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Multiethnic studies have yielded significant data demonstrating that weathering—accumulated health risk due to social, economic and environmental stressors—is a manifestation of social stratification that systemically influences disparities in health and mortality between dominant and minority communities. [14]
The psychological impact of discrimination on health refers to the cognitive pathways through which discrimination impacts mental and physical health in members of marginalized, subordinate, and low-status groups (e.g. racial and sexual minorities).
The history of medical racism has created distrust of health professionals and their practices among many people in marginalized racial and ethnic groups. Studies within the last couple decades have elucidated ongoing disparate treatment from health professionals, revealing racial biases.
Minority stress describes high levels of stress faced by members of stigmatized minority groups. [1] It may be caused by a number of factors, including poor social support and low socioeconomic status; well understood causes of minority stress are interpersonal prejudice and discrimination.
NIMHD addresses disparities in minority health in the United States. It defines minority health as "all aspects of health and disease in one or more racial/ethnic minority populations as defined by the Office of Management and Budget, including Blacks/African Americans, Hispanics/Latinos, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders."
This includes: Access to health education, community and social context, access to quality healthcare, food security, neighborhood and physical environment, and economic stability. Up to 80% of a person's health is determined by SDOH, not clinical care and genetics. Health disparities exist in countries around the world.
The National Health Interview Survey indicated that in 1998, 16% of rural adults reported poor health. [67] Poor rural residents have only 21% Medicaid coverage, while poor urban populations report 30% coverage. [67] Demographic and socioeconomic factors vary between rural and urban areas, which contributes to some health disparities. [67]
The Director of the Health Disparities Group, Vence L. Bonham Jr., leads a team that seeks to qualify and better understand the disparities and reduce the gap in access to genetic counseling, inclusion of minority communities in original research, and access to genetic information to improve health.