In 1986, an upstart public health researcher named Arline Geronimus challenged the conventional wisdom that condemned the alarming rise of inner-city teen pregnancies. While activist minister Jesse Jackson and health care leaders were decrying the crisis of “babies having babies” as a ghetto pathology, Geronimus contended that teenage pregnancy was a rational response to urban poverty where low-income black people have fewer healthy years before the onset of heart problems, diabetes, and other chronic conditions.
Although Geronimus’ claims gained little traction at the time, the concept she pioneered – “weathering” – eventually became a foundation for the social justice ideology that is now upending medicine and social policy. She has stated in interviews and in her writings that the term “weathering” was intended to evoke the idea of erosion and resilience.
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