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Path Forward Series Finale II

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Path Forward Series Finale II

  1. 1. Racial Injustice and Health Equity – A Call to Action Digital Transformation of the Social Determinants of Health Yvette Highsmith Francis 1
  2. 2. Structural Racism 2 Structural racism is defined as the macro-level systems, social forces, institutions, ideologies, and processes that interact with one another to generate and reinforce inequities among racial and ethnic groups (Powell 2008). The term structural racism emphasizes the most influential socioecologic levels at which racism may affect racial and ethnic health inequities. Structural mechanisms do not require the actions or intent of individuals (Bonilla-Silva 1997). As fundamental causes, they are constantly reconstituting the conditions necessary to ensure their perpetuation (Link 1995). Even if interpersonal discrimination were completely eliminated, racial inequities would likely remain unchanged due to the persistence of structural racism (Jones 2000). Du Bois Rev. 2011 Apr; 8(1): 115–132. | doi: 10.1017/S1742058X11000130
  3. 3. 6 Merriam-Webster defines "a belief that race is the primary determinant of human traits and capacities and that racial differences produce an inherent superiority of a particular race."
  4. 4. Support policies that address systemic racism and poverty 3 Earned Income Tax Credit and Child Tax Credit Have Powerful Anti-Poverty Impact Millions of people lifted out of poverty or made less poor by EITC and Child Tax Credit, 2018 Center on Budget and Policy Priorities | CBPP.org Lifted out of poverty Made Less Poor All persons Children 10.6 17.5 5.5 6.4 28.1 Million 11.9 Million
  5. 5. Racial Justice is the Goal 5 Image: Vicky Leta/Mashable
  6. 6. 4
  7. 7. Police Violence and Health 7 Frequent media reports of incidents of police violence directed to Black, Latino and Native American communities These are stressors that negatively affect health of the larger community Recent national, quasi-experimental study Police killings of unarmed Blacks lead to decline in mental health among Blacks in general population for 3 months after the event No affect on Whites Bor, Venkataramani, Williams & Tsai, The Lancet, 2018
  8. 8. Weathering and the impact of discrimination “The stressors that impact people of color are chronic and repeated though their whole life course, and in fact may even be at their height in young adult through middle adult ages rather than early life. And that increase in general health vulnerability is what weathering is” - Arline Geronimus 8
  9. 9. “…Discrimination is a hellhound that gnaws at Negroes in every waking moment of their lives declaring that the lie of their inferiority is accepted as the truth in the society dominating them.” Martin Luther King, Jr. [1967] 9
  10. 10. Equity is the Goal 10 Diffen.com Equal Equity
  11. 11. The Path Forward 11 WHAT will YOU do?

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