Jegede, Oluwole, Bellamy, Chyrell and Jordan, Ayana (2024) Systemic racism as a determinant of health inequities for people with substance use disorder. JAMA psychiatry, 81 (3). pp. 225-226. ISSN 2168-622X

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Abstract

Increasing empirical evidence implicates structural factors as the fundamental cause of health inequities and resultant poor health outcomes among historically excluded racial and ethnic populations.1 The legacy of racist sociopolitical structures and their impacts among racial and ethnic minoritized populations with substance use disorder (SUD) can no longer be ignored. Racial and ethnic minoritized individuals with SUD have endured othering, discrimination, and stigmatization over several decades and, recently, alarming death rates during the COVID-19 pandemic.2 The pandemic and the murder of George Floyd provided the social disruption that resulted in a paradigm shift in public discourse, uncovering what has been known for decades—the inequitable state of the US health care system, characterized by unequal distribution of resources and differential treatment of people based on their socioeconomic status as they interface with society’s normative hierarchies.

Item Type:	Article
Identifier:	10.1001/jamapsychiatry.2023.4958
Subjects:	Psychology > Substance abuse/misuse
Depositing User:	Oluwole Jegede
Date Deposited:	09 Jul 2025 13:07
Last Modified:	09 Jul 2025 13:07
URI:	https://repository.uwl.ac.uk/id/eprint/13836

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