Discover and read the best of Twitter Threads about #healthequity

Most recents (24)

The @CCPH_News and @uncCHER Webinar "Ensuring Equity and Justice during the Pandemic and Beyond: Lessons From the Poor People's Campaign Health Justice Advisory Committee" has begun!

#healthequity #equityinCOVID
Al Richmond begins the webinar recognizing the many victims of the COVID-19 pandemic any paying respects to the late @repjohnlewis.
Al Richmond introducing his longtime colleague Dr. Giselle Corbie-Smith @gcs, co-director of @CSPfellows.
Read 18 tweets
* NEW (PAINFUL) #COVID19 MORTALITY DATA BY RACE FOR 50 STATES & DC:

• 1 in 1,350 Black
• 1 in 1,650 Indigenous
• 1 in 2,100 Pac. Islander
• 1 in 2,700 Latino
• 1 in 3,100 White &
• 1 in 3,250 Asian
…Americans has died (through 7/21).

More: apmresearchlab.org/covid/deaths-b…
We've updated our COLOR OF CORONAVIRUS project w/ latest #COVID19 mortality data by race. And this stat at the heart of #healthequity: If they had died of #COVID19 at the White rate, 17,000 Black, 3,000 Latino & 500 Indigenous people would still be alive.

apmresearchlab.org/covid/deaths-b…
Compared to Whites, the latest U.S. age-adjusted COVID-19 mortality rate for:

* Blacks is 3.7X as high
* Indigenous ppl is 3.5X as high
* Pacific Islanders is 2.8X as high
* Latinos is 2.5X as high
* Asians is 1.4X as high.

apmresearchlab.org/covid/deaths-b…

#epitwitter #MedTwitter
Read 8 tweets
I’ve been thinking about the racial demographics of the phase 1 moderna #COVID19 mRNA vaccine study participants since yesterday. nejm.org/doi/full/10.10…

A thread on #racism #healthequity #diversity in #clinicaltrials #blamenarratives and other stuff. 1/n
I’m an oncologist - so I think about clinical trials a lot. I’ve also been manipulating large health registry databases for my postdoc research.

Recently an interview panel member asked me about the racial/ethnic breakdown of one of the registries I use in my data analysis 2/n
A major issue (among many) with retrospective analyses of large registry studies is that these databases are not diverse.
3/n
Read 47 tweets
Each specialty needs a DEI Officer. One that analyzes data for bias & engages in strategic planning to augment practices to include a health equity lens. There needs to be accountability of such efforts w/ standardized metrics for providers & depts alike. Time to fix the broken.
We KNOW the problems. We’ve reported the same death rates & disparities for generations on end. We don’t need to hear more numbers. We need to implement solutions. Every single physician, nurse, & provider should have a report card giving outcomes along lines of race & gender.
The department should also have the same report card of their collective averages of those same metrics. Compare them nationally. Every quarter there should be a review. Identifications of strengths and weaknesses of the individual providers and flaws of the system.
Read 9 tweets
#threadstorytime : The Fire 🔥🔥A tale of hustle, passion and what demoralizes #BlackInMedicine #BlackintheIvory Physicians ... (buckle up) ➡️👉🏾
2/🧵As a new academic year is upon us and new interns and R2’s have just started their roles.... with shiny new Littmans and eyes full of promise it might be nice to tell a story about when it doesn’t go according to plan. 👉🏾
3/🧵 Often in medicine we are led to believe we are the ONLY ones who have dealt with unexpected situations, experienced doubt about the specialty choice or been forced to survive a tumultuous experience WHILE maintaining our commitment to learning. 👉🏾
Read 25 tweets
*NEW (PAINFUL) #COVID19 MORTALITY DATA BY RACE FOR 50 STATES & DC.*

• 1 in 1,500 Black
• 1 in 2,300 Indigenous
• 1 in 3,100 Pac. Islander
• 1 in 3,200 Latino
• 1 in 3,600 White &
• 1 in 3,700 Asian
…Americans has died (through 6/23).

More: apmresearchlab.org/covid/deaths-b… Image
Our latest COLOR OF CORONAVIRUS update shows Pacific Islanders in their own category in places where that data is available. It also includes improved data for #Utah & #Wyoming, which have begun publicly reporting racial detail for their COVID-19 deaths. apmresearchlab.org/covid/deaths-b…
Here's an update to the one sentence that perhaps best characterizes the heartbreak of racial inequity in the era of #COVID19.

Explore all the data (now updated through 6/23) here: apmresearchlab.org/covid/deaths-b…

#healthequity Image
Read 8 tweets
(1/5) To produce more reliable data on #COVID19 impacts by race/ethnicity in Connecticut, our researchers Camille Seaberry & @nathanckim crunched microdata files from @uscensusbureau's household pulse survey interviews over the past month. A few findings: #healthequityct #nnip
(2/5) Using pooled @uscensusbureau microdata, we estimate that 47% of Latino and 33% of Black renters in Connecticut reported last month that they were not likely to be able to make their June rent payments. #healthequityct #healthequity #nnip #cancelrent #COVIDrelief #COVID19
(3/5) We also estimate that people of color in Connecticut are much more likely to report food insufficiency during the past week, meaning that they sometimes or often did not have enough food to eat. #healthequityct #healthequity #nnip #foodinsecurity #COVIDrelief #COVID19
Read 5 tweets
Lots of critical conversations happening this week around #COVID__19 #racism #healthdisparities & the path to #HealthEquity. Peep the lineup:
Friday 6/12 12:00-1:00pm EST
Join us: @HYAdames @CRMHVanderbilt @BrianDSmedley Dr(s). Y. Joel Wong & Ronald Levant. #COVID__19 #EquityFlattensTheCurve #HoldingSpace4BMOC
Read 4 tweets
With these 5 #healthequity principles, state and local leaders can help their communities recover from COVID-19 fully and fairly—and create a healthier, more equitable future for all of us. rwjf.ws/35XqoCo
1⃣Pandemics and recessions exacerbate disparities that ultimately hurt us all. That’s why we must collect, analyze & report data disaggregated by race, ethnicity, gender, disability status, residential setting + other sociodemographic characteristics.
2⃣Residents who are hardest hit must be included in shaping the recovery strategy, and progress must be measured based on their outcomes.
Read 7 tweets
THREAD: Our new #COVID19 disparities study now on @medrxivpreprint! *CAUTION: Preliminary findings; not peer-reviewed* We explored variation across states in race/ethnic disparities at the population level. bit.ly/2T6vcQv #healthequity 1/n
First, as of late April, we found substantial variation across states in % of pts with missing race/ethnicity data. *Reporting race/ethnicity is not a simple yes/no* Quality matters, and it needs work. 2/n
Even among states that do report #covid mortality across race/ethnic groups, a large source of bias is often ignored: Black and particularly Latinx population skews younger than white. Check out data, via @uscensusbureau Census: bit.ly/2yY9S8V #disparities 3/n
Read 8 tweets
1/ In @OWHnews @OWHopinion this morning, @DrJRMarcelin & I call for racial/ethnic #COVID19 data reporting in Nebraska.

We are currently the ONLY state reporting ZERO state-level demographics. Short thread about why this is a #HealthEquity nightmare 🧵👇🏾

omaha.com/opinion/midlan…
2/ @AmerMedicalAssn's Center for Health Equity has followed state demographic reporting. 46 states currently report race/ethnicity, 49 report age, and 48 report gender.

This is a map on which #GoBigRed #GBR has a less than ideal meaning for Nebraska.

ama-assn.org/delivering-car…
3/ Being a flyover state doesn't render us immune to inequity. Data from Douglas County (includes most of Omaha) shows disproportionate case incidence among Hispanic, Black, and Asian patients despite our county being ~70% non-Hispanic & White...

dogis.maps.arcgis.com/apps/opsdashbo…
Read 7 tweets
Building on the original thread by @BaumannAna (bit.ly/2zu3C94) which presents great background info and asks “What are your "to go" papers for #healthcare #disparities?”

Follow our (#ISCC2019 & @DrRachelShelton) collective thinking in #impsci and #healthequity -

1/11
The @AcademyHealth blog (bit.ly/3fJDsja) by Kim Dumont, @allisonjmetz, Beadsie Woo, provides 5 key recommendations:

☯️Align terminology for equal footing

📢Elevate equity concerns

🌾Cultivate relationships

💸Shift funding incentives

➡️⬅️Promote exchange

2/11
The chapter on #racial #ethnic minorities in the @rcbrownson textbook (bit.ly/2zBsNpW), highlights challenges in pursuing #healthequity focused work in #academia, by Toni Yancey @DrChandraFord LaShawnta Bell-Lewis. Follow Dr. Ford’s work: racialhealthequity.org

3/11
Read 11 tweets
The health inequities observed in the #COVID19 pandemic have been devastatingly alarming.

Grateful my friend and one of the smartest people I know, ⁦@atheendar⁩ joined me to share some solutions to address this problem in ⁦@JAMAHealthForum⁩. jamanetwork.com/channels/healt…
"Now, emerging data illustrate that Black and Hispanic Americans are dying at far higher rates from Covid-19 than any other groups in the nation. These disparities are just the most recent manifestation of centuries’ worth of racial and ethnic gaps in health outcomes." 2/
"The prevalence of cardiometabolic disease in black and Hispanic communities has continued to rise. However, focusing on individual clinical factors may mislead from identifying the true root causes of racial and ethnic disparities observed in COVID-19 mortality." 3/
Read 8 tweets
We have #PPE shortages even in the wealthiest country in the world. On the bright side, the incredible, global maker community has created an explosion of different #faceshield designs for #covid19. Why choose the @dtm_tweets DtM-v3 #faceshield?
It is the first #faceshield to be recommended by the U.S National Institutes of Health @NIH #3dprint exchange.
3dprint.nih.gov/discover/3dpx-…
Spark Health Design partnered with @dtm_tweets to apply our experience designing medical devices for low-resource settings to a reusable #faceshield for #covid19. It is the work of over 80 volunteers including experts from @Boeing, @Microsoft, @Harborviewmc, @uwdfab, and more.
Read 18 tweets
"From organizing babysitters for health care workers to working on a COVID-19 hotline run by the poison center to help answer questions from the public, Vanderbilt students are finding ways to help."

Thank you @knoxnews & @monica_kast! Let me share a little about those students:
In our first 2 weeks at the Poison Center COVID Hotline, @VUmedicine student @nicoklooster gave 34hrs outside of her regular school work to take calls about #COVID19 from the @visitmusiccity and #Tennessee public, offering reassurance, resources and answers where we have them.
As a group, @VUmedicine students have volunteered >420 hours with the hotline, and a core group of 17 students have given 326 of those hours. Over and over I hear how good it feels to stay connected with patients even over the telephone line. I am just...stunned by my classmates.
Read 18 tweets
Counternarrative: I've been trying to distill my thoughts into words about #COVID19 and #Black #America. We would be complicit in #structural #racism to assume the cases & deaths look the way they do because we're "all not taking this seriously and playing basketball" 😑😒🙄 1/
Instead, historical social, economic, educational, health, etc. inequities brought us where we are. Yes, some Black and Brown people are "killing the game" and have "gotten ahead". But, many don't have the luxury to shelter in place/work from home. 2/
The alternative- be SUBJECTED to HUNDREDS (if not thousands) of exposures a day as an essential employee (e.g., nurse, doctor, cashier, driver, postal worker), riding public transportation, grocery shopping for family and/or neighbors, etc. 3/
Read 6 tweets
1/In light of #COVID19, organizational readiness seems more important than ever. So today in my 3 hr #impsci course, we're going deep into lit on importance of #organizational context, readiness, resources and leadership. We'll use one of my faves as case study (thanks @bjweiner)
2/ One thing I love about this piece of that the appendix goes in depth into about how they defined #organizational context, all the key stakeholders they interviewed, plus the qualitative questions they used for each organizational construct in their comparative case analysis.
3/ 2nd half of class we'll go into #stakeholder engagement, #CBPR, participatory processes- areas that we know are critical for #healthequity and to ensure our science impacts policy & reaches key groups who would benefit from it most. Love this piece as a #impsci CBPR case study
Read 3 tweets
For the most part, asthma, hypertension, and diabetes are inequalities — differences that are a direct result of racism, poverty, disinvestment, and other structural barriers — not “pre-existing conditions.”
#publichealth #healthequity #covid19
Here’s an excellent article by @uche_blackstock that provides an overview of the barriers to equitable treatment and other inequalities that emerge during the #covid19 pandemic and similar disasters: #healthequity #phealth
Most US cities have a 15-year gap in life expectancy. Neighborhoods that have seen these catastrophically-high premature death rates for decades, due to inequality, racism, & incarceration, are also likely to be impacted by #covid19 at 2-5 times the rate of affluent areas. #nnip Image
Read 41 tweets
1/9 Last week I filed a federal civil rights lawsuit against @ACOG The American College of Obstetricians and Gynecologists pursuant to Title VI of the Civil Rights
Act of 1964, 42 U.S.C. § 2000d et seq. (“Title VI”).
2/9 The American College of Obstetricians and Gynecologists is in violation of Title VI as it has intentionally discriminated against me on the basis of race by denying me the opportunity to participate as a member of one of its integral planning or advisory bodies,
3/9 the @PtSafetyCouncil Council on Patient Safety in Women’s Healthcare.A meeting was scheduled with ACOG leadership on January 10th & it did not take place.The meeting was to include ACOG CEO Dr. Maureen Phipps & the current Chair & Vice Chair of the Council on Patient Safety,
Read 10 tweets
A thread on some quotes from @gautambhatia88’s “The transformative constitution “In equality jurisprudence, the approach of focusing on the disproportionately exclusionary impact if politics rather than their formal character or motive is known as disparate impact”
“It is based on the premise that inequality and discrimination result not (only) from individual hostile acts, but from structures and institutions.” @gautambhatia88 Only in brackets important & added by me.
An test for entry may be “neutral” but yet exclude by aligning with exclusionary institutions; if an physical entrance test for firefighter includes activities not necessary for fulfilling duties and unintentionally poses #gender-barriers, deserves to be struck down. #NoteToSelf
Read 95 tweets
#TRIBECON begins #Pravara; felicitations to #AbhayBang @SearchGad & #sudarshan #VGKK for their inspiring work on #TribalHealth; @DrLahariya @whoindia among others felicitated
#abhayBang #healthsystem design for tribal communities need to be relooked for #UHC; strategies & schemes must adapt with local social & cultural context; recollects #Brainstorming with @DesirajuKeshav at @SearchGad leading to #ExpertCommittee #tribalhealth @TribalHealthIND
#TRIBECON #AbhayBang notes with happiness increasing interest in #tribalhealth research, yet this continues to be “off the beaten path”; congratulations to #pravara medical college in bringing this together; the proposed #Bandardhara declaration to improve #tribalhealth research
Read 81 tweets
THREAD: I’m a scientist and I gained 1K TWITTER FOLLOWERS in FIVE WEEKS. Here’s how I did it. #medtwitter #epitwitter #AcademicTwitter #AcademicChatter #phdchat
1. I changed my mindset about Twitter. When I first started my account, I thought of it as a personal platform where people yell at each other (true). But it’s more than that. It’s a PROFESSIONAL NETWORKING tool. Use it to find your tribe. I’m looking at you #epitwitter.
2. I made my profile searchable and memorable. Does your bio describe you or does it sound like a canned bio on your employer’s website (or worse: a dating site)? Describe your profession. Add some dimension like #vegetarian #endocrinologist. Give people a reason to follow you.
Read 16 tweets
My first peer reviewed article was published today! I'm grateful for the chance to write about my Master's thesis and share some of my thinking about #climatechange and #narrativedissonance . Please get in touch if you're interested in chatting more. canada.ca/en/public-heal…
My qualitative study looked at the #stories of young people who already know about and care about #climatechange. I wanted to know: how are they making sense of climate change in their everyday lives? How are they responding, and is that #engagement meaningful to them?
I used Marshall Ganz's framework for public narrative to map out the barriers to engagement across participant stories. Essentially, I was looking for clues as to where #climatenarratives break down, or become meaningless, even for those convinced and caring. #climatechange
Read 25 tweets
Kicking off #WalkBikePlaces with an infrastructure tour on @BlueBikesNOLA. Several under way now; I'm on the one that looks at public art, placemaking. #bikeNOLA
First stop: Jackson Square, National Historic Site, named for Andrew J. Led battle that saved NOLA in 1812 but owned enslaved people. Should his statue come down? #WalkBikePlaces
Beautiful murals! Families of Plessy and Ferguson reconciled with art in celebration. Studio BE right across the street--big studio space in covered warehouse. @BlueBikesNOLA station right here at park.
Read 144 tweets

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