Category Archives: Other racial or ethnic groups
Thomas LaVeist, PhD, is founding director of the Hopkins Center for Health Disparities Solutions, and the William C. and Nancy F. Richardson Professor in Health Policy at the Johns Hopkins Bloomberg School of Public Health. He is the chair of the National Advisory Committee for the Robert Wood Johnson Foundation (RWJF) Center for Health Policy at Meharry Medical College. LaVeist will moderate the first RWJF Scholars Forum: Disparities, Resilience, and Building a Culture of Health today, beginning at 10 a.m. Eastern Time. Follow the hashtag, #RWJFScholarsForum, on Twitter for more.
Yesterday I had Camara Phyllis Jones, PhD, MD, MPH, as guest lecturer for my seminar on health disparities. It was a homecoming of sorts for her. She and I first met in the early 1990s when I was a newly minted assistant professor and she was a PhD student at the Johns Hopkins Bloomberg School of Public Health. Jones’ work should be well known to readers of this blog. She has published and lectured on the effects of racism on health and health disparities for many years. She played a leading role in the Centers for Disease Control and Prevention’s work on race, racism, and health in the Behavioral Risk Factor Surveillance System. And she was just elected president-elect of the American Public Health Association. She is a fantastic lecturer and often uses allegory to illustrate how racism affects health.
About midway through her lecture, a student raised his hand and got her attention to ask a question about the utility of “naming racism.” My interpretation and rephrasing of his question—is it helpful to use the word racism or is the word so politically charged and divisive that it causes people to “tune you out?”
The student’s question raises a major challenge for those of us who seek to address health disparities. On one hand racism is fundamental to understanding why disparities exist and persist. I would go as far as to state that in most race disparities research, race is actually a proxy measure for exposure to racism. But, on the other hand, the word racism makes some people uncomfortable, causing them to become defensive or sometimes simply block out your message.
Maya M. Rockeymoore, PhD, is president of the Center for Global Policy Solutions, a nonprofit dedicated to making policy work for people and their environments, and director of Leadership for Healthy Communities, a national program of the Robert Wood Johnson Foundation (RWJF). On December 5, RWJF will hold its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more.
When I think of the resilience of disadvantaged communities disproportionately affected by health disparities, I think of the Arabbers of Baltimore, Md. They are not Arabic speaking people from the Middle East or North Africa, but scrappy African American entrepreneurs who started selling fresh foods in Baltimore’s underserved communities in the aftermath of the Civil War.
Their relevance continued into the modern era as supermarkets divested from low-income neighborhoods, leaving struggling residents with few options aside from unhealthy fast food and carry-out restaurants. Driving horses with carts laden with colorful fresh fruits and vegetables, Arabbers sold their produce to residents literally starving for nutritious food.
What’s Your “Street Race-Gender”? Why We Need Separate Questions on Hispanic Origin and Race for the 2020 Census
Nancy López, PhD, is an associate professor of sociology at the University of New Mexico (UNM). She co-founded and directs the Institute for the Study of “Race” and Social Justice at the Robert Wood Johnson Foundation (RWJF) Center for Health Policy at the UNM. On December 5, RWJF will hold its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more.
How should we measure race and ethnicity for the 2020 Census? How can health disparities researchers engage in productive dialogues with federal, state and local agencies regarding the importance of multiple measures of race and ethnicity for advancing health equity for all?
If we depart from the premise that the purpose of race, ethnicity, gender and other policy-relevant data collection is not simply about complying with bureaucratic mandates, but rather it is about establishing communities of practice that work in concert toward the creation of pathways (from harmonized and contextualized data collection, analysis and reporting) to effective policy solutions and interventions that address the pressing needs of diverse communities across the country, then we have planted the seeds of a culture of health equity and social justice.
Daniel E. Dawes, JD, is a health care attorney and executive director of government relations, health policy and external affairs at Morehouse School of Medicine in Atlanta, Georgia; a lecturer of health law and policy at the Satcher Health Leadership Institute; and senior advisor for the Transdisciplinary Collaborative Center for Health Disparities Research. On December 5, the Robert Wood Johnson Foundation (RWJF) will explore this topic further at its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more about it.
With growing diversity relative to ethnicity and culture in our country, and with the failure to reduce or eliminate risk factors that can influence health and health outcomes, it is imperative that we identify, develop, promulgate, and implement health laws, policies, and programs that will advance health equity among vulnerable populations, including racial and ethnic minorities.
Every year, the Agency for Healthcare Research and Quality publishes its National Healthcare Quality and Disparities Report, which tracks inequities in health services in the United States. Since the report was first published in 2003, the findings have consistently shown that while we have made improvements in quality, we have not been as successful in reducing disparities in health care. This dichotomy has persisted, despite the fact that health care spending continues to rise. In fact, health care costs have been escalating at an unsustainable rate, reaching an estimated 17.3 percent of our gross domestic product in 2009, according to the Centers for Medicare and Medicaid Services. Despite these high costs, the delivery system remains fragmented and inequities in the quality of health care persist. The impact of disparities in health status and access for racial and ethnic minorities is quite alarming.
Theresa Simpson, BS, is a 2003 alumna and acting assistant director of Project L/EARN, and a doctoral student at the Rutgers Department of Sociology. Dawne Mouzon, PhD, MPH, MA, is a 1998 alumna and former course instructor for Project L/EARN, and an assistant professor at Rutgers Edward J. Bloustein School of Planning and Public Policy. Project L/EARN is a project of the Robert Wood Johnson Foundation (RWJF), the Institute for Health, Health Care Policy and Aging Research, and Rutgers University.
When we began co-teaching Project L/EARN in the summer of 2006, health disparities was gaining momentum as a field.
At the time, we were both Project L/EARN alumni who shared a background in public health. We were becoming increasingly immersed in disparities through our graduate studies in the health, population and life course concentration of the sociology doctoral program at Rutgers University.
Directly as a result of that coursework, we began significantly expanding the Project L/EARN curriculum in the area of health disparities. Now, every summer, we hit the ground running the opening week of the program.
In the first lecture, an overview of the field of health disparities, Dawne introduces various theoretical frameworks for studying health disparities, followed by data on the social demography on various race/ethnic groups. She concludes with a series of charts and graphs showing race/ethnic, gender and socioeconomic status (SES) inequities in the epidemiology of health and illness.
How to Advance Minority Health? A Successful, Sustainable Effort to Promote Healthy Choices in Miami.
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Lillian Rivera, RN, MSN, PhD, administrator/health officer for the Florida Department of Health in Miami-Dade County, responds to the question, “Minority health is advanced by combating disparities and promoting diversity. How do these two goals overlap?” Rivera is an alumnus of the RWJF Executive Nurse Fellows program.
In order to address this question, it is important to identify the areas within your jurisdiction where there are identified health disparities and to develop initiatives with those needs in mind.
Miami-Dade County in Florida is one of the few counties in the United States that is “minority majority,” meaning the minority makes up the majority of the population. More than two-thirds of the 2.5 million residents are Hispanic; 19 percent are Black; more than 51.2 percent are foreign-born and most of them speak a language other than English at home (mostly Spanish and Creole); 19.4 percent live below poverty level; and 29.8 percent of the population under age 65 (more than 700,000 individuals) is uninsured .
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Dora Elías McAllister, PhD, director of grant programs at the American Dental Education Association (ADEA), responds to the question, “Minority health is advanced by combating disparities and promoting diversity. How do these two goals overlap?” The ADEA is a partner in the Dental Pipeline National Learning Institute, which is supported by RWJF.
Creating an ethnically/racially diverse workforce is a significant challenge facing dental education.[i] Black/African Americans, Hispanic/Latinos, American Indian/Alaska Natives, and Native Hawaiian/Pacific Islanders[ii] make up approximately 32 percent of the U.S. population,[iii] yet represent only about 13 percent of dental school graduates.[iv] Racial/ethnic differences can also be found in access to dental care. For example, Native American and Hispanic/Latino children are least likely to have dental insurance and Hispanic/Latino children have the highest risk of never having seen a dentist.[v] A commitment to combating oral health disparities must be a priority for all dental school graduates, but encouraging and enabling students from populations that are underrepresented in dental education and experiencing oral health access problems to enter and graduate from dental school has strong implications for improving oral health disparities.
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Jamar Slocum, BS, a third year medical student at Meharry Medical College, responds to the question, “What does the country need to do to address disparities and build a culture of health that includes all people?” Slocum is a participant in Meharry’s RWJF Scholars’ program.
In virtually every public health venture, health departments are confronted with the consequences of social poverty, institutional racism, and other forms of universal injustice. It is my belief that in order to make any significant change to a society, it is essential to have leaders who are in the forefront of the upcoming generation. Young professionals will ultimately bear the responsibility for implementing the policies and programs necessary for sustainable development. Budding physicians and researchers are exposed to an extensive array of sustainable development perspectives at a formative age in their professional development. This strengthens their own knowledge base and advances their capability to comment substantively on health disparity issues and to become effective agents of change.
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Janet Chang, PhD, an assistant professor of psychology at Trinity College in Hartford, Conn., responds to the question, “Minority health is advanced by combating disparities and promoting diversity. How do these two goals overlap?” Chang is an alumna of the RWJF New Connections Program; she studies sociocultural influences on social support, help-seeking, and psychological functioning among diverse ethnic/racial groups.
Given the rapidly changing demographic landscape, ethnic/racial minorities will constitute the majority of the U.S. population by 2043 (U.S. Census, 2010). This inevitable shift to a majority-minority population has far-reaching implications for our society. The future of the United States will largely be determined by how we address growing disparities in income distribution, health care, and health outcomes. Yet, frank discussions about disparities and diversity lag behind the rapid population growth of ethnic/racial minority groups. In this respect, educational systems play a pivotal role in facilitating and shaping the dialogue about diversity. By promoting diversity, we can combat health disparities and advance minority health.
How Can Health Systems Effectively Serve Minority Communities? Part of the Solution is Improving Care for Those in Correctional Facilities.
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Raymond Perry, MD, MS, medical director of Los Angeles County Juvenile Court Health Services, responds to the question, “What are the challenges, needs, or opportunities for health systems to effectively serve minority communities?” Perry is an alumnus of the RWJF Clinical Scholars program (UCLA 2009-2012).
Racial and ethnic minorities are significantly overrepresented in the U.S. correctional system. As these men, women, and adolescents spend days, weeks, months, or years detained in jails, prisons, and juvenile detention facilities, the health care system must recognize the health implications of the disproportionate incarceration of minorities, as well as the opportunities for addressing minority health issues in our society—namely, inequitable health care access and disproportionately negative health outcomes.