Jedi public health: Co-creating an identity-safe culture to promote health equity

© 2016 The Authors. The extent to which socially-assigned and culturally mediated social identity affects health depends on contingencies of social identity that vary across and within populations in day-to-day life. These contingencies are structurally rooted and health damaging inasmuch as they ac...

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Main Authors: Geronimus, Arline T., James, Sherman A., Destin, Mesmin, Graham, Louis F., Hatzenbuehler, Mark L., Murphy, Mary C., Pearson, Jay A., Omari, Amel, Thompson, J. Phillip
Other Authors: Massachusetts Institute of Technology. Department of Urban Studies and Planning
Format: Article
Published: Elsevier 2019
Online Access:http://hdl.handle.net/1721.1/120801
https://orcid.org/0000-0002-7712-6483
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author Geronimus, Arline T.
James, Sherman A.
Destin, Mesmin
Graham, Louis F.
Hatzenbuehler, Mark L.
Murphy, Mary C.
Pearson, Jay A.
Omari, Amel
Thompson, J. Phillip
author2 Massachusetts Institute of Technology. Department of Urban Studies and Planning
author_facet Massachusetts Institute of Technology. Department of Urban Studies and Planning
Geronimus, Arline T.
James, Sherman A.
Destin, Mesmin
Graham, Louis F.
Hatzenbuehler, Mark L.
Murphy, Mary C.
Pearson, Jay A.
Omari, Amel
Thompson, J. Phillip
author_sort Geronimus, Arline T.
collection MIT
description © 2016 The Authors. The extent to which socially-assigned and culturally mediated social identity affects health depends on contingencies of social identity that vary across and within populations in day-to-day life. These contingencies are structurally rooted and health damaging inasmuch as they activate physiological stress responses. They also have adverse effects on cognition and emotion, undermining self-confidence and diminishing academic performance. This impact reduces opportunities for social mobility, while ensuring those who "beat the odds" pay a physical price for their positive efforts. Recent applications of social identity theory toward closing racial, ethnic, and gender academic achievement gaps through changing features of educational settings, rather than individual students, have proved fruitful. We sought to integrate this evidence with growing social epidemiological evidence that structurally-rooted biopsychosocial processes have population health effects. We explicate an emergent framework, Jedi Public Health (JPH). JPH focuses on changing features of settings in everyday life, rather than individuals, to promote population health equity, a high priority, yet, elusive national public health objective. We call for an expansion and, in some ways, a re-orienting of efforts to eliminate population health inequity. Policies and interventions to remove and replace discrediting cues in everyday settings hold promise for disrupting the repeated physiological stress process activation that fuels population health inequities with potentially wide application.
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spelling mit-1721.1/1208012022-09-26T14:49:52Z Jedi public health: Co-creating an identity-safe culture to promote health equity Geronimus, Arline T. James, Sherman A. Destin, Mesmin Graham, Louis F. Hatzenbuehler, Mark L. Murphy, Mary C. Pearson, Jay A. Omari, Amel Thompson, J. Phillip Massachusetts Institute of Technology. Department of Urban Studies and Planning Thompson, J. Phillip © 2016 The Authors. The extent to which socially-assigned and culturally mediated social identity affects health depends on contingencies of social identity that vary across and within populations in day-to-day life. These contingencies are structurally rooted and health damaging inasmuch as they activate physiological stress responses. They also have adverse effects on cognition and emotion, undermining self-confidence and diminishing academic performance. This impact reduces opportunities for social mobility, while ensuring those who "beat the odds" pay a physical price for their positive efforts. Recent applications of social identity theory toward closing racial, ethnic, and gender academic achievement gaps through changing features of educational settings, rather than individual students, have proved fruitful. We sought to integrate this evidence with growing social epidemiological evidence that structurally-rooted biopsychosocial processes have population health effects. We explicate an emergent framework, Jedi Public Health (JPH). JPH focuses on changing features of settings in everyday life, rather than individuals, to promote population health equity, a high priority, yet, elusive national public health objective. We call for an expansion and, in some ways, a re-orienting of efforts to eliminate population health inequity. Policies and interventions to remove and replace discrediting cues in everyday settings hold promise for disrupting the repeated physiological stress process activation that fuels population health inequities with potentially wide application. National Institute on Aging (Grant # R01 AG032632) National Institute on Aging (Grant # T32 AG00221) 2019-03-07T16:11:03Z 2019-03-07T16:11:03Z 2016-12 2016-02 2019-01-23T16:11:56Z Article http://purl.org/eprint/type/JournalArticle 23528273 http://hdl.handle.net/1721.1/120801 Geronimus, Arline T., Sherman A. James, Mesmin Destin, Louis F. Graham, Mark L. Hatzenbuehler, Mary C. Murphy, Jay A. Pearson, Amel Omari, and J. Phillip Thompson. “Jedi Public Health: Co-Creating an Identity-Safe Culture to Promote Health Equity.” SSM - Population Health 2 (December 2016): 105–116. https://orcid.org/0000-0002-7712-6483 http://dx.doi.org/10.1016/j.ssmph.2016.02.008 SSM - Population Health Creative Commons Attribution-NonCommercial-NoDerivs License http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Elsevier Elsevier
spellingShingle Geronimus, Arline T.
James, Sherman A.
Destin, Mesmin
Graham, Louis F.
Hatzenbuehler, Mark L.
Murphy, Mary C.
Pearson, Jay A.
Omari, Amel
Thompson, J. Phillip
Jedi public health: Co-creating an identity-safe culture to promote health equity
title Jedi public health: Co-creating an identity-safe culture to promote health equity
title_full Jedi public health: Co-creating an identity-safe culture to promote health equity
title_fullStr Jedi public health: Co-creating an identity-safe culture to promote health equity
title_full_unstemmed Jedi public health: Co-creating an identity-safe culture to promote health equity
title_short Jedi public health: Co-creating an identity-safe culture to promote health equity
title_sort jedi public health co creating an identity safe culture to promote health equity
url http://hdl.handle.net/1721.1/120801
https://orcid.org/0000-0002-7712-6483
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