Four elephants in the room: A reflective analysis of the wailing rage displayed by Baltimore youth after Freddie Gray’s death

ABSTRACT

Eliminating health disparities is our ethical and generational responsibility to protect and promote the health of all Americans. However, we cannot effectively eliminate health disparities in the United States unless we acknowledge and confront the three social culprits that threaten the elimination of health disparities: poverty, racism, and inequities. When addressing communal health, a multigenerational intentionality approach is needed to combat determinants of health. Retrospectively, we used the 2015 wailing rage demonstrated by youth in Baltimore City after the death of Freddie Gray Jr. to introduce our Multigenerational Intentionality to Communal Health conceptual framework. The conceptual framework directs any determinants of health process (i.e. planning, policy, programming, practice, etc.), to decisively utilize the looking backward-thinking forward method to explore the intersectionality of how generational determinants of health (e.g. poverty, racism, disparities and inequities) threaten communal health.

KEYWORDS:

• Communal health
• familial determinants
• generational determinants
• multigenerational intentionality
• relative deprivation
• social determinants