Abstract
Preliminary racial data on the coronavirus pandemic indicates that African Americans are much more likely to experience infections, hospitalizations, and death from the virus in comparison to other racial groups. While this appears to be an alarming health outcome regarding African Americans, it is, in fact, not surprising, nor even new information, considering the historical context of racial health disparities and the marginal health of African Americans in the United States. The leading causes of death for African Americans generally and historically reflects the leading causes of death for the entire United States population. More research, and obviously data, is needed to fully understand the factors that cause the overall racial health disparities, in general, and racial disparities in coronavirus cases and deaths, in particular. In the case of the coronavirus pandemic, the racial disparities in deaths reflect racial differences in the way that African Americans live, work, and exist as a result of their ‘second-class citizenship’ with respect to their lower socioeconomic status in comparison to other racial groups. From a health policy perspective, challenges exist to reversing the current trend in coronavirus deaths among African Americans due to a myriad of historic, consistent, and pervasive societally-induced deficits within African American life. The proposed chapter will rely on systematic review of the extant literature on racial health disparities to identify multiple factors that may affect African American deaths due to the current coronavirus pandemic. The chapter will also rely on this framework to inform evidence-based approaches to improve public health for African Americans.
Reference55 articles.
1. LaVeist TA, Wallace JM, Howard DL. The Color Line and the Health of African Americans. Humbolt Journal of Social Relations. 1995 Vol.21:2, pp.119-137
2. DuBois WEB, 1899. The Philadelphia Negro. Millwood, NY: Kraus-Thomson Organization Limited. 1902. Of The Training of Black Men. Atlantic Monthly
3. Swados F. Negro Health on the Antebellum Plantations. Bulletin of History of Medicine. 1941; 10 (3): 460-472
4. Savitt T. The Use of Blacks for Medical Experimentation and Demonstration in the Old South. Journal of Southern History. 1982; 48 (3): 331-348
5. Washington, Harriet A. Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present. New York: Doubleday, 2006