File Name: social injustice and public health .zip
This second edition of Social Injustice and Public Health is a comprehensive, up-to-date, evidence-based resource on the relationship of social injustice to many aspects of public health, and it documents the adverse effects of social injustice on health and makes recommendations on what needs to be done to reduce social injustice and thereby improve the public's health. This resource is divided into four parts, and covers the nature of social injustice and its impact on public health; how the health of specific population groups is affected by social injustice; how social injustice adversely affects medical care, infectious and chronic non-communicable disease, nutrition, mental health, violence, environmental and occupational health, oral health, and aspects of international health; and what needs to be done, such as addressing social injustice in a human rights context, promoting social justice through public health policies and programs, strengthening communities, and promoting equitable and sustainable human development. Barry S.
Metrics details. Using a modified social ecological model, we conducted a review of the literature and nationwide statistics on African American health. We discuss the main social determinants of health and main health disparities, risk factors, the leading causes of morbidity and mortality, and access to health services for blacks in the USA.
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These include multiple and very inter-related issues: coronavirus disease COVID , Black Lives Matter, the struggling economy, immigration, environmental toxins, child abuse, gun violence, and others.
Beyond responding to the complex acute stresses of clinical disease, the COVID pandemic has further unmasked chronic issues of racism, social injustice, disparities, and inequities that permeate our health care system. Well beyond the COVID pandemic, discrepancies in maternal, child, and adult health care, leading to death at earlier ages and worse morbidities, have been long recognized as reflecting major inequities in availability of health services, insurance coverage, social and economic factors, and other issues.
As pediatricians, we know that racism and social injustice are endemic in our society and have adversely affected many aspects of child health and well-being, with clear evidence of life-long consequences.
In addition to our individual commitments to address issues of racism and social injustice especially as related to child health outcomes, there is a clear need to develop rigorous approaches linking key medical and non-medical groups and institutions to develop impactful strategies and action plans. The APS fully espouses and supports efforts to develop innovative strategies to challenge racism and social injustice, just as readily as we support the highest values underlying research, education, and training in our medical centers.
We further support action to identify and eliminate the institutionalized racism that has held back our ability to achieve the highly valued goals and missions that we embrace. We also support actions to recognize and remove unconscious bias while aiming for full inclusion and engagement of all individuals in our diverse culture. As an initial step, the APS recently published a joint statement with the Society for Pediatric Research SPR to express the commitment of these societies to address issues of racism and social injustice.
Thus it is particularly incumbent for the APS to act throughout the academic community to address these issues with regards to child health most broadly but especially to improve the education and training of medical professionals, ranging from students, residents, fellows, faculty, and staff at our medical centers; support expansive and multi-pronged research addressing these vital issues; explore research programs that strongly engage those underrepresented in medicine and research among its investigative team members to enhance their careers as academic leaders; and to promote the application of novel curricula design and other training approaches to increase awareness of social factors and improve the quality of care for our diverse patients and their families.
We clearly must provide sponsorship and opportunity for underrepresented groups in medicine to achieve an increase in diversity within leadership. Using our roles as scientific investigators, academic leaders, advocates, and teachers, the APS membership is in a unique position to advocate for many changes to increase public awareness of these issues, to provide information on the scientific evidence and impact of our research, and to enable the implementation of novel strategies within our medical schools and institutions along these lines.
To address changes in the APS that best reflect these values and long-term goals, changes are underway for revision of the APS mission and vision statements, as well as updating our nomination process and other by-laws Fig.
Promoting diversity, inclusion, and engagement within the Society is important to model our values and achieve our goals more successfully. Changes in the nomination process for APS membership, with continued expectations for high standards of achievement, will include more pro-active identification of potential members with diverse backgrounds; impactful contributions in research, advocacy, and leadership; and playing an active role in developing novel strategies in health care practices and delivery, training, medical education, and social engagement, especially as related to issues of racism and social injustice.
We have recognized that, within the APS, we must strive for greater inclusion of African American, Latinx, Native Americans, and women who are underrepresented in membership and leadership to best represent and support the best of academic pediatrics and its multiple missions.
While Pediatrics has made inroads in increasing gender representation in the field, the same has not occurred for many underrepresented ethnic groups. Bringing this talented and diverse group together provides a potent voice to tackle many child health issues in a multi-pronged and comprehensive fashion. While being inclusive and seeking to achieve goals of antiracism and social justice, we must further be mindful that these responsibilities and specific tasks for meaningful actions should be a balanced workload from all.
As academic leaders, we should all become the role models and exemplify our values through our own personal actions, especially as they extend into our roles at our own departments, medical centers, and communities.
Evidence clearly shows that racism is a public health issue and is a pediatric issue. Exposure to racism early in life has life-long impacts, biological and otherwise. APS must become more external facing and use its voice as distinguished academic pediatric leaders to impact broader societal discussions and policies about racism, diversity, and inclusion.
The APS has both opportunity and obligation to work to educate and move people to action, especially in partnership with other outstanding forward-thinking pediatric groups as the American Academy of Pediatrics, SPR, and many others.
APS should speak out on the importance of addressing diversity, inclusion, and engagement challenges throughout all stages of the pipeline. For early and late career stages, recognizing, mediating, and supporting diversity and inclusion will help to keep academic pediatrics strong, and this is core to the APS mission.
As pediatricians and leaders of academic medicine, the APS has a particular opportunity and mandate to leverage its strengths to work toward creating healthier and more just society. Kendi, I. Google Scholar. Williams, D. Reducing racial inequities in health: using what we already know to take action. Public Health 16 , — Owe, W. Failing another national stress test on health disparities. Trent, M. The impact of racism on child and adolescent health.
Pediatrics , e Dreyer, B. The death of George Floyd: bending the arc of history towards justice for generations of children. Hardeman, R. Structural racism and supporting black lives- the role of health professionals. Stolen breaths. Price-Haywood, E. Yancy, C. JAMA , — Matthews, T. Natl Vital Stat. Siddiqi, A. Do racial inequities in infant mortality correspond to variations in societal conditions? A study of state-level income inequality in the U.
Petersen, E. Vital signs: pregnancy-related deaths, United States, —, and strategies for prevention, 13 states, — MMWR Morb. Wkly Rep. MacDorman, M. Recent Increases in the U. Minehart, R. Racial differences in pregnancy-related morbidity and mortality. Abman, S. Fuentes-Afflick, E. APS Presidential Address - the courage of our dreams. Nolen, L. Download references. This work was not supported by funding from any source. Each of the authors contributed to the concepts and content in the manuscript and helped with the writing and final production of the manuscript.
Correspondence to Steven H. Reprints and Permissions. Racism and social injustice as determinants of child health: the American Pediatric Society Issue of the Year. Pediatr Res 88, — Download citation. Received : 13 July Accepted : 17 July Published : 28 September Issue Date : November Advanced search. Skip to main content Thank you for visiting nature. Download PDF. The American Pediatric Society APS Issue of the Year In addition to our individual commitments to address issues of racism and social injustice especially as related to child health outcomes, there is a clear need to develop rigorous approaches linking key medical and non-medical groups and institutions to develop impactful strategies and action plans.
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Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. Health inequity, categories and examples of which were discussed in the previous chapter, arises from social, economic, environmental, and structural disparities that contribute to intergroup differences in health outcomes both within and between societies. The report identifies two main clusters of root causes of health inequity. The first is the intrapersonal, interpersonal, institutional, and systemic mechanisms that organize the distribution of power and resources differentially across lines of race, gender, class, sexual orientation, gender expression, and other dimensions of individual and group identity see the following section on such structural inequities for examples.
This concentration will prepare you for positions in diverse areas of public health through training in quantitative, qualitative and community-engaged approaches in research and practice. A cross-cutting and interdisciplinary concentration, EQUITY will empower you with a fundamental understanding of the history, principles, theories and frameworks of health equity, anti-racism, social justice and human rights. This concentration will train you to assess social determinants of health and structural inequities and to devise community-engaged solutions to address them through public health practice or research. Specifically, you will learn to:. With these abilities, potential domestic and global career positions in diverse areas of public health include:.
This text aims to stimulate understanding, promote education and research, and facilitate practical action geared towards reducing the effect of social injustice on health and well-being. Students, lecturers, researchers, health professionals and policy-makers, therefore, may all find it a helpful resource. The book comprises four parts.
This is a weighty book on social injustice and public health with 50 contributors and chapters covering many aspects of the links between social injustice and health. The editors are both well known and highly respected writers on the issues of injustice and health—particularly around issues of human rights and war. The rest of the book is organized into sections that reflect these definitions: Part II has chapters focused on different population groups whose health is affected by social injustice.