JDR Clinical & Translational Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 20, 2024
Introduction:
Black
children
in
the
United
States
have
lower
rates
of
dental
visits
and
higher
poor
oral
health.
However,
few
studies
examined
role
structural
racism
as
a
contributor
to
racial
gaps
children’s
This
study
assessed
associations
between
state-level
health
outcomes
related
Black–White
disparities.
Methods:
repeated
cross-sectional
observational
aged
1
17
y
2016
2021
National
Survey
Children’s
Health
(NSCH).
Three
were
examined:
utilization
(dentist
visit
past
12
mo),
any
problem
(difficulty
mo
with
bleeding
gums,
cavities,
or
toothaches),
(teeth
excellent
very
good
condition).
A
index
was
constructed
measure
composed
5
dimensions
(judicial,
educational,
economic,
political,
neighborhood
segregation)
linked
NSCH.
Estimated
population-weighted
logit
regression
models
used
assess
race
racism,
adjusting
for
demographics
socioeconomic
status.
Results:
The
dataset
consisted
98,423
(11%)
White
(88%)
children.
had
relatively
worse
than
did,
largest
difference
observed
having
teeth
condition
(73%
vs.
83%).
State-level
not
statistically
significantly
associated
child
receiving
care,
problem,
condition.
US
disparities
these
unchanged
after
adjustment
racism.
Conclusions:
Expanded
efforts
are
needed
address
outcomes.
Future
research
should
explore
whether
findings
change
when
examining
at
different
geographic
level
indices
explicitly
include
items
specific
care
access
child-specific
institutional
domains.
Knowledge
Transfer
Statement:
this
less
likely
were.
Structural
did
explain
disparities,
which
suggests
need
further
mechanisms
driving
how
them.
Policy
makers
consider
policies
that
expand
where
is
delivered,
who
delivers
increase
dentists’
Medicaid
participation,
strategies
identified
previously
reducing
Journal of Marriage and Family,
Год журнала:
2024,
Номер
86(5), С. 1272 - 1304
Опубликована: Май 28, 2024
Abstract
Researchers
have
long
documented
the
impact
of
social
inequalities
on
family
life.
Most
research
has
focused
at
individual
and
levels,
extant
studies
macro‐level
conditions
primarily
examined
economic
specific
family‐focused
policies.
Yet,
an
emerging
body
largely
conceptual
suggests
that
structural
inequities
also
enormous
power
to
shape
families.
Structural
racism,
sexism,
sexual
gender
minority
oppression,
other
forms
injustice
operate
across
various
levels
(macro,
meso,
micro)
systems
(e.g.,
educational,
economic,
political,
criminal‐legal,
etc.),
influence
individuals'
environments
everyday
lives
in
ways
may
how,
when,
where
people
form
moreover,
relationship
quality,
caregiving
patterns,
child
outcomes,
aspects
consequences
these
forces
for
families
not
yet
been
thoroughly
examined.
In
this
article,
we
(1)
develop
a
framework
linking
oppression
characteristics
(2)
outline
innovative
approaches
conceptualizing
measuring
describe
how
incorporating
can
move
field
science
forward,
(3)
make
several
recommendations
regarding
best
practices
fruitful
avenues
future
research.
The Hastings Center Report,
Год журнала:
2024,
Номер
54(S2)
Опубликована: Дек. 1, 2024
Abstract
The
everyday
harms
of
structural
racism
and
discrimination,
perpetuated
through
institutions,
laws,
policies,
practices,
constitute
social
determinants
health,
but
measures
that
account
for
their
debilitating
effects
are
largely
missing
in
genetic
studies
complex
diseases.
Drawing
on
insights
from
the
sciences
public
we
propose
critical
methodologies
incorporating
tools
measure
discrimination
within
analyses.
We
illustrate
how
including
these
may
strengthen
accuracy
utility
findings
diverse
communities,
clarify
elusive
relationships
between
genetics
environment
a
racialized
society,
support
greater
equity
genomics
precision
health
research.
This
approach
also
efforts
to
build
sustain
vital
partnerships
with
communities
other
fields
research
inquiry,
centering
community
expertise
lived
experiences
drawing
valuable
knowledge
practitioners
innovate
biomedical
genomic
study
designs
aimed
at
priorities.
JDR Clinical & Translational Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 20, 2024
Introduction:
Black
children
in
the
United
States
have
lower
rates
of
dental
visits
and
higher
poor
oral
health.
However,
few
studies
examined
role
structural
racism
as
a
contributor
to
racial
gaps
children’s
This
study
assessed
associations
between
state-level
health
outcomes
related
Black–White
disparities.
Methods:
repeated
cross-sectional
observational
aged
1
17
y
2016
2021
National
Survey
Children’s
Health
(NSCH).
Three
were
examined:
utilization
(dentist
visit
past
12
mo),
any
problem
(difficulty
mo
with
bleeding
gums,
cavities,
or
toothaches),
(teeth
excellent
very
good
condition).
A
index
was
constructed
measure
composed
5
dimensions
(judicial,
educational,
economic,
political,
neighborhood
segregation)
linked
NSCH.
Estimated
population-weighted
logit
regression
models
used
assess
race
racism,
adjusting
for
demographics
socioeconomic
status.
Results:
The
dataset
consisted
98,423
(11%)
White
(88%)
children.
had
relatively
worse
than
did,
largest
difference
observed
having
teeth
condition
(73%
vs.
83%).
State-level
not
statistically
significantly
associated
child
receiving
care,
problem,
condition.
US
disparities
these
unchanged
after
adjustment
racism.
Conclusions:
Expanded
efforts
are
needed
address
outcomes.
Future
research
should
explore
whether
findings
change
when
examining
at
different
geographic
level
indices
explicitly
include
items
specific
care
access
child-specific
institutional
domains.
Knowledge
Transfer
Statement:
this
less
likely
were.
Structural
did
explain
disparities,
which
suggests
need
further
mechanisms
driving
how
them.
Policy
makers
consider
policies
that
expand
where
is
delivered,
who
delivers
increase
dentists’
Medicaid
participation,
strategies
identified
previously
reducing
