Am J Public Health. 2000 August; 90(8): 1212–1215.
Note:This is one of the key articles on racism in health care and
in our society.
Abstract: The author presents
a theoretic framework for
understanding racism on 3 levels: institutionalized, personally mediated, and
internalized. This framework is useful
for raising new
hypotheses about the basis of race-associated differences in health
outcomes, as well as for designing effective interventions to eliminate those
differences.
She then presents an allegory about a gardener with 2 flower
boxes, rich and
poor soil, and red and pink flowers. This allegory illustrates
the relationship between the 3 levels of racism and may guide our thinking
about how to intervene to mitigate the impacts of racism on health. It may also
serve as a tool for starting a national
conversation on racism.Link to Free Full Text.
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