Structural Violence and Clinical Medicine

Farmer, Paul; Nizeye, Bruce; Stulac, Sara; Keshavjee, Salmaan

doi:10.2307/j.ctv11smxmw.25

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Structural violence, a conceptualization of social injustice, refers to the position of potential harm that individuals are put in due to inequities within large-scale forces; Social structures within economic, cultural, medical, and legal domains are embedded with inequities (i.e., race or class-based discrimination) which prevent the fulfillment of optimal health and well-being ( 50 – 54 ). This is a structural issue as these experiences are situated within social structures and it is violent because it causes harm.…”

Section: Discussionmentioning

confidence: 99%

“…This is a structural issue as these experiences are situated within social structures and it is violent because it causes harm. While healthcare providers often lack training and education on these structural forces, there is a need for providers to have a broader understanding of how health behaviors and outcomes are situated within the social context of the patient's lived experience ( 19 , 45 , 54 ). Our findings reinforce this need as providers in our sample lacked awareness of structural consequences that pregnant patients who use cannabis may face.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The unseen patient: competing priorities between patients and providers when cannabis is used in pregnancy, a qualitative study

Gould,

Ganesh,

Nguyen

et al. 2024

Front. Glob. Womens Health

View full text Add to dashboard Cite

ObjectivesThis study aimed to explore competing priorities when cannabis is used during pregnancy from the perspective of providers and Black and Latina people. Maternal cannabis use is increasingly common, but patients and providers alike struggle to navigate it.MethodsThis pilot used qualitative, constructivist ground theory methods to conduct semi-structured, remote interviews between 16 November 2021, and 7 February 2022 with 7 Black and Latina people who used cannabis during pregnancy, and 10 providers between 15 March 2022, and 6 April 2022, all of who were in Southern California, U.S.ResultsWe identified three main findings: (1) Providers reported barriers to caregiving and relationship building with patients due to maternal cannabis use stigma, (2) Providers prioritized the fetus despite patients’ current health system challenges that drove cannabis use, and (3) Both patients and providers engaged in personal research beyond the healthcare system to better understand maternal cannabis use.DiscussionOur findings indicate that challenges exist between people who use cannabis during pregnancy and providers. Both groups need accurate, sociocultural sensitive information about maternal cannabis use via a harm reduction lens.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The unseen patient: competing priorities between patients and providers when cannabis is used in pregnancy, a qualitative study

Gould,

Ganesh,

Nguyen

et al. 2024

Front. Glob. Womens Health

View full text Add to dashboard Cite

show abstract

“…Structural racism is a form of structural violence because it produces socially unjust conditions that are normalized and reproduced through policies, practices, and A c c e p t e d M a n u s c r i p t laws, predisposing minoritized communities to poorer health outcomes and death. (48,49) Structural racism is the driving force behind observed associations between race and ethnicity and COVID-19 and other health outcomes. This paper can serve as a model for other observational studies for how to conduct analyses and report on racial and ethnic health inequities in a thoughtful, theory-driven way that promotes justice.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Bennett

Hunt

Breathett

et al. 2023

The Journals of Gerontology: Series A

View full text Add to dashboard Cite

Background Racial and ethnic disparities in COVID-19 risk are well-documented; however, few studies in older adults have examined multiple factors related to COVID-19 exposure, concerns, and behaviors or conducted race- and ethnicity- stratified analyses. The Women’s Health Initiative (WHI) provides a unique opportunity to address those gaps. Methods We conducted a secondary analysis of WHI data from a supplemental survey of 48,492 older adults (mean age 84 years). In multivariable-adjusted modified Poisson regression analyses, we examined predisposing factors and COVID-19 exposure risk, concerns, and behaviors. We hypothesized that women from minoritized racial or ethnic groups, compared to Non-Hispanic White women, would be more likely to report: exposure to COVID-19, a family or friend dying from COVID-19, difficulty getting routine medical care or deciding to forego care to avoid COVID-19 exposure, and having concerns about the COVID-19 pandemic. Results Asian women and Non-Hispanic Black/African American women had a higher risk of being somewhat/very concerned about risk of getting COVID 19 compared to Non-Hispanic White women and each were significantly more likely than Non-Hispanic White women to report forgoing medical care to avoid COVID-19 exposure. However, Asian women were 35% less likely than Non-Hispanic White women to report difficulty getting routine medical care since March 2020 (aRR 0.65; 95% CI 0.57, 0.75). Conclusions We documented COVID-related racial and ethnic disparities in COVID-19 exposure risk, concerns, and care-related behaviors that disfavored minoritized racial and ethnic groups, particularly Non-Hispanic Black/African American women.

show abstract

Structural Violence and Clinical Medicine

Cited by 2 publications

References 0 publications

The unseen patient: competing priorities between patients and providers when cannabis is used in pregnancy, a qualitative study

The unseen patient: competing priorities between patients and providers when cannabis is used in pregnancy, a qualitative study

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Contact Info

Product

Resources

About