In this essay, I detail commitments that some of the major health organizations-the American Medical Association, the American Public Health Association, and the Centers for Disease Control and Prevention-have made to addressing anti-Black racism and discuss their policies meant to curtail racism's effects on health equity. Although these organizations' historical lack of action has contributed to a culture of anti-Black racism in health care and public health and many Black people have suffered because of it, progress has to begin somewhere, and outlining their future actions is a good start. Now, bioethicists, with our expertise in how historic policies connect to contemporary disparate health outcomes and access to health care, are in a position to hold these organizations accountable for fulfilling their commitments.
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http://dx.doi.org/10.1002/hast.1370 | DOI Listing |
Ann Med
December 2025
Department of Psychiatry, New York University Grossman School of Medicine, New York, New York, USA.
Background: Racial discrimination is associated with health disparities among Black Americans, a group that has experienced an increase in rates of fatal drug overdose. Prior research has found that racial discrimination in the medical setting may be a barrier to addiction treatment. Nevertheless, it is unknown how experiences of racial discrimination might impact engagement with emergency medical services for accidental drug overdose.
View Article and Find Full Text PDFBMC Public Health
November 2024
Department of Family Medicine, McGill University, Montreal, Canada.
Background: Racism has been shown to impact the health of Black persons through its influence on health care, including its expression through implicit biases in provider training, attitudes, and behaviours. Less is known about the experiences of racism in contexts outside of the USA, and how race and racism interact with other social locations and systems of discrimination to shape Black patients' experiences of racism in health care encounters. To help address this gap, this study examined diverse Black individuals' perceived experiences of, and attitudes towards, anti-Black racism and racial discrimination in Canadian health care, specifically in Montreal, Quebec.
View Article and Find Full Text PDFFor Black people of the African diaspora, who have survived generational oppression including enslavement, and exist in persistently hostile environments in which anti-Black racism is structural and interpersonal, an expansive view of posttraumatic growth (PTG) is required to promote personal and collective healing. Using the intergenerational healing and well-being framework, the authors examine historical and contemporary examples of personal and collective healing among Black people to reimagine pathways to PTG. Implications for helping professions when rethinking PTG in the context of systemic anti-Black racism are presented.
View Article and Find Full Text PDFCan J Nurs Res
November 2024
Faculty of Health Sciences, School of Nursing, Western University, London, Ontario, Canada.
Despite nursing's stated mandate of health equity and social justice, concrete steps to address racism and anti-Black racism in the profession and nursing education remain mainly non-significant and are often seen as performative. It is crucial to implement tangible measures to dismantle racism and anti-Black racism in nursing education to address racial health disparities. Throughout history, nursing education has been shaped by colonial and Eurocentric ideologies, leading to the silencing and erasure of the knowledge, culture, perspectives, and ways of knowing of Black and other racialized communities.
View Article and Find Full Text PDFBMC Psychiatry
October 2024
Division of Psychiatry, University College London, London, UK.
Background: In the UK, inpatient psychiatric rehabilitation services for complex psychosis aim to provide recovery-orientated treatment to patients, with the goal of supporting sustained stepdown into community living. The extent to which rehabilitation services uphold this recovery orientation is associated with better outcomes. However, few studies have been able to ascertain what promotes or prevents recovery orientation in inpatient settings.
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