June 2022

Dear AJPM Reader,


Almost 30 years ago, Dr. Nancy Krieger, now a Harvard professor, and colleagues published in AJPM a careful and detailed exploration of the intersectional impacts of racism, sexism, and social class on studies of health, disease, and well-being. As part of our From the Archive feature, we are pleased to reprint this article, which was remarkably prescient given its enduring contemporary relevance, in our June issue. Accompanying the reprint are invited commentaries by Dr. Krieger and Dr. Ana Diez Roux, dean of Drexel’s Dornsife School of Public Health, who reflect on the origins of the article and its impact on the development of social epidemiology.

In her commentary, Dr. Krieger traces the history of her 1993 article, which emerged from a CDC symposium on preterm delivery among Black women organized by African American women researchers led by Krieger's coauthor Dr. Diane Rowley. Dr. Krieger notes that at the time, they were pushing the envelope by even mentioning racism, along with sexism and social class, as a key factor in determining health outcomes. In contrast, the CDC declared racism to be a public health crisis in 2021evidence of progress that has been made in recognizing the harms of structural racism and other social injustices in the context of public health.

Dr. Diez Roux, in her commentarydescribes her excitement upon reading Dr. Krieger's article in 1993 as a PhD student exploring, and advocating for the importance of, connections between neighborhood disadvantage and health. She explores the article's key themes, including the influence of historical contexts on studies on race, sex, and social class; the need for clear conceptual frameworks and definitions; the necessity of examining racism, sexism, and social class as intersecting processes; and the importance of using research to develop comprehensive explanations of pervasive gaps in health outcomes.

In wrapping up her commentary, Dr. Diez Roux declares that the message in Dr. Krieger's 1993 article remains as compelling now as it was when first published. Indeed, as Dr. Krieger notes, advances in understanding and addressing the connections between structural inequities in race, sex, and social class have sparked backlash at both official and grassroots levels. In concluding her commentary, Dr. Krieger writes that in 2018, the BlackWhite disparity in infant mortality was as bad as or worse than in 1993, just one example of the work still to be done in the journey toward health justice.

We hope you find this feature, as well as the rest of our June 2022 articles, to be timely, topical, and informative.

Yours in prevention and health,

Matthew L. Boulton, MD, MPH

American Journal of Preventive Medicine

Sara McAdory-Kim, MA


Childhood Adversity and Violence Prevention

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In recognition that childhood experiences strongly influence lifelong health and well-being, this supplement, sponsored by the Centers for Disease Control and Prevention, evaluates efforts and strategies, including surveillance, economic support, norms change, and more, to prevent and mitigate the effects of childhood adversity on children and their families.

Read the full supplement (OPEN ACCESS).

Violence & Injury

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Sexual Violence Against Women With Disabilities: Experiences With Force and Lifetime Risk (OPEN ACCESS)

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Association Between Fatal Occupational Injuries and State Minimum-Wage Laws, 2003–2017


Association Between E-Cigarette Use and Prediabetes_original.jpg

The Association Between E-Cigarette Use and Prediabetes: Results From the Behavioral Risk Factor Surveillance System, 2016–2018

Cigarettes, Smokeless Tobacco, and E-Cigarettes: State-Specific Use Patterns Among U.S. Adults, 2017–2018

Association Between E-Cigarettes and Asthma in Adolescents: A Systematic Review and Meta-Analysis (OPEN ACCESS)

Maternal & Child Health

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Healthcare Utilization and Costs Associated With Perinatal Depression Among Medicaid Enrollees

Nativity-Related Disparities in Preterm Birth and Cardiovascular Risk.jpg

Nativity-Related Disparities in Preterm Birth and Cardiovascular Risk in a Multiracial U.S. Cohort

Continuing Medical Education

Opioid Prescribing and High-Risk Prescribing Among Dentists_original.jpg

Appropriateness of Antibiotic Prophylaxis Before Dental Procedures, 2016–2018

Read the article and take a brief quiz to receive CME credit from ACPM.

More information here.

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