This book is specifically about race and well-being (and health) in
Canada from the perspective of African Canadians (Caribbean, immigrant
African and Canadian Black).  It's based around data from a research
project the authors undertook and offers a more sociological
perspective:

Race and Well-Being:
The Lives, Hopes and Activism of African Canadians
Akua Benjamin, David Este, Carl James, Bethan Lloyd, Wanda Thomas
Bernard, Tana Turner

See here: http://bit.ly/dmmGgk



Ketan Shankardass, PhD

-
Assistant Professor
Department of Psychology
Wilfred Laurier University
-
Associate Scientist
Centre for Research on Inner City Health
in the Keenan Research Centre
of the Li Ka Shing Knowledge Institute
of St. Michael’s Hospital

On Mon, Aug 29, 2011 at 5:24 PM, Goldberg, Daniel <[log in to unmask]> wrote:
> I’m not sure how one would draw a neat distinction between mental and
> physical health, but to the best of my knowledge the literature documenting
> a robust relationship between racism and health uses many of the standard
> and accepted epidemiologic criteria for ‘objective’ health (i.e., excess or
> premature death, increased prevalence and incidence, etc.)
>
>
>
> A number of causal mechanisms have been offered to explain the relationship,
> but the most obvious builds on the allostatic load hypothesis, which
> generally posits that the persistent experience of significant life stress
> causes an accumulation of stress hormones that is inversely correlated with
> all manner of morbidities and mortalities.  The literature on this is
> robust, and is a critical confounder to the facile and stigmatizing
> meta-narrative which attributes the burdens of poor health that racial and
> ethnic minorities experience all over the world to “lifestyle factors.”
>
>
>
> Daniel S. Goldberg, J.D., Ph.D
>
> Assistant Professor
>
> Department of Bioethics & Interdisciplinary Studies
>
> Brody School of Medicine
>
> East Carolina University
>
> 600 Moye Blvd, Mailstop 641
>
> Greenville, N.C. 27834
>
> [log in to unmask]
>
> http://www.ecu.edu/cs-dhs/medhum/goldberg.cfm
>
> _______________
>
> Tel:  252.744.5699
>
> Fax: 252.744.2319
>
>
>
>
>
>
>
> From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Ivy
> Shiue
> Sent: Monday, August 29, 2011 4:54 PM
>
> To: [log in to unmask]
> Subject: Re: [SDOH] Article: Lower Socioeconomic Status Linked With Heart
> Disease Despite Improvements in Other Risk Factors
>
>
>
> This is an interesting point, Marcia… you mentioned the racism effect on
> health could be significant and can't be easily modified. Im wondering in
> which way their health was affected… can you be more specific? Mental and/or
> physical? How did you define the racism in those groups? I also wonder, will
> that be the main contributor to self-rated health, a strong predictor for
> CVD as well? Then we will need to pay more attention to this… on the other
> hand, I agree it's not easy to ''correct'' racism and how can we still do
> something in the general/social education? Any idea? :-)
>
>
>
> Thanks,
>
> Ivy
>
>
>
>
>
>
>
> On Aug 29, 2011, at 10:09 PM, Anderson, Marcia (HEALTH) wrote:
>
> One must also consider who is more likely to be concentrated in lower
> socioeconomic groups: Indigenous peoples and other people of color. I’ve
> been recently reviewing the literature and the greatest inequities in CVD is
> among younger (under 55 years) Indigenous women as compared to the general
> population- even when controlling for other demographic variables and
> co-morbid conditions. There is an established and growing body of literature
> that racism impacts health, and as far as I’m aware no evidence that statins
> can modify that effect. Further, there is plenty of evidence that the
> majority of people are currently not being treated to appropriate targets
> for cholesterol, so I’m not sure how what appears to be an unfounded comment
> on lipid control can gain the status of a clinical recommendation.
>
>
>
> This is another example of needing to address a concrete problem (Inequities
> in CVD) within the complex systems they occur in, rather than falling into
> the temptation of reducing it to the need for  a simplified biomedical
> approach.
>
>
>
> Marcia Anderson DeCoteau, MD MPH FRCPC
>
> Acting Medical Lead, Population Health Promotion Unit
>
> 715 Buhler Research Centre
>
> 727 McDermot Avenue
>
> Winnniepg MB
>
> R3E 3P5
>
> Phone: 204-789-3383
>
> Cell: 204-805-2897
>
> Fax: 204-975-7783
>
>
>
> From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf
> Of Patricia Hajdu
> Sent: August-29-11 1:45 PM
> To: [log in to unmask]
> Subject: Re: [SDOH] Article: Lower Socioeconomic Status Linked With Heart
> Disease Despite Improvements in Other Risk Factors
>
>
>
> Or more likely
>
>
>
> low SES leads to stressful childhoods, poor access to healthy food, poorer
> educational outcomes and employment opportunities, little or no health care
> coverage except for the basics, substandard housing contributing to all of
> the above.
>
>
>
> Lack of awareness seems to be a favourite choice to explain these outcomes.
> The word 'lifestyle' implies choice. This makes it easier for us to 'blame
> the individual' rather than seek solutions for extreme inequities that make
> 'choices' non-existent.
>
>
>
> Patty
>
> -----Original Message-----
> From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Ivy
> Shiue
> Sent: Monday, August 29, 2011 2:00 PM
> To: [log in to unmask]
> Subject: Re: Article: Lower Socioeconomic Status Linked With Heart Disease
> Despite Improvements in Other Risk Factors
>
> I also wonder the difference in health perception cross SES groups. Say, the
> pathway may be like this: low SES leads to lack of health awareness and then
> the improper healthy lifestyle. Eventually, those ''risk factors'' result in
> disease. so, has anyone (carefully) looked into this?
>
>
>
> Ivy
>
>
>
>
>
>
>
> On Aug 29, 2011, at 7:00 PM, Maria Ines Azambuja wrote:
>
>
> Atention to the final recomendation:
>
>
>
> "Doctors could, for instance, moderately increase the dosage of
> cholesterol-lowering drugs to reflect the higher risk imposed by
> socioeconomic status," said Franks, whose research focuses on addressing
> health-care disparities. "Changes like this would be easy to implement, and
> the benefits could be significant."
>
>
> !!!!!!
>
>
>
> Maria Inês Azambuja
>
> 2011/8/29 Kalda, Robyn <[log in to unmask]>
>
> No surprise to anyone on this list I imagine, but more evidence:
>
> Lower Socioeconomic Status Linked With Heart Disease Despite
> Improvements in Other Risk Factors
>
> "... the outcomes also show that this risk persists even with long-term
> progress in addressing traditional risk factors such as smoking, high
> blood pressure and elevated cholesterol."
>
> http://www.sciencedaily.com/releases/2011/08/110826192040.htm
>
>
> Robyn Kalda
> Health Promotion Information Specialist
> [log in to unmask]
>
> To leave, manage or join
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>
>
> --
>
> Prof. Adjunta
>
> Departamento de Medicina Social
>
> Faculdade de Medicina da
>
> Universidade Federal do Rio Grande do Sul
>
>
>
> Rua Ramiro Barcelos, 2600, 4/420
>
> 90035-003, Porto Alegre, RS
>
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