Historical Primer on Obstetrics and Gynecology Health Inequities in America: A Narrative Review of Four Events.

Four historical events provide context for racial injustices and inequities in medicine in the United States today: the invention of race as a social construct, enslavement in the Americas, the legal doctrine of Partus sequitur ventrem, and the American eugenics movement. This narrative review demonstrates how these race-based systems resulted in stereotypes, myths, and biases against Black individuals that contribute to health inequities today. Education on the effect of slavery in current health care outcomes may prevent false explanations for inequities based on stereotypes and biases. These historical events validate the need for medicine to move away from practicing race-based medicine and instead aim to understand the intersectionality of sex, race, and other social constructs in affecting the health of patients today.

From triple quandary to talent quest: The past, present, and future of A. Wade Boykin's contributions to psychology.

A. Wade Boykin's scholarship has provided key insights into the psychological realities of racially minoritized people and catalyzed revolutionary changes in psychology and education. Combining insights from personal and research experiences, Boykin authored the foundational triple quandary (TQ), a framework describing how Black Americans must navigate the often conflicting values and priorities of dominant mainstream society, the heritage culture of Black communities, and dynamics associated with being racially minoritized. TQ describes the unique developmental challenges faced by Black children, for whom misalignment between home cultural socialization and U.S. schooling often leads to pathologizing mischaracterizations of their attitudes and behaviors, resulting in chronic academic opportunity gaps. Boykin used his training as an experimental psychologist to empirically test the validity and explanatory utility of the TQ framework and to determine whether Black cultural values could be leveraged to improve student learning. Focusing on cultural values such as expressive movement, verve, and communalism, studies with his collaborators consistently supported Boykin's framework and predictions for improving Black student achievement-related outcomes. Beginning in the early 2000s, Boykin and his colleagues began to scale the lessons of decades of empirical work into the talent quest model for school reform. The TQ and talent quest continue to evolve in their application, as scholars and practitioners have found them relevant to a diverse range of minoritized populations in American society and beyond. Boykin's work continues to bear on the scholarship, career outcomes, and day-to-day lives of many scholars, administrators, practitioners and students across disciplines and institutions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Looking within: Elevating Black scholarly contributions to empirical approaches in developmental science.

Over the past century, Black American scholars have designed, applied, and promoted conceptual frameworks and research models that propose nuanced understandings of psychological development. This article highlights examples of their contributions to understanding the differential impact of diverse contextual and situational factors. Through examinations of the psychological effects of Blackness on the development of cognition, competence, identity, and social functioning, Black psychologists outline pathways and provide tools for ecological culturally rooted methodologies. These multidisciplinary approaches run in contrast to dominant trends in the field and thus broaden developmental science's reach and influence. In the 1950s, developmental research by Black psychologists was instrumental to the fight for civil rights. Today, it continues to provide a basis for advancing diversity, equity, inclusion, and justice. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Black in Cancer: An interview with founders Sigourney Bell and Henry J. Henderson.

We talk to Sigourney Bell and Henry J. Henderson about what motivated them to found Black in Cancer, the importance of community and representation, as well as the resources the organization provides, future directions, and how we and our readers can provide support.

Expanding Opportunities for American Descendants of Slavery to Build a More Inclusive and Diverse Global Health Workforce.

Historically, the terms African American and Black have been used interchangeably to describe any person with African ancestry living in the United States. However, Black Americans are not a monolith, and legitimate differences exist between those with generational roots in the United States and either African or Caribbean immigrants. American descendants of slavery (ADOS) are underrepresented in many fields, but I have noticed during my decades long career in global health that they are acutely absent in this field. Here, I offer seven recommendations to improve recruitment, retention, and advancement of ADOS in the global health field. Immediate implementation of these recommendations will not only bring diverse perspectives and immense capacity to the field but also allow ADOS an opportunity to engage in compelling and meaningful work and to collaborate with those from their ancestral homelands.

Invenciones frente a lo traumático de la violencia: memoria afirmativa de un pueblo afrocolombiano / Invenções contra o traumático da violência: memória afirmativa de um povo afro-colombiano / Inventions against the traumatic of violence: affirmative memory of an afro-colombian people

Resumen La memoria colectiva afirmativa se compone de significados y emociones positivas que por efecto del recuerdo enlazan a una comunidad. El propósito de este estudio fue conocer la memoria afirmativa de la comunidad afrocolombiana de La Balsa, Cauca, que vivió el conflicto armado durante diez años. Es un estudio cualitativo descriptivo que utilizó la técnica de entrevistas individuales con 6 personas y grupos focales con 99 personas. Se realizó un análisis de contenido. Como hallazgos encontramos que los balseños otorgan un papel decisivo a su memoria afirmativa, que exalta sus orígenes ancestrales, familiares, sus prácticas culturales, la etno educación y procesos vigorosos de organización social, que les otorgó un nuevo lugar como agentes sociales. Se concluye que la memoria afirmativa proporciona recursos simbólicos y emocionales para que las comunidades inventen formas de resistencia ciudadana y se reparen de situaciones de violencia, como el caso de la comunidad balseña.

Resumo A memória coletiva afirmativa é composta de significados positivos e emoções que, através do efeito da memória, ligam uma comunidade. O objetivo deste estudo foi conhecer a memória afirmativo da comunidade afro-colombiana de La Balsa, Cauca, que viveu o conflito armado colombiano durante dez anos. Trata-se de um estudo descritivo qualitativo, que utilizou a técnica de entrevistas individuais com 6 pessoas e grupos focais com 99 pessoas. Uma análise de conteúdo foi realizada. Entre os resultados, se tem que os "balseños" concedem um rol decisivo à sua memória afirmativa, exaltando suas origens ancestrais e familiares, práticas culturais, educação étnica e processos vigorosos de organização social que lhes deu um novo lugar como agentes sociais. A principal conclusão foi que a memória afirmativa fornece recursos simbólicos e emocionais para que as comunidades inventem formas de resistência cidadã e reparem as situações de violência, como no caso da comunidade "balseña".

Abstract The affirmative collective memory is composed of positive meanings and emotions that, as a result of memory, link a community. The purpose of this study was to know the affirmative memory of the Afro-Colombian community of La Balsa, Cauca, which lived through the armed conflict for ten years. It is a descriptive qualitative study that used the technique of individual interviews with 6 people and focal groups with 99 people. A content analysis was carried out. We find that the balseños give a decisive role to their affirmative memory, which exalts their ancestral and family origins, their cultural practices, ethno-education and vigorous processes of social organization, which gave them a new place as social agents. It is concluded that affirmative memory provides symbolic and emotional resources for the communities to invent forms of citizen resistance and recover from situations of violence, such as the case of the "Balseña" community.

Secular decline in limb bone strength among South African Africans during the 19th and 20th centuries.

OBJECTIVES: South African Africans have been reported to have experienced negative or null secular trends in stature and other measures of skeletal structure across the 19th and 20th centuries, presumably due to poor living conditions during a time of intensifying racial discrimination. Here, we investigate whether any secular trend is apparent in limb bone strength during the same period. MATERIALS AND METHODS: Cadaver-derived skeletons (n = 221) were analyzed from female and male South African Africans who were born between 1839 and 1970, lived in and around Johannesburg, and died between 1925 and 1991 when they were 17-90 years of age. For each skeleton, a humerus and femur were scanned using computed tomography, and mid-diaphyseal cross-sectional geometric properties were calculated and scaled according to body size. RESULTS: In general linear mixed models accounting for sex, age at death, and skeletal element, year of birth was a significant (p < .05) negative predictor of size-standardized mid-diaphyseal cortical area (a proxy for resistance to axial loading) and polar moment of area (a proxy for resistance to bending and torsion), indicating a temporal trend toward diminishing limb bone strength. No significant interactions were detected between year of birth and age at death, suggesting that the decline in limb bone strength was mainly due to changes in skeletal maturation rather than severity of age-related bone loss. DISCUSSION: Limb bone strength is thus potentially another feature of the skeletal biology of South African Africans that was compromised by poor living conditions during the 19th and 20th centuries.

Ancient DNA and bioarchaeological perspectives on European and African diversity and relationships on the colonial Delaware frontier.

OBJECTIVES: Ancient DNA (aDNA) and standard osteological analyses applied to 11 skeletons at a late 17th to early 18th century farmstead site in Delaware to investigate the biological and social factors of settlement and slavery in colonial America. MATERIALS AND METHODS: Osteological analysis and mitochondrial DNA (mtDNA) sequencing were conducted for all individuals and the resulting data contextualized with archaeological and documentary evidence. RESULTS: Individuals of European and African descent were spatially separated in this colonial cemetery. The skeletal remains exhibited differences in osteological features and maternal genetic ancestry. A specific mtDNA haplotype appeared in a subset of the European-descended individuals suggesting they were maternally related. Individuals of African descent were not maternally related, and instead showed a diversity of haplotypes affiliated with present-day Western, Central, and Eastern regions of Africa. DISCUSSION: Along with the bioarchaeological and documentary evidence, the aDNA findings contribute to our understanding of life on the colonial Delaware frontier. Evidence of maternal relatedness among European-descended individuals at the site demonstrates kin-based settlements in 17th century Delaware and provides preliminary identifications of individuals. The maternal genetic diversity of the individuals with African descent aligns with the routes of the trans-Atlantic slave trade but broadens our understanding of the ancestries of persons involved in it. Burial positioning, osteological pathology, and lack of maternal kinship among individuals of African descent provide tangible evidence for the emergence of racialized labor and society in Delaware during the late 17th century.

No âmago da africanização: pessoas negras e de cor nos mapas populacionais do Maranhão colonial (1798-1821) / At the Core of Africanization: Black and Colored People in Population Maps of Colonial Maranhão, Brazil (1798-1821) / En el núcleo de africanización: pueblo negro y de color en los mapas de población del Maranhão colonial, Brasil (1798-1821)

O estudo analisa o "boom" demográfico das populações escravas de origem africana nas áreas de plantation a partir dos Mapas Estatísticos do Maranhão. Em especial, focalizamos a freguesia do Rosário do Itapecuru utilizando outras fontes documentais - inventários post mortem e registros paroquiais de batismo. Os Mapas de 1798 e 1821 possibilitaram evidenciar o perfil sexual, etário, étnico e a condição jurídica da população, mostrando a importância da população escrava nas áreas de cultivo do algodão e arroz, que chegava a quase 80% dos residentes. Essas populações, por sua vez, guardavam algumas particularidades em relação a outras áreas de plantation do Estado do Brasil, como, por exemplo, a razão de sexo marcada pela quase paridade entre homens e mulheres.

The study analyzes the demographic boom of African slave populations in the plantation areas from the Mapas de População of Maranhão. In particular, we focus on the parish of Rosário do Itapecuru using other sources - post-mortem inventories and parish baptismal records. The maps from 1798 and 1821 made it possible to evidence the gender, age, ethnicity and legal status of the resident population as well as show the importance of slave population in cotton and rice crop areas, reaching almost 80% of residents. These populations, in turn, presented certain peculiarities in relation to other plantation areas in the State of Brazil, such as the sex ratio marked by the almost parity between men and women.

El estudio analiza el boom de las poblaciones esclavas de origen africano en las áreas de plantación a partir de los Mapas Estadísticos de Maranhão. En particular, nos centramos en la parroquia Rosario del Itapecurú utilizando otras fuentes documentales: inventarios post mortem y registros parroquiales de bautismo. Los mapas de 1798 y 1821 posibilitaron evidenciar el perfil sexual, la edad, la condición étnica y jurídica de la población residente y muestran la importancia de la población esclava en las áreas de cultivo de algodón y de arroz, que llega a casi 80% de los residentes. Estas poblaciones mantenían a su vez algunas peculiaridades en relación con otras áreas de plantación del Estado de Brasil, por ejemplo, la proporción de sexos marcada por la casi paridad entre hombres y mujeres.

Livres, libertos e escravos na história da população de Santa Catarina, 1787-1836 / Free men, freedmen and slaves in the history of the population of Santa Catarina, 1787-1836 / Libres, libertos y esclavos en la historia de la población de Santa Catarina, 1787-1836

O artigo aborda a história da população de Santa Catarina entre 1787 e 1836. A documentação é composta por 12 "mapas" de população. Por meio do uso de instrumentos próprios da demografia histórica, analisam-se as características e transformações da estrutura populacional e econômica da região. A população estudada cresceu, mas com períodos de significativa oscilação. Livres, libertos e escravos apresentavam tendências demográficas diferentes, como o contínuo domínio de mulheres entre livres e libertos e elevadíssima presença de homens entre os cativos. Verificou-se um quadro econômico caracterizado por amplo domínio das atividades agrárias. Os distritos e freguesias com maior proporção de fábricas de farinha e engenhocas de açúcar apresentavam as maiores participações de escravos. Já as localidades com menos engenhos registravam as menores participações de escravos. Constata-se, portanto, a constituição de uma estrutura populacional resultante da concorrência e associação entre o campesinato e a escravidão. Neste quadro, os pequenos agricultores com escravos eram comuns.

This study presents considerations regarding the history of the population in Santa Catarina between the years 1787 and 1836. The sources are 12 "population maps". Through the application of regular instruments of historical demography, this article aims to analyze characteristics and transformations of the population and economic structure of the area. The population under study experienced growth, albeit with periods of oscillation. These three social categories 'free men, freedmen and slaves' presented different growth tendencies through the years, such as the continued increase in the number of women among the categories free men and freedmen, and the major presence of men under the slave category. The economic scenario involved predominantly agrarian activities. Districts and parishes with the largest proportion of flour mills and sugar mills had the highest percentages of slaves. On the other hand, localities with fewer mills had lower slave participation. Thus, the establishment of a population structure resulting from competition and association between peasantry and slavery was observed. In this context, small farmers with slaves were common.

En esta investigación se aborda la historia de la población de Santa Catarina entre 1787 y 1836. La documentación comprende doce «mapas¼ de población. A través de los instrumentos de la Demografía histórica, se analizan las características y los cambios en la población y la estructura económica de la región. La población analizada creció, aunque con períodos de oscilación significativa. Libres, libertos y esclavos tenían distintas tendencias demográficas, como el dominio continuo de mujeres entre libres y libertos y la elevada presencia de hombres entre los cautivos. Se verificó un contexto económico caracterizado por el amplio dominio de actividades agrícolas. Distritos y parroquias con mayor proporción de pequeñas fábricas de harina e ingenios de azúcar tuvieron mayor participación de esclavos y las localidades con menos ingenios, por el contrario, presentaban menor participación de los esclavos. Se ha constatado, por lo tanto, la formación de una estructura de población resultante de la competencia y la asociación entre el campesinado y la esclavitud. En este contexto, eran comunes los pequeños agricultores con esclavos.

Two worlds apart: Determinants of height in late 18th century central Mexico.

Anthropometric literature on the American territories of the Hispanic monarchy before their independence is still scarce. We attempt to expand the field with a case study that includes some important novelties. Albeit our main source, the military records of the Censo de Revillagigedo (conducted in the early 1790s), has already been used, the sample size and the geographical scope are unprecedented: 19,390 males of four ethnicities (castizos, españoles, mestizos, and mulatos) aged from 16 to 39 from 24 localities, including towns and villages scattered across central regions of the Viceroyalty of New Spain. We build a database that, complemented with information on resource endowments obtained from other sources, permits to analyze the determinants of height. Our results show the importance of spatial differences as well as the significance of ethnicity, occupation, rurality, age and resource endowments as determinants of height. Unprivileged mulatos are only 0.5cm shorter than, assumedly privileged, españoles in the "first world" (El Bajío) and 1.3cm taller in the "second world" (Eastern Central Highlands). In turn, living in the "first world" implies being between nearly 1.5cm and 5cm taller than the inhabitants of the "second world". Our estimates of physical statures are placed within an international comparative context and offer a relatively "optimistic" picture.

[Antonio de Saldanha da Gama's proposals to improve the slave trade "for humanitarian and economic reasons," Rio de Janeiro, 1810]. / As proposições de Antonio de Saldanha da Gama para a melhoria do tráfico de escravos, "por questões humanitárias e econômicas", Rio de Janeiro, 1810.

In 1808, Dom João VI issued an edict which regulated the shipping and treatment of slaves on the transatlantic crossing from Africa. Two years later, Antonio de Saldanha da Gama, a member of the Treasury Council, drafted a letter discussing some points of the resolution. This key figure in the Portuguese administration of Brazil argued that his respectful considerations concerning the determinations of His Royal Highness were designed to improve them "for humanitarian and economic reasons." Safeguarded in the archives of Arquivo Histórico Ultramarino, this letter is transcribed, annotated, and contextualized here, supplying an interesting perspective on the prevailing concerns and justifications about the trafficking of African slaves to Brazil.

As proposições de Antonio de Saldanha da Gama para a melhoria do tráfico de escravos, “ por questões humanitárias e econômicas”, Rio de Janeiro, 1810 / Antonio de Saldanha da Gama’ s proposals to improve the slave trade “ for humanitarian and economic reasons,” Rio de Janeiro, 1810

Resumo Em 1808, dom João VI publicou um alvará com força de lei para regular o transporte e o trato dos escravos durante a travessia do Atlântico. Dois anos depois, Antonio de Saldanha da Gama, membro do Conselho da Fazenda, elaborou um ofício para discutir alguns pontos da resolução. Essa importante personagem da administração lusa no Brasil argumentava que suas respeitosas ponderações acerca das determinações da Alteza Real tinham como fim aprimorá-las, “por questões humanitárias e econômicas”. Parte do acervo de manuscritos do Arquivo Histórico Ultramarino, de Lisboa, esse ofício se encontra aqui transcrito, comentado e contextualizado, fornecendo interessante visada das preocupações e justificativas daquele tempo, concernentes ao tráfico de africanos para o Brasil.

Abstract In 1808, Dom João VI issued an edict which regulated the shipping and treatment of slaves on the transatlantic crossing from Africa. Two years later, Antonio de Saldanha da Gama, a member of the Treasury Council, drafted a letter discussing some points of the resolution. This key figure in the Portuguese administration of Brazil argued that his respectful considerations concerning the determinations of His Royal Highness were designed to improve them “for humanitarian and economic reasons.” Safeguarded in the archives of Arquivo Histórico Ultramarino, this letter is transcribed, annotated, and contextualized here, supplying an interesting perspective on the prevailing concerns and justifications about the trafficking of African slaves to Brazil.

"Anything That Gets Me in My Heart": Pat Parker's Poetry of Justice.

This article argues that love and justice are interlocking themes that undergird and motivate the poetry and activism of the Black lesbian feminist Pat Parker. Parker was a prolific working-class poet, a committed Black lesbian feminist, and an international trailblazer whose poems, like her famous "Womanslaughter" discussed in this article, document the many injustices that Black women endured in an anti-Black, rabidly homophobic, and patriarchal U.S. during the last decades of the twentieth century. In a political moment where righteous cries of #BlackLivesMatter are heard across the United States I use this article to remind us all of the historical importance that Black lesbians played and continue to play in the struggles of anti-racist justice in America.

Whores, men, and other misfits: undoing 'feminization' in the armed forces in the DRC.

The global attention focused on sexual violence in the DRC has not only contributed to an image of the Congolese army as a vestige of pre-modern barbarism, populated by rapists, and bearing no resemblance to the world of modern armies; it has also shaped gender and defence reform initiatives. These initiatives have become synonymous with combating sexual violence, reflecting an assumption that the gendered dynamics of the army are already known. Crucial questions such as the 'feminization' of the armed forces are consequently neglected. Based on in-depth interviews with soldiers in the Congolese armed forces, this article analyses the discursive strategies male soldiers employ in relation to the feminization of the army. In the light of the need to reform the military and military masculinities, the article discusses how globalized discourses and practices render the Congolese military a highly globalized sphere. It also highlights the particular and local ways in which military identities are produced through gender, and concludes that a simple inclusion of women in the armed forces in order to render men less violent might not have the pacifying effect intended.