Racism: Eroding the health of Black communities

被引：1

作者：

Anderson, James ^{[1
]}

Devine, Patricia J. ^{[2
]}

Greenlee, Quante ^{[3
]}

Najera, Deanna Bridge ^{[4
,5
,6
,7
]}

Dominguez, Delilah ^{[8
]}

机构：

[1] Evergreen Treatment Serv, Seattle, WA 98134 USA

[2] Univ Washington, HEALWA Program, Seattle, WA USA

[3] Univ Washington, MEDEX Northwest PA Program, Tacoma, WA USA

[4] MedStar Montgomery Med Ctr, Olney, MD USA

[5] MedStar Emergency Phys, Policy & Engagement, Olney, MD USA

[6] Bur Nursing & Reprod Hlth Clin, Carroll Cty Hlth Dept, Westminster, MD USA

[7] TrueNorth Wellness Serv, Hanover, PA USA

[8] Yale New Haven Conn Hosp, New Haven, CT USA

来源：

JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2023年 / 36卷 / 05期

关键词：

health disparities; racism; structural; social determinants of health; weathering; allostatic load; AFRICAN-AMERICAN; JOHN-HENRYISM; RACE; STRESS; DISCRIMINATION; DISPARITIES; STRATEGIES; TRAUMA;

D O I：

10.1097/01.JAA.0000923552.50265.66

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Even in the context of major advances in medicine, racial minorities continue to suffer worse medical outcomes. Although race is defined as a social, nonscientific construct, researchers have continued to use it as proxy to explain genetic and evolutionary differences among patients. Poorer health outcomes among Black Americans are known to be related to the psychosocial and physiological stress of racism. Black communities experience premature health deterioration because of the cumulative effects of social, economic, and political oppression and marginalization. Additionally, recent assertions that racism is best seen as a chronic disease has added value to understanding the effect of racism on the health of Black people. Using evidence-based information to assess the health of Black patients is a key step to assist clinicians in promptly addressing this chronic threat to the health of Black patients.

引用

页码：38 / 42

页数：5