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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 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.
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A 2013 study suggests similar links between proximal stressors and physical health disparities in LGBTQ+ communities, including cardiovascular disease, asthma, diabetes, and some cancers. [80] More recently, gender dysphoria has been suggested to represent a proximal minority stressor.
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."
The COVID-19 pandemic has had an unequal impact on different racial and ethnic groups in the United States, resulting in new disparities of health outcomes as well as exacerbating existing health and economic disparities. The pandemic struck the United States in March 2020, causing almost 2 million known cases by June 1, 2020. [1]
But a crucial Supreme Court ruling in 2012 granted states the power to reject the Medicaid expansion, entrenching a two-tiered health care system in America, where the uninsured rate remains disproportionately high in mainly Republican-led Southern and Southwestern states.
Because mental health inequality is largely due to disparities in health insurance, ways to improve mental health equity must come from changes in healthcare policies. Much of mental health disparity comes from a lack of access to healthcare in low socioeconomic communities and, often, underprivileged minorities.