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  1. Article: The prenatal care color line and Latina migrant motherhood.

    Cerdeña, Jessica P

    Medical anthropology quarterly

    2023  Volume 37, Issue 4, Page(s) 325–340

    Abstract: Drawing from ethnographic research with Latin American migrant mothers seeking prenatal care at a safety net clinic in southern Connecticut, I describe the racial dynamics of a medical hierarchy that situates White providers and nurses above Black and ... ...

    Abstract Drawing from ethnographic research with Latin American migrant mothers seeking prenatal care at a safety net clinic in southern Connecticut, I describe the racial dynamics of a medical hierarchy that situates White providers and nurses above Black and Brown medical assistants and patients, terming this the prenatal care color line. I characterize three segments of the prenatal care color line: through (1) onerous enrollment in prenatal care support that strips rights from migrant mothers; (2) differences in racialized embodiment that harden essentialist and stereotyped notions surrounding Latinx reproduction, making the experience of pregnancy and birth a process of race-making; and (3) obstetric racism manifest through both denying or delaying critical medical care to Latinx pregnant patients while also overmedicalizing their uncomplicated births. I argue that the presence of the prenatal care color line-in my study clinic as in other safety net clinics-permits the harsher racialization of Latinx birthers.
    MeSH term(s) Female ; Humans ; Pregnancy ; Anthropology, Medical ; Hispanic or Latino ; Mothers ; Prenatal Care ; Racism ; Transients and Migrants ; Connecticut ; Safety-net Providers
    Language English
    Publishing date 2023-06-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 1038242-2
    ISSN 1548-1387 ; 0745-5194
    ISSN (online) 1548-1387
    ISSN 0745-5194
    DOI 10.1111/maq.12782
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  2. Article: Epigenetic citizenship and political claims-making: the ethics of molecularizing structural racism.

    Cerdeña, Jessica P

    BioSocieties

    2022  , Page(s) 1–24

    Abstract: Epigenetics has generated excitement over its potential to inform health disparities research by capturing the molecular signatures of social experiences. This paper highlights the concerns implied by these expectations of epigenetics research and ... ...

    Abstract Epigenetics has generated excitement over its potential to inform health disparities research by capturing the molecular signatures of social experiences. This paper highlights the concerns implied by these expectations of epigenetics research and discusses the possible ramifications of 'molecularizing' the forms of social suffering currently examined in epigenetics studies. Researchers working with oppressed populations-particularly racially marginalized groups-should further anticipate how their results might be interpreted to avoid fueling prejudiced claims of biological essentialism. Introducing the concept of 'epigenetic citizenship,' this paper considers the ways environmentally responsive methylation cues may be used in direct-to-consumer testing, healthcare, and biopolitical interactions. The conclusion addresses the future of social epigenetics research and the utility of an epigenetic citizenship framework.
    Language English
    Publishing date 2022-10-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2390105-6
    ISSN 1745-8560 ; 1745-8552
    ISSN (online) 1745-8560
    ISSN 1745-8552
    DOI 10.1057/s41292-022-00286-4
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  3. Article ; Online: Race-Conscious Bioethics: The Call to Reject Contemporary Scientific Racism.

    Cerdeña, Jessica P

    The American journal of bioethics : AJOB

    2021  Volume 21, Issue 2, Page(s) 48–53

    MeSH term(s) Bioethics ; Humans ; Medicine ; Racism
    Language English
    Publishing date 2021-02-03
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2060433-6
    ISSN 1536-0075 ; 1526-5161
    ISSN (online) 1536-0075
    ISSN 1526-5161
    DOI 10.1080/15265161.2020.1861383
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  4. Article ; Online: Considerations, Caveats, and Suggestions for the Use of Polygenic Scores for Social and Behavioral Traits.

    Non, Amy L / Cerdeña, Jessica P

    Behavior genetics

    2023  Volume 54, Issue 1, Page(s) 34–41

    Abstract: Polygenic scores (PGS) are increasingly being used for prediction of social and behavioral traits, but suffer from many methodological, theoretical, and ethical concerns that profoundly limit their value. Primarily, these scores are derived from ... ...

    Abstract Polygenic scores (PGS) are increasingly being used for prediction of social and behavioral traits, but suffer from many methodological, theoretical, and ethical concerns that profoundly limit their value. Primarily, these scores are derived from statistical correlations, carrying no inherent biological meaning, and thus may capture indirect effects. Further, the performance of these scores depends upon the diversity of the reference populations and the genomic panels from which they were derived, which consistently underrepresent minoritized populations, leading to poor fit when applied to diverse groups. There is also inherent danger of eugenic applications for the information gained from these scores, and general risk of misunderstandings that could lead to stigmatization for underrepresented groups. We urge extreme caution in use of PGS particularly for social/behavioral outcomes fraught for misinterpretation, with potential harm for the minoritized groups least likely to benefit from their use.
    MeSH term(s) Genome-Wide Association Study ; Multifactorial Inheritance/genetics ; Phenotype ; Genomics
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 280238-7
    ISSN 1573-3297 ; 0005-7851 ; 0001-8244
    ISSN (online) 1573-3297
    ISSN 0005-7851 ; 0001-8244
    DOI 10.1007/s10519-023-10162-x
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  5. Article ; Online: Re: Blackface in White Space: Using Admissions to Address Racism in Medical Education.

    Plaisime, Marie V / Cerdeña, Jessica P

    Journal of general internal medicine

    2021  Volume 36, Issue 4, Page(s) 1117–1118

    MeSH term(s) Education, Medical ; Humans ; Racism ; White People
    Language English
    Publishing date 2021-01-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-021-06606-x
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  6. Article ; Online: I am not your minority.

    Black, Carmen / Cerdeña, Jessica P / Spearman-McCarthy, E Vanessa

    Lancet regional health. Americas

    2023  Volume 19, Page(s) 100464

    Language English
    Publishing date 2023-02-28
    Publishing country England
    Document type Journal Article
    ISSN 2667-193X
    ISSN (online) 2667-193X
    DOI 10.1016/j.lana.2023.100464
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  7. Article ; Online: Racialising genetic risk: assumptions, realities, and recommendations.

    Cerdeña, Jessica P / Grubbs, Vanessa / Non, Amy L

    Lancet (London, England)

    2022  Volume 400, Issue 10368, Page(s) 2147–2154

    Language English
    Publishing date 2022-12-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(22)02040-2
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  8. Article ; Online: Genomic supremacy: the harm of conflating genetic ancestry and race.

    Cerdeña, Jessica P / Grubbs, Vanessa / Non, Amy L

    Human genomics

    2022  Volume 16, Issue 1, Page(s) 18

    Abstract: Background: Recent studies have reignited the tinderbox of debate surrounding the use of race and ancestry in medicine. These controversial studies have argued for a strong correlation between genetic ancestry and race, justifying continued use of ... ...

    Abstract Background: Recent studies have reignited the tinderbox of debate surrounding the use of race and ancestry in medicine. These controversial studies have argued for a strong correlation between genetic ancestry and race, justifying continued use of genetic ancestry measures in studies of disease. These studies contend that increased use of continental ancestry estimates can inform clinical risk assessments and management. Further, recent studies of racial corrections used in clinical algorithms, such as those used to estimate 'normal' lung function, also advocate for use of genetic ancestry in place of race for refining risk algorithms.
    Main body: These positions are misleading, harmful, and reflect superficial interpretations of population genetics. In this Perspective, we argue that continental genetic ancestry, often proxied by race, serves as a poor indicator of disease risk, and reinforces racialized inequities.
    Conclusion: Instead, we endorse that racial disparities in disease should be investigated by rigorous measures of structural racism alongside careful measures of genetic factors in relevant disease pathways, rather than relying on genetic ancestry or race as a crude proxy for disease-causing alleles.
    MeSH term(s) Genomics ; Humans ; Racism
    Language English
    Publishing date 2022-05-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2147618-4
    ISSN 1479-7364 ; 1479-7364
    ISSN (online) 1479-7364
    ISSN 1479-7364
    DOI 10.1186/s40246-022-00391-2
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  9. Article ; Online: "We Need Health for All": Mental Health and Barriers to Care among Latinxs in California and Connecticut.

    Espinoza-Kulick, Mario Alberto Viveros / Cerdeña, Jessica P

    International journal of environmental research and public health

    2022  Volume 19, Issue 19

    Abstract: Latinx (im)migrant groups remain underserved by existing mental health resources. Past research has illuminated the complex factors contributing to this problem, including migration-related trauma, discrimination, anti-immigrant policies, and structural ... ...

    Abstract Latinx (im)migrant groups remain underserved by existing mental health resources. Past research has illuminated the complex factors contributing to this problem, including migration-related trauma, discrimination, anti-immigrant policies, and structural vulnerability. This paper uses decolonial-inspired methods to present and analyze results from two studies of Latinx (im)migrant communities in central California and southern Connecticut in the United States. Using mixed quantitative and qualitative analysis, we demonstrate the intersectional complexities to be addressed in formulating effective mental health services. Relevant social and structural factors including knowledge of mental health, access to insurance, and experiencing discrimination were significantly associated with anxiety symptoms, based on linear regression analysis. Ethnographic interviews demonstrate how complex trauma informs mental health needs, especially through the gendered experiences of women. Overlapping aspects of gender, language barriers, fear of authorities, and immigration status contoured the lived experiences of Latinx (im)migrants. Thematic analyses of open-ended survey responses also provide recommendations for solutions based on the experiences of those directly affected by these health disparities, particularly relating to healthcare access, affordability, and capacity. Building from these findings and past research, we recommend the adoption of a comprehensive model of mental health service provision for Latinx (im)migrants that takes into account Indigenous language access, structural competency, expanded health insurance, and resources for community health workers.
    MeSH term(s) California ; Connecticut ; Emigrants and Immigrants ; Female ; Health Services Accessibility ; Humans ; Mental Health ; Transients and Migrants ; United States
    Language English
    Publishing date 2022-10-06
    Publishing country Switzerland
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph191912817
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  10. Article ; Online: Race-conscious medicine: a response to critique.

    Cerdeña, Jessica P / Plaisime, Marie V / Tsai, Jennifer

    Internal medicine journal

    2021  Volume 51, Issue 8, Page(s) 1369–1370

    Language English
    Publishing date 2021-08-23
    Publishing country Australia
    Document type Letter ; Comment
    ZDB-ID 2045436-3
    ISSN 1445-5994 ; 1444-0903
    ISSN (online) 1445-5994
    ISSN 1444-0903
    DOI 10.1111/imj.15460
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