Racial Health Disparities and Covid-19 — Caution and Context

Chowkwanyun, Merlin; Reed, Adolph

doi:10.1056/nejmp2012910

Cited by 642 publications

(589 citation statements)

References 4 publications

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“… 34 We caution against premature inferences about a biologic basis of racial disparities or place-based stigma than can perpetuate harmful myths and misunderstandings and undermine the goal of eliminating health inequities. 35 …”

Section: Discussionmentioning

confidence: 99%

Association of State Stay-at-Home Orders and State-Level African American Population With COVID-19 Case Rates

2020

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Key Points Question Are stay-at-home orders and state-level proportion of African American residents associated with coronavirus 2019 (COVID-19) infection rates? Findings In this cross-sectional study including 3023 daily state-level observations from March to May 2020, results from multivariate regression models indicated that stay-at-home orders were associated with reductions in cumulative COVID-19 case rates. States with larger African American populations had higher COVID-19 case rates. Meaning These findings underscore the importance of stay-at-home orders in addressing the COVID-19 pandemic and the need to address racial disparities in rates of infection.

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Section: Discussionmentioning

confidence: 99%

Association of State Stay-at-Home Orders and State-Level African American Population With COVID-19 Case Rates

2020

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“…We also need to pay attention to where the COVID-19 pandemic hit hardest and where cancer screening rates are the lowest in our community [ 76 - 85 ]. Patients with low socioeconomic status (SES) or identify as minority, including racial and ethnic underserved minorities such as Hispanics and African Americans, and the LGBTQ (lesbian, gay, bisexual, transgender, and queer or questioning) sexual and gender minorities.…”

Section: Cancer Screening For At-risk Patient Populationsmentioning

confidence: 99%

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

Cancino¹,

Su²,

Mesa³

et al. 2020

JMIR Cancer

121

124

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Cancer is a leading cause of death in the United States and across the globe. Cancer screening is an effective preventive measure that can reduce cancer incidence and mortality. While cancer screening is integral to cancer control and prevention, due to the COVID-19 outbreak many screenings have either been canceled or postponed, leaving a vast number of patients without access to recommended health care services. This disruption to cancer screening services may have a significant impact on patients, health care practitioners, and health systems. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cancer screening. We present the challenges COVID-19 has exerted on patients, health care practitioners, and health systems as well as potential opportunities that could help address these challenges.

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“…Yet few academic medical scholars publishing these numbers manage to connect them to the abundant historical factors that explain them (eg, redlining and segregation of housing, job discrimination, access to health care, lack of social mobility, multigenerational homes, food insecurity resulting in predisposing factors such as obesity and cardiovascular disease) [ 18 ]. This scholastic failure has left room for some individuals to push theories about genetic susceptibility and race-based science to explain disparities in the COVID-19 epidemic rather than confront the racism at their source [ 19 ].…”

Section: Integrating the Concept Of Sdoh Throughout The Microbiologymentioning

confidence: 99%

“…Similarly, medical hypotheses that skim or avoid altogether the complexities of SDOH, particularly those perpetuating unscientific conceptions of biological race, are as deserving of critique in evidence-based medicine curricula as intense dissections of statistical validity [ 19 ]. Research that fails to recognize and address the many already well-known disparities contributing to these groups’ vulnerability (ie, poverty, poorer access to and discrimination while receiving health care, higher rates of employment in high-risk “essential personnel” roles with limited access to personal protective equipment) deserves to appear in the preclinical curricula solely as objects of critique.…”

Section: Demonstrate Critical Appraisal Of All Literature Sourcesmentioning

confidence: 99%

Tuskegee as a History Lesson, Tuskegee as Metaphor: Addressing Discrimination as a Social Determinant of Health in the Classroom

Vijayan

Cortés-Penfield

Harris

2020

Open Forum Infectious Diseases

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While basic science and social medicine are fundamental to the practice of medicine, the former is often prioritized in preclinical medical education at the expense of the latter. In this perspective, we discuss ways to introduce the concept of interpersonal, institutional and structural discrimination as social determinants of health (SDOH) into a preclinical microbiology and infectious diseases medical course. We offer five specific steps to creating a comprehensive curriculum on discrimination as a social determinant of health: define and use standardized terminology; integrate the concept of SDOH throughout the course; encourage critical appraisal of lay and medical resources; encourage student feedback; and provide faculty development supported by key faculty stakeholders that focuses on increasing comfort and facility with teaching such concepts. This approach offers a template for ongoing discussion in the setting of curricular reform.

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Racial Health Disparities and Covid-19 — Caution and Context

Cited by 642 publications

References 4 publications

Association of State Stay-at-Home Orders and State-Level African American Population With COVID-19 Case Rates

Association of State Stay-at-Home Orders and State-Level African American Population With COVID-19 Case Rates

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

Tuskegee as a History Lesson, Tuskegee as Metaphor: Addressing Discrimination as a Social Determinant of Health in the Classroom

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