Question for people who know science.
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@mekkaokereke That's scary. I remember, for instance, when my wife was pregnant that the doctors regularly made certain adjustments based on the fact that she's Black. 'Luckily' she's of Nigerian heritage, but I think you're saying that if she was of, say, Namibian origin they might be applying incorrect metrics to her.
(I know there's a lot more than just that to being a doctor, but you get what I'm saying.)
Yeah, and even with the knowledge that she is Nigerian, US medical stuff causes us to get worse care and be mistreated to death.
My dad keeps a lot of his Black patients alive, because he was trained in Nigeria, London, and the US, and knows all the ways that US healthcare provides worse care to Black people.
PulseOx readings are wrong for us. Skin diseases present differently. Bodyweight and birth weight readings are different. BMI charts, which are bad for everyone, are especially wrong for us. Pain is often ignored, or considered to be faking. Expensive treatments and tests are under-prescribed. Etc.
If you're going to have a baby in the US and you are Black? Even if you are wealthy? Get a doctor that understands how US medicine can fail Black patients. The doctor doesn't have to be Black. They just have to care enough to have looked into these differences.
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@topher1kenobe the risk factor for heart disease is racism, not race. There have been papers on that. @davidnjoku @PurpleJillybeans
@carl @davidnjoku @PurpleJillybeans ah, that’s great to know! Thanks a bunch.
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Yeah, and even with the knowledge that she is Nigerian, US medical stuff causes us to get worse care and be mistreated to death.
My dad keeps a lot of his Black patients alive, because he was trained in Nigeria, London, and the US, and knows all the ways that US healthcare provides worse care to Black people.
PulseOx readings are wrong for us. Skin diseases present differently. Bodyweight and birth weight readings are different. BMI charts, which are bad for everyone, are especially wrong for us. Pain is often ignored, or considered to be faking. Expensive treatments and tests are under-prescribed. Etc.
If you're going to have a baby in the US and you are Black? Even if you are wealthy? Get a doctor that understands how US medicine can fail Black patients. The doctor doesn't have to be Black. They just have to care enough to have looked into these differences.
@mekkaokereke Wow, that thing you just said about BMI has answered a question I've had for close to 20 years! I'm tall and kinda skinny - but my BMI has always put me down as overweight.
Should've guessed that it's because I'm Black!
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Question for people who know science.
I know that race is a social construct. The fact that I'm 'Black' has no meaning beyond my melanin levels. It doesn't, for instance, make me a better rapper than you. Culture might, but melanin doesn't.
So why are there medical differences between races? Black women have more fibroids, & have their babies a week earlier than white women. And Black men are more prone to type 2 diabetes.
Why's that? Culture? Racism? Something else?
@davidnjoku One of the examples of a race-based health trait that people mention is sickle-cell trait. But this is an adaptation to malaria, and parts of Africa which do not have malaria, like most of South Africa, so not have sickle-cell trait to the same extent as Africans closer to the equator
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If the only Asians in America were from Tonga, Samoa and Hawaii? Then US medical textbooks would make all kinds of horrifically wrong conclusions about Asian people and health risks.
️They'd apply outlier observations to billions of people.
That's what happens to Black people. Not quite as extreme, but same principle.
@mekkaokereke @weddige @davidnjoku @davep
After reading over this interesting thread, there’s a point that you and others raise that is worth making explicit: individual humans are shaped by their genes, their physical environment, and their cultural environment, so it often doesn’t make sense to say that one is more important than the others. The problem with the idea of race is not that genes play no role at all in human development, nor that traits that we associate with race have no correlation whatsoever with other traits. The problem is that the traits we choose to associate with race are socially determined, arbitrary, and not much use for classifying the genetic diversity of humans.
A good source on this topic is Richard Lewontin, who did foundational work in establishing the science of human genetic diversity and was a committed public intellectual. The link here is to a series of lectures that were published under the title, “Biology as Ideology.”
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@davep That's a good point. But there are a billion Black people, and we're genetically more diverse than all of the rest of the world put together, so it's a bit strange (to my non-scientific mind) that there'll be traits that affect all of us.
@davidnjoku @davep That's the thing: I don't think it could be said that [insert race-based trait here] affects all billion Black people. The fact that Black populations in Western Hemisphere are mostly descended from West Africans causes a sampling bias
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@davidnjoku One of the examples of a race-based health trait that people mention is sickle-cell trait. But this is an adaptation to malaria, and parts of Africa which do not have malaria, like most of South Africa, so not have sickle-cell trait to the same extent as Africans closer to the equator
@jmopp Yes, I should've thought of that. My ex has sickle cell disorder and we've spent many, many days in ICU.
But as a result, my kids are less likely than me to catch malaria. Which is nice for them, cos malaria isn't fun.
Everyone says sickle cell is a Black thing, but you're right, people from your part of the continent don't have it as much as we do.
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@mekkaokereke Wow, that thing you just said about BMI has answered a question I've had for close to 20 years! I'm tall and kinda skinny - but my BMI has always put me down as overweight.
Should've guessed that it's because I'm Black!
agree, BMI is such a eugenic crock.
Thank you for pointing out the extreme over-generalizations of Black health! TILGenetics is not my field, but AFAICT people who survive major traumas like chattel slavery, terrorist attacks, and genocide, and then become pregnant pass on epigenetic changes to their children.
So imo that's in the mix along with present medical racism and increased environmental exposure to carcinogens and fresh veg access.
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Question for people who know science.
I know that race is a social construct. The fact that I'm 'Black' has no meaning beyond my melanin levels. It doesn't, for instance, make me a better rapper than you. Culture might, but melanin doesn't.
So why are there medical differences between races? Black women have more fibroids, & have their babies a week earlier than white women. And Black men are more prone to type 2 diabetes.
Why's that? Culture? Racism? Something else?
@davidnjoku the are genetic traits for some regions, ie. central africa tends to higher rates of sickle cell anima as the same mutation gives a resistance to malaria. what you're talking about is mostly racism though
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Question for people who know science.
I know that race is a social construct. The fact that I'm 'Black' has no meaning beyond my melanin levels. It doesn't, for instance, make me a better rapper than you. Culture might, but melanin doesn't.
So why are there medical differences between races? Black women have more fibroids, & have their babies a week earlier than white women. And Black men are more prone to type 2 diabetes.
Why's that? Culture? Racism? Something else?
@davidnjoku
It's just genetics. -
@davep lactose tolerante into adulthood appeared in a couple of African peoples first. @davidnjoku
@carl @davidnjoku
Interesting, thanks. I guess the trait must have spontaneously become prevalent in various pastoral peoples. -
@davidnjoku UK or the US whites need to talk about races. Their identity is build on not being Black. They need Black people for their whiteness. Of course forgetting that they themselves are human, too, even without Black people. @weddige @davep
UK? Not really. I think it's so crazy in the USA because of the whole colonialist mentality, manifest destiny etc. The peasants/working class of England were the template for the aristocracy to do even worse things around the world. And they still own 3 to 4 times more land than everybody else put together. It's an insanely hierarchical society.
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Yeah, and even with the knowledge that she is Nigerian, US medical stuff causes us to get worse care and be mistreated to death.
My dad keeps a lot of his Black patients alive, because he was trained in Nigeria, London, and the US, and knows all the ways that US healthcare provides worse care to Black people.
PulseOx readings are wrong for us. Skin diseases present differently. Bodyweight and birth weight readings are different. BMI charts, which are bad for everyone, are especially wrong for us. Pain is often ignored, or considered to be faking. Expensive treatments and tests are under-prescribed. Etc.
If you're going to have a baby in the US and you are Black? Even if you are wealthy? Get a doctor that understands how US medicine can fail Black patients. The doctor doesn't have to be Black. They just have to care enough to have looked into these differences.
@mekkaokereke @davidnjoku And in addition to all of that, there's the aftereffects of systemic racism throwing Black communities under the bus of all kinds of hideous environmental harms for decades. There are ofc a lot of examples in the U.S., but this also happens in mining and manufacturing areas all across Africa, and some of that may have genetic implications we don't even know about yet. It's a fair bet the same thing's happened in the UK and they just haven't bothered to research it yet.
