Addressing Structural Racism, Bias, and Health Communication as Foundational Drivers of Obesity Proceedings of a Workshop Series (2022) / Chapter Skim
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2 An Introduction to the Intersection of Structural Racism, Biased Mental Models, Stigma, Weight Bias, and Effective Health Communication with Obesity Solutions
2 An Introduction to the Intersection of Structural Racism, Biased Mental Models, Stigma, Weight Bias, and Effective Health Communication with Obesity Solutions
Pages 7-14
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From page 7... ...
unfairly advantages other in dividuals and communities, and (3) saps the strength of the whole society through the waste of human resources." Nam ing racism recognizes that a dual or multifaceted reality exists for the affected individuals and communities, and empowers and equips others to take action toward achieving a system in which all people can know and develop to their full potential.
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From page 8... ...
workshop began with an introductory session that provided a foundation for the workshop series. Camara Phyllis Jones, senior fellow at the Satcher Health Leadership Institute and Cardiovascular Research Institute and adjunct associate professor at Morehouse School of Medicine, presented an allegory for understanding racism, discussed the adoption of a broader perspective for comprehending the obesity epidemic, provided an analogy to illustrate levels of health intervention, and offered a perspective on commonalities between race and weight status and between racism denial and the obesity epidemic.
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From page 9... ...
More people are saying the word "racism," as well as recognizing the terms "structural racism" and "systemic racism." She cautioned against proclaiming these terms but failing to act, thereby slipping back into what she called a staunchly held societal "racism denial." Naming racism is essential but insufficient, and she urged the audience not only to understand that racism is the sign creating a dual or multifaceted reality, but also to recognize that the sign corresponds to a locked door that must be broken down. "If we start acting, we will not forget why we are acting," Jones declared as she concluded her story.
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From page 10... ...
Many axes of inequity operate in society and intersect in individuals and communities, Jones said, giving the examples of ethnicity, Indigenous status, and colonial history; weight status; labor roles and social class markers; nationality, language, and immigration status; sexual orientation, gender identity, and gender expression; disability status; geography; age; religion; and incarceration history. These axes are risk markers for how opportunity is structured and value is assigned, she claimed, and some are also risk factors in the progression to poor health (Jones, 2014)
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From page 11... ...
A fourth support strategy, she suggested, would be to move the population away from the cliff's edge. Jones likened the ambulance to acute medical care and tertiary prevention, the net and trampoline to safety net programs and secondary prevention, the fence to primary prevention, and shifting the population away from the edge to addressing social determinants of health and the contexts of peoples' lives that push or position them into a high-risk area (Figure 2-1)
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From page 12... ...
SOURCE: Presented by Camara Phyllis Jones, April 8, 2021; Jones et al., 2009. Reprinted with permission of Johns Hopkins University Press.
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From page 13... ...
If this dimension is the only focus, she cautioned, even a universal health care system may be overwhelmed by the need to serve everyone. Jones urged moving into a second dimension of health intervention -- addressing such social determinants of health as adverse neighborhood conditions and poverty -- to move people away from the cliff's edge.
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From page 14... ...
She stressed that achieving health equity requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need. She closed by asserting that health disparities will be eliminated when health equity is achieved.
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