Structural Racism and Health Disparities

2020 ◽  
Vol 48 (3) ◽  
pp. 518-526 ◽  
Author(s):  
Ruqaiijah Yearby
Keyword(s):  
Health Disparities ◽  
Social Factors ◽  
Racial Health Disparities ◽  
Structural Racism ◽  
Access To Resources ◽  
Racial Inequalities ◽  
Root Cause ◽  
The Government

The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities. However, this recognition fails to acknowledge the root cause of these racial inequalities: structural racism. As a result, racial health disparities persist.

Structural Racism and Quantitative Causal Inference: A Life Course Mediation Framework for Decomposing Racial Health Disparities

2022 ◽  
pp. 002214652110661
Author(s):  
Nick Graetz ◽  
Courtney E. Boen ◽  
Michael H. Esposito
Keyword(s):  
Health Disparities ◽  
Social Process ◽  
Adult Health ◽  
Racial Health Disparities ◽  
Structural Racism ◽  
Quantitative Studies ◽  
Critical Theories ◽  
Regression Estimators ◽  
Counterfactual Approach ◽  
Conventional Regression

Quantitative studies of racial health disparities often use static measures of self-reported race and conventional regression estimators, which critics argue is inconsistent with social-constructivist theories of race, racialization, and racism. We demonstrate an alternative counterfactual approach to explain how multiple racialized systems dynamically shape health over time, examining racial inequities in cardiometabolic risk in the National Longitudinal Study of Adolescent to Adult Health. This framework accounts for the dynamics of time-varying confounding and mediation that is required in operationalizing a “race” variable as part of a social process ( racism) rather than a separable, individual characteristic. We decompose the observed disparity into three types of effects: a controlled direct effect (“unobserved racism”), proportions attributable to interaction (“racial discrimination”), and pure indirect effects (“emergent discrimination”). We discuss the limitations of counterfactual approaches while highlighting how they can be combined with critical theories to quantify how interlocking systems produce racial health inequities.

scholarly journals Structural racism, economic opportunity and racial health disparities: Evidence from U.S. counties

2020 ◽  
Vol 11 ◽  
pp. 100564 ◽  
Author(s):  
Rourke O'Brien ◽  
Tiffany Neman ◽  
Nathan Seltzer ◽  
Linnea Evans ◽  
Atheendar Venkataramani
Keyword(s):  
Health Disparities ◽  
Economic Opportunity ◽  
Racial Health Disparities ◽  
Structural Racism

scholarly journals Engineering Solutions to COVID-19 and Racial and Ethnic Health Disparities

2021 ◽  
Author(s):  
Gilda A. Barabino
Keyword(s):  
Health Disparities ◽  
Black Community ◽  
Systems Approach ◽  
Healthcare Providers ◽  
Structural Racism ◽  
Communities Of Color ◽  
Collective Response ◽  
Design Skills

AbstractThe role of engineers in response to the COVID-19 pandemic and in the elimination of health disparities, while not always visible, has important implications for the attainment of impactful solutions. The design skills, systems approach, and innovative mindset that engineers bring all have the potential to combat crises in novel and impactful ways. When a disparities lens is applied, a lens that views gaps in access, resources, and care, the engineering solutions are bound to be more robust and equitable. The disproportionate impact of COVID-19 on the Black community and other communities of color is linked to inequities in health rooted in a centuries long structural racism. Engineers working collaboratively with physicians and healthcare providers are poised to close equity gaps and strengthen the collective response to COVID-19 and future pandemics.

Naming the Problem: Publishing Trends within in Urology on Race, Health Disparities and Structural Racism

Urology ◽  
2021 ◽  
Author(s):  
Adrien N. Bernstein ◽  
Ruchika Talwar ◽  
Cheyenne Williams ◽  
Andres Correa ◽  
Brandon Mahal
Keyword(s):  
Health Disparities ◽  
Structural Racism

Ekspektasi Pendaftaran Tanah Sistematis Lengkap Terhadap Faktor Sosial dan Ekonomi Masyarakat

Tunas Agraria ◽  
2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Wahyu Andi Kurniawan ◽  
Setiowati Setiowati ◽  
Theresia Supriyanti
Keyword(s):  
Social Factors ◽  
Social Factor ◽  
Economic Factor ◽  
Economic Factors ◽  
Public Expectations ◽  
The Social ◽  
Land Titling ◽  
Strong Relation ◽  
The Government ◽  
The Relationship

Abstract: The implementation of the PTSL Program by the government annually has the objective that all land parcels in Indonesia can be fully registered by 2025. One of the products of the implementation of the PTSL Program is the ownership of a land titling certificate that has social and economic impact on the community. Given the social and economic impacts of land rights certificates, the public's expectation of the PTSL Program will increase. This study aims to analyze the relationship and the influence of social and economic factors felt by the community with expectations on the implementation of PTSL in 2017. The research method used is quantitative by using a measure of Likert scale which is then analyzed based on correlation coefficient and regression so it is known that the relationship and the influence of social and economic factors with expectations of private universities. The result of this research is there is a significant correlation between social factor and economic factor with expectation to PTSL equal to 0,531 so that can be categorized as strong relation with significance value 0,000 <0,05. There is a significant influence between social factors and economic factors with expectations of PTSL of 0.298 with a significance value of 0.000 <0.05.Keywords: complete systematic land registry, public expectations, social and economic factor Intisari: Pelaksanaan Program PTSL oleh pemerintah setiap tahunnya memiliki tujuan agar seluruh bidang tanah di Indonesia dapat terdaftar seluruhnya pada tahun 2025. Salah satu produk dari pelaksanaan Program PTSL adalah kepemilikan sertipikat hak atas tanah yang memiliki dampak sosial dan ekonomi kepada masyarakat. Dengan adanya dampak sosial dan ekonomi dari sertipikat hak atas tanah maka harapan masyarakat terhadap Program PTSL akan semakin meningkat.Penelitian ini bertujuanmenganalisis hubungan dan pengaruh faktor sosial dan ekonomi yang dirasakan oleh masyarakat dengan ekspektasi terhadap pelaksanaan PTSL pada tahun 2017. Metode penelitian yang digunakan adalah kuantitatif dengan menggunakan alat ukur berupa skala likert yang kemudian dianalisis berdasarkan koefisien korelasi dan regresi sehingga diketahui besar hubungan dan pengaruh faktor sosial dan ekonomi dengan ekspektasi terhadap PTSL.Hasil penelitian ini yaitu terdapat hubungan yang signifikan antara faktor sosial dan faktor ekonomi dengan ekspektasi terhadap PTSL sebesar 0,531 sehingga dapat dikategorikan sebagai hubungan yang kuat dengan nilai signifikansi 0,000 < 0,05. Terdapat pengaruh yang signifikan antara faktor sosial dan faktor ekonomi dengan ekspektasi terhadap PTSL sebesar 0,298 dengan nilai signifikansi sebesar 0,000 < 0,05.Kata kunci: pendaftaran tanah sistematis lengkap, ekspektasi masyarakat, faktor sosial dan ekonomi

Traveling the Uncharted Path of Leadership in Federal Anthropology

2005 ◽  
Vol 27 (3) ◽  
pp. 25-28 ◽  
Author(s):  
Marybeth MacPhee ◽  
Suzanne Heurtin-Roberts ◽  
Chris Foster
Keyword(s):  
Health Disparities ◽  
Federal Government ◽  
Bad News ◽  
Good News ◽  
Raising Awareness ◽  
The World ◽  
Anthropological Research ◽  
Government Work ◽  
The Government ◽  
Research And Policy

For those of us who have fantasized over the years that the world would be a better place if anthropologists had a voice in government, there is good news and bad news. The good news is that applied anthropologists working in government settings have succeeded in raising awareness of, and respect for, anthropological ideas beyond the classroom. The bad news is that anthropologists face a long road ahead before the field is ready to exercise this newfound agency in leading the direction of research and policy on social problems. Our recent work on health disparities found that the obstacles we encountered were rooted in the habits of practicing anthropology rather than in any oppressive force of bureaucracy or hierarchy of professional knowledge underlying the structure of the government work context. Anthropology is most comfortable on the margins of both community and debate. Our methods and ethics prioritize the values and desires of the communities with which we work above our own bias; our theories and analyses produce holistic perspectives and cultural criticism rather than definitive stances. Although the position of informed outsider has its advantages in the contexts of anthropological research, it has proven to interfere with our work in the community of the federal government.

Health Disparities in Black Patients with Severe Mental Illness and the Role of Structural Racism

2020 ◽  
Vol 50 (11) ◽  
pp. 483-488
Author(s):  
Uzoamaka Asonye ◽  
Nicholas Apping ◽  
Leonardo V. Lopez ◽  
Dennis M. Popeo
Keyword(s):  
Mental Illness ◽  
Health Disparities ◽  
Severe Mental Illness ◽  
Structural Racism ◽  
Black Patients

A Sociogenomic World

2018 ◽  
Author(s):  
Catherine Bliss
Keyword(s):  
Public Health ◽  
Health Disparities ◽  
Social Factors ◽  
Paradigm Shift ◽  
Large Scale ◽  
Minority Recruitment ◽  
The Us ◽  
Social Domains ◽  
Genome Projects ◽  
Genomic Sciences

This chapter discusses a paradigm shift in the genomic sciences wherein scientists have gone from ignoring race to studying it. It argues that the field has adopted a sociogenomic approach to race, in which scientists understand race as a muddled mix of genetic and social factors. Scientists responsible for seminal genome projects, who have faced pressure from the US public health establishment and an array of experts on race, now prioritize race-targeted research, minority recruitment, and analysis of genomic health disparities. As a result large-scale sequencing projects, pharmaceuticals, and postgenomic research have become ever more racialized, while race has taken on an irrevocably genomic imprimatur. This paradigm shift has occurred because of changes across a number of powerful social domains of expertise within science, medicine, and policy. This chapter thus draws upon events taking place in a variety of institutional, regulatory, and normative contexts.

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