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Pediatricians Asked to Fight Impact of Racism on Child Health

BIRMINGHAM TIMES — The nation’s pediatricians are calling on members to help address the impact of racism on child and adolescent health. A recent American Academy of Pediatrics (AAP) policy statement encourages pediatricians to advocate for policies that advance social justice. That’s a good idea, said several Birmingham-area doctors.

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Dr. Courtney Burrell of Alabama Regional Medical Services. (Photo by: Erica Wright | The Birmingham Times)

By Erica Wright

The nation’s pediatricians are calling on members to help address the impact of racism on child and adolescent health.

A recent American Academy of Pediatrics (AAP) policy statement encourages pediatricians to advocate for policies that advance social justice. That’s a good idea, said several Birmingham-area doctors.

“We can ask families how they’ve experienced racism and then ask the children if they know what racism is [or] if they themselves have been a victim of racism or witnessed racism,” said Courtney Burrell, MD, a pediatrician with the Alabama Regional Medical Services (ARMS) in Birmingham.

After speaking with patients, doctors can “offer support, whether it be counseling or … medication because they’ve developed depression or anxiety, so that [patients] can flourish and become healthy citizens,” Burrell added.

Tina Simpson, MD, an assistant professor at the Alabama Regional Medical Services (UAB) in the Department of Pediatrics who practices in the Adolescent Health Center at Children’s of Alabama, said pediatricians must be cognizant of the impacts of racism.

“For instance, if a child sees the killing of unarmed black men day in and day out, that causes an amount of chronic stress for black males themselves, as well as their families, in terms of trying to raise young black males,” she said. “That stressor may affect other things in terms of depression, anxiety, potentially acting out, self-esteem issues, and concerns around safety.”

Exposure to Racism

The AAP policy statement entitled, “Racism and Its Impact on Child and Adolescent Health”—the first time the group has explicitly focused on the issue of racism—draws from hundreds of studies to alert doctors about the impact of racism on children.

“While progress has been made toward racial equality, the impact of racism on communities of color is wide-reaching, systemic, and complex,” said Maria Trent, MD, lead author of the policy statement, in a recent press release. “A combination of strategies will be needed to begin untangling the thread of racism throughout the fabric of our society, and to improve the health of all children.

She also noted, “Racism affects children before they’re even born … and continues to affect them across their lifespan. It affects them in the places they live, the institutions they interact with, including schools and law enforcement.”

Burrell agreed that racism can affect children and families in a number of ways.

“If children witness an event [involving] racism against people that look like them or maybe don’t look like them, they may be fearful of … becoming victims and experiencing violence or backlash from others because they don’t look the same, [have] the same accent, or whatever the case may be. That can cause stress.”

She added that the effects of racism on children can lead to other health problems, including weight gain, high blood pressure, anxiety, alcohol and drug abuse, and depression.

Racial Disparities

Racial disparities are prevalent and can factor into a lot of the issues faced by children, said Jaime McKinney, MD, an assistant professor in the UAB Department of Pediatrics and a pediatric physician at Children’s of Alabama.

Dr. Jaime McKinney

Dr. Jaime McKinney

“Access to resources and opportunities is huge amongst our children, [including] what ZIP code they happen to be zoned for,” she said. “We have a lot of patients who witness violence in their communities on a daily basis just because of where they live. We have kids who have no access to healthy foods in the areas in which they live [because there are few] grocery stores. … All of that is racially based.”

Social determinants, such as housing, income, and even environmental circumstances, all can play a part in the health of children, said McKinney: “Say, you live in [in a community] where there is a higher level of pollution, whether it’s the land or the air, and you have asthma. … Say, there are no grocery stores in that area … and a lot of the kids go to the gas station for their foods.”

Or, it can be as simple as having a park in the neighborhood where children can play or exercise; this can affect health, too.

“Whether it’s the food they eat, the amount of exercise they get, the quality of their education system, even the ability to see a doctor, all [of this] affects every aspect of their care,” McKinney said. “We see kids with toxic stress, environmental stress … that is pretty much based on their race, what they can afford, and where they live.”

Implicit Bias

The AAP report also indicated that doctors need to check their own implicit biases.

“I’ve caught myself feeling a little biased toward certain patients because I’m like, ‘I know this family’ or ‘This type of family is going to come in with 100 complaints.’ With a different family, [however], I might just be more open,” Burrell said. “I have to really catch myself, so I don’t let that show in my attitude toward the family and to make sure I deliver proper care.”

Simpson said all people, not just doctors, have biases.

“I think one of the first things in addressing our biases is to be aware of what they are and where they are, so we can slow down and fix it through being more thoughtful in our approach,” she said, adding that it is important “to be mindful of all of our encounters, to really try to listen to patients and understand where they’re coming from and where they are, so we can understand the perspective … and improve our encounters with patients and their families.”

McKinney believes medical professionals are doing a better job of addressing racial bias. For instance, the medical school at UAB is doing a good job in the admissions process and interacting with students, she said.

“They actually require us to conduct bias training and seminars about bias and prejudgment,” said McKinney. “I think the university is doing a great job at recognizing that we all have biases and [helping us] better address that and act

Dr. Tina Simpson

Dr. Tina Simpson

accordingly.”

Solutions

McKinney has made it her personal mission “to address educational inequities based on fundamental racism.”

She believes that fighting racism begins with education, and as an assistant professor at UAB she encourages her residents to tell parents the importance of reading to their babies. She also served on Birmingham Mayor Randall Woodfin’s birth to pre-K task force.

“[We] had a book fair, where people donated books to families with lead characters of color,” McKinney said. “I’ve [also] been working with the medical school to increase representation of [diverse] students in the medical school and beyond.”

Simpson agreed that a more diverse and inclusive workforce can help potentially eliminate racial bias.

“With a more diverse workforce, you’re more likely to not perpetuate policies that reinforce elements of racism,” she said. “[It’s important to] slow down and thoughtfully [consider] the history of why things may be happening because racism is so ingrained in our culture. … You have to be mindful about the whys.”

This article originally appeared in The Birmingham Times.

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Black Artists in America, Installation Three Wraps at the Dixon Gallery and Gardens

TRI-STATE DEFENDER — With 50+ paintings, sculptures and assemblages, the exhibit features artists like Varnette Honeywood from Los Angeles, whose pieces appeared in Bill Coby’s private collection (before they were auctioned off) and on “The Cosby Show.” Also included are works by Alonzo Davis, another Los Angeles artist who opened one of the first galleries there where Black Artists could exhibit. 

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By Candace A. Gray | Tri-State Defender

The tulips gleefully greet those who enter the gates at the Dixon Gallery & Gardens on an almost spring day. More than 650,000 bulbs of various hues are currently on display. And they are truly breathtaking.

Inside the gallery, and equally as breathtaking, is the “Black Artists in America, From the Bicentennial to September 11” exhibit, which runs through Sunday, March 29. This is the third installment of a three-part series that started years ago and illustrates part of the Black experience through visual arts in the 20th century.

“This story picks up where part two left off,’’ said Kevin Sharp, the Linda W. and S. Herbert Rhea director for the Dixon. “This era is when we really start to see the emergence of these important Black artists’ agency and freedom shine through. They start to say and express what they want to, and it was a really beautiful time.”

With 50+ paintings, sculptures and assemblages, the exhibit features artists like Varnette Honeywood from Los Angeles, whose pieces appeared in Bill Coby’s private collection (before they were auctioned off) and on “The Cosby Show.” Also included are works by Alonzo Davis, another Los Angeles artist who opened one of the first galleries there where Black Artists could exhibit.

“Though [Davis] was from LA, he actually lived in Memphis for a decade,” said Sharp. “He was a dean at Memphis College of Art, and later opened the first gallery in New York owned and operated by black curators.”

Another featured artist is former NFL player, Ernie Barnes. His work is distinctive. Where have you seen one of his most popular paintings, Sugar Shack? On the end scene and credits of the hit show “Good Times.” His piece Saturday Night, Durham, North Carolina, 1974 is in this collection.

Memphis native James Little’s “The War Baby: The Triptych” is among more than 50 works featured in “Black Artists in America, From the Bicentennial to September 11” at the Dixon Gallery & Gardens, the final installment of a three-part series highlighting the impact and evolution of Black artists through 2011.

Memphis native James Little’s “The War Baby: The Triptych” is among more than 50 works featured in “Black Artists in America, From the Bicentennial to September 11” at the Dixon Gallery & Gardens, the final installment of a three-part series highlighting the impact and evolution of Black artists through 2011.

The exhibit features other artists with Memphis ties, including abstract painter James Little, who was raised in a segregated Memphis and attended Memphis Academy of Art (before it was Memphis College of Art). He later moved to New York, became a teacher and an internationally acclaimed fixture in the art world in 2022 when he was named a Whitney Biennial selected artist at the Whitney Museum of American Art in New York.

Other artists like Romare Bearden, who had a Southern experience but lived up North, were featured in all three installments.

“During this period of time, he was a major figure,” said Sharp. “He wrote one of the first books on the history of African American art during a time when there were more Black academics, art teachers, more Black everything!”

Speaking of Black educators, Sharp said the head curator behind this tri-part series and Dixon’s partner in the arts is Earnestine Jenkins, Ph.D., an art history professor at the University of Memphis, who also earned a Master of Arts degree from Memphis State University (now UofM).  “We began working with Dr. Jenkins in 2018,” he said.

Sharp explained that it takes a team of curators, registrars, counterparts at other museums, and more, about three years to assemble an exhibit like this. It came together quite seamlessly, he added. Each room conjured up more jaw-dropping “wows” than the one before it. Each piece worked with the others to tell the story of Black people and their collective experience during this time period.

One of the last artists about whom Sharp shared information was Bettye Saar, who will turn 100 years old this year. She’s been working in Los Angeles for 80 years and is finally getting her due. Her medium is collages or assemblages, and an incredible work of hers is on display. She’s married to an artist and has two daughters, also artists.

The exhibit catalogue bears some of these artists’ stories, among other scholarly information.

The exhibit, presented by the Joe Orgill Family Fund for Exhibitions, is culturally and colorfully rich. It is a must see and admission to the Dixon is free.

Visit https://www.dixon.org/ to learn more.

Fun Facts: An original James Little design lives in the flooring of the basketball court at Tom Lee Park, and he makes and mixes his own paint colors.

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Grief, Advocacy, and Education: A Counselor Reflects on Black Maternal Health

SAN DIEGO VOICE & VIEWPOINT — Last month healthcare leaders, birth workers, and community members gathered to honor the legacy of Charleston native Dr. Janell Green Smith, a nurse-midwife and doctor of nursing practice who died in January from childbirth complications. She had participated in more than 300 births and specialized in helping Black women give birth safely.  

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By Jennifer Porter Gore | Word-In-Black | San Diego Voice and Viewpoint

In 2024, the number of U.S. mothers who died as a result of pregnancy or childbirth dropped compared to 2023. But while slightly fewer Black mothers died that year, they still had three times the mortality rate of white women.

South Carolina’s rates of maternal deaths outpaced even the national rates. In fact, the state’s overall rate of maternal deaths between 2019 and 2023 was higher than all but eight states and the District of Columbia.

Last month healthcare leaders, birth workers, and community members gathered to honor the legacy of Charleston native Dr. Janell Green Smith, a nurse-midwife and doctor of nursing practice who died in January from childbirth complications. She had participated in more than 300 births and specialized in helping Black women give birth safely.

Her death shocked the community and her colleagues who are determined to address concerns about Black maternal health. The event also covered the importance of protecting mental health during grief and of men’s role in solving the maternal health crisis.

As both a therapist and a father, Lawrence Lovell, a licensed professional counselor and founder of Breakthrough Solutions, discussed ways the event’s attendees could process their grief over Green Smith’s death. He also shared ways male partners can advocate for women’s maternal health during pregnancy and childbirth.

Lovell spoke not just as a therapist but also as a father whose own family had briefly crossed paths with Green Smith. The event, he said, emerged organically from a moment of collective mourning.

Despite the grief, “it was still, like, a really beautiful event, a much-needed event, and it almost felt like we were all giving each other a collective family hug,” says Lovell.

His connection to Green Smith, Lovell says, was brief but meaningful during his wife’s pregnancy with their second child. Green Smith was practicing at the same birthing center where they had their child. She began practicing in Greenville a short time later.Even that short connection carried significance for Lovell, given the small number of Black maternal health professionals.

Lovell did not initially plan to become a mental health practitioner; he chose the career path after graduating from college, when someone suggested he consider psychology. His interest deepened when he noticed how few Black men work in mental health.

“Being Black man and playing football in college, there weren’t a lot of people that look like me talking about mental health,” says Lovell. “[I wanted] to give people that look like me an opportunity to work with someone that looks like them.”

Working with Expectant and New Parents

Lovell often counsels couples preparing for parenthood by, helping partners understand what a successful pregnancy, childbirth, and postpartum recovery look like. That often means helping women manage postpartum depression.

As a man, Lovell says, it’s “humbling” that a woman “just trusts me enough to work with me through their pregnancy or their postpartum recovery.”

In his work, Lovell has noticed how few men understand pregnancy before they experience it with their partner. Because early pregnancy symptoms are often invisible, he says, men may underestimate how much support a mom-to-be actually needs.

“Sometimes they may not realize they don’t know much about pregnancy and what to expect in those three trimesters,” Lovell says. “I tell a lot of the men that just because you can’t see [she’s pregnant] doesn’t mean that she won’t appreciate your intense support in that first trimester.”

Education about pregnancy and postpartum recovery, he says, can change how men support their partners.

Teaching Advocacy in the Delivery Room

Another major focus of Lovell’s counseling is preparing men to advocate for mothers during labor.

“Helping men understand what pregnancy looks like: what delivery is going to look like, and what are the realistic expectations that I should have of myself in postpartum,” he says.

Lovell encourages partners to be honest about their expectations for what will happen during delivery. He helps them prepare for the big day by discussing the birth plan and knowing how to quickly recognize problems. Clear communication, he says, prevents misunderstandings.

He regularly trains men to ask their partners detailed questions about their expectations during and after pregnancy. Advocacy in medical settings can be especially important and requires attention to details the mother may not be able to address.

“It’s always important to fine-tune things and truly understand what helps your partner feel most supported,” Lovell says. “Instead of guessing, you should ask.”

Lovell recalls a moment during the birth of his first child when he had to take that role.

During the delivery, “I felt like something wasn’t as sanitary as I’d like it to be,” he says. “I asked, ‘Hey, can you switch those out? Can you change your gloves?’”

Lovell has a succinct but powerful message he regularly shares with clients’ families, and he shared it with attendees at last month’s event.

“Just to believe women,” he says. “I’ve worked with different couples, and sometimes I’m not really sure that there’s enough empathy from the men.”

That includes how women express pain.

“If a woman says, ‘my pain is at a nine,’ just because how you would express yourself at a nine is different than how she’s expressing herself at [that level] doesn’t mean you shouldn’t believe her,” he says.

Empathy, he says, can change outcomes far beyond the delivery room.

“We’ve got to believe women when they’re talking about their experiences and their feelings and their pain,” he says. “I think there’s a lot that we can prevent if we empathize better.”

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Future of Florida’s Black History Museum in Limbo

JACKSONVILLE FREE PRESS — A proposal sponsored by Tom Leek, a Republican from Ormond Beach, has now passed the Senate in back-to-back legislative sessions. But the House version, filed by Kiyan Michael, a Jacksonville Republican, did not receive final approval in either year, effectively stalling the effort.

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Jacksonville Free Press

Plans to establish a long-awaited Black history museum in Florida are once again on hold after legislation needed to advance the project failed to clear the state House for a second consecutive year, despite repeated approval in the Senate.

A proposal sponsored by Tom Leek, a Republican from Ormond Beach, has now passed the Senate in back-to-back legislative sessions. But the House version, filed by Kiyan Michael, a Jacksonville Republican, did not receive final approval in either year, effectively stalling the effort.

Under Florida law, identical or similar bills must pass both chambers before heading to the governor’s desk. Without House approval, the legislation has been unable to move forward, leaving the project in limbo. Long journey, contested location.

The proposed museum, formally known as the Florida Museum of Black History, has been years in the making, with lawmakers and community leaders framing it as a long-overdue institution to preserve and showcase the state’s African American heritage .A central point of contention has been the museum’s location. St. Augustine — widely recognized as the nation’s oldest city and a site deeply tied to both slavery and early Black history — emerged as the leading contender. Supporters argue the city’s historical significance makes it a natural home for the museum. However, competing interests and regional considerations have fueled debate, slowing consensus among lawmakers.

While the Senate-backed measure has consistently advanced, the lack of alignment in the House has underscored ongoing divisions about how and where the project should take shape.

The holdup in the Florida House appears to be less about opposition to the museum itself and more about a combination of procedural bottlenecks, unresolved structural issues, and lingering disagreements over how the project should be formalized and governed.

Despite the legislative setbacks, Republican Gov. Ron DeSantis has publicly voiced support for the museum. Speaking last month during the unveiling of a statue of abolitionist Frederick Douglass in St. Augustine, DeSantis said the project would move forward “one way or another,” signaling an intent to see the museum built regardless of legislative hurdles.

The anticipated museum has already cleared several hurdles. St. Johns County signed an agreement last year with Florida Memorial University to use the land that once housed its campus last year’s legislative session netted $1 million in funding for St. Johns County to work on planning and design for the museum. However, its anticipated that a million $3 million is needed.

Still, without statutory approval to finalize key components — including governance, funding mechanisms and site selection — the project remains largely conceptual.
With the House bill failing again, the timeline for the museum’s development is unclear. Lawmakers could revisit the proposal in the next legislative session, but any further delays risk pushing the project back several more years. Advocates warn that continued inaction could stall momentum for a museum many see as critical to telling a fuller, more accurate story of Florida’s past. For now, the effort remains paused — caught between political support at the top and legislative gridlock within the Capitol.

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