Friday, April 27, 2018

Mental Health Disparaties


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025628/

In addition to the sociological impacts of racism, inequality impacts an individual psychologically. Several posts on the blog have started conversations on mental health awareness, as well as the impact that stress has on people of color. The way the healthcare system currently works furthers inequality and discrimination against people of color. For example, factors aside from genetics led poor, colored people to be more prone to obesity. Fresh, healthy food is often expensive and difficult to find. Memphis’s abysmal transportation system does not provide an easy way for families to secure healthy meals outside of food deserts. Additionally, high levels of stress over time (caused by racial profiling, stress from living on a low income, sleep deprivation, etc.) can cause unhealthy habits, including over eating and excessive drinking. This turns into a vicious cycle, with poor health furthering money troubles, and allowing for fewer opportunities to make better health choices. Being a non-white person, especially those of lower socioeconomic status, has serious negative effects due to the added stress of living in a racist society.

In addition to the inequalities caused by our broken social structures, race impacts mental health. It would be expected that the more stressful life of a colored person would lead to higher rates of mental health disorders linked with stress (such as major depression), but epidemiological studies would disagree. Consistent findings from scientific studies have found that “compared with whites, blacks report similar or, in some cases, lower rates of lifetime mental disorders, even after accounting for the effects of socioeconomic position, despite evidence that blacks report higher levels of psychological distress” (Mezuk, 2010). Implicit biases against black folk from doctors in the heath care system, as well as a larger population of black folk being unable to afford proper healthcare could account for this. When fewer people identify depression in one race demographic, the risk for suicide and poor quality of life.

Interestingly enough, while lower levels of depression reported in black demographics indicate a health care system bias, mental illness is skewed towards minority populations in other ways as well. “African Americans were found to have substantially elevated rates of schizophrenia when compared with Whites.  Furthermore, Blacks with schizophrenia are overrepresented in state psychiatric hospitals” (Mezuk, 2010). Stereotyping schizophrenia as a ‘black’ disease, much like HIV is characterized as a ‘gay’ disease, is harmful to many. Consistently, black patients in mental hospitals are diagnosed as having more severe cases of the disease than their white counterparts. This can lead to harsher/larger drug dosage (and the side effects) and fewer numbers of black patients being able to live a normal life outside of a treatment center. When planning our blueprints for change, it is important to take into account how biases and the way people think about race effects individuals just as much as our societal structures do. To make change, we need to change both policy and minds.

1 comment:

  1. This is what I have been studying in my Race Thinking and Health Disparities course this semester. Black people suffer from so many health disparities because of racism and the toll it takes on our bodies. The differences in quality of care and access to care play a role in affecting black bodies. This definitely needs to be addressed more in the college courses and programs that doctors and nurses take in order for them to be mindful of what is going on in society.

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