The Robert Wood Johnson Foundation (RWJF) is an American philanthropic organization. It is the largest one focused solely on health. Based in Princeton, New Jersey, the foundation focuses on access to health care, public health, health equity, leadership and training, and changing systems to address barriers to health. RWJF has been credited with helping to develop the 911 emergency system, reducing tobacco use among Americans, lowering rates of unwanted teenage pregnancies, and improving perceptions of hospice care.
Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequities, and face worse health outcomes than those who are able to access certain resources. It is not equity to simply provide every individual with the same resources; that would be equality. In order to achieve health equity, resources must be allocated based on an individual need-based principle.
Sharon Sayles Belton is an American community leader, politician and activist. She is Vice President of Community Relations and Government Affairs for Thomson Reuters Legal business.
The University of Minnesota School of Public Health (SPH) is located in Minneapolis, Minnesota, a politically and socially progressive city, and it is fully accredited by the Council on Education for Public Health. In 2022, the school enrolled more than 1,000 students from 48 different countries. Its 123 full-time faculty members manage the #3 most highly funded research portfolio at the University of Minnesota. Within 12 months of graduation, 99% of the school’s students are employed in their fields.
Lisa A. Cooper is an American internal medicine and public health physician who is the Bloomberg Distinguished Professor of Equity in Health and Healthcare at Johns Hopkins University, jointly appointed in the Johns Hopkins School of Medicine, Johns Hopkins School of Nursing and in the departments of Health, Behavior and Society, Health Policy and Management; Epidemiology; and International Health in the Johns Hopkins Bloomberg School of Public Health. She is the James F. Fries Professor of Medicine in the Division of General Internal Medicine, Director of the Johns Hopkins Center for Health Equity, and Director of the Johns Hopkins Urban Health Institute. Cooper is also a Gilman Scholar and a core faculty member in the Welch Center for Prevention, Epidemiology, and Clinical Research. She is internationally recognized for her research on the impact of race, ethnicity and gender on the patient-physician relationship and subsequent health disparities. She is a member of the President’s Council of Advisors on Science and Technology (PCAST). In 2007, she received a MacArthur Fellowship.
Research shows many health disparities among different racial and ethnic groups in the United States. Different outcomes in mental and physical health exist between all U.S. Census-recognized racial groups, but these differences stem from different historical and current factors, including genetics, socioeconomic factors, and racism. Research has demonstrated that numerous health care professionals show implicit bias in the way that they treat patients. Certain diseases have a higher prevalence among specific racial groups, and life expectancy also varies across groups.
Arline Geronimus wrote about the weathering hypothesis the early 1990s to account for health disparities of newborn babies and birth mothers due to decades and generations of racism and social, economic, and political oppression. It is well documented that people of color and other marginalized communities have worse health outcomes than white people. This is due to multiple stressors including prejudice, social alienation, institutional bias, political oppression, economic exclusion, and racial discrimination. The weathering hypothesis proposes that the cumulative burden of these stressors as individuals age is "weathering", and the increased weathering experienced by minority groups compared to others can account for differences in health outcomes. In recent years, social scientists investigated the biological plausibility of the weathering hypothesis in studies evaluating the physiological effects of social, environmental and political stressors among marginalized communities. The weathering hypothesis is more widely accepted as a framework for explaining health disparities on the basis of differential exposure to racially based stressors. Researchers have also identified patterns connecting weathering to biological phenomena associated with stress and aging, such as allostatic load, epigenetics, telomere shortening, and accelerated brain aging.
Camara Phyllis Jones is an American physician, epidemiologist, and anti-racism activist who specializes in the effects of racism and social inequalities on health. She is known for her work in defining institutional racism, personally mediated racism, and internalized racism in the context of modern U.S. race relations. During the COVID-19 pandemic, Jones drew attention to why racism and not race is a risk factor and called for actions to address structural racism.
Uché Blackstock is an American emergency physician and former associate professor of emergency medicine at the New York University School of Medicine. She is the founder and CEO of Advancing Health Equity, which has a primary mission to engage with healthcare and related organizations around bias and racism in healthcare with the goal of mobilizing for health equity and eradicating racialized health inequities. During the COVID-19 pandemic, Blackstock used social media to share her experiences and concerns as a physician working on the front lines and on racial health disparities and inequities exposed by the pandemic. She is best known for her work illuminating racial health inequities and her media appearances speaking about the COVID-19 pandemic. Blackstock became a Yahoo! News Medical Contributor in June 2020.
Oni Blackstock is an American primary care and HIV physician, researcher, and founder of Health Justice, a racial and health equity consulting practice. She previously served as assistant commissioner for the Bureau of HIV for the New York City Department of Health, where she led the city's response to the HIV epidemic. Her research considers the experiences of women and people of color in healthcare. During the COVID-19 pandemic Blackstock shared advice on how people in New York City could maintain sexual health and slow the spread of COVID-19 as well as guidance for people with HIV and HIV care providers about the intersection of HIV and COVID-19.
Monica Rose McLemore is an American nurse who is an associate professor of Family Health Nursing at the University of California, San Francisco. Her work considers reproductive justice and medical care for marginalised communities, with an overarching aim to eliminate healthcare inequalities. During the COVID-19 pandemic, McLemore studied the impact of coronavirus disease during pregnancy.
LaShyra "Lash" Nolen is an American medical student and science communicator. She is the first Black woman to become class president of the Harvard Medical School. In 2020 Nolen was selected by The Root as one of their Young Futurists.
Rhea W. Boyd is an American pediatrician and child and community health advocate. Boyd is a popular science communicator, making use of social media to amplify a diverse range of voices in an effort to improve the heath of communities of colour.
Chandra L. Ford is an American public health academic who is Professor of Community Health Sciences at the University of California, Los Angeles. She serves as Founding Director at the Center for the Study of Racism, Social Justice & Health. Her research considers relationships between racism and health outcomes.
The COVID-19 pandemic in the United States has had far-reaching consequences in the country that go beyond the spread of the disease itself and efforts to quarantine it, including political, cultural, and social implications.
Black maternal mortality in the United States refers to the death of women, specifically those who identify as Black or African American, during or after child delivery. In general, maternal death can be due to a myriad of factors, such as the nature of the pregnancy or the delivery itself, but is not associated with unintentional or secondary causes. In the United States, around 700 women die from pregnancy-related illnesses or complications per year. This number does not include the approximately 50,000 women who experience life-threatening complications during childbirth, resulting in lifelong disabilities and complications. However, there are stark differences in maternal mortality rates for Black American women versus Indigenous American, Alaska Native, and White American women.
The COVID-19 pandemic has revealed race-based health care disparities in many countries, including the United States, United Kingdom, Norway, Sweden, Canada, and Singapore. These disparities are believed to originate from structural racism in these countries which pre-dates the pandemic; a commentary in The BMJ noted that "ethnoracialised differences in health outcomes have become the new normal across the world" as a result of ethnic and racial disparities in COVID-19 healthcare, determined by social factors. Data from the United States and elsewhere shows that minorities, especially black people, have been infected and killed at a disproportionate rate to white people.
Sirry Alang is a Cameroonian-American Health Services Researcher. She is an Associate Professor of Sociology and Health, Medicine and Society at Lehigh University. Alang is also a Medical Sociologist. Her research examines the structural causes of health inequity and the social determinants of health.
Katy Backes Kozhimannil is an American public health researcher who is a professor at the University of Minnesota School of Public Health. Her research considers maternal mortality and the impacts of structural racism on community health. In 2020 she was awarded the 25th Annual Heinz Award in Public Policy.
Michelle van Ryn is an American health researcher who is the Grace Phelps Distinguished Professor at the Oregon Health & Science University. Her research considers the social determinants of health and equity in healthcare. She demonstrated that physicians' perceptions of patients was impacted by their socio-demographic status. She is the founder of Diversity Sciences, a consultancy company who provide evidence-based training for organizations looking to eliminate bias.
