It's a Public Health Crisis

Shaw, Gina

doi:10.1097/01.nt.0000694024.28838.be

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…In addition, the literature suggests that systemic racism and stress from daily experiences of racism increase the risk of adverse health outcomes and racial disparities in health. 39,40 Thus, the direct effects of neighborhood racial/ethnic composition and racially discriminatory experiences warrant further examination.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Socioeconomic Status and Stroke Incidence

et al. 2021

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ObjectiveTo summarize overall patterns of the impact of neighborhood socioeconomic status (nSES) on incidence stroke and uncover potential gaps in the literature, we conducted a systematic review of studies examining the association between nSES and incident stroke, independent of individual socioeconomic status (SES).MethodsFour electronic databases and reference lists of included articles were searched, and corresponding authors were contacted to locate additional studies. A keyword search strategy included the three broad domains of neighborhood, SES, and stroke. Eight studies met our inclusion criteria (e.g., nSES as an exposure, individual SES as a covariate, and incident stroke as an outcome). We coded study methodology and findings across the eight studies.ResultsThe results provide evidence for the overall nSES and incident stroke association in Sweden and Japan, but not within the United States. Findings were inconclusive when examining the nSES-incident stroke association stratified by race. We found evidence for the mediating role of biological factors in the nSES-incident stroke association.ConclusionsHigher neighborhood disadvantage was found to be associated with higher stroke risk, but it was not significant in all the studies. The relationship between nSES and stroke risk within different racial groups in the United States was inconclusive. Inconsistencies may be driven by differences in covariate adjustment (e.g., individual-level sociodemographic characteristics, neighborhood-level racial composition). Additional research is needed to investigate potential intermediate and modifiable factors of the nSES and incident stroke association, which could serve as intervention points.

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Section: Discussionmentioning

confidence: 99%

Neighborhood Socioeconomic Status and Stroke Incidence

et al. 2021

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“…The recent statements by the AAN on racism along with efforts to counter racism were reviewed, including notable work to promote diversity from our graduates and trainees on social media. 3,38 Case-based experiences from faculty (prerecorded)…”

Section: Historical Contextmentioning

confidence: 99%

“…Moreover, systemic racism is proven to be neurotoxic even after controlling for socioeconomic risk factors. 3 The impacts of unmitigated systemic racism translate to poor outcomes in neurologic disorders such as stroke, dementia, and autism as well as decrease access to neurologic care. 3,6,[8][9][10] The COVID-19 pandemic also has had a disproportionately lethal impact on people of color and has sparked anti-Asian violence.…”

mentioning

confidence: 99%

“…3 The impacts of unmitigated systemic racism translate to poor outcomes in neurologic disorders such as stroke, dementia, and autism as well as decrease access to neurologic care. 3,6,[8][9][10] The COVID-19 pandemic also has had a disproportionately lethal impact on people of color and has sparked anti-Asian violence. For example, Blacks have a 4 times higher hospitalization and death rate than Whites, which emphasizes the negative health impacts of unmitigated systemic racism.…”

mentioning

confidence: 99%

“…For example, Blacks have a 4 times higher hospitalization and death rate than Whites, which emphasizes the negative health impacts of unmitigated systemic racism. [1][2][3][5][6][7][11][12][13] In the wake of this evidence and the public killings, our department released a statement 14 that expressed our compassion and acknowledged the grief and pain in the community. In addition, our department explicitly addressed systemic racism and reaffirmed antiracism as a core value.…”

mentioning

confidence: 99%

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Development of an Equity, Diversity, Inclusion, and Anti-racism Pledge as the Foundation for Action in an Academic Department of Neurology

et al. 2021

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Racial inequities as illustrated by the health disparities in COVID19 infections and deaths, the recent killings of Black men and women by law enforcement, and the widening socioeconomic inequality and have brought systemic racism into a national conversation. These unprecedented times may have deleterious consequences, increasing stress, and trauma for many members of the neurology workforce. The Equity, Diversity, Inclusion and Anti-Racism Committee within our Department of Neurology provides infrastructure and guidance to foster a culture of belonging and addresses the well-being of faculty, staff, and trainees. Here, we present the creation and implementation of our Equity, Diversity, Inclusion, and Anti-Racism (EDIA) Pledge which was central to our committee’s response to these unprecedented times. We outline the process of developing this unique EDIA Pledge and provide a roadmap for approaching these important topics through a CME Neurology Grand Rounds aimed at fostering a diverse, inclusive, equitable and antiracist work environment. Through the lived experiences of 4 faculty members, we identify the impact of bias and microaggressions, and encourage allyship and personal development for cultural intelligence. We hope these efforts will inspire Neurology departments and other academic institutions across the globe to make a similar pledge.

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“A Charge to Keep I Have”: Black Pastors’ Perceptions of Their Influence on Health Behaviors and Outcomes in Their Churches and Communities

Williams

2021

J Relig Health

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It's a Public Health Crisis

Cited by 5 publications

References 8 publications

Neighborhood Socioeconomic Status and Stroke Incidence

Neighborhood Socioeconomic Status and Stroke Incidence

Development of an Equity, Diversity, Inclusion, and Anti-racism Pledge as the Foundation for Action in an Academic Department of Neurology

“A Charge to Keep I Have”: Black Pastors’ Perceptions of Their Influence on Health Behaviors and Outcomes in Their Churches and Communities

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