Racism
Institutionalized Racism
Differential access to the goods, services, and opportunities of society by race
What contributes to the LBW of African American babies?
Unequal treatment of African Americans in American society
Hispanic women rate of LBW, VLBW, and infant mortality for Hispanic women is nearly the same as white women.
Cultural humility is....
Multidimensional
Personally Mediated
prejudice and discrimination
where prejudice means differential assumptions about the abilities, motives, and intentions of others according to their race, and discrimination means differential actions toward others according to their race
What happened to the health of the mushroom farmers in Kennett Square Pennsylvania
Starting to feel the effects of chronic disease
-Diabetes
-High BP
Describe the Whitehall study
This study followed employees in the British Civil Service for a period of several decades, recording aspects of their health status.
Cultural humility helps work towards....
Cultural competency
Levels of Racism
Institutionalized, personally mediated, and internalized
What contributed to the Pima decline in health and their struggles with type 2 diabetes
Open ended
Reasons for the Latina Paradox
Strong cultural ties
Strong family support networks
They stick to their traditions including dietary
Marianismo- selfless devotion to maternalrole
3 dimensions of cultural humility
Life long learning
Critical self reflection
Recognizing and challenging power imbalances, and Institutional accountability
Ways racism impacts
Health-care infrastructure and services are inequitably distributed, resulting in predominantly black neighborhoods having lower-quality facilities with fewer clinicians than those in other neighborhoods
*Growing research linking interpersonal racism to various biomarkers of disease and well being, including allostatic load, inflammatory markers etc.
What are some non-medical things that can be done to improve health?
Public health infrastructure
Distribution of wealth
Better education and housing
Marshmallow Test findings
The children who waited the full 15 minutes for the larger reward we more verbally fluent, rational/attentive, able to deal with frustration, as well as being more academically and socially competent.
Cultural competence training
A tool developed by the AAMC to assist medical schools in meeting the standard for cultural competence