Racism, African American Women, and Their Sexual and Reproductive Health: A Review of Historical and Contemporary Evidence and Implications for Health Equity liebertpub.com/doi/10.1089/he…
"Although legalized slavery, the most salient manifestation of race-based mistreatment for African Americans ended in 1865, racism persists in institutions (e.g., criminal justice system), and attitudes that marginalize African American women."
"Due to laws defining them as property, enslaved women had no legal protection from sexual assault by white men. Acts of sexual violence against African American men could also affect enslaved women"
"Furthermore, eugenic programs emerged to control the size of the black population."
"Thirty states supported formal eugenic programs that enforced compulsory sterilization from the early 1900s to the 1970s."
"In addition, many poor African American women underwent unnecessary hysterectomies as practice for medical students at select teaching hospitals. This exploitation of African American women became routine and perpetuated the eugenic movement during this time period."
"Although slavery was abolished in the United States in 1865, Jasienska argues that there has not been enough time to eliminate the physical effects of slavery, which contributes to the disproportionately high levels of low birth weight in African American infants born [today]."
"Some suggest the origins of adult health begin with intrauterine and early postnatal experiences or as a result of ‘‘weathering,’’ through which repeated experiences with discrimination result in physical health deterioration in early adulthood."
"Addressing sexual and reproductive health through a historical lens and ensuring the implementation of culturally appropriate programs, research, and treatment efforts will likely move public health toward achieving health equity, which will benefit the health of [AA] women."
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"In the USA, substantial and persistent disparities in health outcomes and healthcare access across race and ethnicity are well documented, particularly among non-Hispanic Black residents."
"We find significant associations between higher levels of measured structural racism and
...higher rates of COVID-19 cases and deaths, even after adjusting for county-level population sociodemographic characteristics, measures of population health, access to healthcare, population density, and duration of the COVID-19 outbreak."
"..telomere loss and cellular senescence may have implications for the functionality of tissues of special relevance to particular disease processes such as immune response and infection, atherosclerosis, and osteoporosis and osteoarthritis."
"Telomere length did not differ between blacks, whites and Hispanics in a small sample of newborns (Okuda et al., 2002). Our results suggest that race differences in telomere length may emerge and grow with age."
"Indeed, chronological age is much more strongly related to methylation based aging than to telomere length or other biological markers of aging"
"..living in disadvantaged neighborhoods, ambient threat, social strain, social isolation... influences health-related outcomes"
"Mean ages predicted by the Hannum’s methylomic index were 1.22 years higher than the actual chronological age of the sample. 54% of respondents had a methylomic age greater than their chronological age. This indicates a tendency in the sample toward accelerated aging."
"Black women are especially vulnerable to weathering effects when high rates of male unemployment and incarceration in the community thrust them into a role of supporting multiple generations of dependents but with resources only accessible from low-income jobs" Simons,et al 2018
Weathering starts early in life and continues to have damaging effects on health throughout life (Simons et al., 2018)
The health and life expectancy of Black ppl are negatively affected by the cumulative experiences of racism throughout life (Paradies, 2006;Phelan & Link, 2015)
Black women are four to five times more likely to die during
pregnancy and childbirth than white women, regardless of income, education, or lifestyle
(Bingham et al., 2011; Bond, 2011)
#JuanCrow 📃 🧵
"...lawyers who established the Mexican Americans' legal "canon" employed arguments—which were also based on the Fourteenth Amendment—that called for better policing of the existing boundaries of Jim Crow, rather than for the dismantling of the system." 🧐
"The state law defined the 'colored' class to include "all persons of mixed blood descended from Negro ancestry."
"..that as Hispanics, Mexicans belonged to the white race, albeit to an inferior branch in the taxonomy."
"..all Mexicans, without discrimination as to color."🧐
"The founders of LULAC aimed to intergrate Mexican-descended persons into the U.S. mainstream, that is, to 'Americanize' the community."
"Mexican Americans grew dependant on legal arguments that relied heavily on alleged advantages derived from their "white" status."