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      STRUCTURAL RACISM AND HEALTH INEQUITIES : Old Issues, New Directions

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      Du Bois Review: Social Science Research on Race
      Cambridge University Press (CUP)

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          Abstract

          Racial minorities bear a disproportionate burden of morbidity and mortality. These inequities might be explained by racism, given the fact that racism has restricted the lives of racial minorities and immigrants throughout history. Recent studies have documented that individuals who report experiencing racism have greater rates of illnesses. While this body of research has been invaluable in advancing knowledge on health inequities, it still locates the experiences of racism at the individual level. Yet, the health of social groups is likely most strongly affected by structural, rather than individual, phenomena. The structural forms of racism and their relationship to health inequities remain under-studied. This article reviews several ways of conceptualizing structural racism, with a focus on social segregation, immigration policy, and intergenerational effects. Studies of disparities should more seriously consider the multiple dimensions of structural racism as fundamental causes of health disparities.

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          Social Conditions As Fundamental Causes of Disease

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            Racial residential segregation: A fundamental cause of racial disparities in health

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              Levels of racism: a theoretic framework and a gardener's tale.

              The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences. She then presents an allegory about a gardener with 2 flower boxes, rich and poor soil, and red and pink flowers. This allegory illustrates the relationship between the 3 levels of racism and may guide our thinking about how to intervene to mitigate the impacts of racism on health. It may also serve as a tool for starting a national conversation on racism.
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                Author and article information

                Journal
                Du Bois Review: Social Science Research on Race
                Du Bois Rev.
                Cambridge University Press (CUP)
                1742-058X
                1742-0598
                2011
                April 15 2011
                2011
                : 8
                : 1
                : 115-132
                Article
                10.1017/S1742058X11000130
                25632292
                f3e05192-67d1-4bf5-9271-65cca8a09c31
                © 2011

                https://www.cambridge.org/core/terms

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