December 8, 2012
"[trigger warning: details of medical experimentation on black women]

On a sylvan stretch of New York’s patrician upper Fifth Avenue, just across from the New York Academy of Medicine, a colossus in marble, august inscriptions, and a bas-relief caduceus grace a memorial bordering Central Park. These laurels venerate the surgeon James Marion Sims, M.D., as a selfless benefactor of women. Nor is this the only statuary erected in honor of Dr. Sims. Marble monuments to his skill, benevolence, and humanity guard his native South Carolina’s statehouse, its medical school, the Alabama capitol grounds, and a French hospital. In the mid-nineteenth century, Dr. Sims dedicated his career to the care and cure of women’s disorders and opened the nation’s first hospital for women in New York City. […]

But this benevolent image vies with the detached Marion Sims portrayed in Robert Thom’s J. Marion Sims: Gynecologic Surgeon, an oil representation of an experimental surgery upon his powerless slave Betsey. Sims stands aloof, arms folded, one hand holding a metroscope (the forerunner of the speculum) as he regards the kneeling woman in a coolly evaluative medical gaze. His tie and morning coat contrast with her simple servants’ dress, head rag, and bare feet.

The painting […] takes telling liberties with the historical facts. Thom portrays Betsey as a fully clothed, calm slave woman who kneels complacently on a small table, hand modestly raised to her breast, before a trio of white male physicians. Two other slave women peer around a sheet, apparently hung for modesty’s sake, in a childlike display of curiosity. This innocuous tableau could hardly differ more from the gruesome reality in which each surgical scene was a violent struggle between the slaves and physicians and each woman’s body was a bloodied battleground. Each naked, unanesthetized slave woman had to be forcibly restrained by the other physicians through her shrieks of agony as Sims determinedly sliced, then sutured her genitalia. The other doctors, who could, fled when they could bear the horrific scenes no longer. It then fell to the women to restrain one another. […]

Betsey’s voice had been silenced by history, but as one reads Sims’s biographers and his own memoirs, a haughty, self-absorbed researcher emerges, a man who bought black women slaves and addicted them to morphine in order to perform dozens of exquisitely painful, distressingly intimate vaginal surgeries. Not until he had experimented with his surgeries on Betsey and her fellow slaves for years did Sims essay to cure white women.

Was Sims a savior or a sadist? It depends, I suppose, on the color of the women you ask. Marion Sims epitomizes the two faces - one benign, one malevolent - of American medical research."

from the Introduction of Medical Apartheid: The Dark History of Medical Experimentation on Black Americans From Colonial Times to the Present by Harriet A. Washington

Going to be reading this, or at least parts of it during break. That means there’ll finally be some new content on this blog. This book seems super interesting and I don’t really know what to say about it because I feel its title says it all. Extremely important history to know, whether or not you plan to go into medicine/science/health.

December 6, 2012

fromstarstostarfish:

(Maps courtesy of USDA.)

Food Deserts Across America

A food desert is a low-income area that lacks access to fresh fruits and vegetables, and other foods that make up a heathy diet (limited or no access to supermarkets and grocery stores, sometimes coupled with limited to no transportation); instead, these areas are riddled with convenience stores and fast food restaurants.

The Food, Conservation, and Energy Act of 2008 required the USDA to study food deserts for one year.  In the study’s findings, some key points were:

  • About 2.3 million households (~2.2% of the population) live more than a mile from a supermarket and have no access to a vehicle.  Another 3.4 million households live between 1/2-1 mile from a supermarket and have no access to a vehicle.
  • Roughly 23.5 million people live in low-income areas that are more than 1 mile from a supermarket.  However, only 11.5 million (4.1% of the population) of these people are low-income.
  • Urban areas are more likely to suffer from limited food access due to racial segregation and income inequality.  In rural areas, it’s because of a lack of transportation infrastructure.
  • Shopping at small stores and convenience stores more likely to be found in food deserts is significantly more expensive than shopping at a large grocery store or supermarket.
  • While some researchers and their studies point towards lack of availability to nutritious foods as the reason for a lack of intake (and instead relying on the convenience stores and fast food restaurants), other researchers/studies prove otherwise. Either way, more research is needed in this area.

Dr. Eduardo Sanchez, vice President and chief medical officer of Blue Cross Shield Texas (not to mention former Texas commissioner of health and a national leader on childhood obesity) said:

The link between inequitable access to healthy, affordable food and chronic diseases is evident in every region of the country.  Low-income and being African-American, Latino, or American Indian increases the likelihood of poor access to good food and the prevalence of chronic diseases like type 2 diabetes.  From deep in the heart of Texas to the center of Midwest farm country, to President Obama’s hometown of Chicago, healthy food is not easily accessible to millions of Americans and people are sicker as a result.

Access to healthy, affordable food is a major public health problem and should be considered as important as affordable healthcare.  

While Alan Hunt, senior policy associate at the Wallace Center at Winrock International had this to say:

We thank the USDA for undertaking this thorough study.  Much of it verifies what we already knew - that for millions of people in low-income communities, access to fresh and healthy food is limited.  

Now it’s time for action.  What is needed is a set of coordinated, community based activities across the country, including outreach to existing corner stores, incentives for locating new retail stores, public transportation improvements, farmers’ markets development, nutrition education, and other activities to improve food access.

Supporting successful programs that address inequitable food access - from the development of a network of farmers’ markets that serves the nearly 80,000 mostly low-income residents of Camden, New Jersey, to the remarkable work in Black Hawk County, Iowa, where local producers work together to make fresh, healthy and local food available to restaurants, retirement homes, and universities while generating millions of dollars of sales - is the beginning.  Continuing efforts like these requires national support and leadership to ensure healthy food choices are accessible in all communities.

August 25, 2012
thepeoplesrecord:

Latinos, blacks more likely to suffer health disparities due to wealth inequalityAugust 24, 2012
A recent study found that health disparities among Latino, black and white children -– but when adjusted for socioeconomic factors, differences had more to do with class than race.
Researchers interviewed more than 5,000 fifth graders in Los Angeles, Houston and Birmingham, Ala. They measured 16 health behaviors and outcomes including use of tobacco and alcohol, exercise habits, helmet use and obesity.
Black children (20 percent) were more likely than Latino children (11 percent) and whites (5 percent) to have witnessed a gun threat or injury.
Latinos were 15 percent and blacks 12 percent more likely than whites to be obese.
Latinos and blacks got less exercise and had poorer physical and psychological health.
However, when adjusted for income and education of children’s families, differences significantly shrunk.
Most of the disparities between Latinos and whites disappeared and the rest were reduced after adjusting for socioeconomic status.
Where a child went to school played a big role in what researchers found. Even within the same neighborhood, schools played a significant role.
The report said:
The child’s school was the most important mediator of disparities between black children and white children for 11 of 16 measures, whereas socioeconomic status was the largest mediator of disparities between Latino children and white children for 10 measures.
But, in the end, what does it really mean to “adjust?” The fact remains that children of color are growing up with poor physical and psychological health.
Source
Capitalism is literally killing us.

thepeoplesrecord:

Latinos, blacks more likely to suffer health disparities due to wealth inequality
August 24, 2012

A recent study found that health disparities among Latino, black and white children -– but when adjusted for socioeconomic factors, differences had more to do with class than race.

Researchers interviewed more than 5,000 fifth graders in Los Angeles, Houston and Birmingham, Ala. They measured 16 health behaviors and outcomes including use of tobacco and alcohol, exercise habits, helmet use and obesity.

Black children (20 percent) were more likely than Latino children (11 percent) and whites (5 percent) to have witnessed a gun threat or injury.

Latinos were 15 percent and blacks 12 percent more likely than whites to be obese.

Latinos and blacks got less exercise and had poorer physical and psychological health.

However, when adjusted for income and education of children’s families, differences significantly shrunk.

Most of the disparities between Latinos and whites disappeared and the rest were reduced after adjusting for socioeconomic status.

Where a child went to school played a big role in what researchers found. Even within the same neighborhood, schools played a significant role.

The report said:

The child’s school was the most important mediator of disparities between black children and white children for 11 of 16 measures, whereas socioeconomic status was the largest mediator of disparities between Latino children and white children for 10 measures.

But, in the end, what does it really mean to “adjust?” The fact remains that children of color are growing up with poor physical and psychological health.

Source

Capitalism is literally killing us.

(via themindislimitless)

August 21, 2012
People of Color and Mental Health (Edited 5/22)

wretchedoftheearth:

wretchedoftheearth:

Edit 5/22/12 - added many links upon request

Please let me know if any of the links go down. I have most if not all of them saved. Also if you have any articles, books, or fact sheets you recommend, add them or message me. Also message me if there is something specific or a specific group you’d like information about. I have a large list (and I have no problem searching a little if it’s something I don’t have).

wretchedoftheearth:

I got a message from the anon from an ask on ladyatheist’s tumblr about mental ilness and PoC, and I got an anon asking for this information and I feel it is a good reference/starting point so I am making it into a post.

A lot of literature regarding people of color and mental illness is about the stigma within the Black community or Latin@ community, rather than the struggles faced from within mental health institutions, so I am mostly posting other kinds of links.

History

History of black people and mental institutions (link)

In Our Own Voice: African-American Stories of Oppression, Survival, and Recovery in Mental Health Systems (link) (pdf)

Racism and Mental Illness (link) (pdf)

Fact Sheets

African American Community Mental Health Fact Sheet (link) (pdf)

Asian American and Pacific Islander Mental Health: A Guide on How to Get Support for Your Loved One (link) (pdf) (added 5/22)

Bipolar Disorder and African-Americans (link)

Chinese American Mental Health Facts (link) (pdf) (added 5/22)

Korean American Community Mental Health Fact Sheet (link) (pdf) (added 5/22)

Latino Community Mental Health Fact Sheet (link) (pdf)

Mental Health and African Americans (link)

Mental Health and American Indians/Alaska Natives (link

Mental Health and Asian Americans (link)

Mental Health and Hispanics (link)

Mental Health Issues among Asian American and Pacific Islander Children and Youth (link) (pdf) (added 5/22)

Mental Health Issues among Asian American and Pacific Islander Communities (link) (pdf) (added 5/22)

Recovery for Asian Americans and Pacific Islanders Living with Mental Illness (link) (pdf) (added 5/22)

“African Americans Have Limited Access to Mental and Behavioral Health Care” (link)

Journal Articles and Reports

“Barriers to Providing Effective Mental Health Services to American Indians” (link)

“Bias in Mental Health Assessment and Intervention: Theory and Evidence” (link)

“Broken Promises: Evaluating the Native American Health Care System” (link) (added 5/22)

“Building Partnerships: Conversations with Native Americans About Mental Health Needs and Community Strengths” (link) (added 5/22)

“Disparities in Mental Health Treatment in U.S. Racial and Ethnic Minority Groups: Implications for Psychiatrists” (link)

“Effective Coping Strategies of African Americans” (link)

“Ethnic Disparities in Unmet Need for Alcoholism, Drug Abuse, and Mental Health Care” (link)

“Exploring Stress and Coping Among Urban African American Adolescents: The Shifting the Lens Study” (link) (added 5/22)

“Healthcare and Behavioral Health Disparities In Quality Care for Communities of Color: A Set of Priorities” (link) (pdf) (added 5/22)

“Help Seeking for Mental Health Care among Poor Puerto Ricans: Problem Recognition, Service Use, and Type of Provider” (link)

“Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino Whites” (link) (pdf) (added 5/22)

“An Overview of Multicultural Issues in Children’s Mental Health” (link) (pdf) (added 5/22)

“Mental Health Services for Native Americans in the 21st Century United States” (link) (added 5/22)

“Racial Microaggressions Against African American Clients in Cross-Racial Counseling Relationships” (link)

“Racism and Mental Health: the African American experience” (link)

“Racism and Mental Health Into the 21st Century: Perspectives and Parameters” (link) (pdf)

“Spirituality and Mental Health: A Native American Perspective” (link) (pdf) (added 5/22)

“Statistics show mental health services still needed for native populations” (link) (added 5/22)

“Suicide Among American Indians/Alaska Natives” (link) (pdf) (added 5/22)

“Transforming Your Practice: What Matters Most” (link) (pdf) (added 5/22)

“What is the Relationship of Suicide, Alcohol Abuse, and Spirituality among the Inupiat?” (link) (added 5/22)

Organizations and Agencies (added 5/22)

Association of American Indian Physicians (link)

Black Mental Health Alliance for Education and Consultation (link)

Family Wellness Warriors Initiative (link)

First Nations Behavioral Health Association (link)

Indian Health Service Division of Behavioral Health (link)

National Asian American Pacific Islander Mental Health Association (link)

National Center for American Indian and Alaska Native Mental Health Research (link)

National Center on Minority Health and Health Disparities (link)

National Latino Behavioral Health Association (link)

National Organization of People of Color Against Suicide (link)

Native Wellness Institute (link)

South Asian Mental Health Resources (link)

CAN SOMEONE TUMBLR FAMOUS WHO FOLLOWS ME REBLOG THIS VERSION?

it’s been going around again but this version is the updated version where I added a lot more (upon request)

plz

Here’s a long list of informative sources!

August 21, 2012
Attitudes about Race & How they Affect Our Health

[A part of our series on the intersection of race+class and health, “Don’t Forget About Race and Class!]

Earlier on this blog, we’ve shared how institutional racism can affect the health of people of color by limiting the amount of good health care they can receive, but we haven’t shared much about the psychological effects of racism. An article by a UC Berkeley associate professor of psychology earlier this month explores the question: “can one’s psychological experience surrounding discrimination — how we and others feel about our racial group membership— itself be related to important health outcomes?”

Rodolfo Mendoza-Denton discusses a study that was carried out on this subject, and you should click through to read it! Basically, the study looked at how attitudes and perceptions affect a person’s health. The participants were black and Latina and the study “found that the more participants felt that their group was seen negatively by other people,” the greater their levels of an inflammatory cytokine that indicates a serious health risk. Mendoza-Denton points out that the participants “were not particularly unhealthy.” However, despite this distressing (and maybe expected) news, he goes on to say:

As I often emphasize in this blog, though (see here and here), targets of discrimination are not passive recipients of the bias targeted at them. Rather, they find ways to cope, to survive — to thrive — in the face of such negativity. And the research bears this out as well. Specifically, the researchers also measured how people privately felt about their own group (this is in contrast to how one feels other people feel about one’s group, as above). The more participants reported agreeing to items such as “in general, I’m glad to be a member of my group,” the greater participants’ levels of a protective, stress-modulating hormone called DHEA-S.

[…]

So don’t take pride in your group for granted, especially when your group is stigmatized by society.

Keep being proud of where you come from and finding pride in your group - it has health benefits in addition to political and social effects and feeling comfortable with your identity!

August 12, 2012
Kansas Doctor May Lose License For Refusing To Force 10-Year-Old To Birth

stfuhypocrisy:

The Kansas State Board of Healing Arts, the governing body that regulates the practice of medicine in the state, stripped the medical license of a woman who refused to force a mentally-ill 10 year old to give birth.

As Robin Marty reports, Dr. Ann Neuhaus became the target of domestic terror group Operation Rescue after her colleague, Dr. George Tiller, was murdered. Neuhaus assisted Tiller by providing second opinions for mental health exceptions for late-term abortions.

Operation Rescue filed a negligence complaint against Neuhaus alleging that her exams were not thorough enough to support her medical conclusions and her follow-up care was inadequate because she did not recommend counseling or hospitalization after each procedure.

Neuhaus offered a rebuttal of her own. “To even claim that isn’t medically necessary qualifies as gross incompetence,” said Neuhaus.  “Someone’s 10 years old, and they were raped by their uncle and they understand that they’ve got a baby growing in their stomach and they don’t want that. You’re going to send this girl for a brain scan and some blood work and put her in a hospital?”

Like other states Kansas has made recent attempts to stack their medical review board with anti-choice advocates like former Operation Rescue attorney Richard Macias. When hearing the case against Dr. Neuhaus, the board offered up their own expert to determine if any breach of the standard of care occurred. Not surprisingly, the witnessed insisted that in no cases is abortion a treatment that could be seen as beneficial to a patient’s mental health, further clouding the waters as to the kind of care girls and women can expect in the state of Kansas.

Nuehaus will appeal the ruling. If she loses she will have her license permanently revoked.



(Source: stfueverything)

August 2, 2012
CBSNews: "Free contraception for women provision of Obama health care law starts today"

(well, actually, yesterday now)

An excerpt, showing what’s in effect now. As you can see, it has to do with a lot more than just birth control:

Under the new provision that goes into effect August 1, 2012, women will be eligible to receive the following eight services without paying a co-pay:

  • Well-woman visits, including an annual check-up for adult women to get recommended preventive services, and additional visits if women and their doctors determine them necessary.
  • Contraception and contraceptive counseling: Women will have free access to all FDA-approved contraceptive methods, sterilization procedures and patient education and counseling without a co-pay. Most workers in employer-sponsored plans are currently covered for contraceptives.
  • Gestational diabetes screening for women 24 to 28 weeks pregnant, and those at high risk of developing gestational diabetes. Women who have gestational diabetes have an increased risk of developing type 2 diabetes in the future and the children of women with gestational diabetes are at increased risk of being overweight and insulin-resistant during childhood.
  • HPV DNA testing every three years for women who are 30 or older, regardless of Pap smear results. HPV screening has been shown to help reduce the prevalence of cervical cancer.
  • Annual sexually transmitted infections (STI) counseling for sexually-active women. Such sessions have been shown to reduce risky behavior in patients; only 28 percent of women aged 18-44 years reported that they had discussed STIs with a doctor or nurse, according to HHS.
  • HIV screening and counseling for sexually-active women. From 1999 to 2003, the Centers for Disease Control and Prevention reported a 15 percent increase in AIDS cases among women, and a 1 percent increase among men, suggesting an increased risk for women.
  • Breastfeeding support, supplies, and counseling for pregnant and postpartum women, including access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment.
  • Interpersonal and domestic violence screening and counseling for all adolescent and adult women. An estimated 25 percent of U.S. women report being targets of intimate partner violence during their lifetimes and screening will lead to interventions to increase their safety.