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First published online May 8, 2013

Racism and Health I: Pathways and Scientific Evidence

Abstract

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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Biographies

David R. Williams is the Norman Professor of Public Health, African and African American Studies and Sociology at Harvard University. He is also Honorary Professor, Department of Psychiatry and Mental Health, University of Cape Town, South Africa. His research focuses on the ways in which socioeconomic status, race, stress, racism and religious involvement can affect health. He is the author of over 300 scholarly papers and is an elected member of the Institute of Medicine and the American Academy of Arts and Sciences. In 2008, he was ranked as the Most Cited Black Scholar in the Social Sciences.
Selina A. Mohammed is an Associate Professor in Nursing and Health Studies at the University of Washington Bothell. Her research interests include examining the impact of racialized discrimination and other structural disadvantages on health, and using critical research methodologies to explore how historical, sociocultural, political, and economic contexts contribute to health inequities, particularly for American Indians. Dr. Mohammed holds a Master of Science in Nursing from the University of Michigan, Master of Public Health from the University of Washington, and Doctor of Philosophy in Nursing Science from the University of Washington.

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Article first published online: May 8, 2013
Issue published: August 2013

Keywords

  1. racism
  2. pathways
  3. health

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David R. Williams
Harvard School of Public Health, Boston, MA, USA
Harvard University, Boston, MA, USA
University of Cape Town, Cape Town, South Africa
Selina A. Mohammed
University of Washington–Bothell, Bothell, WA, USA

Notes

David R. Williams, Harvard School of Public Health, 677 Huntington Avenue, 6th floor, Boston, MA 02115, USA. Email: [email protected]

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