Stolen Breaths

Hardeman, Rachel R.; Medina, Eduardo; Boyd, Rhea

doi:10.1056/nejmp2021072

Cited by 100 publications

(90 citation statements)

References 3 publications

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“…Identification and rectification of modifiable risk factors such as socioeconomic status, lack of insurance, and financial barriers to care will likely lead to improved outcomes. Making anti-racism or implicit bias training an essential professional competency would equip physicians with the tools needed to address racism and its adverse health effects (35).…”

Section: Future Directionsmentioning

confidence: 99%

Sarcoidosis Epidemiology: Race Matters

Hena

2020

Front. Immunol.

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Rather than a single disease entity, sarcoidosis may be a constellation of "sarcoidoses" with a characteristic pattern of organ involvement and clinic course, depending upon the triggering exposure and underlying epidemiologic factors such as race. This review examines the racial disparities inherent to sarcoidosis disease course and mortality and discusses factors that may be responsible for these findings. In the United States, black patients with sarcoidosis experience more severe pulmonary disease, more multiorgan involvement, and an overall worse prognosis with higher rates of hospitalization and mortality. Beyond inherent genotype, ascertainment and access to medical care, physician implicit bias, and patient perceived discrimination likely play a role. Moving forward, epidemiologic concepts can be used to formulate strategies for control, treatment, and even prevention of disease in black Americans at risk for developing life-altering or life-threatening sarcoidosis phenotypes. Identification and rectification of modifiable risk factors such as socioeconomic status, lack of insurance, and financial barriers to care as well as the incorporation of implicit bias training for physician will likely lead to improvement in discordant outcomes.

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Section: Future Directionsmentioning

confidence: 99%

Sarcoidosis Epidemiology: Race Matters

Hena

2020

Front. Immunol.

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“…For their sake and for the health of our country, these social determinants of health demand a response from our profession. Hardeman et al 23 posit that solutions to racial health inequities “must be rooted in the material conditions in which those inequities thrive.” 23 (p198) How will we measure those inequities in rehabilitation? How will we hold ourselves and our society accountable to addressing them?…”

Section: The Road Aheadmentioning

confidence: 99%

Reckoning With Racial Trauma in Rehabilitation Medicine

Telhan

McNeil

Lipscomb-Hudson

et al. 2020

Archives of Physical Medicine and Rehabilitation

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“…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. [1][2][3][4][5][6][7] The APS is committed to improving the short-and long-term health and wellbeing of children by providing a forum to promote effective strategies to enhance research, education, training, and advocacy in pediatric academic medicine throughout North America. As part of its approach toward developing strategic plans to address key issues in pediatric academic medicine, the APS selects a major theme to target each year through selection of its "Issue of the Year."…”

Section: The American Pediatric Society (Aps) Issue Of the Yearmentioning

confidence: 99%

Racism and social injustice as determinants of child health: the American Pediatric Society Issue of the Year

et al. 2020

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We are now experiencing extraordinary challenges that are adversely impacting the health and well-being of our children and their families. These include multiple and very interrelated 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. 1-7 For example, the disproportionate effects of COVID in Black, Latinx, and Native Americans is reflected by a greater susceptibility for disease, hospitalizations, and mortality with infection. 8,9 Such findings reflect many factors, including racial differences in jobs and exposures, nutrition, and other chronic health illnesses, such as diabetes, obesity, cardiovascular diseases, and chronic obstructive pulmonary disease. 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. 2,4,6 Thus addressing concerns underlying structural racism and sustained inequities in health care requires a greater awareness of the persistence of the US as an unequal society. 1-3

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Stolen Breaths

Cited by 100 publications

References 3 publications

Sarcoidosis Epidemiology: Race Matters

Sarcoidosis Epidemiology: Race Matters

Reckoning With Racial Trauma in Rehabilitation Medicine

Racism and social injustice as determinants of child health: the American Pediatric Society Issue of the Year

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