Racism is an issue of morality. If we strive to believe in the inherent nobility and the equal human value of all persons, regardless of race, gender, class, economic, educational, intellectual or ability status, then our inner thoughts will transform our outer behavior—priorities, professional processes and policies—collectively into what will be reflective of the ideals of equity and justice in all facets of rheumatology.
Mia Taylor Chandler, MD, MPH, is a clinical rheumatology fellow at Boston Children’s Hospital.
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Acknowledgments: Thanks to Candace Feldman, MD, ScD (Brigham and Women’s Hospital, Boston), and Mary Beth Son, MD, MSc (Boston Children’s Hospital), for their reviews and suggested edits.
References
- Nombel A, Fabien N, Coutant F. Dermatomyositis with anti-MDA5 antibodies: Bioclinical features, pathogenesis and emerging therapies. Front Immunol. 2021 Oct 20;12:773352.
- Leydon S. How a long-ago map created racial boundaries that still define Boston. WGBH. 12 Nov 2019. https://www.wgbh.org/news/local-news/2019/11/12/how-a-long-ago-map-created-racial-boundaries-that-still-define-boston.
- Taggart HT, Smith KW. Redlining: An assessment of the evidence of disinvestment in metropolitan Boston. Urban Affairs Rev. 1981 Sep;17(1):91–107.
- Badger E. How redlining’s racist effects lasted for decades. The New York Times. 24 Aug. 2017. https://www.nytimes.com/2017/08/24/upshot/how-redlinings-racist-effects-lasted-for-decades.html.
- Smith E. Racism and the Boston schools crisis. The Black Scholar. 1975 Mar;6(6):37–41.
- Jones JM. Prejudice and racism. New York, N.Y.: McGraw-Hill. 1997.
- Cunningham BA. This, too, is what racism feels like. Health Aff (Millwood). 2020 Nov;39(11):2029–2032.
- Chinn JJ, Martin IK, Redmond N. Health equity among Black women in the United States. J Womens Health (Larchmt). 2021 Feb;30(2):212–219.
- Braveman P. What are health disparities and health equity? We need to be clear. Public Health Rep. 2014 Jan-Feb;129 Suppl 2(Suppl 2):5–8.
- Woolf SH. Progress in achieving health equity requires attention to root causes. Health Aff (Millwood). 2017 Jun;36(6):984–991.
- Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds. Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, D.C.: National Academies Press. 2003.
- Costenbader KH, Desai A, Alarcón GS, et al. Trends in the incidence, demographics, and outcomes of end-stage renal disease due to lupus nephritis in the US from 1995 to 2006. Arthritis Rheum. 2011 Jun;63(6):1681–1688.
- Hersh AO, Case SM, Son MB, CARRA Registry Investigators. Predictors of disability in a childhood-onset systemic lupus erythematosus cohort: Results from the CARRA Legacy Registry. Lupus. 2018 Mar;27(3):494–500.
- Yazdany J, Trupin L, Tonner C, et al. Quality of care in systemic lupus erythematosus: Application of quality measures to understand gaps in care. J Gen Intern Med. 2012 Oct;27(10):1326–1333.
- Yelin E, Yazdany J, Trupin L. Relationship between process of care and a subsequent increase in damage in systemic lupus erythematosus. Arthritis Care Res (Hoboken). 2017 Jun;69(6):927–932.
- Chae DH, Martz CD, Fuller-Rowell TE, et al. Racial discrimination, disease activity, and organ damage: The Black women’s experiences living with lupus (BeWELL) study. Am J Epidemiol. 2019 Aug 1;188(8):1434–1443.
- Kessler RC, Mickelson KD, Williams DR. The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999 Sep;40(3):208–230.
- Substance Abuse and Mental Health Services Administration. Trauma-Informed Care in Behavioral Health Services. Chapter 3, Understanding the impact of trauma. Treatment Improvement Protocol (TIP) Series 57. HHS Publication No. (SMA) 13-4801. Rockville, Md. 2014. https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4816.pdf.
- Comas-Díaz L, Hall GN, Neville HA. Racial trauma: Theory, research, and healing: Introduction to the special issue. Am Psychol. 2019 Jan:74(1):1–5.
- DeGruy J. Post traumatic slave syndrome: America’s legacy of enduring injury and healing. Milwaukie, Ore.: Uptone Press. 2005.
- Horowitz JM, Parker K, Brown A, Cox K. Amid national reckoning, American divided on whether increased focus on race will lead to major policy change. Pew Research Center. 6 Oct 2020. https://www.pewresearch.org/social-trends/2020/10/06/amid-national-reckoning-americans-divided-on-whether-increased-focus-on-race-will-lead-to-major-policy-change/.
- Case SM, Kerr GS, Chandler M, et al. Recognizing racial bias and promoting diversity in the rheumatology workforce. Arthritis Rheumatol. 2022 Sep; 74(9):1459–1463.
- Salsberg E, Richwine C, Westergaard S, et al. Estimation and comparison of current and future racial/ethnic representation in the US health care workforce. JAMA Netw Open. 2021 Mar1;4:e213789.
- Association of American Medical Colleges. Diversity in the physician workforce: Facts & figures 2014. http://www.aamcdiversityfactsandfigures.org.
- Jetty A, Jabbarpour Y, Pollack J, et al. Patient-physician racial concordance associated with improved healthcare use and lower healthcare expenditures in minority populations. J Racial Ethn Health Disparities. 2022 Feb;9(1):68–81. Erratum: J Racial Ethn Health. 2022 Feb;9(1):384.