life course perspective on how racism may be related to health inequities

by Keven Kiehn 6 min read

Yet, few studies have considered this idea fully. We suggest a framework that shows how racism and health inequities may be viewed from a life course perspective. It applies the ideas of age-patterned exposures, sensitive periods, linked lives, latency period, stress proliferation, historic period, and cohorts.

Full Answer

How does racial disparities affect health care?

The data show that racial and ethnic minority groups, throughout the United States, experience higher rates of illness and death across a wide range of health conditions, including diabetes, hypertension, obesity, asthma, and heart disease, when compared to their White counterparts.

Why is race an important social determinant of health?

It drives the inequities in housing, income and education, especially among communities of color. In many ways, it's not just one of the social determinants — it's the underlying structural determinant that sets the stage for all other social determinants.

What are the effects of discrimination in healthcare?

Racial and ethnic discrimination has a significant impact on the health of people of color, affecting mental health and contributing to high blood pressure, negative health behaviors, and early aging.

What is health prejudice?

Prejudice—making assumptions and decisions based on inaccurate or faulty information and assumptions—is the stuff of history.

What race has the most health disparities?

African Americans have the highest mortality rate for all cancers combined compared with any other racial and ethnic group. There are 11 infant deaths per 1,000 live births among Black Americans.

Why do minorities have less access to healthcare?

Compared with white persons, black persons and other minorities have lower levels of access to medical care in the United States due to their higher rates of unemployment and under-representation in good-paying jobs that include health insurance as part of the benefit package (Blendon et al., 1989; Trevino et al., 1991 ...

How does discrimination affect a person's life?

Discrimination experiences were associated with poorer self-rated health, greater depression, and greater relationship strain. Having a partner who has been discriminated against was associated with poorer self-rated health (for men only), greater depression, and greater relationship strain.

How would you address racism in health care?

Strategies for Combatting Racism in Health CareExamining institutional policies with an equity lens.Establishing accountability frameworks such as equity scorecards.Auditing medical school curricula for erroneous references to race.Reviewing clinical algorithms that erroneously rely on race.More items...•

Why is it important to prevent discrimination in health and social care?

It is important to prevent discrimination happening to anyone. This is because it helps protects their rights and wellbeing since everyone deserves to access the same rights and have the same opportunities in life.

What is discrimination in health care?

Discrimination in the healthcare setting can be defined as negative actions or lack of consideration given to an individual or group that occurs because of a preconceived and unjustified opinion.

What is an example of stereotyping in healthcare?

For example, if the stereotype that an African American patient is more likely than other patients to have sickle cell anaemia is triggered, the general stereotype of an African American patient is likely to be triggered, including an association between African American patients and uncooperativeness (Green et al.

What is unfair discrimination in health and social care?

Denying a same-sex couple access to healthcare. Not allowing an employee access to work opportunities because they are 'too young'. Not hiring a person because of their disability or not suitably accommodating them.

Is race part of social determinants of health?

Examples of the social determinants of health that fall within these categories include food security, housing, and trauma. Racism is also a social determinant of health and is intimately connected to many others, instigating new mental health conditions and/or exacerbating existing ones.

What are the determinants of race?

Ethnic differences between men are matters of blood. They are biologically inherited along with such physical characteristics as eye, skin and hair colour. By race anthropologists understand a group of individuals who possess common hereditary traits which separate them from other groups.

How does ethnicity affect health?

In spite of significant advances in the diagnosis and treatment of most chronic diseases, there is evidence that racial and ethnic minorities tend to receive lower quality of care than nonminorities and that, patients of minority ethnicity experience greater morbidity and mortality from various chronic diseases than ...

Is discrimination a social determinants of health?

Discrimination is itself a social determinant of health, as a type of stressor experienced by communities of color, sexual and gender minorities, women, and many others in the United States. It is also a determinant of access to other important social determinants of health.

How does racism affect health?

Recent studies show that racism may influence health inequities. As individuals grow from infancy into old age, they encounter social institutions that may create new exposures to racial bias. Yet, few studies have considered this idea fully. We suggest a framework that shows how racism and health inequities may be viewed from a life course perspective. It applies the ideas of age-patterned exposures, sensitive periods, linked lives, latency period, stress proliferation, historic period, and cohorts. It suggests an overarching idea that racism can structure one's time in asset-building contexts (e.g., education) or disadvantaged contexts (e.g., prison). This variation in time and exposure can contribute to racial inequities in life expectancy and other health outcomes across the life course and over generations.

Why do racial inequalities endure despite numerous attempts to expand civil rights in certain sectors?

Why do racial inequalities endure despite numerous attempts to expand civil rights in certain sectors? A major reason for this endurance is due to lack of attention to structural racism. Although structural and institutional racism are often conflated, they are not the same. Herein, we provide an analogy of a “bucky ball” (Buckminster­fullerene) to distinguish the two concepts. Structural racism is a system of intercon­nected institutions that operate with a set of racialized rules that maintain White supremacy. These connections and rules al­low racism to reinvent itself into new forms and persist, despite civil rights interventions directed at specific institutions. To illustrate these ideas, we provide examples from the fields of environmental justice, criminal justice, and medicine. Racial inequities in power and health will persist until we redi­rect our gaze away from specific institutions (and specific individuals), and instead focus on the resilient connections among institu­tions and their racialized rules.Ethn Dis. 2021;31 (Suppl 1):293-300; doi:10.18865/ed.31.S1.293

Author information

1. Department of Community Health Sciences, University of California, Los Angeles, CA, USA.

Abstract

Recent studies show that racism may influence health inequities. As individuals grow from infancy into old age, they encounter social institutions that may create new exposures to racial bias. Yet, few studies have considered this idea fully.

Full text links

Read article for free, from open access legal sources, via Unpaywall: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3483932

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