To mitigate, resist, or undo: addressing structural influences on the health of urban populations.

dc.contributor.authorGeronimus, A T
dc.date.accessioned2019-08-14T15:03:54Z
dc.date.available2019-08-14T15:03:54Z
dc.date.issued2000
dc.description.abstractYoung to middle-aged residents of impoverished urban areas suffer extra-ordinary rates of excess mortality, to which deaths from chronic disease contribute heavily. Understanding of urban health disadvantages and attempts to reverse them will be incomplete if the structural factors that produced modern minority ghettos in central cities are not taken into account. Dynamic conceptions of the role of race/ethnicity in producing health inequalities must encompass (1) social relationship between majority and minority populations that privilege the majority population and (2) the autonomous institutions within minority populations that members develop and sustain to mitigate, resist, or undo the adverse effects of discrimination. Broad social and economic policies that intensify poverty or undermine autonomous protections can reap dire consequences for health. Following from this structural analysis and previous research, guiding principles for action and suggestions for continued research are proposed. Without taking poverty and race/ethnicity into account, public health professionals who hope to redress the health problems of urban life risk exaggerating the returns that can be expected of public health campaigns or overlooking important approaches for mounting successful interventions.
dc.description.urihttps://ajph.aphapublications.org/doi/abs/10.2105/AJPH.90.6.867
dc.identifierhttps://doi.org/10.13016/gjcf-zvrl
dc.identifier.citationGeronimus, A T (2000) To mitigate, resist, or undo: addressing structural influences on the health of urban populations. American journal of public health, 90 (6). pp. 867-72.
dc.identifier.issn0090-0036
dc.identifier.otherEprint ID 2941
dc.identifier.urihttp://hdl.handle.net/1903/23573
dc.subjectHealth Equity
dc.subjectDisparities
dc.subjectPolicy
dc.titleTo mitigate, resist, or undo: addressing structural influences on the health of urban populations.
dc.typeArticle

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