Achieving Health Equity Through Eradicating Structural Racism in the United States: A Call to Action for Nursing Leadership

2020 ◽  
Vol 52 (6) ◽  
pp. 696-704
Author(s):  
Deena Nardi ◽  
Roberta Waite ◽  
Marian Nowak ◽  
Barbara Hatcher ◽  
Vicki Hines‐Martin ◽  
...  
Author(s):  
Whitney Hua ◽  
Jane Junn

Abstract As racial tensions flare amidst a global pandemic and national social justice upheaval, the centrality of structural racism has renewed old questions and raised new ones about where Asian Americans fit in U.S. politics. This paper provides an overview of the unique racial history of Asians in the United States and analyzes the implications of dynamic racialization and status for Asian Americans. In particular, we examine the dynamism of Asian Americans' racial positionality relative to historical shifts in economic-based conceptions of their desirability as workers in American capitalism. Taking history, power, and institutions of white supremacy into account, we analyze where Asian Americans fit in contemporary U.S. politics, presenting a better understanding of the persistent structures underlying racial inequality and developing a foundation from which Asian Americans can work to enhance equality.


2008 ◽  
Vol 3 (3) ◽  
pp. 189-200 ◽  
Author(s):  
Timothy Schmutte ◽  
Maria O'Connell ◽  
Melissa Weiland ◽  
Samuel Lawless ◽  
Larry Davidson

Preventing suicide has been identified as a national priority by recent commissions in the United States. Despite increased awareness of suicide as a public health problem, suicide in older adults remains a neglected topic in prevention strategies and research. This is especially true regarding elderly White men, who in terms of suicide rates have represented the most at-risk age group for the past half century. In light of the unprecedented aging of the United States as the baby boom generation enters late adulthood, suicide prevention initiatives that focus on aging males are needed to prevent a national crisis in geriatric mental health. This article provides a brief review of the perennially under-recognized reality of suicide in older men and prevention strategies that, if implemented, might help stem this rising tide of suicide in this vulnerable population.


PLoS Medicine ◽  
2014 ◽  
Vol 11 (5) ◽  
pp. e1001639 ◽  
Author(s):  
Tim K. Mackey ◽  
Bryan A. Liang ◽  
John P. Pierce ◽  
Laurent Huber ◽  
Chris Bostic

2017 ◽  
Vol 49 (6) ◽  
pp. 688-696 ◽  
Author(s):  
Tener Goodwin Veenema ◽  
Roberta Proffitt Lavin ◽  
Anne Griffin ◽  
Alicia R. Gable ◽  
Mary Pat Couig ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
pp. 61-65
Author(s):  
Jacquelyn McMillian-Bohler ◽  
Angela Richard-Eaglin

After controlling for education, socioeconomic status, and genetic factors, Black and African American patients in the United States are three to four times more likely to die in childbirth than are White patients. The literature is replete with strategies to improve maternal outcomes for Black and African American patients. Existing strategies focus on addressing poverty and individual risk factors to reduce maternal mortality, yet maternal outcomes are not improving for these patients in the United States. Recent literature suggests that a nuanced approach that considers the effects of individual and structural racism could improve maternal outcomes, especially for Black and African American patients. As nurses comprise the largest component of the health-care system, their collective power and influence can provide a powerful tool for dismantling structural racism. Some important concepts to consider regarding the care of the Black and African American population are cultural intelligence (CQ), allostatic load, and humanitarian ethos. By developing CQ and consistently including the four CQ capabilities (drive/motivation, knowledge/cognition, strategy/metacognition, and behavior/action) in all aspects of practice, nurses can help to uproot racism and cultivate experience to improve maternal health outcomes for Black and African American patients.


Author(s):  
Christopher C. Fennell

Many instances of racism in the United States occurred through open declarations of prejudice and overt acts of malevolence and violence. Many other impacts of racism occur in more structural and indirect ways. Such structural forms of racism have been conceptualized as manifestations of “aversive” racism. In a process of aversive racism, members of a dominant social group channel social and economic activities away from a group targeted by racial prejudices. This manipulation of economic and social opportunities, resources, and interactions is typically detrimental to members of the targeted group. It is very difficult to uncover evidence of aversive or structural racism and present a detailed, persuasive account of that data. Lacking detailed evidence, most statements about structural racism are made only as broad-scale observations of the suspected impacts. The difficulty lies in the surreptitious character of aversive racism. One does not find photos of overt acts or transparent minutes of conspiratorial meetings. Instead, a large collection of separate bits of data must be woven together and dots connected to test alternative interpretations against a body of varied, circumstantial evidence. Fennell took up this task in the New Philadelphia Archaeology Project. He was intrigued at the outset with the question of why a railroad bypassed New Philadelphia in 1869.


2020 ◽  
pp. 223-226
Author(s):  
Dan Royles

This chapter considers what it means to write the history of a crisis that has not yet ended, and briefly traces connections among the stories told in previous chapters. It connects these stories to the ongoing fight for health equity in the United States, including the author’s involvement in the fight to preserve the Affordable Care Act in the first year of Donald Trump’s presidency. Finally, it compares HIV/AIDS to climate change, as both are existential crises that will disproportionately affect poor communities of color.


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