Equity of African American Men in Headache in the United States: A Perspective From African American Headache Medicine Specialists (Part 2).
African American men
headache medicine
health care disparities
implicit bias
migraine
underrepresented populations
Journal
Headache
ISSN: 1526-4610
Titre abrégé: Headache
Pays: United States
ID NLM: 2985091R
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
18
08
2020
revised:
09
10
2020
accepted:
09
10
2020
pubmed:
4
11
2020
medline:
16
11
2021
entrez:
3
11
2020
Statut:
ppublish
Résumé
In part 1 of this opinion piece, we described inherent and potential challenges of the equity of African American (AA) men in headache medicine including headache disparities, mistrust, understudied/lack of representation in research, cultural differences, implicit/explicit bias, and the diversity tax. We shared personal experiences related to headache medicine likely faced due to the color of our skin. In part 2, we offer possible solutions to achieve equity for AA men in headache including: (1) addressing head and facial pain disparities and mistrust in AA men; (2) professionalism and inclusion; (3) organizational/departmental leadership buy-in for racial diversity; (4) implicit/explicit and other bias training; (5) diversity panels with open discussion; (6) addressing diversity tax; (7) senior mentorship; (8) increased opportunities for noteworthy and important roles; (9) forming and building alliances and partnerships; (10) diversity leadership training programs; (11) headache awareness, education, and literacy with a focus to underrepresented in medicine trainees and institutions; and (12) focused and supported the recruitment of AA men into headache medicine.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2486-2494Informations de copyright
© 2020 American Headache Society.
Références
Shavers VL, Bakos A, Sheppard VB. Race, ethnicity, and pain among the U.S. adult population. J Health Care Poor Underserved. 2010;21:177-220.
IPRC Committee. National Pain Strategy: A Comprehensive Population Health-Level Strategy for Pain 2015. Available at: https://www.iprcc.nih.gov/sites/default/files/HHSNational_Pain_Strategy_508C.pdf. Accessed June 7, 2020.
Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: Institute of Medicine; 2003.
Fetters MD, Curry LA, Creswell JW. Achieving integration in mixed methods designs-principles and practices. Health Serv Res. 2013;48:2134-2156.
Creswell JW, Klassen AC, Plano Clark VL, Smith KC. Best Practices for Mixed Methods Research in the Health Sciences. Bethesda, MD: National Institutes of Health; 2018.
Charleston L. Cross-cultural headache care within the United States: Speaking the unspoken. Headache. 2020;60:1832-1836.
Castillo L. Diversity in Medical Education: Facts & Figures 2012. Association of American Medical Colleges, Diversity Policy and Programs; 2012.
Epps CH Jr. Perspectives from the historic African American medical institutions. Clin Orthop Relat Res. 1999;362:95-101.
Alsan M, Garrick O, Graziani GC, et al. Does Diversity Matter for Health? Experimental Evidence from Oakland. Cambridge, MA: National Bureau of Economic Research; 2018.
Fallik D. Professionalism: Tackling diversity in neurology. Neurol Today. 2018;18:1-24.
Bank AM, Saadi A, McKee KE, et al. Opinion and special articles: Creation of a diversity and inclusion certificate program for neurology residents. Neurology. 2017;89:e146-e148.
Hofstra B, Kulkarni VV, Munoz-Najar Galvez S, et al. The diversity-innovation paradox in science. Proc Natl Acad Sci U S A. 2020;117:9284-9291.
Ginther DK, Schaffer WT, Schnell J, et al. Race, ethnicity, and NIH research awards. Science. 2011;333:1015-1019.
Hunt V, Layton D, Prince S. Diversity Matters. New York: McKinsey & Company; 2015. Available at: https://www.mckinsey.com/business-functions/organization/our-insights/why-diversity-matters2020.
Hunt V, Prince S, Dixon-Fyle S, Yee L. Delivering Through Diversity. New York: McKinsey & Company; 2018.
Rock D, Grant H. Why diverse teams are smarter. Harv Bus Rev. 2016;4:2-5.
Phillips KW. How diversity works. Sci Am. 2014;311:42-47.
Herrin J, Harris KG, Spatz E, et al. Hospital leadership diversity and strategies to advance health equity. Jt Comm J Qual Patient Saf. 2018;44:545-551.
Maina IW, Belton TD, Ginzberg S, et al. A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test. Soc Sci Med. 2018;199:219-229.
Banks RR, Ford RT. (How) does unconscious bias matter: Law, politics, and racial inequality. Emory Law J. 2009;58:1058-1122.
Burns MD, Monteith MJ, Parker LR. Training away bias: The differential effects of counterstereotype training and self-regulation on stereotype activation and application. J Exp Soc Psychol. 2017;73:97-110.
FitzGerald C, Martin A, Berner D, et al. Interventions designed to reduce implicit prejudices and implicit stereotypes in real world contexts: A systematic review. BMC Psychol. 2019;7:29.
Gonzalez CM, Deno ML, Kintzer E, et al. Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development. Patient Educ Couns. 2018;101:1669-1675.
Clabby JF. Enter as an outsider: Teaching organizational humility. Int J Psychiatry Med. 2017;52:219-227.
Smith DG. Building institutional capacity for diversity and inclusion in academic medicine. Acad Med. 2012;87:1511-1515.
Henry-Noel N, Bishop M, Gwede CK, et al. Mentorship in medicine and other health professions. J Cancer Educ. 2019;34:629-637.
Abernethy AD. A mentoring program for underrepresented minority students at the University of Rochester School of Medicine. Acad Med. 1999;74:356-359.
Diversity Leadership Program. American Academy of Neurology. Available at: https://www.aan.com/conferences-community/leadership-programs/diversity/. Accessed June 7, 2020.
Leadership Development. Association of American Medical Colleges; 2018. Available at: https://www.aamc.org/professional-development/leadership-development. Accessed June 7, 2020.
World Health Organization. Atlas of Headache Disorders and Resources in the WORLD 2011. Geneva: World Health Organisation; 2011.
Charleston LT, Heisler M. Headache literacy - A definition and theory to help improve patient outcomes of diverse populations and ameliorate headache and headache care disparities. Headache. 2016;56:1522-1526.
Chervin C, Clift J, Woods L, et al. Health literacy in adult education: A natural partnership for health equity. Health Promot Pract. 2012;13:738-746.
National Academies of Sciences, Engineering, and Medicine. An American Crisis: The Growing Absence of Black Men in Medicine and Science: Proceedings of a Joint Workshop. Washington, DC: National Academies Press; 2018.