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Microaggressions and Cultural Ruptures in Psychiatry: Extending Multicultural Counseling Orientation to Psychiatric Services.
Focus (Am Psychiatr Publ)
January 2025
Department of Educational Psychology (Rudecindo, Tao, Imel) and Huntsman Mental Health Institute, Department of Education, Culture, & Society, and Ethnic Studies Program (Smith), University of Utah, Salt Lake City; Perelman School of Medicine, University of Pennsylvania, Philadelphia (Kuo).
Racial microaggressions and cultural ruptures have a significant impact on mental health care for Black, Indigenous, and people of color (BIPOC) communities. This article reviews the application of the multicultural counseling orientation framework in psychiatry to address these challenges and improve therapeutic outcomes. The authors outline strategies to integrate cultural humility into psychiatric practice, with an emphasis on self-reflection, feedback, and the recognition of microaggressions.
View Article and Find Full Text PDFFood as medicine, community as medicine: Mental health effects of a social care intervention.
Health Serv Res
January 2025
Department of Epidemiology and Population Health, Stanford University, Palo Alto, California, USA.
Objective: To assess mental health related outcomes of Recipe4Health, a multisectoral social care partnership implementing produce prescriptions with or without group medical visits (GMVs).
Study Setting And Design: Recipe4Health was implemented at five community health centers from 2020 to 2023. Primary care teams referred patients with food insecurity and/or nutrition-sensitive chronic conditions (e.
Racial and Ethnic Trends in Cesarean Delivery on Maternal Request.
J Racial Ethn Health Disparities
January 2025
Department of Obstetrics & Gynecology, Kaiser San Francisco, San Francisco, CA, USA.
Objective: To evaluate race and ethnicity differences in rates of cesarean delivery on maternal request (CDMR) in nulliparous, term, singleton, vertex presentation (NTSV) cesarean deliveries.
Methods: We conducted a retrospective cohort study of NTSV cesarean deliveries within our institution from 2016 to 2020. The primary outcome was CDMR and the primary predictor was maternal race and ethnicity.
Ethnic-racial composition of the population in COVID-19 mortality: A spatial ecological approach to Brazilian health inequalities.
Cien Saude Colet
December 2024
Programa de Pós-Graduação em Epidemiologia e Métodos Quantitativos em Saúde, Fiocruz. Rio de Janeiro RJ Brasil.
The COVID-19 pandemic has unevenly affected regions, countries, and ethnic-racial segments. Socioenvironmental factors were associated with worse disease evolution, with a greater likelihood of mortality in vulnerable people. This study aimed to investigate the association between the proportion of vulnerable populations (Black, brown, and Indigenous people) and mortality from COVID-19 in Brazil from March 2020 to February 2021.
View Article and Find Full Text PDFEvaluating racial disparities in cancer patient-provider communication about cannabis in a state without a legal cannabis marketplace.
Support Care Cancer
January 2025
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Purpose: Cancer survivors in a state with no legal access to cannabis may be hesitant to discuss their cannabis use with providers, particularly in light of legal consequences which disproportionately affect certain racial groups. This study examined potential racial disparities in the relationship of cannabis use status with patient-provider discussions of and attitudes toward cannabis in a state where there is no legal cannabis marketplace.
Methods: Survivors of cancer (N = 1003, M = 62.
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