#socialdeterminantsofhealth

Gigi šŸ„ā€šŸŸ«Gigi@kolektiva.social
2025-11-08

Canada is always held up as being considerably better than the United States as far as racism goes*.

And while there are definitely little pockets where you can mostly not be irritated by racist assholes daily, the systemic issues are still the systemic issues.

This week, a report came out from the Black Women’s Institute for Health and Street Voices about the state of Black women's health in Canada.

bwhealthinstitute.com/voices-u

There is an executive summary of sorts available at this link:

streetvoices.ca/news/voices-un

ā
For the first time in Canadian history, nearly 2,000 Black women, girls, and gender-diverse people have come together to share their lived experiences navigating the health system — and what they expose is a national crisis that can no longer be ignored.
āž

I'd wager that it WILL, in fact, continue to be ignored, much like the Ontario Human Rights Commission's most recent report on anti-Black racism in the Toronto Police Service is the umpteenth report on anti-Black racism in the Toronto Police Service.
And it never actually goes away.

Canada is functionally two mining companies and a bank in a trench coat whose population likes to tell itself fairy tales about Its place in the world. Anything that undermines the collective state of suspended disbelief is touted as "anti-Canadian" or "racist against white people".

Which, I guess, means that reality itself is "racist against white people".

The PDF of the report itself is available here:
bwhealthinstitute.com/wp-conte
_____

* I have not stepped foot in the US in well over a decade as my personal boycott, but I do recall distinctly commenting that crossing that border was like getting in a fucking time machine and going the wrong way. But it's really just comparing a dumpster fire to a forest fire.
Neither is desirable.

#racism #AntiBlackRacism #SocialDeterminantsOfHealth #Canada #canpol #canpoli #Toronto

Lawrence Nault- Stone & SignalMountainHermit
2025-10-23

"Wealth-based eugenics is a quiet algorithm: it doesn’t kill; it sorts.
The unsorted don’t survive the wait. The ledger calls it efficiency." The Aberration Hypothesis - 2026 - L. Nault

A quote card with the quote ""Wealth-based eugenics is a quiet algorithm: it doesn’t kill; it sorts.
The unsorted don’t survive the wait. The ledger calls it efficiency." from the book The Aberration Hypothesis, coming in 2026 by Lawrence Nault
2025-09-06

I watched this video and found it FASCINATING!! #ReligionForBreakfast is truly one of the best channels out there
youtu.be/X9dQLccJoWE
#allergies #SocialDeterminantsOfHealth #Amish

Francis Mangion (M)franciswashere
2025-04-11

br00t4c
(@)br00t4c(@)mastodon.social

STAT+: Trump to end federal funding of certain non-medical services in Medicaid

statnews.com/2025/04/11/trump-

STAT Ā· Trump to end federal funding of certain non-medical services in Medicaid
The services are often aimed at improving housing and nutrition for people in the Medicaid program.

mastodon.social/@br00t4c/11432

2025-04-11

Covid is no worse than the flu?

I know, I have now led dozens of posts over the past few years with this sarcastic question. But now, with the pandemic officially declared over by the politicians and the majority of the public behaving as though Covid19 is no longer a threat, it seems particularly apropos in light of the reasons for declaring the pandemic over: to get people back to work and back to consuming. Yet, as the data from this study show, Long Covid has had an enormous negative impact on the income and quality of life for millions of Americans, particularly the poor and working class, and particularly for African Americans and women.

*Nearly 1 in 7 working-age adults in the U.S. had experienced Long Covid by the end of 2023
*Socially disadvantaged adults were 152% more likely to suffer from Long Covid
*Groups with higher risk for Long Covid include being Black, LGBTQ, Hispanic, Female, or low income
*In 2022, people with Long Covid lost $211 billion in wages
*In 2023, people with Long Covid lost $218 billion in wages

One reason for the disproportionate effect of Long Covid on marginalized communities, particularly BIPOC and poor people, is that these groups suffer disproportionately from chronically elevated levels of the stress hormone, Cortisol, due to the stress caused by racism, sexism, homophobia, and poverty. Elevated Cortisol levels are also associated with increased risk of heart disease, hypertension, and diabetes, as well as impaired immune function.

For a really good documentary on the Social Determinants of Health and the relationship between racism and poverty on stress/cortisol levels and negative health outcomes, please see the Unnatural Causes video series

cidrap.umn.edu/covid-19/studie

#covid #COVID19 #longcovid #publichealth #pandemic #wages #workingclass #racism #poverty #socialdeterminantsofhealth #lgbtq #sexism #homophobia #cortisol #BlackMastadon

Going back to my previous post on the end of the USA's Affordable Connectivity Program: It's urgent that clinicians, researchers, public health authorities and politicians come to an understanding that #InternetAccess is a #SuperDeterminantOfHealth. It affects all other #SocialDeterminantsOfHealth - wellness, health care access, employment, education, and community involvment. This has been widely published since 2016. We're going backwards.

Look at this map: (source: countyhealthrankings.org/repor)

At right, a map of Milwaukee County showing the neighborhoods ā€œredlinedā€ by the government in the 1930s, which signified to banks and investors that they should steer clear of those areas because of the population being predominantly black, which resulted in generations of disvestment. 
At left, the neighborhoods in dark blue have the highest levels of urban dysconnectivity: More than 1 in 4 homes without broadband

The three maps in the middle show the predominance of your traditional earmarks of the social determinants of health: Light blue shows areas where more than half of housing is not owned by the occupants, in green, areas where more than 1 in 4 children lives in poverty, and more than 1 in 8 have not completed high school in yellow.
Gigi šŸ„ā€šŸŸ«Gigi@kolektiva.social
2024-02-15

Something for the Americans:

Class-action lawsuit linking hair straightening chemicals with ovarian and uterine ailments.

Please share widely.

joinclassactions.com/class_act

Another reason why not letting Black people wear natural hair styles is deeply, DEEPLY problematic.

White people think racism is about hurt feelings, when it's really about HEALTH and LONGEVITY.

And I say this as someone who straightens her hair 3x a year, so absolutely know the response I get during that fourth month when my hair is getting pretty "out of control".

#BlackWomen #NaturalHair #BlackHair #SocialDeterminantsOfHealth

RPh is in the garden 🪓 šŸ³ļøā€šŸŒˆ āœ”ļøCuriousRPh@universeodon.com
2024-01-15

@failedLyndonLaRouchite @sshann
But…if you are uninsured or underinsured it is quite the discount.
It’s also helpful for patients who are not able to access their insurer’s ā€œpreferredā€ #Pharmacy or simply don’t want to support Walgreens or CVS.
Nothing is perfect but it’s nice to have affordable options.
#Healthcare #SocialDeterminantsOfHealth

Laws that prevent discrimination related to sexual orientation can play an important role in improving maternal health among White women in general and Black lesbian and bisexual women in particular.

ncbi.nlm.nih.gov/pubmed/363996

#WomensHealth #MaternalHealth #LGBTQ #LGBTQIA #Health #HealthEquity #SDoH #SocialDeterminantsOfHealth
@demography @sociology

For transgender women of color legal gender affirmation–changing one's name and gender marker on official documents–can lessen economic vulnerability and overrepresentation in the criminal justice system by improving access to employment, housing, education, health care, and social services.
ncbi.nlm.nih.gov/pubmed/360370

#LGBTQ #LGBTQIA #Trans #Transgender #Health #MentalHealth #HealthEquity #SDoH #SocialDeterminantsOfHealth
@demography
@sociology
@criminology

2024-01-08

Children on Medi-Cal, California’s insurance program for its poorest residents, might wait months for urgent psychiatric care, according to an audit released in December.

Learn more in this story from CapRadio. bit.ly/48crGsB

#Health #MentalHealth #Medicaid #MediCal #MentalHealthCare #MedMastodon #PublicHealth #PublicPolicy #SocialDeterminantsOfHealth #SDoH

Steven Saus [he/him]StevenSaus@faithcollapsing.com
2023-09-25
2023-08-07

We've done a review of the empirical literature on #COVID19 among #migrants, #refugees and internally displaced persons.

It's now available as a preprint: medrxiv.org/content/10.1101/20

A big thanks to all colleagues from Unis Bielefeld, Heidelberg, Stockholm, Umea & IOM for the great collaboration!

#publichealth
#globalhealth
#migration
#HealthInequities
#epiverse
#socialdeterminantsofhealth

BZ Brainz :rainbowinfinity:BZBrainz@mastodonbooks.net
2023-05-30

My wish for today? I wish the elder adults in my life had access to the online #autism community and books. And right now, specifically around #alexithymia & #grief. I would give up a lot to be able to distill what I’ve learned and gift it to them in a concise absorbable way. I’ll keep building knowledge with them, but I wish I could share the knowledge and support I have access to in bigger tangible ways. šŸ’” @actuallyautistic #SocialDeterminantsOfHealth #autistic #dyslexia

2023-03-08

I joined PLOS Global Public Health as academic editor!

That's my little contribution to greater #equity in #GlobalHealth.

So gimme all your lovely manuscripts on health inequities affecting migrant and minority groups, on the structural determinants of these inequities, and esp. on migration, precarious labour and health!

@publichealth
@PLOS
#HealthInequities
#migration
#workersrights
#refugees
#socialdeterminantsofhealth
#socialjustice
#DecolonizeGlobalHealth
#PublicHealth

2023-03-01

#FactOfTheDay: In 2022, when asked why their oldest child was NOT fully vaccinated against COVID-19, more than 1/3rd of caregivers reported worry about side effects as a key concern.

Learn more: kidsdata.org/topic/2464/covid1

#SDoH #SocialDeterminantsOfHealth #PublicHealth #Vaccination #Vaccine #COVID #COVID19 #MedMastodon @pediatrics

Gigi šŸ„ā€šŸŸ«Gigi@kolektiva.social
2023-02-28

White people:
You hurt my feelings! That's racist!

Meanwhile:
[Images]

#IndigenousLivesMatter
#BlackLivesMatter #StopAsianHate #Racism #SocialDeterminantsOfHealth #RacismIsEvil

Screenshot from a medical article on the site STAT

HEALTH
Some medical students still think Black patients feel less pain than whites
By Ike Swelitz
April 4, 2016Screen cap from the Harvard Global Health Institute
Racial Bias in Medicine
By Kate Raphael

The response to drug epidemics cuts along lines of race and class. In my recent piece with Tony Monkovic in the New York Times' Upshot, Dr M Norman Oliver, Virginia's Health Commissioner, said, "At the beginning, the opiod epidemic was centered in rural Appalachia, and as long as it involved poor rural whites, it did not get much attention. Winhen those prescription opioids hit the more affluent white suburbs around big cities, that's when people started paying attention."

The piece goes on. "Race-based psychological myths have long influence medical practice," he said, "Even today, some doctors believe that African-Americans are more tolerant of pain…"Screenshot from an article in Nature magazine

Millions of Black people affected by racial bias in healthcare algorithms

Study reveals rampant racism in decision making software used by US hospitals -- and highlights ways to correct itNews article:

Implicit Bias and Racial Disparities in Health Care

Why are Black people sicker and why do they die earlier than other racial groups?
Gigi šŸ„ā€šŸŸ«Gigi@kolektiva.social
2023-02-28

White people: You called me "white"! That's racism!!

Meanwhile:
[Images]

#IndigenousLivesMatter
#BlackLivesMatter #StopAsianHate #Racism #SocialDeterminantsOfHealth #RacismIsEvil

CTV News item screen cap:

No single fix for anti-Indigenous racism in Canada's healthcare system: doctor.BMC Health Services Research. Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, CanadaCMAJ Canadian Medical Association Journal 

Healing racism in Canadian healthcare 
Yvonne Boyer, JD LLD

Key points:
Indigenous people face systemic racism and discrimination in the Canadian Healthcare system, as identified by two recent reports. The healthcare system is set up to ignore the colonial history facing indigenous patients.Ignored to Death: Systemic Racism in the Canadian Healthcare System.

Submission to EMRAP the study on health
Brenda L Gunn, Associate Professor Robson Hall Faculty of Law, University of Manitoba, Canada.

Introduction.

Widespread gealth disparities continue for Indigenous peoples in Canada. Indigenous peoples experience lower health outcomes than non-Indigenous peoples in Canada, which is exacerbated by the lack of access to quality health care and lower socio-economic situation as confirmed by the social determinants of health. Indigenous peoples also lack access to adequate health services, especially in remote communities. In 2015, the Auditor General of Canada concluded that "Health Canada did not have reasonable assurance that eligible First Nations individuals living in remote communities in Manitoba and Ontario had access to clinical and client care services and medical transportation benefits as defined for the purpose of this performance audit." There is a failure to implement existing policies and strategies. 

However, racism including systemic racism within the healthcare system, is a significant contributor to Indigenous peoples' lower health outcomes. Racism is not limited to interpersonal issues during the provision of Health services. Structural racism is evident throughout the Canadian Healthcare system. Structural racism exists in the policies and practices in the Canadian public health system and other

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