Beyond stress and coping: the relevance of critical theoretical perspectives to conceptualising racial discrimination in health research

被引:9
作者
Varcoe, Colleen [1 ]
Browne, Annette [1 ]
Garneau, Amelie Blanchet [2 ]
机构
[1] Univ British Columbia, Sch Nursing, Vancouver, BC, Canada
[2] Univ Montreal, Fac Nursing, CP 6128,Succursale Ctr Ville, Montreal, PQ H3C 3J7, Canada
来源
HEALTH SOCIOLOGY REVIEW | 2019年 / 28卷 / 03期
关键词
Discrimination; racism; health research; critical theory; INTERSECTIONALITY THEORY; CARE; PERCEPTIONS; OUTCOMES; GENDER; ACCESS; WOMEN; RACE;
D O I
10.1080/14461242.2019.1642124
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Racial discrimination is primarily conceptualised and dealt with at the individual level in health research and practice. Most conceptualisations, and the measures which follow, are grounded in stress-coping theories thus reinforcing individual level understandings. This draws attention away from how structures and systems reproduce racial discrimination, and further supports the very racial categorisations upon which racism depends. The purpose of this paper is to discuss the relevance of critical theoretical perspectives in conceptualising racial discrimination and how it is taken-up and measured in health research. Drawing on Indigenous, Black and material feminist, intersectional, critical race, postcolonial and political economy perspectives, we propose that racial discrimination can most usefully be understood as a relational socio-historical concept. Racial discrimination understood at the systemic level in research and measurement will support more effective policies and practices to mitigate intersecting forms of discrimination in healthcare. Critical theoretical approaches to studying racial discrimination in health research could inform future analyses needed to address and limit the harms perpetuated through individual and structural forms of discrimination.
引用
收藏
页码:245 / 260
页数:16
相关论文
共 81 条
[21]   Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study [J].
Browne, Annette J. ;
Varcoe, Colleen ;
Lavoie, Josee ;
Smye, Victoria ;
Wong, Sabrina T. ;
Krause, Murry ;
Tu, David ;
Godwin, Olive ;
Khan, Koushambhi ;
Fridkin, Alycia .
BMC HEALTH SERVICES RESEARCH, 2016, 16 :1-17
[22]   Can ethnicity data collected at an organizational level be useful in addressing health and healthcare inequities? [J].
Browne, Annette J. ;
Varcoe, Colleen M. ;
Wong, Sabrina T. ;
Smye, Victoria L. ;
Khan, Koushambhi B. .
ETHNICITY & HEALTH, 2014, 19 (02) :240-254
[23]   Tackling racism as a "wicked" public health problem: Enabling allies in anti-racism praxis [J].
Came, Heather ;
Griffith, Derek .
SOCIAL SCIENCE & MEDICINE, 2018, 199 :181-188
[24]   Racial Discrimination and Health Outcomes Among Racial/Ethnic Minorities: A Meta-Analytic Review [J].
Carter, Robert T. ;
Lau, Michael Y. ;
Johnson, Veronica ;
Kirkinis, Katherine .
JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT, 2017, 45 (04) :232-259
[25]  
Collins P.Hill., 1993, FEMINIST FRAMEWORKS, V3rd, P93
[26]   LEARNING FROM THE OUTSIDER WITHIN - THE SOCIOLOGICAL SIGNIFICANCE OF BLACK FEMINIST THOUGHT [J].
COLLINS, PH .
SOCIAL PROBLEMS, 1986, 33 (06) :S14-S32
[27]  
Currie C, 2015, CAN J PUBLIC HEALTH, V106, pE382, DOI 10.17269/cjph.106.4979
[28]   Microaggressions and Discrimination Relate to Barriers to Care Among Black Women Living with HIV [J].
Dale, Sannisha K. ;
Dean, Taquesha ;
Sharma, Ratanpriya ;
Reid, Rachelle ;
Saunders, Sherene ;
Safren, Steven A. .
AIDS PATIENT CARE AND STDS, 2019, 33 (04) :175-183
[30]  
de Tocqueville Alexis., 2003, Writings on Empire and Slavery