Topic

Health Disparities

Academic Pediatrics

Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health

Introduction This article brings together studies across disciplines to understand the relationship between structural racism, poverty, and child health. Structural racism is defined as “differential access to societal goods, services, and opportunities by race.” The authors argue that a focus on poverty without appropriate consideration of racism has failed to address the negative health outcomes…

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Journal of Health and Social Behavior

Diversions: How the Underrepresentation of Research on Advantaged Groups Leaves Explanations for Health Inequalities Incomplete

This study argues that health inequalities research systematically overlooks the role that racially and socioeconomically privileged groups play in producing health disparities and documents this “diversion” across grants, datasets, published articles, and national health policy. Introduction This study examines a significant blind spot in health inequalities research: the near-total absence of scrutiny directed toward racially…

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The Journal of Pain

Confronting Racism in All Forms of Pain Research: Reframing Study Designs

This scoping review examines and analyzes literature regarding ways structural racism contributes to racial disparities and health inequities in chronic pain. Introduction In their 2022 article, Letzen et al. explore the relationship between structural racism and chronic pain disparities in the United States. Building upon existing literature that documents racial differences in pain treatment, this…

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Health Affairs

Legislating Inequity: Structural Racism In Groups Of State Laws And Associations With Premature Mortality Rates

Introduction This study seeks to evaluate whether policies and laws that were classified as either protective or harmful are associated with premature mortality rates. In essence, the analysis is a new method for measuring structural racism and estimating the joint effects of multiple laws on racial health equity. In the study, laws are deemed as…

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Health Affairs

Racism, Power, And Health Equity: The Case Of Tenant Organizing

Introduction Despite the significant role that power asymmetries play in driving health inequities, there is a dearth of research on the intersection of power, racism, and health equity. In this article, Michener argues that housing is a driver of racial health inequity and that tenants play a significant and overlooked role in combating health-threatening housing…

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Health Affairs

Integrating Racial/Ethnic Equity Into Policy Assessments To Improve Child Health

Introduction This article introduces a framework called the Policy Equity Assessment that was designed for policy analysts and researchers to assess a policy’s or program’s ability to reduce inequities. This framework couples policy analysis approaches with rigorous equity-focused research methods. This combination allows for a more comprehensive equity analysis compared to other research methods. This…

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Journal of the National Medical Association

Black Lives Matter: Moving from passion to action in academic medical institutions

Introduction For Americans, the murder of George Floyd marked 2020 as the year of the “racial awakening” in the United States. Largely led by the Black Lives Matter (BLM) movement, protests and calls for racial justice spread across the country and inevitably reached medical institutions too. In collaboration with White Coats for Black Lives—a national…

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Health Affairs

Organizational Change Management for Health Equity: Perspectives from the Disparities Leadership Program

Introduction This study seeks to understand the best ways to address racial and ethnic disparities within healthcare institutions, with a particular focus on organization management. The study draws upon learnings from the Disparities Solution Center at Massachusetts General Hospital and specifically references data produced from the Disparities Leadership Program (DLP) that began in 2007. The…

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The International Journal of Environmental Research and Public Health

Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Introduction Racism in healthcare settings is a persistent and complex problem for both healthcare delivery and access to health services. Over the past decade, several publications demonstrate the experiences of racism faced by minoritized patients such as the enduring racist assumptions about pain tolerance of Black people, the low propensity for screening Black women for…

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JAMA Network Open

Association Between Racial Wealth Inequities and Racial Disparities in Longevity Among US Adults and Role of Reparations Payments, 1992 to 2018

Introduction This cohort study aims to identify, address and quantify the relationship between longevity ( “all cause mortality”) and wealth as it relates to Black individuals versus white individuals. Furthermore, the study then models how reparations payments to the black community could potentially affect the longevity ( “all cause mortality”) gap between Blacks and whites.…

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