Systemic racism and U.S. health care

Feagin, Joe R.; Bennefield, Zinobia C.

doi:10.1016/j.socscimed.2013.09.006

Cited by 588 publications

(523 citation statements)

References 59 publications

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“…Feagin and Bennefield (2014) contend that 85% of US history is comprised of systemic oppression and racism (i.e., genocide, slavery, and segregation). Racism often is defined broadly and imprecisely (Song, 2014).…”

Section: Setting the Contextmentioning

confidence: 99%

“…Racism often is defined broadly and imprecisely (Song, 2014). Feagin (2006) and Feagin & Bennefield (2014) helpfully identifies the major dimensions of US racism: 1) dominant racial hierarchy, 2) comprehensive white racial framing, 3) individual and collective discrimination, 4) social reproduction of racial-material inequalities, and 5) racist institutions integral to white domination of Americans of color. These dimensions of racism have resulted in the unjust material and immaterial gain for whites (over multiple generations) at the expense and systemic exclusion of people of color.…”

Section: Setting the Contextmentioning

confidence: 99%

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In Defense of Culturally-Specific Organizations: Understanding the Rationale and the Evidence

Curry-Stevens¹,

Muthanna²

2016

AASoci

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Racial disparities abound in human services, with communities of color facing grave impediments to positive progress. Mainstream institutions move painstakingly slowly on reforms-movement too slow to offer this generation prospects for real hope in equity. This paper builds the rationale for expanding funding for culturally-specific organizations, detailing the ways that the literature and the tacit knowledge of culturally-specific organizations improve outcomes for clients and communities of color. The article identifies the service benefits in terms of client outcomes, accountability practices, community benefits, cultural affirmation and inclusion, building community and political capital, and lessening investments in white-centric services. We also identify methods for funding bodies to invest in culturally-specific organizations, and consider the accountability practices that might stimulate mainstream organizations to make gains in racial equity. KeywordsCulturally-Specific Organizations, Ethnic Agencies, Racial Disparities, Racial Equity, Dangerous Allies Setting the ContextAs institutions consider how to move forward with the eradication of institutional racism and racial disparities, communities of color and minority ethnic groups are waiting-sometimes patiently and sometimes not. In Multnomah County (in Oregon, USA), the Coalition of Communities of Color, an alliance of over 25 culturallyspecific community based organizations, is pressing for an alternative: equitable funding for culturally-specific organizations in order to improve the service outcomes for communities of color who have been waiting for A. Curry-Stevens, J. S. Muthanna 68 racial equity for generations.In this region, communities of color have spent the last ten years building an advocacy-based, multi-sector, multi-racial coalition to identify and advance collective interests. In 2003, their organizing and collective voice led to the redirection of approximately 25% of the County's anti-poverty funds to culturally-specific organizations to meet the needs of children of color. The effort was successful in reaching children of color-as 66% of the service users within these anti-poverty programs were children of color, compared to less than 20% before this effort, when outreach had primarily reached white families (Curry-Stevens, Cross-Hemmer, & Coalition of Communities of Color, 2010). And still, rising poverty and rising disparities within poverty cause grave challenges for the region. In response, the Coalition of Communities of Color has added research to their organizing efforts, and expanded their policy advocacy practices, including creating a policy agenda that has been effectively gaining attention. One of these efforts is to build more support for the provision of culturally specific organizations to deliver services to communities of color.Data from the Coalition of Communities of Color reports show that, today, the stakes are high. In almost all areas of life, communities of color face deep and, in numerous instances, w...

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Section: Setting the Contextmentioning

confidence: 99%

Section: Setting the Contextmentioning

confidence: 99%

In Defense of Culturally-Specific Organizations: Understanding the Rationale and the Evidence

Curry-Stevens¹,

Muthanna²

2016

AASoci

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“…Racialized stereotypes about African American women abound in pop culture: ranging from the bitchy person as depicted on "reality" TV shows to the titles of popular fiction that target African American readers [18,36]. Racialized framing can also prompt healthcare providers to assume that risks for medical conditions, such as hypertension-associated renal disease or HIV, are due to African Americans' biological characteristics, rather than due to socioeconomic and/or structural factors [8,31,37,38].…”

Section: Stigma and Racementioning

confidence: 99%

Untitled

2015

ACRS

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“…Are these usage differences caused by impediments to access and provider prejudices, or are they the result of valid personal decisions made by patients who may be caregivers for others or primary wage-earners? Might these differences be explained by patients' perceptions of discrimination [2,21] or by lower levels of trust in a healthcare system that in fact has not always treated all patients equally [5,18]? Such questions should matter to all of us, regardless of the particular type of surgery each of us might perform.…”

mentioning

confidence: 99%

Editor's Spotlight/Take 5: Does a Patient-centered Educational Intervention Affect African-American Access to Knee Replacement? A Randomized Trial

Leopold

2016

Clinical Orthopaedics &Amp; Related Research

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Systemic racism and U.S. health care

Cited by 588 publications

References 59 publications

In Defense of Culturally-Specific Organizations: Understanding the Rationale and the Evidence

In Defense of Culturally-Specific Organizations: Understanding the Rationale and the Evidence

Untitled

Editor's Spotlight/Take 5: Does a Patient-centered Educational Intervention Affect African-American Access to Knee Replacement? A Randomized Trial

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