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Utibe R. Essien, MD MPH

@UREssien

Feb 1

1/🧵 It’s #BlackHistoryMonth.

A time for us to re-learn and re-discover our history.

A history beyond the chapter on Civil Rightsin our high school textbooks.

A history beyond the Emancipation Proclamation and Brown v. Board of Education.

So what are you reading this month?

2/ The ship grew larger & more terrifying w. each stroke of the paddle. The smells grew stronger, the sounds louder, crying & wailing from one quarter, low singing from another; the anarchic noise of children given an underbeat by hands drumming on wood.”

nytimes.com/2022/01/28/opi…

3/ One of the best essays I’ve read.

“Locked out of the greatest opportunity for wealth accumulation in history, African Americans who were able to afford homes found themselves consigned to communities where their investments were affected by the FHA.”

theatlantic.com/magazine/archi…

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Utibe R. Essien, MD MPH

@UREssien

Dec 1, 2021

@ashwin_nathan

One of the points we made in our article last month (👇🏾) is that #Pharmacoequity extends beyond prescription drug access to the entire therapeutic cascade. A couple of interesting papers led by @ashwin_nathan & @ACFanaroff on TAVRs and #HealthEquity.

jamanetwork.com/journals/jama/…

1/

@ashwin_nathan

@ashwin_nathan @ACFanaroff @SameedKhatana @petegroen @jaygirimd @hmartinjulien @bnallamo In @CircOutcomes, the team examined socioeconomic & geographic factors of hospitals that developed TAVR (newer, less invasive treatment for aortic stenosis) programs and found that hospitals serving wealthier patients were ⬆️ likely to start programs.

2/

ahajournals.org/doi/10.1161/CI…

@JAMACardio

3/3 A month later, the team showed in @JAMACardio that zip codes with ⬆️ rates of Black & Hispanic patients and those with more socioeconomic disadvantages had ⬇️ rates of TAVR, adjusting for age and clinical conditions.

So much to be done in this space.

jamanetwork.com/journals/jamac…

Read 4 tweets

Utibe R. Essien, MD MPH

@UREssien

Oct 22, 2021

@JAMA_current

1/ NEW: Excited to share our Viewpoint in @JAMA_current: "A Policy Prescription for Reducing Health Disparities -- Achieving Pharmacoequity."

A 🧵 on what #Pharmacoequity is, why it should be a public health & policy priority, and how we can achieve it.

jamanetwork.com/journals/jama/…

2/ Ensuring that all individuals, regardless of race & ethnicity, socioeconomic status, or availability of resources, have access to the highest quality medications required to manage their health needs is paramount. This is what we call #Pharmacoequity.

jamanetwork.com/journals/jama/…

3/ The #COVID19 pandemic has brought health equity to the forefront, especially in how we ensure access to novel therapies, from antivirals like #remdesivir and #molnupiravir to the Covid vaccine...

But inequities in access to novel drugs are much more than a Covid problem. 👇🏾

Read 10 tweets

Utibe R. Essien, MD MPH

@UREssien

Jun 3, 2021

@jared_w_magnani

1/
In 2019, @jared_w_magnani & I were invited to give @PittGIM Grand Rounds on the social determinants of #AFib.

Today, thanks to our incredible co-authors, we published some of those thoughts in Nature! 👇🏾

A 🧵 on gaps & opportunities for future work.

nature.com/articles/s4156….

2/
The pandemic has taught us so much about our health system, but it has especially shone a bright light on the social determinants as key drivers of #HealthEquity. Our review focused on:
🔸 race/ethnicity
🔸 finances
🔸 rurality/neighborhood
🔸 health literacy
🔸 social network

3/
The social construct of race has been one of the most well-studied determinants of #AFib incidence, treatment (including our work in anticoagulation disparities), and outcomes. Here we discuss why such inequities exist across the AFib care continuum.

nature.com/articles/s4156….

Read 11 tweets

Utibe R. Essien, MD MPH

@UREssien

Jun 2, 2021

@PittCRSP

1/
Today I received the Larry E. Davis Excellence in Race Research from @PittCRSP.

I met Dr. Davis when I first got to Pitt and was amazed by his fierce & enduring commitment to racial justice. He is greatly missed in our community and I am incredibly honored for this award. 🙏🏾

@PittTweet

2/
I am grateful for my community here @PittTweet, especially the Black Pittsburgh #COVID19 Equity Coalition that has truly been *doing the work* this past year to help keep our communities of color healthy, safe, informed (and now vaccinated) throughout the pandemic.

3/
I am grateful to so many who have inspired, collaborated with, and taught me so much over the past year, pushing my thinking and scholarship on #HealthEquity, justice, and examining racism as a driver of health in the US, during & beyond the pandemic.

jamanetwork.com/journals/jama-…

Read 4 tweets

Utibe R. Essien, MD MPH

@UREssien

Jun 1, 2021

1/
“In 1918, Frissell Memorial Hospital was built at 314 E. Brady St. for Black medical providers to serve Black residents.

The brick building near the bustling Black Wall Street was reduced to rubble and ash during the race massacre three years later.”
tulsaworld.com/persistent-hea…

2/
“Since then, the healthcare landscape in north Tulsa has mirrored the economic trends, with hospitals and private practices expanding to the south. The perceived inequalities became factual with a report showing ~14-year gap between the north 74126 zipcode and the south 74137”

3/
“In 1920, before the massacre, Greenwood was home to 9,000 Black residents, their medical needs were served by at least 17 doctors, including renowned surgeon, Dr. A.C. Jackson. The neighborhood had its own hospital and 4 well-equipped drugstores...”
wsj.com/articles/in-no…

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Utibe R. Essien, MD MPH

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Utibe R. Essien, MD MPH

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