By Shameka Poetry Thomas, Ph.D.
NIH Intramural Research Program
Health Disparities Unit
Social and Behavioral Research Branch
National Human Genome Research Institute
Dr. Shameka Poetry Thomas
My grandmother was a traditional healer and a medicine-woman in Georgia’s rural South. Although I grew up in Miami’s Opa-Locka (a small urban neighborhood tucked between Miami-Gardens and the cusp of Hialeah / Little Havana), I spent most summers near middle Georgia’s farmland, listening to my grandmother. I observed how grandmother, who did not have a Ph.D., gathered Black women in circles. She described the process of listening to Black women’s pregnancies, births, and wellness experiences as “chitchatting and holding space.”
Learning how to ‘hold space’ is what draws me to narrative medicine. My first dose of learning how to conduct narrative medicine, I suppose, came from my grandmother. This methodology (before I knew it was such) was simply understood as the process of sitting in kitchens and beauty salons in the South—just listening. During childhood, I was merely curious about how Black women described their pregnancies, births, and reproductive health—from their side of the story. Thus, when it came to reproductive health, my grandmother taught me a powerful tool: how to “hold space” for people’s narratives. Continue reading “Storytelling Through Narrative Medicine: Measuring the Lived-Experiences of Black Women’s Reproductive Health”
July Is the Best Month to Start a
New Year of Working on Mental Health
Harold W. Neighbors, Ph.D.
Division of Intramural Research
National Institute on Minority Health and Health Disparities
Dr. Harold W. Neighbors
When I started graduate school in the mid-1970s, I had just one seemingly simple research question. I wanted to know: “Who had the higher rate of mental illness, Black or White Americans?” I remember the puzzled looks from fellow students, as most of them already knew the answer – “Blacks of course!” Their reasoning made good sense – life was harder for Blacks in the United States, and a life spent fighting against racial discrimination can lead to emotional damage.
So, I began my investigation, uncovering layer after layer of complexity surrounding what I thought was a simple question. My motivations were both professional and personal. Personally, like many families, Black and White, mine had revealed a few semi-private stories about “bad nerves” (the preferred language of emotional distress used to describe mental health problems) that were offered for consumption in the smallest of morsels. And even though my curiosity was never quite satisfied, I instinctively knew not to push for too many details. Professionally, there was my first “big” assignment as a graduate research assistant on a new, innovative study, the “National Survey of Black Americans”1. I wrote my dissertation on one aspect of the subject: help-seeking behavior for mental health problems, using data from the National Survey of Black Americans. My dissertation research told me that Black Americans need to stop, look, listen, and most importantly, tell the truth about our feelings. The key to sound mental health is what people of color decide to do about profound sadness, feelings of helplessness resulting from attacks on our self-esteem, and hopelessness due to unjust institutional impediments that erode aspirations for achieving one’s best life2. My investigation revealed that when feelings become unbearably painful, they are symptoms. Once you are symptomatic, you need to get help. It is just that simple; and difficult; and complicated. Continue reading “National Minority Mental Health Awareness Month Blog Series”
This is part of a series of guest NIMHD Insights blog posts where NIH Institute and Center Directors highlight initiatives, resources and funding opportunities relevant to minority health and health disparities research, and training at their Institutes. The goal of this guest blog series is to link NIMHD stakeholders to minority health and health disparities-related information and opportunities across NIH.
This post is from the director of the Office of Research on Women’s Health (ORWH) ORWH is part of the Office of the Director of NIH, and works in partnership with the 27 NIH Institutes and Centers to ensure that women’s health research is part of the scientific framework at the NIH—and throughout the scientific community.
By Janine Austin Clayton, M.D.
Associate Director for Research on Women’s Health
Director, Office of Research on Women’s Health
Dr. Janine Austin Clayton
The Office of Research on Women’s Health (ORWH), on behalf of NIH, led the development and publication of The Trans-NIH Strategic Plan for Women’s Health Research, outlining NIH’s goals for advancing science for the health of women over the next 5 years. One of three guiding principles of the Strategic Plan posits that the influences on the health of women include—in addition to sex and age—race, ethnicity, socioeconomic status, education, geographic location, disability status, and other factors. Rigorous scientific research that accounts for these influences can help us understand and address the health concerns of all populations of women, particularly women from minority populations that bear a disproportionate burden of illness.
Continue reading “Guest Blog Post: Reducing Health Disparities to Improve the Health of All Women”
By Lenora Johnson, Dr.P.H., M.P.H.
Director of the Office of Science Policy, Engagement, Education and Communications
National Heart, Lung, and Blood Institute
Heart disease is the number one cause of death in the United States for both men and women. Sadly, one in four people die of it each year. Yet, despite progress in reducing these rates overall, the disease continues to impact communities of color in a disproportionate and troubling way.
African Americans, Hispanics, American Indians, and Alaska Natives all experience higher rates of both heart disease and its associated conditions—diabetes, hypertension, and obesity. Disturbingly, within these already hard-hit populations, women often bear an even greater burden. African American women, for example, have higher rates of heart disease and are more likely to die of it than White women. Continue reading “Learn How to Protect Your Heart for American Heart Month”
By Regina Smith James, M.D.
Director, Clinical and Health Services Research
National Institute on Minority Health and Health Disparities
Dr. Regina Smith James
Some say the best things in life are free…but are they really? Well, when it comes to providing our babies with the best nutrition ever, breastfeeding is not only economical, but it has positive health effects for both baby and mom. Did you know that breast milk is uniquely suited to your baby’s nutritional needs, with immunologic and anti-inflammatory properties? Yes, it’s true! And the American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months, with gradual introduction of solid foods after 6 months while continuing to breastfeed up to 1 year.
What are some of the health benefits of breastfeeding? Breast milk not only offers a nutritionally balanced meal, but some studies suggest that breastfeeding may even reduce the risk for certain allergic diseases, asthma, and obesity in your baby, as well as type 2 diabetes in moms. Also, breastfeeding creates a close bond between mother and child. And from a financial standpoint, breastfeeding is economical. The United States Breastfeeding Committee noted that families who followed optimal breastfeeding practices could save approximately $1,500 that would have gone toward infant formula in the first year alone. Imagine what you could do with those extra dollars!
Continue reading “Breastfeeding Disparities in African American Women”