ABSTRACT
Racism shapes the distribution of the social determinants of health (SDoH) along racial lines. Racism determines the environments in which people live, the quality of housing, and access to healthcare. Extensive research shows racism in its various forms negatively impacts health status, yet few studies and interventions seriously interrogate the role of racism in impacting health. The C2DREAM framework illuminates how exposure to racism, in multiple forms, connects to cardiovascular disease, hypertension, and obesity. The goal of the C2DREAM framework is to guide researchers to critically think about and measure the role of racism across its many levels of influence to better elucidate the ways it contributes to persistent health inequities. The conceptual framework highlights the interconnectedness between forms of racism, SDoH, and the lifecourse to provide a greater context to individual health outcomes. Utilizing this framework and critically contending with the effects of racism in its multiple and cumulative forms will lead to better research and interventions.
ABSTRACT
Since the onset of the COVID-19 pandemic, the shortcomings and neglected weaknesses of public health systems have risen to the surface, emphasizing the need for new approaches to designing and delivering public health training. Higher education institutions have a critical role in advocating for societal change and sufficiently prepare the next generations of public health. Therefore, this commentary shares the unique voices of current and recently completed graduate students from public health programs across the United States in identifying areas of improvement, so that proactive steps toward refining the current landscape of public health education and training may be taken. We speak upon the inaction and accountability of public health academic spaces in dismantling the various forms of systemic oppression, such as racism, colonialism, and epistemic injustice, while encouraging prospective and current graduate colleagues to be mindful and curious to re-imagine the role of such pedagogies of public health to reduce the progressing health inequities.