Medicine, structural racism, and systems.
Law
Medicine
Obesity
Public health
Racism
Social determinants
Systems
Journal
Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
06
11
2021
revised:
14
02
2022
accepted:
22
02
2022
pubmed:
15
3
2022
medline:
1
4
2022
entrez:
14
3
2022
Statut:
ppublish
Résumé
Medicine is having a reckoning with systemic racism. While some continue to believe medicine is apolitical and grounded purely in science, history and research reveal that medicine is inseparable from underlying systems, laws, and policies. Obesity is a useful case study. Weight loss trials have shown the immense difficulty in achieving and sustaining weight loss without addressing overlying systems. Barriers are double for Black, Indigenous, and People of Color (BIPOC) with obesity, who must contend with multiple layers of oppressive systems. Increasingly, illness is not a matter of bad luck, but is a function of oppressive structures. COVID-19 likely originates in a deteriorating environment, we have an increasing global burden of disease from oppressive sales of food, sugar, alcohol, guns, nicotine, and other harmful products, and social inequality and resource hoarding are at a peak. Medicine can and must participate in redefining these systems. In doing so, it must center the experiences of BIPOC and push change that alleviates power disparities.
Identifiants
pubmed: 35282989
pii: S0277-9536(22)00162-9
doi: 10.1016/j.socscimed.2022.114856
pmc: PMC9124607
mid: NIHMS1804625
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
114856Subventions
Organisme : NIDDK NIH HHS
ID : P30 DK040561
Pays : United States
Informations de copyright
Copyright © 2022 Elsevier Ltd. All rights reserved.
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