Black Medicare Patients Have Higher Long-term Stroke Death Rates
A long-term study of Medicare patients finds that Black patients who have an ischemic stroke (blocked blood flow to the brain) die at a higher rate than white patients, even after accounting for preexisting health conditions, a preliminary study by researchers at the Yale School of Public Health finds.
Black: We Need to Depolice Mental Illness Health Care—Now
"Agitated behavior unfortunately can cause injuries in the same way that an intentional security threat might. But behavioral emergencies are drastically different to security threats, because they hold no criminal intent. Rather, they begin when patients have trouble coping with sad news, when marginalized patients are provoked by discriminatory provider behaviors, and—most often—when patients become confused or disoriented by severe medical and psychiatric disease," writes Carmen Black, MD, Assistant Professor of Psychiatry, in a new op-ed published in Newsweek.Source: Newsweek
Flint Water Crisis Worsened Birth Outcomes, Disproportionally Affected Black Babies, YSPH Study Finds
Not long after city officials in Flint, Michigan, decided to cut costs by using river water as the local drinking supply, incidences of childhood lead poisoning skyrocketed. For the next several months, residents across the city — many of them Black and below the poverty line — would be exposed to dangerous chemicals from the polluted Flint River without knowing it.
Black Discusses Health Disparities, Racism in Hamden's Neighborhoods with New Haven Register
Hamden's neighborhoods with the greatest percentage of residents identifying as white have a higher average life expectancy than areas with more residents of color, who are more likely to experience adverse health outcomes, according to a new report. Carmen Black, MD, Assistant Professor of Psychiatry, who studies the effect of racial discrimination on patient care, discussed the report's findings with the New Haven Register.Source: New Haven Register
Empowering Black Girls May Help to Reduce Drug Use, YSPH Study Finds
Black girls make up a relatively small portion of the overall drug-using population. But their health consequences are more severe than most: Reproductive issues, fertility issues, sexually transmitted infections and trauma exposure are all obstacles they face at statistically higher rates compared to their peers.
Excited Delirium: Valid Clinical Diagnosis or Medicalized Racism? Organized Medicine Needs to Take a Stand
The “diagnosis” of excited delirium, a term often used to justify and defend police brutality, disproportionately against Black people, has circulated in the medical canon for more than 25 years. It is time — past time, actually — for organized medicine to denounce its diagnostic validity and its use as a shield to justify excessive police force, writes Ayana Jordan, MD, PhD, Assistant Professor of Psychiatry and Associate Residency Program Director.Source: Stat News
HEALTH NOTES: FDA Warns of Potential Inaccurate Readings of Pulse Oximeters, Citing Report on Race
Last month, the U.S. Food and Drug Administration (FDA) issued an alert concerning the use of pulse oximeters to measure blood oxygen levels, warning that the devices “have limitations and a risk of inaccuracy under certain circumstances that should be considered.”
Understanding trauma: Yale physicians on bias in the ER
When third-year Yale emergency resident physician Dr. Isaac Agboola writes in the Annals of Emergency Medicine about the problem of bias in the emergency department, it’s a matter of personal as well as professional interest. As one of the few Black male physicians in his class of more than 60 residents, and the first in his family to attend college and pursue medicine, Agboola says he feels a unique responsibility to represent Black patients who are brought in for treatment. The article, “The Coats That We Can Take Off And the Ones We Can’t,” written by Agboola and co-authored by two assistant professors of emergency medicine, Dr. Ambrose H. Wong and Dr. Edouard Coupet, examines how bias influences emergency department treatment, particularly decisions over which patients must be restrained and/or sedated.Source: YaleNews
Cultural Sources of Strength and Resilience: A Case Study of Holistic Wellness Boxes for COVID-19 Response in Indigenous Communities
Stefanie Gillson, MD, Fourth-Year Resident in Psychiatry, co-authored an article describing how the Johns Hopkins Center for American Indian Health Great Lakes Hub began sending holistic wellness boxes to community partners in 11 tribal communities, to help support them during the COVID-19 pandemic.Source: Frontiers in Sociology
Yale Psychiatry's Calhoun Asks: Is The Medical System Safe for Black Children?
For the second consecutive year, Calhoun was the only resident among a select group of speakers chosen to share their narrative stories about the patient experience and working as a doctor at the Feb. 3 Marjorie Rosenthal Pediatric Stories Grand Rounds. This year’s presentation was held virtually via Zoom. Calhoun’s speech, titled “Sour,” centered on her experience as a woman of African descent working in the medical field.
Addressing the health impacts of structural racism in racial and ethnic disparities research
The scientific community can improve our understanding and address the significant health impacts of structural racism in research, according to a new statement published in Circulation: Cardiovascular Quality and Outcomes.Source: News-Medical.net
AHA Journal Raises the Bar for Health Disparities Research
As part of efforts by the American Heart Association to combat structural racism, one of its scientific journals outlined best practices when conducting and submitting research on racial and ethnic health disparities.Source: MedPage Today
Connecting Ideas and Action to Understand Racism and Reduce Disparities
Podcast: In recognition of Martin Luther King Jr. Day, President Peter Salovey and Professor Phillip Atiba Goff discuss the science of racial bias, the work of the Center for Policing Equity, and the intersection of the COVID-19 pandemic and racial disparities.Source: Office of the President - Yale University
Lo: What Are You? A Biracial Physician on Nuanced Racism
"I lurk in my whiteness to cope. A compliment about my Asianness lands as a racist devaluation of both sides of my heritage. The medical licensing board does not include my race on its registration form. Straddling the boundary of Asian and White as a biracial female psychiatrist, I struggle to handle exoticization, discriminatory assumptions, and subtle marginalization by patients and colleagues. I grapple with the privilege of light-skinned ethnic ambiguity vs the disrespect for having features deviating from the imagined physician appearance. In this piece, I introduce a nuanced dialog about race and advocate for recognition and inclusion of biracial and multiracial minority medical practitioners who defy oversimplified racial categories," writes Emma Lo, MD, Assistant Professor of PsychiatrySource: The Annals of Family Medicine
Donation Creates Diversity, Equity, Inclusion Fund at the Yale School of Public Health
The Yale School of Public Health’s ongoing efforts to promote diversity, equity and inclusion received a substantial boost recently with a generous donation from Dr. Pilar Vargas and her husband Dean Sten H. Vermund.
Decriminalising being Black with mental illness
Mental illness should not be a death sentence. Being Black should not be a death sentence. Yet, in 2020 alone we have witnessed how these intersecting identities—Blackness and having a mental illness—have disproportionately led to the murder of Black people by police officers in the USA, write Ayana Jordan, MD, PhD, Assistant Professor of Psychiatry, and AZA Allsop, MD, PhD, Second-Year Psychiatry Resident, in a new paper.Source: The Lancet Psychiatry