2020
DOI: 10.21106/ijma.408
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COVID-19 Devastation of African American Families: Impact on Mental Health and the Consequence of Systemic Racism

Abstract: African Americans are bearing a disproportionate burden of morbidity and mortality due to COVID-19 pandemic. To our knowledge, no previous study has delineated inequities potentially incentivized by systemic racism, and whether synergistic effects impose an abnormally high burden of social determinants of mental health on African American families in the era of COVID-19 pandemic. We applied the social ecological model (SEM) to portray inequities induced by systemic racism that impact the mental health of Afric… Show more

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Cited by 20 publications
(15 citation statements)
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“…There is little evidence on how professionals and patients appraise such tools and whether these are effective • Psychological distress in this specific scenario must be accounted by sexual health professionals, given the strong comorbidity between emotional disorders and sexual dysfunction Ruprecht et al 2020 43 USA Patient Survey • Marginalized populations experienced significant disparities in COVID-19 exposure, susceptibility, and treatment access, as well as in psychosocial effects of the pandemic • Notably, Black and Latinx populations reported significant difficulties accessing food and supplies (p = 0.002) • Healthcare access disparities were also visible, with Black and Latinx respondents reporting significantly lower levels of access to a provider to see if COVID-19 testing would be appropriate (p = 0.013), medical services (p = 0.001), and use of telehealth for mental health services (p = 0.001) Purtle 2020 44 USA Expert Commentary • There are specific aspects of the COVID-19 pandemic that could cause it to have disproportionately adverse impacts on the mental health of racial/ethnic minorities as well as low-income populations • Socially disadvantaged groups (e.g., racial/ethnic minorities, people with low income) will experience more psychiatric morbidity related to the pandemic than advantaged groups. • The origins of these disparities are structural in nature • Historically produced arrangements of power and privilege provide socially advantaged groups with more resources to limit their exposure to, and cope with, stressors caused by disaster Ibrahimi et al 2020 45 USA Expert Commentary • COVID-19 has unveiled the distressful reality of racial disparity in the US, with African Americans bearing a disproportionate burden of morbidity and mortality due to COVID-19 • Systemic racism is the primary operator of mental health disparity, which disproportionately affects African American families at all levels of the social ecological model • Programs tailored towards reducing the disproportionate detrimental effects of COVID-19 on the mental health of African Americans need to be culturally appropriate and consider the nuances of systemic racism, discrimination, and other institutionalized biases Burnett et al 2016 46 USA Literature Review • Some reports suggest a relatively greater trend in African-American men than other ethnic groups toward obtaining clinical management for sexual dysfunction and experiencing psychosocial effects from it, lending additional support for the possibly greater effect of this problem in African-American men √ ...…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…There is little evidence on how professionals and patients appraise such tools and whether these are effective • Psychological distress in this specific scenario must be accounted by sexual health professionals, given the strong comorbidity between emotional disorders and sexual dysfunction Ruprecht et al 2020 43 USA Patient Survey • Marginalized populations experienced significant disparities in COVID-19 exposure, susceptibility, and treatment access, as well as in psychosocial effects of the pandemic • Notably, Black and Latinx populations reported significant difficulties accessing food and supplies (p = 0.002) • Healthcare access disparities were also visible, with Black and Latinx respondents reporting significantly lower levels of access to a provider to see if COVID-19 testing would be appropriate (p = 0.013), medical services (p = 0.001), and use of telehealth for mental health services (p = 0.001) Purtle 2020 44 USA Expert Commentary • There are specific aspects of the COVID-19 pandemic that could cause it to have disproportionately adverse impacts on the mental health of racial/ethnic minorities as well as low-income populations • Socially disadvantaged groups (e.g., racial/ethnic minorities, people with low income) will experience more psychiatric morbidity related to the pandemic than advantaged groups. • The origins of these disparities are structural in nature • Historically produced arrangements of power and privilege provide socially advantaged groups with more resources to limit their exposure to, and cope with, stressors caused by disaster Ibrahimi et al 2020 45 USA Expert Commentary • COVID-19 has unveiled the distressful reality of racial disparity in the US, with African Americans bearing a disproportionate burden of morbidity and mortality due to COVID-19 • Systemic racism is the primary operator of mental health disparity, which disproportionately affects African American families at all levels of the social ecological model • Programs tailored towards reducing the disproportionate detrimental effects of COVID-19 on the mental health of African Americans need to be culturally appropriate and consider the nuances of systemic racism, discrimination, and other institutionalized biases Burnett et al 2016 46 USA Literature Review • Some reports suggest a relatively greater trend in African-American men than other ethnic groups toward obtaining clinical management for sexual dysfunction and experiencing psychosocial effects from it, lending additional support for the possibly greater effect of this problem in African-American men √ ...…”
Section: Resultsmentioning
confidence: 99%
“… 43 The disproportionate social disruption and losses from COVID-19 also contributed to a wide range of health and quality-of-life outcomes amongst these populations. 44 , 45 …”
Section: Discussionmentioning
confidence: 99%
“…The research also demonstrates that the challenges faced by Blacks and Latinxs during the pandemic have a systemic nature and have taken root in the collective and long-lasting discrimination of minority communities in U.S. society (Ibrahimi et al, 2020 ). The data show that minority communities with high social vulnerability and structural racial biases experienced the highest rates of infection, hospitalization, and death from COVID-19 (Gaynor & Wilson, 2020 ; Knight et al, 2021 ; Thomas et al, 2020 ).…”
Section: Covid-19 and Minority Communitiesmentioning
confidence: 98%
“…Early data from the COVID-19 pandemic support these findings. The stress of the lockdown, the loss of life, and economic hardships, coupled with barriers to accessing health care, had a major devastating effect on the mental health of minority communities (Ibrahimi et al, 2020 ).…”
Section: Covid-19 and Minority Communitiesmentioning
confidence: 99%
“…They are three times more likely to be hospitalized and two times more likely to die from COVID-19 than White Americans (Center for Disease Control & Prevention, 2021 ). As a result of the COVID-19 pandemic, Black Americans are particularly vulnerable to negative mental consequences and suffer from stress, anxiety, and depression (Ibrahimi et al, 2020 ; Novacek et al, 2020 ). Existing health disparities have heightened stress and affected the emotional well-being of Black families living with dementia (Phillips et al, 2020 ).…”
Section: Introductionmentioning
confidence: 99%