s):  
Sage J. Kim ◽  
Wendy Bostwick

Although the current COVID-19 crisis is felt globally, at the local level, COVID-19 has disproportionately affected poor, highly segregated African American communities in Chicago. To understand the emerging pattern of racial inequality in the effects of COVID-19, we examined the relative burden of social vulnerability and health risk factors. We found significant spatial clusters of social vulnerability and risk factors, both of which are significantly associated with the increased COVID-19-related death rate. We also found that a higher percentage of African Americans was associated with increased levels of social vulnerability and risk factors. In addition, the proportion of African American residents has an independent effect on the COVID-19 death rate. We argue that existing inequity is often highlighted in emergency conditions. The disproportionate effects of COVID-19 in African American communities are a reflection of racial inequality and social exclusion that existed before the COVID-19 crisis.


Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 476-483
Author(s):  
Elena Cyrus ◽  
Rachel Clarke ◽  
Dexter Hadley ◽  
Zoran Bursac ◽  
Mary Jo Trepka ◽  
...  

Author(s):  
Joe William Trotter ◽  
Dick Gilbreath

During the Great Migration, Pittsburgh, Pennsylvania, became a mecca for African Americans seeking better job opportunities, wages, and living conditions. The city's thriving economy and vibrant social and cultural scenes inspired dreams of prosperity and a new start, but this urban haven was not free of discrimination and despair. In the face of injustice, activists formed the Urban League of Pittsburgh (ULP) in 1918 to combat prejudice and support the city's growing African American population. In this broad-ranging history, Joe William Trotter Jr. uses this noteworthy branch of the National Urban League to provide new insights into an organization that has often faced criticism for its social programs' deep class and gender limitations. Surveying issues including housing, healthcare, and occupational mobility, Trotter underscores how the ULP -- often in concert with the Urban League's national headquarters -- bridged social divisions to improve the lives of black citizens of every class. He also sheds new light on the branch's nonviolent direct-action campaigns and places these powerful grassroots operations within the context of the modern Black Freedom Movement. The impact of the National Urban League is a hotly debated topic in African American social and political history. Trotter's study provides valuable new insights that demonstrate how the organization has relieved massive suffering and racial inequality in US cities for more than a century.


Author(s):  
Elena Cyrus ◽  
Rachel Clarke ◽  
Dexter Hadley ◽  
Zoran Bursac ◽  
Mary Jo Trepka ◽  
...  

Importance: The novel Coronavirus Disease 2019 (COVID-19), declared a pandemic in March 2020, may present with disproportionately higher rates in underrepresented racial/ethnic minority populations in the United States, including African American communities who have traditionally been over-represented in negative health outcomes. Study Objective: To understand the impact of the density of African American communities (defined as the percentage of African Americans in a county) on COVID-19 prevalence and death rate within the three most populous counties in each U.S. state and territory (n=152). Design: An ecological study using linear regression was employed for the study. Setting: The top three most populous counties of each U.S. state and territory were included in analyses for a final sample size of n=152 counties. Participants: Confirmed COVID-19 cases and deaths that were accumulated between January 22, 2020 and April 12, 2020 in each of the three most populous counties in each U.S. state and territory were included. Main outcome measures: Linear regression was used to determine the association between African American density and COVID-19 prevalence (defined as the percentage of cases for the county population), and death rate (defined as number of deaths per 100,000 population). The models were adjusted for median age and poverty. Results: There was a direct association between African American density and COVID-19 prevalence; COVID-19 prevalence increased 5% for every 1% increase in county AA density (p<.01). There was also an association between county AA density and COVID-19 deaths, such; the death rate increased 2 per 100,000 for every percentage increase in county AA density (p=.02). Conclusion: These study findings indicate that communities with a high African American density have been disproportionately burdened with COVID-19. Further study is needed to indicate if this burden is related to environmental factors or individual factors such as types of employment or comorbidities that members of these community have.


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