An analysis of workforce data reveals disparities in the health care
sector
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Tuesday, February 15, 2022 | The Latest Research, Commentary, And News
From Health Affairs
Dear John,
Register now for the next Health Affairs Journal Club
, happening on February
22, 2022. Michael Sun will discuss his research about racial and ethnic
bias
in the electronic health record.
Structural Racism In The Health Care Sector
The February Health Affairs issue includes several overview papers about
structural racism in the health care sector.
In one paper analyzing US workforce data, Janette Dill and Mignon Duffy
determine that more than one in five Black women
in the labor force and more than one-third of foreign-born Black women
are employed in the health care sector.
Black women overall are heavily concentrated in low-wage jobs in the
long-term care sector and in hospitals, comprising 24.9 percent of
licensed practical nurses and 23.0 percent of the long-term care
workforce.
The authors trace these findings "to the historical legacies of sexism
and racism, dating back to the division of care work in slavery and
domestic service."
Through focus group discussions and interviews of Black women living in
Georgia and North Carolina
,
Terri-Ann Thompson and coauthors noted manifestations of structural and
individual racism in the reproductive health experience of Black women.
With regards to access, utilization, and quality, experiences of racism
were evident across a range of reproductive health services including
abortion, contraception, prenatal care, maternal care, and preventive
care.
Participants in the research reported that they sought out or
recommended a home birth with a midwife and doula instead of delivering
at a hospital to mitigate individual experiences of racism during
birthing.
Read The Full Racism And Health Issue
Elsewhere In Health Affairs
Today in Health Affairs Forefront, Anne Tumlinson calls for a close
examination of current Medicare home-based benefits
:
home health and hospice.
Elevating Voices: Black History Month: In an October 2021 Health Affairs
article, Edward Okeke and coauthors found that the COVID-19 pandemic was
associated with a 22 percent relative increase in stillbirths
in
Nigeria and a 23 percent relative increase in newborn deaths.
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Ruqaiijah Yearby Reviews Structural Racism In US Health Care Policy
Ruqaiijah Yearby from Saint Louis University joins Health Affairs'
Editor-in-Chief Alan Weil to discuss how structural racism is embedded
in US health policy.
Listen Now
Daily Digest
Structural Racism And Black Women's Employment In The US Health Care
Sector
Janette Dill and Mignon Duffy
Racism Runs Through It: Examining The Sexual And Reproductive Health
Experience Of Black Women In The South
Terri-Ann Monique Thompson
What I Learned From My Family's Home Health Experience
Anne Tumlinson
Podcast: Ruqaiijah Yearby Reviews Structural Racism In US Health Care
Policy
Alan Weil and Ruqaiijah Yearby
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About Health Affairs
Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update . Â
Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.
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