Margot Kushel MD Profile picture
Director @ucsfcvp & @ucsfbhhi Professor Medicine @ucsf & Board member @housingca & @homeless_law Passionate about ending homelessness. Views my own.

Dec 19, 2019, 6 tweets

Role of racism in perpetuating homelessness in late life: new #HOPEHOME qual study led by @dereckpaul Black Americans 3-4x ⬆️ risk homelessness. Key take homes: 1) It's racism, not race (1/x) tandfonline.com/eprint/XYYVVPJ…

1. experiences of early life overt racism create risk 2. Structural racism throughout life course (i.e. criminal justice & employment discrimination, exposure to violence, premature death, and limited family wealth) ⬆️ & perpetuate risk 2/x

Themes came through voices & experience of participants. Of note, only 1 non-Black participant mentioned race--in context of how her white race brought privilege in crim justice system. Many Black ppts spoke re: stories, but few/none named structural racism-bc effects 3/x

bc that is how structural racism works. Take homes: 1) we cannot discuss homelessness w/o understanding role interpersonal (incl early life) & structural racism plays. 2) racial disparities d/t racism, not race! 3) solutions need to be anti-racist. Gratitude to @dereckwpaul 4/x

#JohnWeeks, #PamOlsen, @PubHealthCityPl @kellyrayknight & #HOPEHOME ppts who told story and Community Advisory Board who guided. @UCSF @ucsfcvp

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