Systemic racism and U.S. health care

Social Science and Medicine

Volumn 103, Issue , 2014, Pages 7-14

  Feagin, Joe ^a   Bennefield, Zinobia ^a  

^a TEXAS A AND M UNIVERSITY   (United States)

Author keywords

Health care system; Medical system; Public health; Systemic racism; United States

Indexed keywords

HEALTH CARE SYSTEM; MEDICAL SYSTEM; PUBLIC HEALTH; SYSTEMIC RACISM; UNITED STATES;

AFRICAN AMERICANS; DELIVERY OF HEALTH CARE; EUROPEAN CONTINENTAL ANCESTRY GROUP; HEALTHCARE DISPARITIES; HUMANS; PHYSICIAN-PATIENT RELATIONS; RACISM; SOCIAL JUSTICE; UNITED STATES;

EID: 84893442669     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2013.09.006     Document Type: Article

References (91)

1. Acevedo-Garcia D., et al. Future directions in residential segregation and health research: a multilevel approach. American Journal of Public Health 2003, 93(2):215-221.
2. Alexander G.C., Sehgal A.R. Barriers to cadaveric renal transplantation among blacks, women, and the poor. Journal of the American Medical Association 1998, 280:1148-1152.
3. Anonymous The New England Journal of Medicine produces flat-out proof of racism in medicare-funded medicine. Journal of Blacks in Higher Education 1996, 13:39.
4. Anonymous Racial disparities in medical care. The New England Journal of Medicine 2001, 344(19):1471-1473.
5. Association of American Medical Colleges Diversity in the physician workforce: Facts & figures 2010 2010, 11. Association of American Medical Colleges, Washington, D.C.
6. Ayanian J.Z., et al. The effect of patients' preferences on racial differences in access to transplantation. New England Journal of Medicine 1999, 341:1661-1669.
7. Bach P.B., et al. Racial differences in the treatment of early-stage lung cancer. New England Journal of Medicine 1999, 341:1198-1205.
8. Blair I.V., Steiner J.F., Havranek E.P. Unconscious (implicit) bias and health disparities: where do we go from here?. Permanente Journal 2011, 15(2):71-78.
9. Bonilla-Silva E. Rethinking racism: toward a structural interpretation. American Sociological Review 1997, 62(3):465-480.
10. Burgess D.J., Ding Y., Hargreaves M., et al. The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved 2008, 3:894-911.
11. Burgess D.J., Fu S.S., Van Ryn M. Why do providers contribute to disparities and what can be done about it?. Journal of General Internal Medicine 2004, 19:1154-1159.
12. Chin M.H., Walters A.E., Cook S.C., Huang E.S. Interventions to reduce racial and ethnic disparities in health care. Medical Care Research and Review 2007, 64(5):7S-28S.
13. Cintron A., Morrison C.A. Pain and ethnicity in the United States: a systematic review. Journal of Palliative Medicine 2006, 9(6):1454-1473.
14. Clark-Hitt R., et al. Doctors' and nurses' explanations for racial disparities in medical treatment. Journal of Health Care for the Poor and Underserved 2010, 21:387-390.
15. Cooper-Patrick L., Gallo J., Gonzales J., et al. Race, gender, and partnership in the patient-physician relationship. The Journal of the American Medical Association 2009, 282(6):583-589.
16. Cooper L.A., Roter D.L., Carson K.A., Beach M.C., Sabin J.A., Greenwald A.G., et al. The associations of clinicians' implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. American Journal of Public Health 2012, 102:979-987.
17. Daniels J., Schulz A.J. Whiteness and the construction of health disparities. Gender, race, class, and health 2006, 89-127. Jossey-Bass, San Francisco, CA. L. Mullings, A.J. Schulz (Eds.).
18. Darity W.A., Turner C.B. Family planning, race consciousness and the fear of race genocide. American Journal of Public Health 1972, 62:1454-1459.
19. Darity W.A., Turner C.B. Fears of genocide among black Americans as related to age, sex, and region. American Journal of Public Health 1973, 63:1029-1034.
20. Dasgupta N., McGhee D.E., Greenwald A.G., Banaji M.R. Automatic preference for white Americans: eliminating the familiarity explanation. Journal of Experimental Social Psychology 2000, 36:316-328.
21. DeMuth J. Sick and tired of being sick and tired. The Nation 1964, 538:549.
22. Dressler W.W. Health in the African American community: accounting for health inequalities. Medical Anthropology Quarterly 1993, 7(4):321-416.
23. Fauci C.A. Racism and health care in America: legal responses to racial disparities in the allocation of kidneys. Boston College Third World Law Journal 2001, 21:35-68.
24. Feagin J.R. Systemic racism: A theory of oppression 2006, Routledge, New York.
25. Feagin J.R. Racist America 2010, Revised ed., Routledge, New York.
26. Feagin J.R., Feagin C. Discrimination American style: Institutional racism and sexism 1978, Prentice-Hall, Englewood Cliffs, N.J.
27. Feagin J.R., McKinney K. The many costs of racism 2003, Rowman and Littlefield, Lanham, MD.
28. Feagin J.R., Vera H. White racism: The basics 1995, Routledge, New York.
29. Fincher C., et al. Racial disparities in coronary heart disease: sociological view of the medical literature on physician bias. Ethnicity & Disease 2004, 14:360-371.
30. Gee G., Ford C. Structural racism and health Inequities: old issues, new directions. Du Bois Review 2011, 8(1):115-132.
31. Gemson D.H., Linson J., Messeri P. Differences in physician prevention practice patterns for white and minority patients. Journal of Community Health 1988, 15(1):53-64.
32. Ginther D.K., Schaffer W.T., Schnell J., Masimore B., Liu F., Haak L.L., et al. Race, ethnicity, and NIH research awards. Science 2011, 333:1015-1019.
33. Ginty M.M. Black women at higher risk for major diseases. We News 2005, Available at, Accessed 13.10.09. http://womensenews.org/story/health/050225/black-women-at-higher-risk-major-diseases.
34. Golub M., et al. Community mobilizes to end medical apartheid. Progress in Community Health Partnerships: Research, Education, and Action 2011, 5(3):317-325.
35. Gottesman M. Valuing diversity at NIH. NIH Catalyst 2011, 19:2.
36. Green A.R., et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. Journal of General andInternal Medicine 2007, 22:1231-1238.
37. Greenwald A.G., Poehlman A.T., Ulhman E., et al. Understanding and using the implicit association test: III. meta-analysis of predictive validity. Journal of Personality and Social Psychology 2009, 97:17-41.
38. Haider A.H., et al. Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. The Journal of the American Medical Association 2011, 306(9):942-951.
39. Hartmann B. Reproductive rights and wrongs: The global politics of population control 1995, South End Press, Boston.
40. Hausmann L.R.M., Jeong K., Bost J.E., Ibrahim S.A. Perceived discrimination in health care and health status in a racially diverse sample medical care. Medical Care 2008, 46(9):905-914.
41. Hoberman J. Black and blue: The origins and consequences of medical racism 2012, University of California Press, Berkeley, California.
42. Jones C. Levels of racism: a theoretic framework and a Gardener's tale. American Journal of Public Health 2000, 90(8):1212-1215.
43. Jones J.H. Bad blood: The Tuskegee syphilis experiment 1981, Tuskegee Institute, Free Press, New York and London.
44. Krieger N. Racial and gender discrimination: risk factors for high blood pressure?. Social Science & Medicine 1990, 30:1273-1281.
45. Krieger N. Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective. American Journal of Public Health 2003, 93(2):194-199.
46. Krieger N., Rehkopf D.H., Chen J.T., Waterman P.D., Marcelli E., Kennedy M. The fall and rise of US inequities in premature mortality: 1960-2002. PLoS Medicine 2008, 5(2):227-241.
47. LaVeist T. Linking residential segregation to the infant mortality race disparity in U.S. cities. Sociology and Social Research 1989, 73(2):90-94.
48. LaVeist T. Segregation, poverty, and empowerment: health consequences for African Americans. The Milbank Quarterly 1993, 71(1):41-64.
49. Link B.G., Phelan J. Social conditions as fundamental causes of disease. Journal of Health and Social Behavior 1995, 35:80-94.
50. Lukachko A., Hatzenbuehler M.L., Keyes K.M. Structural racism and myocardial infarction. Social Science & Medicine 2014, 103:42-50. 10.1016/j.socscimed.2013.07.021.
51. Malat J., Clark-Hitt R., Burgess D.J., Friedemann-Sanchez G., Van Ryn M. White doctors and nurses on racial inequality in health care in the USA: whiteness and colour-blind racial ideology. Ethnic and Racial Studies 2010, 33:1431-1450.
52. Massey D. The dimensions of residential segregation. Social Forces 1988, 67(2):281-315.
53. Mayberry R., Mili F., Ofili E. Racial and ethnic differences in access to medical care. Medical Care Research and Review 2000, 57:108-145.
54. Metzl J. The protest psychosis: How schizophrenia became a black disease 2010, Beacon, Boston.
55. Mitford J. Kind and unusual punishment: The prison business 1973, Alfred A. Knopf, New York.
56. Moskowitz D., Thom D.H., Guzman D., Penko J., Miaskowski C., Kushel M. Is primary care providers' trust in socially marginalized patients affected by race?. Journal of General Internal Medicine 2011, 26(8):846-851.
57. National Institute on Minority Health and Health Disparities Important events in NIMHD history 2012, Retrieved 10.15.12, from. http://www.nih.gov/about/almanac/organization/NIMHD.htm.
58. Olafsdottir A. Fundamental causes of health disparities: stratification, the welfare state, and health in the United States and Iceland. Journal of Health and Social Behavior 2007, 48:239-253.
59. Paradies Y. Asystematic review of empirical research on self-reported racism and health. International Journal of Epidemiology 2006, 35:888-901.
60. Peterson N., Friedman R., Ash A., Franco S., Carr P. Faculty self-reported experience with racial and ethnic discrimination in academic medicine. Journal of General Internal Medicine 2004, 19(3):259-265.
61. Phelan J.C., Link B.G., Diez-Roux A., Kawachi I., Levin B. Fundamental causes' of social inequalities in mortality: a test of the theory. Journal of Health and Social Behavior 2004, 45(3):265-285.
62. Phelan J.C., Link B.G., Tehranifar P. Social conditions as fundamental causes of health inequalities theory, evidence, and policy implications. Journal of Health and Social Behavior 2010, 51(1):S28-S40.
63. Ridley C.R. Clinical treatment of the nondisclosing black client. American Psychologist 1984, 39:1234-1244.
64. Roberts D. Reconstructing the patient: starting with women of color. Feminism and bioethics: Beyond reproduction 1996, 124. Oxford University Press, New York. S.M. Wolf (Ed.).
65. Roberts D. Fatal invention 2011, The New Press, New York, Kindle electronic edition.
66. Ryan A.M., Gee G.C., Grith D. Effects of perceived discrimination on diabetes management. Journal of Health Care for the Poor and Underserved 2008, 19(1):149-163.
67. Sabin J.A., Greenwald A.G. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. American Journal of Public Health 2012, 102(5):988-995.
68. Sabin J., Nosek B.A., Greenwald A., Rivara F.P. Physicians' implicit and explicit attitudes about race by MD race, ethnicity, and gender. Journal of Health Care for the Poor and Underserved 2009, 20(3):896-913.
69. Sabin J.A., Rivara F.P., Greenwald A.G. Physician implicit attitudes and stereotypes about race and quality of medical care. Medical Care 2008, 46(7):678-685.
70. Saha S., Arbelaez J., Cooper L. Patient-physician relationships and racial disparities in the quality of health care. American Journal of Public Health 2003, 93(10):1713-1719.
71. Saha S., Komaromy M., Koepsell T.D., Bindman A.B. Patient-physician racial concordance and the perceived quality and use of health care. Archives of Internal Medicine 1999, 159(9):997.
72. Saha S., Taggart S.H., Komaromy M., Bindman A.B. Do patients choose physicians of their own race. Health Affairs 2000, 19(4):76-83.
73. Sanger M. The pivot of civilization 1922, Brentano's Publishers, New York.
74. Schulman K., et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. The New England Journal of Medicine 1999, 340(8):618-626.
75. Seattle and King County Department of Public Health Racial and ethnic discrimination in healthcare settings 2001, Seattle and King County Department of Public Health, Seattle, WA.
76. Sims J.M. The story of my life 1884, D. Appleton, New York.
77. Skloot R. The immortal life of Henrietta Lacks 2010, Crown Publishing Group, New York.
78. Smedley B.D., Stith A.Y., Nelson A.R. Unequal treatment: confronting racial and ethnic disparities in health care 2003, National Academies Press, Washington, D.C.
79. Snipes S., et al. Is race medically relevant? A qualitative study of physicians' attitudes about the role of race in treatment decision-making. BMC Health Services Research 2011, 11:183.
80. Thomson G.E., Mitchell F., Williams M. Examining the health disparities research plan of the National Institutes of Health: Unfinished business 2006, National Academies Press, Washington, D.C.
81. Ture K., Hamilton C. Black power 1967, Random House, New York.
82. Van Ryn M., Burke J. The effect of race and socio-economic status on physicians' perceptions of patients. Social Science & Medicine 2000, 50:813-828.
83. Walters K. Bodies don't just tell stories, they tell histories embodiment of historical trauma among American Indians and Alaska Natives. Du Bois Review 2011, 8(1):179-189.
84. Warwick A. Colonial pathologies: American tropical medicine, race, and hygiene in the Philippines 2006, Duke University Press, Durham, NC.
85. Washington H.A. Medical apartheid: The dark history of medical experimentation on black Americans from colonial times to the present 2006, Harlem Moon, New York, New York.
86. Welsome E. The plutonium files 1999, The Dial Press, New York.
87. Williams D.R. Miles to go before we sleep: racial inequities in health. Journal of Health and Social Behavior 2012, 53(3):279-295.
88. Williams D.R., Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Reports 2001, 116(5):404-416. (Washington, D.C.: 1974).
89. Williams D., Mohammed S. Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine 2009, 32(1):20-47.
90. Wilson A.E. Fundamental causes of health disparities: a comparative analysis of Canada and the United States. International Sociology 2009, 24:93-113.
91. Zempsky W.T., Corsi J.M., McKay K. Pain scores: are they used in sickle cell pain?. Pediatric Emergency Care 2011, 27(1):27-28.