Racism Runs Through It: Examining The Sexual And Reproductive Health Experience Of Black Women In The South

Thompson, Terri-Ann Monique; Young, Yves-Yvette; Bass, Tanya M.; Baker, Stephanie; Njoku, Oriaku; Norwood, Jessica; Simpson, Monica

doi:10.1377/hlthaff.2021.01422

Cited by 65 publications

(30 citation statements)

References 21 publications

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“…Social determinants of health (SDOH) have been extensively linked with disparities in mental health care outcomes 32 . In one example, a recent study highlighted numerous ways in which individual and structural racism limited Black women’s access to reproductive health services, including via financial and insurance limitations, having access to lower quality health-care services, and feeling dismissed or invalidated by providers 33 . Digital mental health may offer some promise in lowering these barriers for postpartum women; for example, women without access to affordable childcare or transportation could theoretically have greater access to care from home.…”

Section: Pitfallsmentioning

confidence: 99%

Digital mental health for postpartum women: perils, pitfalls, and promise

Feldman

Perret

2023

npj Digit. Med.

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Postpartum mental health conditions are a public health concern, affecting a large number of reproductive-age women and their families. Postpartum depression alone affects at least 14% of new mothers and their families. However, very little has been written about how advances in digital mental health can benefit women in the postpartum period, or how those advances may poorly serve this vulnerable population. This manuscript takes a high-level view of the advances in different areas of digital mental health, including telehealth, apps, and digital phenotyping. In this comment, we explore ways in which digital interventions for postpartum mental health may help with connection to treatment, accessibility, agency, and ease of access. We also note particular concerns for how digital postpartum mental health may encounter issues of low-quality resources, ethical considerations, and equity considerations. We provide suggestions for how to leverage the promise and avoid the pitfalls of digital mental health for postpartum women.

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Section: Pitfallsmentioning

confidence: 99%

Digital mental health for postpartum women: perils, pitfalls, and promise

Feldman

Perret

2023

npj Digit. Med.

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“…Our study also adds to the growing literature on the impact of racism on health. As reported in other studies focused on communities of color ( 58 ), our respondents also sought out physicians who were AA or at least identified as a person of color with the hope that their experience would be better. Policymakers should implement strategies to build a diverse healthcare workforce that includes underrepresented minorities ( 58 ).…”

Section: Discussionmentioning

confidence: 99%

The role of community and culture in abortion perceptions, decisions, and experiences among Asian Americans

Chandrasekaran

Key

et al. 2023

Front. Public Health

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IntroductionCulture and community can play a role in views, stigma, and access related to abortion. No research to date has documented the influence of culture and community attitudes on Asian American (AA) experiences accessing abortion care in the United States (US). This paper aims to fill gaps in research and understand how cultural and community views influence medication abortion access and experiences among AAs.MethodsWe used a community-based participatory research approach, which included collaboration among experts in public health, advocates, practitioners, and community partners to understand abortion knowledge, attitudes, and experiences among AAs. Using a semi-structured interview guide, we interviewed twenty-nine eligible people of reproductive age over 18 that self-identified as Asian American or mixed race including Asian American, Native Hawaiian, and/or Pacific Islander (AANHPI), and had a medication abortion in the US between January 2016 and March 2021. Interviews were analyzed and coded in NVivo 12 using a modified grounded theory approach.ResultsParticipants described various influences of religion negatively impacting acceptability of abortion among their family and community. Lack of openness around sexual and reproductive health (SRH) topics contributed to stigma and influenced most participants' decision not to disclose their abortion to family members, which resulted in participants feeling isolated throughout their abortion experience. When seeking abortion care, participants preferred to seek care with providers of color, especially if they were AANHPI due to past experiences involving stigma and judgment from White providers. Based on their experiences, respondents recommended ways to improve the abortion experience for AAs in the US including, (1) more culturally aware abortion providers from one's community who better understand their needs; (2) clinics providing abortion services located in or near AA communities with signage in local languages; and (3) tailored mental health resources with culturally aware therapists.ConclusionThis study demonstrates ways in which culture and community opinions toward SRH can influence both the acceptability of abortion and experiences seeking abortion care among AAs. It is important to consider family and community dynamics among AAs to better tailor services and meet the needs of AAs seeking abortion care in the US.

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“…In addition, community health services in Black and Latinx communities are often offered by providers who are not racially or culturally representative of the community and who do not actually reside in these communities 9 . Racially discordant provider and patient relationships are more prone to discrimination and bias exhibited through the exercise of power relationships, neglect, unjust infliction of insults, microagression or derogatory acts, that negatively impact individuals 22 . On the interpersonal and institutional level, harm, maltreatment, aggression, neglect, coercion, and abuse by providers, nurses and staff towards Black and Brown women has been well documented in labor, birth, and family planning 22 – 24 .…”

Section: Racism and Reproductive Healthmentioning

confidence: 99%

“…Racially discordant provider and patient relationships are more prone to discrimination and bias exhibited through the exercise of power relationships, neglect, unjust infliction of insults, microagression or derogatory acts, that negatively impact individuals 22 . On the interpersonal and institutional level, harm, maltreatment, aggression, neglect, coercion, and abuse by providers, nurses and staff towards Black and Brown women has been well documented in labor, birth, and family planning 22 – 24 . Racial discrimination in reproductive health leads to misdiagnosis, lack of pain management, and ineffective care 22 .…”

Section: Racism and Reproductive Healthmentioning

confidence: 99%

“…On the interpersonal and institutional level, harm, maltreatment, aggression, neglect, coercion, and abuse by providers, nurses and staff towards Black and Brown women has been well documented in labor, birth, and family planning 22 – 24 . Racial discrimination in reproductive health leads to misdiagnosis, lack of pain management, and ineffective care 22 .…”

Section: Racism and Reproductive Healthmentioning

confidence: 99%

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Emerging approaches to redressing multi-level racism and reproductive health disparities

et al. 2022

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This commentary examines the impact of multi-level racism on reproductive health disparities in the United States. Multi-level racism and its impact on reproductive health over the lifespan are described on a societal, community, and individual level. To advance, we recommend using the Remove, Repair, Restructure, Remediate (R4P) approach combined with the Retrofit, Reform, and Reimagine (3R) model to address multiple forms of racism. Emergent policies and actions are identified to proceed towards health equity.

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Racism Runs Through It: Examining The Sexual And Reproductive Health Experience Of Black Women In The South

Cited by 65 publications

References 21 publications

Digital mental health for postpartum women: perils, pitfalls, and promise

Digital mental health for postpartum women: perils, pitfalls, and promise

The role of community and culture in abortion perceptions, decisions, and experiences among Asian Americans

Emerging approaches to redressing multi-level racism and reproductive health disparities

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