Discover and read the best of Twitter Threads about #structuralracism

Most recents (24)


We'll be live-tweeting the #Barnraising panel discussion feat. @DrCMBoraas @UshmaU @ajeanstevenson Dr. Suzanne Bell & Dr. Siri Suh! @minnpop #abortion #healthequity
The in-person #Barnraising group is grounding in the political history of #abortion in the US & globally, with @minnpop member Dr. Elizabeth Heger Boyle outlining US restrictions on #RoevWade from the 90s to #Dobbs. #healthequity #ReproductiveJustice
Dr. Elizabeth Heger Boyle continues to define PLACE as a social delineation, a distance, and as physical environment.

@WHO advocates for #abortion across the globe, but that international authority has different meaning in US. #Barnraising #healthequity #ReproductiveJustice
Read 4 tweets
#Populism Poses Dangers to Democracy. It Does the Same to Christian Witness. How polarizing narratives corrupt our hearts and redefine our faith.…
"The plot of the populist story is simple, unchanging, and melodramatic: Life consists of a perpetual struggle between “common people” and the elites who exploit them. The former are noble, virtuous, and righteous;
the latter are corrupt, arrogant, and self-serving. The key to eradicating social ills and injustices lies in helping the people recognize their true enemies and mobilize to defeat them." ...What populist rhetoric adds to the mix is fear, outrage, and an all-consuming urgency.
Read 16 tweets
Oh, my misguided friends, let me talk to you about that “top notch medical care.”
(Uh, there isn’t any)
The above tweet is not to say that conditions of confinement in U.S. jails are generally acceptable; they are not. We consistently subject pre-trial (and post-conviction) prisoners to inhumane conditions that violate all sorts of domestic and international law.
It's just that most of America has not historically cared about conditions in jails because the imprisoned population across the country is overwhelmingly African American. #structuralracism
Read 7 tweets
I'm @RRHDr, a #healthequity researcher & the Founding Director of @CARHEumn. My work seeks to manifest racial justice & liberation by making the invisible visible. This means that I start from the premise that racism is a fundamental cause of health inequity. #HardemanTakeover
Today I'm taking over @ia4phs to talk about #structuralracism and health from methodological innovation for measuring racism to its manifestations in our society from abortion access to policing. Structural racism as a #populationhealth crisis. #HardemanTakeover
Structural racism is a public health crisis, but it's also a FIXABLE problem!

Earlier this year @CARHEumn & @minnpop hosted an event on the measurement of structural racism. A product of that event was this 🔥 reading list. #HardemanTakeover
Read 18 tweets
28-AUG-2022 UPDATE

Incidence of #COVID19 in 🇺🇸 kids increased 10% during the week ending 26-AUG-2022. More than 17,000 new cases every day; ADIR = 21.8/100,000.

#epitwitter #PedsICU #LongCovidKids Image
28-AUG-2022 UPDATE

The highest #COVID19 new daily incidence rates for kids are concentrated in the #Southeast. Image
28-AUG-2022 UPDATE

States with adverse trends ( ⬆️ incidence) of #COVID19 in kids for the week ending 26-AUG-22 are red/orange on the map. Image
Read 23 tweets

In this 🧵, we update #COVID19 incidence, hospitalizations, deaths, and disparities for 🇺🇸 children and adolescents.

Please share this 🧵 #epitwitter #PedsICU #tweetiatrician #SARSCoV2 #Omicron #LongCovidKids
2/25 Image
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@TheConstelProj - an important new tool for funding transparency & accountability w/ #structuralracism as a public health issue, now a 'hot topic'.

But, remember it's a tool to hold "SYSTEMS* accountable, not just individuals. 🧵 1/6
Structural and cultural racism, classism, & sexism create the opportunity for investigators w/ privilege to reap rewards in NIH funding & research productivity. 🧵 2/6
Racism & other systems of oppression are sneaky! They want us to aim our push, call, demand, actions for change to the system levels that if disrupted minimally dismantle the system of oppression. 🧵 3/6
Read 6 tweets
We've sent a reading list of the #structuralracism articles @pbaJackson, @tysonbrown, @rolandjthorpe, & @RRHDr mentioned during their panel out to attendees of the @minnpop/@CARHEumn #ImprovingMeasurement #Barnraising!

It's an amazing list, so we're also sharing here!🧵1/
Each panelist referred to @CamaraJones's (2000) foundational "Gardener's Tale" piece in their working definitions #structuralracism.

This celebrated article is a must-read for everyone engaged in #publichealth & #healthequity. @AMJPublicHealth 2/…
Panelists also cited the more recent @zinzinator et al (2017) article "Structural racism and health inequities in the USA: evidence and interventions" for their working definitions of #structuralracism. @TheLancet 3/…
Read 12 tweets
The language of quant crit is in its infancy but the practice has a long legacy dating back to Du Bois and Wells-Barnett.

Let's use #QuantCritSyllabus to feature studies that use critical quantitative methodologies and frameworks. I'll start.
#AcademicTwitter #SocAF #QuantCrit
The Racism-Race Reification Process: A Mesolevel Political Economic Framework for Understanding Racial Health Disparities by @aasewell

#QuantCritSyllabus #HealthDisparities #MortgageMarkets
#MergedDatabases #Multilevel #GeneralizedLinearModels…
Collateral Damage: The Health Effects of Invasive Police Encounters in New York City by @aasewell & Kevin Jefferson

#QuantCritSyllabus #Health #Policing
#NYC #CommunityHealthSurvey #StopQuestionandFrisk #MultilevelModels…
Read 18 tweets
Tomorrow's session in our doctoral seminar on public health ethics centers "Disability, Ethics, & Public Health."

We began this convo in the fall history of public health seminar via extensive discussions on eugenics and basic notions in critical disability studies.

Tomorrow we'll extend our work by attempt to apply working knowledge of #DisabilityJustice and #DisabilityEthics to public health practice and policy. Last week's application exercise of the REAP Framework in evaluating the influence of #StructuralRacism in policy serves +

As a critical bridge to this week's unit, since of course ableism and racism intersect past and present in all sorts of nefarious ways in public health contexts.

(The app exercise involves continuous Medicaid coverage under the current PHE)

Read 4 tweets
1/ For our first #FellowsFriday of #BlackHistoryMonth, we're celebrating Dr. @wendyruns, 2018 Ascend Fellow!

With @childmuseums, she leads place-based work in her hometown of Cincinnati to foster #racialequity w/ families through #TruthandReconciliation:…
2/ As Director of @gwpublichealth’s @resilnation, Dr. @wendyruns is a champion of the national movement to address the root causes of childhood trauma, foster equity, and build community resilience. Read more about @ResilNation here:
3/ Last month, Dr. @wendyruns & @resilnation premiered their first documentary, "Truth, Racial Healing and Transformation: Cincinnati" to unpack the history of #structuralracism in Black communities and share the narrative on #HowWeHeal:
Read 6 tweets
1/🧵 @NEJM “Covid19 has rendered U.S. racial, ethnic & social health inequities too stark to ignore.”
In the face of staggering inequities in Covid morbidity & mortality, the scientific workforce must confront #StructuralRacism

TY @DrCHWilkins & authors
2/ The 2020 U.S. Census estimated that 33% of people in the United States identify as members of racial or ethnic groups that are underrepresented in medicine but less than 6% of research faculty are members of such groups.
3/ Only 4 to 5% of participants in trials of drugs submitted for approval by the @FDA between 1997 & 2014 were from groups historically underrepresented in medicine.
Read 5 tweets
This is happening in U.S. & U.K. Once I got to the management & C-suite, especially in #NYC, I was unwilling to send #HCW into unsafe spaces to be injured or die.

@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.
The frontline is disproportionately POC, women. Those making guidelines or in C-suite are able to protect themselves. Leadership manipulates data/definitions, then shames, gaslights. Non-clinicians hired to override #HCW with “opinion.” Those at frontline who speak up: fired.
Who is among these flags (& whose loved ones)? It is not those pushing out pre-prints or on TV nor those safely behind a screen from a second home. It is those at the frontline, working without support, protection, or even without pay (some hospitals asking docs to volunteer).
Read 4 tweets
Our report on #policebrutality shows that the same violent patterns are deployed in different European countries to allow police forces to continue brutalising racialised communities; #structuralracism can no longer be ignored in Europe.
The #Covid19 measures have also allowed police and law enforcement to further brutalise racialised communities. We all remember the #MichelZecler case in France:⤵️
The many systemic human rights violations perpetrated against refugees and migrants in Europe with complete disregard towards the protection of their fundamental rights also clearly demonstrates how institutions in Europe target racialized communities.
Read 4 tweets
Did you know that healthcare equity breaks down along race lines? For #IndigenousHeritageMonth, learn about racism's effect on health outcomes. Fixing the problem begins with awareness of it. In this thread, we share our blogs about Native communities' pandemic health outcomes.
Structural racism has created significant morbidity and mortality for minority populations, including Native communities. Read more in Kelly's article:…

#StructuralRacism #Health
You can also read about COVID-19 in the Diné (#Navajo) Nation in Kelly's article:…
Read 5 tweets
Check out "The Roots of #Redlining," a new article @lwinling & I wrote that was just released in the @JournAmHist. Here's the link… but an illustrated thread with summary & our major findings follows ... (1/17)
@UrbanHistoryA @SACRPH
We trace the intellectual roots of #redlining to economist Richard T. Ely and his students & colleagues affiliated with the Institute for Research in Land Economics, which he founded in 1920 ... (2/17)
While a faculty member at Johns Hopkins, the University of Wisconsin & Northwestern from the 1880s-1920s, Ely trained scores of economists, sociologists & historians -- including future president Woodrow Wilson ... (3/17)
Read 18 tweets
Word “racism” silenced, actively, by #MedEd #MedTwitter #healthcare#professionalism” & “communication” labels

Saying “racism” offends or “hurts feelings” > actual #BLM deaths

If #professionalism itself is racist -makes sense that word suppressed
What @ayshakhoury experienced pushes out & silences many

If the editors of @JAMA_current resist hearing word “structural racism” then they certainly are not publishing papers using that word

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Journal gatekeeping: men
Behavior gatekeeping: women/HR

#accountability only for white men
-> we miss “Amy Cooper” in #academia, #HR, #professionalism #compliance…

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Read 18 tweets
Good to see @rcpsych's considered & evidence backed response to the recent race report. All forms of racism can harm health & mental health
Denying the existence of structural racism affects efforts to root out inequality
@DrLadeSmith @DrAdrianJames…
Some crucial evidence missed is this recent House of Commons & Lords report on Racism & Human Rights (Nov 2020).

Did the CERD researchers fail to locate & read this?
Or did they ignore a Parliamentary report?
(Here it is in full)…
"A succession of reports in recent years, have investigated, and found, structural racial
inequalities in state institutions and processes, from the Home Office to the Youth Justice System"
#StructuralRacism reports as below…
Read 3 tweets
Nobody likes 'BAME', but how to describe all 'BAME' ppl, not just individual communities where the matter is common barriers, disparities etc. People of Colour (a bit American)? Non-white (negative)? Black as a unity term (old fashioned, embraced less by some communities)? 1/
There's totally an issue with 'BAME/BME/BAEM' hiding even worse stats afflicting some groups, eg ppl of African descent (incl Afriphobia) & Bangladeshi/Pakistani (added Islamophobia). But why can't we use unity terms together with disaggregated data for worst impacted groups? 2/
The danger is losing unity terms because some communities are worst hit by the same issue that's also affecting other communities takes away power from the argument to deal with the underlining causes, fracturing an anti-racist coalition & playing into divide-and-rule. 3/
Read 8 tweets
Okay, I'm about to start listening.
Thanks @AmyBaugher for bringing this podcast to my attention, and thanks @statsepi for preparing me for the offenses I'm about to hear.

And to think, this was released during #BlackHistoryMonth

🧵 live tweeting this podcast
Title: #StructuralRacism for Doctors- What is it?
1st the title is distressing. Why are we still asking what is it? Why aren't we focused on addressing it? Still defining something that is clear, noted in research, & pervasive is problematic & stalls progress.
Pressing play now
"We discussed structural racism. Going into this interview I didn't understand the concept." I'm confused, who are you? There's no introduction of the narrator. What field is he from? What work does he do? Does he interact with patients & not understand this life & death concept?
Read 27 tweets
This @JAMA_current Clinical Reviews podcast Structural Racism - What Is It? (then verbally retitled, SR - For Skeptics) is a #TotalFAIL.
It is itself an example of SR:
to have an elite white man, with skin in the SR game on the status quo side, conduct an interview of current saliece, conduct an interview obviously not having made any serious effort to prepare, the hubris & self-serving naïveté is stunning that this was posted. 2/
& for this unqualified person to then go on to appraise from the hip the results of a formal fields of study & policy analysis, completely outside his areas of expertise & with no effort to seriously prepare for this subject,
Read 7 tweets
There are 328,200,000 people in the USA.
Black Americans make up about 13% of the population
There are currently about 877K practicing physicians in the USA....
4% of the 877K are Black
ONLY 2% of physicians in the USA are BLACK FEMALES.
We are out there, serving our communities, taking care of the sick, the disinfrachised. Listening. Doing. Acting.
We are tired. We are only 13% of the population but we are dying faster and worse from almost every disease/disorder...
We know it isn't just race that determines these outcomes. Its a long standing system of #bias #structuralracism and social determinants of health that make this an almost impossible battle to win....
Read 5 tweets
In the UK, @thetimes seems to glorify murderers when they fit a certain profile

The paper is yet to apologise for its tweet (now deleted) & the article, which remains up

It is disgusting hypocrisy & double standards… ImageImage
Reminder: to understand how British media outlets report on terrorism especially when it comes to Muslims:

1. Consistently inconsistent e.g. using terms like "terrorist" inconsistently; &
2. treating Muslims differently to others

See @cfmmuk report:…
Narratives are created in the public conscience when high profile stories of murders & terrorism:

1. Get excused when by white non-Muslim far-right males
2. Get promoted when by non-white Muslim males - often with op-eds

This is how the public are misled
Read 3 tweets
Continuing @VPrasadMDMPH @walidgellad @AnilMakam discussion on structural racism #HSR @AcademyHealth: A thread on research critique w. a specific application to:…
Let's go! 1/
1) When engaging in thoughtful critique, whether your own or someone else's, read the entire paper & supplement.
1x) Critiques of Greenwood et al that raise issues such as SES, comorbidities, etc, imply that the commenter has not read the entire paper. Specificity is key.

2) When identifying limitations of the methodology, differentiate between a) those not mentioned by the authors; b) those mentioned by the authors but not addressed as fully as desired.

Read 39 tweets

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