Please enable JavaScript.
Coggle requires JavaScript to display documents.
mind map 6 - Coggle Diagram
mind map 6
cant buy me whiteness
abstract
i drew a graph to make sense of this but you cannot see it bc it is bad
the tip of the iceberg
that was one of the best and most convincing analogies i have ever read holy shit
intro area
i was lost as to what the titanic had to do with this. i get it now and im also shocked at the relevancy
this is super out there, but im wondering if this applies to plane crashes
it does not.
still don't get why race wasn't in the og study
"slights and omissions " mhm
Cynthia Colen et al. ~2006a! found evidence that upward socioeconomic mobility improved birth outcomes for White women who were poor in early life, but did not improve birth outcomes for upwardly mobile Black women.
this makes it seem like a. Regardless of SES poc will always fair worse than white counterparts, and b. upward mobility is almost meaningless to improving health outcomes?
plus inverse relationship between latinx SES and health
post 9/11 middle eastern women facing higher rates of birth issues
not just because of discrimination but also ethnicity related stressors, causing mothers to have pre and postpartum issues
which is similar to what we talked about with indigenous health, social stressors, historical and intergenerational trauma can all add into health behavior and outcomes, like smoking, addiction, etc.
ITS CALLED CAN'T BUY ME WHITENESS BECAUSE REGARDLESS OF CLASS THERE IS STILL CLEAR HEALTH DISPARATIES
the dynamic quality of race
RACE AS A RELATIONAL CONCEPT HOLY FUCK MY BRAIN WAS JUST EXPLODED. IVE BEEN SEARCHING FOR HOW TO SAY IT BUT WOW THERE IS.
ARLINE IS A GENIUS
a matter of measurement
this brought up the income vs. wealth thing, which as we know white ppl had the chance to build generational wealth
race/ethnicity and health reconsidered
toward a new conceptual framework
resistant sociocultural response
traditional sociocultural orientation
incongruent sociocultural orientation
conclusion
i honestly could not conceptualize any of this, i need some visuals honestly very confused.
like SES+race or SES/race
i need to be able to draw pictures
the picture drawing helped
race and blackness:
conceptual framework: cultural safety
cultural safety is a super interesting new term. very excited to read more about it
ok so it's like an acknowledgement of bias in treatment by healthcare providers?
ok rather than cultural competency which is based in treatment and essentially just being able to treat people of different backgrounds, cultural safety is about recognizing the patients rights and autonomy AND the providers possible position of power. like basically the patient has more influence over care YASSSS HEALTHCARE AUTONOMY
i think i will be doing more readin abt this, in the context of this class it's really interesting
i think about power the context of social movements a lot. my main thought that flows into this is that it should 100% be up to those who have been harmed to decide what needs to be improved. [which is different from the burden of making the change] the same applies in terms of justice and healthcare, it should be up to the person who was harmed to decide how to go forward
this is some what comparable to conversations about privilege and activism. ultimately it is up to marginalized people to decide what changes need to be made, and for those in positions of power and who hold privilege to Follow that lead and use said power and privilege to make changes.
methods
not explicitly stated, by imo making definitions clear is part of methods, which they do a good job of,
introduction
Inequities in health across racial and ethnic groups are driven by the interplay of multilevel factors including structural, systems, and provider factors
yup yup yup. good highlight of the complexity of the issues at hand
the issue of language barriers and communication had me thinking, just hear me out:
this is totally applicable to black americans who speak AAVE not just immigrants. AAVE is literally it's own language [i could talk about this for hours], OMFG,,,,,,,, hence part of code-switching my brain somehow just made that connection
results
historical context: mistrust
im going to coin this the guinea pig effect for the moment
CAN WE TALK ABOUT ANARCHA WESTCOTT FOR A MOMENT.
sooooo many medical advancements and treatments have been tested on black people, either against their will or without their knowledge. the article talks about the Tuskegee experiments, WHICH ENDED IN 1972!!!! THIS IS NOT LONG LOST HISTORY, the last survivor died in 2004!!!
which doesn't add up or maybe it does but in a really fucked up way, because medical textbooks are white centric. from diagrams, to bandaid colors, to saying black people don't feel pain.
in covid times i think it is super important to consider the mistrust POC, specifically black americans have for the medical field. as someone who is fully vaccinated, and has lost family to covid, i think it's really important to, yes get vaxxed and boosted, but also to acknowledge the historical trauma that has probably caused a lot of black people in the US to abstain from the shots.
social determinants
health literacy
ill tell u this. lemme tell u sumptin. NOBODY TEACHES YOU HOW THE HEALTHCARE SYSTEM WORKS AND IT'S FUCKED UP!!!!!!!!!!!! i have been handling all of my medical stuff since i was 17, i have chronic health issues and even after years of operating in the us health system, i still don't fully understand everything. which considering that english is my first language and im white, i cannot image it with added stressors of language barriers and outright racial discrimination
the obstacles can also stack up: race, immigration status, SES, gender, fluency/language, on and on like we are not setting people up for success.
honestly it's like financial literacy which we know is also a big problem, bc who is given quality education that includes how do important stuff
however, i will say it is flawed to assume that increased education will smooth out all the kinks of the US healthcare system, because i guarantee it is meant to be confusing to maximize profit.
Impacts of Cultural and
Language Barriers on Health Literacy
im beefing with the degni citation, because wow reaching. "many african counties".... this study is only about somali women....
nope i read this wrong don't listen to me
THIS ARTICLE CITES MY AUNTIE LAURA!!!!!!!!!!!!!!!!!!!!!!!!!! and my moms writing group co member!!!
i just had this weird realization which is im pretty sure no other accent is as generalized in media as an "african" accent. like in movies and stuff, african accents are mocked and made out to be the same, which is like incredibly dumb considering it is like the most linguistically diverse contient.
https://theestablishment.co/hollywoods-strange-addiction-to-bad-african-accents/index.html
ok so im not insane it really is a thing
structural factors: discrimination
Discrimination has been found to be a significant barrier that also affects African immigrants’ ability to successfully access health care and navigate the health care system (Read & Emerson, 2005; Ryan et al., 2006). African immigrants’ health status on arrival to the United States can be better or worse than those born in the United States, but no matter what their baseline is at arrival, their health worsens over time along with that of succeeding generations (S. Lee et al., 2013).
this quite literally made my jaw drop
the double jeopardy of being both black and an immigrant
abstract
starting strong, defines black as both african americans and african immigrants, including the whole diaspora.
especially because immigrants face different issues with healthcare access than US born people
discussion:
Recommendations for Nurses and Health Care Professionals in Communicating With Members of the Black Community
Our recommendations for nurses and other health care professionals are also informed by a cultural safety framework, which emphasizes the need to address historical as well as contemporary injustices that affect health outcomes for marginalized populations
i think i have been confused and lied to several times. or maybe just need to read more about cultural safety.
Second, intercultural competence trainings should be central to ensure the effective delivery of health care services to minorities and marginalized populations, especially in medical and nursing schools (Gonzales & Bloom-Pojar, 2018). AUNTIE LAURA
ANYWAYS this is a throwback to the part abt the guinea pig effect
im glad that this kinda puts the onus on the healthcare providers to shape up
strenghts, limitations, and conclusion
im sorry i dont know how to spell contient conteint wtf contient it wont autocorrect