Articles & Essays
- A Systematic Review of the Impact of Physician Implicit Racial Bias on Clinical Decision Making
- Changing How Race Is Portrayed in Medical Education
- Eliminating structural and racial barriers: a plausible solution to eliminating health disparities
- I Guess the MD on My White Coat Is Invisible Today
- How SEX and GENDER Influence Health and Disease
- Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review
- Language barriers and access to care
- Leading After a Racial Crisis: Weaving a Campus Tapestry of Diversity and Inclusion; ACE Report from 2020
- Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race
- Race-based experiences of ethnic minority health professionals: Arab physicians and nurses in Israeli public healthcare organizations
- Racial Bias and Its Impact on Children and Adolescents
- Racism Is Real. Racism Is Complicated. Racism Is Real Complicated.
- Racism in medicine: The spectre must be exorcised
- Reducing Racial Inequities in Health: Using What We Already Know to Take Action
- Systemic racism and U.S. health care
- Structural and racial barriers to health care
- Structural racism in precision medicine: leaving no one behind
- White Privilege in a White Coat: How Racism Shaped my Medical Education
- Work experiences of ethnic minority nurses: a qualitative study
Books
The below list of books are linked to our library catalog or Amazon.com for title summaries and reviews. Titles we do not have can be borrowed through interlibrary loan or through local public libraries.
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Black and Blue
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Black & Blue is the first systematic description of how American doctors think about racial differences and how this kind of thinking affects the treatment of their black patients. The standard studies of medical racism examine past medical abuses of black people and do not address the racially motivated thinking and behaviors of physicians practicing medicine today. Black & Blue penetrates the physician's private sphere where racial fantasies and misinformation distort diagnoses and treatments. Doctors have always absorbed the racial stereotypes and folkloric beliefs about racial differences that permeate the general population. Within the world of medicine this racial folklore has infiltrated all of the medical sub-disciplines, from cardiology to gynecology to psychiatry. Doctors have thus imposed white or black racial identities upon every organ system of the human body, along with racial interpretations of black children, the black elderly, the black athlete, black musicality, black pain thresholds, and other aspects of black minds and bodies. The American medical establishment does not readily absorb either historical or current information about medical racism. For this reason, racial enlightenment will not reach medical schools until the current race-aversive curricula include new historical and sociological perspectives.
ISBN: 9780520274013Publication Date: 2012-04-03 -
Black Man in a White Coat
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A NEW YORK TIMES BESTSELLER*ONE OFTIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR ALIBRARY JOURNALBEST BOOK SELECTION*A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon Tweedy begins medical school, he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than in whites." Black Man in a White Coatexamines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosedwith a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.
Call Number: R154 T971b 2016ISBN: 9781250105042Publication Date: 2016-09-06 -
Cultural Sensibility in Healthcare
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The healthcare workforce and landscape continues to evolve with the ongoing education systems forming in foreign countries and immigration and foreign employment continuing to grow in the United States. Every heath care provider and patient is challenged with cultural competency and acceptance on a daily basis. Often times our own prejudices and beliefs have great potential to interfere with effective health care interactions when what is truly important is providing the best patient care possible. There is much discussion around cultural sensitivity and cultural expertise, but now the discussion has shifted to cultural sensibility, which is a deliberate behavior that proactively provides an enriched provider consumer/patient interaction, where the health care provider acknowledges cultural issues and situations through thoughtful reasoning, responsiveness, and discreet (attentive, considerate, and observant) interactions. In this highly practical and informative handbook, author Sally Ellis Fletcher offers healthcare providers a process that encourages them to first consider their own attitudes, biases, beliefs, and prejudices through self-reflection. Cultural Sensibility in Healthcare challenges readers to examine cultural issues beyond just theory and to instead explore culture as it affects your professional role thus creating culturally sensibility health care encounters.
Call Number: WA 31 F968 2015ISBN: 9781937554958Publication Date: 2015-06-01 -
Death Gap - How Inequality Kills
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We hear plenty about the widening income gap between the rich and the poor in America and about the expanding distance separating the haves and the have-nots. But when detailing the many things that the poor have not, we often overlook the most critical--their health. The poor die sooner. Blacks die sooner. And poor urban blacks die sooner than almost all other Americans. In nearly four decades as a doctor at hospitals serving some of the poorest communities in Chicago, David A. Ansell, MD, has witnessed firsthand the lives behind these devastating statistics. In The Death Gap, he gives a grim survey of these realities, drawn from observations and stories of his patients. While the contrasts and disparities among Chicago's communities are particularly stark, the death gap is truly a nationwide epidemic--as Ansell shows, there is a thirty-five-year difference in life expectancy between the healthiest and wealthiest and the poorest and sickest American neighborhoods. If you are poor, where you live in America can dictate when you die. It doesn't need to be this way; such divisions are not inevitable. Ansell calls out the social and cultural arguments that have been raised as ways of explaining or excusing these gaps, and he lays bare the structural violence--the racism, economic exploitation, and discrimination--that is really to blame. Inequality is a disease, Ansell argues, and we need to treat and eradicate it as we would any major illness. To do so, he outlines a vision that will provide the foundation for a healthier nation--for all. Inequality is all around us, and often the distance between high and low life expectancy can be a matter of just a few blocks. But geography need not be destiny, urges Ansell. In The Death Gap he shows us how we can face this national health crisis head-on and take action against the circumstances that rob people of their dignity and their lives.
ISBN: 9780226641669Publication Date: 2019-03-19 -
Eliminating Race-Based Mental Health Disparities
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Eliminating Race-Based Mental Health Disparities offers concrete guidelines and evidence-based best practices for addressing racial inequities and biases in clinical care. Perhaps there is no subject more challenging than the intricacies of race and racism in American culture. More and more, it has become clear that simply teaching facts about cultural differences between racial and ethnic groups is not adequate to achieve cultural competence in clinical care. One must also consider less "visible" constructs--including implicit bias, stereotypes, white privilege, intersectionality, and microaggressions--as potent drivers of behaviors and attitudes. In this edited volume, three leading experts in race, mental health, and contextual behavior science explore the urgent problem of racial inequities and biases, which often prevent people of color from seeking mental health services--leading to poor outcomes if and when they do receive treatment. In this much-needed resource, you'll find evidence-based recommendations for addressing problems at multiple levels, and best practices for compassionately and effectively helping clients across a range of cultural groups and settings. As more and more people gain access to services that have historically been unavailable to them, guidelines for cultural competence in clinical care are needed. Eliminating Race-Based Mental Health Disparities offers a comprehensive road map to help you address racial health disparities and improve treatment outcomes in your practice.
ISBN: 9781684031962Publication Date: 2019-11-01 -
Essentials of Health, Culture, and Diversity
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The term culture has increasingly been used in the discourse of public health, for example, with respect to issues of health disparities in the U.S., the development and implementation of 'culturally competent' or 'culturally appropriate' programs, and in many other ways. What exactly is culture, however?Published in partnership with the American Public Health Association, this newest offering in the Essential Public Health series examines what is meant by culture, the ways in which culture intersects with health issues, how public health efforts can benefit by understanding and working with cultural processes, and a brief selection of conceptual tools and research methods that are useful in identifying relationships between culture and health.Essentials of Health, Culture, and Diversity includes practical guidelines for incorporating cultural understanding in public health settings, and examples of programs where that has occurred.Looking for more real-life evidence? Check out Cases 3, 5-11, 13, 18, & 20 in Essential Case Studies in Public Health, Putting Public Health into Practice./
Call Number: WA 395 E21e 2013ISBN: 9780763780456Publication Date: 2012-02-08 -
The Health Gap
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In this groundbreaking book, Michael Marmot, president of the World Medical Association, reveals social injustice to be the greatest threat to global health In Baltimore's inner-city neighborhood of Upton/Druid Heights, a man's life expectancy is sixty-three; not far away, in the Greater Roland Park/Poplar neighborhood, life expectancy is eighty-three. The same twenty-year avoidable disparity exists in the Calton and Lenzie neighborhoods of Glasgow, and in other cities around the world. In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800 (and now, with the new administration chipping away at Obamacare, the statistics stand to grow even more devastating). Why? Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction. Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics ("young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries"), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.
Call Number: WA 30 M352h 2019ISBN: 9781632860781Publication Date: 2015-11-03 -
How to Be an Antiracist
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#1 NEW YORK TIMES BESTSELLER * From the National Book Award-winning author of Stamped from the Beginning comes a "groundbreaking" (Time) approach to understanding and uprooting racism and inequality in our society--and in ourselves. "The most courageous book to date on the problem of race in the Western mind."--The New York Times NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review * Time * NPR * The Washington Post * Shelf Awareness * Library Journal * Publishers Weekly * Kirkus Reviews Antiracism is a transformative concept that reorients and reenergizes the conversation about racism--and, even more fundamentally, points us toward liberating new ways of thinking about ourselves and each other. At its core, racism is a powerful system that creates false hierarchies of human value; its warped logic extends beyond race, from the way we regard people of different ethnicities or skin colors to the way we treat people of different sexes, gender identities, and body types. Racism intersects with class and culture and geography and even changes the way we see and value ourselves. In How to Be an Antiracist, Kendi takes readers through a widening circle of antiracist ideas--from the most basic concepts to visionary possibilities--that will help readers see all forms of racism clearly, understand their poisonous consequences, and work to oppose them in our systems and in ourselves. Kendi weaves an electrifying combination of ethics, history, law, and science with his own personal story of awakening to antiracism. This is an essential work for anyone who wants to go beyond the awareness of racism to the next step: contributing to the formation of a just and equitable society. Praise for How to Be an Antiracist "Ibram X. Kendi's new book, How to Be an Antiracist, couldn't come at a better time. . . . Kendi has gifted us with a book that is not only an essential instruction manual but also a memoir of the author's own path from anti-black racism to anti-white racism and, finally, to antiracism. . . . How to Be an Antiracist gives us a clear and compelling way to approach, as Kendi puts it in his introduction, 'the basic struggle we're all in, the struggle to be fully human and to see that others are fully human.' "--NPR "Kendi dissects why in a society where so few people consider themselves to be racist the divisions and inequalities of racism remain so prevalent. How to Be an Antiracist punctures the myths of a post-racial America, examining what racism really is--and what we should do about it."--Time
Call Number: E184.A1 K344 2019ISBN: 9780525509288Publication Date: 2019-08-13 -
Just Medicine
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Offers an innovative plan to eliminate inequalities in the American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system--and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.
Call Number: RA448.4 M38 2015ISBN: 9781479851621Publication Date: 2018-07-05 -
Medical Apartheid
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Medical Apartheidis the first and only comprehensive history of medical experimentation on African Americans. Starting with the earliest encounters between black Americans and Western medical researchers and the racist pseudoscience that resulted, it details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge-a tradition that continues today within some black populations. It reveals how blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of blacks, and the view that they were biologically inferior, oversexed, and unfit for adult responsibilities. Shocking new details about the government's notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheidreveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused black Americans to view researchers-and indeed the whole medical establishment-with such deep distrust. No one concerned with issues of public health and racial justice can afford not to read Medical Apartheid, a masterful book that will stir up both controversy and long-needed debate.
Call Number: W 20.55 .H9 W318m 2006ISBN: 9780767915472Publication Date: 2008-01-08 -
Race and Research
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Race and Research: Perspectives on Minority Participation in Health Studies is a teaching text and resource guide for students, health professionals, public health researchers, and the general public that extends the discussion of environmental factors that influence ethnic minority participation in health studies. This book examines the lack of minority participation in health studies from social, historical, and scientific perspectives. This book is divided into three main sections: 1) The Meaning of Race, Culture and Ethnicity in Research; 2) Health Studies and Ethnic Minority Populations and 3) The Impact of Revolutionary Changes in Medicine and Health Care on Minority Participation in Health Studies.
ISBN: 9780875530307Publication Date: 2004-01-01 -
Racism in Healthcare
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African Americans, Hispanics, and Native Americans represent 27 percent of the United States population, yet they constitute less than 11 percent of nurses and 8 percent of physicians. In Racism in Health Care: Alive and Well, author Marie Edwige Seneque discusses how this long history of racism continues to shortchange the national recruitment and retention of minority health care providers which contributes to racial and ethnic health disparities. Racism in Health Care: Alive and Well dismantles and examines the many layers involved in the complex health care system including physician attitude, nursing in the twenty-first century, the lack of cultural competence, and the belief that the r word should remain unspoken. During extensive research, Seneque, a registered nurse, compiled already existing data regarding racial and ethnic disparities. She communicates her findings in a simplified, easy-to-read format. In Racism in Health Care: Alive and Well, she exposes the glaring disparities for minorities in the health care delivery system and why racism is alive and well in the United States.
ISBN: 9781450208000Publication Date: 2010-02-01 -
Unequal Treatment
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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients (TM) and providers (TM) attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider "patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
ISBN: 9780309085328Publication Date: 2002-11-02 -
White Fragility
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The New York Times best-selling book exploring the counterproductive reactions white people have when their assumptions about race are challenged, and how these reactions maintain racial inequality. In this "vital, necessary, and beautiful book" (Michael Eric Dyson), antiracist educator Robin DiAngelo deftly illuminates the phenomenon of white fragility and "allows us to understand racism as a practice not restricted to 'bad people' (Claudia Rankine). Referring to the defensive moves that white people make when challenged racially, white fragility is characterized by emotions such as anger, fear, and guilt, and by behaviors including argumentation and silence. These behaviors, in turn, function to reinstate white racial equilibrium and prevent any meaningful cross-racial dialogue. In this in-depth exploration, DiAngelo examines how white fragility develops, how it protects racial inequality, and what we can do to engage more constructively.
Call Number: HT 1521 .D486 2018ISBN: 9780807047415Publication Date: 2018-06-26
Audio Podcasts & Videos
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1619"An audio series on how slavery has transformed America, connecting past and present through the oldest form of storytelling." From the NY Times
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Addressing Anti-Black Racism in Medicine"Listen as our esteemed guest Dr. Utibe Essien MD, MPH @UREssien walks us through key terminology and evidence necessary to understand anti-Black racism in medicine. Dr. Essien provides insights into ways that racism impacts our work in the clinical and academic settings and offers approaches for addressing anti-Black racism in these settings."
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Health Disparities in the Black Community: Past & Present"You're probably aware that the United States healthcare system is letting down many Black Americans. Today, Danielle looks at the historic reasons for distrust of medical establishment in the Black community as well as why these huge health disparities still exist."
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The link between health and racism (TED Talk playlist)"Learn about the detrimental (and even deadly) impact racism has on our minds and bodies — and what society can do to heal and support the wellbeing of all."
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Power to Heal: Medicare and the Civil Rights Revolution - Q&A Paul Torrens Health Forum | 04-25-2018 Before Medicare was established in 1965, disparities in access to hospital care were dramatic. Less than half the nation's hospitals served black and white patients equally, and in the South, one third of hospitals would not admit African-Americans even for emergencies. Medicare was used to mount a dramatic, coordinated effort that desegregated thousands of hospitals across the country in a matter of months. In this special Health Forum, Dr. Barbara Berney will present and discuss Power to Heal, the documentary she created and produced about this little known chapter in American history. The documentary raises questions that resonate today: Is healthcare a human right? Must the federal government intervene to ensure equality? A Fielding alumna, Dr. Berney is a tenured Associate Professor at City University of New York School of Public Health (CUNY SPH) and a distinguished scholar in public health, environmental justice, and the U.S. healthcare system. She teaches documentary production for public health practitioners at CUNY SPH.