Structural Racism: A 60-Year-Old Black Woman with Breast Cancer


Read our contribution to the New England Journal of Medicine‘s “Case Studies in Social Medicine” series. Many hospitals in Chicago’s largely black neighborhoods lack an American College of Surgeons Commission on Cancer Center designation. This designation provides a quality framework to guide cancer care. Of the 12 Chicago hospitals with this designation, only 2 are … Continue reading Structural Racism: A 60-Year-Old Black Woman with Breast Cancer

Association of community-level inequities and premature mortality: Chicago, 2011–2015


Substantial disparities in life expectancy exist between Chicago’s 77 defined community areas, ranging from approximately 69 to 85 years. Prior work in New York City and Boston has shown that community level racial and economic segregation as measured by the Index of Concentration at the Extremes (ICE) is strongly related to premature mortality. This novel … Continue reading Association of community-level inequities and premature mortality: Chicago, 2011–2015

“As Natural as the Air Around Us”: On the Origin and Development of the Concept of Structural Violence in Health Research


This article examines the concept of “structural violence.” Originating in the work of Johan Galtung in 1969 and popularized by Paul Farmer, structural violence is increasingly invoked in health literature. It is a complex concept – rich in its explanatory potential but vague in its operational definition and arguably limited in its theoretical precision. Its … Continue reading “As Natural as the Air Around Us”: On the Origin and Development of the Concept of Structural Violence in Health Research

Racial/ethnic minority segregation and low birth weight in five North American cities


Comparisons of communities across cities are rare in social epidemiology. Our prior work exploring racial/ethnic segregation and the prevalence of low birth weight (LBW) in communities from two large urban cities showed a strong relationship in Chicago and a very weak relationship in Toronto. This study extends that work by examining the association between racial/ … Continue reading Racial/ethnic minority segregation and low birth weight in five North American cities

Integrating Principles of Positive Minority Youth Development with Health Promotion to Empower the Immigrant Community: A Case Study in Chicago


Growing vulnerabilities among immigrant families are further complicated by the context of US health care. This article discusses the critical need for health promotion initiatives that integrate principles of positive minority youth development. Mixed methods, including a CBPR (community-based participatory research) approach, are used to highlight narratives of immigrant youth who have participated in a … Continue reading Integrating Principles of Positive Minority Youth Development with Health Promotion to Empower the Immigrant Community: A Case Study in Chicago