Fusing science and social justice, renowned public health researcher Dr. Arline T. Geronimus offers an urgent, "monumental" book (Ibram X. Kendi, author of Stamped from the Beginning) exploring the ways in which systemic injustice erodes the health of marginalized people.

Product Code: 9105
ISBN: 9780316257978
Format: Hardback
Publisher: Little, Brown Spark
Pages: 368
Published Date: 03/28/2023
Availability:In stock
Price: $30.00

America has woken up to what many of its citizens have known for centuries and to what public health statistics have evidenced for decades: systemic injustice takes a physical, too often deadly, toll on Black, brown, working class and poor communities, and any group who experiences systemic cultural oppression or economic exploitation. Marginalized Americans are disproportionately more likely to suffer from chronic diseases and to die at much younger ages than their middle- and upper-class white counterparts. Black mothers die during childbirth at a rate three times higher than white mothers. White kids in high-poverty Appalachian regions have a healthy life expectancy of 50 years old, while the vast majority of US youth can expect to both survive and be able-bodied at 50, with decades of healthy life expectancy ahead of them. In the face of such clear inequity, we must ask ourselves why this is, and what we can we do.

Dr. Arline T. Geronimus coined the term “weathering” to describe the effects of systemic oppression—including racism and classism—on the body. In Weathering, based on more than 30 years of research, she argues that health and aging have more to do with how society treats us than how well we take care of ourselves. She explains what happens to human bodies as they attempt to withstand and overcome the challenges and insults that society leverages at them, and details how this process ravages their health. And she proposes solutions.

Until now, there has been little discussion about the insidious effects of social injustice on the body. Weathering shifts the paradigm, shining a light on the topic and offering a roadmap for hope.

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Part I
1. Is Working Hard and Playing by the Rules the Cure for What Ails Us?
2. Stress and the Human Biological Canvas
3. Distressed Genes and Weathered Cells
4. Mothers and Babies in Jeopardy
5. Collectively Weathering Weathering
6. Killing Us Stealthily: The Weathering Effects of Racialized Social Identity
7. Weathering for Success: Age against the Machine
8. Social Policy and the Assault on Black Family Life
Part II
9. Think Biopsychosocially: Address the Stealth Inequities That Surround Us
10. Think Holistically: Transcend Departments, Compartments, and Determinants
11. Do Not Erase Oppressed Stakeholders: Do Nothing about Us without Us
12. Reorient Public Health Science and Practice to Better Address the Needs of Working-and Reproductive-Age Adults
13. Recognize All Our Fates Are Linked


“One of the most significant public health research discoveries of the last few decades is this: when it comes to health and aging, how society treats us has more of an impact than how we take care of ourselves. In this monumental book, Arline T. Geronimus meticulously demonstrates that systemic injustice isn’t just oppressive—it’s toxic on the body; it’s deadly.”—Ibram X. Kendi, National Book Award-winning author of Stamped from the Beginning

“Impassioned and persuasive, this is an essential call for change.”—Publishers Weekly, Starred Review

“Superbly insightful. If this unique volume did nothing else, I would recommend Weathering as the book on healthcare disparities. But it also distills and delivers its scholarship and insight in engaging narratives, including compelling personal histories so that you will glean your education in racial health disparities—and how to end them—quite painlessly. In fact, reading Weathering, with its clear-eyed mixture of reality and hope, is a delight.”—Harriet A. Washington, author of A Terrible Thing to Waste and Medical Apartheid

“Arline Geronimus brings together a lifetime of research, scholarship, and experience to explain how continually battling back oppression hurts the human body. Her book offers an eloquent, comprehensive and compassionate framework for understanding the physiological effects of societal harm and a path to healing.”—Linda Villarosa, author of Under the Skin

“A compelling contribution to the literature on the important issue of health care inequity.”—Kirkus Reviews, Starred Review

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