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Ruqaiijah Yearby

Bio: Ruqaiijah Yearby is an academic researcher from Saint Louis University. The author has contributed to research in topics: Health care & Health equity. The author has an hindex of 9, co-authored 30 publications receiving 258 citations. Previous affiliations of Ruqaiijah Yearby include University at Buffalo & Loyola University Chicago.

Papers
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Journal ArticleDOI
TL;DR: In this article, structural racism prevents African Americans from obtaining equal access to resources such as wealth, employment, income, and healthcare, resulting in racial disparities in health, which leads to racial inequalities in access to healthcare and health status.
Abstract: During the Jim Crow era of 1877 to 1954, the federal government sponsored and supported the racially separate and unequal distribution of resources, including, but not limited to, education, housing, employment, and healthcare. On May 14, 1954, the Supreme Court ruled in Brown v. Board of Education that separate and unequal education violated the Constitution because separate is inherently unequal. Many believed that this ruling, the Civil Rights Acts of 1957, 1960, 1964, 1968, and the Voting Rights Act of 1965 would put an end to the unequal treatment of African Americans in the United States. However, inequalities still exist today because the ruling and the laws did not change the structures of the United States. Specifically, structural racism prevents African Americans from obtaining equal access to resources such as wealth, employment, income, and healthcare, resulting in racial disparities in health. Because racial disparities between African Americans and Caucasians are the most studied in the United States, this article will focus exclusively on how structural racism continues and causes racial inequalities between African Americans and Caucasians in wealth, employment, income, and healthcare, which lead to racial disparities in access to healthcare and health status.

157 citations

Journal ArticleDOI
TL;DR: The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities, but this recognition fails to acknowledge the root cause of these racial inequalities: structural racism.
Abstract: The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities. However, this recognition fails to acknowledge the root cause of these racial inequalities: structural racism. As a result, racial health disparities persist.

147 citations

Journal ArticleDOI
TL;DR: Racial and ethnic minorities have always been the most impacted by pandemics because of: disparities in exposure to the virus;disparities in susceptibility.
Abstract: brRacial and ethnic minorities have always been the most impacted by pandemics because of: disparities in exposure to the virus;disparities in susceptibility

78 citations

Journal ArticleDOI
TL;DR: In this article , the authors provide historical context and a detailed account of modern structural racism in health care policy, highlighting its role in providing equitable access to high-quality health care for racial and ethnic minority populations.
Abstract: The COVID-19 pandemic has illuminated and amplified the harsh reality of health inequities experienced by racial and ethnic minority groups in the United States. Members of these groups have disproportionately been infected and died from COVID-19, yet they still lack equitable access to treatment and vaccines. Lack of equitable access to high-quality health care is in large part a result of structural racism in US health care policy, which structures the health care system to advantage the White population and disadvantage racial and ethnic minority populations. This article provides historical context and a detailed account of modern structural racism in health care policy, highlighting its role in health care coverage, financing, and quality.

77 citations

Journal ArticleDOI
TL;DR: How the continued misuse of race in medicine and the identification of Whites as the control group, which reinforces this racial hierarchy, are examples of racism in medicine that harm all us is discussed.
Abstract: The genome between socially constructed racial groups is 99.5%-99.9% identical; the 0.1%-0.5% variation between any two unrelated individuals is greatest between individuals in the same racial group; and there are no identifiable racial genomic clusters. Nevertheless, race continues to be used as a biological reality in health disparities research, medical guidelines, and standards of care reinforcing the notion that racial and ethnic minorities are inferior, while ignoring the health problems of Whites. This article discusses how the continued misuse of race in medicine and the identification of Whites as the control group, which reinforces this racial hierarchy, are examples of racism in medicine that harm all us. To address this problem, race should only be used as a factor in medicine when explicitly connected to racism or to fulfill diversity and inclusion efforts.

52 citations


Cited by
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TL;DR: The redefining health care creating value based competition on results is one book that the authors really recommend you to read, to get more solutions in solving this problem.
Abstract: A solution to get the problem off, have you found it? Really? What kind of solution do you resolve the problem? From what sources? Well, there are so many questions that we utter every day. No matter how you will get the solution, it will mean better. You can take the reference from some books. And the redefining health care creating value based competition on results is one book that we really recommend you to read, to get more solutions in solving this problem.

432 citations

Journal ArticleDOI
20 Feb 1987-JAMA
TL;DR: In 1963, fire claimed more than 60 lives in an Indiana nursing home and the disaster initiated what became persistent congressional investigations of far more than fire safety: attention turned to the nature of nursing facilities, the quality of care, private ownership, public regulation, and methods of payment as mentioned in this paper.
Abstract: In 1963, fire claimed more than 60 lives in an Indiana nursing home. The disaster initiated what became persistent congressional investigations of far more than fire safety: attention turned to the nature of nursing facilities, the quality of care, private ownership, public regulation, and methods of payment. Medicare and Medicaid programs, enacted in 1965, established the safety and performance of nursing homes as federal as well as state responsibilities. Later legislation carried forward the attempt to define the care-giving and residential characteristics of homes-with-nursing, evolving from typically small, mom-and-pop units into larger for-profit facilities grouped in chains. Nonprofit homes with community or religious sponsorship form a minority of the nursing home industry. Few regulatory issues have been more vexatious than the attempt to secure the well-being, care, and safety of the frail residents. Again and again, widespread deficiencies have been found, testifying to regulatory inadequacies and refractory underlying conflicts, some

230 citations

Journal ArticleDOI
TL;DR: In this article, structural racism prevents African Americans from obtaining equal access to resources such as wealth, employment, income, and healthcare, resulting in racial disparities in health, which leads to racial inequalities in access to healthcare and health status.
Abstract: During the Jim Crow era of 1877 to 1954, the federal government sponsored and supported the racially separate and unequal distribution of resources, including, but not limited to, education, housing, employment, and healthcare. On May 14, 1954, the Supreme Court ruled in Brown v. Board of Education that separate and unequal education violated the Constitution because separate is inherently unequal. Many believed that this ruling, the Civil Rights Acts of 1957, 1960, 1964, 1968, and the Voting Rights Act of 1965 would put an end to the unequal treatment of African Americans in the United States. However, inequalities still exist today because the ruling and the laws did not change the structures of the United States. Specifically, structural racism prevents African Americans from obtaining equal access to resources such as wealth, employment, income, and healthcare, resulting in racial disparities in health. Because racial disparities between African Americans and Caucasians are the most studied in the United States, this article will focus exclusively on how structural racism continues and causes racial inequalities between African Americans and Caucasians in wealth, employment, income, and healthcare, which lead to racial disparities in access to healthcare and health status.

157 citations

Journal ArticleDOI
TL;DR: The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities, but this recognition fails to acknowledge the root cause of these racial inequalities: structural racism.
Abstract: The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities. However, this recognition fails to acknowledge the root cause of these racial inequalities: structural racism. As a result, racial health disparities persist.

147 citations

Journal ArticleDOI
TL;DR: In light of the undisputed connection between eviction and health outcomes, eviction prevention is a key component of pandemic control strategies to mitigate COVID-19 spread and death.
Abstract: The COVID-19 pandemic precipitated catastrophic job loss, unprecedented unemployment rates, and severe economic hardship in renter households. As a result, housing precarity and the risk of eviction increased and worsened during the pandemic, especially among people of color and low-income populations. This paper considers the implications of this eviction crisis for health and health inequity, and the need for eviction prevention policies during the pandemic. Eviction and housing displacement are particularly threatening to individual and public health during a pandemic. Eviction is likely to increase COVID-19 infection rates because it results in overcrowded living environments, doubling up, transiency, limited access to healthcare, and a decreased ability to comply with pandemic mitigation strategies (e.g., social distancing, self-quarantine, and hygiene practices). Indeed, recent studies suggest that eviction may increase the spread of COVID-19 and that the absence or lifting of eviction moratoria may be associated with an increased rate of COVID-19 infection and death. Eviction is also a driver of health inequity as historic trends, and recent data demonstrate that people of color are more likely to face eviction and associated comorbidities. Black people have had less confidence in their ability to pay rent and are dying at 2.1 times the rate of non-Hispanic Whites. Indigenous Americans and Hispanic/Latinx people face an infection rate almost 3 times the rate of non-Hispanic whites. Disproportionate rates of both COVID-19 and eviction in communities of color compound negative health effects make eviction prevention a critical intervention to address racial health inequity. In light of the undisputed connection between eviction and health outcomes, eviction prevention, through moratoria and other supportive measures, is a key component of pandemic control strategies to mitigate COVID-19 spread and death.

129 citations