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Research Article

Denied access: COVID-19, the epidermal border and Black health disparities

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Pages 127-133 | Received 30 Mar 2022, Accepted 04 Apr 2022, Published online: 30 May 2022
 

ABSTRACT

Public health research establishes clear links between race and health and identifies racism as a social determinant of health; however, little critical attention focuses on how public health discourses reproduce bordering mechanisms that reify Black health disparities. Centering the COVID-19 pandemic to explore how border logics reproduce such inequities, we introduce the “epidermal border” as an innovative and emancipatory framework for studying intersections of race and public health, drawing focus on the dermis (or skin) as our entry point of inquiry. This essay offers important insights into the theoretical and methodological development of more equitable public health interventions and practices.

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes

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10 Laura Pulido, “Flint, Environmental Racism, and Racial Capitalism,” Capitalism Nature Socialism 27, no. 3 (2016): 1–16.

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14 Kalemba Kizito, “Borders as Documents of Violence: Colonial Cartography and the Epidermal Border” (PhD diss., University of Memphis, 2019). ProQuest Dissertations & Theses Global (27547296).

15 Camara Phyllis Jones, “Levels of Racism: A Theoretic Framework and a Gardener’s Tale,” American Journal of Public Health 90, no. 8 (2000): 1212.

16 Kenrik O. Duru, Nina T. Harawa, Dulcie Kermah, and Keith C. Norris, “Allostatic Load Burden and Racial Disparities in Mortality,” Journal of the National Medical Association 104, no. 1–2 (2012): 89–95.; Amani M. Allen and others, “Racial Discrimination, the Superwoman Schema, and Allostatic Load: Exploring an Integrative Stress-Coping Model among African American Women,” Annals of the New York Academy of Sciences 1457, no. 1 (2019): 104–127.

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18 James W. Buehler, “Racial/Ethnic Disparities in the Use of Lethal Force by US Police, 2010–2014,” American Journal of Public Health 107, no. 2 (2017): 295–297.

19 Jason St Mary, Molly Calhoun, Jacqueline Tejada, and Jeffrey M. Jenson, “Perceptions of Academic Achievement and Educational Opportunities among Black and African American Youth.” Child and Adolescent Social Work Journal 35, no. 5 (2018): 499–509.

20 Lilliann Paine and others, “Declaring Racism a Public Health Crisis in the United States: Cure, Poison, or Both?” Frontiers in public health 9 (2021): 606.

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22 M. J. Delvecchio Good, Cara James, Byron J. Good, and Anne E. Becker, “The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare,” The Blackwell Companion to Social Inequalities (2005): 396–423.; Katherine E. Ridley-Merriweather, Krista Hoffmann-Longtin, and Raiven K. Owusu, “Exploring How the Terms “Black” and “African American” May Shape Health Communication Research,” Health communication (2021): 1–7.

23 Nevert Badreldin, William A. Grobman, and Lynn M. Yee, “Racial Disparities in Postpartum Pain Management,” Obstetrics and Gynecology 134, no. 6 (2019): 1147.

24 Alison Conrad and Jennifer Zuckerman, “Identifying and Countering White Supremacy Culture in Food Systems,” Durham: Duke Sanford World Food Policy Center (2020).

25 Rashawn Ray, “Black People Don’t Exercise in my Neighborhood: Perceived Racial Composition and Leisure-Time Physical Activity among Middle Class Blacks and Whites,” Social Science Research 66 (2017): 42–57.

26 Lonnie R. Snowden, “Health and Mental Health Policies’ Role in Better Understanding and Closing African American–White American Disparities in Treatment Access and Quality of Care,” American Psychologist 67, no. 7 (2012): 524.

27 Ziad Obermeyer, Brian Powers, Christine Vogeli, and Sendhil Mullainathan, “Dissecting Racial Bias in an Algorithm Used to Manage the Health of Populations,” Science 366, no. 6464 (2019): 447–453.

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