Racism and Health I: Pathways and Scientific Evidence

First Published May 8, 2013 Research Article

Authors

123
 
Harvard School of Public Health, Boston, MA, USA
 
Harvard University, Boston, MA, USA
 
University of Cape Town, Cape Town, South Africa
by this author
, 4
 
University of Washington–Bothell, Bothell, WA, USA
by this author
First Published Online: May 8, 2013

This article reviews the scientific research that indicates that despite marked declines in public support for negative racial attitudes in the United States, racism, in its multiple forms, remains embedded in American society. The focus of the article is on the review of empirical research that suggests that racism adversely affects the health of nondominant racial populations in multiple ways. First, institutional racism developed policies and procedures that have reduced access to housing, neighborhood and educational quality, employment opportunities, and other desirable resources in society. Second, cultural racism, at the societal and individual level, negatively affects economic status and health by creating a policy environment hostile to egalitarian policies, triggering negative stereotypes and discrimination that are pathogenic and fostering health-damaging psychological responses, such as stereotype threat and internalized racism. Finally, a large and growing body of evidence indicates that experiences of racial discrimination are an important type of psychosocial stressor that can lead to adverse changes in health status and altered behavioral patterns that increase health risks.

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