To reduce the impact of a disease like diabetes, public health leaders usually apply a three-part preventive approach of prevention, early detection, and early intervention. But this preventive approach hasn’t been applied to toxic stress. Toxic stress is the body’s response to prolonged trauma─like abuse or discrimination─with no support. It can harm lifelong mental, physical, and behavioral health, especially for Latinos and others of color. Amid COVID-19, civil unrest, and an economic crisis, we need a public health prevention approach to address toxic stress now more than ever. A new roadmap can help. Dr. Nadine Burke Harris’ Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health proposes a ...
The COVID-19 pandemic has highlighted many of the disparities impacting communities of color. Not only has COVID-19 led to a disproportionate number of deaths and severe illness among Latinos, but it has also contributed to financial struggles, homelessness, and students falling behind in school. These disparities are linked with discrimination and impact Latinos throughout their lives, according to a Salud America! research review. But despite the evidence, many Americans don’t see systemic racism as the cause of the inequity. A survey by the RAND Corporation and Robert Wood Johnson Foundation (RWJF) found that only 42% of respondents think that systemic racism is one of the main reasons people of color face health inequities. The majority does not believe or feel neutral ...
Many people think they harbor no bias toward other people. Or they believe they know their biases and don’t act on them. But everyone has implicit bias. Implicit biases are stereotypes that affect our actions and decisions about others, beyond our conscious control. Fortunately, these biases also can be “rewired” toward more compassion for others. Download the free Salud America! Action Pack “Find Out If You Have Implicit Bias and What to Do Next.” This Action Pack will help you see if you have implicit bias, learn from others who have overcome their own implicit bias, and also encourage others to learn about implicit bias, too. GET THE ACTION PACK! Dr. Amelie G. Ramirez, director of Salud America! at UT Health San Antonio, created this Action Pack. With the ...
There is a common health condition with serious medical consequences that has not been nationally recognized by the medical or public health community—toxic stress response. Toxic stress is the body’s response to prolonged trauma─like abuse or discrimination─with no support. It can harm lifelong mental, physical, and behavioral health, especially for Latinos and others of color. But few, if any, clinical treatment guidelines have strategies for mitigating the toxic stress response. That’s why Dr. Nadine Burke Harris’ Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health wants California and others to recognize and respond to toxic stress as a health condition with clinical implications. “We ...
Toxic stress is brought about by repeated stressful and traumatic experiences with no supportive relationships. This is causing huge mental and physical health problems for people across the nation, including Latinos and other people of color. Dr. Nadine Burke Harris even calls toxic stress a public health crisis. This is why she authored the Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health. “We now understand that a key mechanism by which ACEs [adverse childhood experiences, such as divorce, abuse, poverty, etc.] lead to increased health risks is through a health condition called the toxic stress response,” Burke Harris’ roadmap states. Salud America! is exploring this issue as part of its ...
More than 40% of Latino and Black resident physicians experience racial discrimination and bias from the patients they serve, according to a study published in JAMA Network Open. The experiences range from explicit racial epithets to a patient’s refusal of care. And on top of that, most physicians (84%) do not report the incidents to their leadership. “To address the issue of biased patient behavior, interventions are needed at the institutional and interpersonal levels,” according to researchers Shalila de Bourmont, Arun Burra, Sarah Nouri, et al. Racial discrimination and implicit bias must be addressed.
What the JAMA Study Showed about Bias and Discrimination
The study conducted by de Bourmont, Burra, Nouri et al. surveyed 232 internal medicine residents from three ...
Stress can happen for many reasons. Abuse. Discrimination. Poverty. But when the human body’s response to stressful situations is activated too frequently or intensely without supportive relationships, stress becomes more than “just stress.” It becomes “toxic stress.” And toxic stress can harm your brain, body, and behavior, and increase lifelong risk for disease, especially for Latinos and other people of color. Fortunately, we can address and even prevent toxic stress. The new Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health is the nation’s first guide to address toxic stress by cutting a main cause─adverse childhood experiences (ACEs)─in half in a generation. We at Salud ...
Immigration is difficult and often traumatic. People who immigrate to the U.S. often face a dangerous journey only to be met with aggression and xenophobia at the border. It can lead to loss of hope, anxiety, depression, and even suicide. Cheryl Aguilar wants to help families experiencing the trauma of immigration and adjusting to new life in the U.S. Aguilar immigrated from Honduras as a teenager, an experience that helped guide her to give back to immigrant communities. Aguilar is a clinical social worker and founding director and therapist at the Hope Center for Wellness. “As a therapist, one of the things that I do is help individuals, families, and communities heal from whatever distress, trauma, or experiences they might have encountered. I believe in holistic healing, ...
Wendy Mateo-Pascual is passionate about helping Latino immigrants. She understands how difficult it is to move to a new country and adapt to the culture, because she herself is an immigrant from the Dominican Republic. Over the last two decades, Wendy Mateo-Pascual has worked in the Charlotte, N.C., area by leading several organizations and committees all with the goal of promoting equity and strengthening the Latino voice in her community. In October 2020, Mateo-Pascual was awarded the Dogwood Award, a prestigious award presented by North Carolina’s Attorney General to North Carolinians who are “dedicated to keeping people safe, healthy, and happy in their communities.” Much of Mateo-Pascual’s work centers around getting Latinos involved in civics and politics. Even ...
