Health Status Disparities

The COVID-19 pandemic has shed light on the ongoing pandemic of racial injustice. In the context of these twin pandemics, emergency medicine organizations are declaring that “Racism is a Public Health Crisis.” Accordingly, we are challenging emergency clinicians to respond to this emergency and commit to being antiracist. This courageous journey begins with naming racism and continues with actions addressing the intersection of racism and social determinants of health that result in health inequities.

The Lancet Public Health, Volume 6, September 2021

This Comment supports SDGs 3 and 10 by discussing the UK's reliance on digital technologies during the COVID-19 pandemic. Although a digital-first policy aims to reduce health inequalities, challenges such as low usage of the internet and low uptake of digital COVID-19 technologies among older, minority ethnic groups, could mean that the strategy instead reinforces the unequal effects of COVID-19.
This Comment supports SDGs 3 and 10 by highlighting the need to centre race in the work of the global health community. The authors call on colleagues to meaningully engage with critical race theory, a transdisciplinary intellectual movement to understand and disrupt systemic racism.

The Lancet Global Health, Volume 9, April 2021

This Comment article supports SDGs 3, 10, and 17 by highlighting the need for full inclusivity and representation, and the involvement of a diverse range of stakeholders and voices, in order to successfully design solutions to global health problems and to reform the systems that are exacerbating global health inequities.
Background: The population of older adults (ie, those aged ≥55 years) in England is becoming increasingly ethnically diverse. Previous reports indicate that ethnic inequalities in health exist among older adults, but information is limited by the paucity of data from small minority ethnic groups. This study aimed to analyse inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in England.
This Article supports SDGs 3 and 10 by evaluating ethnic inequalities in health among older adults (55 years or older) in England. The large, cross-sectional study includes more than a million survey respondents, and identifies wide ethnic inequalities in health-related quality of life, prevalence of long-term conditions, experiences of primary care, support from local services, and confidence in managing one's own health. Outcomes varied widely between minority ethnic groups, both in the direction and magnitude of associations.
This study supports SDG 3 and 10 by reporting that Māori and Pacific people with type 2 diabetes have consistently poorer health outcomes than European patients, indicating the need for specific policies and interventions to better manage type 2 diabetes in these subpopulations.